1. Advice & guidance

2. Aim of this session To provide a background to A&G process
To discuss the current process
Outline and identify any issues
Identify any best practice solutions
Gained feedback from you on how we can improve the process

3. 9086 requests responded to within 2 days*
Background
*July 2018 to January 2019 – all sources
Live from Q3 2017
28 specialties
11,800 requests received*
9086 requests responded to within 2 days*
76%

4. Current process Request made CPD worklist Response
Request made to Trust either via e-RS or in some instances via phone
CPD worklist
Exported / recorded on CPD and allocated to appropriate Consultant and Specialty
Response
Response actioned and sent via normal communication method to practices e.g. DTS via MESH Note – outside of e-RS

5. Issues – Primary Care
The way responses are received back are inconsistent
Difficult to track for practices– no specialty information is provided
Length of response time an issue in some specialties
Workarounds introduced in practice to ensure tracking of requests
Unable to code and copy information to GP clinical system easily
As done outside of e-RS practices have to close down requests on their worklists
Practice visits – as part of the Outpatient Transformation programme of work. Initial feedback has identified some issues for us to work through

6. Discussion Discuss on your tables
What is good and you would like to keep?
What would you change about the process? Top 3
Are there any other issues you wish to raise?
How do you track requests in your practice?
Have you introduced any process in house that could help others?

7. Improvements Template to be developed for responses
Include specialty detail on the responses
Responses to be received through one system

8. Expediting referrals via A&G
You can also use A&G to:
expedite referrals that have already been sent via RSS
Provide additional patient information to the Consultant e.g. results of bloods / x-rays etc.
Not to be used for:
Submitting new or urgent referrals
All consultants have been sent instructions on the new process by Dr Donald Richardson (Consultant Nephrologist and Deputy Medical Director) and therefore if you receive any comments back asking you to send via another route you can refer them to Dr Richardson’s

9. Removing an Advice and Guidance response from your worklist
From your worklist screen, open the Advice & Guidance responses worklist
Click the UBRN of the response you wish to remove from your worklist
Click Actions and select Close Advice Request. You now see a summary of your request and the response
Click Close Advice Request to remove it from your worklist
The UBRN will remain in your Advice and Guidance responses worklist for 180 days or until you remove it from your worklist