- GP and patient agree to referral.
- GP dictates or types-up referral information for admin to grab, including information on any option conversation aided by the client.
- GP Admin logs into e-RS and produces the recommendation with respect to the GP, centered on GP guidelines.
4a – GP Admin essay outline delivers the patient the Appointment Request letter – client books appointment online or by phoning TAL.
4b – GP Admin contacts the in-patient and it has the selection conversation and publications the visit – client gets the Appointment verification page by post or picks it through the surgery later on.
- this model is really a process that is fully admin-based so takes less GP time compared to the other models, but may need more administrative abilities and resources
- GP passes information with their admin group to pick appropriate solutions 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 are 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 when you look at the recommendation path
- if GPs try not to monitor worklists by themselves, exercise administration staff should always check them on a basis that is regular search for any clients that have maybe perhaps maybe not scheduled, despite getting two system-generated reminder letters (delivered by the NHS e-Referral provider). GPs must be made conscious of these non-booked appointments (procedures to be agreed locally) and work out a medical choice as to perhaps the client nevertheless has to be viewed. In these instances, where appropriate, clients should always be contacted to support/encourage them in scheduling a consultation
- GP admin staff can make the medical recommendation information to enhance the recommendation
- GP Admin staff can book the visit for susceptible clients or Two Week Wait recommendations, where they may not be scheduled into the assessment
GP makes recommendation and publications visit inside the assessment
- GP and patient agree to referral.
- GP produces recommendation and shortlists services that are suitable e-RS.
- GP publications visit in e-RS with patient (for 2WW, as an example).
- 4Patient leaves with Appointment verification page.
- all occurs inside the assessment
- GP and confident that is patient the procedure and reassured that recommendation and scheduling is currently complete
- this model is perfect for whenever referring susceptible clients, or making bi weekly Wait recommendations
- will not enable the client to talk about the recommendation with friends/relatives and opt for provider, or find the visit time prior to the appointment that is initial scheduled (although clients nevertheless have actually 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 obtained, the GP can defer the visit and provide the in-patient the deferred appointment page that now suggests the in-patient to make contact with the provider (that is – perhaps maybe perhaps perhaps not the GP training) whether they have perhaps perhaps maybe not heard any such thing within a fortnight
- no postage expenses, in comparison to a number of the other scheduling models, as client leaves with visit details
- paid down time invested monitoring worklists to test 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 shortlist and admin team publications the visit because of the client
- GP and agree that is patient referral.
- GP produces recommendation and shortlists services that are suitable.
- GP Admin has got the option conversation and publications the visit because of the client.
- Patient renders with, or perhaps is delivered, the Appointment verification page.
- this model can produce unneeded work with admin staff and it is just needed for the little wide range of clients who never be in a position to book a consultation on the web, or by phoning the booking line that is national
- GP and patient may be confident that clinically options that are correct on the patient’s shortlist
- admin staff can really help susceptible clients, or those struggling to finish the scheduling process by themselves, to book their visit at a location, time and date that matches them
- this model would work for Two Week Wait appointments, (in the event that visit isn’t booked in the assessment)
- where no appointments can be found, GP admin staff can defer the visit and provide the patient the deferred appointment page that now suggests them to make contact with the provider (that is – perhaps maybe maybe not the practice that is GP whether they have maybe maybe maybe perhaps not heard any such thing inside a fortnight
- no postage expenses, in comparison to several other models, if done right following the GP visit while the client renders with visit details (although postage and/or phone expenses might be incurred in the event that practice contacts patient later)
- paid down have to monitor worklists to ensure the individual books a consultation
- GP can make the medical recommendation information (or ask their admin staff to take action) at a later on, convenient time
6. Referral outcomes
As described in part 3 above, there are numerous results to a referral that is e-rs dependent on whether it’s converted to a bookable or an assessment/triage solution.
This is actually the typical result if a recommendation is clinically right for the solution to which it was scheduled. The referrer has to just just just take no action that is further. The referring practice can, at any time, see the status of the appointment by checking the Patient Activity List.
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 because of the provider within e-RS plus the client will undoubtedly be contacted to re-book their visit in to the brand new solution. In this instance, there’s absolutely no action needed from the an element of the GP or practice that is referring.
If your provider (such as for example a medical center or community trust) is not able to book a consultation for an individual within e-RS, or even the booked clinic/appointment afterwards becomes unavailable, then a visit and/or recommendation might 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. Obligation 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.
In cases where a provider (or an individual) cancels a scheduled appointment, yet not the recommendation, and it’s also maybe not rebooked, then this may show up on the GP practice’s waiting for Booking/Acceptance worklist, denoting that a scheduled appointment nevertheless should be scheduled. It’s usually for information just, as e-RS will be sending reminder letters to your client, advising them to re-book. It can, nonetheless, stay the duty associated with GP training to make sure that the in-patient has scheduled a scheduled appointment, if nevertheless clinically appropriate.