#PROUD TO CARE FOR YOUwuth.nhs.uk

@wuthnhs

wuth.nhs.uk@wuthnhs

#PROUD TO CARE FOR YOU

Our vision for Wirral is to achieve a truly joined-up, efficient, and informed patient journey, based on secure, real-time patient data – David Allison, CEO. February 2015

Setting the standard for digitised healthcare

for over 20 years….

wuth.nhs.uk@wuthnhs

#PROUD TO CARE FOR YOU

We are already leading….

• WUTH is one of the most digitally enabled acute Trusts in the country with a wide portfolio of Cerner solutions in use across the whole organisation, the implementation of which started in January 2009.

• All of the major components of the implementation programme are complete.

• WUTH’s Millennium system, known locally as Wirral Millennium (WM), has been widely tailored by the Trust’s Informatics department and has been used as the basis for many local developments in particular to support Infection Control, Safeguarding, document retrieval and many others.

• We have seen significant improvements in clinical indicators including• Mortality• Sepsis• Pressure sores• Infections

Inpatient & Outpatient

PowerChart Sepsis algorithm

Orders and results retrieval AKI algorithm

Clinical notes Early warning scores

Nursing and AHP notes Decision support

Assessments Observation charts

Maternity Bed management

Work lists PAS

Specimen collection Tracking boards

Transfusion positive patient ID Device integration e.g. ECG, vitals, ventilators, haemofiltration

Clinical correspondence PACS / vendor neutral archive

Clinical trials Voice recognition

Clinical terming (SNOMED) Fluid balance

Care pathways Order sets

Electronic prescribing (including IV infusions)

Choose and Book

Medicines administration Infection control

Critical care Demand management (1)

Wirral notes viewer MPages (lots!)

Departments & Specialties

ED Diabetes

Radiology Endoscopy vetting

3d modelling Pharmacy (not stock control)

Pathology Oncology (live Jan 2017)

Theatres Clinical coding

Anaesthesia Data warehouse and reporting

Colposcopy Patient portal (live Jan 2017)

Daily Facts & Figures

1300 concurrent users

26,000 orders placed

3,500 electronic notes signed

6,900 results endorsed

9,000 medicines administered

#PROUD TO CARE FOR YOUwuth.nhs.uk

@wuthnhs

44,000 Sepsis deaths every year

120 deaths every daymore than bowel, breast and prostate

cancer combined

150,000 cases of Sepsis

Sepsis algorithmgo live (adults)

wuth.nhs.uk@wuthnhs

#PROUD TO CARE FOR YOU

A digital hospital (not just a digital record)

wuth.nhs.uk@wuthnhs

#PROUD TO CARE FOR YOU

Our Belief

wuth.nhs.uk@wuthnhs

#PROUD TO CARE FOR YOU

What makes WUTH successful….

• A strategic opportunity• Our Millennium• ‘This is the way we do things

round here’• Through challenge comes

improvement• Vital medical tool• People project…..not a

technology project

Challenges for the Wirral

wuth.nhs.uk

@wuthnhs #proud

#PROUD TO CARE FOR YOU

• Inequality• Children living in poverty• Emergency admissions• Alcohol related admissions• Under 18s pregnancy• Hospital stays for self harm• Drug usage• ED attendances• Diabetes• Smoking related deaths

Source: The Advisory Board, Population health managers, meet the

three patient types central to your success, June 14, 2013

Extend ICCT and integrated discharge to support new care models

New care models address rising risk patients as well as high risk

Extend to wellness and self-care

Supported by informatics for population records and insights to support population health management

Wirral Partners Approach

wuth.nhs.uk@wuthnhs

#PROUD TO CARE FOR YOU

GDE – within the next 2 years…..

Within the hospital…• Paperless clinical processes• Complex medicines management, closed loop administration, advanced

analytics• Integrate all our medical devices• Digitise more images e.g. endoscopy, bronchoscopy, medical photography• Enhanced e-communication with primary care and others• Antimicrobial stewardship• Developing capabilities for the future e.g. CMIO, CNIO, Informatics leaders

Across the health economy…• Accelerate the Population Health Management project• Develop more disease and wellness registries• Invest in transformation capability to drive benefits• Development of economy wide command centre• Advanced Population Health analytics

wuth.nhs.uk@wuthnhs

#PROUD TO CARE FOR YOU

GDE – we will transform care

• Reductions in clinical variation through IT enabled decision support and care pathways.

• Advanced patient portal capability making it possible for patient’s to see and interact with their Wirral Care Record.

• Developing the capability and partnerships to enable the roll out of the Wirral Millennium solution to partners beyond the Wirral.

• Development of a Value Creation Office, in partnership with Cerner, providing specialist transformation and improvement capability

• Supported by world class cyber security

Questions?