Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 041 (a)
• Release 4 – Protocols, Integrated Care pathways, Interactive Charting,
Tray/Instrument Management, Stock Management, Surveillance and Screening,
Document Management screening, Non-Patient Requests and mobile device
integration.
Taking into account the delays with Lorenzo delivery in 2008, our strategy for 2008-2013
identified a need to continue with our current electronic patient record (iCM) as an interim
solution, whilst ensuring a migration path to Lorenzo in 2009-2011.
3. Latest position on Delivery of Lorenzo Regional Care from CSC/NPfIT
The National Programme for IT (NPfIT) continues to remain a high profile and widely
discussed programme. It has been announced recently that NPfIT would find £600m in
savings within the programme as part of the wider drive to improve efficiency in the
Department of Health and NHS.
Following a review of NPfIT nationally, there will be a scaling back in the amount of
functionality and releases to be delivered in Lorenzo Regional Care. Discussions are still
ongoing at a national level to agree the final deliverables and the implications to local Trusts
of the functionality they will not receive. The CIO for West Midlands has called a meeting on
the 25 th February, where we will be advised of the latest position and possibly the final
agreement.
Timeframes of early 2011, can be achieved to commence implementation of Release 1 and
2 of Lorenzo, but no timeframes have as yet been agreed for Release 3 until the
renegotiation of the contracts have been concluded with CSC.
4. Risks to the Trust of delays with Lorenzo Regional Care
The delays in the delivery of Lorenzo will create the following list of risks to the Trust, which
we will need to mitigate.
• If Lorenzo Regional Care is scaled back on functionality to a level which will mean we
do not have a joined up integrated record, then there would be risks attached to
taking even the first 2 releases. However, the alternatives, which would need to be
fully explored, could require the Trust to invest in a different solution which would be
very difficult in view of the expected future financial climate.
• If the Trust decided to move to Lorenzo Releases 1 and 2, it is likely that it could be
an early adopter for Release 3, but restricted functionality as discussed above. To
enable the fully integrated EPR to be achieved, we may have to procure from CSC
the missing functionality we require.
• The new hospital which will open in 2016 is at this time considered to be supported
by a fully electronic patient record. Any further delays in rolling out functionality to
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