Health professionals from the Auckland District Health Board in New Zealand visited University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) to find out more about the Trust’s Lorenzo Electronic Patient Record (EPR).

The health board has 11,000 health and medical staff and looks after one of the country’s largest public hospitals Auckland City Hospital, as well as Starship Children’s Hospital and Greenlane Clinical Centre. It is looking to implement a faster and more reliable electronic patient record system and was invited to the Trust to see the Lorenzo EPR in action.

The Trust’s Health Informatics team and clinical staff gave visitors a tour of the emergency department and theatres at the Royal Lancaster Infirmary before they enjoyed a presentation on how the EPR has transformed care at UHMBT.

The Trust launched Lorenzo EPR – a quicker and more reliable electronic patient record in April 2018, which has transformed the way the Trust’s hospitals work, providing care that is paperless from the point a patient enters the hospital via the emergency department or outpatient clinic until they are discharged home via an electronic discharge letter.

The Trust has seen benefits in the following areas:

*The Trust’s diabetes outpatient department is 100% paperlite with other services close to this target improving the Trust’s carbon footprint

*More than 80% of outpatient clinics do not need paper notes improving patient care and experience. The EPR flags safeguarding needs for patients who are frequent fallers or have had infections and staff can access a patient’s history meaning they don’t have to ask for the same information twice

*Over 500 GP records are accessed per day via Lorenzo EPR resulting in better-connected care for patients

*Thanks to a series of dashboards, theatre staff across all three main hospitals can view the progress of a theatre session, manage patient lists, allocate teams for specific procedures and identify potential delays in schedules. This gives staff a single platform to carry out theatre check-in, manage anaesthesia and operation details, patient information in recovery and handover to the wards

*There is now greater flexibility for midwives working in the community who can access the latest information relating to a woman’s care remotely through laptops. Midwives are saving travel time as they no longer have to come back to base to enter handwritten notes into the electronic system.

The EPR is also better connected to primary care, social services, the integrated care system (Healthier Lancashire and South Cumbria) and the national system giving staff in our hospitals a better picture of a patient’s medical history and care to date ensuring better patient care, safety and experience.

Shayne Tong, Chief Digital Officer for Auckland District Health Board, thanked Morecambe Bay for being very generous with their time and expertise and that the Auckland team had learned a lot from the visit which would help to inform their planning choices.

Colin Brown, Chief Clinical Information Officer, UHMBT, added: “The EPR has revolutionised the way staff at UHMBT are working and has strengthened the way we work with colleagues in the community. We have seen some tangible benefits since introducing the EPR which have helped to give our patients a better experience of our hospitals.”

Andy Wicks, Chief Information Officer, UHMBT, said: “We were delighted when the Auckland District Health Board expressed an interest in coming to the Trust to find out more about the work we have been doing around the Lorenzo EPR. We hope that by sharing valuable knowledge and experience with the health board that it will aid the growth of the Auckland healthcare IT system.”

The Trust’s Health Informatics team, Foluke Ajayi, Chief Operating Officer, Stuart Hosking-Durn, Head of Resilience and Patient Flow, and Andy Crundell, Matron for the Emergency Department at the RLI were filmed by inEvidence about the benefits of using Qlik software through the Analytic Command Centre.

The final film and case study will be released shortly.

Cathy Rawlings, Midwife at University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT), has joined a private ‘Facemums’ group as a moderator ‘Facewife’, where she shares up-to-date evidence-based information, answers queries and signposts women to appropriate local services.

The Facemums service, which is funded by Health Education England (HEE) and coordinated by the University of Salford, is aimed at pregnant women and women up to six weeks postnatal. It gives women a platform to seek information they need and support each other.

The Morecambe Bay group currently has a small group of registered (followers) mothers and mums-to-be, aged between 16 and 28-years-old, between 12-30 weeks gestation.

Cathy, who is based at the South Lakes Birth Centre at Furness General Hospital, said: “I’m really enjoying being part of the group. The group is going well at the moment. The women seem to be enjoying it although they have only just started really chatting in the group this week.

“I think it is definitely something that could coincide with case loading midwifery which is a new model of care supported nationally and sees midwives take on their own group of women and following them all the way through their pregnancy, seeing them in the community for antenatal and postnatal periods, as well as caring for them in labour to ensure continuity of care in the future. I’m excited to see where the Facemums group goes.”

Feedback from users has included:
“I am enjoying it more than ever. Feel it’s a great help, learning lots from the Facewives and other mums and trying to support where I can.”

HEE is supporting the rollout of Facemums following the success of the research project ‘The Impact of Midwife-Moderated Social Media-based Communities on Pregnant Women and New Mothers’, which demonstrated clear benefits to women in three specific areas:
• Support from other women who have experienced what the other is going through which helps to reduce pregnancy-related anxieties
• Midwives providing information and knowledge based on experience and research
• Continuity of care which relates to a patient’s needs.

Sue Smith, OBE, Deputy Chief Executive and Executive Chief Nurse, UHMBT, said: “It is fantastic that pregnant mums and mums who are six weeks postnatal have a place where they can ask any questions they have to professional midwives

“It’s a great way of encouraging peer support, reducing anxiety and isolation felt by many new mums and mums-to-be.”

Women must be over 16 to join. You can find out more about the Facemums group by contacting Amanda Plackett on amanda.plackett@mbht.nhs.uk