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Planned care news​


Welcome to this weeks Planned Care information page. Every two weeks we will be bringing you up to date information

This week’s newsletter focuses on the electronic Referral System (e-RS), formerly Choose & Book. This edition includes information on how to make a referral, how to access two week wait services at Guy’s and St Thomas’ NHS Foundation Trust (GSTT) and the services available at GSTT and King’s College Hospital NHS Foundation Trust (KCH).


The link to this page can be found every week in the GP Bulletin. To read pervious bulletins, please click here.

We always welcome feedback – please let us know LAMCCG.serviceredesign@nhs.net if you have any ideas or suggestions for the newsletter or on the content.


Spotlight on: e-RS (formerly Choose & Book)

How to make a referral on e-RS

Our IT Facilitators have developed an e-RS information pack for GP practices.  The pack incudes the following support documents for when using e-RS

  1. How to initiate an e-RS from EMIS Web
  2. How to maintain GP practice e-RS worklists
  3. GP practice e-RS process
  4. e-RS hints and tips / FAQs

1_How_to_ERS_v1.pdf

LAM_How_to_ERS_Worklist_02_v1.0.pdf

3_ERS_process_v1.pdf

4__ERS_FAQ_HaT_v1.pdf


There are also a number of national documents have also been developed:


How to make cancer referrals to GSTT on e-RS

A number of GPs have highlighted difficulties in finding GSTT two week wait cancer services on e-RS. Below we have outlined what steps you need to take to access the two week wait services.

Having initiated an e-referral from within EMIS, on the Service Search Criteria page (within e-RS), ensure that the following is selected:

  1. Priority: 2 Week Wait
  2. Specialty: 2WW
  3. Clinic Type: select the appropriate Clinic Type

HOW TO MAKE A CANCER REFERRAL.png


GSTT services moving to e-RS only

GSTT and KCH services on e-RS

GSTT services:

GSTT is implementing a phased closure to referrals via other routes (e.g. email). From 1 September 2017 the following specialties at GSTT will only be accepting referrals via e-RS:

  • Dermatology
  • Gynaecology
  • Neurology
  • Ophthalmology
  • Diabetes (includes both community and acute services)
  • Two week wait referrals
  • Antenatal (this is for GP referrals, patients will still be able to self-refer via other routes)

     
    From 1 September 2017 GP referrals sent via email to these specialties will be returned and the practice will be requested to make a re-referral via e-RS.

     
  • KCH services:

    KCH is not currently implementing a phased closure to referrals via other routes, but will be later in the year- we will keep you updated on how this progresses. However, the following specialties at KCH should be fully available for booking on e-RS from 1 September 2017:
  • Cardiology
  • Dermatology
  • Endocrinology
  • Paediatrics
  • Rheumatology
  • Trauma and Orthopaedics
  • Urology

     A large number of other specialties for KCH are available on e-RS and GP practices should make referrals to KCH via e-RS wherever possible.

GP Practice advice and training on e-RS from the GP IT Facilitator

If your practice would like support and training for e-RS please contact  and book a session with Thomassina Learmond the GP IT Facilitator t.learmond@nhs.net .

If your Practice would be willing to host an e-RS training session  (normally one hour)for your Practice and for others to attend please contact either Thomassina or Sylvia Curtis sylvia.curtis@nhs.net


Smartcards

It is not possible to access e-RS without a smartcard and all GPs and administrative staff should be issued with a smartcard. If you need to order a smartcard or have any smartcard queries please contact the Registration Authorities (RA) team who can deal with your request/query:

  • Telephone: 0300 303 2733
  • Email: nelcsu.southlondonrateam@nhs.net 

     
    Locums and smartcards:

    All locums should be issued with a smartcard. If a locum does not have a smartcard, they can request one from the local RA team. Once a locum has been issued with a card, it can be used across all practices. When it is known that a locum will be working for a practice, the practice team can contact the RA team and ask for the locum to be given full access for that practice for the period time that they will be employed. More information is available here.

Key Contacts:

 Also contact the Lambeth GP IT Facilitation Knowledge-base for more information and updates from the IT Facilitator


Other News:

NFORM – Diabetes workshop

GSTT Community Diabetes Team are holding a workshop for GPs and healthcare professionals which will focus on the management of Type 2 diabetes and insulin. The workshop will explore when to start insulin and will discuss the on-going management of patients with diabetes administering insulin. There will be an opportunity to look at different insulins and regimens.

The workshop is on Thursday 21 September, 9.00am – 4.00pm at Sunshine House Children and Young People’s Development Centre, 27 Peckham Road, London, SE5 8UH. To book a place, click here.

Gastroenterology and hepatology multi-disciplinary workshop for GPs

GSTT are holding a multidisciplinary gastroenterology and hepatology teaching event for GPs. The agenda includes:

  • Two week wait referral to gastroenterology: how to make it more efficient
  • Obesity and non-alcoholic fatty liver disease
  • Oesophageal cancer: early diagnosis and prevention
  • Ascites and clinical management in primary care
  • Rapid Access Diagnostic Clinic – how we can help GPs with vague symptom management and diagnosis
  • There will be demonstrations, clinical cases and networking opportunities

The event carries two CPD points and a certificate of attendance will be given. The workshop is on Thursday 21 September, 7.00pm - 8.50pm at Education Centre, 75-79 York Road, London, SE1 7NJ. To book a place, click here

 

Eligibility for cancer screening for transgendered people

 The following leaflet aims  to make screening accessible and inclusive for all eligible populations. For people who are transgender or non-binary (any gender that is not exclusively male or female), inequalities may exist because individuals:

  • do not know which screening programmes they are eligible for
  • are not invited to screening because of the gender they are registered as with their GP

For example, patients registered as male may not be called for female specific breast and cervical screening, even though they may benefit from it. This resource provides important information on all screening programmes, and how to access additional support and advice.

http transgender link information.docx


Inaccuracies in diagnostic results – watch out of communications from Viapath read more here

Viapath have recently identified an issue with the current Laboratory Information Management system which means that small number of results may not have been reported out of the system promptly. Viapath have reviewed these and will be issuing historic results over the coming 4 to 6 weeks.

 Viapath will be issuing these historic results over the coming 4 to 6 weeks you may therefore receive these results together with your usual reports. Viapath will endeavour to flag these results for you.

 If you would like to discuss this issue with a member of our team, please contact our customer support team on 88008 or customersupport@viapath.co.uk


Visual DX

What is VisualDX?

VisualDX is a diagnostic support tool for all clinical conditions and is available on PC and as an app. It includes a comprehensive and vetted medical library of over 40,000 images and provides concise, actionable clinical information for over 2,300 conditions. Due to the system’s large library of images, it is particularly useful for specialties like dermatology where an image can help the GP make a diagnosis.

How does it work?

The GP inputs the patient's symptoms and history into VisualDX. The system then uses this information to help the GP to make a differential diagnosis, comparing the patient's clinical information with the tool's database of information and images. The tool will narrow down a differential diagnosis based on:

  • Rash type, location, symptoms and other criteria
  • A meter illustrates the strength of the diagnosis
  • Results displayed from common to uncommon diagnoses


GPs can also look up a diagnosis to view clinical information and scroll/filter through high-quality validated images, to help confirm the diagnosis or to explain to the patient. 
To find out more view the promotional video.

What are the benefits?

VisualDX can improve the diagnostic accuracy in primary care by:

  • Providing the GP with added assurance regarding their diagnosis
  • Supporting the GP in their decision making about the patient's care
  • Providing additional assurance to the patient

What are we looking for?

We have secured funding for GPs in Lambeth to trial VisualDX for a three month period and are now looking for GPs to participate in the trial. Users should preferably feel comfortable using apps during consultations and be willing to complete a short, monthly questionnaire on their experience of using VisualDX throughout the trial. All participants will receive training and support.

How can you get involved?

If you would like to be involved in the trial please send an email to the   LAMCCG.serviceredesign@nhs.net   expressing your interest by Monday 28 August.

 

If you have any questions about the trial, please get in touch with the Service Redesign team at the email address above