1. PSO – Paper Switch Off Project
NHS e-Referrals
Presented by Carole Beardsmore Implementation & Business Change Manager

2. Standard Contract – Service Conditions
New Clause – Service Condition 6.2A
With effect from 1 October 2018, and as provided for in NHS e-Referral Guidance and/or any subsequent guidance published by NHS England and/or NHS Digital, the Provider need not accept (and will not be paid for any first outpatient attendance resulting from) Referrals by GPs to Consultant-led acute outpatient Services made other than through the NHS e-Referral Service.

3. Why Understanding e-RS Utilisation is Important - NHS England Levers and Incentives
Relates to GP referrals to consultant-led 1st outpatient services including 2WW services
All providers to publish ALL such services and make ALL of their First Outpatient Appointment slots available on NHS e-Referral Service (e-RS) by 31 March 2018
Undertake required work on their Directory of Services to publish ALL services on the NHS e-Referral Service

4. When is a Referral Counted as Being Made Through e-RS?
A referral must be booked using e-RS into one of the following:
An e-RS service where the Appointment Type = First Outpatient
An e-RS service where the Specialty = 2WW
Only the first instance of any such booking is counted

5. Walsall Plan
April All slots available on eRS for first appointments to consultant led clinics
May - June 2018 – Monitoring Period
July 2018 – ‘Paper’ referrals for first appointments to consultant led clinics returned to the GP

6. 2017/18 Advice & Guidance NHS e-Referrals
Presented by Carole Beardsmore Implementation Manager

7. Advice and Guidance – Guidance
A&G refers to structured, non-urgent, electronic A&G provided via telephone, , or an online system. CCGs may agree with trusts how the local programme of A&G will operate, and the definition of an A&G response may include:
Virtual review of test results (e.g. ECG, bloods) and advice on next steps required
Supply of a suggested treatment or management plan to the GP (which may include carrying out further investigations in primary care)
Direct booking of diagnostic test (e.g. endoscopy)
Direct booking of intervention, where indicated
Advice on the appropriate clinic referral (reducing redirected appointments)
Clinical responsibility will remain with the GP accessing the A&G service, unless or until the patient is seen face to face in secondary care.

8. Walsall Plan March 2018 - First Tranche of Specialties Live on eRS
October 2018 – Remaining Specialties Live on eRS
NOTE: Subject to Contract Negotiations between CCG and Walsall Healthcare
GENERAL SURGERY
GASTROENTEROLOGY
UROLOGY
DIABETIC MEDICINE
ENDOCRINOLOGY
General Medicine
TRAUMA AND ORTHOPAEDICS
GYNAECOLOGY
DERMATOLOGY
PODIATRY
INTERMEDIATE CARE

9. Contact Details
Carole Beardsmore, Implementation & Business Change Manager NHS Digital