Lorenzo patient record systems

Lorenzo patient record systems are a type of Electronic health record provided by CSC, originally as part of the United Kingdom government’s National Programme for IT (NHS Connecting for Health) in the NHS.

There is a long history of negotiations between the NHS and the company.[1]

On 4 September 2012, the UK Department of Health announced that whilst it was "dismantling" the National Programme for IT, Lorenzo would be supplied under a new legally binding agreement with CSC.[2]

University Hospitals of Morecambe Bay NHS Foundation Trust was the first to deploy the technology. It implemented electronic patient record system Lorenzo Release 1.9 in June 2010.[3]

Humber NHS Foundation Trust was the first mental health organisation to use the CSC Lorenzo patient record systems in June 2012.[4]

Lorenzo systems are being introduced to Warrington & Halton Hospitals NHS Foundation Trust during 2015.[5]

In June 2015, a Digital Health Intelligence article stated that Hull and East Yorkshire Hospitals NHS Trust and Norfolk and Suffolk NHS Foundation Trust had gone live with Lorenzo.[6] In July 2015, Digital Health Intelligence reported CSC as stating that 19 NHS Trusts had contracted to take the Lorenzo system.[7]

George Eliot Hospital NHS Trust,[8] Ipswich Hospital NHS Trust,[9] Tameside Hospital NHS Foundation Trust and Hull and East Yorkshire Hospitals NHS Trust[10] are also implementing Lorenzo under a financial support package which has been described as controversial.

In June 2013 senior executives from the NHS were called before the parliamentary Public Accounts Committee, where chair Margaret Hodge called CSC a “rotten company” and said the Lorenzo system was “hopeless”.[11]

Delays in the provision of data to NHS England's waiting list system were linked to Lorenzo implementations in an HSJ article in May 2014. Tameside Hospital NHS Foundation Trust’s April risk register awarded its Lorenzo project the highest possible risk rating – 25 – citing “potential risks to patient safety quality, information governance and performance trajectories”. Walsall Healthcare NHS Trust's May 2014 board meeting noted it had been forced to “recruit 25 additional staff” to address “a number of issues [which] have arisen as Lorenzo moves to business as usual”, including “backlogs, clinic restructuring and un-outcomed outpatient clinic forms”. Hull and East Yorkshire Hospitals NHS Trust’s May 2014 risk register said plans to deploy Lorenzo might be “unrealistic”, and that it had “insufficient capacity and insufficient funding” to support the project.[12]

North Bristol NHS Trust was scheduled to be the first trust to go live with Lorenzo but as of November 2015 are experiencing problems in transitioning from the old Cerner system. [13]

References

  1. ↑ Tony, Collins (15 August 2012). "Will CSC negotiate a new NPfIT deal?". Computerworld UK. Retrieved 8 December 2013.
  2. ↑ "Savings of over £1 billion will be reinvested into the NHS following the Department of Health's legally binding agreement with CSC, suppliers of the Lorenzo healthcare IT system.". Retrieved 10 August 2015.
  3. ↑ "Lorenzo goes live at Morecambe Bay". Health Service Journal. 1 June 2010. Retrieved 8 December 2013.
  4. ↑ "Humber Foundation Trust extending Lorenzo functions". Health Service Journal. 9 November 2012. Retrieved 8 December 2013.
  5. ↑ "New electronic patient records being introduced at Halton and Warrington hospitals". Runcorn & Widnes World. 21 March 2015. Retrieved 27 March 2015.
  6. ↑ "Lorenzo live at two more trusts". Digital Health Intelligence. 30 July 2015. Retrieved 10 August 2015.
  7. ↑ "Eleven trusts benefit from Lorenzo cash". Digital Health Intelligence. 30 July 2015. Retrieved 10 August 2015.
  8. ↑ "George Eliot Trust working on Lorenzo implementation". Health Service Journal. 13 March 2013. Retrieved 8 December 2013.
  9. ↑ "Ipswich takes sweetened Lorenzo deal". Health \Service Journal. 13 June 2013. Retrieved 8 December 2013.
  10. ↑ "Second trust takes financial help from DH for IT system". Health Service Journal. 15 January 2013. Retrieved 8 December 2013.
  11. ↑ "NHS still set to spend £600m with 'rotten' CSC on 'hopeless' NPfIT systems". Computerworld UK. 12 June 2013. Retrieved 8 December 2013.
  12. ↑ "Lorenzo implementation linked to data delays". Health Service Journal. 11 June 2014. Retrieved 14 July 2014.
  13. ↑ "North Bristol live with Lorenzo". digitalhealth.net. 17 November 2015. Retrieved 23 Nov 2015.
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