Welcome to the Right Decision Service (RDS) newsletter for August 2024.
Following the recent RDS outages, Tactuum and the RDS team have been reviewing the learning from these incidents. We are committed to doing all we can to ensure a positive outcome by strengthening the RDS to make it fully robust and clinically resilient for the future.
We would like to invite you to a webinar on 26th September 3-4 pm on national and local contingency planning for future RDS outages. Tactuum and the RDS team will speak about our business continuity plans and the national contingency arrangements we are putting in place. This will also be a space to share local contingency plans, ideas and existing good practice. We would also like to gather your views on who we should send communications to in the event of future outages.
I have sent a meeting request for this date to all editors – please accept or decline to indicate attendance, and please forward on to relevant contacts. You can also contact Olivia.graham@nhs.scot directly to register your interest in participating.
2.National IV fluid prescribing calculator
This UK CA marked calculator is now live at https://righdecisions.scot.nhs.uk/ivfluids . It has been developed by a multiprofessional steering group of leads in IV fluids management, as part of the wider Modernising Patient Pathways Programme within the Centre for Sustainable Delivery. It aims to address a known cause of clinical error in hospital settings, and we hope it will be especially useful to the new junior doctors who started in August.
Please do spread the word about this new calculator and get in touch with any questions.
The following toolkits are now live;
We have updated and simplified this guidance within our standard operating procedures. We have clarified the guidance on how to determine whether an RDS tool is a medical device, and have provided an interactive powerpoint slideset to steer you through the process.
We have developed a guide to support editors and toolkit leads through the process of scoping, designing, delivering, quality assuring and implementing a new RDS toolkit. We hope this will help in project planning and in building shared understanding of responsibilities throughout the full development process. The guide emphasises that the project does not end with launch of the new toolkit. Implementation, communication and evaluation are ongoing activities throughout the lifetime of the toolkit.
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.)
7 Evaluation projects
Dr Stephen Biggart from NHS Lothian has kindly shared with us the results of a recent survey of use of the Edinburgh Royal Infirmary of Edinburgh Anaesthesia toolkit. This shows that the majority of consultants are using it weekly or monthly, mainly to access clinical protocols, with a secondary purpose being education and training purposes. They tend to find information by navigating by specialty rather than keyword searching, and had some useful recommendations for future development, such as access to quick reference guidance.
We’d really appreciate you sharing any other local evaluations of RDS in this way – it all helps to build the evidence base for impact.
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
Key Contact - Susan Thompson, Communication Manager - Equality and Human Rights Team
susan.thompson@ggc.scot.nhs.uk
Author - Jacqueline Fairweather - jacqueline.fairweather@ggc.scot.nhs.uk
Co-Authors - Susan Thompson, Jac Ross
Main Contact e-mail - equality@ggc.scot.nhs.uk
The one infographic included has accordion sections below explaining each part of the diagram. Therefore, there is no requirement for alt-text.
Authors:
Communications Manager - Equality and Human Rights Team
Equality and Human Rights Team Leader
Equality and Human Rights Practitioner (Autism Lead)
Processes and Key Responsibilities:
Review and sign-off of content at time of initial publication
Meeting with Leads/ Contributors of app content. This will be previewed by all
before being approved for publication.
Review and sign-off of initial delivery of the content via the RDP
Meeting with Leads/ Contributors of app content. This will be previewed by all
before being approved for publication.
Proposing updates and signing off proposals for updates to the content after
initial publication, outwith the scheduled review dates.
If there were changes of legislation, feedback etc, the key contact would
speak to the Lead Clinician and look for agreement on whether to publish.
Review and sign-off of updated content via the RDP, outwith the scheduled
review dates.
If there was feedback suggesting a change to the layout of content, the key
contact would speak to the Lead Clinician and look for agreement on whether
to publish.
Determining the review date(s) for content.
Some pathways are more likely to change than others due to complexity. They
would have more regular review dates. As standard, we would review all
content every 6 months.
Receiving the automated alerts from RDP when the content is due for review, and ensuring that the review takes place in a timely manner?
Team meeting to be arranged and the authors would review their respective content.
Content Updates:
The GGC Knowledge Services Team will make updates to the content. The Clinical
Team will make small changes where possible
The lived experience of Autistic people has been used in compiling this Toolkit. It has also been reviewed by services within NHSGGC.
Autistic SPACE Framework taken from:
Docherty, M. et al. Autistic SPACE: a novel framework for meeting the needs of autistic people in healthcare Settings. British Journal of Hospital Medicine. 84 (4). April 2023.
General Text has been adapted for the target audience.
The lived experience of Autistic people, a literature review and online evidence used by main author Jacqueline Fairweather.
All Toolkit content has been approved by the Public Health Senior Management Team
Autistic patients using generic services do not always have their needs met.
This presents a risk for all Staff working with Autistic people.
Suggested mitigations within the Toolkit are based on current evidence. There is a Space Diagram within the Toolkit (that will not change) which provides guidance on the experiences of Autistic people.
User Testing process is complete.
GGC - Meeting the needs of Autistic People