Unreliable operation of the Lorenzo clinical information system
First to latest report 14 Nov 2017 — 31 May 2024
Reports that mention this concern
4
Times this concern has been raised
4
Stated actions linked to this concern
4
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.
What is 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.
Trends
Reports over time
Reports mentioning this concern, 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.
Department of Health and Social Care3
NHS England2
NHS Tameside and Glossop Clinical Commissioning Group1
Norfolk and Suffolk NHS Foundation Trust1
Pennine Care NHS Foundation Trust1
Tameside General Hospital1
University Hospitals of Derby and Burton NHS Foundation Trust1
Ministerial department3
NHS trust3
Executive non-departmental public body2
Clinical commissioning group1
Healthcare site1
Reports and published responses 4 reports
See individual reports that have raised this concern, and the actions taken in response
Staffordshire and Stoke-on-Trent
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.
Linked responses
Department of Health and Social Care
University Hospitals of Derby and Burton NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
University Hospitals of Derby and Burton NHS Foundation Trust
Implement the unified electronic patient record across Trust sites, with staged rollout underway and allergy functionality planned for the first phase.
University Hospitals of Derby and Burton NHS Foundation Trust
Provide cross-record patient links between the two electronic patient records and links to the GP Summary Care Record through the Master Patient Index.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
University Hospitals of Derby and Burton NHS Foundation Trust
The Trust cannot extend an existing EPR across all sites because of contractual, technical, support-life and specialist-function constraints.
Unable to actThe respondent said that a constraint prevented them from taking the relevant action.
Department of Health and Social Care
The Care Quality Commission will assess the incident and determine whether further regulatory action is needed.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Department of Health and Social Care
The University Hospitals of Derby and Burton NHS Foundation Trust will address specific local actions in its separate response.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester South
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.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Manchester South
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.
Linked response
NHS England
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
NHS England
The current Lorenzo Emergency Department module provides mandated fields to record police transport and attendance source.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Norfolk
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.
Linked response
Norfolk and Suffolk NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
Norfolk and Suffolk NHS Foundation Trust
Implement the Lorenzo electronic patient-record system across the Trust to replace paper records and consolidate electronic systems.
Norfolk and Suffolk NHS Foundation Trust
Work with Lorenzo system suppliers to improve system performance and usability.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Norfolk and Suffolk NHS Foundation Trust
The Lorenzo electronic patient record system is fully operational, although the Trust is addressing some issues with it.
Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.