Enabling Frontline Productivity through Mobile Community Working, NHS

Client Brief

Design and delviery lead.

Engaged to lead the design and delivery of East of England Community Health and Care NHS Trust’s Mobile Community Working Project for Adult Services.

Our Solution

Targeted engagement, improved adoption.

At project inception, we undertook a four-week Pilot involving a representative cross-section of frontline NHS staff across Bands 2–7 with varying levels of digital confidence and nuanced operational challenges in community care delivery. Whilst the Pilot validated the efficiency of a mobile-enabled care model, its outputs simultaneously highlighted the critical importance of alignment in operational workflows and system configuration. As we support the ongoing rollout of Mobile Working to more than 500 additional community-based staff, Morson Praxis is improving adoption through targeted engagement, iterative learning, and the controlled scaling of new ways of working – operationalising sustained productivity gains across community-based services.

Results

Supporting transformation priorities.

• Doubled tablet usage across care settings – There was a clear increase in frontline tablet usage across all settings; but devices were often used in addition to legacy tools, primarily due to system access constraints.
• 36% to 68% increase in real-time device utilisation – Clinicians used the mobile devices to view and update real-time patient information – improving communication, reducing duplication and supporting productivity.
• 7% to 37% faster patient record completion – Documentation efficiency was transformed with a much higher proportion of staff updating patient records within 1 hour of the community visitation.
• 36% to 16% reduction in reliance on handwritten notes – Enhanced access to secure patient records on mobile devices reduced the need for paper-based documentation – mitigating the risks associated with lost or incomplete EPRs.
• Zero connectivity issues (down from 64% to 0%) – Devices were used effectively across both urban and rural community care settings. Offline updates synced automatically as soon as sufficient wi-fi signals became available.

“Morson Praxis have been a trusted partner in supporting our transformation priorities. They work collaboratively with clinical and operational teams, bringing both rigour and flexibility to their approach. Their ability to translate frontline insight into practical solutions has helped us drive meaningful and sustainable change. They bring a strong balance of strategic thinking and practical implementation support.”

Sarah Buchan, Chief Information Officer and SIRO – East of England Community Health and Care NHS Trust