October 2021
Patients in Wales to benefit from new LIMS
A new pathology laboratory system has been announced for NHS Wales.

The new Laboratory Information Management System (LIMS) Service will manage the 35 million plus tests processed by NHS Wales’ 21 pathology labs every year.

The new LIMS Service will be used across NHS Wales in Blood Sciences, Cellular Pathology and Mortuary, Microbiology and Public Health Wales Cytology and Newborn Bloodspot Screening Services.

Citadel Health has been selected as the preferred IT supplier for a £15.9 million contract to supply its 'Evolution vLab' software for seven years, with the option to extend for a further two years. The contract not only covers the LIMS but includes a range of systems and services including Haemonetics Blood Track and Nuance Dragon One Digital Dictation.
 
The contract award follows a rigorous procurement process managed by Digital Health and Care Wales on behalf of and in partnership with the NHS Wales Health Collaborative Laboratory Information Network Cymru (LINC) Programme.

The new LIMS will support every health board, hospital and GP practice in Wales and will integrate with NHS Wales core health IT systems. It is jointly funded by the seven Welsh health boards and Digital Transformation Funding from Welsh Government, as part of wider investment into major strategic change programmes.
 
Key benefits include faster turnaround of tests, a reduction in the number of repeat tests, improved clinical safety through electronic test requesting and ensuring the service can cope with increasing demand.

"This is an exciting time for the Pathology service," says Judith Bates, LINC Programme Director. "LINC is looking forward to working with the new supplier, in partnership with Digital Health and Care Wales and NHS Wales Pathology services, to ensure the new LIMS is developed to meet NHS Wales requirements and safely deployed across all Pathology laboratories and services.” 

“This has been a very successful procurement involving a tremendous amount of engagement and effort from staff across multiple organisations," added Kevin Williams, Pathology Subject Matter Expert. "Because of COVID-19, we have learned to work remotely in an entirely different way, making the best use of technology to facilitate the work involved, including supplier demonstrations, supplier dialogue and virtual site visits across the world.”

The new system will begin roll out in 2023 and will replace the existing LIMS system, supplied by InterSystems introduced in 2013.
DHCW win at National GO Awards for COVID response
Digital Health and Care Wales has won the prestigious UK national Outstanding COVID-19 Response Award for NHS organisations at this year’s GO Awards.

The award recognises the outstanding work carried out by DHCW to deliver the Test, Trace Protect Contact Tracing Solution, which is used by Local Authority staff to contact people that receive a positive Covid-19 Test result.

Heralded as a landmark example of innovative procurement, it involved a rapid prototype process and close working with suppliers to build licencing models that reflected the scope and design of the solution. The approach delivered exceptional value, within a condensed timeframe while meeting the requirements of procurement legislation.

The Government Opportunities (GO) Excellence in Public Procurement Awards have been celebrating the best in all aspects of public procurement since 2003.
The DHCW team was up against strong competition with 15 other NHS organisations nominated including NHS Supply Chain and NHS National Services Scotland.

The UK national win follows on from success at the GO awards Wales 2020/21, when DHCW scooped the Covid-19 Outstanding COVID-19 Response Award and the GO Excellence Award.

“We are thrilled to win this award and it’s fantastic recognition for the work we have put in to support the NHS Wales response to COVID-19," said Julie Francis who leads the DHCW Commercial Services Team. "This is an accolade for everyone who has been part of this process and recognises the importance of our digital systems.”
Digital systems ‘pivotal’ in delivering Wales’ leading vaccination programme

A leading figure of Wales’ COVID-19 vaccination programme has described how access to the digital services delivered by DHCW has been key to its successful roll out.

The digital vaccination service supporting the programme, the Welsh Immunisation System (WIS), is used nationwide for the management, distribution and reporting of the COVID-19 vaccinations.

It is supported by information from the COVID-19 data hub, which is part of the National Data Warehouse managed by Digital Health and Care Wales’ Information Services Directorate.

Jeremy Griffith, Chief Operating Officer of NHS Wales’ Test Trace Protect (TTP) COVID-19 Vaccination Programme and Director of NHS Wales Delivery Unit, said that use of the COVID-19 data hub and WIS has helped his team make more informed, nationwide decisions throughout the pandemic. The system uses information on patient demographics, occupation groups and agreed priority levels for receiving the vaccination, to allow healthcare professionals to schedule appointments for patients. It can create appointment slots and record details about each vaccination for every COVID-19 vaccine administered in Wales.

Griffith acts as the NHS Wales interface with Welsh Government for TTP and the vaccination programme. His team uses information from the hub, which displays a mixture of data visualisations, tables and sources, from the COVID-19 data store to support the management of the spread of COVID-19.

The hub also provides vaccination data from all health boards , to provide a clear picture of who has been vaccinated, where and when, plus how many people are currently booked in to be vaccinated. The data can be analysed from a surface level, all the way down to specific vaccination sites and individual patients.

“We required some really good, robust, up-to-the-minute data which was driven by vaccines being recorded," he said. "I saw the dashboard element of that then, which allowed me and my team to turn dashboard information into management information. For me to be able to brief ministers, I needed that management information all the time at my fingertips to support Welsh Government in making key decisions for society, so it’s been fundamental.”

“It was only once Wales started getting some notoriety for the way we were delivering the programme in terms of where we were on first and second doses, other countries from all over the world got interested - particularly our UK colleagues in Scotland, as well as others like Australia and Germany," Griffith said. "They were interested in how we know where our vaccine is, how we do a stock take and all the quality governance around vaccine control we had at our fingertips.” 

DHCW staff supporting the systems and their users were also praised and described as “solution focused” and doing their job in a “professional and kind” manner while keeping everyone fully updated.

“The Welsh Immunisation System (WIS) is a number of things brought together in one package that we all use across Wales," he added, "and it’s been pivotal in our delivery [of the vaccination programme]. It allows us to numerate and evidence a narrative and therefore give the public more confidence.”

Work continues with WIS as we move into the COVID-19 booster and flu vaccination programmes for the autumn winter seasons.
WICIS steps closer to 'Go Live'

There’s a fresh buzz of activity surrounding the upcoming Welsh Intensive Care Information System (WICIS). 

September has seen the installation of the equipment needed to bring the WICIS system direct to Welsh ICU’s. Newport’s Data Centre has received the physical servers that will allow data from a variety of existing systems like the Welsh Clinical Portal, to integrate with the WICIS application. The mirror “failover” data centre at Church Village has also been equipped. Plans are now being readied to install the key on-site components of WICIS at hospitals around Wales. The first ICU hospital to ‘go live’ will be Grange University Hospital, near Cwmbran in the summer of 2022.

WICIS will transform critical care by removing paper-based note taking at the bedside and automate data collection direct from the sophisticated monitors and devices used to support patients with life-threatening illness or injuries. With increasing pressure on intensive care services, reducing the administrative burden on NHS Wales staff will free-up more time for patient care.
Like to know more? In our latest DHCW podcast Geraint Walker - Critical Care Nurse & Clinical Informaticist for Digital Health and Care Wales and Lucy Morgan - Critical Care Dietician at Aneurin Bevan University Health Board talk explain WICIS and how it will benefit ICU healthcare staff and their patients.

Transcripts of this podcast are available in Welsh and English
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