The official version of this document can be found via the PDF button.
The below content has been automatically generated from the original PDF and some formatting may have been lost, therefore it should not be relied upon to extract citations or propose amendments.
WQ.394/2024
WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES
BY DEPUTY A.F. CURTIS OF ST. CLEMENT
QUESTION SUBMITTED ON MONDAY 4th NOVEMBER 2024
ANSWER TO BE TABLED ON MONDAY 11th NOVEMBER 2024
Question
"In relation to the Digital Care Strategy Major Project, will the Minister provide –
- a list of the subordinate projects that constituted the Major Project as funded in 2023 and 2024, together with details of the project deliverables;
- a breakdown of the expenditure by subordinate project and year; and
- a breakdown of the proposed £2.3 million expenditure in 2025, including the expected project deliverables?"
Answer
(a) The table below shows the subordinate projects that constituted the Major Project as funded in 2023 and 2024, together with an explanation of the projects.
Component | Deliverable | Status |
Core Record Platform (Electronic Patient Record System) | New Electronic Patient Record (EPR) – Hospital Acute EPR System Replacement of the legacy TrakCare EPR by the IMS Maxims EPR. The new EPR will increase dramatically the hospital Digital Maturity level. It also brings several clinical safety improvements and organisational efficiencies related to the below: • A sustainable and continued improvement in the quality and safety of acute care within Jersey • Improvements in acute care patient outcomes • Reduction in unwarranted variation away from clinical pathways and protocols, with associated cost savings and improvements in care This programme also aims to deliver new EPRs for Maternity, Intensive Care and Theatres, ambulance integration, a patient portal, and workflows that support clinical recording at the patient bedside. | Phase 1 & 2 Completed Phase 3 & 4 In progress Phase 5 to be commenced in 2025 |
Radiology Imaging and Reporting service (RIS & PACS) | Radiology Imaging and Reporting service (RIS & PACS) Replacement of legacy Radiology GE PACS system for a newer, fit-for purpose Philips PACS system that allows the Radiology department to continue operating. | Completed |
GPOC – Pathology/Radiolog y | GP Order Comms – Pathology/Radiology General Practitioners (GPs) are now able to send electronic requests of pathology and radiology studies to the HCS laboratory and radiology department avoiding the reliance on post. GPs also have access to electronic results. | Completed |
EPMA | Electronic Prescribing & Medications Administration (EPMA) Move from paper drug charts to electronic prescribing throughout all inpatient and outpatient departments. Relevant clinical safety improvements related to clinical decision support, medication interactions and allergies. | Completed |
Scantrack (T-Doc) | Scantrack (T-Doc) Replacement of legacy solution Scantrack for T-Doc. This system allows for traceability of surgical instruments through the sterile supply workflow. It is part of the essential health & safety processes in the surgical department. | Completed |
Retinal Screening | Retinal Screening Implementation of a solution that allows the management of screening of patients with diabetes. It ensures patients are being seen at the right intervals based on their personal medical history. | Completed |
e-consent | eConsent Moving from paper consent forms to electronic consent, allowing for patients' access to information relevant to their medical/surgical/nursing procedure promoting an informed decision. | 2025 |
Vendor Neutral Archive (VNA) | VNA Creation of a Cloud imaging repository for Radiology studies to mitigate issues related to local storage of files. This marked the steppingstone for the creation of a central data repository that will allow for a single point of access for imageology studies. | Completed |
ISCV - Cardiology Storage | ISCV storage Transfer of Cardiology studies from local storage to the VNA. This will minimize data storage issues and optimise access from clinicians to the required data. | 2025 |
FIT Order Comms | FIT Order Comms Automate bowel screening workflow. It will bring department efficiencies by removing a lengthy manual process. Includes data quality validation and ensures that patients are being reviewed at appropriate intervals according to current evidence- based guidelines. | 2025 |
Mental Health and Social Care Services | Electronic Care Record (ECR) The ECR will be a new Electronic Patient Record that will address current issues regarding the inoperability and inefficiencies of the current legacy Mental Health and Social Care Services ECR. The new ECR system will delivery numerous benefits, including: | Phase 1 – End 2025 Phase 2 - 2026 |
| • Enhanced Patient and Client Safety • Reduced Administrative Burden • Improved Data Accuracy and Integration • Increased Service User Satisfaction • Improved Staff Satisfaction The objectives of this programme are: • Reduce the administrative burden on staff by streamlining processes to decrease time spent on non- patient/client related tasks by 20% at the end of Q4 2027 • Enhance patient/client safety by implementing an integrated ECR system to achieve a 25% reduction in serious incidents, serious case reviews, and medicine incidents across Mental Health, Social Care, and Community Services by the end of Q1 2027 • Enhance reportability, data accuracy, and integration by achieving 90% data accuracy and integration with key systems within 12 months of the new ECR system's operation • Improve patient engagement and satisfaction by utilising ECR functionalities that increase satisfaction scores by 25% by the end of Q1 2027 • Improve staff satisfaction by 25% by providing effective tools and reducing workarounds by 40% by end of Q1 2027 |
|
Sexual Health EPR | Sexual Health EPR The current system for managing patient appointments, laboratory test requesting and resulting, and general Sexual Health Clinic administration is based on a model established over 25 years ago and remains heavily paper based. It also makes the process of collating sexual health data (e.g. GUMCAD, SRHAD, HARS,) virtually impossible and as such has not been carried out for some years. The aim of the project is to deliver an Electronic Patient Record solution for the Sexual Health/GUM Clinic which will reduce errors, improve patient and staff experience, support the needs identified through the Digital Health & Care strategy, specifically the capture of structured clinical data and the removal of the current paper-based processes. Sexual Health EPR will improve clinic staff access to patient data for speedy appointment booking and result look up, protect customer's confidential information, proactively supply accurate and up to date information, and enable staff to actively use technology to meet current and future customer needs, such SMS messaging and electronic Pathology test requesting.Such a system will also enable staff to collate appropriate sexual health data as required with greater ease. | 2025 |
Cervical Cancer Screening | Cervical Cancer Screening Automate cervical screening workflow. It will bring a new screening system, and it will deliver on department efficiencies by removing a lengthy manual process. Includes data quality validation and ensures that patients are being reviewed at appropriate intervals according to current evidence-based guidelines. | 2025 |
Digital Health Wi- Fi | WiFi refurbishment Critical improvement to the coverage of the current Health Care Services Wi-Fi Network Infrastructure, enabling the continued digitalisation of Jersey's healthcare landscape. As we look toward 2025, our strategic objectives are aligned with transforming healthcare delivery, enhancing patient outcomes, and ensuring the sustainability of our health system through advanced digital solutions. The WiFi refurbishment work will deliver on: • Enhanced Patient Care and Outcomes • Operational Efficiency • Integrations and Interoperability • Enabler of healthcare professionals' mobile workflow | 2025 |
Maternity | Maternity EPR Specialised Maternity Electronic Patient Record that tailors for the specific needs of Maternity staff and users. It's an end-to- end Maternity Information System that is completely paperless, reducing the risk of human error and supporting your environmental targets. It provides maternity professionals with the key information they need to make more informed clinical decisions at the point of care. The main purpose is to improve standards of care for women and babies throughout pregnancy by providing maternity professionals with the information needed to make informed clinical decisions at the point of care and eliminating inefficient paper-based processes | 2025 |
Draeger Network | Draeger Network Main requirement of the patient observations integration with the Jersey Neonatal Unit, Intensive Care Unit and Theatres EPR. This will allow for an automatic feed from different medical devices like the observation monitors, ventilators, anesthetic, dialysis and infusion pumps machines. Highly reduces transcribing errors and boosts healthcare staff efficiencies in the respective areas of practice. | 2025 |
Multitone – GPNet | Multitone – GPNet This project is to ensure the hospital 999 Multitone paging services (Police CCTV and GP net) don't experience down time when the legacy JT fibre connect product is decommissioned. JT are moving services over to new solutions. This project is to ensure the solutions are fit for purpose and to ensure proper testing is undertaken before backend networks are changed over. | On hold - JT |
Pathology Analyser | Pathology Analyser update | 2023 |
| Upgrade of the legacy server and supporting software to an up- to-date server and system. This upgrade mitigated the cybersecurity risk associated with the old infrastructure. |
|
EPR Staffing | Clinical and technical support team which is supporting the training, adoption, and use of the EPR system in clinical areas and has been invaluable in translating clinical needs into EPR processes to improve the user experience and patient outcomes. |
|
Project Delivery and Licence costs | Costs for implementing and managing the individual projects including costs for EPR software, IMS Maxims. |
|
- Please see table below
Project | 2023 | 2024 Oct YTD |
EPR | £ 2 , 5 48,298 | £ 1 , 7 05,664 |
GP order comms | £ 1 4 4 ,536 | £ 2 5 , 6 22 |
EPMA | £ 8 0 , 8 95 | £ 3 9 , 8 07 |
Mental Health & Social Care Services | £ 2 4 9 ,131 | £ 2 5 5 ,050 |
E prescribing | - | £ 1 6 , 2 99 |
FIT Order Comm | £ 2 0 2 ,439 | £ 2 5 , 4 00 |
Vendor Neutral Archive (VNA) | £ 1 7 3 ,645 | £ 2 5 , 0 00 |
Sexual Health EPR | - | £ 1 2 7 ,886 |
PACS Replacement | £ 6 8 , 3 95 | £ 9 4 , 4 71 |
Cervical Cancer | - | £ 4 , 1 8 6 |
Digital Health WIFI | - | £ 7 8 , 8 50 |
E consent | - | £ 4 2 , 2 87 |
Opthalmology | £ 1 0 2 ,625 | £ 7 2 , 5 41 |
Scantrack | £ 1 3 1 ,003 | -£ 4 , 0 2 5 |
DH Staffing EPR Tracker | - | £ 2 2 8 ,218 |
DH Maternity Project | - | £ 5 , 2 8 6 |
ISCV - Cardiology Storage | - | £ 5 8 , 6 89 |
Draeger Network Project | - | £ 8 1 8 |
Multitone - Gpnet | - | £ 3 , 0 7 6 |
Pathology Analyser | £ 3 9 , 8 55 | - |
EPR Staffing | - | £ 2 2 8 ,218 |
Project Delivery and Licence costs | £ 9 9 1 ,990 | £ 1 0 4 ,128 |
The question seems to include a typing error. The proposed expenditure for the Digital Care Strategy for 2025 is £2.003m (see below screenshot from the proposed Budget 2025-28).
The Programme has identified the following projects to be funded, however, on-going review and prioriotisation is required based on clinical needs and the ageing digital health infrastructure. Current projects include:
Patient Portal: Online portal that patients and clinicians' access to view patient records & health care information with benefits to both, patients and clinicians.
Pharmacy drug control: electronic systems for improved controlled drugs management and buying- processes.
Theatres Anaesthetic Record EPR: management of the anaesthetic record and theatres medical devices integration.
EPR v24 update: upgrade to the latest version of Maxims EPR which includes more than 300 enhancements including Jersey clinicians change requests.
E-Referrals:
Continuation of the electronic referrals project to deliver on Phase 1 of the project (HCS – GP practices) and phase 2 (other healthcare providers).
Implementations of specialist EPR modules for sexual health & other core systems Implementation of in-flight projects like the Sexual Health EPR and major system upgrades.
ePrescribing Oncology
Digitalisation of oncology paper drug charts removing significant clinical risk and manual procedures. Technology delivery to adhere to enhanced regulatory standards.