Karim El-Shakankery: karim.el-shakankery2@nhs.scot
Jane Stewart: jane.stewart@nhslothian.scot.nhs.uk
Welcome to the Right Decision Service (RDS) newsletter for October 2024.
Development of the contingency solutions to maximise RDS resilience and minimise risk of future outages is in progress, aiming for completion by Christmas. As a reminder, these contingency arrangements are:
In the meantime, a gentle reminder to encourage users to download essential clinical toolkits to their mobile devices so that there is an offline version always available.
A new scheduled deployment with minor improvements drawn from support tickets, externally funded projects, information related to outages, and feature requests will take place in early December. Key improvements planned are:
We are also seeking approval to use the NHS Scotland logo and title for the RDS app on the app stores to help with audience engagement and clarity around the provenance of RDS.
We are still hopeful that user acceptance testing for at least the Search and browse enhancements can take place before Christmas. Thank you for your patience and understanding in waiting for these improvements. Timescales have been pushed back by old app migration challenges, work to address outages, and most recently implementing the contingency arrangements.
We are aware that there continue to be some issues around a number of RDS support tickets, in part due to constraints around visibility for the RDS team of the tickets in the existing support portal. We are investigating the potential to move to a new support ticket requesting system from early in the new year. We will organise the proposed webinar around support ticket processes once we have confirmed the way forward with the system.
There is a known issue with alterations in formatting of some RDS tables which seems to have arisen as a result of the 17 October deployment. Tactuum is working on a fix and on implementing additional regression testing to prevent this issue recurring.
Recently launched toolkits include:
NHS Lothian Infectious Diseases
Scottish Health Technologies Group – Technology Assessment recommendations
NHS Tayside Anaesthetics and Critical Care projects – an innovative toolkit which uses PowerAutomate to manage review and response to proposals for improvement projects.
If you would like to promote one of your new toolkits through this newsletter, please contact ann.wales3@nhs.scot
A number of toolkits are expected to go live before Christmas, including:
We have had a good response to the recent invitation to sign up to the new Teams channel for RDS editors. This provides a forum for editors to share learning, ideas and questions and we hope to hold regular webinars on topics of interest. The RDS team is in the process of joining participants to the channel and we’d encourage all editors to take part, using the registration form – available in Providers section of the RDS Learning and Support area.
The RDS team has worked with colleagues in NHS Grampian and the Digital Health & Care Innovation Centre to evaluate the impact of the Prevent the progress of diabetes web and mobile app in a small-scale pilot project. This app provides access to local and national resources and services targeted at people with prediabetes, a history of gestational diabetes, or candidates for remission. After just 8 weeks of using the app, 94% of patients reported increased their knowledge and understanding of diabetes, and 88% said it had increased their confidence and motivation to make lifestyle changes, highlighting specific behaviour changes. The learning from this project is informing development of a service model based on tailored support for patient groups with, high, medium and low digital self-efficacy.
Please contact ann.wales3@nhs.scot if you would like to know more about this project.
To book a place, please contact Olivia.graham@nhs.scot, providing your name, organisation, job role, and level of experience with RDS editing (none, a little, moderate, extensive.)
To invite colleagues to sign up to receive this newsletter, please signpost them to the registration form - also available in End-user and Provider sections of the RDS Learning and Support area. If you have any questions about the content of this newsletter, please contact his.decisionsupport@nhs.scot If you would prefer not to receive future newsletters, please email Olivia.graham@nhs.scot and ask to be removed from the circulation list.
With kind regards
Right Decision Service team
Healthcare Improvement Scotland
The Right Decision Service: the national decision support platform for Scotland’s health and care
Website: https://rightdecisions.scot.nhs.uk Mobile app download: Apple Android
Karim El-Shakankery: karim.el-shakankery2@nhs.scot
Jane Stewart: jane.stewart@nhslothian.scot.nhs.uk
Content has been checked for accessibility in line with the relevant RDS standard operating procedure.
The Oncology Department at the Edinburgh Cancer Centre will ensure that guidelines remain as updated as possible.
The content of this toolkit has been reviewed by NHS Lothian clinicians. The app has been tested by colleagues within the department, including consultants, SpRs, SHOs and ANPs. Feedback was requested from the whole department on the content, usability, appearance and function of the app and online platform.
The content within the toolkit complies with copyright legislation and that permission to embed content from external sources has been obtained where required.
Copyright permission has been obtained to reproduce sections of the UKONS Acute oncology initial guidelines v.4.0 .
Flaticon images have been used as icons within this toolkit. The RDS use of Flaticon images is covered by the licence paid by Tactuum Ltd as software provider of the RDS platform.
Unless otherwise indicated, copyright in this app/website is retained by NHS Lothian 2024.
The content is based on robust evidence-based guidelines, including NHS and SMC guidelines, alongside European guidelines. All documents produced for the Edinburgh Cancer Centre guidelines undergo stringent quality checking, including review of the evidence and where it has come from.
Oncology is incredibly evidence-based and most of the guidance comes from phase III clinical trials, which are used to generate national and local guidance.
When documents are updated, evidence is re-reviewed and guidance is updated accordingly.
All relevant committees/bodies have signed off on app generation. All teams have subsequently been made aware of the app and been given access to review it, prior to its formal release.
Guidance available on this toolkit is also available on the Oncology Online Quality System. To be available on the Oncology Online Quality System, it will also have been reviewed by the local Oncology Drug and Therapeutics Committee.
The Oncology Department at the Edinburgh Cancer Centre will oversee ongoing development. This is primarily controlled by Jane Stewart, Oncology Quality Manager.
If you have any questions, comments or feedback about this toolkit, please contact us:
jane.stewart@nhslothian.scot.nhs.uk
Feedback using this email address will be monitored Monday-Friday excluding public holidays and escalated as appropriate.
A hazard log has been completed and will be kept up to date.
No patient information is included to decrease risk to patients.
Internet connectivity has been considered - the app is available via mobile data and other internet connections outside of the NHS Lothian intranet.
The content was reviewed by NHS Lothian clinicians in April 2024. Responders were asked to comment on the ease of navigation, look and content of the toolkit. All comments were addressed and amendments made.