Setting up an EMIS Hub

This topic covers all the steps to set up an EMIS Web Clinical Hub using EMIS Web Clinical Services.  This will enable PCNs, GP Federations to deliver services such as Extended and Enhanced Access Services.

Request organisation Prescribing Cost Centre Code (NHS Organisations)

STEP 1: The Integrated Care Board (ICB) need to complete a New Cost Centre proforma on behalf of the PCN to inform the NHSBSA that a new service has been set up. Access the form here.

STEP 2: Complete and send the spurious code request form (omitting the cost centre code field only). Please access the form here.

When filling in the form, please select ‘Generic spurious code for a new/existing cost centre/practice’.

A cost centre can only be set up on NHS Prescription Services’ systems if either a named doctor, a generically named spurious code or one or more non-medical prescribers are also added to the new cost centre at the same time.

STEP 3: All completed forms should be returned via email to: nhsbsa.prescriptioninformation@nhs.net 

If the NHSBSA needs to query the information submitted, they will send an email to the original sender of the notification.

Independent Sector Healthcare Providers will need to follow the guidance here

For more information, please visit the NHSBSA website by clicking here.

See more about EPS in Clinical Services here.

Configure EMIS Organisation

When EMIS Clinical Services is ready, create a new System Administrator Account (Emis will provide a generic account). Populate both National Code and Authentication NACS with the new Prescribing Cost Centre Code (Yxxxxx). Inform EMIS.

EMIS will have to request NHSD to add the Prescribing Codes to their EPS list, which is normally a quick process but enables EMIS to then request end points.

Duplicate the remaining settings below:

Registration Authority – Create RBAC Positions

Work with Registration Authority to create new Smartcard Roles for new Organisation Code based on the National RBAC positions below. Ask RA to set up Sponsors for PCN/GP Federation. National RBAC Positions:

• System Administrator Role (R8015)
• Admin/Clinical Support Access Role (R8008)
• Clinical Practitioner Access Role (R8000)
  

Create Data Sharing Agreements

Complete DSAs for;

• 2 x Care Record (Sharing both ways)
• 2 x CrossOrgTasks (Sending and receiving Tasks both ways)
• 1 x Enterprise Appointments (Consultation Write Back)

Download and complete the Data Sharing Agreements (table below).  The Data Controller required on the DSAs is usually the Practice or Business Manager at the GP Practice.  Once completed email to cfdatasharing@emishealth.com

Data Sharing Agreements can also be downloaded from the EmisNow portal here (you will need an EmisNow account).

Some organisations may wish to use Remote Consultations from within EMIS Web Clinical Services rather than sharing Care Records.  However there are the following considerations taking this approach:

• No Spine services are available within a remote consultation (i.e EPS)
• No online test requests are available within a remote consultation
• No third party partner products are available within a remote consultation
• Clinical templates used during the remote consultation belong to the patient's registered organisation

An enterprise appointments agreement must be in place and activated by all organisations/GP practices associated with the agreement.

Enable Document Sharing

You can send documents (i.e. Discharge Summary) stored within a patient’s care record via Direct Message. Before you can send a document via direct messaging you must activate Document Sharing using EMAS Manager.

See the EmisNow Article here.

The hub must also be set up as a target referral organisation:

• In the 'Organisation Details' section you need to set the option 'Allow referrals?' to 'Yes'
• In 'Service Details', go to 'Referral Source', set the drop down box to 'Both Internal And External'

Pathology

If the hub requires access to a Pathology service click here to see the process.

Obtain Spine Dummy Patients from NHD

Request Spine Dummy Patients for SPINE testing such as EPS – Spine Dummy Patients can be obtained from NHS Digital by emailing – testdata@nhs.net.  Spine Dummy Patients can then registered at a sharing GP Practice (as you do with a real patient) and then traced into the Clinical Hub for testing.

Configure Hub

Complete the following configurations/set-up in the Clinical Hub

• Set up Users and ask them to login and associate their smartcards
• Upload or create Document Templates (2WW Referrals, Fit Note, Discharge Summary, etc...)
• Upload local Formulary (if required)
• Set up Task Teams on both hub and GP Practices for sending and receiving cross org tasks
• Create Appointment Book templates - configure for cross org booking if required
• Create Organisation Group and Appointment Books - 111 Direct Booking
• Create clinical templates and protocols if required (i.e. to capture outcomes, etc)
• Create Searches and Reports

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