Person-centred Records (PCR)
Project impact
Electronic record-keeping rolled out in wards throughout NHS Grampian
Improvements to record-keeping made
Working groups established to guide future development
"Once for the Patient" is a person-centred electronic record system for NHS Grampian, developed with DHI using co-design methodologies. Completed in spring 2021, it aims to enhance efficiency and effectiveness by ensuring records follow patients from admission to discharge.
“Once for the Patient.” A person-centred, multi-disciplinary, electronic record for NHS Grampian hospital staff and patients.
NHS Grampian is committed to the implementation of person-centred, multi-disciplinary, electronic record-keeping to provide a more effective and efficient service for patients admitted to their hospitals.
DHI and NHS Grampian collaborated across a year-long programme of work, employing co-design innovation methodologies, ensuring the recommended solution was achieved with the person at the centre.
DHI worked with hospital staff across multiple disciplines to prototype a new collaborative vision for electronic record-keeping that will follow the patient on their journey from admission to discharge. This project was completed in spring 2021.
Summary
Partners
Since completion of the project, the NHS Grampian e-Health and clinical team have made changes to the patient records system and introduced new electronic ways of working in several areas. Working groups have been established to further develop recommendations in four key areas:
• Leadership and Support
• Common Language and Structure
• Governance and Best Practice
• Purposeful Recording
Impact & value
The Design Team led a series of interviews, pop-up engagement, and collaborative workshops, reviewing our planned activities on an ongoing basis. This reflective and adaptive approach allowed us to respond to the emerging insights through the course of the project and respond to these.
Our process included production of a manifesto for electronic records, common data analysis, and role-play using a prototype digital solution in a hospital test ward.
Progress to date
Staff related to the project
Scoping of an extension to the project was paused due to pressures in NHS Grampian arising from Covid-19. This project would propose to prototype an interaction between electronic inpatient health records and social care records, which was identified during the project as a critical barrier to providing the most efficient and seamless care for the patient. It has been agreed that when circumstances allow, discussions will resume to scope this work.
Next steps
