Merlok GP System of Choice (GPSoC)

Description

Currently there are 26 practices in NI that use Crosscare. Given the dependency on IT in General Practice, stopping these services would very significantly impact on the ability of the 26 Crosscare GP practices to provide GMS services. Practices would be unable to access patient histories or record consultations against an electronic patient record. They would also be unable to interface electronically with other HSC systems - E.g. lab results, radiology reports, registration links, Emergency Care Summary, Key Information Summary, Electronic Document Transfer, GPIP etc. - so reintroducing delay and inaccuracy in patient care. Lot 1: Currently there are 26 NI GP practices using the Crosscare GP clinical system for patient management. The systems, provided to practices by HSCB in line with the provision of GMS services through the 2003 GMS Contract, were procured via Orders from the NIGPSoC Lot 1 Framework Agreement and will now expire March 2022. The prime contractor for Crosscare Lot 1 services is currently One Advanced, who deliver the solution in Northern Ireland through a local company Merlok. To enable the Crosscare system to meet the needs of the practices, it must interoperate with other specific hardware and software - such as patient check-in and patient call systems. This "additional" hardware and software, previously supplied by Merlok under the "TPA13-1200640" agreement, must be compatible with the Crosscare clinical system if it is to function correctly. The procurement and use of hardware and software provided by anyone other than Merlok introduces significant risk of failure and disruption to practices due to the high potential for incompatibility between this hardware and software and the Crosscare system. Further, Merlok is currently responsible for the Crosscare clinical system and for the specific hardware and software. The responsibility for resolving any issues of interoperability between these components rests solely with Merlok. The supply of such hardware and software by an additional 3rd party would introduce risk and uncertainty into the support process where it is likely that both suppliers would blame each other for any failures, so delaying resolution and prolonging disruption to practices. This pairing of Crosscare with the specific hardware and software is in place in the 26 practices. To ensure that the equipment continues to operate as intended, the supply of replacement hardware components, as well as relevant engineering services, is required. The supply of incompatible components or the provision of engineering services by non Merlok engineers significantly increases the risk of failure and prolonging disruption to practices. Given the close alignment of the specific hardware and software with the Crosscare system, training on these can only be provided by Merlok.