Medisec Software’s clinical correspondence product MedisecTRUST has been pivotal in supporting the delivery of electronically-signed hospital letters into GP practice software systems using the Medical Interoperability Gateway (MIG) from Healthcare Gateway Limited (HGL).

Healthcare Gateway is a joint venture between GP system providers EMIS and INPS. Its MIG technology facilitates the secure exchange of e-discharge summaries and other clinical documents to GP surgeries using EMIS and INPS systems.

“This collaboration provides a comprehensive clinical correspondence solution for secondary care,” said Peter Anderson, HGL’s Commercial Director.

“The secure sharing of patient data across different health service IT systems is crucial for improving operational efficiencies. With the right technology in place, GPs can now receive vital discharge information within 24 hours rather than waiting days or even weeks.”

Southport & Ormskirk Hospital NHS Trust, which uses MedisecTRUST to manage its clinical correspondence process, partnered with Medisec Software, Healthcare Gateway Ltd and Informatics Merseyside to develop the end-to-end electronic process.

The system is fully operational and the hospital will be extending a paperless service for all types of clinical correspondence.

Chris Greene, Urgent Care Systems Development Project Manager, Informatics Merseyside, added: “This collaboration has been a positive experience and will deliver significant benefits for all stakeholders in North Mersey. We are keen to build upon what has been achieved so far with MedisecTRUST and MIG.”

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The hospital will pilot the solution having used workflow management system MedisecTRUST to deliver efficiencies in the transfer of patient information since 2007. It is now seeking to integrate Digital Dictation with MedisecTRUST to improve transcription times and realise further efficiency gains.

MedisecTRUST Digital Dictation will tag voice files from Southport and Ormskirk clinicians with central Patient Administration System (PAS) data to automatically generate clinical correspondence.

Tom Rothwell, Medisec Software’s Managing Director, said: “MedisecTRUST is highly regarded throughout the trust and so a pilot of our Digital Dictation solution signals a logical progression.”

The move follows hot on the heels of a successful roll out of MedisecTRUST Digital Dictation at Alder Hey Children’s NHS Foundation Trust.

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MedisecTRUST Digital Dictation, which offers the NHS a paperless correspondence process from speech mike to GP practice, has met the criteria for the Department of Health’s interoperability toolkit (ITK2) – a set of standards, frameworks and implementation guides for the electronic exchange of clinical information.

“Adding ITK2 to the delivery options for MedisecTRUST is strategically important for the Medisec Software proposition and we are keen to support the adoption of this standard in the NHS,” said Medisec Software’s Managing Director Tom Rothwell.

The longstanding advocate of NHS standards in clinical information exchange, added: “The move will support the removal of paper from the correspondence process, a fillip to NHS resourcing and to ensuring there is a healthy market for all suppliers.”

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Development is underway to enable anyone working in the community to telephone in on a landline or mobile phone and dictate letters remotely. All remote dictations will be immediately available for transcription, fully integrated with existing processes for letter creation and sign off.

“Offsite clinicians will no longer have to return to the hospital to dictate letters or to connect their dictation devices before transcription can take place,” said Tom Rothwell, Medisec Software’s Managing Director.

“The move will deliver further efficiency savings at Alder Hey.”

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Medisec Software has integrated its solution with Olympus pocket memo devices for clinicians who regularly have to dictate letters on the move, such as those working in facture clinics, in a bid to boost flexibility and productivity.

The mobile devices can then be docked at desktop locations where the MedisecTRUST Digital Dictation system automatically tags the voice files with relevant patient data and uploads them for transcription.

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Fifty-six GP practices across Cheshire are now exclusively receiving hospital correspondence and discharge summaries electronically – minimising administrative errors and risks associated with duplicate letters.

MedisecTRUST is used by the Trust to generate most of its clinical correspondence, and the GP delivery module allows practices to receive critical clinical information into their GP System using EDT Connect for processing each morning, without the need for dual keying or scanning correspondence.

Vicky Bond, Clinical Admin Manager, at East Cheshire NHS Trust said: “We are now able to create, review, sign off and deliver clinical letters and discharge summaries to every single GP practice in Cheshire in a seamless, paperless, end-to-end process.”

She added: “Bringing an end to paper correspondence has been an important strategic goal for us, and by centralising printing and taking steps to manage our sign off process, we’ve now been able to achieve this.”

Removing paper from the process endorses the electronic delivery system that has been deployed by leading NHS shared services provider, Cheshire ICT, in collaboration with Medisec Software. The process benefits all users by improving integrity, saving valuable NHS resources, improving environmental sustainability and improving patient care.

Developed by Medisec Software, the electronic delivery system will enable surgeries to reject mail at the touch of a button if a correspondence is sent in error, or if a patient is no longer registered with a particular GP practice.

Debi Lees, Customer Service Delivery Manager, at Cheshire ICT Service, added: “Electronic delivery has led to dramatic improvements in both the speed of delivery and the quality of clinical updates. GPs have been calling for an end to paper correspondence and, in accomplishing this; we’ve reached another notable milestone in patient care and administrative efficiency.”

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East Cheshire NHS Trust and UHNS are both using MedisecTRUST for clinical correspondence delivery to cut admin and delivery times and improve patient care.

“This latest development is the starting point in hub-to-hub exchanges and marks a significant step in the continuing drive for paperless communications between hospitals and GPs,” added Tom Rothwell, Managing Director of Medisec Software.

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Philips’ Software Development Kit (SDK) can now be used with MedisecTRUST Digital Dictation and development work is now underway to introduce the hardware at Macclesfield District General Hospital, as part of its new digital dictation platform.

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Darren, 29, holds an HND in Computing and joins from Capital Capture North where he was a systems developer. Previous experience also includes roles as a technical support consultant with Isys Search Software and a technical support engineer with Basware UK.

The company has also strengthened its Management Team with the appointment of Gill Zaki as Office Manager. Gill brings a wealth of experience in similar roles and will play a vital role in improving management systems.

“It is good to have employees of Darren’s and Gill’s calibre and experience joining us,” said Tom Rothwell, Medisec Software’s Managing Director.

“I’m sure they will prove to be valuable assets to Medisec Software over the coming months and years.”

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The Nottinghamshire prison’s Healthcare Centre will now receive hospital correspondence and discharge summaries directly into an electronic inbox, ready for the centre to process each morning – an important boost to prisoner care.

MedisecTRUST Digital Dictation is being used by Doncaster and Bassetlaw Hospitals NHS Foundation Trust, enabling critical clinical information to be downloaded directly into the prison’s computer system without the need for dual keying or the scanning of correspondence.

“By streamlining this process, we will save a great deal of time while reducing the risk of any possible administrative errors occurring,” said Louise Scott, Office Manager at Healthcare, HM Prison Ranby.

“The feed into our clinical SystmOne computer system from MedisecTRUST should eliminate the need for us to chase up hospital letters while the doctors will now be able access all correspondence at the touch of button.”

Since using MedisecTRUST Digital Dictation, Doncaster and Bassetlaw Hospitals NHS Foundation Trust has successfully halved the average time for providing clinical correspondence to GP practices.

“Clinical correspondence and discharge summaries from Doncaster and Bassetlaw hospitals are now being created, reviewed, signed off and delivered to every single GP practice in Bassetlaw in a paperless end-to-end process,” added Susan Kyle, NHS Bassetlaw Data Quality Facilitator.

“Our decision to end, this month, all paper correspondence from Bassetlaw Hospital to these practices – and now Ranby Prison – is a significant step to improving operational efficiencies and has been endorsed by both the Clinical Governance Forum and Patient Safety Group.”

MedisecTRUST Digital Dictation, from Medisec Software, automatically matches digitally dictated clinical notes with PAS patient details to produce clinic attendance letters.

Customised workflows of outstanding dictations can be created by consultants, with transcriptions automatically appearing in relevant medical secretary workflows. Up-to-date patient information is downloaded from the PAS system into pre-populated letter templates when the voice file is opened.

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