ADVICE & GUIDANCE
Aim of this session • To provide a background to A&G process • To discuss the current process • Outline and identify any issues • Identify any best practice solutions • Gained feedback from you on how we can improve the process
Background *July 2018 to January 2019 – all sources
Current process • Request made to Trust either via e-RS or in Request some instances via phone made • Exported / recorded on CPD and CPD allocated to appropriate Consultant and worklist Specialty • Response actioned and Response sent via normal communication method to practices e.g. DTS via MESH Note – outside of e-RS
Issues – Primary Care • The way responses are received back are inconsistent • Difficult to track for practices – no specialty information is provided • Length of response time an issue in some specialties • Workarounds introduced in practice to ensure tracking of requests • Unable to code and copy information to GP clinical system easily • As done outside of e-RS practices have to close down requests on their worklists
Discussion • Discuss on your tables • What is good and you would like to keep? • What would you change about the process? Top 3 • Are there any other issues you wish to raise? • How do you track requests in your practice? • Have you introduced any process in house that could help others?
Improvements • Template to be developed for responses • Include specialty detail on the responses • Responses to be received through one system
Expediting referrals via A&G • You can also use A&G to: expedite referrals that have already been sent via RSS Provide additional patient information to the Consultant e.g. results of bloods / x-rays etc. • Not to be used for: Submitting new or urgent referrals • All consultants have been sent instructions on the new process by Dr Donald Richardson (Consultant Nephrologist and Deputy Medical Director) and therefore if you receive any comments back asking you to send via another route you can refer them to Dr Richardson’s email
Removing an Advice and Guidance response from your worklist • From your worklist screen, open the Advice & Guidance responses worklist • Click the UBRN of the response you wish to remove from your worklist • Click Actions and select Close Advice Request. You now see a summary of your request and the response • Click Close Advice Request to remove it from your worklist • The UBRN will remain in your Advice and Guidance responses worklist for 180 days or until you remove it from your worklist
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