Health Service Focus

29.08.19

Binning paper for the new clinical wrap strategy

Source: NHE: Jul/Aug 19

Mark Hutchinson, chief digital and information officer at Gloucestershire Hospitals NHS Foundation Trust (GHFT), explains the benefits of its new ‘clinical wrap’ approach to electronic patient records.

GHFT is one of the most digitally immature organisations in the health service. We have some administrative systems, but the majority of the clinical care across all our sites is managed on the basis of paper records. 

With the board and workforce recognising the need for change, Allscripts Sunrise Clinical Manager was procured to be deployed as a ‘clinical wrap’ full electronic patient record. The term clinical wrap isn’t recognised by everybody, but it does what it says on the tin. It will enable us to retain our patient administration system (PAS), which is InterSystems TrakCare, and to wrap clinical functionality around it from Allscripts Sunrise Clinical Manager. 

The advantage of the clinical wrap approach is that if you buy a PAS and an EPR as one system, you have to deploy the PAS first. Deployment of PAS systems are rarely plain sailing and often bring with them a multitude of issues. The procurement and implementation of PAS can take several years and at the end of it, you will still only have a system that enables you to see where patients are in the hospital, to manage your waiting lists, and to submit your returns to central bodies. You will still be lacking the main benefits from an EPR, the clinical functionality. 

To deliver benefits at pace we are going to leave our PAS in place and use the Allscripts ‘Clinical Wrap’ solution to improve the way we deliver care, in the quickest possible timeframe; adopting proven technology and adapting to meet our local need. We started our deployment project in July 2019 and go live in July 2020. 

We are starting with clinical documentation and e-observations as well as providing our clinicians with access to digital images, letters, other documents, radiology and pathology results and discharge summaries from within the system on the go-live date. This approach will provide our clinicians with access to the key information that they need at the point of care. 

Subsequent phases will rollout paper-lite outpatients, order communications, and e-prescribing, taking out paper for the majority of our clinicians, wherever possible. Our intention is to achieve level six on the HIMSS EMRAM maturity model within two years of go-live and level seven within five years. 

Most importantly, our intention is to have made a significant improvement in terms of releasing time to care and in the reliability and safety of the care we provide. This is not an IT project; it is a project to improve the reliability of care, it is a patient safety project. In order to deliver these benefits, it was important for us to find the right IT partner. 

We drew up clear criteria for what we wanted from our clinical wrap supplier. The system had to be working as a clinical wrap with another PAS; it had to be delivering for another UK organisation, preferably a global digital exemplar; and it had to be configurable to our needs. 

Allscripts met all those criteria with Sunrise, which is rather like a Lego set. Or a Meccano kit. It provides the building blocks that will allow us to build a system around our pathways, for our patients. 

Gloucestershire faces the same challenges faced across the NHS; financial constraints, increasing levels of demand and staffing pressures. In those circumstances, I think organisations need to make wise investments in systems that can be deployed quickly for measurable clinical benefit, enabling digital leaders to build confidence in the IT being used. 

It is little surprise clinicians sometimes wonder what there is to show after significant time and resource investment into protracted PAS procurement and deployment projects, with no real clinical benefit delivered. The clinical wrap approach allows us to deliver, at pace, a solution that our clinicians can trust and enables us to realise the benefits that an EPR will deliver for patients.

For more information

W: www.gloshospitals.nhs.uk

Tw: @gloshospitals

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

NHS calls on remaining social media companies to clamp down on ‘potentially harmful material’

19/09/2019NHS calls on remaining social media companies to clamp down on ‘potentially harmful material’

The chief executive of the NHS in England has urged remaining social media firms to get tougher on potentially harmful material being posted onli... more >
Plans for new £11.5m Musgrove Park Hospital unit unveiled

19/09/2019Plans for new £11.5m Musgrove Park Hospital unit unveiled

Taunton and Somerset NHS Foundation Trust have unveiled new proposals for the expansion and relocation of units at Musgrove Park Hospital, as par... more >
NHS gambling clinic opens In Leeds

18/09/2019NHS gambling clinic opens In Leeds

National charity GambleAware have opened The NHS Northern Gambling Clinic in Leeds today, the first in the country outside of London. Throug... more >

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 >

last word

The NHS needs more senior women in leadership

The NHS needs more senior women in leadership

The gender pay gap in the NHS remains a hotly debated topic, especially as the final report from the Gender Pay Gap in Medicine Review approaches. Andrea Hester, deputy director of employment rel... more > more last word articles >

681 149x260 NHE Subscribe button

the scalpel's daily blog

An ageing population means hand care and injury prevention is more important than ever

23/08/2019An ageing population means hand care and injury prevention is more important than ever

Grey Giddins, member of the British Society for Surgery of the Hand, discusses how hand care and injury prevention have become increasingly important given the UK’s ageing population   It’s no secret that the UK’s ageing population presents challenges for the NHS. The fact that we are living longer means greater demand for medical care across a number of healthcare specialisms, one of which is hand surgery. ... more >
read more blog posts from 'the scalpel' >

comment

Peter Kyle MP: It’s time to say thank you this Public Service Day

21/06/2019Peter Kyle MP: It’s time to say thank you this Public Service Day

Taking time to say thank you is one of the hidden pillars of a society. Being on the receiving end of some “thanks” can make communit... more >
Nurses named as least-appreciated public sector workers

13/06/2019Nurses named as least-appreciated public sector workers

Nurses have been named as the most under-appreciated public sector professionals as new research reveals how shockingly under-vauled our NHS, edu... more >
Helpforce to launch training programmes for NHS volunteers

10/06/2019Helpforce to launch training programmes for NHS volunteers

Kay Fawcett OBE, clinical advisor and education lead at Helpforce, and Lynn Twinn, talent development consultant, outline the new national traini... more >
Creating the Cardigan integrated care centre

10/06/2019Creating the Cardigan integrated care centre

Peter Skitt, county director and commissioner for Ceredigion Hywel Dda University Health Board, looks ahead to the new integrated care centre bei... more >
Pay and reward in the NHS needs to be taken seriously

10/06/2019Pay and reward in the NHS needs to be taken seriously

Ben Gershlick, senior economics analyst at the Health Foundation, examines the new pay deal for NHS staff.  More than £50bn is sp... more >

interviews

NHS dreams come true for Teesside domestic

17/09/2019NHS dreams come true for Teesside domestic

Over 20 years ago, a Teesside hospital cleaner put down her mop and took steps towards her midwifery dreams. Lisa Payne has been delivering ... more >
How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

24/10/2018How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

A dedicated national social care service could be a potential solution to surging demand burdening acute health providers over the winter months,... more >
RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

24/10/2018RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

The president of the Royal College of Physicians (RCP) has told NHE that the college’s new headquarters based in Liverpool will become a hu... more >
Duncan Selbie: A step on the journey to population health

24/01/2018Duncan Selbie: A step on the journey to population health

The NHS plays a part in the country’s wellness – but it’s far from being all that matters. Duncan Selbie, chief executive of Pu... more >
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 >