Advice and guidance

Consultant Connect

Future provision of A&G

Referral Assesment service

launched Oct 19 in addition to E-Referral

Used national pool of consultants but can link with local consultants if needed

Learning

Immediacy was beneficial

Good to include local service

Uptake was patchy

governance, structure ease of use very good

need to look to develop a local solution with local consultants - Limitations is national consultants don't know local systems.

Could help with current waiting lists

Advice on alternative medication is helpful

ERS system now contains a referral assessment service which is an enhancement.

Cinapsis

Mainly used in Gloucester but Nation-wide

North Norfolk looking at this

Integrated with Emis and Systemone

Driven by GP's as opposed to Ereferrals which is secretary led.

Built around dermatology with photo capability

RISK

RISK - A local approach would be the best option, we acknowledge that, but unfortunately QEH were unable to provide A&G in a timely manner, often either not responding at all or 10++ days later. Whatever option we have, the response has to be timely and the service able to have capacity to deal with the demand.

Mitigation - N&W wide solution

URGENT TASKS

Side by side comparison of Consultant Connect / Cinapsis / Ereferral RAS as an options appraisal.

Implemented in three specialties at JPUH,

CHALLENGE - regarding all referrals to go via A&G. Why have a doctor?

South Norfolk Health Care

Choose and book

Peer reviews

Data collection is real time

Good with the elderly

SNH keen to be involved moving forward.

NOTE - we need to recognize and understand SNHC take work away from practices.

We are in a long term contract

Decision needs to be made urgently on Section B forms in terms of consistency across the patch. IFR's used elsewhere. we will look to remove these forms.

SNHC collect alot of data which we need to consider

WN Referral Support Service

Supplied by WNH, admin support to referral process

Good Value for for money

Support for local practices

Establish rationalization of data feed.