||An initial referral in e-RS is defined as a request to another clinician to assist with management of a patient's health issue, this may result in creating an appointment request with a shortlist of suitable services, into one of which the patient may book an appointment. Each referral has a unique booking reference number (UBRN), only unique initial UBRNs are counted in this measure.
||Count of initial create request (referral) actions
||This is the outcome if a referral is clinically appropriate for the service to which it has been booked.
||Count of UBRN_IDs where the initial referral has been accepted (accept or auto accept) for bookable services only
This option should only be used occasionally when, for clinical reasons, and after the receiving clinician has assessed the referral information provided by the GP, it is felt that the patient could be managed more effectively by alternative methods and without a prior ‘face to face’ appointment.
In such cases, the booked appointment will be cancelled electronically in e-RS and the referral will appear back on the ‘Referrer Action Required’ worklist for the practice to contact the patient and take appropriate action. This may include cancelling the referral and managing the patient according to the comments provided, or re-referral to another service (or the same service) with the same (or amended) clinical referral information.
|Count of all rejected initial referrals
||Advice and guidance allows one clinician to seek advice from another. Unlike creating a booking request, where several providers can be selected, advice and guidance is a communication between two clinicians: the 'requesting' clinician and the provider of a service (the 'responding' clinician).
This measure counts the first advice request from each advice and guidance conversation.
|Count of distinct advice request actions
|A&G first response
||This measure calculates the length of time between the first advice request from the referring organisation, to the first response provided by the provider.
||Count of the 1st response to an advice request (Response times calculated from date of create advice request action, to first response)
||Where an advice and guidance conversation has been closed, this measure counts the outcomes including advice ended, and converted by referrer/provider.
||Count of distinct close advice actions (where the close advice outcome is advice ended or converted by referrer/provider)
Referrers can send their patient referrals directly into a RAS without having to book an appointment for the patient.
When a service search is being initiated, a RAS will have a 'Send for Triage' button instead of the usual tick box option on the service selection screen.
|Count of referral assessment service (request triage) actions
||This measure counts the send to triage outcomes, these include refer/book now, accept and refer/book later and return to referrer with advice.
||Count of referrals assessment service outcome (record triage outcome) actions
||During the appointment booking process e-RS will allow the referral to enter the ASI process if there are no slots available for booking at the time of the appointment search. This action is called ‘Defer to Provider’. Each time the referral is deferred the referral will appear on the service providers ‘Appointment Slot Issues’ worklist. It is this action we are reporting.
||Count of appointment slot issue (Defer to Provider) actions
|Referrals received by provider
||This measure counts the flow of patients received by a provider for those that have either been deferred, booked or triaged into a service.
||Count of distinct UBRN activity (by either booking, defer to provider or triage outcome actions) received, by provider