To enable safe, efficient working across the largest pathology network in the South West of England with the effective deployment of a single, flexible LIMS.
Improved patient care and efficiency gains through single pathology records,
Severn Pathology is a collaboration between NBT and Public Health England (PHE) that provides the largest pathology service in the South West of England, including many regional and some national pathology services.
Severn Pathology set out to establish a system that would increase
Following a competitive dialogue process, the
NBT in partnership with UHB, WAHT and PHE (South West Public Health Laboratory)
All the partner
A “competitive dialogue procedure” began in response to the requirement for a single LIMS system for four separate services: blood science,
Having a solution that can be tailored to a specific site’s workflows, whilst maintaining a single multi-site networked solution, was essential.
This meant managing a considerable amount of complexity, drawing together the following:
- 3 Different PAS systems
- 3 Independent ICE systems
- 2 Different GP reporting systems
ClinisysIntegration Manager connections
ClinisysAnalyser Data Manager connections
- 158 Analysers not including POCT
- Separate ADT feed for POCT system
- 2 Different TIE’s
- 2 Different cancer management systems
More than 14 million integration messages would need to be processed in the first three weeks alone.
The laboratory information system was considered vital to achieve the project aims of delivering an integrated, high quality pathology service that
It was clear from the competitive dialogue process that Severn Pathology had a vast number of requirements and needed to navigate through a complex mixture of incumbent systems and processes.
We adopted a collaborative approach from the outset, recognising the importance of working in partnership with the Severn Pathology Team to deliver a solution which would meet most of their needs and identify solutions to any barriers.
WinPath Enterprise delivered most of the requirements needed and
The flexible nature of WinPath was a huge benefit for delivering a tailored response to the needs of this project.
- Providing a simple and user-friendly solution to the complex task of managing the patient record across four
organizations. The WinPath patient layer is a unique approach to patient data governance as it combines all the benefits of an event based patient record with the benefits of a patient centric layer.
- Routing work electronically between participating
organizationswithin and outside the network. Clinisys’ proven Lab2Lab solution and the ability to connect to NPEX was a key differentiator in the decision-making process.
- Providing system resilience to support the required levels of availability, scalability, flexibility and business agility. Our solution delivers a fully managed hosted service via Capita Healthcare Decisions which provides the necessary platform and infrastructure.
- Enabling scalability and future innovation. WinPath Enterprise is inherently flexible and can rapidly evolve alongside the service’s developing needs, such as securing new business or forming additional partnerships.
The project followed
Benefiting from an outsourced solution
We proposed a partnership with Capita to deliver an outsourced managed service solution. This has enabled the Trusts to transfer some of the risks to the supplier, reducing their exposure to the effects of any shortfalls in hardware provision in terms of resilience and performance. For example, at go-live it became apparent that there were some concerns with label printing, the risks and costs of correcting these fell entirely on
Additional hardware and product design were required in the short-term to make the system work as expected. The costs and effort required to deliver these changes in a short timescale were entirely a matter for
David Gibbs, Pathology Services Director for NBT said, “We ultimately chose
The WinPath Enterprise migration project was one of the largest single LIMS deployments in NHS history. The go-live process (all departments at all sites) went well with results being issued within two hours and fully operational on day one.
Through the deployment of WinPath Enterprise and ICE order communications, Severn Pathology have:
- Improved patient care through access to complete pathology records across the region with standard reference ranges and coding that have
optimized workflows, in line with the Carter Report
- Unified methodologies across all hospitals and laboratories in the network, improving the
standardizationof data flows without compromising the need for variation where clinically appropriate
- Reduced IT administrative overhead, IT infrastructure costs, and laboratory staff costs by reducing the number of systems, processes, servers, licensing etc and eliminating process duplication
- Simplified integration with the many clinical systems, allowing
standardizationacross all pathology partners
- Improved links with all trust EPR solutions and enabling the drive to full integration without compromising the pathology services
Since go-live, we have continued to work in partnership with Severn Pathology h to help drive the development roadmap for WinPath Enterprise and implement continuous innovation. Examples include:
- the development and subsequent go-live of a new newborn screening WinPath module in support of the delivery of the National Newborn Blood Spot Screening Programme. About 40,000 babies are born across the South West every year, and Severn Pathology’s newborn screening laboratory handles 150-200 samples a day
- the development and subsequent go-live of a new Tissue typing WinPath module for donor-recipient matching for organ donation to determine whether an organ will be accepted or rejected. Severn Pathology’s tissue typing lab carries out around 100 transplants per year. Transplants are also performed for a wide catchment area serving the South West and South Wales and including the Royal Devon and Exeter Hospital, Dorset County Hospital, Gloucestershire Royal Hospital and Bristol Royal Hospital for Children
David Gibbs comments: “The new system has delivered a fully integrated solution that allows independent services to continue to deliver the first-class services they aspire to but opened the door to further networking… It is exciting to see Pathology services across the Bristol region and beyond putting in all the enablers to build a bright future. Working with our partner
The new system has delivered a fully integrated solution that allows independent services to continue to deliver the first-class services they aspire to.