Digitally Assembled Referral Toolkit DART Teledermatology Dr Rob

Digitally Assembled Referral Toolkit (DART) & Teledermatology Dr Rob Eastham, Dr Jamie O’Shea, The NHS Leeds CCG Contact: Rob Eastham Email: r. eastham@nhs. net

Learning Objectives • • Why DART? Roll out of the ‘Two-week wait’ template The future – DART ‘Referral Hub’ The ‘Patient Summary Record’ • Teledermatology roll out • Teledermatology demo video

Background • 2016 RBS audit – 48% referrals don’t meet minimum criteria • Boxes not ticked can lead to delayed investigation / assessment • 2017 Research at x 11 practices identified issues (Word forms, handover)

DART - Towards a referrals standard • Digitally Assembled Referral Toolkit (DART) • Centrally updated forms, quick and easy to complete • Forms remind clinicians if core clinical information incomplete • Automatic setup of task attributes (for safer handover)

DART – City-wide roll-out

The future – DART Referral Hub • • • Sections for planned care pathways (hospital / community) New forms built from the ground up for DART process No requirement for referral letter – notes auto-populated New ‘Patient Summary Record’ Live city-wide Thursday 26 th April 2018

DART Referral Hub – New Forms • • • Cardiology (including Heart Failure and Rapid Access Chest Pain) ENT (all routine referral types) General Medicine and General Surgery Non urgent Upper GI Endoscopy Non obstetric ultrasound

Video link – Example of using DART to write a Cardiology Referral https: //rebrand. ly/Hub. Cardiology

Teledermatology – GO LIVE 1 ST JUNE 2018 • Purchased 260 dermatoscopes and ipods for general practice • Provided a fully IG compliant system for taking and storing images • Produced a full support pack for practices which includes: • Training video • Equipment Allocation and Usage Policy • Standard Operating Process (SOP) • ‘How to Guide’ for admin staff • Tested the safe and secure transfer of images between general practice and LTHT • Developed a new 2 ww referral form for teledermatology

Video link – Teledermatology https: //www. youtube. com/watch? v=w 0 i. RSw. TNl. DQ&feature=youtu. be

Teledermatology – Key Messages • Don’t forget to pick up and sign for your kit as you leave today • Launch date is June 1 st, after which you will be expected to take the images, attach them to the new referral form and make the referral using e-RS to the Referral Assessment Service (RAS) • Don’t forget to make sure you get patient consent and record this on the referral form.

Digitally Assembled Referral Toolkit (DART) & Teledermatology THANK YOU