Lorenzo (electronic health record)

Last updated

Lorenzo was a controversial electronic health record platform (EHR) by DXC Technology, originally designed in the early 2010s as part of the National Programme for IT in the NHS. Lorenzo was deployed across more than 20 NHS trusts across the United Kingdom between 2010 and 2015, with most trusts progressing procurement activities to replace the system as of 2020.

Lorenzo has been a highly criticised platform, with NHS reviews and coroner investigations finding the system responsible for a number of adverse patient events.

Initial procurement and launch

The NHS and DXC Technology initiated negotiations for a new whole-of-system EHR in 2010. Despite the National Programme for IT being wound up by the UK Department of Health and Social Care, the department announced that it would enter into an agreement with DXC to supply Lorenzo to NHS trusts under a Standing Order Arrangement. The SOA allows the NHS to negotiate more beneficial agreements with providers by using the full purchasing power of the combined NHS system.

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 DXC. [2]

The University Hospitals of Morecambe Bay NHS Foundation Trust was the first to deploy the technology in June 2010, which was in Release 1.9 at the time. [3] Humber NHS Foundation Trust was the first mental health organisation to use the DXC Lorenzo patient record systems in June 2012. [4] Lorenzo systems were introduced to Warrington & Halton Hospitals NHS Foundation Trust during 2015. [5] In June 2015 Hull and East Yorkshire Hospitals NHS Trust and Norfolk and Suffolk NHS Foundation Trust went live with Lorenzo. [6] In July 2015, Digital Health Intelligence reported DXC 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.

Deployments of Lorenzo have not been without reported teething troubles. 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.

North Bristol NHS Trust went live with Lorenzo in November 2015, replacing a Cerner system. North Bristol was the first NHS trust in the South of England to take the system as part of an open procurement exercise outside of DXC's central relationship with the NHS. [11]

Mid Essex Hospital Services NHS Trust installed a Lorenzo system in May 2017. [12]

In 2018 the company was given about £10 million for a national “digital exemplar” programme for the National Programme for IT. Royal Papworth Hospital NHS Foundation Trust, Hull and East Yorkshire Hospitals NHS Trust, North Staffordshire Combined Healthcare NHS Trust and Warrington and Halton Hospitals NHS Foundation Trust are to be the examplars maximising the potential benefits of using electronic patient records. [13]

Barnsley Hospital NHS Foundation Trust switched its electronic patient record from the Lorenzo system to System C’s Careflow in July 2020. Walsall Healthcare NHS Trust will do the same shortly. Others of the 20 trusts which installed Lorenzo systems as part of the National Programme for IT are in the process of launching procurements for new systems. [14]

Sheffield Teaching Hospitals uses Lorenzo, and it has sometimes been problematic.

Related Research Articles

Cambridge University Hospitals NHS Foundation Trust is a British public sector healthcare provider located in Cambridge, England. It was established on 4 November 1992 as Addenbrooke's National Health Service Trust, and authorised as an NHS foundation trust under its current name on 1 July 2004.

<span class="mw-page-title-main">North West Boroughs Healthcare NHS Foundation Trust</span> NHS mental health trust

North West Boroughs Healthcare NHS Foundation Trust was an NHS foundation trust which provided mental health, learning disability and community health services in fifteen boroughs of North West England. The Trust delivered mental health and learning disability services in Halton, Knowsley, St Helens, Warrington and Wigan, as well as community-based physical health services in Halton, Knowsley, St Helens and Sefton. It also provided services to improve outcomes for people with mental vulnerabilities within the criminal justice system across Greater Manchester, working in partnership with Mitie Care and Custody and Cheshire and Greater Manchester Community Rehabilitation Company.

The Hull University Teaching Hospitals NHS Trust operates in the city of Hull and the East Riding of Yorkshire, England. The Trust was formed on 1 October 1999 by the merger of the East Yorkshire Hospitals and the Royal Hull Hospitals National Health Service Trusts.

Imperial College Healthcare NHS Trust is an NHS trust based in London, England. It is one of the largest NHS trusts in England and together with Imperial College London forms an academic health science centre.

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.

Pennine Acute Hospitals NHS Trust was an acute hospital trust which, until 2019, operated Fairfield General Hospital in Bury, North Manchester General Hospital, the Royal Oldham Hospital and Rochdale Infirmary, all in Greater Manchester. It is now part of the Northern Care Alliance NHS Group. North Manchester General Hospital was formally acquired by Manchester University NHS Foundation Trust on April 1, 2021. The trust also operated Bury General Hospital which closed in 2006.

Warrington and Halton Hospitals NHS Foundation Trust was created on 1 December 2008 from what was formerly known as North Cheshire Hospitals NHS Trust. The trust comprises Warrington Hospital, Halton General Hospital in Runcorn and Houghton Hall in Warrington and is responsible for a budget of around £200 million per annum.

North Bristol NHS Trust is a National Health Service trust that provides community healthcare and hospital services to Bristol, South Gloucestershire, and North Somerset, England. The trust employs over 8,000 staff and delivers healthcare through several medical institutions, including Southmead Hospital, Cossham Hospital, and the Bristol Centre for Enablement, as well as through various community-based clinics. In addition, medical teaching facilities are provided in association with the University of the West of England, Bristol University, and the University of Bath.

Health Education England (HEE) is an executive non-departmental public body of the Department of Health and Social Care. Its function is to provide national leadership and coordination for the education and training within the health and public health workforce within England. It has been operational since June 2012.

<span class="mw-page-title-main">West Suffolk NHS Foundation Trust</span> NHS hospital trust

West Suffolk NHS Foundation Trust is an NHS foundation trust which runs West Suffolk Hospital, a large district general hospital in Bury St Edmunds, Suffolk, England. The Trust provides a wide range of services to the population of west Suffolk and serves a catchment area of approximately 600 square miles with a population of around 280,000 people.

The Five Year Forward View was produced by NHS England in October 2014 under the leadership of Simon Stevens as a planning document.

EMIS Health, formerly known as Egton Medical Information Systems, supplies electronic patient record systems and software used in primary care, acute care and community pharmacy in the United Kingdom. The company is based in Leeds. It claims that more than half of GP practices across the UK use EMIS Health software and holds number one or two market positions in its main markets. In June 2022 the company was acquired by Bordeaux UK Holdings II Limited, an affiliate of UnitedHealth's Optum business for a 49% premium on EMIS's closing share price.

IMS MAXIMS is a supplier of electronic health record software to the public and private sectors in UK and the Republic of Ireland.

Healthcare in Gloucestershire was the responsibility of two clinical commissioning groups, covering Gloucestershire and South Gloucestershire, until July 2022. The health economy of Gloucestershire has always been linked with that of Bristol.

HealthRoster is Employee scheduling software for e-rostering, used in the National Health Service produced by Allocate Software.

Healthcare in Cheshire was the responsibility of Eastern Cheshire, South Cheshire, Vale Royal and West Cheshire clinical commissioning groups until July 2022.

Manchester University NHS Foundation Trust is an NHS Acute Foundation Trust which operates 10 hospitals throughout Greater Manchester. It is the largest NHS trust in the United Kingdom, with an income of £2.2bn and 28,479 staff in 2021–2022.

The Global Digital Exemplar (GDE) programme is an NHS England initiative to achieve digital transformation in selected exemplar organisations and to create a knowledge sharing ecosystem to spread learning from these exemplars. The programme is to enable "digitally advanced" NHS trusts to share knowledge with other NHS trusts, specifically knowledge gained during the implementation of IT systems, and especially experience from introducing electronic health record (EHR) systems. The GDE project is expected to last two to three and a half years; with the most digitally advanced trusts on the shorter time scale.

Servelec is a health informatics company headquartered in Sheffield, owned by The Access Group. The company provides software solutions to the healthcare, social care, and education sectors..

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.

References

  1. ↑ Tony, Collins (15 August 2012). "Will CSC negotiate a new NPfIT deal?". Computerworld UK. Archived from the original on 12 December 2013. 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. ↑ "North Bristol live with Lorenzo". digitalhealth.net. 17 November 2015. Archived from the original on 23 November 2015. Retrieved 23 November 2015.
  12. ↑ "Mid Essex Goes Live with Lorenzo EPR Across Organisation". DigitalHealth. 8 June 2017. Retrieved 20 March 2020.
  13. ↑ "Four trusts named as digital exemplars for 'hopeless' IT system". Health Service Journal. 22 May 2018. Retrieved 16 August 2018.
  14. ↑ "Trusts end Lorenzo use after failed national IT programme". Health Service Journal. 28 August 2020. Retrieved 11 October 2020.
This page is based on this Wikipedia article
Text is available under the CC BY-SA 4.0 license; additional terms may apply.
Images, videos and audio are available under their respective licenses.