1. eReferral Programme Archie MacDonald Jenny Baird Martina Zelikova

2. SCI Gateway Electronic Message Outcomes GP System Hospital PMS or Outpatient System Referral GP completes and submits referral letter Registration Referral arrives at hospital. Referral registered on Hospital PMS Vetting Clinician vets Referral status updated electronically on SCI Gateway or alternative mechanism Referrals Patient Record updated Patient Record updated Patient Record updated Electronic Management of Referrals

3. Paper based Referral GP HospRegistrationVetting Make Appt (OP) 0-11 days sort 4-58 days 1-14 days1-36days2-8 days1-9 days 100 % Manual Total possible 5-78 days

4. OPD – Registration, Clinical Review & Booking Process – Referrals Electronically Administration Timescales GPHosp Registration Clinical Review Arrived CNA DNA 0 – 5 days Make Appt Hosp We can provide you with timescales for each Health Board – e.g. In January >50% of appointments were made within 5 hrs

5. Aims for the eReferral Programme 95% of Gp referrals sent via SCI Gateway 90% of referrals managed electronically in Secondary care

6. Quicker Referrals get from the GP to the hospital the moment they are sent; Referrals can be accessed and managed quickly in the hospital; Patient appointments can be booked sooner. Safer Less risk of transcription errors; Reduced risk of missed or delayed referrals; GP has greater feedback about the patient's journey. Better More efficient process, improved patient experience; Electronic process provides a better audit trail; Reduced use of resources e.g. paper, storage, postage. Benefits to Patients & Staff

7. National Progress Referrals sent by GPs via SCI Gateway

8. Referrals sent to SCI GW by GPs progress by Healthboard March 2010

9. National Progress for Electronic Management of Referrals

10. Electronic Management of Referrals Progress by Healthboard March 2010

11. NHS Ayrshire & Arran Crosshouse Hospital eTriage - Trauma & Orthopaedic Surgery Number of Days between Submission & Electronic Management of Referral

12. NHS Ayrshire & Arran Crosshouse Hospital eTriage - Trauma & Orthopaedic Surgery Number of Days between Submission & Electronic Management of Referral

13. NHS Ayrshire & Arran Crosshouse Hospital eTriage - Trauma & Orthopaedic Surgery Number of Days between Submission & Electronic Management of Referral

14. “I think it would be fair to say that we find e-triage to be simple, effective and convenient” Dr Colin Clark, Lead Clinician Dermatology North East Glasgow “The system is very fast and easy to use. Referrals should no longer get lost in the post!” Dr Miles Fisher, Clinical Director Medicine North East Glasgow “E-triage has been helpful in reducing the massive piles of paper we used to have to deal with, and reduces the chance of referrals going astray. We would welcome the few remaining practices who still do not routinely send electronic referrals switching to this method….”Prof Colin Munro & Dr Felicity Campbell, Dermatology South Glasgow “We have found eTriage to be very helpful to keep track of all referrals coming in and we would encourage other specialties to use the system” Jean Cherry & Irene Miller, Health Records Senior Supervisors, Stobhill Hospital “Quotes” from NHS Greater Glasgow and Clyde

15. eReferrals programme Questions? archiemacdonald@nhs.net jennifer.baird1@nhs.net martina.zelikova@nhs.net