GPOC / ICE Supporting Patient Safety Carol Thomson, IM&T Manager Emily Huggett, PLIG GP Catriona Morton, PLIG GP

Overview Role of PLIG Ordering appropriate tests & accessing guidance Sending samples Lab website:

PLIG Primary Care Laboratory Interface Group GP sub-committee reps Laboratory specialists and management Secondary care Update meeting Agrees tests and forms

PLIG processes

The ‘new’ Immunology Form

GPOC Immunology…

Overview Role of PLIG Ordering appropriate tests & accessing guidance Sending samples Lab website: -

GPOC Immunology…

Autoimmune tests– the guidance

PLIG Guidance...

PLIG & Clinical advice….. Haematology guidance Thyroid function TFTs in pregnancy The ‘male menopause’ LFTs Wound swabs Lipid guidance….etc

Intrinsic pop-ups too....

GPOC working for your team

Some screen changes… DMARDs updated and Penicillamine added… Hypertension – just C&Es (LFTs dropped) Hypertension – added new diagnosis screen ‘Keep Well’ changed to CVD Primary Prevention Assessment ‘Books’ changed too

Some queries CKD: Calcium / albumin / phosphate / FBC IHD has FBC; diabetes does not….. LFTs – we have removed from CHD; do we want to retain for new diagnosis hypertension? Are there screens you would like to see added? …..or changed?

Overview Role of PLIG Ordering appropriate tests & accessing guidance Sending samples – practicalities Lab website: -

Patient collected samples….

Searching for a test....

Editing the request….

Urgent specimens

What would help labs...

Messages to ourselves and others…

GPOC - New Developments…. HbA1c Blood sugar results! Dr Charu Chopra, (Clinical Immunologist)

Cumulative Report Changes….

Thinking time…. Questions Ideas Suggestions What changes do you want….?