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Chris Fokke & Dominic Simon Hampshire Hospitals NHS Foundation Trust Present on ePROMs and integration with the electronic patient record

Chris Fokke Chief Clinical Information Officer with Dominic Simon Orthopaedic Consultant Hampshire Hospitals NHS Foundation Trust  discuses Towards the paperless hospital: ePROMs and integration with the electronic patient record:

  • ensuring PROMs fit within the drive to the paperless hospital
  • how we have developed an in house approach
  • implementation and the importance of clinical buy in
  • tips for success and lessons from our live orthopaedic and gastroenterology ePROMs


3 bullet points summarising the presentation:

  • The rationale for using in-house IT solution to deliver PROMs.
  • Standardization of PROM tools within an organisation- accommodating different requirements within different specialties.
  • Development, deployment and analysis- a practical approach


  • During 2013 HHFT considered whether to develop and deploy E-PROMs via ready-made PROMs solution or whether to invest in in-house development – In 2013 a decision was made to use in-house e-form development tools to deliver E-PROMs.
  • Two trial areas within the trust were identified – Orthopaedics and Gastroenterology- to deploy E-PROMs.


Embedding of PROMS and improving data-analysis and ease of use for patients.

The HHFT e-PROMs are linked to the HHFT Electronic Patient Record (EPR) and therefore is flexible in that the patient can enter data in a stand-alone E-form, which when submitted, is stored and analysed on an individual basis or anonymously.


  • The outcome of the PROMs design phase showed that a trust-wide group representing IT and all specialties/ key stakeholders was required to oversee the PROMs function in the trust.
  • In January 2014 the first PROMs electronic system went live in orthopaedic, whilst the Gastroenterology PROM went live in March 2014


The HHFT PROMs committee has been established and meets regular to oversee the development of PROMs usage and development.

Different specialties can agree a standardised approach of e-PROMs using a flexible e-form solution

Challenges and issues:

  • Technology/Building PROMs skills sets for efficient design.
  • Hardware- what hardware to use for different patient cohorts
  • Maintaining momentum regarding introducing PROMs

Future plans:

Expand E-PROMs so that patients can enter data from an external (outside hospital) web browser in a safe and secure manner.

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Chris Fokke works in Hampshire Hospitals NHS Foundation Trust in Basingstoke. Recently he has been appointed as the Chief Clinical Information Programme Officer (CCIPO), leading on several Programme streams associated with clinical systems development in the trust.

His nursing career has been in acute Neuro-science in New Zealand and English hospitals although his first Honours degree is in Community Health Care which he applied as a District nurse in Oxford.

He has worked for 16 years in the Royal National Hospital for Rheumatic Diseases NHS Foundation Trust in Bath, a national specialist rehabilitation hospital, where he was the Director of Clinical Practice and the Nursing Professional Advisor. His role included supporting clinical teams in care pathway development and implementation and acting as an executive board member, delivering opportunities associated with care pathways and clinical models to improve patient safety and enhance the patient journey.

Chris’ second degree is an MSc in Information Technology. He is also a qualified PRINCE 2 practitioner. Applying these qualifications in the NHS meant a change in career and in 2009 Chris commenced at the Basingstoke and North Hampshire NHS Foundation Trust as a Programme manager; successfully managing the roll out of several business critical clinical systems (PAS, electronic prescribing and electronic order comms). Chris’ role is to interface, support and provide advice between the clinical- and IT function within the trust. Combining an executive clinical background with an advanced insight into IT/IS solutions has proven to be an asset in ensuring that IT is a solution in healthcare.

Events of interest: 

Patient Experience Insight: Demonstrating Responsiveness to Feedback
Wednesday 4 February 2015, Birmingham

A Practical Guide to Improving Outpatient Services
Thursday 12 February 2015, London

Setting Up and Running Virtual Clinics
Monday 20 April 2015, London

Download: Chris Fokke and Dominic Simon Full Presentation

3 December 2014


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