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Saturday 24 August 2013
Purpose The NHS Pathways and the Directory of Services core narrative has been designed to support NHS communications leads and/or project managers in explaining what is changing for patients and healthcare staff.

Background The pressures on ambulance services and EmergencyDepartments(ED) have been increasing and many of the patients that dial 999 for an ambulance or visit ED could be treated more appropriately in primary care.

Until now urgent and emergency care has been fragmented and disconnected as patients often don’t know where they should go when they have an urgent care need that is not life threatening. This has led to inconsistencies in the responses and treatment patients receive for various reasons. These include: preventing easy cross referral, the need to re-triage at each step using different clinical assessment tools, patients being referred to services that do not have the skills they require or patients simply not knowing where and how they can access urgent care and as a result dial 999.

NHS Pathways sets out to deliver a single clinical assessment tool that provides effective triage over the telephone in any setting taking calls from the public. This can include 999, NHS Direct, GP out-of-hours, NHS 111 and any other Single Point of Access number in place. This will ensure every patient accessing urgent and emergency care services is effectively triaged, reducing the need for them to repeat information and helping to make sure that they are directed to the right care at the right time.


What is it and how does it work? NHS Pathways is a suite of clinical assessment content for triaging telephone calls from the public, based on the symptoms they report when they call.


NHS Pathways enables a specially designed clinical assessment to be carried out by the trained person answering the call. Once the clinical assessment has been completed, a clinical skill set and a defined timescale will be identified for the patient.

At the end of the assessment, if an emergency ambulance is not required, an automatic search is carried out on the integrated Directory of Services to locate an appropriate service in the patient’s local area that offers the specific clinical skills needed within the time frame required.
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As the NHS has evolved, the range of NHS providers from the independent and third sectors offering NHS-commissioned services and requiring information management and technology (IM&T) integration has increased significantly.

Recognising the growing importance of these sectors to the NHS and the need for effective integration with NHS systems and applications, NHS Connecting for Health (NHS CFH) introduced the NHS Business Partners programme (previously known as the Independent Sector Healthcare programme).

The programme provides a dedicated contact point within NHS CFH for both NHS commissioners and, where appropriate, their contracted healthcare providers and their system suppliers. It can:

provide advice and guidance on integrating with NHS systems and applications, tailored to the needs of commissioners and healthcare providers
and support providers and their system suppliers with achieving system compliance with NHS systems and service  www.nhs.net
 a comprehensive, easy to use guide to the service.  It has a search feature for easy access to the required information.  Find it in the 'Guidance' pages of the NHSmail portal at www.nhs.net
NHSmail mini guides - hard copy mini guides to the new service for both users and Local Organisation Administrators are available via the NHS Connecting for Health Publication Ordering Service.
The NHSmail Guidance pages are packed full of information including policy and procedure, case studies and advice on utilising the full capabilities of the service, such as setting up automated SMS patient appointment reminders. You can access them without logging into your account as long as you're using an NHS connection:
  • Go to www.nhs.net
  • Click on 'Search Directory'
  • Click on 'Guidance'

NHSmail helpdesk

The national NHSmail helpdesk is available 24 hours a day, 7 day a week, 365 days a year on 0333 200 1133, or you can email helpdesk@nhs.net 
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