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Care Records

The major emphasis in the NHS IT situation today is on using computers to move towards an Electronic Patient Record (EPR) as part of the process of modernisation. One specific need in this policy is to enable a bridge to be made between the new technologies and the existing paper-based medical records.

To get value from a full electronic patient record management system and to reduce clinical risk by having better information requires not only a system, it requires deep-rooted practices to change. This change is neither simple to define or make happen but we have gathered much experience of it, including what not to do. A typical NHS Trust will have 30 million pieces of paper or more in its casenote library. Which ones to scan and why is an issue on which we have in-depth experience.

The move towards electronic patient records, combined with the implementation of the Freedom of Information Act, requires NHS Trusts to examine their record-keeping structure carefully. To assist in this process we provide the following consultancy services:

  • Strategic document management reviews
  • Health records options appraisals
  • Health records scoping study to establish suitability of moving to electronic records
  • Strategic outline case preparation
  • Output based specification production for document management system procedures
  • Independent resource for procurement
  • Independent technical advice on all aspects of document management and the use of scanning technology in the NHS.

The services that we supply involve carrying out a full review of existing medical record functions. The work provides the Trust with a complete analysis of the medical records' library function and the processes used to handle medical records. The costs associated with these operations are also produced so that they can be tested against alternative solutions based on electronic document management.

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