Recurring concern
Unreliable operation of the Lorenzo clinical information system
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Request correctionFirst reported 14 Nov 2017•Latest report 31 May 2024
What this concern includes
Includes failures of the named Lorenzo system and its directly integrated clinical workflows that impair system availability, staff access, recording, booking or triage information, or other safety-relevant system functions used in patient care.
Not included
- Excludes generic clinical-record, IT-access or information-sharing deficiencies where Lorenzo is not the deficient system.
- Excludes failures of other named electronic systems, including EMIS, NOMIS, STORM, CAD and PACS, unless the assertion explicitly concerns their Lorenzo integration.
- Excludes failures of clinical judgement, staffing or care delivery where Lorenzo operated reliably and did not contribute to the unsafe condition.
- Excludes the substantive quality of booking, triage or clinical decisions where the Lorenzo system itself was not deficient.
- Reports
- 4
- Individual concerns
- 4
- Date range
- 2017–2024
- Stated actions
- 4
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
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Concerns raised1
Failure of electronic patient records to automatically share renal team entries between hospitals
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
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Action
Implement the unified electronic patient record across Trust sites, with staged rollout underway and allergy functionality planned for the first phase.
Stated by University Hospitals of Derby and Burton NHS Foundation Trust -
Action
Provide cross-record patient links between the two electronic patient records and links to the GP Summary Care Record through the Master Patient Index.
Stated by University Hospitals of Derby and Burton NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
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Position
The Trust cannot extend an existing EPR across all sites because of contractual, technical, support-life and specialist-function constraints.
Stated by University Hospitals of Derby and Burton NHS Foundation Trust
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Position
The Care Quality Commission will assess the incident and determine whether further regulatory action is needed.
Stated by Department of Health and Social Care -
Position
The University Hospitals of Derby and Burton NHS Foundation Trust will address specific local actions in its separate response.
Stated by Department of Health and Social Care
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Concerns raised1
Failure of the Lorenzo electronic system to trigger alerts for markedly raised D-dimer results
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure of the Lorenzo electronic booking and triage system to capture key information about police conveyance
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
The current Lorenzo Emergency Department module provides mandated fields to record police transport and attendance source.
Stated by NHS England
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Concerns raised1
Failure of the Lorenzo computer system to be fully operational
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
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Action
Implement the Lorenzo electronic patient-record system across the Trust to replace paper records and consolidate electronic systems.
Stated by Norfolk and Suffolk NHS Foundation Trust -
Action
Work with Lorenzo system suppliers to improve system performance and usability.
Stated by Norfolk and Suffolk NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
The Lorenzo electronic patient record system is fully operational, although the Trust is addressing some issues with it.
Stated by Norfolk and Suffolk NHS Foundation Trust
Data last updated 7 September 2026