1An evaluation of an eReferral Management & Triage System for MOS referralsHSD&R 11/1022/15

Iain Pretty, Paul Coulthard, Joanna Goldthorpe, Lesley Gough, Anne Begley.

2Update

To update practices on data so farDescribed the activity levels and case complexity within the serviceDescribe what the DES practices may be providingDemonstrate triage systemGet feedback on system and forms

3Data

We have been collecting data on the submitted referrals since JanuaryThey demonstrate almost 100% compliance with the online systemOrtho and child only providers excludedMonthly data flows suggest around 50 70 minor oral surgery referrals

4

Monthly Data

5Breakdown of activity

Care pathways6Securing Excellence the new contract?Level 2Level 1Primary care procedures that should be delivered by and within GDS contractsAdvanced level care that can be safely delivered in a primary care setting by a practitioner with additional skills and who may be on a specialist list. May be consultant supervised.Cases requiring outpatient care or care from a Consultant led team367Tier Levels

Tier 1 - >2 %Tier 2 60%Tier 3 37.5%Remainder sedation

8Tier LevelsThis suggests that over 60% of referrals could be seen in a primary care oral surgery serviceGiven the current referral numbers this would relate to approximately 40 referrals per monthThis could be seen by 2 or 3 providersActivity is third molars, complex extractions, roots and apicectomies.

9TriageFor the primary care services to work efficiently a triage system is requiredThis directs referrals to appropriate providersThis is undertaken by consultants in oral surgery and maxillo facial surgerySimple system, independent of providersWill not delay patient journey

10

11TriageEnables rapid sending of referrals via NHS NETEnables identification of 2WW referralsEnables referrals to be automatically directed to nearest provider to patientCan utilise capacity efficiently across all providersNeed to agree what to do with Level 1

12ProcurementArea team will discuss the stages and timelines for procurementWill be based on a service specification informed by the health needs assessment

13Next research stagesSwitch on triage in January 2015 to feed cases to the primary care providersEnsure that quality is maintainedWork on health economicsWork with interviews of stakeholders

14Your feedbackJo has interviewed several practicesFeedback on following phone requestsWhat do you like?What do you dislike?What could be done better?Let us know or fill in the form

15Thank youFor your attention

iain.pretty@manchester.ac.uk