Thursday 8 February 2024 - Report
Thursday 8 February 2024 - Report
Topics: Project Delivery
Departments: Health & Community Services
Sector: Health & Social Care
Report: pdf (633.19 KB)
Download in full ↓The Electronic Patient Record (EPR) system is a business process-based software solution that brings together key clinical and administrative information involved in the care and management of patients.
The Government of Jersey’s Digital Care Strategy includes a four-year programme to implement a new EPR system. The stated aim of the EPR programme is to provide a single source of patient information available at the time and place where care is being delivered.
The November 2020 EPR Business Case states that the outcomes to be delivered by the EPR programme include:
The EPR programme has been designated as a Major Project under the Public Finances Manual. A total of £16.2 million has been allocated to the Digital Care Strategy in various Government Plans including the Government Plan 2023-2026.
The total estimated programme costs in the EPR November 2020 Business Case were £29.3 million between 2021 and 2031 including both capital and revenue expenditure.
The EPR implementation was planned to take place in a series of releases between 2022 and 2024.
At the time of the review Releases 1 and 2 had gone live, with the remaining three phases planned to be implemented with an estimated completion date of July of 2024, or possibly the autumn of 2024.
The review has evaluated the design and operation of the EPR programme against the best practice framework developed by the UK National Audit Office.
In particular the review has evaluated whether:
In April 2023 I published my report Integrated Technology Solution – Follow Up which considered the operation of the ITS programme to November 2022. The EPR programme is running concurrently with the ITS programme. Some of the recommendations made in my April 2023 report are also relevant to the EPR implementation.
There is a large degree of similarity between the findings of this review and those of my previous reviews of the Integrated Technology Solution (October 2021 and April 2023) and Major and Strategic Projects, including Capital Projects (November 2023).
While good practice frameworks have been established for projects such as the EPR implementation, in order to drive value for money from significant investments there needs to be a much greater focus on effective stakeholder and user engagement as well as more effective discipline around the identification, monitoring and delivery of benefits.
Thursday 8 February 2024 - Report
Associate Member of EURORAI - a cooperation project between public sector supervisory bodies in Europe