Joining up health and social care: what we learned prototyping the Social Care Interoperability Platform

Working with DHSC and NHS England, Synanetics helped explore how information can move more effectively between adult social care and health systems. Through user research, prototyping and supplier testing, the SCIP programme demonstrated how standards-based interoperability could help information follow the person, improving continuity of care.

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Healthcare interoperability often sounds straightforward—move data reliably between systems—but real‑world integration is far more complex, with differing models, semantics, and concepts. In a recent project, we faced this challenge in a sector with no existing interoperability standard, relying instead on a widely adopted operational dataset as our domain model. To bridge the gap with FHIR, we used StructureMaps and the $transform operation, enabling clean, scalable, bi‑directional mapping. This allowed us to deliver a robust transformation layer without building yet another bespoke engine.
The recent Shared Care Record Summit Learnathon explored how International Patient Summaries (IPS) can be generated, shared, and consumed using FHIR standards and secure data sharing protocols. Our team showcased how a FHIR International Patient Summary (IPS) can be assembled on-the-fly from federated data using the NHS National Record Locator (NRL) and demonstrated patient-mediated sharing powered by an AI digital assistant.

Recently, I took part in a Shared Care Record Summit Learnathon, which focused on the International Patient Summary (IPS). It was encouraging to see all participants successfully generate and consume IPS documents using their care record systems. As with most interoperability hackathons/learnathons, the headline takeaway was, perhaps unsurprisingly: “Yes, this is technically possible.”