KIS Archive

This is the archive page for KIS information.

Building on the success of the Emergency Care Summary, and the electronic Palliative Care Summary, which are now connected to all GP Practices in Scotland, a new development called the Key Information Summary is now underway to extend the information available to clinicians in unscheduled care situations.

The Key Information Summary has been designed to support patients with Long Term Conditions, mental health problems or special alerts and includes information on medical history, patient wishes, carer details and DNACPR. This information will be available to all users of ECS including NHS24, Out of Hours and A & E clinicians. Development is underway and pilots are planned from Feb/March 2012, with full roll-out expected in summer 2012.

KIS

Background

KIS (Key Information Summary) will replace paper based faxing of patient information between GP practices and Out of Hours, and will be a more generic version of the electronic Palliative Care Summary (ePCS). It will share fields with ePCS but will include other information as required. The KIS form will be pre-populated from the GP system as much as possible: KIS messages will automatically include Emergency Care Summary (ECS) information.

KIS will utilise the existing ECS infrastructure and process, and provide support for patients with:

  • electronic Anticipatory Care Plans (eACP)
  • Long Term Conditions (LTC)
  • Mental Health issues

KIS is an extension of ECS and will be available to all current ECS users.

Consent

Explicit patient consent will be required for patient information to be entered onto the KIS form. It will be possible to override this consent only under special circumstances which are described in the Data Protection Act. These special circumstances exist only in the following cases:

  • vulnerable adult
  • vulnerable child
  • danger to patient
  • danger to others

A Clinical Decision will be required to send information to KIS. Further patient consent will not be required to view the record but users may still wish to check with the patient.

  • The Expiry date and “consent” will be the only mandatory fields on the KIS form.
  • KIS is flexible and efficient: it will only send the information which is required.
  • KIS will be sent automatically to ECS.
    • ECS / ePCS / KIS will all form part of the same message for each patient.

Further guidance is available here:

https://www.scimp.scot.nhs.uk/wp-content/uploads/documents/use_of_violent_warning_markers.pdf

“Special Patient Note”

The information that will be held in KIS will be added to the information held currently in ECS. The patient will provide consent for information to be sent to KIS and will include what is currently called the “Special Patient Note” (SPN). The “Special Patient Note” or “Special Note” on the KIS form refers to a message that the clinician wants to add, which contains crucial patient information for Out of Hours (OOH). This will be a free text field on the KIS form.

Existing “Special Patient Notes” are currently held by NHS 24 and OOH hubs as part of their patient record. A dual system will remain in place to support OOH GPs’ need to send information to NHS 24. Existing “Notes” will not be transferred but will be used in conjunction with KIS until the new system is fully functioning.

It is anticipated that approximately 500,000 patients will have a KIS.

  • Most patients will have a “Special Note” only.
  • It is not expected that any one patient will have all fields on the KIS form completed.

NHS Forth Valley

NHSForthValley held Whole Systems Working Workshops on the 5th and 7th March 2013. The KIS Team recognised the need to create Local FAQ’s and “Top Tips”. Below is a link to the document that was produced following these events, submitted by Samantha Robinson, eHealth Trainer/Facilitator.

WSW Feedback and KIS Info

KIS Form:

A diagram of the KIS Form, with detail about what will be held on the KIS, is available in Excel format here:

2012-07-17 KIS Form v19

Patient Leaflet

The Project Team have developed a Patient Leaflet. This is available in PDF format here:

2012-10-09 KIS Patient Leaflet v1.0

Translations of the Leaflet are available in PDF format here:

2012-10-09 KIS Patient Leaflet v1.0_Polish – Polish translation

2012-10-09 KIS Patient Leaflet v1.0_Traditional Chinese Mandarin – Chinese translation

2012-10-09 KIS Patient Leaflet v1.0_Scottish Gaelic – Scottish Gaelic translation

Key Information Summary EasyRead Leaflet – Easy Read translation

http://www.commtacs.co.uk/nhs24/kis/draftclip.html – web clip of British Sign Language video

Long-Term Conditions Alliance Scotland (formerly LTCAS, now Health and Social Care Alliance Scotland – the ALLIANCE) Focus Group

The eHealth leads at the Scottish Government are developing a citizen eHealth Strategy which will cover the range of electronic contact that citizens have with NHSScotland. They want to know how citizens would like to see this developed as well as gathering information on what online services they already use and any concerns they may have. They held a series of focus groups with third sector organisations. The purpose of the focus groups was two-fold:

1.    to address gaps in their e-survey demographics (sex, age, equalities, disabilities, condition specific groups, communication issues, rural area and carers)

2.    to explore in more detail some of the findings from their e-survey (concerns with security, person owned/controlled ehealth records and the most popular ‘things’ people want to do electronically.

On 5 April 2012, one of these focus groups was brought together with the same group of people with long term conditions at LTCAS who went on to talk about KIS. The below documents provide more detail:

My eHealth LTC focus group write up

KIS focus group write up

KIS Poster

A poster has been developed to explain KIS. The poster is attached below in PDF format:

2011-08-03 KIS Poster

KIS Patient Poster

A poster designed for patients is below in PDF format:

2012-10-30 KIS Patient Poster

KIS FAQs

For more detail about KIS, please see the FAQs document here:

2013-12-12 KIS FAQ’s v2.5

KIS Patient FAQs

A Patient FAQ’s has also been developed. This is to be used in conjunction with the Patient Leaflet and is targeted specifically at patients. It is available in PDF format here:

2013-04-05 KIS Patient FAQ’s v2.0

Vision demonstration

Key Information Summary Software Simulation (Vision)_demo

Timescales

The KIS is the final change to the ECS and has been given top priority for development. Below are the timescales:

  • Pilot – June to November 2012
  • Phase 2 – Starting from November 2012
  • National Rollout – Expected during 2013
General

More detail about KIS is available in the following presentations:

2011-05-27 KIS Audit Day Presentation

2011-07-20 KIS Project Board Presentation v2.0 UPDATED

2011-12-08-KIS-Project-Board-Presentation

2011-12-08-KIS-Pilot-Forth-Valley

Below please find further information about KIS as it relates to Anticipatory Care Planning:

eHealth Long Term Conditions Projects eHealth Link – August 2011

Known issues with KIS in EMIS

Below please find a document that highlights all currently known issues with KIS in EMIS and includes confirmation of fixes in the national EMIS release. The majority of the issues are expected to be fixed in future releases in 2013.

2013-04-18 KIS known issues document

Project Impact Assessments

The Equality & Diversity Impact Assessment, Health Impact Assessment and Privacy Impact Assessment documents for KIS are listed below:

2012-08-30 KIS Equality and Diversity Document v1.4

2011-09-16 Health Impact Assessment – KIS v 1.0

2011-09-16 Privacy Impact Assessment – ECS KIS Template v1.0