Patient-monitoring system

Tender description

This is a VEAT notice of the Royal United Hospitals Bath NHS Foundation Trust's intention to award a contract. Royal United Hospitals Bath NHS Foundation intends to award contracts to Fysicon UK Ltd to December 2023 for the purchase of a solution capable of interfacing with all current and future Cardiac Implanted Electronic Devices (CIED) as well as integration with current I.T. systems held within the Trust Cardiac centre. The solution will include support and maintenance over the period of the contract. In summary the Trust would like to improve the processes below: — manual transcription (with the risk of transcription error), — entirety of reports not being available in electronic format, — initiate electronic CIED records from implant and reduce paper records, — paper and time heavy processes, — digital database for improved technical patient analysis. At present the Trust utilises 3 main suppliers for pacemakers (Abbott, Medtronic and Biotronic) yet is also obliged to cater for other manufacturers as a patient’s care and previous procurement dictate. Therefore, there are a number of pacemakers with each manufacturer and individual patient requirements (decision made at time of insertion) which will also have a decisive factor regarding pacemaker to be used. The Trust is obliged to keep the same manufacturer in perpetuity for long term clinical/technical care. Patients with different CIED (Cardiac Implanted Electronic Device) implants are monitored in varied ways pending the manufacturer, implants and patient parameters. CIED’s, refers to pacemakers, loop recorders and internal defibrillators. The Trust monitors CIED in the following ways: Pacemaker clinic: Face to face visits for all types of CIED patients. Pacemaker processors generate a long paper report usually in ‘receipt’ form. Selected parts of this are then manually transcribed into CVIS. The report has to be kept in its entirety by the Trust for 30 years posthumously alongside a 2 page A4 report per visit. This 2 page report is posted to GPs and stored with receipt form in the paper pacemaker notes. Home monitoring: Transmissions from patients homes for a selection of the CIED patient. Patient’s home monitoring device will send a report of an incident should it occur. There are standard manufacturer specific reports sent at set time and additional frequent transmissions due to triggers by the patient’s abnormal heart rhythm. Staff log on to all pacemaker web based applications in order to check these transmissions and potentially book/schedule an earlier face to face for a patient if required. As well as this they interpret, measure and calculate each patient transmissions and subsequently manually attach them to a CVIS report and escalating as appropriate. This report may be sent to cardiologists and GPs as clinically indicated. Overall Requirements A solution capable of interfacing with all current and future CIED’s as well as integration with current I.T. systems held within the Trust Cardiac centre. In summary the Trust would like to improve the processes below: — manual transcription (with the risk of transcription error), — entirety of reports not being available in electronic format, — initiate electronic CIED records from implant and reduce paper records, — paper and time heavy processes, — multivendor interface consolidation. The Trust currently uses a number of supplier for CIED’s, — digital database for improved technical patient analysis. The Trust believes that the solution is only available by Fysicon UK Ltd will move forward with contractual discussion unless another supplier can provide this service. A full description of the specification is available from the Trust procurement team.