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Torus
Journal of the Torex User Group
December 2000

"Appropriate details from out-of-hours and walk-in centre activity can be fed back automatically to the surgery computer. This will advance clinical continuity

and avoid the need for data to be re-entered at surgery level. We use secure e-mail to transfer consultation details to the Practice system, and the same links are used in the opposite direction to communicate GP rota status, appointment slots and special needs information for specific patients."

NHS Direct a new gateway
to healthcare 2001

By 2004,
.......electronic links between NHS Direct,
out-of-hours providers and the patients registered GP will ensure that details of a patients consultation with NHS Direct are available to the health professional handling the next stage of their care.



Raising standards for patients
New partnerships in Out of Hours care

The Review Team is acutely aware, however, that for certain particular groups of patients, it would not be appropriate to wait until the new electronic exchange of data is in place. Thus, NHS Direct, out-of-hours providers and GP practices should develop methods to ensure appropriate three-way exchange of information for patients:

  • With terminal illness.
  • With complex acute clinical needs.
  • With mental health problems
  • Who access their care through arrangements made under HSC 2000/001:
  • Tackling Violence Towards GPs and Their Staff.

Finally, the minimum standards set out in Good Medical Practice for General Practitioners can only be achieved if
out-of-hours providers supply to GPs, by 9.00 a.m. on the next normal working day, full and comprehensive clinical data for all out-of-hours consultations.



Raising standards for patients
New partnerships in Out of Hours care

Recommendation Four:

When the Electronic Health Record is in place, a three-way exchange of data between NHS Direct, out-of-hours providers and GP clinical systems

should be established. In the interim, all providers should report all out-of-hours consultations to GPs by 9.00 a.m. the next normal working day.

Systems for the three-way sharing of clinical data for patients with special needs should be established in advance of the implementation of the Electronic Patient Record.