Manchester University NHS Foundation Trust (MFT)

Wythenshawe and Withington Hospital sites


At MFT, InfoFlex interacts with several hospital systems, so that the clinical team managing the aftercare of colorectal cancer patients can easily access information about each patient straight away, without needing to log in and out of other systems. InfoFlex also forms the bedrock on which the Trust can confidently risk stratify patients to supported self-management, knowing that InfoFlex will reliably and safely keep track of patients and their needs, as well as facilitating their recovery, through offering enhanced information and support.


InfoFlex Benefits


Increased efficiency


      • Removes unreliable spreadsheets and multiple follow up systems for cancer patients
      • Enables more accurate and complete record of patient data
      • Readily interfaces with other relevant hospital systems such as PAS
      • Provides easier access to data: the secure InfoFlex system allows clinicians to log in once to access the patient record
      • Reduces admin for the specialist colorectal nurses who manage patient aftercare
      • Delivers treatment summaries in a much more timely and efficient way
      • Provides helpful process mapping for all tumours, independent of the technology

Better Patient Experience

      • More formal follow up means that patients are not lost to the system and it does not fail to send them appointments. Follow up appointments are also more timely
      • Only those who need to come to clinic now attend, saving the patient time and enabling them to feel less medicalized in the long term
      • Facilitates supported self-management

Issues addressed


Better access to patient information:

“One of the colorectal nurse specialists yesterday wanted to look at a particular test result. She already had the information for that patient open on InfoFlex. She didn’t need to click in and out of other systems. The result was there straight away. The person’s letter was there. That wouldn’t have happened before.”

Jane Brown
Macmillan Colorectal Cancer Survivorship Programme – Project
Manager MFT (Wythenshawe and Withington Hospital sites)

To manage patient aftercare the clinical team needs to have access quickly and efficiently to the patient’s data. At MFT (Wythenshawe and Withington Hospital sites) InfoFlex helps support the management of aftercare for colorectal cancer patients. To do so, it has to interact with the Patient Administration System (PAS), cancer tracking system and then with the relevant clinical systems (pathology, radiology, endoscopy etc.).  A further critical requirement for safe risk stratification of patients to remote monitoring and surveillance is a robust ‘track and alert’ system.  This need could not be met by existing trust IT systems, but it is a feature of InfoFlex.


Implementation of stratification and supported self-management:

“The idea is to get the patient back to normal and send them on their way. It will mean that people will be seen in the right way at the right time, by the right person.”

Sarah Duff
Consultant Colorectal Surgeon, MFT
(Wythenshawe and Withington Hospital sites)

Colorectal cancer aftercare at MFT (Wythenshawe and Withington Hospital sites) has been revolutionised by the advent of InfoFlex. After their first consultant-led appointment post-surgery, patients are followed up in clinics led by specialist colorectal nurses. These clinics can now be run virtually for patients risk stratified to supported self-management i.e. who do not need to be seen at hospital outpatient clinic, saving valuable time and improving patient experience, whilst still ensuring safer and more efficient follow up.

Meanwhile, for patients who do need to return to the hospital more frequently or as a priority (e.g. with recurrence), InfoFlex has freed up time in the colorectal nurse-led clinics, so patients are more easily and quickly able to be seen.


Design and Implementation


“The design and the flexibility were what the clinicians wanted. The InfoFlex team had done it before and it was relatively easy for them to make the changes. They are very good at understanding why a particular trust wants to do things and have experience in how to do it.”

Nadeem Ahmed
Enterprise Architect & Informatics Lead
Greater Manchester Cancer / Vanguard Innovation

At MFT (Wythenshawe and Withington Hospital sites) InfoFlex has been set up to interface with the PAS, cancer tracking system and relevant clinical systems including the Radiology Information System, pathology, histology  and endoscopy. InfoFlex is a tried and tested system, which fills any gaps between the electronic patient record and the clinical data which is collected on each patient.

As part of the project, the clinical team process mapped the current and ‘to be’ service, developing a consistent way to apply clinical processes. This helped to show why you would retire various spreadsheets and come onto the InfoFlex system. These process maps, which conform with Macmillan and NICE guidelines, are freely available through the InfoFlex team and will greatly speed up the process for any trusts wanting to come on board with InfoFlex in future to manage cancer aftercare.

The trust has now started to roll out InfoFlex to manage the aftercare for those with breast cancer, which will involve a significantly greater number of patients. They also plan to make available an InfoFlex web portal so that patients can directly access their treatment summary, as well as having access to enhanced information and support for their condition.