Sheila Stewart, Associate Director of Informatics, Wirral University Hospitals

1. #PROUD TO CARE FOR YOU
wuth.nhs.uk
@wuthnhs

2. wuth.nhs.uk
@wuthnhs
#PROUD TO CARE FOR YOU
Our vision for Wirral is to
achieve a truly joined-up,
efficient, and informed
patient journey, based
on secure, real-time
patient data – David
Allison, CEO. February
2015
Setting the standard for digitised healthcare
for over 20 years….

3. wuth.nhs.uk
@wuthnhs
#PROUD TO CARE FOR YOU
We are already leading….
• WUTH is one of the most digitally enabled acute Trusts in the country
with a wide portfolio of Cerner solutions in use across the whole
organisation, the implementation of which started in January 2009.
• All of the major components of the implementation programme are
complete.
• WUTH’s Millennium system, known locally as Wirral Millennium (WM),
has been widely tailored by the Trust’s Informatics department and has
been used as the basis for many local developments in particular to
support Infection Control, Safeguarding, document retrieval and many
others.
• We have seen significant improvements in clinical indicators including
• Mortality
• Sepsis
• Pressure sores
• Infections

4. Inpatient & Outpatient
PowerChart Sepsis algorithm
Orders and results retrieval AKI algorithm
Clinical notes Early warning scores
Nursing and AHP notes Decision support
Assessments Observation charts
Maternity Bed management
Work lists PAS
Specimen collection Tracking boards
Transfusion positive patient ID Device integration e.g. ECG,
vitals, ventilators,
haemofiltration
Clinical correspondence PACS / vendor neutral archive
Clinical trials Voice recognition
Clinical terming (SNOMED) Fluid balance
Care pathways Order sets
Electronic prescribing (including
IV infusions)
Choose and Book
Medicines administration Infection control
Critical care Demand management (1)
Wirral notes viewer MPages (lots!)
Departments & Specialties
ED Diabetes
Radiology Endoscopy vetting
3d modelling Pharmacy (not stock control)
Pathology Oncology (live Jan 2017)
Theatres Clinical coding
Anaesthesia Data warehouse and reporting
Colposcopy Patient portal (live Jan 2017)
Daily Facts & Figures
1300 concurrent users
26,000 orders placed
3,500 electronic notes signed
6,900 results endorsed
9,000 medicines administered

5. #PROUD TO CARE FOR YOU
wuth.nhs.uk
@wuthnhs
44,000 Sepsis deaths
every year
120 deaths every day
more than bowel, breast and prostate
cancer combined
150,000 cases of Sepsis

6. Sepsis algorithm
go live (adults)

7. wuth.nhs.uk
@wuthnhs
#PROUD TO CARE FOR YOU
A digital hospital (not just a digital record)

8. wuth.nhs.uk
@wuthnhs
#PROUD TO CARE FOR YOU
Our Belief

9. wuth.nhs.uk
@wuthnhs
#PROUD TO CARE FOR YOU
What makes WUTH successful….
• A strategic opportunity
• Our Millennium
• ‘This is the way we do things
round here’
• Through challenge comes
improvement
• Vital medical tool
• People project…..not a
technology project

10. Challenges for the Wirral
wuth.nhs.uk
@wuthnhs #proud
#PROUD TO CARE FOR YOU
• Inequality
• Children living in poverty
• Emergency admissions
• Alcohol related admissions
• Under 18s pregnancy
• Hospital stays for self harm
• Drug usage
• ED attendances
• Diabetes
• Smoking related deaths

11. Source: The Advisory Board, Population health managers, meet the
three patient types central to your success, June 14, 2013
Extend ICCT and
integrated discharge to
support new care
models
New care models
address rising risk
patients as well as high
risk
Extend to wellness and
self-care
Supported by informatics for population
records and insights to support population
health management
Wirral Partners Approach

16. wuth.nhs.uk
@wuthnhs
#PROUD TO CARE FOR YOU
GDE – within the next 2 years…..
Within the hospital…
• Paperless clinical processes
• Complex medicines management, closed loop administration, advanced
analytics
• Integrate all our medical devices
• Digitise more images e.g. endoscopy, bronchoscopy, medical photography
• Enhanced e-communication with primary care and others
• Antimicrobial stewardship
• Developing capabilities for the future e.g. CMIO, CNIO, Informatics leaders
Across the health economy…
• Accelerate the Population Health Management project
• Develop more disease and wellness registries
• Invest in transformation capability to drive benefits
• Development of economy wide command centre
• Advanced Population Health analytics

17. wuth.nhs.uk
@wuthnhs
#PROUD TO CARE FOR YOU
GDE – we will transform care
• Reductions in clinical variation through IT enabled
decision support and care pathways.
• Advanced patient portal capability making it possible for
patient’s to see and interact with their Wirral Care Record.
• Developing the capability and partnerships to enable the
roll out of the Wirral Millennium solution to partners
beyond the Wirral.
• Development of a Value Creation Office, in partnership
with Cerner, providing specialist transformation and
improvement capability
• Supported by world class cyber security

18. Questions?