RDS
Clinical Audit Aims: Explore the number of rejected patient referrals to the RDS Why the referrals were rejected
11.2021
To date 4 x patients have been rejected as not meeting the referral criteria. 1x patient – an elderly male denied any knowledge of the referral and refused our offer of an appointment so we could explain F2F. 3x patients had not had the SNSS Panel completed, the bloods had not been requested on ICE, the patients had not had recent bloods completed – although we have not formally agreed a criterion for “recent” 12/52 would generally be considered as recent. 1x of the referrals was made by an ANP – this was an excellent consultation, carefully documented with good broad questioning and thorough examination – sadly the patient had not had bloods for 17 weeks. This patient could have been placed on 2x 2WW from reading the consultation and this would have been more appropriate if the blood results had supported the clinical reasoning. Rejecting the referral on the day the referral was made prevent possible patient delay – we of course welcomed the resubmission once the bloods had been completed. 2x of the referrals we suspect were made by Trainees or possibly Locums – although Grade was not documented these were doctors who did not appear on staffing lists – this would perhaps explain their failure to meet the referral criteria. JPUH - Overall compliance with the standards is 99%. This demonstrates a good quality of consultation documentation when analysed against the 8 criterions. QEH - Overall compliance with the standards is 99 %. This demonstrates an excellent quality of consultation documentation when analysed against the 8 criteria. Completed for all clinical services and general aspects of the clinician and patient safety in S1 Community Unit. Shared with DPO / Governance Lead. Separate document to evidence audit & shared with Quality & Safety Committee. Plan to keep the audit updated as issues and resolutions to these arise, where required .
Reinforce in teaching/COMMS the need for the SNSS Panel. Agree within The Team on the criteria for “RECENT BLOODS” Outcome: Action planning included Teaching/Comms – clear message given to Clinicians. Explain clearly the reason why we have rejected a referral Agree within The Team on the criteria for “RECENT BLOODS” both actions were led by the RDS clinical team and led to changes in processes in relation to referral acceptance and rejection.
Can the Service improve its information “Comms” to prevent these rejections OR Should the RDS change its SOP to prevent any rejections.
GP at the Front Door Service (GPFD) at JPUH & QEH - Consultation Quality Documentation Audit Corporate – IG, Patient & Clinical Safety of the
Quality Assurance & Patient Safety
This ongoing audit is designed to demonstrate compliance with good governance in documentation of consultations and to facilitate the identification of any further ongoing training needs. To identify and address actual and potential patient and clinical safety issues across ALL services
02- 03.2022, carried out quarterly
Reaudit on a 3 monthly basis Communicate the audit results and standards expected to the GPFD clinicians to reaffirm and validate audit results Outcome: Audit placed on the audit schedule for continual review of the maintenance of standards. Outcome: As a result of this audit, there were several measures implemented to improve patient and clinician safety – such as the introduction of Docman, the admin processing of tasks and communications & letters, information governance procedures and handling. This is an ongoing process to assure the Board of corporate compliance with data privacy and security.
Quality Assurance & Patient Safety
02.2022
SystmOne Community Unit
NNPC Quality Account 2021/22
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