Past events

PAST EVENTS

Catch up on our past events and access presentations, audio and video from our speakers

As a PRSB partner you have access to recordings and presentations from our previous events below. Want to find out what is coming up? Join us at our next workshop or briefing. See all our new partner events here.

Partner Exclusive – the Standards Route Map – November 2024

PRSB Partners heard about our new standards development, as well as release and maintenance schedules. They were updated on the Data Bill following proroguing for the general election. We also asked for their feedback on their experience as a PRSB Partner which we will use to further improve the value they derive from the scheme. 

PRSB AGM 2024

At our AGM, we celebrated all that we have achieved in partnership with our members over the past year, and shine a spotlight on key advances such as  the Digital Maternity Records Standard and the impact they are making. We also launched our Coalition for Change – an open invitation to both the new government and our members and partners to work with us on the manageable actions that we can each take to collectively create a paradigm shift in the use and impact of standards.

Partner Exclusive – The Standards Route Map – May 2024

PRSB Partners were updated on the progress of the Data Protection and Digital Information Bill through parliament and the plans and timeline for the implementation of the requirements of the Bill. We also discussed our technical strategy for 2024 and opportunities to contribute to our standards development.

Contact partners@theprsb.org to access recordings and presentations.

Partner Exclusive – The Standards Route Map – Dec 2023

Find out how you can contribute to the content of our new standards, learn which health and social care ISNs are on the horizon and find out about our maintenance log. We’ll also be focusing on key priorities for national architecture and learn how PRSB is changing its own architecture model.

Contact partners@theprsb.org to access recordings and presentations.

PRSB 10 – celebrating a decade of achievements at our AGM 2023

Our 2023 AGM provided an opportunity to reflect on 10 years of PRSB accomplishments, in which you have all played a key part, and to discuss what lies ahead.

Partner Exclusive – The Standards Route Map – May 2023

Our partner exclusive update on our plan for PRSB standards in 2023. We discussed strategic plans and those of NHS and DSCR, with opportunity for our audience to feed into those plans and learn more about the growing importance of ISNs, assurance, enforcement and the Data Bill.

Contact partners@theprsb.org to access recordings and presentations.

Masterclass: Implementing the Personalised Care and Support Plan Standard – Jan 2023

Insights from the national policy lead for personalised care and guidance from PRSB experts to help suppliers and providers implement the Personalised Care and Support Plan Standard. The standard has received ISN status, meaning its implementation is mandatory by 31 January 2024.

Contact partners@theprsb.org to access recordings and presentations.

Previous events – 2022

Routemap image

The Standards Route Map

Find out more about the detailed plan for our standards as we move into 2023. Hear about our strategic plans and contribute to our standards development in the coming year.

Speakers include:
Lorraine Foley, CEO, PRSB
Martin Orton, Senior Programme Manager, PRSB
Hanida Tomlinson, Programme Manager, ICS Strategy and Future Vision, NHS England
Rebecca Hughes, Director of Partner Solutions, PRSB 

Contact partners@theprsb.org to access recordings and presentations.

 

AGM

AGM 2022
20 September 2022

On the 20 September, PRSB held its Annual General Meeting to share details of its work on creating and developing standards which form the foundations of person-centred care. 

Keynote speaker, James Sanderson, Director of Personalised Care at NHS England and Improvement, provided a reflection on the advancement of medicine, some current issues in healthcare and how the comprehensive model of personalised care can help combat them. The meeting also featured a discussion on the About Me standard, led by the PRSB’s Non-Executive Director, Sarah Brooke. 

Contact partners@theprsb.org to access recordings and presentations.

Driving consistency across standards

Find out more about what PRSB is doing to simplify the adoption and use of standards, aligning them with SNOMED, FHIR, openEHR and other international standards to create a consistent framework for health and care data.

 

Speakers:
Charlie McCay, Non-executive Director, PRSB 
Martin Orton, Senior Programme Manager, PRSB
Mark Frayne, Lead Applications Design Architect, Digital Health & Care Wales
Tom Russell, Engagement Lead – Standards & Interoperability, NHS Transformation Directorate

Contact partners@theprsb.org to access recordings and presentations.

 

The About Me breakfast briefing

 This session, chaired by Maureen Baker, Chair of PRSB, focuses on why the About Me standard is important, how it will make a tangible impact and the challenges health and social care suppliers might encounter when implementing it.

Speakers:

Andrew Coles, Head of Product Management, Person Centred Software
James Woollard, CCIO, Oxleas NHS Foundation Trust
Sam Goncalves, Parent Carer, Rix Research and Media
Nilesh Bharakhada, Clinical Director, PRSB 

Contact partners@theprsb.org to access recordings and presentations.

Standards route map

The Standards Route Map

 Find out more about the detailed plan for our standards in 2022-23. Hear about our strategic plans and contribute to our standards development in the coming year. 

Speakers:

Oliver Lake, Director of Delivery & Transformation, PRSB
Tom Russell, Engagement Lead – Standards & Interoperability, NHS Transformation Directorate
Taffy Gatawa, Chief Information & Compliance Officer, everyLIFE Technologies
Helene Feger, Director of Strategy, Communications & Engagement, PRSB

Contact partners@theprsb.org to access recordings and presentations.

The Core Information Standard and Accelerating the Shared Care Record

Join us for an update on the core information standard and accelerating the shared care record, including aligning the ICS and local models consistently to PRSB’s national standards. 

Speakers:

Gary McAllister, Chief Technology Officer, OneLondon & NHS London
Charlie McCay, Owner and Information Standards Architect, Ramsey Systems

Contact partners@theprsb.org to access recordings and presentations.

Person centred planning

A professional masterclass in the Personalised Care and Support Plan standard to improve care planning.

Expert and professional leaders:
Dr Nilesh Bharakhada, PRSB Clinical Director / Clinical lead for personalised care at Northwest London Collaboration of CCGS

Contact partners@theprsb.org to access recordings and presentations.

PRSB Annual General Meeting

PRSB enjoyed record attendance at this year’s Annual General Meeting and our focus on person-centred care and putting standards into action proved popular. 

Our speakers included leading clinicians and people who use services who advocated for standards and the impact they are having on improving care, and attendees heard about the great strides PRSB’s Partner Scheme has made this year. Emma Robertson, who is co-leading the nursing record project, from a user perspective, spoke movingly about her personal experience with the healthcare system as a cancer patient and the importance of person-centred care. 

A short film we made to showcase our work on the Personalised Care and Support Plan and its implementation in community mental health services is available here.

Find out more about the event here.

Contact partners@theprsb.org to access recordings and presentations.

The Standards Route Map

At this event we welcomed partners and a selection of Advisory Board members to discuss our standards roadmap. We shared our pipeline of standards projects for the next six months as well as priorities for future standards work.

Our partners heard from Peter Skinner, Assistant Director of Programmes at NHSX about plans for improving digital social care records as part of developing Integrated Care Systems.

Mike Moore, programme manager at NHS Digital, gave an excellent presentation describing progress with digital information sharing with GP practices, community and primary care, secondary care and plans to mandate transfer of care standards in systems.

Expert and professional leaders:
Mike Moore, Programme manager at NHS Digital
Peter Skinner, Digital Social Care Records, NHSX

Contact partners@theprsb.org to access recordings and presentations.

Standards for Integrated Care

Our second Partners event held in June provided an overview of the current national perspective on shared care records.

We explored the drivers for change, the future state of shared care records and what’s required to deliver the NHS’s aim of the introduction of a minimum shared care record in all systems used by the 41 Integrated Care Systems in England by September 2021. Sharing care records across products and services is based on conformance to standards.

We also explored the progress of the logical model for the PRSB’s core information standard for shared care records, mapping to technical specifications.

Expert speakers and NHS leaders:
John Farenden, NHS England / NHS Improvement
Sandip Kaur, Technical Architect PRSB
Monica Jones, Yorks and Humber

Contact partners@theprsb.org to access recordings and presentations.

Getting the most out of the Partnership Scheme

At our first ever Partner event we explored how you can get full benefits from the scheme with briefings from PRSB clinical leaders, information architects and the Partnership team.

Topics included an update on PRSB standards and how Partners could contribute to development and suggest new standards. We also looked at SNOMED and the relationship with our standards.

Partners learnt about the Quality Partnership scheme and the conformance assessment process from the experts who run the programme.

Expert speakers and clinical leaders:
Lorraine Foley, CEO PRSB
Dr Nilesh Bharakhada, Executive clinical director, PRSB
Denise Downs
Nuno Almeida, Nourish Care

Contact partners@theprsb.org to access recordings and presentations.

Josh Knight, KINSEED

“Our membership of the Partnership Scheme is an important step towards our vision of truly connected Digital Transformation for Healthcare. This partnership puts our healthcare platform customers in the best possible position to store, trust and share their data easily and effectively.”

Find out more

Contact us at partners@theprsb.org and we can arrange to talk with you, or complete the form to register your interest and we’ll be in touch with more information about the Quality Partner Scheme.

Personalised care and support planning for people with severe mental illness

A review of a sample of current care plans, and the way they have been developed, may be helpful in identifying the priorities for this improvement. The PRSB Implementation Guide provides more detailed explanations about each element of the plan, including advice on how the planning process might be best conducted.
These questions might form a checklist for current plans to be compared with. 

1. Does the plan include an About Me section in which the service user, in their own words, can indicate the information they want to be available about their lives, their values, their interests, and priorities, available for all those who may care for them?
2. Is the approach to developing a care plan patient centred and engaging, allowing plans to be based on patient priorities goals, and aspirations, along with the actions they plan to take and the support that they will receive?
3. Is there space for a “formulation” to be recorded in which the person receiving care and the professionals who provide it, share and record the personal meaning and the origins of the person’s difficulties?
4. Are relevant procedures and therapies recorded?
5. Where relevant, are one or more contingency plans included for anticipatable disruptions, exacerbations, or deterioration, and do they include advice on what to do and points of contact for those called upon to respond?
6. Where relevant are additional supporting plans incorporated, (an example being an “educational and health plan” for someone with a neurodevelopment disorder)
7. Is a version of the plan available to a service user (if they wish to have it) in a form and format that they can understand and find to be of value?
8. How is a version of the plan available to the GP and other key parts of the health and care system?

Work conducted by PRSB and partners recently has looked specifically at the suitability of this approach to the development and documentation of care and support plans for people with Severe Mental Illness. This resulted in an updated version of the standard (v1.4), for use by any service and for any group of service users, but with some modifications to ensure that it meets the needs of this community. The approach to a patient centred process of identifying goals, hopes, and values, and the support needed to achieve them, is fully compatible with and can be conducted using, specific tools in use in mental health, such as DIALOG, DIALOG+, and ReQoL, for example. 

Where analysis indicates the need for improvement in the content and process of personalised care and support planning for patients with Severe Mental Illness, specific improvement projects should be instituted to co-design with service users and their representatives, and the relevant staff groups, new approaches, and documentation that would be of value in delivering improvement. The toolkit includes a range of existing resources that could be used to engage in this improvement work, including signposting to relevant existing approaches informed by patient experience-based design.

Moving to a single holistic plan

A review of a sample of current care plans, and the way they have been developed, may be helpful in identifying the priorities for this improvement. The PRSB Implementation Guide provides A key development, consistent with national policy on support for Personalised Care across all health and care sectors, is the move towards an individual with complex needs having a single, integrated, care plan, rather than a series of plans developed by different parts of the health and social care system in isolation of one another. For a patient with severe mental illness, the related concerns and challenges might form a very prominent part of such an integrated plan; many will also have concurrent health challenges and needs. The intention is that the relevant services work together to plan and wrap support around the patient and their family in an integrated way, rather than as a series of sequential or disconnected encounters in which the service user or their friends and family have to adopt the role of the integrator.

A starting point would be to agree priority groups of service users who may already have more than one care plan because they need care from more than one part of the system of health and social care. This could be initiated by looking at service users registered with some sentinel practices or PCNs. Alternatively, the approach might focus initially on people with defined co-morbidity or risk that entails collaborative care with agencies beyond specialist mental health services.

The focus here is on the process of care planning and agreement on what should be shared, rather than solely on the technology used;

1. What is the process to agree which professional will initiate care planning and act as the “lead point of contact” for the service user?
2. Will initial plans be agreed with the service user in joint consultations or sequentially? Where and how will they be conducted?
3. What will be the process to agree the elements of the plans which should be available to professionals and potential authorised users beyond the immediate care teams, (A&E services, Ambulance Services, Social services, etc.) with the service user’s consent?
4. How will elements of the plan be updated following consultations in a way which is proportionate, to allow contact and progress notes to be maintained by the service conducting the consultation, whilst avoiding unnecessary work for partners in care if there is no significant change to the personalised care and support plan?
5. What are the implications for workload, logistics, and administration arising out of these decisions?

The answers to these questions and others will best be elicited through focused joint working, grounded in real, or at least realistic examples. This will entail process mapping, and co-design with a range of professionals, service users, and families. Resources from the toolkit and outputs from the Simulation element of this project will be valuable. Some organisations would adopt an approach such as a Rapid Process Improvement Workshop, planned over several weeks and conducted over a number of sequential days, to develop prototype ways of working that could be tested in the field.

CHAT theory also explicitly addresses five areas which if addressed systematically will help overcome stakeholder differences in pursuit of the common goal:

1. Understanding the artefacts that characterise the group and its activity.
• The artefacts might be clinical settings or the forms and templates used to capture and share information. During the pilot we heard about hard copy Dialog response forms; locally generated templates for collating information from different systems; letters and emails to GPs; images, poems or other non-text artefacts that service users might want to include in their ‘about me’ or care plan.

2. Understanding the multi-views of the group. Such groups are always a community of multiple points of view, traditions and interests. 
• Different participants in the group will have different roles and will bring to the group and their roles their own histories, language, and ‘rules’. During our Stocktake preparations and workshops we worked with psychiatrists, mental health nurses, occupational therapists, social workers, transformation leads and voluntary sector representatives, all professions and interests with their own language, approaches professional ‘rules’ but united in their interest in care plans, care planning.

3. Activity systems (like the ICSs) take shape and get transformed over periods of time. ‘Historicity’ is a term coined to express how the group’s problems and potentials can only be understood against their own history. 

 

• ‘We’ve always done it this way’, ‘that didn’t work before’, ‘it’s always like this’, ‘it wasn’t always like this’, ‘they are changing things again’, are all typical statements that often frustrate those charged with overseeing change initiatives. Without addressing the experiences that lie behind such comments you risk repeating mistakes of the past, alienating your stakeholders or just not understanding the real starting point for your transformation project. This is particularly the case for the implementation of the PCSP standard, the success of which will be largely reliant on point-of-care practices and information protocols as well as having systems which are user friendly and appropriately configured.

4. The central role of contradictions as sources of change and development. Contradictions are not the same as problems or conflicts. Contradictions are historically accumulating structural tensions within and between activity systems. Collectively addressing contradictions in how policy, practice, culture and technology interact will empower teams to find genuinely novel solutions for apparently intractable challenges, like interoperability and shared care plan/planning. 

This links to the fifth principle that:

5. the possibility of expansive transformations in activity systems. As the contradictions of an activity system are aggravated, some individual participants begin to question and deviate from its established norms. In some cases, this escalates into collaborative envisioning and a deliberate collective change effort. “An expansive transformation is accomplished when the object and motive of the activity are re-conceptualised to embrace a radically wider horizon of possibilities than in the previous mode of the activity.”

“If someone’s been working for a period of time, in a form of therapy, for instance, where there’s an agreed plan for the locality when they may present in an emergency situation … then it’s really important for us to be able to see that that information and be able to act appropriately according to that because, you know, there isn’t and there shouldn’t be a stock response to that. These plans are designed to be individualised and personalised.  All services should be giving that personalised approach to care wherever possible. And a standard such as [PCSP standard] definitely moves us closer towards being able to do that. [Not acting on agreed plans] is a key finding in terms of emergency responses over the years where responses have been inappropriate.” – Mental Health Nurse

“Following a particular plan that’s been put into place will result in much better outcomes and prevent the sort of poor outcome which would otherwise be leading to an unplanned hospital admission.” – General Practitioner

Successful teams have the functional skills to lead a task, benefit from diversity, and are led in a way that creates time and space for reflection; the ability to take stock periodically, of the task and of the way in which the team is engaged in delivering it. Your stakeholder analysis [HYPERLINK] should help you assemble the most appropriate team and identify how the team interacts and relates to other stakeholders like sponsors, services users, etc.

The variation in the size, both in terms of population served and numbers of constituent organisations, and of complexity, between Integrated Care Systems, precludes the possibility of any prescriptive guidance on the way in which this team is assembled.

Engeström’s expansive learning cycle of learning actions explains how there are 7 stages of learning actions;