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Developing Care Pathways across Improvements:
Clinical Specialties – Digitised Clinical • Implemented standardized approach (PEDMAPs
Pathways Pathways) - designed to promote the implementation
of patient centred, evidence-based care within the
Trust (summarised using the PEDMAPS mnemonic;
Aim: To design and implement digitised clinical Patient centred, Evidence based, Digitally enabled,
pathways that are patient centred and evidence Metric defined, Accessible Pathways).
based • Engaged individual specialty teams to identify
relevant patient-centred clinical and patient
Targets:
experience outcomes, which are then used to
1. Develop standard methodology for creation of promote the identification of the most suitable
digitised clinical pathways evidence-based pathway recommendations
2. Implement digitised pathways in 6 specialties • Implemented pathway recommendations using
by March 2018 service redesign strategies, supported by the
development of digital tools including
3. Establish a ‘clinical intelligence portal’
- Bespoke digital documentation
Outcomes - 2017/18:
- Computerized order entry systems
1. Standard methodology implemented and
- A ‘clinical intelligence portal’ providing an
priority specialties identified.
automated overview of clinical effectiveness and
2. Digitised clinical pathways implemented in patient experience data.
8 specialties
• Speciality packages and digitised clinical pathways
3. Clinical intelligence portal developed and ready implemented for 8 specialities including the
to be launched emergency department, rheumatology, gynaecology
and CAMHS.
Background: Future Plans:

At Alder Hey Children’s NHS Foundation Trust the • Continue to roll out digitised clinical pathways to a
transition to paper free working has been identified as total of 63 specialty packages by 2020
an opportunity to engage the hospital’s specialty teams
• Populate and roll out clinical intelligence portal
in a process of service transformation and quality
improvement. The aims of the project are aligned • Use digital data to support the quality improvement
with the Trust’s strategic goals to achieve success in cycle
three key domains; safety, effectiveness and patient
experience. Digitised clinical pathways have been
identified as one method for structuring the approach
to service transformation around specific clinical
scenarios.

The project is led by the Clinical Effectiveness Directors
as part of the Global Digital Exemplar (GDE) project
and reports to the GDE programme board. Resources
including an operational project manager, clinical fellow,
IM&T development staff and support from the business
intelligence team have been allocated to the speciality
package project.

The project plan is structured around four “gateways”
involving;

• clinical engagement and identification of clinical
pathways for digitisation;
• digitisation of documentation and the development of
digital tools to support pathway implementation;
• training, testing and launch of digitised processes

• post-implementation review and revisions.

Alder Hey Children’s NHS Foundation Trust 121 Annual Report & Accounts 2017/18