The purpose of this procurement is to implement a enterprise-wide single Electronic Health Record solution for Guy’s & St Thomas’ NHS Foundation Trust (estimated user base 16,000), with the option to subsequently scale up the system solution to include King’s College Hospital NHS Foundation Trust (estimated user base 15,000) and/ or Royal Brompton and Harefield NHS Foundation Trust (estimated user base 4,000) during the term of the agreement. The main contracting arrangements will also need to include GP direct access to the EHR solution for the local Clinical Commissioning Groups linked to the Contracting Authorities.
The contracting authorities application portfolio consists of disparate number of clinical systems that are used to track a patient through their care pathway. Individually, these systems are well-established and used by staff as the primary application for their purpose. However, collectively the core applications provide differing capabilities in support of the day-to-day clinical and operational processes, which results in data not being integrated and managed as a single dataset. This requires effort and cost to integrate views of data from different sources, additional time to view ‘longitudinal’ data about a patient through several applications, and in some cases manual re-entry by front line clinical staff of data captured elsewhere.