Digitally Assembled Referral Toolkit (DART) & Teledermatology Dr Rob Eastham, Dr Jamie O’Shea, The NHS Leeds CCG Contact: Rob Eastham Email: r.eastham@nhs.net

Learning Objectives Why DART? Roll out of the ‘Two-week wait’ template The future – DART ‘Referral Hub’ The ‘Patient Summary Record’ Teledermatology roll out Teledermatology demo video

Background 2016 RBS audit – 48% referrals don’t meet minimum criteria Boxes not ticked can lead to delayed investigation / assessment 2017 Research at x11 practices identified issues (Word forms, handover)

DART - Towards a referrals standard Digitally Assembled Referral Toolkit (DART) Centrally updated forms, quick and easy to complete Forms remind clinicians if core clinical information incomplete Automatic setup of task attributes (for safer handover)

DART – City-wide roll-out

The future – DART Referral Hub Sections for planned care pathways (hospital / community) New forms built from the ground up for DART process No requirement for referral letter – notes auto-populated New ‘Patient Summary Record’ Live city-wide Thursday 26th April 2018

DART Referral Hub – New Forms Cardiology (including Heart Failure and Rapid Access Chest Pain) ENT (all routine referral types) General Medicine and General Surgery Non urgent Upper GI Endoscopy Non obstetric ultrasound

https://rebrand.ly/HubCardiology Video link – Example of using DART to write a Cardiology Referral https://rebrand.ly/HubCardiology

Teledermatology – GO LIVE 1ST JUNE 2018 Purchased 260 dermatoscopes and ipods for general practice Provided a fully IG compliant system for taking and storing images Produced a full support pack for practices which includes: - Training video Equipment Allocation and Usage Policy Standard Operating Process (SOP) ‘How to Guide’ for admin staff Tested the safe and secure transfer of images between general practice and LTHT Developed a new 2ww referral form for teledermatology

Video link – Teledermatology https://www.youtube.com/watch?v=w0iRSwTNlDQ&feature=youtu.be

Teledermatology – Key Messages Don’t forget to pick up and sign for your kit as you leave today Launch date is June 1st, after which you will be expected to take the images, attach them to the new referral form and make the referral using e-RS to the Referral Assessment Service (RAS) Don’t forget to make sure you get patient consent and record this on the referral form.

Digitally Assembled Referral Toolkit (DART) & Teledermatology THANK YOU