SystmOne

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SystmOne is a centrally hosted clinical computer system developed by Horsforth-based The Phoenix Partnership (TPP). It is used by healthcare professionals in the UK predominantly in primary care. The system is being deployed as one of the accredited systems in the government's programme of modernising IT in the NHS.

Contents

Applications

SystmOne is one of the computer systems available to GPs under the Systems of Choice scheme from 2008, as well as through Local Service Provider, the CSC. Like other GP systems it makes extensive use of Read codes. Like most other GP systems all data is held on remote servers. It can be accessed using a mobile phone. It is widely used in TPP's home county of Yorkshire and is the system supporting the Born in Bradford project.

The system is used to connect all prisons in England to a single clinical IT system for healthcare across the 133 prisons and young offender institutions and three immigration centres. [1] The prison system does not communicate with the systems used by the NHS.

SystmOne is available as a number of different modules designed for different care settings. Modules for GP, prisons, child health, community units and palliative care are currently widely used throughout the NHS. In 2013, a number of secondary care modules were rolled out. These include modules for community and acute hospitals, accident and emergency, maternity, mental health and social services. TPP are involved in the development of electronic patient record systems converting large numbers of paper records into digital form. [2] This enables GPs, community services and care homes to share access to records, with the patient's consent, enabling the ordering of clinical tests and medication without the need to visit the institution. Visiting clinical staff can use IT equipment in the institution to access patient records. [3] SystmOne Maternity is used by Torbay and South Devon NHS Foundation Trust for all their maternity services. [4]

In England EMIS Health and SystmOne have a duopoly. The pair were paid £77 million for primary care software in 2018. [5]

It is possible to use the system to send automated text messages to patients such as reminders for influenza vaccine. [6]

Research

The company has a close relationship with researchers at the University of Leeds with whom it developed an electronic frailty index. [7] The company has a database with 6 million de-identified patient records, called ResearchOne, which in 2015 supported 40 to 50 research projects. About half have the potential to inform new clinical decision support tools. One is the Screening Tool of Older People's potentially inappropriate Prescriptions (STOPP) developed in Newton Abbot. This is intended to alert prescribers to risky combinations of medication. SystmOne permits rapid sharing of such applications. [8]

Data sharing

SystmOne supports Summary Care Records. In March 2015 the company made an agreement to share patient data with Egton Medical Information Systems, the biggest supplier of GP software after IMS MAXIMS released an open-source version of its software, which acute trusts can use and alter the code to tailor the system to their needs. The companies say they hope to deliver functionality to support cross-organisational working such as shared tasks and shared appointment booking. This agreement is independent of the medical interoperability gateway. [9]

In October 2015 it was reported that the company was working with Central London Community Healthcare NHS Trust and Waltham Forest Clinical Commissioning Group on two pilots that will allow users of its software to see patient records on EMISweb and vice versa without any external software. [10]

Issues

On 21 March 2017 the Information Commissioner's Office issued a statement regarding the enhanced data sharing model of SystmOne. [11]

In July 2018, both houses of the UK Parliament were informed of a software error that resulted in patient's data being shared against their express wishes. While GPs could record that patients had opted out of their data being used for any other purpose than their own personal care, that opt out wasn't passed on. The result is that data from 150,000 patients was disseminated by NHS Digital for audit and research purposes. [12]

In August 2018 there were problems with the repeat prescription system. More than 10,000 prescriptions that were cancelled on SystmOne software were not cancelled on systems used by community pharmacists. Later in August 20,000 updates made to patients' GP records using SystmOne were not transferred to their Summary Care Record. [13]

See also

Related Research Articles

<span class="mw-page-title-main">NHS Digital</span>

NHS Digital is the trading name of the Health and Social Care Information Centre, which is the national provider of information, data and IT systems for commissioners, analysts and clinicians in health and social care in England, particularly those involved with the National Health Service of England. The organisation is an executive non-departmental public body of the Department of Health and Social Care.

<span class="mw-page-title-main">NHS Scotland</span> Publicly-funded healthcare system in Scotland

NHS Scotland, sometimes styled NHSScotland, is the publicly funded healthcare system in Scotland and one of the four systems that make up the National Health Service in the United Kingdom. It operates 14 territorial NHS boards across Scotland, 7 special non-geographic health boards, and NHS Health Scotland.

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<span class="mw-page-title-main">National Health Service (England)</span> Publicly-funded healthcare system in England

The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation, and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR).

Electronic prescription is the computer-based electronic generation, transmission, and filling of a medical prescription, taking the place of paper and faxed prescriptions. E-prescribing allows a physician, physician assistant, pharmacist, or nurse practitioner to use digital prescription software to electronically transmit a new prescription or renewal authorization to a community or mail-order pharmacy. It outlines the ability to send error-free, accurate, and understandable prescriptions electronically from the healthcare provider to the pharmacy. E-prescribing is meant to reduce the risks associated with traditional prescription script writing. It is also one of the major reasons for the push for electronic medical records. By sharing medical prescription information, e-prescribing seeks to connect the patient's team of healthcare providers to facilitate knowledgeable decision making.

A Summary Care Record (SCR) is an electronic patient record, a summary of National Health Service patient data held on a central database covering England, part of the NHS National Programme for IT. The purpose of the database is to make patient data readily available anywhere that the patient seeks treatment, for example if they are staying away from their home town or if they are unable to give information for themselves. Despite opposition from some quarters, by September 2010, 424 GP practices across at least 36 primary care trusts had uploaded 2.7 million Summary Care Records. On 10 October 2010, the Health Secretary announced that the coalition government would continue with the introduction, but that the records would 'hold only the essential medical information needed in an emergency – that is medication, allergen and [drug] reactions'. By March 2013, more than 24 million SCRs had been created across England.

<span class="mw-page-title-main">The Phoenix Partnership</span> UK based IT company

The Phoenix Partnership (Leeds) Ltd (TPP) is a software company based in Horsforth, Leeds. It develops and supplies clinical software including SystmOne.

Out-of-hours services are the arrangements to provide access to healthcare at times when General Practitioner surgeries are closed; in the United Kingdom this is normally between 6.30pm and 8am, at weekends, at Bank Holidays and sometimes if the practice is closed for educational sessions.

Datix Limited was a patient safety organization that produces web-based incident reporting and risk management software for healthcare and social care organizations with headquarters in London, England and offices in Chicago, USA and Toronto, Canada.

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Healthcare in Cumbria was the responsibility of Cumbria Clinical Commissioning Group until July 2022. On 1 April 2017 32 GP practices left the CCG and merged with Lancashire North CCG to form Morecambe Bay CCG.

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Healthcare in Essex is now the responsibility of six clinical commissioning groups: Basildon and Brentwood, Mid Essex, North East Essex, Southend, Thurrock and West Essex.

Hertfordshire Community NHS Trust, commonly referred to as HCT, is an NHS organisation providing adult and children's community health services, such as district nursing and health visiting, across Hertfordshire. It also provides some services in West Essex, in prisons and specialist care to a population of more than 1.1 million.

Patient Online is an NHS England programme to encourage GPs deliver the British government’s promise to give patients in England access to their GP records and to let them book appointments and order prescriptions online.

The NHS App allows patients using the National Health Service in England to book appointments with their GP, order repeat prescriptions and access their GP record. Available since late 2018, the app was developed by NHS Digital and NHS England. The Health ministers Jeremy Hunt and Matt Hancock both stressed their support for the project. Hancock presented it as the key a radical overhaul of NHS technology. Hunt claimed it would mark 'the death-knell of the 8am scramble for GP appointments that infuriates so many patients'.

Microtest Health was a health informatics company founded in 1955 based in Bodmin, Cornwall, UK. The company was acquired by innovation venture capital investor, Public Group International in April 2020, and rebranded to Eva Health Technologies in September 2020. It began selling prescribing software to GP practices in the 1980s.

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In 2005 the National Health Service (NHS) in the United Kingdom began deployment of electronic health record systems in NHS Trusts. The goal was to have all patients with a centralized electronic health record by 2010. Lorenzo patient record systems were adopted in a number of NHS trusts. While many hospitals acquired electronic patient records systems in this process, there was no national healthcare information exchange. Ultimately, the program was dismantled after a cost to the UK taxpayer was over $24 billion, and is considered one of the most expensive healthcare IT failures.

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References

  1. ↑ "Prisons linked to single health record IT". The Guardian. 13 April 2011. Retrieved 16 October 2014.
  2. ↑ "Accenture and TPP Complete First Phase of Digitizing Patient Records". HIT Consultant. 13 November 2013. Retrieved 21 November 2013.
  3. ↑ "Waking up to a new dawn in data". Health Service Journal. 28 March 2014. Retrieved 4 October 2014.
  4. ↑ "Torbay and South Devon go live with TPP's SystmOne Maternity". Digital Health. 3 May 2022. Retrieved 19 November 2022.
  5. ↑ "The Download: The GP IT showdown". Health Service Journal. 18 March 2018. Retrieved 30 March 2019.
  6. ↑ "Text messaging reminders for influenza vaccine in primary care: protocol for a cluster randomised controlled trial (TXT4FLUJAB)". British Medical Journal. 2 May 2014. Retrieved 4 October 2014.
  7. ↑ "NHS releases read codes for diagnosing frailty". Pulse. 15 October 2014. Retrieved 16 October 2014.
  8. ↑ "Supplement: Just what the doctor ordered". Health Service Journal. 28 October 2015. Retrieved 29 November 2015.
  9. ↑ "Major general practice software suppliers agree to share patient data". Health Service Journal. 13 March 2015. Retrieved 22 April 2015.
  10. ↑ "Record sharing: TPP and Emis integrate". Digital Health. 21 October 2015. Retrieved 24 October 2015.
  11. ↑ "ICO statement in relation to the potential risk to patient medical records held by GPs on TPP SystmOne". Information Commissioer's Office UK. 21 March 2017. Retrieved 22 March 2017.
  12. ↑ "NHS data breach affects 150,000 patients in England". BBC News. 2 July 2018. Retrieved 31 December 2018.
  13. ↑ "IT defect results in thousands of prescription errors". Health Service Journal. 19 October 2018. Retrieved 27 November 2018.
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