What is CDRC?
The Clinical Digital Resource Collaborative (CDRC) is made up of clinical and digital experts from a range of organisations across the North East who develop open source, free-at-the point of access region-wide clinical IT system resources (such as templates, protocols, referral forms, reports) to use in both EMIS and TTP SystmOne. Partners include: North of England Commissioning Support (NECS), Primary Care, CBC Health, CCGs and Networks such as Northern Cancer Alliance and the Academic Health Science Network.
CDRC provides organisations (predominantly primary care in the first instance) with access to safety assessed and quality assured tools and resources from a trusted source which integrate into their organisation’s clinical software and reflect agreed and accepted clinical pathways and best practice. The provision of these resources will support a range of staff working within clinical teams and will have a positive impact on patient care and clinical management. In addition, the use of a standardised approach as well as the mandated SNOMED CT codes improves data quality and analysis, and interoperability.
Here is more information about who sits on the CDRC core steering group .
How does this link into the Integrated Care System (ICS) ambitions?
In line with the NHS Long Term Plan, the North East and North Cumbria aspiring Integrated Care Systems (ICS) brings together local health and care organisations to work on shared priorities. The geographical patch presented below is based on the initial Sustainability and Transformation Partnership (STP) footprints identified as part of the NHS Five Year Forward View plan. In this region, the ICS is made up of four Integrated Care Partnerships (ICPs).
A key part of working at a System level involves sharing information and resources to deliver the best possible care for patients and making efficiencies across the region; this is one of the key messages highlighted throughout the Digital Care Strategy (due for publication by the North East and North Cumbria Digital Care Programme in Summer 2019).
The North East and North Cumbria Clinical Digital Resource Collaborative (CDRC) will contribute towards this shared goal and is cited in both the Digital Strategy and Roadmap. CDRC is also anticipated to link in with resource optimisation ambitions of the Primary Care Digital Strategy, which is currently in development.
As these resources are developed by clinicians and are based on accepted clinical pathways and best practice, you can be assured about their quality and safety. Furthermore, all regional resources must undergo a hazard review process and are appraised by a Clinical Safety Officer (CSO) prior to publication. Resources undergo regular review and updates are released, if required.
Benefits to Patients
The groundwork to CDRC was founded on the Gateshead Referral Form project, DCS templates and existing SystmOne resources which collectively developed into regional CDRC resources. Benefits to patients resulting from this work include:
- Higher quality referrals resulting in safer handover to clinicians in secondary care
- More structured, patient-centred long term condition reviews, care and support planning
- Improvements to screening uptake and related QOF performance (e.g. for cervical smears)
- Better identification of patients at risk of particular diseases (e.g. Diabetes, Atrial Fibrillation)
- Better identification of risks to safety related to medication use
Benefits to Clinical Teams
These free, easy to use and quality assured resources can be integrated into ongoing care and provide a standardised, systematic approach to providing the best care for patients.
In addition to the benefits to patient care, these resources can also assist with:
- Performance improvement (e.g. QOF)
- Simplification of complex patient pathways
- Identification of individual practitioner differences (e.g. in prescribing antibiotics)
- Improving business outputs/processes, including better system flow
- Improvements in data quality and analysis
- Working towards improved interoperability through the use of SNOMED codes
- Supporting administrative and management staff as well as frontline clinicians in creating efficiencies
- Financial savings for organisations currently paying for commercially available resources
At an aspiring Integrated Care System (ICS) level, CDRC provides a sustainable, integrated framework for the development and use of centrally distributed regional resources across different parts of the NHS. This approach encourages system level design and innovation, in a safe and managed way benefitting primary care and the wider system. Working on the premise of economies of scale, the CDRC approach is more efficient and aims to prevent duplication of efforts. In addition, it aims to reduce unwarranted variation of outputs and business processes and promotes standardisation.
There is also now a single governance structure in place and agreed centralised process to resource requests.
How do I get in touch?
Requests for new regional resources or amendments to existing regional resources should be directed to the CDRC inbox: firstname.lastname@example.org.
Requests will be triaged and prioritised, with the most appropriate staff aligned to them for creation. Following this they will be hazard reviewed and finally signed off by the customer prior to publication for regional use.
This centrally managed process ensures a consistent approach to supporting the effective tracking of requests through the development cycle and minimises chances of duplication of effort or missed opportunities.