The project is a major IT development comprising a nationally-implemented informatics strategy for the management of the national NHS Haemophilia Service. The strategy incorporates four integrated IT systems; 'Haemtrack' a national web-based patient home treatment record; 'HCIS' a trust-based haemophilia centre management system; 'NHD' a web-based national haemophilia registry; 'UKHIS' a national web-based reporting portal. The developed informatics strategy is renowned as the world's most comprehensive and is now being implemented internationally.
To date RiO has been implemented by 34 providers of community services and 14 mental health trusts (MHT), with nearly 60,000 end users across London and the south. The RiO solution removes the need for paper records by providing electronic patient records which enable healthcare teams to have easier, faster access to up-to-date patient information.
The electronic Palliative Care Summary (ePCS) is a national project to improve care and safety for palliative care patients when their GP surgery is closed. Critical information, including the patient's wishes, is available at all times to out of hours services. Part of Living and Dying Well, the Scottish action plan for palliative and end of life care, ePCS is a development of the Emergency Care Summary. It involves a number of systems suppliers covering GP practices and out of hours services.
The scope of this project was to replace a number of systems, including an obsolete PAS, A&E system, maternity system and the main theatres system, as well as connecting to the Spine and implementing real-time admissions, transfers and discharges for the first time. Under no illusions as to the risk, the Kingston team decided the potential benefit was worth it provided that good project management was in place.