Clinical systems review

Mid-way through the last strategy period we decided to undertake a strategic review of clinical system requirements, with clinical staff and led by Clinical eHealth Leads. The Clinical Systems Review concluded in late 2020 and provided a strategy and clear roadmap for NHSGGC core clinical systems.

The purpose of the review was to identify specific areas of key functionality of the ‘cornerstone’ clinical applications that support critical services across hospitals, community and primary care. NHSGGC assessed the best options for current and future requirements to ensure that investment in current systems is optimised.

The work involved development of Business Capability Models for each Care Setting, plotting system usage and identifying challenges. This applied across all of our core/cornerstone systems and six aspects of key functionality:

Technology systems: logos of InterSystems, creative data technology, Orion Health, EMIS Web, Nuance, Nugensis, Voice Technologies. Key functionality: order comms, data sharing, clinical forms, workflow, production of letters, analytics

Following the review, we have begun to:

  • Work with regional eHealth teams to develop plans for a unified care record across the West of Scotland region and in future linking to the East and North regions.
  • Develop a roadmap building on existing systems to progress the unified care record.
  • Build on this review to develop a detailed Target Architecture based on “composable architecture” principles.
  • Develop an Outline Business Case for NHSGGC and West of Scotland Boards.