• Process Standards
  • 1. Named leads
  • 2. All stakeholders involved
  • 3. Process mapping conducted
  • 4. Implementation linked to care governance structures
  • 5. Training needs assessment conducted
  • 6. Diagnostic information collated
  • 7. Recording and sharing of information
  • 8. Systems for recording and analysing variances developed
  • 9. Referral systems developed

Standard 7: Systems are in place to enable the recording and sharing of information.

Supporting material for process standard 7:

All transitions of care need to be accompanied by information in a standardised format, ideally electronically, to help support the new care team to provide a seamless service. There is a need to obtain service user consent to share information outwith the staff group who are providing the care. NHS boards and their partners should develop information sharing systems to enable this.

Examples of evidence required to meet standard 7:

- Local e-health strategy
- Information sharing protocol
- Record keeping policy
- Storage of records policy
- Copies of relevant documents e.g. example discharge summary
- Local leaflet regarding consent and confidentiality

Useful Resources:

• 1. ISD Scotland. Mental health information sets
  • a] An encounter and intervention record for community specialist mental health teams: The Information Core for Integrated Care (ICIC)
  • b] An Information bundle to support transitions in care: The Psychiatric Inpatient Clinical Discharge Summary (PIC-DSIS)
• 2. Scottish Executive. Gold Standard information sharing protocol
• 3. Scottish Executive Health Department. A good practice guide on consent for health professionals in NHSScotland. NHS HDL(2006)34
• 4. Scottish Consumer Council. Confidentiality: it's your right: how the NHS protects your personal health information. Glasgow:SCC; 2007