CSC plans to integrate SystmOne into Lorenzo

Tags: child CSC GP Lorenzo Solution SystmOne TPP

04 Mar 2008

Local service provider CSC is planning to integrate TPP’s SystmOne with the strategic software Lorenzo,currently being developed by iSoft.

The LSP for the North, Midlands and East region of the NHS National Programme for IT (NPfIT) has already released details of its plans to deploy Lorenzo in four phases between 2008 and 2012, creating a system called Lorenzo Regional Care (LRC). CSC has now clarified that it intends to incorporate SystmOne into these plans.

In a statement issued to EHI Primary Care the LSP stated: “CSC is proposing integrating SystmOne with the Lorenzo solution as this provides significant clinical benefit, particularly to those areas that have already deployed TPP extensively. CSC however, remains committed to building Lorenzo Regional Care (LRC) to ensure the solution meets the needs of the entire NHS including primary care.”

CSC has been highly successful in deploying TPP solutions after it took over the Northern and East clusters from former LSP Accenture and by January this year TPP solutions were installed in more than 700 practices, 44 prisons, 23 child health units and 99 PCTs.

As previously reported by EHI Primary Care the SystmOne product has been adopted as the basis for a shared care record by Yorkshire and Humber strategic health authority.

The four release strategy for Lorenzo envisages that secondary care functionality will be developed in the first three releases, with release four involving integrated care pathways and an integrated GP system.

However, it is unclear whether primary care functionality within Lorenzo would be developed in addition to SystmOne or whether SystmOne would form the entirety of the primary care offering within LRC.

Lorenzo Primary Care was first demonstrated publicly at the Healthcare Computing conference in March 2006 where its launch was promised for later that year.

Fiona Barr

Reader's Comments

Goodbye EPR

05 Mar 08 11:03

This is very poor news. Who one earth at CfH is letting CSC get away with this ?

CSC are trying to muddy the waters here, the NHS should be saying NO - we want what we were promised, a single EPR system from primary to secondary to community to mental health. Not a mixture of systems with some HL7 interfaces which we could do ourselves.

Is this because yet again CSC cannot deliver - if so then as Granger said, lets find someone who can.

contract driven disasters..

maryhawking@tigers.demon.co.uk

06 Mar 08 23:03

There are already problems with the SystmOne incorporation of GP and Community EPRs reported at the last PRIMIS+ conference, and the House of Commons Select Committe for Health was unable to discover what this expensive Detailed Local Care Record was - at the end of last year!

I'm a GP and in a practice which has been paperless for over 10 years: degredation (term used at the presentation at the PRIMIS+ conference) of my patients' GP EPRs would leave them without a dependable record. (very few systems have the cradle-to-grave record - but life expectancy better..).

Could some kind soul give me a contact for the designers of the governance framework for Lorenzo?

SystmOne integration - Excellent news

12 Mar 08 10:03

I disagree, this is a decent advance, all be it extremely late of CSC in committing to this course of action! I undestand that the integration will be a direct integration to the LSP's detailed care record, not a simple system interface. This should make SystmOne the only system that will acheive GPSoC Level 6 in the future as integration to this detailed record is a requirment of that level. Other suppliers claims that they can do this appear to be pie in the sky comments! In reality, we should achieve a single system, single EPR at some point in the next 6 years, but the integration of SystmOne to Lorenzo at an early stage lets us users of SystmOne realize the benefits this integration brings long before this single system arrives.

Which pie in which sky?

hfdgp@aol.com

18 Mar 08 21:03

Why do you feel other GP suppliers can't integrate? As long as the spine will accept HL7 and patients are happy with the security of their records (which many are not at present) there should be no problem.

Chris Frith GP Hereford

Not pie in the sky but close

20 Mar 08 16:03

Pie in the sky is a bit strong but not far from the mark. By integration ref GPSoC level 6, I believe this is interactive integration with the LSP detailed care record, not read-only access to the summary care record. This small differentiation could mean huge differences in the capabilities of some GP systems interacting with secondary care.