Evaluation of IT modernisation in the NHS - NETSCC

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Report to SDO for NCRS ProjectExecutive SummaryAbbreviationMITMeSHNCRSNHSNPfITNPVNSFNSWNWCSPACSPASPCPCISPFRISRCTSUIUCUEUSVAVISNsDescription of abbreviationMassachusetts Institute of TechnologyMedical Subject HeadingNHS Care Record ServiceNational Health ServiceNational Programme for Information TechnologyNet Present ValueNational Service FrameworkNew South WalesNHS-wide Clearing ServicePicture archive and communication systemPatient Administration SystemPersonal computerPatient Care Information SystemPlain FilmRadiology Information SystemRandomized controlled trialSerious untoward incidentUrine cultureUrea and electrolytesUltrasoundVeterans’ AffairsVeterans’ Integrated Services Networks
Report to SDO for NCRS ProjectIntroduction1. Introduction1.1. Original conception of the projectCapturing information accurately, communicating and using the informationpromptly to improve the effectiveness and efficiency of health care, is central tothe UK Government’s vision of modernising the NHS. 1In the White Paperpublished in 1998, Information for Health, IT modernisation was described asfocusing on the establishment of high quality information systems withininstitutions, to capture data “describing the record of periodic care provided mainlyby one institution”, i.e. the electronic patient record (EPR). Implementation ofEPRs is a crucial step towards the longer term goal of electronic health records,which will provide “a longitudinal record of patient’s health and health care – fromcradle to grave.” 1The White Paper identified five key functions of EPRs:(a) Electronic booking (out-patients, elective surgery and emergency referrals);(b) Electronic ordering of tests and investigations and electronic access to, or‘browsing’ of, test results (i.e. described here as “computerised physician orderentry”, or CPOE, following the North American literature);(c) Electronic communication within and between acute Trusts and betweensecondary and primary care sectors;(d) Prescribing (e.g. automatic prescribing /dispensing of medications specified indischarge summaries);(e) Picture Archive and Communication Systems (PACS; providing the same thefunctions as electronic ordering of tests)At this time, EPRs were considered to bring benefits to patients, health careprofessionals, managers and planners in the NHS. Table 1 describes our originalframework setting out potential quantifiable consequences of implementing EPRsand the potential benefits of these consequences for the different groups.Additional potential benefits span these functions, for example:• Electronic integrated care pathways (ICPs): more effective clinicalmanagement through implementation of structured care pathways, improvedClinical Governance, high quality data to demonstrate these benefits.• ‘Seamless’ care: secure but accessible information to all caregivers involved inhealth care delivery.1
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Evaluation of IT modernisation in the NHS - NETSCC

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