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Improved advice, guidance and triage within eRS
We have an integrated pain, rheumatology and MSK service. Historically, referrals for GP's came in via one single point of access and all were triaged by MSK staff, supported by specialist teams where necessary. In the last 2 months, we have improved the patients pathway in two ways. Firstly, by adopting the advice and guidance functionality to aid Primary Care patient management with Secondary/specialist support. Pain, Rheumatology and MSK services monitor their own advice and guidance lists, ensuring quality of triage and advice given with minimal delay for the patient/GP. Reducing the need for face-to-face appointments during the pandemic has been invaluable, particularly in Rheumatology settings.
n addition, the eRS referral lists have also been 'separated' into service specific groups, also to improve the quality of triage and reduce delays in the pathway. For may clinical colleagues, this has been a new adaptation in practice, needing support with issue of smart cards and training to use the eRS system, supported by admin and booking teams.
What is needed to sustain the change?
1) Continued behavioural change and adoption of digital systems for clinical triage teams.
2) Most appropriate use of the advice and guidance and referral eRS lists by GP Practices, referring patients only in diagnostic uncertainty or when Primary Care management is exhausted.
3) Continued collaborative working with Pain, Rheumatology and MSK teams to share best practice.
What is your region?
North West
Sounds Interesting Louise - we have a similar integrated service but due to complexity currently don't triage on ERS. Wondering if this solution may be an option for us many thanks
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Sounds interesting and a valuable step forward. What were your biggest challenges?
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Status labels added: Patient selection, Triage, Virtual consultation, Virtual MDT
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Status labels added: Effective team working, Guidance, Information Sharing, Integration of resources, Investment in technology, Pathway Redesign, Prim/Sec/Com Integration, Reduced Bureaucracy, Technology (software/ apps), Upskilling of staff, Workforce, Horizon 2
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The idea has been progressed to the next milestone.
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Status labels removed: Effective Team Working, Guidance, Information Sharing, Integration Of Resources, Investment In Technology, Pathway Redesign, Patient Selection, Prim/Sec/Com Integration, Reduced Bureaucracy, Technology (Software/ Apps), Triage, Upskilling Of Staff, Virtual Consulting, Virtual MDT, Workforce
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