Feeds

NHS trust goes 100% over IT budget in patient records rollout cockup

A £1m here, a £1m there ... it adds up after a while

Mobile application security vulnerability report

North Bristol NHS trust has confirmed it has overspent on its IT budget by almost 100 per cent in recent months as a consequence of the rollout of its Cerner electronic patient record (EPR) system.

The trust has spent £4.5m implementing the Cerner system to date, the majority of which was spent during this January and February.

Over the 11 months to February, the organisation noted a £2.33m overspend on its IT budget of £5.36m, all of which was a result of the Cerner rollout, a spokeswoman for the trust said.

The budget overrun was due to the provision of extra "floor walkers" to help hospital staff with the new system and additional technical resources, according to the trust. The resources were needed to support the March relaunch of Cerner intended to fix the problems that the trust's outpatient clinics had experienced with the system.

Additional costs for hardware also contributed to the budget overrun, the board said.

"The forecast spend on the project is £5.1m which represents a considerable overspend on the project as a result of the problems encountered," the trust's board papers added.

Ruth Brunt, chief executive at North Bristol, said: "We put in place extra staff to rectify issues with data migration of clinic lists and ensure that our new system could be fully operational as quickly as possible in all areas."

The trust began implementation of the Cerner system on 8 December 2011, starting with emergency and intensive care wards, before moving to community hospital wards. The work was completed at the end of February when all clinics went live.

"The implementation went as planned in our emergency department, in our two minor injury units and 60 plus ward areas, but we experienced significant problems in outpatients, and some issues in theatres," Brunt added.

In March 2012 the trust said the EPR roll out had led to a series of clinical incidents. In the first few weeks after its implementation, the trust cited Cerner as the causal factor in 16 clinical incidents, including problems such lack of patient notes and incorrect clinic lists.

Brunt said that problems with the Cerner rollout have been overcome and that the EPR system is currently working successfully.

By the time the trust's new £430m hospital at Southmead is completed in April 2014, the trust intends that it will be only using electronic patient information.

"The trust is now working to consolidate and optimise the system across the organisation and working towards getting the benefits we envisaged when we embarked on this journey, and prepare for the move to the new hospital in 2014," Brunt said.

An independent review into the issues surrounding the implementation of the EPR system has been commissioned by the trust.

This article was originally published at Guardian Government Computing.

Guardian Government Computing is a business division of Guardian Professional, and covers the latest news and analysis of public sector technology. For updates on public sector IT, join the Government Computing Network here.

Mobile application security vulnerability report

More from The Register

next story
UK government officially adopts Open Document Format
Microsoft insurgency fails, earns snarky remark from UK digital services head
Major problems beset UK ISP filth filters: But it's OK, nobody uses them
It's almost as though pr0n was actually rather popular
US Social Security 'wasted $300 million on an IT BOONDOGGLE'
Scrutiny committee bods probe derailed database project
HP, Microsoft prove it again: Big Business doesn't create jobs
SMEs get lip service - what they need is dinner at the Club
ITC: Seagate and LSI can infringe Realtek patents because Realtek isn't in the US
Land of the (get off scot) free, when it's a foreign owner
Arrr: Freetard-bothering Digital Economy Act tied up, thrown in the hold
Ministry of Fun confirms: Yes, we're busy doing nothing
Australia floats website blocks and ISP liability to stop copyright thieves
Big Content could get the right to order ISPs to stop traffic
Help yourself to anyone's photos FOR FREE, suggests UK.gov
Copyright law reforms will keep m'learned friends busy
prev story

Whitepapers

Top three mobile application threats
Prevent sensitive data leakage over insecure channels or stolen mobile devices.
Implementing global e-invoicing with guaranteed legal certainty
Explaining the role local tax compliance plays in successful supply chain management and e-business and how leading global brands are addressing this.
Top 8 considerations to enable and simplify mobility
In this whitepaper learn how to successfully add mobile capabilities simply and cost effectively.
Application security programs and practises
Follow a few strategies and your organization can gain the full benefits of open source and the cloud without compromising the security of your applications.
The Essential Guide to IT Transformation
ServiceNow discusses three IT transformations that can help CIO's automate IT services to transform IT and the enterprise.