To support the continual improvement of healthcare within Fife HSCP, a business case was presented to deliver a single Community and Mental Health digital system to support healthcare professionals working across Fife HSCP. This single system would replace a number of existing systems and would support provision to teams within Fife HSCP who were not fully digital. The Electronic casenote solution would be required to comply with all information governance and security standards and would assist with delivery of the ambitions clearly laid out within the NHS Fife Digital and Information Strategy.

Fife HSCP selected Cambric as their preferred supplier. The Morse solution from Cambric met the requirements with regards to flexibility, electronic casenote recording at point of care, and sharing of information in support of multi-disciplinary working, appointment scheduling and reporting.

The Morse solution is designed to provide efficient, accurate and secure mobile records to health care professionals who are working in the community setting. Morse is in the process of being rolled out across Fife HSCP Community and Mental Health services with an anticipated project end date of February 2023. As at the end of November 2021 the Morse solution is already being used by 1,750 users across community and mental health services.

The implementation of Morse delivers a return on investment from productivity gains and reductions in costs such as travel, print and stationery. The sharing of information across services from Morse to the patient’s electronic patient record has joined up patient care through the ability to integrate with other clinical systems. Several NHS Boards in Scotland are utilising Morse currently, this provides boards across Scotland with the potential for sharing of future development and support costs.

Fife HSCP Community Replacement Programme Board have recognised the following benefits in the delivery of Morse:

• Improved decision making – through access to up-to-date clinical information at point of care

• Improved efficiency – through reduced duplicate data entry

• Improved quality of care – through a more holistic picture of clinical information

• Increased patient safety – through better informed decision making and improved referral processes

• Reduction in travel time – staff with the Morse app on their mobile device do not need to travel to and from bases to access paper or office-based IT records; delegate work to colleagues or; review correspondence

• Standardisation of, and improvement in, clinical recording – through template driven data entry and use of mandatory fields

Fife HSCP has noted that Cambric is a solution provider keen to listen to the ideas presented to its team and responsive to act upon these comments and suggestions.