Bradford goes live with Lorenzo

Tags: Bradford Foundation Trust IBA Information iS iSoft Lorenzo PAS PAS Pathology South Strategic

09 Apr 2009

Bradford Teaching Hospitals NHS Foundation Trust has confirmed that it has started rolling-out Lorenzo almost a year after it was initially expected to go-live.

The trust exclusively told E-Health Insider that it had started the first stage of a phased live service roll-out of the iSoft electronic patient record as part of the National Programme for IT in the NHS’ early adopter programme.

A spokesperson for the trust said: “Lorenzo has been used successfully in the care of an initial group of patients who have attended a weekly joint replacement clinic run by nurse practitioners.

“Over the next three months, we plan to build on this platform by extending the use of Lorenzo into a consultant-led clinic and two orthopedic wards.

“We are finalising the wider-roll out programme, which will enable electronic requesting and reporting of all imaging and pathology investigations via Lorenzo.”

Bradford is the third organisation to go-live. South Birmingham Primary Care Trust and University Hospitals of Morecambe Bay NHS Trust both started using Lorenzo on a limited basis last year, after similar extensive delays.

Lorenzo developer iSoft, owned by IBA Health, is the main strategic software sub-contractor to Computer Sciences Corporation, which is due to deliver the electronic patient record to three fifths of the NHS as the local service provider for the North, Midlands and East of England.

Lorenzo was initially promised by the national programme in late 2004. The next-generation electronic record and care pathways software is now due to be delivered in a series of releases to the health service.

The first release is meant to include electronic requesting and some reporting, clinical documentation and assessments delivered ahead of an integrated Lorenzo PAS becoming available. Additional clinical functionality will be added in three further releases.

In its statement, Bradford said it is “developing a separate project to use Lorenzo’s ‘clinical documentation’ functionality to capture clinical information in clinics and wards for patients on the elective hip and knee replacement pathway within orthopedics.”

Related article

Soft launch of Lorenzo at Morecambe Bay

Link

Lorenzo

Readers Comments

From Messrs Sue, Grabbit and Runne

09 Apr 09 11:36

Dear E-Health-Insider,

You should be aware that under the Trades Descriptions Act, this kind of advertising is misleading, immoral and (probably) fattening.

I must insist, therefore, that you change the title of this piece from 'Bradford Goes Live with Lorenzo' to '1/2 dozen nurses in Bradford use system to treat 1/2 dozen patients in order to tick pointless CFH box'

This will bring you into line with current thinking relating to 'some podiatrists in Birmingham' and 'a ward somewhere near Morecambe'

yours etc,

"Going live"

09 Apr 09 13:14

Here we go again (or not)!

Can I suggest that - in the absence of any consensus on what "going live" means in the Granger Programme - EHI might, in collaboration with its readership, seeks to establish some mutually agreed criteria?

You'll then be able to confirm - before reporting - that the newly-announced implementation meets these criteria and so has some real substance.

Begs the question..

09 Apr 09 14:59

How is progress going at Morecambe Bay? Is this now rolled out beyond its initial soft launch. Not a critical question just hopeful that progress is finally being made.

Going Live.......

09 Apr 09 15:33

I have to agree with the earlier 2 posters. As long as we have no definition of "Going Live" it's possible to make misleading statements & the headline to this piece falls well within that category.

Perhaps there is a role here for E-Health Insider in helping to avoid future confusion by defining clearly what it means by "Going Live". The inclusion of some scope description in the headline would be a good start. This wouldn't appear to be an implementation of the Lorenzo EPR across a Trust - although it'll be great when CSC begin to deliver this - but the headline suggests otherwise.

Its going wrong for the Doom Merchants

10 Apr 09 10:00

As another Trust begins the roll out of Lorenzo, might this finally happen that the national programme is beginning to deliver.

Still the negative comments persist. Lets be clear that EVERY EPR rollout, national programme or not starts somewhere. It is impossible to roll out an EPR big bang and to pretend other wise is frankly pathetic.

The first comment on this story is way off the mark. It isn't that its starting with a few nurses, the fact that it is starting that is the story.

Well done Bradford I say

Going live: note from EHI

lyn@e-health-media.com

10 Apr 09 10:42

Lyn Whitfield, managing editor of E-Health Insider, replies: As a web publisher, our headlines are necessarily short. I am afraid that even if we could reach a "scope description" of what going live "means", there would not be room for it in a headline. In any event, I think it's pretty clear that this one means that Bradford has started using Lorenzo. In that sense, it's live.

The story is quite clear that this use is limited. It gives the scope. It's quite clear that nobody is claiming that Bradford has gone for a "big bang" deployment of the Lorenzo EPR across its entire campus (and we could probably have another "scope debate" about what "the Lorenzo EPR" - and indeed an "EPR" - is).

There also seems to be an implicit criticism here that these developments are not worthy of being reported on, and that EHI should not report on Lorenzo until there has been some grand, all-encompassing "go live" somewhere.

Yet there is a lot of interest in what is happening with this system and we have all been waiting for news from Bradford for many months. This is the news there is. It would seem perverse for us to say it's not good enough to run. What it means in the grand scheme of things is, of course, open to comment and debate - and I'm sure there will be plenty of that over the next few days.

Finally, in answer to the question about what is happening at Morecambe Bay: we're trying to find out...

re: Its going wrong for the Doom Merchants

10 Apr 09 12:22

OK let's pretend it's not premature to declare Lorenzo a (belated) roaring success or "the national programme is beginning to deliver" - which (you will recall) promised primary, secondary and community system integration NOT standalone EMRs.

However speculate what the outcome of the NPfIT tenders might have been been if the deal on offer had been 6 years to develop a pilot EMR system with £82 million up front http://preview.tinyurl.com/cktbzv plus significant uncosted collaboration / support from local and central NHS resources. As it was, the schedules back in 2003 meant capable suppliers with products of far greater maturity and proven delivery records either walked or were turned away.

The intervening years have been a catastrophe for the English NHS - with trusts being marched up the hill and down again with flaky or postponed deployments, stop-gap systems and desperate extensions of existing maintenance contracts. This is too little too late! The NHS and the taxpayer deserve a full explanation of what went wrong.

Historical perspectives on "going live" ...

10 Apr 09 21:11

Was Kitty Hawk in 1903 "going live" for the aviation industry?

Did Neil Armstrong's 1969 "small step" herald a sustainable lunar exploration / exploitation programme?

Of course not.

However, if we take the starting point as the 1998 IfH Strategy, it is taking longer to get widespread shared electronic records into the NHS than it did to land a man on the moon four decades ago!

Re Historical perspectives

those_damn_cats@yahoo.co.uk

14 Apr 09 08:00

Yes

The wright brothers were a go live but there is a difference of scale to today. Look at Boeing and it's 787, how may years late and at what budget?

Re: Historical perspectives

17 Apr 09 14:48

At least a boeing 787 can carry more than 3 passengers.

Sign off

18 Apr 09 08:25

The problem is not that E-health insider has reported that Bradford has gone live. The real issue here is that CSC only have to take three sites to a 'live' state for this software to be ready for installation at other CSC sites.

The three 'live' sites will have had the attention of executives within CSC and the software will have been mended/fixed many times since they went live. The rest of us, who will probably be using different areas of the system, will have much less influence, and once we have said we want to take Lorenzo, we will be pressured into going live with systems that are not always developed.

"Lorenzo- Live"; but which deployment units

jill.mason@salford.nhs.uk

31 Jul 09 15:09

Just for the record could someone clarify exactly what deployment units of Lorenzo are live in Morcambe Bay and now Bradford. The strap line of 'Lorenzo Live' suggests that a useable Patient Adminisatration System has been successfully implemented in these trusts (other than iSOft's iPM and the LE2.2 upgrade).

As far as I understand the Early Adopters for the 1.9 Release of the Care Management Deployment Unit are aiming for a November / December go-live and the product is still under development.

Are we just talking about the go live of Clinical Documentation and Requests and Results deployment units at these Trusts?