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

2. Overview Role of PLIG Ordering appropriate tests & accessing guidance Sending samples Lab website: www.edinburghlabmed.co.uk

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

4. PLIG processes

5. The ‘new’ Immunology Form

6. GPOC Immunology…

7. Overview Role of PLIG Ordering appropriate tests & accessing guidance Sending samples Lab website: -www.edinburghlabmed.co.uk

8. GPOC Immunology…

9. Autoimmune tests– the guidance

10. PLIG Guidance...

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

12. Intrinsic pop-ups too....

13. www.edinburghlabmed.co.uk

14. GPOC working for your team

15. 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

16. 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?

17. Overview Role of PLIG Ordering appropriate tests & accessing guidance Sending samples – practicalities Lab website: - www.edinburghlabmed.co.ukwww.edinburghlabmed.co.uk

18. Patient collected samples….

19. Searching for a test....

21. Editing the request….

22. Urgent specimens

23. What would help labs...

24. Messages to ourselves and others…

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

27. Cumulative Report Changes….

28. Thinking time…. Questions Ideas Suggestions What changes do you want….? www.edinburghlabmed.co.uk Carol.Thomson@nhslothian.scot.nhs.uk