How a software provider helps a hospital manage diabetes patients’ medical records

Through its partnership with software and consultancy provider Hicom, the University Hospitals of North Midlands (UHNM), is providing multidisciplinary teams with instant access to patient medical history, whenever there is patient interaction.

Implemented in 2014, Hicom’s paediatric diabetes management system, Twinkle, links with the hospital’s PAS and pathology system to provide nurses, clinicians and dieticians with the ability to quickly access up to date patient data, appointments and test results. Twinkle also delivers a single view of all medical notes and as a result has improved operational efficiencies and interoperability, which has led to considerable time savings for staff and better care for patients within the hospital’s three clinics and in their homes.

Efficiency and Interoperability

Twinkle enables nurses to review vital patient data such as what insulin regimen a patient is on, previous appointment notes, historical HbA1c in graphical form and any ongoing issues that need to be evaluated. They can also view any alerts that are on patient records that indicate additional tests are required.

Dr Parakkal Raffeeq, consultant paediatrician said: “The process of planning each day of appointments has not only become less time intensive with using Twinkle but we’ve also been able to better manage resources.

“Previously, data was just being stored, however Twinkle is more than a database, it’s a live clinical information system. For example, if a nurse in the community visits a patient in the morning and a note is added to the system to state additional insulin was given, both us and our patients have the reassurance that a nurse on call later that evening will have access to up to date and accurate information and will know the next course of care needed to be given to the patient. This has led to the team feeling more prepared heading into an appointment and they know what the outcome of the appointment needs to be.”


With the requirement to regularly submit information for the National Paediatric Diabetes Audit (NPDA), one of the initial main drivers for the Trust to use Twinkle was having the use of data indicators that immediately identify any gaps in information. Similarly, when reporting for the Best Practice Tariff (BPT), clinicians are able to click on individual patients and see how they are performing, how many appointments they have left in the fiscal year and whether they are likely to meet targets that have been set. These features are key to enabling clinicians to proactively manage long term care planning and ensure accuracy of data as part of their day to day patient interactions.

Dr Raffeeq continues: “The functionality of being able to access individual patient data, whether recent or historic, and at any time, is proving to be extremely useful for when we review patient care and for the NPDA.”


In support of the Government target for the NHS to become paperless by 2024, the Trust is trying to moving away from paper-based records and migrating to a digital working environment.

“Working with paper records has been challenging. If notes don’t arrive at the clinics in time or are misplaced, it can have an immediate knock on effect to not only our team but also our patients. Now, if a note is added to a patient record, regardless of when it was added or if it was added in a clinic or at the patient’s home, we are all able to view what care is needed on any given day.

“Additionally, we are delighted that having Twinkle and digitising our processes has meant that the aim to achieving paperless records throughout the entire Trust is well and truly in sight,” concludes Dr Raffeeq.


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