Neurosurgery Referrals Database Nick Phillips, Ian Anderson and Ryan Mathew

TheLeedsTeachingHospitals NHSTrust Notes Please view this presentation in slide show mode in order to get links to the web pages refer/ refer/ There are links to the relevant webpages for ease of use on: Slide 5 – How to get started Slide 6 – Making a referral to Neurosurgery Version 1.1 (30 th September 2013) by Chris Jones, Service Manager Major Trauma

TheLeedsTeachingHospitals NHSTrust Benefits for referrers Easier to refer - not needing to remain on hold while switchboard are trying to contact the on-call neurosurgeon (who may be operating) Quick responses Documented decisions and plans that can be printed and placed in patient notes Time and date-stamped referrals and responses Improved Communication - Removing the need to re-discuss with neurosurgery if initial conversations aren't recorded in the notes Consistency of care (and therefore responses and plans) within neurosurgical registrars and consultants, rather than having to start from scratch the next day with a new neurosurgeon on-call Easier to call - the on-call mobile is kept free for truly life-threatening emergencies, so that these can be given the immediate attention that they require Version 1.1 (30 th September 2013) by Chris Jones, Service Manager Major Trauma

TheLeedsTeachingHospitals NHSTrust Benefits for the Neurosurgical department Focus capacity - Ability to triage referrals effectively and deal with these sequentially without being repeatedly disturbed by bleeps that may or may not require urgent attention Improved Documentation - Written, documented plans of action can be provided for patients Auditable database of referrals in order to monitor and improve standards of care for patients Improved Communication - Less time spent re-discussing plans for patients will allow for more prompt responses to queries. Version 1.1 (30 th September 2013) by Chris Jones, Service Manager Major Trauma

TheLeedsTeachingHospitals NHSTrust How to get Started What will I need? GMC Number, An NHS (Trust or nhs.net) account, A computer on an NHS Network Register for the site – Click image or link Click the Request Logon link to register for the site (right hand side) and proceed to complete this process You will receive an with details of how to activate your account Activate your account Click the Activate Logon link to activate your account (right hand side) That’s it Once registered, your account will last you for your career. You do not need to create a new account if you change NHS Trusts etc. however please amend your contact details Version 1.1 (30 th September 2013) by Chris Jones, Service Manager Major Trauma

TheLeedsTeachingHospitals NHSTrust How to make a referral Once you have activated your account, go to the site again and click the Referring Hospitals link to make a referral Once a referral is made, the on- call neurosurgical registrar will receive a text message to inform them of this and they will review the referral and offer advice You will receive responses to online referrals via the same system Version 1.1 (30 th September 2013) by Chris Jones, Service Manager Major Trauma

TheLeedsTeachingHospitals NHSTrust Frequently Asked Questions It's a life-threatening emergency, what should I do? For a patient that needs an immediate decision about a life or death issue please call the on call Reg We would expect these patients: are being kept fasted, pre-operative bloods sent and their scans electronically transferred to the Leeds PACS system (if referring from outside LTH NHS Trust). I only want some advice, can I just ‘phone you? Any advice regarding a patient constitutes a referral and must be undertaken via the online system. This ensures that all parties involved are given a full set of information before advice is given, rather than potentially dangerous off-the-cuff advice based on a snapshot of the clinical picture Who should use this system? Referrers from provider NHS Trusts & GP’s *Some GPs may find that their particular NHS server is not recognised if they try to use the system – in this case please call the on call Reg Version 1.1 (30 th September 2013) by Chris Jones, Service Manager Major Trauma

TheLeedsTeachingHospitals NHSTrust Key Contacts If you have any further questions or feedback please contact: Version 1.1 (30 th September 2013) by Chris Jones, Service Manager Major Trauma