Understand the barriers to using advice and guidance and work with commissioners to overcome these.
Work with clinicians to ensure time is allocated in their schedule to support advice and guidance and ensure that:
- commissioned services have achievable advice and guidance response targets
- processes are in place to adapt to fluctuations in the volume of advice and guidance requests and the potential for a gradual increase in demand from primary care
- there is sufficient clinical cover to respond to advice and guidance, for example: consider a rota system during periods of absence
- there is sufficient consultant workforce to balance advice and guidance workload against other clinical activity
With commissioners and clinicians decide how advice and guidance services are going to be set up. For example, will they be:
- tariff based (see NHS England benchmark prices for advice and guidance services, found in the Non-mandatory prices 2019-20 spreadsheet (Benchmark-advice and guidance tab), in the National tariff payment system: supporting documents)?
- appointment and advice and guidance services or advice and guidance only services?
- available locally on the primary care menu or nationally on the secondary care menu (services set up on the primary care menu will need commissioning on e-RS by a local commissioner)?
Work with your service definer to:
- review new and existing advice and guidance services along with service information in the directory of services (DOS)
- ensure professional users are given access to advice and guidance services through the workgroups in the DOS
Work with your:
- CCG and referring GPs to highlight new advice and guidance services
- Registration Authority team to arrange for appropriate roles to be added for users
- IT department to ensure that all computers can access e-RS
- training team (or other training provider) to give appropriate training
Find out more on the NHS Digital training webpages.