A Message from Lord Pickles and Lord Blunkett, followed by Clevermed's best practice article

The ability to listen and learn from one another has always been vital in parliament, in business and in most aspects of daily life. But at this particular moment in time, as national and global events continue to reiterate, it is uncommonly crucial that we forge new channels of communication and reinforce existing ones. The following article from Clevermed is an attempt to do just that. We would welcome your thoughts on this or any other Parliamentary Review article.

Blunkett signature Rt Hon The Lord David Blunkett
Pickles signature Rt Hon The Lord Eric Pickles

Peter Badger, managing director
BadgerNet Maternity and
Neonatal: designed to support
women and children’s health
There are few milestones in our lives as momentous as
childbirth. With over 750,000 births every year across the
UK, the outcomes for women and children have huge
implications across the whole of society. Based in Edinburgh,
Clevermed has dedicated the past 20 years to creating intelligent
technology solutions to support clinicians, women and families
in achieving the best possible outcomes. Childbirth is a natural
process. It is, however, inherently full of risk for both women and
babies. There are a variety of unknowns in the process: women
frequently move between healthcare organisations, babies can
be born over a wide window of time during pregnancy and risk
profiles can change repeatedly. Clevermed provides intelligent
care record management based on an innovative managed
service model to reduce risk and ensure better outcomes.
JaneStephenson, programme manager, explains.
Managed service model
The key to delivering our solutions is our managed service model. We use this model
to ensure the technology is supporting all our users including clinicians as well as
women and their families. There are three key aspects to the model described below.
Fully hosted solution
Before the IT revolution, women used to physically carry paper records during
their pregnancy. The move to electronic records, however, has resulted in a world
»Managing director:
»Established in 1999
»Based in Edinburgh
»No. of employees: Over 40
»Services: Electronic care record
solutions, with over 20 years’
»System in over 200 trusts in
the UK
»Exported to New Zealand and
Highlighting best practice
Clevermed has over 40 employees working together to make a difference.
Our technology revolves around three core products:
»BadgerNet Platform: The BadgerNet Platform is a live national clinical care
record system which allows obstetricians, neonatologists, midwives and
other specialist to view and enter information in real time wherever they
are located. It includes a Windows Desktop and a Native iPad application.
»BadgerNet Spine services: BadgerNet Spine services allow units to
connect and share information, even if they aren’t using the front-end
BadgerNet Platform. It also includes data extraction and reporting services
for research, audit or local needs.
»Maternity Notes and Baby Diary: Maternity Notes allow women to access
interactively their pregnancy record online via an iPhone app, Android
app or browser solution. Baby Diary is a portal solution for parents of
babies in intensive care to view information regarding their baby’s stay in
a neonatal unit, including pictures and details of their care.
where most NHS trusts hold all their
data locally. This can cause significant
issues during pregnancy and the care
of the newborn. When a woman or
baby moves between trusts, lack of
information due to localised storage
can significantly increase risk.
Trusts require a solution where
information is available across their
organisation in a stable, resilient
manner. In addition, they must be able
to access information from other trusts
relating to a pregnancy. The BadgerNet
Platform and Spine services resolve
these issues with the centralised
hosting infrastructure providing a
cornerstone of the solution.
Regular updates
Anyone who has ever set foot in
a hospital unit may have noticed a
bulletin board with a multitude of
documents outlining best practice
and guidance for a number of clinical
situations. Maternity and neonatal
services touch on a wide range of
activities which include social issues,
mental health, public health, allied
health input and screening. With
that in mind, the latest guidance and
best practice can change frequently
and potentially can be missed if we
rely solely on the experience and
knowledge of doctors and midwives.
The BadgerNet Platform has been
designed as intelligent specialist
clinical solution, with built-in business
intelligence that provides prompts,
reminders and access to the latest
reading and guidance on a variety of
subjects. To support this, BadgerNet
updates its software every two months.
This allows the system to keep pace with
changes in clinical guidance, technology,
customer suggestions and innovation.
These updates are managed centrally.
There is a detailed change control
process which allows units to
participate actively in the changes
as they come down the wire. More
importantly, the updates are included
as part of the service and are not an
optional extra that requires funding.
In a cash-strapped NHS, this is vital to
ensuring the system remains up to date
and affordable on an ongoing basis.
Specialist support
Having a clever IT solution isn’t
everything. Technology can be
of greatest value when it is well
supported by a team of specialists to
work with end users and understand
their needs. We regularly remind our
staff that doctors, midwives and others
in healthcare most likely didn’t choose
their profession based on a love of IT.
Our job is to support what they do and
make their liveseasier.
Newborn Josiah and
his mum Shereen had
their care supported by
Technology can
be of greatest
value when it is
well supported
by a team of
specialists to
work with end
users and
their needs
In addition to providing the
technology, we have nurses, midwives
and doctors in our team to provide
that bridge between our clinical end
users and our engineers. They regularly
brief the developers about life at the
coalface – I’m not sure any of the
technical team would volunteer to see
the slides of prolapsed uteruses again.
Outcome of the managed
service model
The BadgerNet Platform is used in
every neonatal unit in the UK. The
maternity system was launched more
recently and is already recording nearly
20 per cent of all UK births.
In a market landscape slowly being
dominated by large overseas whole-
hospital solutions, we pride ourselves
on delivering a national platform that
is focused on the specific clinical needs
of women and children’s healthcare
professionals. Speed of innovation
with flexible service delivery keeps
the BadgerNet Platform at the cutting
edge of healthcare technology –
always fresh, always new and always
the best of breed.
Future for healthcare records
in the UK and abroad
In 2013, Jeremy Hunt challenged
the NHS to go paperless by 2018.
Although this goal was ambitious and
unlikely to be met, the trend is clear:
medical records will become entirely
electronic in the very near future. In
addition, most countries and regions
are recognising that patients move and
there is an increased need to share
information in a controlled way.
In the move toward a full-scale digital
conversion, the NHS and government
have introduced standards and a
framework for the IT governance. With
the introduction of the General Data
Protection Regulation (GDPR) this year,
the focus on ensuring the integrity of
electronic patient data is very much
Interestingly, the UK is one of the very
first countries to have a completely
joined-up neonatal health record
including a detailed and controlled
governance model via BadgerNet. This
has permitted the creation of one of
the largest databases of information
available on neonatal care for clinical
use, as well as for research with
appropriate permission.
Regionally, maternity and neonatal
trends are following the same path.
Whether it is BadgerNet or another
supplier, there is an identified need for
specialist software solutions to provide
timely information across regions and
countries using intelligent solutions. Our
mission is to revolutionise maternal and
neonatal care by making this happen.
The UK is one of
the very first
countries to have
a completely
neonatal health
record including
a detailed and
model via
1. Infrastructure cost reduction
2. Greater resilience and
3. Access to records wherever
mother or baby may be
4. Consistent data definitions
across all sites
Supporting the clinical
community on-site in the
delivery suite

This article was sponsored by Clevermed. The Parliamentary Review is wholly funded by the representatives who write for it. The publication in which this article originally appeared contained the following foreword from Rt Hon Kwasi Kwarteng.

Rt Hon Kwasi Kwarteng's Foreword For The Parliamentary Review

By Rt Hon Kwasi Kwarteng

This year’s Parliamentary Review reflects on a tumultuous and extraordinary year, globally and nationally. As well as being an MP, I am a keen student of history, and I am conscious that 2020 would mark the end of an era. It will be remembered as the year in which we concluded Brexit negotiations and finally left the European Union. Above all, it will be remembered as the year of Covid-19.

In our fight against the pandemic, I am delighted that our vaccination programme is beginning to turn the tide – and I pay tribute to the British businesses, scientists and all those who have helped us to achieve this. But the virus has dealt enormous damage, and we now have a duty to rebuild our economy.

We must ensure that businesses are protected. We have made more than £350 billion available to that end, with grants, business rates relief and our furlough scheme supporting more than 11 million people and jobs in every corner of the country, maintaining livelihoods while easing the pressure on employers. The next step is to work with business to build back better and greener, putting the net zero carbon challenge at the heart of our recovery. This is a complex undertaking, but one which I hope will be recognised as a once in a lifetime opportunity.

Through the prime minister’s ten point plan for a green industrial revolution, we can level up every region of the UK, supporting 250,000 green jobs while we accelerate our progress towards net zero carbon emissions.

With our commitment to raise R&D spending to 2.4% of GDP and the creation of the Advanced Research & Invention Agency, we are empowering our fantastic researchers to take on groundbreaking research, delivering funding with flexibility and speed. With this approach, innovators will be able to work with our traditional industrial heartlands to explore new technologies, and design and manufacture the products on which the future will be built – ready for export around the globe.

And I believe trade will flourish. We are a leading nation in the fight against climate change. As the host of COP26 this year, we have an incredible opportunity to market our low-carbon products and expertise. Our departure from the EU gives us the chance to be a champion of truly global free trade; we have already signed trade deals with more than 60 countries around the world.

As we turn the page and leave 2020 behind, I am excited about the new chapter which Britain is now writing for itself, and for the opportunities which lie ahead of us.
Rt Hon Kwasi Kwarteng
Secretary of State for Business, Energy and Industrial Strategy