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EQUIP : Clinical Audit
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Clinical Audit

 Audit News December 2017   

SNOMED – Systematised Nomenclature of Medicine – Clinical Terms

Primary Care will be using SNOMED CT from the 1st April

2018. The new browser replaces our familiar coding syste

ms Version 2 and CTV 3. The change will benefit both patients and clinicians and enhance the already available Electronic Shared Record. This is the only coding system suitable for all Health Organisations that deliver Health Care and is used Globally opening up the doors for further research.

I have now completed the six planned “Overview” sessions. 167 delegates attended and the feedback was really positive. Here is a small sample of the positive comments:
“Very helpful. It made the transition a lot less scary, thank you”.
“Found this very helpful and gave us more information to take back to our practices”
“As always explained very clearly, excellent”
“Another very good and informative presentation thank you”
“We now have the knowledge to be able to plan ahead the work required to update own searches, protocols and templates, thank you”
If there is enough demand we will consider delivering another session at Witham, please register an interest withjillmchale@essexequip.co.uk
 
 
GDPR – General Data Protection Requirements
Having attended a conference in Manchester earlier this month and with practices rightfully having concerns about the change, we are in the process of organising an initial training session for January/February to give a general overview of requirements.
 A second follow-up session will be delivered by myself in April to ensure you have covered all the requirements.
These updates include Data Security. The following document is available on the.gov.uk website which may also help
If you wish to register an interest please email myself on jillwarn@essexequip.co.uk
Seasonal Influenza Programme
Please remember all patients who you consider to be at risk, but who do not have one of this year’s clinical risk Read codes in their clinical record, will require both the 9OX4. Read code along with the vaccination within the reporting period (the month of vaccination). I would suggest you enter them both together.
Practices have had issues with the following patients not being picked up so you may wish to add the 9OX4. Read code to their Clinical Records too: -
Pregnant women
Carers
Asthmatics who have not had steroid inhalers or meds in the last 12 months
Patients who have a BMI >40 (Vaccinated opportunistically)
Patients who are newly registered require the vaccination to be entered on the day after their registration is complete. (On the same day it will not be picked up)
Cancer patients who have not had their treatment recorded
 
This could be the reason for CQRS having a different number achieved to your own in-house searches.
Frailty
I have received an increasing number of queries about the Enriched Summary Care Records that GPs are to discuss and offer to patients and/or their carers who are severely frail. Many practices have commented that it is not possible to have a discussion when the clinicians are not aware of the difference between both an Enriched Summary Care Record and the Summary Care Record.
NHS Digital has documentation which may help Clinicians and Practice Staff understand what the difference is:
  
Q&A link
Due to a new very exciting EQUIP website, expected to be launched in late January, I am not able to upload new documents containing answers to the queries I am receiving. Please continue to email me your queries as I am able to share the answers I send direct to you with other Primary Care staff as they contact me.
Jill Warn