- GP and agree that is patient referral.
- GP dictates or types-up referral information for admin to get, including information on any option conversation with all the client.
- GP Admin logs into e-RS and produces the recommendation with respect to the GP, predicated on GP directions.
After which either:
4a – GP Admin sends the individual the Appointment Request letter – client books appointment online or by phoning TAL.
4b – GP Admin contacts the in-patient and has now the option conversation and publications the visit – client gets the Appointment Confirmation page by post or picks it through the surgery later on.
- this model is really a completely admin-based procedure, so takes less GP time compared to other models, but may necessitate more administrative abilities and resources
- GP passes information with their admin group to choose appropriate solutions for the client
- GP continues to be in charge of the recommendation, therefore must be sure that admin staff have now been completely taught to handle this workflow (see part 9.2 below)
- a rise in admin time are offset by a decrease in enough time formerly invested by admin staff in chasing-up recommendations, as there was now an electric record detailing every action into the recommendation path
- if GPs usually do not monitor worklists on their own, exercise administration staff should check always them for a basis that is regular search for any clients who possess maybe maybe not scheduled, despite getting two system-generated reminder letters (delivered by the NHS e-Referral provider). GPs should be made conscious of these non-booked appointments (procedures to be agreed locally) while making a decision that is clinical to whether or not the client nevertheless should be seen. In such instances, where appropriate, clients must certanly be contacted to support/encourage them in scheduling a scheduled appointment
- GP admin staff can make the referral that is clinical to enhance the recommendation
- GP Admin staff can book the visit for vulnerable clients or Two Week Wait recommendations, where they’re not scheduled into the assessment
GP makes recommendation and publications visit inside the assessment
- GP and patient agree to referral.
- GP creates recommendation and shortlists suitable solutions in e-RS.
- GP publications visit in e-RS with patient (for 2WW, as an example).
- 4Patient leaves with Appointment verification page.
- all happens inside the assessment
- GP and patient confident in the method and reassured that recommendation and booking has become complete
- this model is great for whenever referring patients that are vulnerable or making bi weekly Wait recommendations
- will not permit the client to talk about the recommendation with friends/relatives and opt for provider, or choose the appointment time prior to the appointment that is initial scheduled (although clients continue to have the chance to cancel and re-book a consultation at any part of the near future, if scheduled through e-RS)
- client has a scheduled appointment scheduled immediately – improved satisfaction that is patient
- where no appointments can be found, the GP can defer the visit and give the patient the deferred appointment page that now suggests the individual to make contact with the provider (this is certainly – maybe perhaps maybe perhaps not the GP training) whether they have maybe perhaps not heard any such thing inside a fortnight
- no postage expenses, when compared with a number of the other booking models, as patient leaves with visit details
- paid down time invested monitoring worklists to check on that client has scheduled their visit
- GP can make the medical recommendation information from their built-in GP system (or ask their admin staff to do this) at a later on, more time that is convenient
GP produces admin and shortlist team publications the visit with all the client
- GP and patient agree to referral.
- GP produces recommendation and shortlists services that are suitable.
- GP Admin gets the option conversation and publications the visit using the client.
- Individual departs with, or perhaps is delivered, the Appointment verification page.
- this model can create unneeded work with admin staff and it is just required for the tiny amount of clients who does never be in a position to book a consultation on line, or by phoning the booking line that is national
- GP and client could be confident that clinically proper choices are on the patient’s shortlist
- admin staff will help susceptible clients, or those not able to finish the scheduling procedure by themselves, to book their visit at a location, time and date that matches them
- this model would work for Two Wait appointments, (if the appointment is not booked within the consultation week)
- where no appointments can be found, GP admin staff can defer the appointment and provide the patient the deferred appointment page that now suggests them to make contact with the provider (this is certainly – perhaps not the practice that is GP whether my link they have maybe maybe maybe maybe not heard such a thing within fourteen days
- no postage expenses, when compared with several other models, if done right following the GP visit because the client will leave with visit details (although postage and/or phone expenses can be incurred in the event that practice contacts patient later)
- paid down have to monitor worklists to make sure that the in-patient books a scheduled appointment
- GP can cause the medical recommendation information (or ask their admin staff to do this) at a later on, convenient time
6. Referral outcomes
As described in part 3 above, there are many results to an e-rs recommendation, based on whether it’s changed to a bookable or an assessment/triage solution.
Here is the outcome that is usual a recommendation is clinically right for the solution to which it’s been scheduled. The referrer has to just just simply simply take no further action. The referring practice can, at any time, see the status of the appointment by checking the Patient Activity List.
If, having browse the medical recommendation information, a provider clinician seems that an alternative solution solution could be clinically appropriate for an individual, then, in place of rejecting the recommendation (see below), the most well-liked strategy should be to re-direct it up to a clinically more desirable solution. This is handled because of the provider within e-RS together with client will soon be contacted to re-book their visit in to the service that is new. In this instance, there’s no action needed regarding the an element of the GP or practice that is referring.
In cases where a provider (such as for instance a medical center or community trust) struggles to book a consultation for an individual within e-RS, or even the booked clinic/appointment afterwards becomes unavailable, then visit and/or referral are terminated within e-RS. Then the provider organisation will have added a reason in e-RS, which the referring practice will be able to view from their worklists if this happens. Responsibility for working with a provider termination rests with all the provider (this is certainly – the community or hospital trust), that will usually manually re-book the client outside e-RS. This may show up on a referrer’s worklist for information just.
Then this will appear on the GP practice’s Awaiting Booking/Acceptance worklist, denoting that an appointment still needs to be booked if a provider (or a patient) cancels an appointment, but not the referral, and it is not rebooked. Normally, this is for information just, as e-RS will be sending reminder letters into the patient, advising them to re-book. It will, but, stay the obligation associated with GP training to make sure that the in-patient has scheduled a consultation, if nevertheless clinically appropriate.