Case Study: James Paget University Hospitals NHS Trust

23 July, 2015

James Paget selects Viper360® as its virtual patient record following extensive market review

Real-time portal chosen for rapid deployment and ability to support Trust clinical processes 

James Paget University Hospitals NHS Trust has selected ReStart Consulting’s Viper360® Virtual Patient Record to deliver its vision of achieving interoperability and a single view of patients across the Trust and wider community.  Viper360 was chosen because its flexible and modular architecture enables it to be configured in line with Trust clinical processes, and the ‘second generation’ technical framework, which enables real-time access direct to source systems rather than a data repository, enables a lower total cost of ownership and quicker deployment and benefit realisation than traditional portals.

The decision to implement ReStart’s Viper360 was made after extensive market evaluation of portal solutions.  When asked about the difference between supplier solutions and their decision to select Viper360, John Gash, Head of IT at James Paget said: “It was clear that there are a lot of traditional clinical portals that had large data warehouses – they were expensive, appeared ‘clunky’ and just didn’t seem to fit. We also felt like these systems required us to work the way they wanted, rather than adapting to fit around the way we want to work. Viper360 was much more flexible and open, with the ability to tailor what we wanted, rather than being constrained by the supplier telling us what to do.”

The James Paget went through an extensive engagement process with clinicians, community workers and GPs to define the requirements of their new solution. The Trust knew that Viper360 would enable them to bring together lots of disparate systems, and present patient information in a single view so clinicians can access that information, quickly, safely and efficiently. One of the Trust’s main objectives was to maximise its existing investment in IT, and using Viper360 was an obvious way to achieve this.

On the subject of real-time information vs. data repository, John Gash, commented: “Real-time data is hugely important for our clinicians. It’s no good having information and making decisions based on yesterday’s data or even the data from an hour ago. We’re looking to collect as much data as we can about a patient, right here, right now.”

The Viper360 deployment will enable clinical users to gain access to all the connected systems through a single sign on, removing the need to log on to several systems to gain a full picture of their patient. Due to Viper360’s rapid deployment capability, the Trust will quickly realise benefits including the reduction in unnecessary admissions, improved patient care and experience, and reduced clinical risk due to Viper360’s joined-up, real-time view. Furthermore, the programme will meet the Trust’s mobility objectives by providing clinicians with a patient view via the desk top, in the community, in patients’ homes and even for clinicians working from home.

The initial phase of the roll out is focused on achieving maximum benefits in as quick a time as possible. To decide which areas to focus on first, clinicians and users were asked which main systems they use and what they need to see. PAS, pharmacy, pathology and radiology as well as patient demographic information is the information that clinicians require every day so the initial rollout will focus on connecting these systems and displaying them through the Viper360 Patient View. In addition to this, phase one will also enable the transfer of common documents from clinicians to GPs and other partners.

Subsequent phases will see the focus shift to presenting data to partners, mobile workers and care workers and bringing in other data from partners’ clinical systems and Summary Care Records, and next generation requirements such as near-end technologies and telehealth. The Viper360 solution also has the ability to integrate with the wider community and the Trust’s philosophy is that anyone with legitimate reason should be able to view the data they need across the acute setting, primary care, mental health, community and social services.

John Gash commented on the expected clinical, financial and technical benefits of its programme: “The virtual patient record solution, and wider mobility access programme is all about improving patient care, reducing costs and maximising the use of existing systems. We know we can now improve patient care by giving clinicians access to the information they need to help them make better decisions. In maximising the use of existing systems, we get better value for money and technically, it ties in with our strategy around mobility, remote access and flexible working.”

Mike Symers, Managing Director at ReStart Consulting commented: “John Gash, his team and all the clinical users at the James Paget have a united vision to provide the best possible care and experience for each and every one of their patients. The key to their success will not only be the rapid and flexible Viper360 technology, but because they took the time to engage with their users by listening and asking questions we as the supplier can deliver a solution that fits around and enables improvements to their existing processes. This will enable quick delivery of the solution, and the achievement of the Trust’s objectives, and will require little to no training. It’s been a well thought-through and exciting selection process, and we are looking forward to a fast deployment and some quick wins for the Trust.”


About ReStart Consulting

ReStart Consulting has an excellent reputation for the highest level of technical competence together with a comprehensive understanding of the NHS IT market.  It has delivered many complex interoperability solutions that have met NHS organisational requirements and have delivered significant technical and clinical benefits on time and to budget.

Over the past eight years, ReStart have provided integration services and support to over sixty NHS organisations and have developed, deployed and maintained over 1,000 interfaces.  The team of experienced consultants have worked with the majority of clinical and administrative systems used by the NHS (including some of the very obscure ones) and have an unrivalled reputation of providing interoperability between systems where other consultants have struggled technically. 

ReStart’s approach is completely technology agnostic.  The team are able to integrate any systems (subject to IG and data sharing agreements from source system vendors) and also have excellent, established working relationships with the majority of system vendors to the NHS.  In addition, Viper360 can be deployed using any Trust Integration Engine (TIE) because of the flexible Viper360 open technology framework and ReStart’s experience of delivering integration services and support to all market TIEs.

 Viper360 builds upon ReStart’s integration services and technical pedigree and is a second-generation portal solution that makes information available in real-time from any available source system.  NHS organisations today face a choice between an EPR or best-of-breed approach to delivering joined-up information at the point of care to clinicians.  Portals follow the best-of-breed approach, maximising an organisation’s existing technical systems and investments.  However, first generation portals rely on the building and maintenance of often-cumbersome data repositories.  This makes their implantation protracted, costly and almost as complex as the implementation of an EPRitself.  Around 80% of the work to implement a portal is based around the integration of back-end systems.  Unlike many other product vendors, ReStart’s pedigree in integration services which supports the rapid, robust and cost-effective delivery of Viper360.