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NTF Second Round Portfolio
Organisation
Name
Project Title
Primary
Focus
Funds
Awarded
Project Description (as provided by organisation)
2gether NHS
Foundation Trust
Digital
transcription
and Speech
Recognition
Project
Digital
capture at
PoC
Arthur Rank
Hospice Charity
Mobile access
to digital care
records
Mobile
access
£160K The project aim is to enable clinical staff, delivering specialist palliative end-of-life
care in a community setting, to retrieve and update patient data at the point-ofcare using hand-held devices, such as a mobile-phone or tablet. Patient data will be
uploaded to SystmOne immediately or as the device reaches an area of
connectivity, allowing immediate updating of records and communication with
other clinicians across the health system. Impact on practice will be to increase the
availability of clinical information and increase the time clinicians have to spend
with patients, both of which will lead to improved patient care.
Ashford and St.
Peter's Hospitals
NHS Foundation
Trust
Vital Signs
Project
Digitally
enabled obs
£681K This project is the implementation of an electronic track and trigger system
throughout the organisation in all adult inpatient areas. Nursing and other clinical
teams will be issued with mobile handheld technology to provide the means to
record electronically nursing observations and other critical metrics. Amongst a
range of other benefits, this will facilitate the provision of immediate escalation of
deteriorating patients to clinical teams with auditable response times and
automated further escalation in the event of non-response or unavailability of
clinicians.
£1000K The project will involve the purchase and deployment of digital transcription and
speech recognition software and associated hardware across the nursing
workforce. This is a key component of the Trusts overall Electronic Patient Record
and Transformation strategy and will complement the investment in a new EPR
which will go-live in May 2015 and further investment in infrastructure, mobile
devices and staff training. The overall strategy is aimed at equipping our nursing
workforce with the capability to work in a truly mobile manner, capture data at the
point of service user contact and reduce the current “data input burden” on staff.
NTF Second Round Portfolio
Barnsley Hospital
NHS FT
Intelligent
medicine
cabinets for
safer clinical
interventions
Safer clinical
interventions
Basildon And
Thurrock
University
Hospitals NHS
Foundation Trust
Electronic
Noting and
Observations at
the point of
care
Digital
capture at
PoC
Bedford Hospital
NHS Trust
Point of Care
(vital signs and
risk
assessments)
Digitally
enabled obs
£352K To implement a ‘best of class’ medicine management system to manage medicines’
and controlled drugs, building on the work done in the Emergency and Admissions
Departments. The project will ensure safer clinical interventions enforcing the 5
rights of administration. Systems will be installed in ITU, Theatres and 9 Medical
Wards. Nurses’ access medication by fingerprint; selecting their patient; selecting
the required medicine(s); the intended dose; interacting with any clinical/ allergy /
expiry alerts and following a guiding light to the item. The project will save nurse
time, provide an audit trail of every transaction and integrate with our IT systems.
£1000K A point-of-care solution for electronically capturing observations and notes with
automated escalation and automated calculation of scores (Risk & Vital Signs
assessments, Waterlow, MUST, NEWS) thereby reducing manual error and potential
risk of harm. This will allow clinical staff to respond more rapidly and appropriately,
enhancing speed and appropriateness of response, reducing risk of patient harm.
Currently, observations are recorded manually in ‘booklets’ reducing nurse
efficiency. Administrative costs are also high as booklets have to be dismantled and
scanned into the Trust’s Electronic Medical Record system
.
£905K Providing nurses with a bedside tool (‘Point of Care’) to record vital signs data and
risk assessments electronically using handheld mobile devices. ‘Point of Care’
software is configured to analyse data from observations and calculate patient risk
scores which is transferred automatically to our clinical systems providing ‘Patient
Status at a Glance’ dashboard on electronic whiteboards. This electronic track and
trigger system will detect deteriorating patients based on National Early Warning
Score (NEWS) and escalate these patients in real time to the right clinician with the
skills to respond to the patient in line with recommendations from NICE guideline
CG50.
NTF Second Round Portfolio
Birmingham and
Solihull Mental
Health NHS
Foundation Trust
Mobile Working Mobile
for Community access
Nurses
£500K This project is the crucial enabler to provide our nursing staff working in the
community with remote access to our digital care records and other digital
innovations we have invested in (e.g. electronic document transfer, the ability to
send letters remotely). At present we cannot progress towards fully electronic care
records as nurses cannot access them at the point at which they are performing
their duties and are using paper documentation. We will equip all community
nursing staff with laptops/tablets enabling them to access real time digital care
records through our service-user administration system (RiO).
Birmingham
Women’s NHS
Foundation Trust
E-Rostering of
Nursing and
Midwifery
Staffing
Smart
workforce
deployment
£259K To improve the outcomes of patient care by ensuring safe staffing levels amongst
nursing and midwifery teams. This will be achieved through the implementation of
an E-Rostering system. Implementation will occur across all acute inpatient and
outpatient departments in Maternity, Gynaecology and Neonates. It will span
across the community setting including; Community Midwifery, Home Birth and
Neonatal Transport teams. Proven to transform current practices and to deliver
many benefits, the system will enable: Increased compliance against nursing and
midwifery staffing standards; Efficient and effective matching of clinical
skills/competence against patient acuity; Reduction in the time clinical staff spend
completing rotas and pay related documentation; Reduction in the
utilisation/expenditure of bank and agency staff.
Mobile
access
£488K BCH are implementing mobile working with all our community and specialist
nursing teams, resulting in improved efficiency and productivity. Our project
extends this, achieving full integration and interoperability between community and
GP records by nurses remotely inputting all information into the GP patient record,
and with access to a shared view on their tablets of other local health and social
care providers’ patient information. This enables real time information for GPs and
community staff, improves clinical decision making, reduces time spent returning to
bases and reduces opportunities for error, with the ultimate objective of improving
patient outcomes and experience.
Bristol Community Mobile
Health (BCH) CIC
Working:
Releasing More
Time to Care
NTF Second Round Portfolio
Camden &
Islington NHS
Foundation Trust
Enabling
Excellence
through the
eNurse Project
Mobile
access
£713K Enabling Excellence through the eNurse Project is a collaborative project in the
Camden & Islington NHS Foundation Trust. The project focuses on making our
workforce more agile through the use of tablet devices and the iNurse application
to monitor and manage physical health for our service users. Under the project we
also want to improve access and interoperability of health care records with our
primary care partners through a portal and bringing in a feed from our pathology
labs in the acute sector to our existing electronic patient record system.
Central
Manchester NHS
Foundation Trust
Mobilising
Health in
Manchester
Mobile
access
£289K This project requests funds to give every community nurse and midwife a mobile
device to access the Trust Electronic Patient Record. This will enable key front-line
clinical teams to spend more time engaged in direct patient care, giving them
access to patient records and relevant clinical information. Having
contemporaneous and historic information about their patients will realise many
benefits including: reducing time spent in busy city traffic; returning to base
centres; reducing the burden of having to make duplicate entries into care records;
enabling informed decision making by having access to pathology and other results
and clinical correspondence; reducing telephone queries..
Mobile
access
£967K This project will provide digital solutions to enhance clinical care in community and
community maternity settings. Mobile technology including digital pens, laptops
and tablets will improve the timeliness and quality of data capture and provide
visibility of the whole patient record enabling greater coordination of care. The
current duplication of documentation whilst in the patient home / clinic and again
at staff bases leads to inefficient use of staff time. This will be significantly reduced
allowing increased patient contact and productivity; in addition using mobile
solutions will enable improved communication between and with community based
staff.
Croydon Health
Improving
Services NHS Trust Clinical Care
(CHS)
through Mobile
Solutions.
NTF Second Round Portfolio
Devon Partnership Video
NHS Trust
Consultations
for Nursing
Staff
Remote F2F
£204K We will be purchasing a secure, flexible, cloud-based videoconferencing solution
that can be accessed by both nursing staff and service users on smartphones,
tablets and PCs. We already have tablets for our staff but will also create ten
dedicated videoconferencing rooms to provide a proper therapeutic environment
for consultations. We recognise that access to technology may be an issue and will
purchase 100 tablets which can be secured and loaned to people for the duration of
their involvement in ‘e-mental health’ services. Our nurses and our patients have
been asking for this facility to deliver safer and more convenient services.
Dorset County
Hospital NHS
Foundation Trust
Paperless Nurse
Assessments –
with positive
patient ID
Digitally
enabled obs
£277K Providing hardware and software to increase efficiency and effectiveness of the
nursing process across the Trust, mostly on acute wards, but also in patient’s home
(as a part of the ‘Acute Hospital at Home’ initiative.) Enhancing the Trust’s use of
the existing VitalPAC solution by: Provision of additional nursing assessments
(specifically malnutrition universal screening (MUST) and Fluid Balance); Utilising
the Electronic Discharge System (EDS) functionality in VitalPAC to replace the
existing in-house system to ensure semi-automated production of discharge
summaries for the Trust (integrating information from observations and nursing
assessments); Additional devices (extending access to systems at the bed side for
nursing staff); and Barcode readers (confirming to GS1 standards).
East and North
Hertfordshire NHS
Trust
Electronic
Observations
(E-obs)
Digitally
enabled obs
£768K Use of MioCare devices to implement an open source electronic observations
solution. The renal unit were successful in receiving funds from the first round of
the Nursing Technology Fund to implement an open source electronic observations
solution for safer patient care. We now wish to extend the roll out to all clinical
areas including the emergency department, theatre recovery, ambulatory care,
acute cardiac unit, day case areas, maternity and paediatrics. Since introduction
into the renal service, 15000 electronic observations have been successfully
performed allowing for paperless working and safer patient care. The organisation
intends to scale up the benefits--smarter nursing deployment and improved patient
outcomes, across all clinical areas, fitting with the wider IM&T strategy of digital
maturity by 2017.
NTF Second Round Portfolio
Epsom and St
Helier University
Hospitals NHS
Trust
Electronic Early
Warning
System
Digitally
enabled obs
£309K This is phase 2 of an innovative project to implement an electronic track and trigger
system in all adult inpatient areas by June 2015, including renal and surgery.
Nursing and clinical teams are issued with mobile hand held technology to provide
electronic capture of nursing observations and other critical metrics. Amongst a
range of other benefits this facilitates the provision of immediate escalation of
deteriorating patients to clinical teams with auditable response times and
automated further escalation in the event of non-response or unavailability of
clinicians. The successful stage 1 implementation increased patient safety by
automating escalation and appropriate actions.
Greater
Manchester West
Mental Health
NHS Foundation
Trust
Smart
eRostering
Implementation workforce
and integration deployment
with ESR
£251K The Trust need to install an eRostering solution which will support its workforce,
aligning staffing levels to patient demand. To be implemented across all care
settings where staff are expected to work a 24/7 shift pattern. We already have the
technical infrastructure to support this. An internal working group has commenced
identifying current practice to minimise the impact for staff. Impact on clinical
workflows and practice will be positive as the system will drive efficiencies in staff
rostering ensuring ward areas are managed at safe staffing levels maintaining
quality of care for patients, whilst eliminating paper flows.
Hampshire
Hospitals NHS
Foundation Trust
Ward Based
Patient
Information
and Real-time
Metrics
Displays
Nursing
dashboards
£204K This will provide patients and their visitors with information to inform their
experience of the clinical setting. In a visible accessible format they will see realtime digital nursing dashboards of staffing levels data, care quality and outcomes
metrics for their ward, clinical audit data, as well as pictures of those staff looking
after them in wards and outpatient settings. MDT groups use the displays for board
rounds using real-time ward activity data. The solution will provide clinical-setting
specific metrics, providing confidence to the public regarding the quality and
standard of care/treatment expected in the ward.
NTF Second Round Portfolio
Heart of England
NHS Foundation
Trust
Networked
Vital Signs and
MEWS
Reporting and
Escalation
Digital
capture at
PoC
£1000K This project aims to improve accuracy of recording of patient data, improve safety
and clinical effectiveness through the implementation of wirelessly connected Vital
Signs Monitors which will: Improve accuracy of data recording; Enhance the safety
of our patients; Increase the efficiency of staff; Reduce or eliminate transcription
errors from patient records; Improve early detection of deterioration of patients
condition and facilitate timely intervention; Increase nurse time to care for patients.
The project enhances the Trust’s embedded use of the Modified Early Warning
system (MEWS) for enabling the early recognition of the deteriorating patient.
Homerton
University
Hospital NHS
Foundation Trust
Powered
Clinical Trolleys
for Drug
Rounds
Digital
capture at
PoC
£512K This project will deliver a versatile powered clinical trolley solution which will
enable nurses in the acute setting to document clinical information about
medicines they have or have not administered to patients during drug rounds, data
that will be stored in the patients’ electronic medical record (EPR). The solution will
store medicines securely in a highly portable trolley with a PC (and power supply)
connected to the Trust wireless network to enable direct recording in the EPR
system. The solution will be implemented in all clinical areas that currently use drug
trolleys to store and administer medicines.
Humber NHS
Foundation Trust
Mobile Working Mobile
access
£493K The primary technology enabled capability of this project is mobile access to digital
care records across the community by clinicians in multiple care settings. The
project outcomes will transform community services and result in: More time to
improve patient care; Improving the health and wellbeing of communities served;
Preventing high dependency, hospital admission and re-admission. The primary
impact will be: Clinical - % of patients seen with evidence of a care plan completed
and stored on EPR system; Staff:- % responding positively to “I am confident about
doing my job to a standard I am happy with”.
NTF Second Round Portfolio
Imperial College
Healthcare NHS
Trust
Releasing
nursing time
while providing
safer care
Digitally
enabled obs
£1000K This project will enable nurses/midwives to capture observations at the bedside in
real time as part of early detection of patients at risk through the use of dashboards
and alerting. The solution is based on Cerner CareAware VitalsLinks, which connects
mobile vital sign monitors to the Electronic Patient Record (EPR) enabling the
patients’ observations into the EPR and calculate NEWS. The bid is to fund the
purchase of the VitalsLinks monitoring devices and associated software/hardware
to support calculation of NEWS. This allows early alerting and detection of patients
at risk of deterioration through integrated handover pages with sepsis alerting.
James Paget
University
Hospitals NHS
Foundation Trust
James Paget
eRostering
Project
Smart
workforce
deployment
£282K The project will deliver an on-line real-time ‘Ward to Board’ nursing deployment
capability across the Trust. It will enable efficient and clear roster allocation and
monitoring assurance to both our Nurses and Patients. Benefits will include: Nurses
with the right skills to the right location; Ward staffing levels that are safe and
comply with National and Professional guidance; Real time active management; An
improved working environment for all; Information that is integrated with finance
and HR reporting, linking information from ‘Ward to Board’; A reduction in
temporary staffing utilisation; Robust governance.
Kingston Hospital
NHS Foundation
Trust
Paperless Nurse
Observations
and Early
Warning Score
System
Digitally
enabled obs
£837K Currently vital signs are recorded on paper and the observations are transcribed
onto a chart to manually calculate the Early Warning Score (EWS). Nursing staff are
required to raise an alert based on vital signs being outside the normal range. This
scheme enables nurses and midwives at Kingston Hospital to take and record
patient’s vital signs observations at the patient’s bedside and in real time. The
solution will provide an alert mechanism for medical and critical care teams to
respond to alerts regarding deteriorating patients allowing for swift intervention
and treatment.
NTF Second Round Portfolio
Lancashire Care
NHS Foundation
Trust
Inpatient
Transformation
- Improving
Patient Safety
& Productivity
Digitally
enabled obs
£992K We are proposing to extend our existing partnership with Nervecentre - integrating
clinical applications to mobile technology within Mental Health and Offender Health
Services. The project will utilise Nervecentre solutions along with mobile devices to
provide a single platform for inpatient services that can deliver e-observations,
handover, task management and clinical assessments. This will also allow
governance and escalation management as per our standard operating procedures.
We strongly believe this IT Enabled change project will significantly improve patient
safety and productivity within the Trust by enabling clinicians to communicate,
share data, and leverage the resources within the Trust.
Lancashire
Teaching
Hospitals NHS
Foundation Trust
Enhancing
patient safety
through
electronic vital
sign recording.
Digitally
enabled obs
£946K Improving patient safety and making nursing processes more efficient are key to
delivering our aim of excellent care with compassion. This project entails the
implementation of equipment which is software compatible with our current
electronic patient record (EPR) and consequently can upload information from the
bedside directly into our EPR in real time. Development of our existing software to
initiate automatic referrals to the parent team and critical care outreach would be
another key feature of this project. The transition from paper vital signs
documentation to electronic patient record and automatic escalation creates a
robust mechanism to enhance patient safety.
Leicestershire
Partnership NHS
Trust
Technology
Advances
Nursing Care in
Community
Hospitals
Digitally
enabled obs
£994K 85% of patients admitted to community hospitals are transferred from the local
acute Trust. This project will digitally connect nurses in both organisations by
utilising the same software programme. This innovative way of working will ensure
that the patients’ journey is enhanced through the sharing of the previously
recorded vital signs and risk assessments thus allowing the receiving nurse to build
upon the information previously obtained. By continuing to collect vital signs and
risk assessments electronically at the bedside it will impact on safer care and
productivity gains whilst meeting the needs of patients as highlighted by National
Voices.
NTF Second Round Portfolio
Liverpool Heart
and Chest
Hospital
Digitally
enabled
observation
management
system
Digitally
enabled obs
£209K This project would enable Liverpool Heart and Chest Hospital (LHCH) to have an
appropriate, digitally enabled observation management system. This project aims
to improve the capture, charting, integration, implementation, interpretation and
analysis of observations across the wards and clinical areas. This project also has
the provision of analytical support in the background to improve decision support
regarding subsequent care and treatment. Worldwide, thousands of avoidable inhospital deaths occur due to inadequate vital signs monitoring and a failure to
recognise and respond to deterioration (NPSA, 2007). Nationally, 23,000 people
suffer preventable cardiac arrest in hospital.
Maidstone and
Tunbridge Wells
NHS Trust
Vital Signs and
Handover
Digitally
enabled obs
£670K The implementation of an electronic observation and handover solution across the
Trust supports this strategy of reducing the use of paper while directly delivering
clinical efficiencies and improve the Trusts patients’ experience of care in the
hospitals. Currently vital signs are charted on paper. The nurse then uses a paper
based tool to calculate the EWS. This process is slow, dependent upon the nurse
recognising deterioration in the patient and informing the clinician enabling prompt
treatment. The solution will aid collection of vital signs data, automatically calculate
the EWS, provide automated alerts, and provide information in real-time to any
clinician.
Marie Curie
Cancer Care
The Connected
Nursing Project
Mobile
access
£1000K The Marie Curie Nursing Service (MCNS) has around 2,000 nurses in the UK,
delivering palliative care to 31,800 (2013) patients in their homes. Currently 70% of
this care are visits delivered by one or two nurses overnight with one patient and is
co-ordinated by The Marie Curie Referral Centre using a Customer Relationship /
Patient Information system called Patient Connect. The remaining (and quickly
growing) 30% of the care is for visits involving one or two nurses caring for multiple
patients, day and night, in one shift and is co-ordinated by local regional teams
using white-boards, spread-sheets and other manual methods. Information about
patients and visits is communicated to all nurses via telephone. This is recorded on
paper by the nurse. The Connected Nursing project will deliver, for the MCNS for
the first time: mobile access to digital care records; digital capture of clinical data
at point of care; capture digital images for nursing care; and, enable smarter
workforce deployment through the use of resource scheduling software.
NTF Second Round Portfolio
Milton Keynes
Hospital NHS
Foundation Trust
Paperless Nurse
Observations
(Collecting and
Recording Vital
Signs data
electronically)
Digitally
enabled obs
£646K This project focusses on the introduction of mobile vital signs monitors (Welch Allyn
Connex Vital Signs Monitors) that will connect directly to the Trust’s Electronic
Patient Record (EPR) system (Cerner Millennium). This will enable healthcare staff
to capture vital signs and Early Warning Scores (EWS) at the bedside in real-time.
Further to this will be the elimination the current paper process of recording vital
signs, which is slow and has a risk to patient safety due to transcriptions errors.
NAViGO Health
and Social Care
CIC
Development
of a Multifunction Mobile
Application to
enhance
Record
Keeping, Access
and Promotion
of Self-Care
Within a Whole
Mental Health
Service
Mobile
access
£472K Application to work with EPR offering: Mobile Access; Capture of clinical data at
point of care; Mobile Observations; Service User ‘kiosk’ for IAPT. Relevant
Capabilities: Mobile Access/observations; Digital capture of clinical data at point of
care; Support for Self-care. Care Settings/Clinical Workflows; Community; Acute;
Mental Health; Memory Services; Specialist Services (in-service user / acute / crisis /
home support). Impact: More efficient / effective / consistent / safer patient care;
Real-time recording; Instant access to health records; Increased face-to-face visits
(1 per day); Improved communication / outcome capture; Reduced scanning/admin
(2 hours/1 day per week respectively); Reduced travel / printing / archiving storage
costs; Increased clinical time (1 day per week); Increased staff development;
Improved Service User experience.
North Cumbria
University
Hospitals NHS
Trust
Integrated
Maternity Care
Mobile
access
£278K The implementation of the Euroking E3 Maternity system across acute and
community settings. This will deliver the following capabilities as outlined in the
prospectus: Mobile access to digital care records across the community; Digital
capture of clinical data at point-of-care; Safer Clinical Interventions. The
implementation of a hospital-based and mobile solution for ante and post natal
care in both the patients’ homes and community settings will provide North
Cumbria with a single integrated maternity care record for the first time.
NTF Second Round Portfolio
North Lincolnshire
and Goole NHS
Foundation Trust
Mobile Devices
for Community
Mobile
access
£430K This project will aim to deploy and utilise the mobile devices within the Trusts
Community Services which will help improve electronic recording and enable the
further integration of digital records within our local health community. The use of
mobile kit will provide efficiencies and quality improvement in community nursing
delivering benefits for both staff and patients. If successful, the Mobile Devices
project will enable real time use of the electronic patient record at the point of care
and remove the need to return to base to follow up administrative work which
subsequently detracts from time spent delivering care to the patient.
Northamptonshire Mobile
Healthcare NHS
Connectivity for
Foundation Trust
Nursing Staff
Mobile
access
£862K This project is to provide Dell tablets with integrated connectivity to all community
teams to enable mobile access to care records and data capture at point of care.
The technology will be provided to our children’s Universal and Specialist services,
child and adolescent mental health community teams, adult services, Community
(District) Nursing and Intermediate Care team, community adult mental health
teams holding community clinics and / or seeing patients at home. Mobile
technology will enable our teams to: provide higher quality care
travel less and have more patient contact; Share images/ information with specialist
colleagues for treatment advice.
Digitally
enabled obs
£449K This project aims to provide digital observations management with mobile
electronic workflow for handover and hospital and night processes.
The project will encapsulate: Electronic capture of vital signs, and associated
decision support for nurses; Automated, cascading alerts to doctors of deteriorating
patients to ensure a rapid response; Mobile capture of patient information for
nurse handover; Automatic allocation of requests from nurses to doctors during
out-of-hours; Trust wide visibility of the sickest patients by EWS score which helps
plan resources to these areas and placement of patients from Critical Care;
Supports Acuity by giving real time visibility of patient information, assessments
and Current EWS including Trends anywhere in the hospital, to matrons,
operational staff.
Northern Devon
Healthcare NHS
Trust
Digital
observations
management,
nursing
handover and
Hospital at
Night
NTF Second Round Portfolio
Northumberland,
Tyne and Wear
NHS FT
Ward Based
Medicines
Automation for
Safer Drug
Administration
Safer clinical
interventions
£640K To implement a state of the art ward based automated medicines management
system. The system will manage all medicines and controlled drugs to save nursing
time, improve patient care, inform clinical decisions, ensure the five rights of
administration and increase patient safety. The overarching effect will be the
delivery of safer clinical interventions and a reduction in patient safety incidents
involving medicines administration and medicines management. The combination
of automated storage cabinets and intelligent trolleys will minimise the risk of misselection and mis-administration of medicines as well as releasing significant
nursing resource to deliver more direct patient care.
Oxford Health
NHS Foundation
Trust
Improving Care
Delivery and
Care Outcomes:
Phase 2
Safer clinical
interventions
£578K The Trust was awarded £921,000 as part of the first round of Nursing Technology
Funding. This was used to provision nurses with 2,000 iPads. The Improving Care
Delivery and Care Outcomes: Phase 2 project will build on the success to date by
implementing native iOS apps for the Trust’s new Electronic Health Record (EHR).
The apps will provide nurses with access to clinical information at the point of care
delivery (community / inpatient). Nurses will not only be able to access EHR
information, but will be able to update the EHR in a more timely / efficient manner.
Peace Hospice
Care
Delivering
better patient
services
through
integrated
information
systems
Safer clinical
interventions
£175K To improve the quality of our care by enabling our nurses to use integrated
information systems and new hardware. With a new clinical software system we
will be able to share digital care records with Hertfordshire Community Trust,
district nurses, palliative care teams and many of the local GPs. Along with new
hardware this will: give our community based nurses mobile access to electronic
patient records; allow digital capture of clinical data at point-of-care; allow for safer
interventions and reduce risk by providing our nurses with the most relevant and
up-to-date clinical records; give our nurses increased clinical facing time.
NTF Second Round Portfolio
Pennine Care NHS
Foundation Trust
Remote
consultation
Remote F2F
£53K This project will implement remote video-conferencing capability in order to deliver
two key objectives. Firstly, to enhance patient choice, convenience and experience
by enabling (where safe to do so) patient access to their clinical consultation
through video technology from their own home, and from nursing/residential care
home settings. Secondly, to speed up communications between care givers, and
offer a visual as well as verbal exchange, enabling rapid assessment and second
opinions via video-conferencing at the point of patient contact, be that in a clinical,
community or domiciliary setting. Overall aims are to enhance quality, productivity
and prevention through this innovation.
Peterborough and
Stamford
Hospitals NHS
Foundation Trust
eObservations
System
Digitally
enabled obs
£894K Procurement and Implementation of e-observations software that will enable
nurses to record clinical observations and data on hand held devices at the bedside
and analyse the vital sign data instantly. The captured information will be used to
assist the decision making process for timely escalation to medical teams including
the Critical Care Outreach Team and improve the quality of handover information
between nursing and clinical teams. This project forms part of the Trust’s IM&T
strategy linking in with the Trust’s aim to be paperlite by 2017. The implementation
and rollout delivery phase for the project has been planned for Q3 and Q4 2015/16.
The software will also provide clinical handover capabilities between nursing shifts
improving the governance process. In addition implementation will support
adherence to the Keogh standards for urgent care.
Portsmouth
Hospitals NHS
Trust
Sister
eAssistant
Nursing
dashboards
£270K The Sister eAssistant project will provide Nursing Sisters with dedicated mobile
technology to release supervisory time for patient care. It will provide anytime,
anywhere oversight of patients’ clinical status and bed capacity on an hourly basis.
Bed capacity will be displayed throughout Portsmouth Hospitals NHS Trust (PHT).
Sister eAssistant will improve patient safety by extra vigilance and escalation,
reduce ward based administration, reduce nursing care interruptions, release
Operation Centre staff to manage the hospital and increase Research Sister time to
recruit patients to clinical trials. It is estimated to increase nursing time to care by
93,300 hours (12,440 days).
NTF Second Round Portfolio
Royal National
Orthopaedic
Hospital NHS
Trust
Vital Signs
Monitoring
with Real-time
Digital Nursing
Dashboards
Digitally
enabled obs
£769K We are seeking to improve patient safety by bedside capture of vital signs
electronically, using mobile devices connected to our existing WiFi network. The
system will generate risk scores and trigger patient deterioration alerts displayed on
wall mounted touch sensitive real-time digital nursing dashboards and will be
accessible from PCs and mobile devices to all clinical staff via our clinical portal. The
information will also be used by senior nursing staff to make more informed staff
deployment decisions. We bid for this in NTF round -1 and scored highly but were
unsuccessful and are hoping for better results this time.
Salford Royal NHS
Foundation Trust
Automated
drug
management
for safer clinical
interventions
Safer clinical
interventions
£77K To implement a ‘best of class’ medicine management system to manage all
medicines and controlled drugs and ensure safer clinical interventions by avoiding
wrong patient, wrong drug, wrong dose, wrong time. The systems will be installed
in one medical ward linking with systems within the Pharmacy and EPR systems.
Nurses access the medication they require by scanning their fingerprint; selecting
their patient; the required medicine(s); the intended dose; interacting with any
clinical/ allergy / expiry alerts and following a guiding light to the item. This will
deliver better quality data and reduce the effort in recording or duplicating it.
Salisbury NHS
Foundation Trust
Paperless realtime patient
status,
releasing time
to care
Nursing
dashboards
£559K Procurement and implementation of a real-time, nursing-focussed electronic
whiteboard solution, with the added benefit of a daily Clinical Utilisation Review
tool (CUR). Our aim is to increase / release time to care whilst reducing length of
stay, support patient handover and improve patient flow by ensuring patients are
treated in the most appropriate clinical setting.
NTF Second Round Portfolio
Sheffield
Children’s NHS
Foundation Trust
Virtual Nurses
Stations
Smart
workforce
deployment
£391K The Trust is building a new wing to provide improved clinical facilities. The
architectural design has been influenced by technological developments and the
operational planning process will ensure these technologies are utilised to support
and enhance nursing care. A central aspect of this on the acute wards is the design
of virtual nurses stations rather than a single geographical location. This enables
nurses to have instant access to communications, patient calls, alarm notifications
and access control. The benefit of this is to increase direct patient care time,
despite an increase in single bedrooms, without an increase in nursing staff
numbers.
South London &
Maudsley NHS
Foundation Trust
Inpatient Digital Digitally
Observations
enabled obs
£1000K To implement the electronic recording of Physical and Mental Health observations
across SLAM’s (52) inpatient Wards and 4 Home Treatment Teams. In a Mental
Health setting, the term ‘Observations’ encompasses the routine engagement of
patients during daily activities and their interaction with staff and other patients as
part of the care process and to inform ongoing treatment and interventions. This
project is an opportunity to bring these mental health observations into the
mainstream of electronic inpatient care, which together with the integration of
digital Physical Health recording will enable greater nursing efficiencies, patient
safety and real-time use of clinical data.
South Tyneside
Hospital NHS
Trust
Safer Medicines
Management
for Nurses
Safer clinical
interventions
£159K To implement a ‘best of class’ medicine management system, integrated with PAS
and Ascribe, to manage medicines’ and controlled drugs in the Emergency
Department and our Admissions Unit. Ensuring safer clinical interventions with
medicines by supporting the 5 rights of administration. Nurses’ access medication
by fingerprint scan; selecting their patient; selecting the required medicine(s); the
intended dose; interacting with any clinical/ allergy / expiry alerts and following a
guiding light to the item. The project will save nurse time, increase patient safety,
provide an audit trail of every transaction and fully integrate with our IT systems.
NTF Second Round Portfolio
Southend
University
Hospital NHS
Foundation Trust
Nursing
observation,
handover and
escalation
system
Digitally
enabled obs
£975K This project is part of the on-going hospital Information and Technology strategy,
which sets out a vision of moving towards a digitalised patient health care record. It
will give the nursing workforce the tools by which to enter vital signs data
electronically using mobile devices and allow timely escalation. The project
recognises that paper based processes are not sustainable and by using this
electronic system there will be significant improvements in patient care and
outcomes which will also enhance clinical workflows, staff and patient experience.
St Barnabas
Lincolnshire
Hospice
Shared
Electronic Care
Plan for
Palliative
Patients
Mobile
access
£332K Introduction of an individualised electronic palliative/end of life care plan as a
means of sharing decisions made between the clinician and patient at point of care
delivery, across service boundaries regardless of care provider and the time of day
or night. Putting the patient wishes at the centre of their care and help to create an
environment where clinicians (regardless of employer) can work together easily.
The care plan is remotely available to the clinician, to inform decision making,
ensuring care coordination and choices are considered (wherever and whenever
that maybe), resulting in an improved quality patient experience.
St Georges
Healthcare NHS
Trust
Electronic
whiteboard for
resource
management
and operational
efficiency
Nursing
dashboards
£449K An integrated whiteboard solution will support length of stay management and
provide the ability to view the current status of all beds and additional information
to support the bed manager in controlling the flow of supply and demand. The
additional functionality will provide a plethora of both demographic and clinical
data to inform the clinician and enhance the decision making process, a
medications timeline showing past, present and future medications and an events
timeline giving access to clinical results: the solution spans across all inpatient
locations in the hospital.
NTF Second Round Portfolio
St Luke’s Hospice
Community
Palliative Care
Enhanced Data
and
Communication
Digital
capture at
PoC
£249K The project will equip Community Palliative Care Nurses with mobile devices,
improving communication and collection of patient and carer data linked to an
online dashboard. Capabilities include: mobile access to digital care records,
capturing clinical data and observations at point of care, real-time digital nursing
dashboards, safer clinical interventions and smart workforce deployment. Clinical
workflows will be enhanced through electronic assessments; care planning,
delegated specialist care and audit. Expected impacts include faster and better
informed decision-making, increased quality, accuracy and efficiency in recording
and managing data. Improvements in risk profiling, patient safety and patient/carer
experiences.
Surrey and
Borders
Partnership NHS
Foundation Trust
Mental
Capacity Act
Assessment
App
Digital
capture at
PoC
£85K The mobile app will support community-based learning disability (LD) nurses to
complete Mental Capacity Act 2005 (MCA) assessments more efficiently. The app
will guide nurses through a digital pathway to ensure that they follow best practice
when an important decision has to be made concerning a patient’s care. Nurses will
use the app to record the text of what was said and the outcome, producing a pdf
report as evidence to attach to the patient’s clinical record. This bespoke
development has potential across the NHS in other areas where mental capacity is
an issue, such as dementia.
The Princess
Alexandra
Hospital NHS
Trust
Release of
mobile
technology to
support an EPR
record
Digital
capture at
PoC
£1000K The project delivers point of care hardware and software solutions that can
maximise the effectiveness of the Trust’s EPR system in the Nursing community.
Bedside devices will allow nurses to use EWS observation tools that identify the
deteriorating patient and assist Nursing teams in decision making processes for
escalation to medical teams and the critical care outreach team. This will include
alerts activities to support early intervention that enhances patient care. Large
interactive screens in the MDT areas will support the electronic tracking of patients
replacing existing whiteboards. Disconnected electronic working solutions will be
available for community midwives.
NTF Second Round Portfolio
The Robert Jones
and Agnes Hunt
Orthopaedic
Hospital NHS
Foundation Trust
Electronic
Patient Status
at a Glance
Digital
capture at
PoC
£168K Nurse led access to data in real time permitting nurses to stay with patients at the
bedside enabling capture of clinical data at point of care. Provides the provision of
tablet computing equipment to every bed bay within the hospital, linking back to
both large screen, providing ability for nursing staff to update and view information
in real time via a custom written local application, providing both clinical and
management dashboard information, releasing front line nursing staff and enabling
them to provide “time to care” by removing duplication of data entry.
The Royal
Marsden NHS
Foundation Trust
Safer blood
transfusion
through
electronic
solutions
Safer clinical
interventions
£673K To implement an electronic IT solution for blood transfusion that would increase
patient safety by ensuring right blood to right patient at all steps in the transfusion
process: sample taking, collection of blood components and administration. The
system would enable positive patient identification through the use of bar-coded
wristbands and clinical staff using a hand held scanning device to electronically
confirm the patient’s details. The system also electronically records the location on
blood components and the member of staff involved in the transfusion. The
handheld devices support mobile websites so guidelines would be available at the
bedside.
University
Hospital of North
Midlands
Digitally
Enhanced nurse
led care
coordination
Digital
capture at
PoC
£219K In an increasingly complex and demanding acute inpatient environment, care
coordination for medical review out of standard working hours is done using a
paging system. This results in variation of practice and difficulty to quantify
demands of the on-call team versus clinical status of patients across a large acute
trust. This project aims to address these issues by implementing: Digital SBAR tool
for nurses to make requests at the patient’s bedside generating a triaged RAG rated
status; Senior Nurse practitioner coordination of requests via mobile hand held
devices to ensure timely review based on RAG rated clinical status.
NTF Second Round Portfolio
University
Hospital
Southampton NHS
Foundation Trust
Electronic
Patient Acuity
Monitoring
System
Digitally
enabled obs
£870K This project aims to further improve patient safety in the hospital, and to reduce
mortality numbers, following the procurement and implementation of an Electronic
Patient Acuity Monitoring System (ePAMS). Using mobile devices across 57 wards,
3,000 nurses and midwives will replace paper with technology to capture
observations. An automated Modified Early Warning Score will activate alerts and
tasks to rescue patients from possible deterioration. The project aligns with three
capabilities: Digital enabled observations management; Digital capture of clinical
data at point of care; Safer clinical interventions.
University
Hospitals of
Morecambe Bay
NHS Foundation
Trust
Comprehensive
Nursing Digital
Record
Digital
capture at
PoC
£987K The project will provide hand held devices for every nurse, and additional mobile
computers to support the implementation of a comprehensive nursing digital
record incorporating electronic nursing assessments, care plans and handover
documentation. Electronically capture and display of vital signs and physiological
observations with proactive alerting and early warning score (EWS) escalation to
named clinicians is also supported. This integrates with the hospital EPR and
existing nursing electronic whiteboard, creating a single patient record, promoting
harm free care. This will improve staff efficiency through standardised
documentation and enhance patient safety through real time escalated EWS and
safe handovers, supporting the right clinical care for the right patient at the right
time.
Walsall
Healthcare NHS
Trust
Vital Signs
Monitoring
Digitally
enabled obs
£677K This innovative project is the implementation of an electronic track and trigger
system throughout the organisation in defined adult inpatient areas. Nursing and
other clinical teams will be issued with mobile hand held technology to provide
electronic capture of nursing observations and other critical metrics. Amongst a
range of other benefits, this will facilitate the provision of immediate escalation of
deteriorating patients to clinical teams with auditable response times and
automated further escalation in the event of non-response or unavailability of
clinicians.
NTF Second Round Portfolio
Warrington &
Halton Hospitals
NHS Foundation
Trust
Mobile Midwife
Mobile
access
£179K We aim to make all of our Midwives mobile and paper free. We intend to issue our
21 Community Midwives with a 3G enabled Windows tablet PC. We will also issue
our hospital based Midwives with a similar device that will access our new wireless
network. This project is part of a wider programme of work that is taking the Trust
toward paperless working by 2018 and an EPR in 2015 enabled by, mobile working
through individuals’ access to information provided by tablets. The vision and
journey is described in the Trust’s IT Strategy that spans the next four years
Worcestershire
Health and Care
NHS Trust
Mobile Solution
for a Mobile
Nursing
Workforce
Digital
capture at
PoC
£904K The Integrated Community Nursing teams undertake 400,000 contacts per year in
the patients’ own homes. Currently this is undertaken without access to live data
and staff returning to base each day to record and report patients seen and
interventions undertaken. This project aims to provide members of the integrated
nursing teams with mobile tablet devices, allowing them to accept allocation of,
view, amend and add appointments, to review patient history and record the
outcome at the point of care delivery. This will enable staff to deliver safe,
personalised care efficiently and contemporaneously with the recording of delivery
of that care.