Shortened link to this page = https://cutt.ly/Referrals
RMP - quality of referral decisions / referral content
Process/Content
Context - covid . Excelerated virtual clinics + triaging of referrals
Referral Assessment Service on eRS (RAS)
Mandatory since 2018 for Consultant led services
Not able to embed local referral forms/ request for information /dataset
Has it altered 'referral quality' ?
Synthetic patients that work with eRS can be requested from testdata@nhs.net
monthly updates to document templates
within EMIS so avoid the connection issues many practices had with DXS
within EMIS so can get some EMIS related glitches
NB recent issue with community CLCH GP ref form - discuss detail at end of session (avoid Fed forms)
Referral forms/letters work well. Information - better viewed on Wandsworth TeamNet referral pages
Wandsworth leadership vision in 2012 for easy reliable access to secondary care colleagues at St George's.
Kinesis was best option & continues to be re:
reliablity in getting replies (monitored by RMP)
email alerts
target specific consultants with known special interests. Is relational. ? better quality replies
ease of use.
eRS A+G - add on to eRS. on eRS website. Ask question of a 'clinic' and usually get a clinician who is triaging on that day
Chelwest - now all on eRS A+G
GSTT continues on eRS A+G
Hosts the Prescribing Guidelines and Referral Guidelines (WCCG website no longer updated)
GP TeamNet (online intranet) now provided for all SWL GP Practices. Hosts the COVID information and updates
Introduction -
with planned care perspective
Run through the 5 areas of focus:
1. ‘Quality’ of referrals
2. e-Referral Service (eRS)
3. Ardens within EMIS web - referral forms
4. Advice & Guidance
5. GP TeamNet
Secondary care colleagues - help us imagine what it's like on the receiving end of referrals
What referral information /dataset is crucial for safe & effective triage?
Updates on their services & future developments ( Together clinics & sending images for dermatology)
5 Small Groups for 30 minutes
Back to the main group for feedback discussion & questions
1.‘Quality’ of referrals (content)
Imagine receiving primary care referrals to triage patients.
What do you think are the challenges?
If a training practice, how do you teach GP trainees re content of referrals?
( if not a training practice – how would you go about it?)
What were you taught re content & presenting a referral?
Has eRS altered referral content?
Can the group list referral content that would generally assist referral triage?
2. e-Referral Service (eRS)
How has your practice embedded eRS into practice systems and level of admin staff involvement?
If admin staff are involved how are choices of clinic & content of referral communicated to them?
Are systems similar throughout your PCN?
How are new staff trained?
Are there learning needs that that aren’t met by in-house or national resources?
Who in your practice monitors eRS worklists daily? (& contingency for absence)
3. Ardens within EMIS web / referral forms
Of the referral forms that are available, do you have views on what makes for a good referral?
Apart from document and clinical templates has your practice used the other features provided by Ardens?
Has your practice had Ardens training?
4. Advice & Guidance
Kinesis continues to be the method of A+G for St George’s
What’s your view of it?
If you use eRS A+G for other Trusts, how does it compare?
What do you see as the main advantages of Kinesis?
5. GP TeamNet
Does your practice or PCN use GP TeamNet?
Have you accessed the Wandsworth TeamNet? (prescribing and referral guidelines)
How easy to access have you found it?
Has it provided the information you were looking for?
How would you like to see this developed?
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