The case for data capture at the point of care
This video outlines why all clinicians should engage with data capture at the point of care delivery. Accurate data capture has many benefits, through:
- encouraging consistent use of terminologies
- making the needs of each and every patient visible
- tracking changes over time, to better understand healthcare conditions
- providing evidence for changes in commissioning and service design
- developing business cases for extra resources.
SNOMED-CT is a standardised, comprehensive vocabulary that allows clinicians to accurately record patient data at the point of care and share information across health systems. NHS England have mandated implementation of SNOMED-CT across all healthcare settings by April 2020. RCPCH are supporting members with implementation and you can access our SNOMED-CT how to guide to get involved.
Developing a SNOMED-CT terminologies set - Best practice example
This video describes how Dr Karen Horridge led on the development of the Paediatric Disability Data Set Glossary using SNOMED-CT concepts. The data set has now evolved into the Community Services Data Set (CSDS).
Terms were originally developed with input from general paediatrics, community paediatrics and disability. It also had input from patients and parent / carers, through the National Network of Parent Carer Forums.
You can access the Paediatric Disability Glossary and browse the SNOMED-CT browser online. We are currently working with special interest / specialty groups to expand this glossary with relevant terms - if you would like to get involved, please get in touch with us on email@example.com.
This video describes how SNOMED-CT was implemented locally in Dr Horridge's hospital, Sunderland Royal. It provides a detailed example of how clinicians use their electronic healthcare system to code at the point of care.
You can find out more about empowering clinical data collection at the point of care in this BMJ article.
Outputs of data captured at point of care by paediatricians
This video outlines the local and national outputs that have been achieved following the rollout of the Paediatric Disability Glossary across all paediatric clinics in Sunderland. Locally, SNOMED coding has led to redesign of clinics and care pathways informed by evidence of population needs. Nationally, it has informed development of the Disability Complexity Scale, BACD Quality Principles, NHS England currency model for disabled children and young people and NCEPOD research on Each and Every Need.
In total, the needs of 4,680 children and young people have been captured from 6,607 consultations. The video provides an analysis of data captured in Sunderland between the March 2017 and February 2018 period.
Additional videos covering data capture at the point of care are available for:
- Children and young people with learning needs
- Children and young people with autism spectrum conditions
- Children and young people with behavioural and/or mental health needs
- Children and young people with physical disabilities