Dear [name removed],

Thank you for your email of January 17 concerning your request for information relating to North Bristol NHS Trust. In compliance with the Freedom of Information Act 2000 our response is as follows...

Question 1:
From the 9th December until today ( 17th January) how many 'clinical incidents' have been filed by staff in relation to problems encountered with the Cerner Millennium patient booking system?

Response: During December and up to January 17 there were 8 clinical incidents reported in each month (16 in total) relating to the new electronic patient record system. These were all clinical incidents where the new system was cited as a causal factor, such as wrong patient wrong notes, lack of notes, incorrect clinic list.

However our robust safeguarding processes, as well as additional checks and balances in all departments, ensured that clinical safety was not compromised and no patients were put at risk. Our priority is always patient safety and there is no indication that this has been affected.

Question 2:
From the 9th December until 17th January how many patient (breaking it down to inpatient and outpatient) appointments were delayed due to problems encountered with the Cerner Millennium system?

Response: With respect to outpatients, we are not able to provide this information at this time.

With respect to inpatients, during November (before the implementation of Cerner) 40 patients were cancelled on the same day as admission for non-clinical reasons.
During December (after the implementation of Cerner) 33 patients were cancelled on the same day as admission for non-clinical reasons - 7 fewer than in November.

Data is not available for January at this time.

Question 3:
If there have been any such delays how many patients have breached the 18 week waiting list target as a direct result?

Response: During December, 90.1% of admitted patients (measured on an adjusted basis) and 97% of non-admitted patients completed their RTT pathway within a maximum of 18 weeks. The Trust therefore achieved the 18 weeks target.
This equates to 200 and 147 patients respectively completing their pathways beyond the 18 weeks target. In November, before the implementation of Cerner, these numbers were 227 and 178 beyond the 18 weeks target - higher than during December.

Data is not available for January at this time.

We have made certain that any urgent referrals including cancer two week waits have been prioritised to ensure they are unaffected.
We are monitoring and closely analysing all referrals through support systems.

I trust this is the information you are seeking and that your request has been fully discharged, but I should be pleased to offer any further assistance that you may require.

The Authority asks that you note, that the information you have been supplied may be subject to the Copyright, Designs & Patents Act 1988. You may re-use the information provided for personal use, (not including logos), free of charge in any format or medium. However, you must re-use it accurately and not in a misleading context. You must acknowledge the information as North Bristol NHS Trust copyright and give the title of the document/publication. Where we have identified any third party copyright material you will need to obtain permission from the copyright holders concerned.

I should advise that you have the right to complain about this response by reference to the complaints procedure of the North Bristol NHS Trust, in which case you should write to the Chief Executive at Trust Headquarters, Frenchay Hospital, Beckspool Road, Bristol, BS16 1JE.

If you remain dissatisfied with the decision of the North Bristol NHS Trust following your complaint, you may write to the Information Commissioner, whose address is:

Information Commissioner's Office
Wycliffe House
Water Lane
Wilmslow
Cheshire SK9 5AF

Yours faithfully,

Aleisha Scott
Press and social media officer
North Bristol NHS Trust
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t: 0117 340 3711
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@northbristolNHS

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