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Right Decision Service newsletter: September 2024

Welcome to the Right Decision Service (RDS) newsletter for September 2024.

1.Business case for permanent provision of the Right Decision Service from April 2025 onwards

This business case has now been endorsed by the HIS Board and will shortly be submitted to Scottish Government.

2. Management of RDS support tickets

To balance increasing demand with available capacity and financial resource, the RDS team and Tactuum are now working together to  implement closer management of support tickets. As a key part of this, we want to ensure clear, timely and consistent communication with yourselves as requesters.  

Editors will now start seeing new messages come through in response to support ticket requests which reflect this tightening up and improvement of our processes.

Key points to note are:

2.1 Issues confirmed by the RDS and Tactuum teams as meeting the critical/urgent and high priority criteria will continue to be prioritised and dealt with immediately.

Critical/urgent issues are defined as:

  1. The Service as a whole is not operational for multiple users. OR
  2. Multiple core functions of the Service are not operational for multiple users.

Example – RDS website outage.

Please remember to email ann.wales3@nhs.scot and his.decisionsupport@nhs.scot with any critical/urgent issues in addition to raising a support ticket.

High priority issues are defined as:

  1. A single core function of the Service is not operational for multiple users. OR:
  2. Multiple non-core functions of the Service are not operational for multiple users.

Example – Build to app not working.

2.2 Support requests that are outwith the warranty period of 12 weeks since the software was originally developed will not be automatically addressed by Tactuum. The RDS team will consider these requests for costed development work and will obtain estimate of effort and cost from Tactuum for priority issues.

2.3 Support tickets for technical issues that are not classified as bugs will not be automatically addressed by Tactuum. The definition of a bug is ‘a defect in the software that is at variance with documented user requirements.’  Issues that are not bugs will also be considered for costed development work.

The majority of issues currently in support tickets fall into category 2 or 3 above, or both.

2.4 Non-urgent requests that require a deployment (i.e a new release of RDS) will normally be factored into the next scheduled release (currently end of Nov 2024 and end of Feb 2025) unless by special agreement with the RDS team.

Please note that we plan to move in the new year to a new system whereby requests all come to an RDS support portal in the first instance and are triaged from there to Tactuum when appropriate.

We will be organising a webinar in a few weeks’ time to take you through the details of the current support processes and criteria.

3. Next scheduled deployment.

The next scheduled RDS deployment will take place at the end of November 2024.  We are reviewing all outstanding support tickets and feature requests along with estimates of effort and cost to determine which items will be included in this deployment.

We will update you on this in the next newsletter and in the planned webinar about support ticket processes.

4. Contingency arrangements for RDS

Many thanks to those of you who attended our recent webinar on the contingency arrangements being put in place to prevent future RDS outages as far as possible and minimise impact if they do occur.  Please contact ann.wales3@nhs.scot if you would like a copy of the slides from this session.

5. Transfer of CKP pathways to RDS

The NES clinical knowledge pathway (CKP) publisher is now retired and the majority of pathways supported by this tool have been transferred to the RDS. Examples include:

NHS Lothian musculoskeletal pathways

NHS Fife rehabilitation musculoskeletal pathways

NHS Tayside paediatric pathways

6. Other new RDS toolkits

Include:

Focus on frailty (from HIS Frailty improvement programme)

NHS GGC Money advice and support

If you would like to promote one of your new toolkits through this newsletter, please contact ann.wales3@nhs.scot

To go live imminently:

  • Focus on dementia
  • NHS Lothian infectious diseases toolkit
  • Dumfries and Galloway Adult Support and Protection procedures
  • SIGN guideline – Prevention and remission of type 2 diabetes

 

7. Evaluation projects

We have recently analysed the results of a survey of users of the Scottish Palliative Care Guidelines toolkit.  Key findings from 61 respondents include:

  • Most respondents (64%) are frequent users of the toolkit, using it either daily or weekly. A further 25% use it once or twice per month.
  • 5% of respondents use the toolkit to deliver direct patient care and 82% use it for learning
  • Impact on practice and decision-making was rated as very high, with 80% of respondents rating these at a 4-5 on a 5 point scale.
  • Impact on time saving was also high, with 74% of respondents rating it from 3-5.
  • 74% also reported that the toolkit improved their knowledge and skills, rating these at 4-5 on the Likert scale

Key strengths identified included:

  • The information is useful, succinct, and easy to understand (31%).
  • Coverage is comprehensive (15%)
  • All information is readily accessible in one place and users value the offline access via mobile app (15%)
  • Information is reliable, evidence-based and up to date (13%)

Users highlighted key areas for improvement in terms of navigation and search functionality. The survey was very valuable in enabling us to uncover the specific issues affecting the user experience. Many of these can be addressed through content management approaches. The issues identified with search results echo other user feedback, and we are costing improvements with a view to implementation in the next RDS deployment.

8.RDS High risk prescribing (polypharmacy) decision support embedded in Vision and EMIS primary care E H R systems

This decision support software, sponsored by Scottish Government Effective Prescribing and Therapeutics Division,  is now available for all primary care clinicians across NHS Tayside. Board-wide implementation is also planned for NHS Lothian, and NHS GGC, NHS Ayrshire and Arran and NHS Dumfries and Galloway have initial pilots in progress. The University of Dundee has been commissioned to evaluate impact of this decision support software on prescribing practice.

9. Video tutorials for RDS editors

Ten bite-size (5 mins or less) video tutorials for RDS editors are now available in the “Resources for providers of RDS tools” section of the RDS.  These cover core functionality including Save and preview, content page and media management, password management and much more.

10. Training sessions for new editors (also serve as refresher sessions for existing editors) will take place on the following dates:

  • Wednesday 23rd October 4-5 pm
  • Tuesday 29th October 11 am -12 pm

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.)

If you have any questions about the content of this newsletter, please contact his.decisionsupport@nhs.scot  

With kind regards

 

Right Decision Service team

Healthcare Improvement Scotland

 

 

 

I'm looking for support for a patient

Warning

“Having their financial needs addressed is often an individual’s most pressing priority, over and above their physical needs” – Consultant in Palliative Medicine, QEUH

Money worries can affect everyone at some point in their lives when circumstances change, such as ill health, family job loss, disability, caring responsibilities, relationship breakdown or bereavement.

NHSGGC provides financial support services for its patient population. This section covers what is available for our hospital patients.

Help with hospital costs

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Bandage

1. The Hospital Travel Costs schemeWebsite is for hospital only appointments and is for people with a low income or on certain benefits including Universal Credit. There are criteria for the type of transport reimbursed. The claimant must pay first then can get a refund from the cash office in the hospital. For more information on hospital transport, travel and parking, please visit: Transport, Travel and Parking - Information for Patients and Visitors - NHSGGCWebsite

2. Young Patients Family FundWebsite covers travel and subsistence costs for those who have family members who are in-patients in hospitals.

3. Patient Transport ServiceWebsite for patients who have a medical condition or mobility need that requires ambulance transport to get to their healthcare appointment. The service is available to take patients to and from pre-arranged hospital appointments, or for admission and discharge to hospital.

4. There is a National Entitlement Card for people with disabilities who are entitled to have a companion travel with them on the same journey. Companion travel is charged at a reduced rate. To apply call SPT on 0141 333 3211Phone Call or Concessions | SPT | Strathclyde Partnership for TransportWebsite

5. The MyBus scheme provides a drop off and pick up service for those accessing health appointments - MyBus | SPT | Strathclyde Partnership for TransportWebsite. Please note that there is currently a reduced and restricted service.

6. There is the National Young Persons’ Free Bus Travel scheme, support may be required to access this, it’s for all children and young people aged 5-22 in Scotland

https://www.mygov.scot/under-22s-bus-passWebsite.

For children aged 5-10 years application can be made at parentsportal | parentsportal.scotWebsite

For applications aged 11-21 years applications can be made at getyournec.scotWebsite

Libraries can help with the application and verification of evidence, they can also advise on those already with/eligible for a Young Scot card. There is support available through schools also.

The Cost of Living Crisis in GGC – Health Implications

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Heart

Poverty and low income can make it more likely for someone to develop a health problem and can hinder a person’s ability to manage their health conditions and follow treatment advice. Poverty has a significant impact on the NHS and social care in the UK, estimated at £29bn per year. [1]

The current cost of living crisis means many people are finding it even harder than before to make ends meet. We define poverty as being when a person or household is unable to cover the cost of living. This might mean not being able to heat your home, pay your bills or buy the essentials for your children. [2]

The following video, I live in real poverty and it's not what you think, explains this well:Youtube

 

 

NHS Greater Glasgow and Clyde has some of the highest rates of poverty and deprivation in the country. 28% of children in Glasgow City live in relative low income families- this is higher than anywhere else in Scotland. [3]

 

[1] Poverty and the health and care system | The King's Fund (kingsfund.org.uk)Website

[2] What is poverty? | JRFWebsite

[3] Income Deprivation | The Glasgow Indicators Project (understandingglasgow.com)Website

Hospital money advice partnership services

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Bed

Across our hospital sites we run money advice and financial inclusion service partnerships with a range of providers. These are holistic services which can help people with their financial wellbeing in a range of ways, for example supporting access to social security benefits, help with home energy costs and debts, and help to apply for charitable supports and grants.

It’s important to bear in mind that people’s circumstances can change over time. Someone who says they don’t want any money advice support might change their mind the next time they are asked. People often do not wish to share that they are experiencing problems but could benefit from knowing where to go for advice.

We run fully confidential money advice partnership services at the following hospitals for people using our services. You can make a referral to any of the below listed hospitals- excluding the Royal Hospital for Children. Please use the following form to do this:

Hospital Money Advice Partnership Service Referral Form

 

Glasgow Royal Infirmary –Money Advice Service

ggc.moneyadvice@ggc.scot.nhs.ukEnvelope

 

Or for patients who are homeless or at risk:

ci.homeless.outreach@nhs.scotEnvelope

 

Inverclyde Royal Hospital – Inverclyde Advice First

triage.advice@inverclyde.gov.ukEnvelope

 

New Victoria – Money Advice Service

ggc.moneyadvice@ggc.scot.nhs.ukEnvelope

 

Queen Elizabeth University Hospital – GEMAP Money Advice Service

ggc.moneyadvice@ggc.scot.nhs.ukEnvelope

 

Royal Alexandria Hospital – Renfrewshire Advice Works

adviceworks@renfrewshire.gov.ukEnvelope

 

Royal Hospital for Children

RHC.MoneyAdviceService@ggc.scot.nhs.ukEnvelope

 

Stobhill Hospital – Money Advice Service

ggc.moneyadvice@ggc.scot.nhs.ukEnvelope

 

Alternatively, patients can be referred to any of these services via our hospital Support and Information ServicesWebsite, or the Family support and Information ServiceWebsite.

Hospital Money Advice Partnership Service Referral Form

Home Energy Crisis Response Service

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Bulb

NHS Greater Glasgow and Clyde run a partnership with Money Matters to offer all hospital patients a home energy crisis response service. This service helps patients who are unable or have difficulty paying for heat or electricity for their home.

Patients can access this service via the hospital Support and Information Services. Staff can also contact the hospital Support and Information ServicesWebsite on the patient’s behalf.

DWP Hospital Helpline

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Department for Work & Pensions Logo

People diagnosed with a new health condition, or parents with a child who needs to attend hospital as an inpatient or outpatient, may be newly entitled to certain benefits.

At present the benefits system in Scotland is administered by both the Department of Work and Pensions and Social Security Scotland:

Department of Work and Pensions (DWP) Hospital Helpline

NHS Greater Glasgow and Clyde operate a partnership with the DWP to provide hospital patients who are clients of the DWP quick and direct access to advice and support. To discuss benefits, appointments or any other DWP related enquiries, please contact staff from the DWP between the hours 12:00 to 14:00 Monday to Friday on any of the following numbers:

Jacky Kean 07920812160Phone Call

Laura Ferguson 07920796431Phone Call

Gordon Wallace 07788708753Phone Call

Patients that are not currently clients of the DWP can find out more about the range of benefits they may be entitled to at the following link DWP - BenefitsWebsite

Social Security Scotland Hospital Service

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Social Security Scotland Logo

People diagnosed with a new health condition, or parents with a child who needs to attend hospital as an inpatient or outpatient, may be newly entitled to certain benefits.

At present the benefits system in Scotland is administered by both the Department of Work and Pensions and Social Security Scotland:

 

Social Security Scotland (SSS)

NHS Greater Glasgow and Clyde also have a partnership with Social Security Scotland to support patients applying for Adult Disability Payment. Advisors from Social Security Scotland operate a regular drop-in service for patients in Stobhill and Queen Elizabeth University Hospitals. For more information, please contact the hospital Support and Information ServicesLink symbol.

 

Information on Child Disability Payment, Scottish Child Payment and Best Start Grant and Foods and a range of carer’s benefits can be found on the Social Security Scotland website: SSS - BenefitsLink symbol.

 

Other sources of support

There is a Scottish Government online portal offering advice on managing debt, claiming benefits, and paying bills. It also highlights support available for families, older people, people with disabilities and carers as well as resources to support mental health: Cost of Living Support ScotlandWebsite

 

Find out more about eligibility for benefits and charitable grants by visiting the Turn 2 Us website: Tackling Financial Insecurity Together | Turn2usWebsite.

 

Financial support following bereavement: Death - mygov.scotWebsite.

Editorial Information

Last reviewed: 19/07/2024

Next review date: 18/07/2025

Author(s): Health Improvement Lead, NHS GGC.

Author email(s): julie.mcgahan@ggc.scot.nhs.uk.

Approved By: Acute Health Improvement Team