How Barking, Havering and Redbridge University Hospitals Trust Manages Audit Data with Medicus
Queen's Hospital in Romford and King George Hospital in Goodmayes
Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT) is a large NHS acute trust serving a population of around 750,000 people in east London and west Essex.
Its two main hospitals, Queen's Hospital in Romford and King George Hospital in Goodmayes, each have intensive care units that capture and submit clinical data to ICNARC, the Intensive Care National Audit and Research Centre. Medicus ICU has been central to that process at BHRUT since 2011.
Project Objectives
- Replace paper ICNARC data collection at the bedside with a structured digital system
- Standardise the audit process across both hospitals to cut benchmarking errors
- Save time on monthly reporting by keeping all data in one searchable place
- Help nurses understand the value of ICNARC data so data quality improves at the bedside
- Provide clinical leads clear visibility of bed activity, delays and infection data to support Quality and Safety and Multidisciplinary Team (MDT) meetings.
Solution
- Medicus ICU gives both hospitals structured digital data capture, replacing paper ICNARC collection
- Handle data checks and ICNARC submissions in one system to reduce errors and gaps
- Superquery reporting provides on‑demand bed activity, infection, delay and ICNARC benchmarking reports
- Admission searches by specialty and time frame give the audit team accurate, filterable data for monthly and ad hoc reports
- Superquery reports are taken straight into Quality and Safety and MDT meetings, giving clinical leads reliable performance insights
- Mela’s Customer Success team supports onboarding and provides additional training for new users.
Results
- Accuracy checks are built into the daily workflow, improving confidence in national benchmarking data
- Quality and Safety and MDT meetings are supported by structured reports pulled directly from Medicus, reducing preparation time
- ICNARC Audits Manager now trains bedside nurses on data collection, improving input quality at the source
- The trust continues to use Medicus because it is easy to use, offers strong data extraction, and provides reliable support compared with other platforms.
14+ years
97% reduction
Customer Feedback
Grace Gaisey is the ICNARC Audits Manager for both Queen’s Hospital and King George Hospital within BHRUT. She joined the trust in 2015 as a clinical nurse and spent eight years working in intensive care before being promoted to her current role in October 2023. Grace holds a nursing qualification from the University of Hertfordshire and a critical care qualification from London South Bank University.
Daily Use Across Two Sites
Grace Gaisey joined Barking, Havering and Redbridge University Hospitals NHS Trust in 2015 as an intensive care nurse. She was promoted to ICNARC Audits Manager in October 2023. Driven by the need for high‑quality data, her role now focuses on ensuring the critical care data produced by the units is accurate, complete and correctly submitted to ICNARC for national benchmarking through Medicus ICU.
Grace’s daily work includes preparing ICNARC submissions, running Superquery reports, checking patient data accuracy and pulling admission records for monthly and ad hoc reporting. She also produces key activity reports on beds, delays and infections for clinical governance.
"Medicus is essential to how we report ICNARC data. The system is clear, easy to use and has become the backbone of our critical care audit work."
A major part of her role is preparing data for Quality and Safety and MDT meetings, where she presents ICNARC insights with the ICU clinical leads. These meetings rely on consistent, reliable numbers, and Medicus now gives the team structured data they can use to track changes over time which wouldn’t have been possible with paper records.
Support That Works in Practice
Grace has received consistent customer support throughout her role, not just during onboarding. When she needs help with Medicus or a specific report, the Mela Customer Success team responds quickly, resolves issues and stays in contact. This in an important factor for Grace when managing ICNARC data across two busy hospital sites with limited resource.
Improving Data at the Source
One of the changes Grace has led in the audit role is improving how bedside nurses record ICNARC data. Before taking on the role, she often saw nurses completing forms without fully understanding why data quality mattered. Drawing on that experience, she now trains ICU nursing staff at both sites, focusing on what ICNARC data is used for, why accuracy at the point of capture within Medicus is important and how bedside errors can affect the trust’s national benchmarking position.
The work done earlier in the process directly affects what Grace can do in Medicus. When staff are better informed, the data they enter is better. She sees the two as closely linked and strengthening that link has become an important part of her role.
Looking to improve your national registry data management? Find out how Medicus supports critical care teams across NHS acute trusts.
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