Gateway Referrals Dr John Donald, GP, Referrals Adviser

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Gateway ReferralsDr John Donald, GP,Referrals
Adviser Lead Clinician, Scottish Executive
ECCI teamDunblane, 31st October, 2006
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Lothian Gateway Referrals
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Reasons for Non Use of Gateway

• Non GPASS Practices
• Locum Use
• Specialties not available
• Attachment Problems
• Spelling checker
• Coding Problems
• Problems at receiving end
• Saving to Docman
• Inability to customise letter
• Practice Processes- Queuing etc
• Infrastructure Problems
• Multiple Log-ins to systems

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Specialties not yet Serviced in Lothian

• Private
• Physiotherapy
• Podiatry
• X-Ray
• Family Planning Services
• Pain Services
• Psychiatry

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Protocol Development
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Lothian Refviewer Site (http//www.refviewer.scot
.nhs.uk/)
URL
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RefViewer - -Protocols
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Lothian Refviewer Site (http//www.refviewer.scot
.nhs.uk/)
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RefViewer - Letters
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SCI Central Protocol Site (http//www.show.scot.nh
s.uk/sci/)
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Patient Pathways

• Developed via Centre of Change and Innovation
  (CCI)
• 2 year multi-disciplinary development
• 12 specialties
• 80 pathways
• Primarily Referral Guidelines for Primary Care
• All available within RefHelp
• Part of RIS Project

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Melanoma Patient Pathway
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Melanoma PBR (Protocol Based Referral)
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GPASS Clinical Guidance Tab
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RefHelp