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Table of Contents

Introduction

PKB is providing mental health teams and service users a secure platform to view their health and care records, access information about their treatment plans, review medication details, and communicate with their care team, all of which can be made accessible via the NHS App (more information available here). Greater visibility and control over a person's health and care information enable individuals to participate actively in decision-making and self-management through enhanced engagement. To read more about how PKB is the solution for many teams and organisations scroll below.

Current problems

  • Care plans are written but not accessible

  • Tick box exercise

  • Not personalised care

  • There is no way of sharing information with service users

  • All questionnaires are done on paper

  • Service users repeating themselves, no central place for care plans

  • Mental health teams don't have all the information and data they need

  • Large number of people require mental health services

PKB solution 

  • Integration with Care Notes

  • Access to healthcare data in one secure place

  • Digital care plans

  • Access to appointment letters and appointments

  • Integration with EMIS 

  • Digital recovery platform 

  • Online resource library

  • Secure messaging between service users and the team

  • Symptom and measurement tracker

  • Digital questionnaires

PKB Benefits 

  • Empowers patients 

  • Access to their health and care records in a single place

  • People feel more empowered to manage their health and wellbeing 

  • Joining together data from different health providers 

  • Enables patients to track their own health and care

  • People feel supported by their wider circle of health collaborators

  • Improves communication

Core features

Some of the core features teams use in PKB to support mental health service delivery include:

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Mental Health Organisation rollout of PKB

In 2021, Sussex Partnership NHS Foundation Trust started using PKB, to enable their service users to access their mental and physical health records whenever they needed them, in one place. Importantly, it also allowed them to choose to share parts of their record with others involved in their care, including their GP, other NHS Trusts, care workers, friends and family carers.

Below is what they've achieved:

  • All active adult users have been added to PKB

  • Over 50,000 records created

  • Part of a Multi Organisation Network

  • 34% of patients registered 

  • 76% by NHS login

Clinical input

  • Care plans - any service users with a care plan will see this in their PKB record in PDF format

  • Care Notes integration with PKB gives services users access to their 'My care and safety care plan'

  • The Care plan is created, completed and published in Care Notes and sent to PKB

  • Creating patient PKB records via integration, demographics

  • Care Notes do a demographic update or the support team is trained to add patient's emails manually

  • Sharing data within the network they are part of

  • PKB process in place to document the privacy label changes

  • Appointment letters, appointments, and care plans are all under the mental health privacy label

  • Treating the data the same as general health

  • Giving patients access to their data was the driving force

  • Recall questionnaire through an API

Key features 

There are key PKB features all mental health services can use with their cohort to capture and view data. A list of them is below.

NHS App

Information from healthcare providers can be accessible via PKB’s web solution and via PKB’s jump off points in the NHS App; 

Questionnaires 

Patients can initiate a questionnaire by clicking Start Questionnaire on their homepage or directly within the NHS App. Once completed, the questionnaire can be sent to a professional or team.

Teams using the questionnaire tool can ensure the outcome of clinical reviews is recorded, and the patient has a copy. Teams can also identify patients suitable for virtual appointments or PIFU.

New Advanced Questionnaires 

Organisations are able to use PKB’snew

PKB's advanced questionnaire functionality

; the

The features include:

  • Scoring and calculations

  • Branching, allowing patients to complete the parts of the questionnaire that are relevant to them

  • Coded fields questionnaires can be mapped to clinical codes

  • Patients can save drafts

  • Send questionnaires to patients who aren’t registered or already in your team

PKB’s new advanced questionnaire functionality and automated scoring of assessments will be provided, and coded questionnaire responses will be mapped to the patient's graphed measurement section, making it easier for patients and their healthcare collaborators to understand any trends and progress of deterioration as assessments take place over a period of time.  

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Messaging 

  • Patients have access to message their healthcare team (saving time on the phone)

  • The Admin team can triage messages. Either resolving or passing onto another speciality team

  • Universal Messaging is the ability for patients to message clinical and non-clinical teams

  • Team-based messaging allows teams to automatically receive secure messages and consultations as a group rather than as individuals

Care plans 

PKB’s shared care plans are unique, as they can be co-created and co-edited by anyone with access to the patient's record, including patients and carers. They provide better direction for personalised care by:

  • Document mental health history

  • No repetition

  • Triggers and background to mental health condition

  • Educational materials 

  • Signposting 

  • Goal writing 

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Care plan Templates

PKB has a general care plan toolkitand there are several mental health-specific care plans that are already in use by our mental health user base such as:  

Journal

  • A place for thoughts and feelings

  • Document recovery

  • Recovery journal

  • Journaling

Appointments

  • Appointment letters and appointments sent to PKB via integration

  • Manually entered appointments

  • Access upcoming and past appointments

  • Including face-to-face, video and telephone consultations 

  • Share all details of the appointment

  • Across PKB sites, patients registering for PKB have led to a 34% reduction in DNA rates (comparing the same patient cohorts pre- and post-registration to the platform). PKB’s DNA page.

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Medicines

  • Data feeds from NHS organisations. 

  • Feed includes information on the medication name, dose and unit, frequency, additional instructions on how this should be taken, the start date and the proposed review/end date. 

  • Medication adherence 

  • Descriptiong of why the drug has been prescribed, how this should be taken, dosage information

  • Potential side effects

Symptoms

  • Tracking and recording symptoms digitally

  • Guide patients on symptom management action to take if required, RAG instructions

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Add and View Data

Patients can automatically be added to the correct team through an integrated demographics feed, whereby these resources will be readily available without any manual intervention required by professionals.

  • Patients can view hospitals and GP data  where an integration with PKB has been set up

  • Data can include blood tests, x-ray reports, clinic and appointment letters, appointments and discharge summaries 

  • Patients can add information themselves

  • Patients can track key measurements and add any symptoms related to their mental health

Comms Examples

Sussex Partnership NHS Foundation Trust Web page gives patients information and a link to register with their PKB record via the NHS login. https://www.sussexpartnership.nhs.uk/my-health-and-care-record

The below tri-leaflet is also sent to the patient alongside clinical or appointment letters.

Further information