- GP and patient agree to referral.
- GP dictates or types-up referral information for admin to grab, including information on any option conversation using the client.
- GP Admin logs into e-RS and produces the recommendation on behalf of the GP, predicated on GP directions.
After which either:
4a – GP Admin delivers the patient 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 verification page by post or picks it through the surgery later on.
- this model is just a completely admin-based procedure, so takes less GP time compared to other models, but may need more administrative abilities and resources
- GP passes information with their admin team to pick appropriate services when it comes to 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 area 9.2 below)
- a rise in admin time could be offset by a decrease in the full time formerly invested by admin staff in chasing-up recommendations, as there clearly was now a record that is electronic every action into the recommendation path
- if GPs usually do not monitor worklists by themselves leading site, exercise administration staff should check always them for a basis that is regular try to find any clients who possess maybe maybe maybe perhaps 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) and work out a decision that is clinical to perhaps the client nevertheless has to be observed. In these instances, where appropriate, clients should really be contacted to support/encourage them in scheduling a consultation
- GP admin staff can make the referral that is clinical to increase the recommendation
- GP Admin staff can book the visit for susceptible clients or Two Week Wait recommendations, where they may not be scheduled when you look at the assessment
GP makes recommendation and publications visit inside the assessment
- GP and agree that is patient referral.
- GP creates recommendation and shortlists services that are suitable e-RS.
- GP publications visit in e-RS with patient (for 2WW, for instance).
- 4Patient leaves with Appointment verification page.
- all happens inside the assessment
- GP and patient confident in the procedure and reassured that recommendation and scheduling happens to be complete
- this model is great for whenever referring susceptible clients, or making bi weekly Wait recommendations
- will not enable the client to go over the recommendation with friends/relatives and decided on a provider, or find the visit time ahead of 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 long run, if scheduled through e-RS)
- client has a consultation scheduled immediately – improved satisfaction that is patient
- where no appointments can be obtained, the GP can defer the visit and provide the in-patient the deferred appointment page that now recommends the individual to get hold of the provider (this is certainly – maybe perhaps maybe not the practice that is GP whether they have maybe maybe maybe maybe not heard such a thing within a fortnight
- no postage expenses, when compared with a number of the other scheduling models, as client leaves with visit details
- paid off time invested monitoring worklists to check on that client has scheduled their visit
- GP can cause the medical recommendation information from their built-in GP system (or ask their admin staff to take action) at a later on, more convenient time
GP produces admin and shortlist team publications the visit aided by the patient
- GP and agree that is patient referral.
- GP produces recommendation and shortlists suitable solutions.
- GP Admin gets the option conversation and publications the visit aided by the client.
- Individual will leave with, or perhaps is sent, the Appointment verification page.
- this model can create unneeded work with admin staff and it is just required for the tiny amount of clients that would never be in a position to book a consultation on the web, or by phoning the nationwide scheduling line
- GP and client may be confident that clinically proper choices are on the patient’s shortlist
- admin staff often helps susceptible clients, or those struggling to finish the scheduling procedure on their own, to book their visit at a spot, date and time 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 visit and provide the in-patient the deferred appointment page that now suggests them to make contact with the provider (this is certainly – not the practice that is GP whether they have maybe perhaps perhaps not heard such a thing inside a fortnight
- no postage expenses, in comparison to several other models, if done directly following the GP visit due to the fact client will leave with visit details (although postage and/or phone expenses could be incurred in the event that practice contacts patient later)
- paid down need certainly to monitor worklists to ensure the individual books a consultation
- 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 if it is converted to a bookable or an assessment/triage solution.
This is actually the typical result if a referral is clinically right for the solution to which it is often scheduled. The referrer has to simply just take no further action. By checking the Patient Activity List, the referring practice can, whenever you want, look at status associated with the visit.
Then, rather than rejecting the referral (see below), the preferred course of action would be to re-direct it to a clinically more suitable service if, having read the clinical referral information, a provider clinician feels that an alternative service would be clinically more appropriate for a patient. This is handled by the provider within e-RS as well as the client will likely be contacted to re-book their visit in to the service that is new. In this instance, there’s no action needed in the an element of the GP or referring training.
If your provider (such as for example a medical center or community trust) struggles to book a consultation for an individual within e-RS, or the booked clinic/appointment afterwards becomes unavailable, then your appointment and/or recommendation could be 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. Duty for working with a provider termination rests because of the provider (this is certainly – the community or hospital trust), who can 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. It’s usually for information just, as e-RS will be sending reminder letters towards the client, advising them to re-book. It will, but, stay the obligation for the GP training to ensure the individual has scheduled a consultation, if nevertheless clinically appropriate.