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Why CellmaEHR is the Emergency Department EHR You Need

emergency department EHR

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Urgent and emergency care in England is under immense pressure. In March 2025 alone, 2,389,064 patients attended A&E, with an average of 77,067 daily attendances, a 3.6% rise from February. Yet only 75% of patients were admitted, transferred, or discharged within four hours, well below the NHS constitutional standard of 95%. Ambulance response times, overcrowding, and delayed diagnostics continue to challenge both clinicians and patients in already stretched emergency departments. 

In this landscape, a robust emergency department EHR is not a luxury but a necessity. CellmaEHR is designed to support the NHS in delivering urgent and emergency care that is faster, safer, and more coordinated. Aligned with the NHS Long Term Plan and the NHS 10-Year Plan, Cellma provides hospitals with a future-ready digital infrastructure that strengthens clinical decision-making, supports patient flow, and improves outcomes while reducing waiting times. 

Integrations and Standards in the NHS 

Cellma is designed to link with NHS digital frameworks using connected care across the health ecosystem. Our emergency department EHR complies with and integrates the following: 

  • GP Connect – access to GP patient histories – quicker patient history = safer decisions. 
  • Shared Care Records – safe, and assured, continuity of care across primary, secondary, and community care connections. 
  • Care Identity Service 2 (CIS2) – secure ID mechanism for NHS staff. 
  • Personal Demographics Service (PDS) – fast, and accurate, identification of patients. 
  • FHIR and HL7 – interoperability with your NHS Systems and third-party platforms. 
  • Electronic Prescription Service (EPS) – with prescribing and dispensing directly from A&E. 
  • NHS Spine Services – real-time data processing across the national infrastructure. 
  • Summary Care Records (SCR) – access to essential patient information for clinicians they need for care such as medications, allergies, and allergies. 
  • NHS Federated Data Platform (FDP) – support local data-informed system and hospital flow. 
  • NHS e-Referral Service (e-RS) – rapid referral onward to specialist and community services. 
  • MESH (Message Exchange for Social Care and Health) – secure data sharing between organisations 
  • Cyber Essentials Plus accreditation – indicating a commitment to providing NHS-grade cybersecurity 
  • Advanced Reporting & Analytics – Cellma provides real-time reporting dashboards tailored for A&E, including:  
    – 4-hour target compliance reports 

    Ambulance handover delays 
    Patient flow and bed occupancy 
    Triage-to-treatment time tracking 
    Sepsis and stroke pathway adherence 
    Re-attendance and discharge summaries  

These integrations create assurances of clinical robustness, but also digital confidence for hospitals, enabling them to respond to current pressures whilst gearing up for the NHS of tomorrow. 

Urgent Care Scenarios and Cellma’s Support 

Urgent Care Scenario 

How Cellma’s Emergency Department EHR Supports Care 

Heart Failure 

BNP/troponin ordering via Lab module, chest X-ray access, red flag alerts for acute decompensation, referral to cardiology and bed management tools. 

Stroke 

Direct CT brain request, pathway alerts for thrombolysis/thrombectomy, and rapid neurology referral. 

STEMI (Heart Attack) 

Instant ECG upload, troponin tracking, Cath Lab team activation, and cardiology admission coordination. 

Sepsis 

Automated sepsis screening, Sepsis 6 protocol embedded, antibiotic prescribing via E-Pharmacy, IV fluid reminders. 

Major Trauma 

ATLS protocols within EPR, trauma team activation, real-time coordination with Major Trauma Centres. 

Asthma/COPD Exacerbation 

Alerts at triage, protocols for nebulisers/oxygen therapy, vitals monitoring, community respiratory team referrals. 

Mental Health Crisis 

Liaison psychiatry referral via Cellma Connect, risk assessment tools (self-harm/suicide risk) safeguarding alerts, coordination with crisis hubs/community care. 

Paediatric Emergencies 

Child-specific triage scoring, safeguarding triggers, embedded paediatric protocols for sepsis, asthma, and convulsions. 

Diabetic Emergencies (DKA/HHS/Hypoglycaemia) 

Automated glucose/ketone alerts, insulin therapy pathways, fluid balance monitoring, discharge education resources. 

Managing Complexity in Emergency Care

Situations in emergency departments are unique as they are inherently complex as staff manage individuals presenting a range of urgent concerns, from cardiac emergencies, respiratory conditions, neurological issues, sepsis, trauma, and metabolic responses, to name a few. Every single patient in the emergency department needs staff to act quickly, assess skilfully, and collaborate with their colleagues. 
 
Cellma, an emergency department EHR provides physicians with access to useful digital tools to support the management of these complex situations: 
 
Triage Integration: Automatic notifications when alerts are identified, set up for exploring potential delays in action based on high-risk symptoms, such as chest pain, if stroke/travel signs, sepsis red flags, abnormal vital signs. 
 
Lab Management Module: Rapid ordering and tracking of the required diagnostics and their results (cardiac markers, ABG, glucose, infection markers) with results feeding directly into the EPR. 
 
Clinical Decision Support: Clinical pathways, care pathways embedded to manage sepsis, STEMI, stroke, DKA, COPD exacerbations, trauma and mental health crisisreceive automatic alerts for abnormal results easy access to support action as specified in nationally agreed guidelines. 
 
Integration of Imaging & Diagnostics: Instant referencing of X-rays, CTs, MRIs, ultrasounds, and ECG results for minimal diagnostic delay. 
 
Integration of Communication Tools: Referrals for cardiologist, neurologist, orthopaedic, psychiatrist and community services, to provide improved patient coordination. 
 
Integration of Patient Education & Discharge Planning: Fully integrated digital education and discharge summaries are sent direct to patients and GPs to assist in reducing re-attendance. 

Cellma’s Security and Data Privacy 

Patient data protection is a priority in a fast-paced emergency department. Cellma’s ED EHR provides NHS-grade security systems that maintain: 

  • Role-based access controls allow clinical staff to only see relevant patient data. 
  • Comprehensive audit trails for accountability and compliance. 
  • Data that is encrypted at rest and in transit, ensuring confidentiality. 
  • GDPR standard compliance, NHS Digital compliance, Cyber Essentials Plus approved, DSP toolkit compliant, ISO 27001 certified.   
     

With all this in place, Cellma ensures that, sensitive patient data remains secure, while allowing clinicians immediate access to the information they require for patient care. 

The demands of urgent and emergency care continue to grow, but with the right digital infrastructure, clinicians can deliver safer and more effective care. CellmaEHR, an emergency department EHR not only enables timely decision making and efficient patient flow but also ensures full compliance as well as a future-proof approach for the NHS. 

FAQs

In what ways does CellmaEHR support NHS emergency department targets?

CellmaEHR is aligned with the NHS 10-Year Plan and integrates with key systems such as the GP Connect, PDS, CIS2, and Shared Care Records, which promotes speedy access to patient data and better triage decisions, because of access to the data quicker, better patient flow–helping trusts meet the four-hour target in A&E.

Is CellmaEHR interoperable with existing hospital systems and imaging systems?

Yes. CellmaEHR is built to interoperability standards including FHIR and HL7. We connect to NHS Spine Services, labs, as well as existing imaging systems such as PACS and RIS, bringing both diagnostics and patient records seamlessly together in one place, reducing delays in urgent care scenarios.  

How does CellmaEHR secure patient data with cybersecurity in emergency settings?

CellmaEHR comes with NHS-grade cyber security that includes role-based access, full audit trails, encryption in transit and rest and ISO and 27001 and complies with GDPR, NHS Digital and Cyber Essentials Plus. Patient data (and their information) using CellmaEHR can still remain secure, even in a fraught client environment of emergency departments.