Lorenzo (electronic health record)

Lorenzo is a controversial Electronic Health Record (EHR) Platform 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. However, as of 2020, many trusts are attempting to procure replacement services.

Lorenzo had a mixed reception, and has faced significant criticism as a platform. NHS reviews and coroner investigations have found the system responsible for numerous adverse patient events.

Initial procurement & launch

In 2010, the NHS and DXC initiated negotiations for a new "whole-of-system" Electronic Health Record (EHR). There was already significant negotiation history between the NHS and DXC.[1]

In June 2010, the University Hospitals of Morecambe Bay NHS Foundation Trust were the first to deploy Lorenzo 1.9.[2]

In June 2012, Humber NHS Foundation Trust were the first mental health organisation to use Lorenzo.[3]

On 4 September 2012, the UK Department of Health and Social Care announced that, despite actively "dismantling" the National Programme for IT, Lorenzo would be supplied under a fresh Standing Order Agreement (SOA).[4]

This SOA facilitated negotiation between the NHS and its providers, creating a potential line-of-purchase for highly profitable data covering most UK citizens.

In 2013, George Eliot Hospital NHS Trust,[5] Ipswich Hospital NHS Trust,[6] Tameside Hospital NHS Foundation Trust and Hull and East Yorkshire Hospitals NHS Trust[7] also implemented Lorenzo under a financial support package described as controversial.

In May 2014, delays in the provision of data to NHS England's waiting list system were linked to Lorenzo implementations in an HSJ article.

In 2015, Lorenzo systems were introduced to Warrington & Halton Hospitals NHS Foundation Trust[8], Hull and East Yorkshire Hospitals NHS Trust, and Norfolk and Suffolk NHS Foundation Trust.[9]

In July 2015, Digital Health Intelligence formally reported that DXC stated 19 NHS Trusts were currently contracted to Lorenzo.[10]

November 2015, North Bristol NHS Trust was the first NHS trust in the South of England to purchase Lorenzo as part of an open procurement exercise outside of DXC's usual NHS negotiations, when it replaced its Cerner system with Lorenzo[11].

In May 2017, Mid Essex Hospital Services NHS Trust installed Lorenzo.[12]

In 2018, DXC received £10 million as part of 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 were to be the exemplars maximising the potential benefits of using electronic patient records.[13]

NHS trusts leaving Lorenzo

In July 2020, Barnsley Hospital NHS Foundation Trust switched its electronic patient record from the Lorenzo system to System C’s Careflow.

Walsall Healthcare NHS Trust was reported to soon be doing the same.

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 use Lorenzo, and have experienced problems with its implementation.[1]

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. ^ "Lorenzo goes live at Morecambe Bay". Health Service Journal. 1 June 2010. Retrieved 8 December 2013.
  3. ^ "Humber Foundation Trust extending Lorenzo functions". Health Service Journal. 9 November 2012. Retrieved 8 December 2013.
  4. ^ "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.
  5. ^ "George Eliot Trust working on Lorenzo implementation". Health Service Journal. 13 March 2013. Retrieved 8 December 2013.
  6. ^ "Ipswich takes sweetened Lorenzo deal". Health \Service Journal. 13 June 2013. Retrieved 8 December 2013.
  7. ^ "Second trust takes financial help from DH for IT system". Health Service Journal. 15 January 2013. Retrieved 8 December 2013.
  8. ^ "New electronic patient records being introduced at Halton and Warrington hospitals". Runcorn & Widnes World. 21 March 2015. Retrieved 27 March 2015.
  9. ^ "Lorenzo live at two more trusts". Digital Health Intelligence. 30 July 2015. Retrieved 10 August 2015.
  10. ^ "Eleven trusts benefit from Lorenzo cash". Digital Health Intelligence. 30 July 2015. Retrieved 10 August 2015.
  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 article is issued from Wikipedia. The text is available under Creative Commons Attribution-Share Alike 4.0 unless otherwise noted. Additional terms may apply for the media files.