PERFORMANCE:Wokingham CCG has warned implementation of a new electronic patient record system at Royal Berkshire Foundation Trust has created “coding issues” which have led the CCG to question some of the data supplied by the trust.

“We had hoped that these issues would have been resolved by this reporting cycle, however, this is not the case and consequently a number of assumptions have been used to interpret the raw data as presented to us.”

It says that the main issues include:

“-the system default to Non Elective (NEL) for planned inpatient activity. Elective and Day case activity generally costs less than NEL so the cost may be inflated.

“-Significant levels of activity are only coded at a very generic specialty level-not down to HRG-so analysis of variance is not possible, validation is difficult and activity is priced at average for specialty. Full coding of activity within the national timeframe is a prerequisite for being able to charge to Commissioners, so consequently a significant level of potentially valid activity has not been accepted by the PCT-valued at £1.7m to date.”