The 12 KGH Digital days of Christmas

We did a Town Hall yesterday for the Kettering Digital Team and I was really pleased that 87 colleagues joined in — many with Christmas attire!

We used the theme of 12 days of Christmas to highlight some of the work the team have done. I know they’re not accessible but I thought I’d copy the slides below as Natasha spent a lot of time on them! All the text from the slide is copied into the body.

So here we go, and why not sing along 12 days of Christmas as you read below…

12 weeks of modelling

What we’ve done:

• Worked with partners at NHSX and Faculty AI to build a proof of concept on bed allocation modelling
• Tool gives recommendations on bed allocation for patient in ED

What this means:

• Proved AI (artificial intelligence) could support bed allocation decision making
• Code has been shared — open source — for others to build upon
• Foundation to build in more complexity around decision making (e.g. multiple moves)

Next step: Exploring opportunity to develop tool further

11 Waves of EDMS

What we’ve done:

Electronic Document Management System (historical scanned records) now in use across all Medicine and most of Surgery outpatients meaning we now have

• 40,818 digital patients
• 90,977 digital appointments
• 45% inpatients have digital records

What this means:

• Working towards removing scanned historical records and storage needed in Robinson Way
• Quicker access for clinicians to view historical record
• Allows for greater collaboration across the MDT (multi-disciplinary team) as various colleagues can view the record at once

Next step: Complete roll out in Surgery and Family Health outpatients in Q4 and continue support to clinicians

10% increase in falls assessments

What we’ve done:

• Implemented falls assessments on vitals (e-observation platform)
• Expectation of compliance with basic lying and standing blood pressure

What this means:

• Falls assessments no longer on paper
• Greater auditability and visibility of assessments
• Supported CQC response
• Enabling a timely response to those patient most at risk and care planning as appropriate for them

Next step: Vitals modules roll out will continue in the New Year

9 (or 299…) Users migrated onto personal SharePoint document libraries

What we’ve done:

• As part of our Office 365 roll out we are moving storage of documents to the cloud (OneDrive and SharePoint)
• OneDrive is used for your personal files
• SharePoint is used for shared drives or those needing bigger personal drives

What this means:

• Anywhere, Anytime, At The Same Time: easier for individuals to access their documents no matter where they are and the device they are using
• Supporting collaboration of documents
• Brings benefits of being in the cloud such as stability and reliability

Next step: Complete migration to cloud storage by January; complete removal of Office 2010 following upgrade of all Trust PCs to Office 365 by March 2022.

8(0%) of E-cofs are now electronic

What we’ve done:

• Clinical outcome forms (summary form completed after outpatient clinic) is now electronic
• This has been rolled out across all outpatients
• Over 80% of all outpatients clinics and close to 100% for those in scope for this project (i.e. Consultant led)

What this means:

• Supports clinicians to complete virtual clinics from distributed location
• Removal of paper in every clinic
• Quicker outcome completion — clinicians fill it out there and then rather than delay
• Greater auditability on when and who has completed the form

Next step: Drop down options are being re-ordered for specialties to make it simpler (over next couple of months); reviewing reporting with health intelligence in the new year

7(0) calls raised in the first week for our new IT customer service portal

What we’ve done:

• Implemented a portal for users to be able to log service requests directly with service desk team
• Users can track progress of these tickets

What this means:

• We have a user-friendly portal which is aligned with our operational procedures and internal SLAs
• We can now create meaningful metrics on our response to the tickets

Next step: Continue to monitor uptake

6 New power BI dashboards

What we’ve done:

• During Health Intelligence firebreak we have created six priority dashboards for our Group

What this means:

• Dashboards are simpler to use
• Dashboards reflect user needs and therefore will be basis to prompt informed operational decision making

Next step: Creation of another two dashboards before Christmas

5(9) Servers migrated to Azure Cloud

What we’ve done:

• In line with the KGH Cloud First policy we now have an Azure Cloud Data Centre and started migrations of on-prem servers to the cloud
• Our target is to complete 127 migrations by April
• This is happening across 7 waves with wave 3 completing today
• 59 Servers have been successfully migrated

What this means:

• Avoiding spending £4m on upgrading old bits of tin infrastructure
• Flexibility in pricing models available — pay per use
• Significantly increased security posture
• Stability and scalability of cloud offering

Next step: Wave 4 cloud migrations which will commence w/c 17th Jan. Planning in progress

4 RPA processes

What we’ve done:

We’ve used RPA (robotic process automation) across four different processes

• Supporting completion of report for covid
• Supporting two administrative processes in outpatients
• Supporting coding in endoscopy

What this means:

• Saving 2,000 worth of hours across outpatients teams (team were needing to recruit to do this task but no don’t have to)
• National report for covid-19 auto-populated saving 1–2 hours of HR time a day
• Testing a coding process which will make us national exemplars!

Next step: Implementation of coding RPA process in endoscopy

3(5) sessions in ‘I Love Digital Week’

What we’ve done:

• Hosted a weeklong digital awareness week in March
• Including demos, launching digital champions and some interesting chats/ debates

What this means:

• Increased visibility and awareness of all things digital

Next step: Another one…..

2 Booking systems

What we’ve done:

• To support covid-19 response we created two booking systems
• To book covid-19 vaccination
• To record lateral flow test results
• We responded (and learnt) quickly!

What this means:

• We supported our staff during the pandemic — building systems which put control in staff hands rather than additional administrative burden

Next step: Taking lessons learnt from the implementation for future projects…. And supporting with any more vaccination booking systems…

1 (BIG) Thank you!

It’s a real tough time in any Acute hospital right now so it was great to take a bit of time out and celebrate the work of the team, and have just a lil fun, and actually look back and see how much we’ve done, how quickly we’ve done it and how genuinely transformative this work has been!

So thanks to the KGH Digital team, you’re brilliant, and will continue to be so in whatever comes next!