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Diagnostics, clinical support and specialist services are an essential part of our Group.

What does the EPR mean for you if you work in diagnostics, clinical support and specialist services?

If you are working in areas such as radiology and imaging or in pathology, in a lab, in medicines’ management or perhaps in clinical specialisms such as oncology and neurophysiology, the EPR is going to bring some changes to the way you work.

The Norfolk and Waveney Electronic Patient Record (EPR) is a new digital programme for all sites and clinics of the three acute hospitals in the Norfolk and Waveney University Hospitals Group. It will change how staff across the Group work, bringing increased collaboration and replacing many paper-based records and many separate digital systems with one shared electronic patient record, improving how information is stored, accessed and shared.

Why this matters to your role
If you work in diagnostics, clinical support or a specialist team, you’re dealing with some of the most safety-critical information in a patient’s care – results, reports, prescriptions, referrals, specialist pathways. Right now, a lot of that lives in separate systems that don’t always talk to each other, sometimes even between trusts or specialties. The EPR brings ordering, results, medicines and specialist documentation together in one shared record, alongside pretty much everything else clinicians need to see.

What will be the key changes and benefits for diagnostics, clinical support and specialist teams?
• One request, one result: orders and referrals into your service, and the results or reports you produce, should sit in the same record as the rest of the patient’s care rather than in a separate specialty system.
• Cross-site visibility: results, reports and specialist notes will be visible across the whole Group. This will be useful where patients move between sites or when a specialty is delivered from one site for the whole Group.
• Fewer logins and fewer trackers: A number of today’s standalone logs and referral trackers are being built into the EPR, so there will be less places to check for information – and less logins to remember.
• Safety info right where you need it. Medicines, allergies and alerts show up alongside diagnostic ordering and specialist documentation, not tucked away in another system or folder.
• EPR go-live is just the start. Once live, the EPR will keep evolving – with new features and clinical decision support built in for specialty pathways over time.

What else do I need to know?
• There will be a new system to learn: Our EPR supplied by MEDITECH Expanse will replace or connect into the tools you use now for ordering, results, prescribing and specialist documentation.
• Training and preparation: as go-live approaches, expect role-specific training, practice environments and support materials. The programme is actively recruiting into training and change-support roles, including EPR Champions, now.
• A chance to shape it: the programme draws on subject matter experts from across the Group to inform and shape the design and build of our EPR, plus there are sessions on what the EPR means for specific professions. Watch out for further sessions as go-live draws closer.

News and stories for Diagnostics, Clinical Support & Specialist Services

Nursing care in our EPR

This demonstration gives an overview of some key nursing functionality in the EPR.

Diagnostics, Clinical Support & Specialist Services FAQs

  • Is there a chaplaincy role within the role based access control in the EPR

    Yes.

  • Has frailty and cognitive screening been created in our EPR?

    Yes, this is in the clerking sections in PDOCs.

  • Is anything changing for ICE?

    Not for primary care and community colleagues at go-live. ICE, the system practices use to request tests and see results, stays as it is for you.

  • Will the EPR replace existing referral processes and will all current referral types be available?

    Yes, where those referral processes are already internal. Internal referrals are the only referral mechanism that is changing; they will move entirely to our MEDITECH EPR and come off ICE.
    External referral processes will remain on the electronic referral service, so GPs and community reams referring in to our Group will do what they always did. Any referrals we make to an external provider will continue to be made in the mechanism they always have been. Take a look at 'The inpatient referral board in the EPR' demonstration on this website for more information.

  • If I have an urgent order or request, what do I do in the EPR?

    Urgent orders can be marked as a priority when requested. Critical results are flagged and may generate alerts. Staff will continue to follow Group policies and procedures for acting on these results.

  • How will I know if an order has been received and is in progress?

    You will be able to see the status of your request in the patient's record. For example: ordered, in progress, completed. If there is a problem, this will be flagged.
    Results and reports will appear in the patient's record.

  • Will the EPR change my day-to-day work?

    Some roles may see changes where their work connects with clinical services, patient areas or information shared through existing processes. The EPR change team are working with staff to help them understand how the EPR will impact their work and prepare for any change.

  • What will happen to medication records when we move to the EPR?

    When we move to the EPR, medication records will be brought into the new system so staff have accurate and up-to-date information about a patient’s medicines. Pharmacy and clinical teams will help plan and test this process before go-live to make sure the transition is safe and accurate.

  • Where do I go with questions the website does not answer?

    If you have a question about the EPR programme that is not covered on this site, you can speak to your EPR Champion or Superuser. You can also contact the EPR Team.
    Visit our Get in touch page

  • Will patients notice a difference?

    Yes. Patients should only need to tell their health story once and it will be recorded in the EPR, along with care and treatment information – available to all those with a legitimate need to see it. This saves them having to keep telling different staff about their health and symptoms.

  • What happens when a patient moves between wards, clinics or hospitals?

    Their electronic record moves with them across wherever they are within all sites of our three acute hospitals. Their care team in each site will be able to see their latest information immediately.

  • How will handovers change?

    Everyone involved in a patient’s care will be working from the same live patient record, making it easier to see the latest observations, assessments, care plans, medications, test results and outstanding actions.

FAQs

Answers to what staff ask us most, from go-live timing to what changes for your role.

Join the Change Network

Join the Change Network, become an EPR Champion or Super User.

Get in touch

If you have a question that you can't find the answer to on this site then contact us.