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Changes made to the date value in the NHS e-Referral Service (e-RS) to support accurate capture of the Referral To Treatment (RTT) clock start.
Pathway start date
What has changed
Due to a largenumberof requests fromtheNHS, the e-RS Programmeinvestigated how the informationaboutthe ‘e-RS Pathway Start Date’could be seamlesslyintegrated into PatientAdministrationSystems (PAS) to supportmoreaccurate capture oftheReferral To Treatment(RTT)clockstart. In response to the queries, we made changes to allow providersystems to receive and utilisethe‘e-RSPathwayStart’ datewithoutanychangestotheir integrationwith e-RS.
Previously,whena booking was received,themajority of PAS derived the RTT clock start as the dateandtimethat the booking message was received as there was no specificRTTdatasent in the message. Due to how e-RS is now used, thedateof a bookingmessage was not always the correctRTT startdate if thereferral(UBRN) had beenthroughanytypeofAssessmentService or resulted in anAppointmentSlotIssue (ASI). Therefore, the e-RSProgrammeexplored how to pass the informationabout the ‘e-RSPathwayStart Date’ by re-purposingthe ‘DateofdecisiontoRefer’datefield in the booking message(this date was not widely used) and sent the ‘e-RSPathwayStart Date’ inits place.Oncethisinformation was passed in thebookingmessage,PatientAdministrationSystems started consuming this new date informationpassed in themessageinsteadofderiving the clock startfrom the bookingdate. The change which replacedthe‘Dateof Decision toRefer’ date with the ‘eRS Pathway Start Date’ took place in theApril 2018 releaseofe-RS.
Please notethat as this was just a change to an existing date field, which was knownto be not widely used, no partner testing was undertaken.Ifanysuppliershaveanyquestions,they can contactthe e-RS Programmeteam via:email@example.com
e-RS made the change to sendthe ‘e-Referral Pathway Start’ date in the ‘Date of Decision toRefer’field in the messageinsteadofthe‘UBRNCreatedDate’ which was previously sent. Seeexample below.
Previously, e-RS sent the‘UBRNIssued’date in the bookingmessage (see screenshot below).
After thechange, it now sends ‘e-ReferralPathwayStart’ date,which is displayed to the service providerin various places in the e-RSfront end (see screenshot below).
The ‘e-RSPathwayStart Date’ is derived as oneof either:
thefirstbooking of a referral (UBRN) – thismaybe into a firstoutpatient service, or if thereferral is firstbookedinto any type of interface service (or referralmanagement service)and is then subsequentlyreferred on to a consultant-ledoutpatientservice, it will be the first booking that starts the RTTclock
when a referralappearson a provider’s appointment slot issues (ASI)worklist
when a referralappearson the referralsfor reviewworklist, if sent to a referral assessment service(RAS)
Please note that while e-RS can send the e-RS known pathway start date, this may not always be the exact RTT start date and as a result service providers must always ensure the correct RTT start date is recorded accurately.