Comment

09.10.17

Innovative technology and better patient care

Source: NHE Sep/Oct 17

Karen Evans, writing on behalf of University Hospitals of Morecambe Bay NHS FT (UHMBT), explains the work being undertaken at the trust to roll out clinically-led electronic patient records (EPR).

Over the past eight months the Bay Health and Care Partners (BHCP) and UHMBT in particular have attracted the attention of national and international colleagues for their work on the clinically-led EPR. 

The increasingly mature EPR system at the trust – and the roll-out of the Strata Resource Matching and eReferral system – has brought significant benefits to the staff who are delivering care, and the patients who are receiving better care. 

The EPR has been updated to hold more detail, which brings a range of improvements: 

  • Staff are able to access up-to-date patient information instantly, from anywhere in any of the three hospital sites, wherever the patient is
  • Staff can now easily access patients’ history so that they don’t have to give the same information again and again – something patients find very frustrating
  • An alert to highlight vulnerable patients, e.g. people at risk of falling or with complex conditions
  • Easy access to treatment guidelines, which supports speedier and the most appropriate care for patients
  • A great reduction in the time spent finding paperwork, which means more time spent with patients
  • Integrated real-time access to local GP records, saving time and improving the continuity of care received by our patients
  • Staff working on the EPR are now working closely with clinicians in the community such as GPs to improve access to patient records

David Walker, medical director at UHMBT, said: “One of the challenges in Morecambe Bay is sharing information across three different sites across an area of 1,000sqm. Using technology can really help us deliver better patient services and reduce the time spent by staff on paperwork. I think it’s really important that it is clinicians who are leading this work, as ultimately this is a tool for clinicians to use. We want it to make their working lives easier and, in doing so, give them more opportunities to deliver care in more effective ways for our patients.” 

Improving the EPR means some great projects have taken place to improve patient care. Nursing staff are now carrying out almost 122,000 ‘comfort rounds’ every month using iPods, which enable them to spend more time at a patient’s bedside. Emergency departments at the Royal Lancaster Infirmary and Furness General Hospital have also taken a large stride towards reducing the use of paperwork and using electronic charts instead. 

Urology staff now have an electronic ‘ward round note’ which is active on a patient’s first admission. Sarah J Hart, urology speciality doctor at UHMBT, said: “The immediate benefit comes in continuity of care. What’s been discussed and decided on the previous day’s ward round is now available, easily accessible and can be transferred to the EPR. This means staff who aren’t onsite with the inpatient they’re treating can still gain full access to the EPR.” 

Over the past few months the trust has had some fantastic feedback on the EPR from clinical leaders from around the world. Anne Cooper, chief nurse from NHS Digital, visited us in April. “It’s encouraging for me to see how clearly nursing is leading its own way here in terms of digital maturity and how it’s become embedded into the nursing culture,” she said. “The really strong, powerful nursing leadership here means Morecambe Bay is really setting the pace. It’s really encouraging from a professional point of view to be somewhere were that’s happening.” 

The Transformation Team from Sheffield Teaching Hospitals NHS FT, led by technology innovation director Lisa Needham, visited the trust in August and said: “The overwhelming response from me and the team is that this has been an inspiring day. The can-do attitude here is very evident, along with the positive clinical engagement, great leadership and the clear vision from UHMBT about where it’s going with the EPR.” 

Sedbergh GP Dr William Lumb, joint CCIO for Morecambe Bay CCG, said: “The EPR doesn’t stop at improving hospital care – it is also supporting modernised healthcare in the wider Morecambe Bay community through the Better Care Together clinical strategy. The overarching system – Strata – helps to connect up clinical care between GPs, communities and the hospitals to ensure health professionals have the relevant information about services available for their patient within a few moments and before decisions about a patient are made.”

FOR MORE INFORMATION

W: www.tinyurl.com/UHMBT-EPR-1

W: www.tinyurl.com/UHMBT-EPR-2

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

Winter pressures mounting as A&E attendances creep up by 4.4%

14/12/2017Winter pressures mounting as A&E attendances creep up by 4.4%

NHS England’s latest figures show that although the health service is responding well to growing pressure, it is close to “full stretch... more >
Kent trust appoints NHSI director as new chief executive

14/12/2017Kent trust appoints NHSI director as new chief executive

Maidstone and Tunbridge Wells (MTW) NHS Trust has appointed Miles Scott as its new chief executive. Scott joins the trust from his position ... more >
CCGs must move towards strategic commissioning to improve local care

14/12/2017CCGs must move towards strategic commissioning to improve local care

CCGs in the UK should move towards strategic commissioning if the healthcare system is to embrace a move toward integrated local care, claims a n... more >
681 149x260 NHE Subscribe button

the scalpel's daily blog

Ten lessons to support new care models locally

29/11/2017Ten lessons to support new care models locally

Anna Starling, policy fellow at the Health Foundation, offers the top 10 lessons for local leaders seeking to make systematic improvements across services, all based on first-hand accounts from vanguard officials. Redesigning health and social care services across traditional boundaries is not easy. Making change in complex environments, with differing professional viewpoints and varying organisational priorities while getting on with t... more >
read more blog posts from 'the scalpel' >

interviews

Cutting through the fake news

22/11/2017Cutting through the fake news

In an era of so-called ‘fake news’ growing alongside a renewed focus on reducing stigma around mental health, Paul Farmer, chief exec... more >
Tackling infection prevention locally

04/10/2017Tackling infection prevention locally

Dr Emma Burnett, a lecturer and researcher in infection prevention at the University of Dundee’s School of Nursing and Midwifery and a boar... more >
Scan4Safety: benefits across the whole supply chain

02/10/2017Scan4Safety: benefits across the whole supply chain

NHE interviews Gillian Fox, head of eProcurement (Scan4Safety) programme at NHS Supply Chain. How has the Scan4Safety initiative evolved sin... more >
Simon Stevens: A hunger for innovation

25/09/2017Simon Stevens: A hunger for innovation

Simon Stevens, chief executive of NHS England, knows that the health service is already a world leader when it comes to medical advances – ... more >

last word

The Refugee Doctor Initiative

The Refugee Doctor Initiative

Terry John, co-chair of the BMA & BDA Refugee Doctors and Dentists Liaison Group and chair of the union’s international committee, talks about a brilliant initiative that is proving mut... more > more last word articles >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital e... read more >

health service focus

Release full market value against surplus and decommissioned assets

28/11/2017Release full market value against surplus and decommissioned assets

Advertisement feature: Oliver Pearson, sal... more >
Operation Barcode: selecting technology to succeed

22/11/2017Operation Barcode: selecting technology to succeed

The benefits of Scan4Safety have been widely ... more >