Driving reliability in healthcare data: how Roq supported a national treatment register rollout for an NHS CSU

OUR CLIENT 

Our client is a large NHS Commissioning Support Unit (CSU) providing expert healthcare service solutions across the UK. Working in partnership with commissioners and providers, the CSU develops integrated systems and care models that improve outcomes, ensure cost efficiency, and deliver excellent service across the NHS. 

THE CLIENT CHALLENGE 

The CSU had developed a SQL-based treatment register for Hepatitis C patients, but several barriers were putting the success of the rollout at risk: 

• Clinician involvement had been limited, leading to a gap between system functionality and real-world needs. 

• The development team worked remotely with minimal coordination, slowing down delivery and limiting clarity around requirements. 

• There was no existing test strategy, defect tracking, or release management process, creating inconsistency and risk in product quality. 

• Sensitive patient data required careful handling to maintain security and ensure regulatory compliance. 

WHAT WE DELIVERED 

Through our Delivery Augmentation solution, Roq deployed expert consultants to design and implement a structured, collaborative testing approach: 

• Defined and delivered a robust functional test plan in the absence of formal requirements, leveraging risk-based exploratory testing to cover key workflows. 

• Built strong relationships with developers, helping embed quality into the process and establish buy-in for formal testing. 

• Introduced structured release and defect management processes using a tool-agnostic approach for long-term client flexibility. 

• Collaborated directly with clinicians to shape and deliver a tailored UAT phase, defining UX test criteria and reducing the time burden on medical professionals. 

CLIENT IMPACT 

By embedding quality and collaboration into the programme, Roq helped ensure the register was delivered securely, reliably, and on time: 

• High-priority defects were identified and resolved before go-live, ensuring the system could reliably support patient care. 

• A structured, repeatable release and defect management framework was implemented, supporting long-term system maintenance and improvement. 

• Sensitive testing was conducted without using real patient data, protecting privacy while maintaining accuracy through the NHS Number Generator and Validator Service. 

• Despite early delays, the system was delivered to the agreed timeline, providing clinicians with a trusted tool to support effective patient treatment tracking. 

To find out how Roq’s Delivery Augmentation solution can support your business, contact our experts at ask@roq.co.uk.