Case Studies/NICU Patient Tracking System
Senior Consultancy Engagement

NICU Patient Tracking System
for Clinical Handover

A UK children’s healthcare trust needed a digital way to track neonatal patient information across shifts, reduce paper-based risk, and support rapid re-admission context within an existing Microsoft 365 environment.

Sector Regulated healthcare
Engagement Senior consultancy
Platform Power Apps and SharePoint
Environment Existing Microsoft 365 tenant
The Challenge

The problem behind the work

A neonatal intensive care team was working in a high-acuity environment where continuity of patient information mattered every hour. Patient charts were maintained on paper across day and night shifts, and handovers relied on a mixture of verbal updates and informal documentation.

When patients were discharged and returned within 24 hours, previous context was difficult to access quickly, delaying assessment and creating avoidable administrative friction.

Paper-based tracking Patient data was captured on paper charts with no central digital record or live view.
Misplaced and incomplete charts Paper records could be lost, mislabelled, or left incomplete during busy shifts.
Unstructured handover Incoming staff relied heavily on verbal handover rather than a complete timestamped record.
Re-admission context gaps Recent care history was difficult to retrieve quickly when a patient returned soon after discharge.
The Solution

What was delivered

Two connected Canvas Apps were delivered on a shared SharePoint data model: one for patient tracking across shifts and one for discharge and re-admission workflows.

Patient tracking app

Nurses could capture observations, interventions, status updates, treatment details, and notes directly against each patient.

Shift-by-shift history

A chronological patient timeline gave incoming staff current and historical context at handover.

Discharge and re-admission app

Clinical teams could track discharge events and immediately surface prior records when a patient returned.

Shared SharePoint model

Both apps used one data layer to avoid duplication and preserve continuity between workflows.

Role-aware access

Access controls were aligned to clinical roles within the existing Microsoft 365 environment.

Low-disruption deployment

Canvas App delivery supported fast rollout with minimal infrastructure change.

Outcomes

What changed

Paper charts reduced

Patient data could be captured digitally at the point of care.

Handover improved

Incoming staff gained a clearer, timestamped view of recent patient activity.

Faster re-admission assessment

Prior care records could be surfaced quickly when a patient returned within 24 hours.

Better data quality

Structured digital forms improved consistency across shifts and users.

Governance maintained

The solution stayed within the organisation’s existing Microsoft 365 and data governance boundaries.

Lower admin burden

Clinical teams spent less time piecing together information from paper records.

Delivered in a senior consultancy capacity. Trust details anonymised.
Technology

Platform components

Power Apps (Canvas) SharePoint Power Automate Microsoft 365

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