In EMIS Web Clinical Services, Cross Organisation Appointment Booking and GP Connect Booking are two methods for booking appointments across organisations, but they differ in functionality, scope, and integration. Below is a detailed comparison of the two, including their pros and cons.
Cross Organisation Appointment Booking
Description
- Cross Organisation Appointment Booking is a feature within EMIS Web that allows organisations using EMIS Web to book appointments directly into each other’s systems.
- It is designed for organisations within the same shared EMIS Web ecosystem, such as GP practices, community services, or federations.
How it Works
- Organisations must have a data-sharing agreement in place.
- Appointments are booked directly into the EMIS Web system of the receiving organisation.
- Users can view and manage appointments in real time, provided they have the necessary permissions.
Pros
- Seamless Integration: Works natively within the EMIS Web ecosystem, ensuring smooth functionality and minimal setup for EMIS Web users.
- Real-Time Updates: Appointments are updated in real time, reducing the risk of double bookings or scheduling errors.
- Shared Records: If data-sharing agreements are in place, clinicians can access shared patient records, improving continuity of care.
- Customisation: Organisations can configure appointment slots to suit their needs and control access to specific services.
Cons
- Limited to EMIS Web Users: Only works between organisations using EMIS Web, limiting its applicability in mixed-system environments.
- Dependency on Data Sharing: Requires robust data-sharing agreements, which can be time-consuming to establish.
- Complex Permissions: Managing permissions and ensuring compliance with data protection regulations can be challenging.
- Scalability: May not be ideal for large-scale, national-level appointment booking.
GP Connect Booking
Description
- GP Connect Booking is a national NHS initiative that allows appointment booking across different clinical systems (e.g., EMIS Web, SystmOne, Vision).
- It is part of the GP Connect programme, which aims to improve interoperability between different healthcare systems.
How it Works
- GP Connect uses APIs to enable appointment booking between organisations, regardless of the clinical system they use.
- It is designed to support national programmes like NHS 111, extended access services, and vaccination clinics.
Pros
- Interoperability: Works across different clinical systems, making it ideal for mixed-system environments.
- National Scope: Supports large-scale initiatives like NHS 111 and vaccination programmes, enabling a unified approach to appointment booking.
- Standardised Approach: Uses NHS Digital’s GP Connect APIs, ensuring consistency and compliance with national standards.
- Improved Access: Patients can book appointments through services like NHS 111 or the NHS App, improving accessibility.
- Patient is automatically registered within the PCN hub upon being booked rather than having to be manually registered
Cons
- Complex Setup: Requires technical integration and configuration of GP Connect APIs, which can be resource-intensive.
- Additional Administrative steps to follow, including the setup of an organisational group within both the practice and PCN hub’s EMIS systems.
- Limited Customisation: Organisations have less control over how appointment slots are displayed and managed compared to Cross Organisation Booking.
- Smart Cards: The system also requires the user to be signed into the practice system using a smart card to complete a GP Connect Booking
- Reliance on National Infrastructure: Dependent on the availability and performance of GP Connect APIs, which may occasionally experience downtime.
- Data Access Limitations: While GP Connect allows appointment booking, it may not provide the same level of access to shared patient records as Cross Organisation Booking.
- ARRS Roles: Majority of ARRS Roles are not supported by GP Connect, and therefore cannot be used as Session Holders in EMIS Appointment Books
Key Differences
| Feature | Cross Organisation Appointment Booking | GP Connect Booking |
|---|---|---|
| System Compatibility | EMIS Web only | Works across multiple clinical systems (e.g., EMIS, SystmOne, Vision) |
| Scope | Local or regional | National |
| Integration | Native to EMIS Web | Requires GP Connect API setup |
| Data Sharing | Requires EMIS Web data-sharing agreements | Limited to appointment booking; patient record sharing may require additional setup |
| Use Cases | Federations, local shared services | NHS 111, vaccination clinics, extended access services |
| Customisation | High | Limited |
Which to Choose?
Cross Organisation Appointment Booking
- Best for organisations that are all using EMIS Web and have established data-sharing agreements.
- Ideal for local or regional collaborations, such as GP federations or community services.
GP Connect Booking
- At local level saves admin time and is more accurate (identifying correct patient)
- Best for organisations in mixed-system environments or those participating in national programmes.
- Ideal for large-scale initiatives like NHS 111 or vaccination clinics, where interoperability is critical.
Summary
- Cross Organisation Appointment Booking is more suitable for localised, EMIS Web-specific collaborations with a focus on shared records and real-time updates.
- GP Connect Booking is better for national or mixed-system environments, prioritising interoperability and accessibility over customisation.
The choice depends on the specific needs of the organisation, the systems in use, and the scale of the appointment booking requirements.