- GP and agree that is patient referral.
- GP dictates or types-up referral information for admin to grab, including information on any option conversation because of the client.
- GP Admin logs into e-RS and produces the recommendation with respect to the GP, predicated on GP guidelines.
After which either:
4a – GP Admin delivers the in-patient the Appointment Request letter – client books appointment online or by phoning TAL.
4b – GP Admin contacts the in-patient and has now the decision conversation and books the visit – client gets the Appointment verification letter 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 necessitate more administrative abilities and resources
- GP passes information with their admin group to choose appropriate solutions for the client
- GP continues to be accountable for the recommendation, therefore must be sure that admin staff have already been completely taught to manage this workflow (see area 9.2 below)
- a rise in admin time could be offset by a decrease in the full time previously invested by admin staff in chasing-up recommendations, as there was now an electric record detailing every action within the recommendation path
- if GPs don’t monitor worklists on their own, practice administration staff should check always them for a daily basis to search for any patients that have 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) and then make a medical choice as to if the patient nevertheless has to be seen. In such instances, where appropriate, clients ought to be contacted to support/encourage them in scheduling a scheduled appointment
- GP admin staff can cause the referral that is clinical to enhance the recommendation
- GP Admin staff can book the visit for susceptible clients or Two Wait referrals, where they are not booked in the consultation week
GP makes recommendation and publications visit inside the consultation
- GP and patient agree to referral.
- GP produces recommendation and shortlists suitable solutions in e-RS.
- GP books visit in e-RS with patient (for 2WW, for instance).
- 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 happens to be complete
- this model is perfect for whenever referring patients that are vulnerable or making bi weekly Wait referrals
- doesn’t enable the client to go over the referral with friends/relatives and opt for provider, or find the visit time ahead of 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 consultation scheduled immediately – improved satisfaction that is patient
- where no appointments can be found, the GP can defer the visit and provide the patient the deferred appointment page that now suggests the individual to make contact with the provider (that is – perhaps maybe perhaps informative research paper outline not the practice that is GP whether they have maybe perhaps perhaps not heard any such thing within a fortnight
- no postage expenses, when compared with a few of the other booking models, as client leaves with visit details
- paid off time invested monitoring worklists to test that patient has scheduled their visit
- GP can cause 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 using the client
- GP and patient agree to referral.
- GP produces recommendation and shortlists suitable solutions.
- GP Admin gets the option conversation and publications the visit with all the patient.
- Patient makes with, or is delivered, the Appointment verification page.
- this model can produce unneeded work with admin staff and it is just essential for the tiny quantity of clients that would never be in a position to book a consultation on the web, or by phoning the booking line that is national
- GP and client are confident that clinically options that are correct on the patient’s shortlist
- admin staff might help patients that are vulnerable or those struggling to finish the scheduling procedure by themselves, to book their visit at a location, date and time that matches them
- this model works for Two Week Wait appointments, (in the event that visit just isn’t scheduled in the consultation)
- 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 (this is certainly – maybe maybe maybe perhaps not the practice that is GP whether they have maybe perhaps maybe not heard such a thing inside a fortnight
- no postage expenses, when compared with various other models, if done directly following the GP visit whilst the client will leave with visit details (although postage and/or telephone expenses can be incurred if the practice contacts patient later)
- paid down need certainly to monitor worklists to ensure the in-patient books a scheduled appointment
- GP can make the medical recommendation information (or ask their admin staff to do this) at a later on, convenient time
6. Referral outcomes
As described in area 3 above, there are numerous results to a referral that is e-rs dependent on if it is converted to a bookable or an assessment/triage service.
Here is the outcome that is usual a recommendation is clinically suitable for the solution to which it was scheduled. The referrer has to simply simply simply 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 by the provider within e-RS while the client should be contacted to re-book their visit in to the brand new solution. In this instance, there’s absolutely no action needed in the the main GP or practice that is referring.
In case a provider (such as for instance a medical center or community trust) struggles to book a scheduled appointment for someone within e-RS, or perhaps the booked clinic/appointment afterwards becomes unavailable, then your visit and/or recommendation might be terminated within e-RS. Should this happen then your provider organization may have added grounds in e-RS, that the referring training should be able to see from their worklists. Duty for working with a provider termination rests with all the provider (that is – the community or hospital trust), who can frequently 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, not the recommendation, which is maybe not rebooked, then this can show up on the GP practice’s Awaiting Booking/Acceptance worklist, denoting that a consultation still should be scheduled. It’s usually for information just, as e-RS will be sending reminder letters into the client, advising them to re-book. It will, nevertheless, stay the obligation associated with GP training to make sure that the in-patient has scheduled a consultation, if nevertheless clinically appropriate.