1. Digitally Assembled Referral Toolkit (DART) & Teledermatology
Dr Rob Eastham, Dr Jamie O’Shea,
The NHS Leeds CCG
Contact: Rob Eastham

2. 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

3. 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)

4. 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)

5. DART – City-wide roll-out

6. 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

7. 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

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

13. 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

14. Video link – Teledermatology

15. 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.

16. Digitally Assembled Referral Toolkit (DART) & Teledermatology
THANK YOU