County Durham and Darlington Foundation Trust Health Informatics Strategy



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Clinical Service Areas


County Durham and Darlington NHS Foundation Trust are an integrated acute and community Trust providing healthcare across County Durham and Darlington and surrounding areas, in hospital, at home and in community settings. The Trust has been an integrated acute and community services provider since 2011.

The Trust now has five Care Groups:




    1. Commissioners


County Durham and Darlington NHS Foundation Trust has the following commissioners:

  • Darlington Clinical Commissioning Group

  • Durham Dales, Easington and Sedgefield Clinical Commissioning Group

  • North Durham Clinical Commissioning Group

The aims and intentions of these commissioning groups have been considered when forming this Strategy.

The Health Informatics Strategy is aligned to the Trust’s commissioning arrangements, as outlined in the Trust Clinical and Quality Strategy.



While the main commissioners are detailed above, it is noted that the Trust provides services in partnership with other organisation which form the Local Health Economy. These organisations include Local Authorities within the Trust’s parameters, Police Authorities, voluntary and third sector organisations and other acute providers. The strategic directions of these organisations have been considered when developing this strategy.
  1. Health Informatics within CDDFT – where are we now?


This section provides detail on the current Health Informatics situation of the Trust.
    1. Current systems in place


The current systems in place within the Trust and their functionality are shown in the tables below:

The diagram above illustrates the main systems used across CDDFT. In addition there are a range of smaller systems and databases in use giving in excess of 50 systems involved in clinical care.

A number of systems have been in use for over 15 years and have a number of limitations that are now holding back development of a patient centred electronic record, require data manipulation off line or alternative workaround processes, including the following:


  • Acute PAS (CaMIS)

  • Theatres (CaMIS)

  • Acute Clinicals (iClinical Manager)

The following systems will require revenue expenditure due to the end of the National Programme for IT contract in July 2016:

  • Acute Clinicals (iClinical Manager)

  • Communiity PAS and Clinicals (TPP SystmOne)

  • Urgent Care and Child Health (TPP SystmOne)

In addition the Pathology system is now at end of life and needs to be re-procured.

More information about System Replacements is included in section 12.3.



The diagram illustrates the system and information silos that exist across the organisation and the difficulty in providing information at the point of care to meet clinical and operational need.



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