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 contacts
Dr Nagore Penades, Consultant Psychiatrist and eHealth Clinical Lead for Mental Health, NHS Greater Glasgow & Clyde
Tracey McKee, Subject Specialist Librarian and Lead Knowledge Manager for MyPsych, NHS Greater Glasgow & Clyde
Senior Responsible Owner
Dr Martin Culshaw, Deputy Medical Director, Mental Health and Addictions, NHS Greater Glasgow and Clyde/Glasgow City Health and Social Care Partnership
Content has been checked for accessibility in line with the relevant RDS standard operating procedure.
Authorship
The content in this toolkit has been developed and reviewed by NHSGGC Mental Health clinical staff and colleagues working in mental health services across NHS Scotland, with reference to relevant National and International guidance as appropriate.
Review and approval
Where appropriate the content of this toolkit follows the NHSGGC guidance for review and approval of clinical guidelines.
All guidance has been reviewed and approved by the NHSGGC Mental Health-Prescribing Management Group, NHSGGC Mental Health Safer Use of Medicines Group, NHSGGC Mental Health Services Clinical Governance Group, NHSGGC Primary Care - Prescribing Management Group or ADTC Medicines Utilisation Sub-committee as appropriate.
Guidance is considered for regular update on a schedule set by the above groups and all such updates will then go through the appropriate review and approval process.
Any updates to guidelines will be based on a review of the literature published since the last update, including relevant National and International guidance.
Any minor updates to content brought to the attention of the MyPsych App Editorial Group will be dealt with on an "as needed basis".
Content updates on the Right Decision Platform will be carried out by the MyPsych Editorial Group.
RDS automated alerts when review is due will be sent to the guideline reviewer or the MyPsych Editorial Group.
All guidelines authors have ensured that permission has been granted for the re-use of tools and measures, diagrams or images produced by external sources.
NHS Digital sub-licence obtained for NHSGGC for the Glasgow Anti-psychotic Side effect Scale (GASS) –NHSGGC users are prompted to contact Knowledge Services to obtain this.
All icons are from Flaticon.com, accessed through the licence held Tactuum Ltd for the resources supported by the software platform it provides.
The guidelines included in this toolkit are based on a review of the relevant literature, including National and International guidance, combined with expert consensus and assessment of suitability for the Scottish healthcare context and acceptability to the patient population in Scotland.
Additional content and links sourced from colleagues across NHS Scotland and approved by the MyPsych Editorial Group.
We encourage users of this toolkit to use our contact form to highlight any feedback or complaints.
Responses are monitored by the Key Contact & Knowledge Manager as named above and taken to the MyPsych Editorial Group for discussion and action.
Any messages received through the generic RDS Feedback form will also be forwarded to the Knowledge Manager for the toolkit and passed on as appropriate.
For guidance, the guideline authors and the MyPsych Editorial Group will acknowledge the feedback promptly and endeavour to address it in a timely manner. If a guideline requires significant amendments, the appropriate governance group will assess whether it should be withdrawn awaiting update or can remain on the site with an appropriate statement.
The toolkit has been risk assessed, and mitigations put in place where required.
The toolkit was user tested by NHSGGC clinicians post-publication, and further user engagement will be undertaken as part of ongoing development work.
MyPsych App