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Right Decision Service newsletter: October 2024

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

1.Contingency arrangements for RDS outages

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:

  • Optimising mobile app build process
  • Mobile app always to be downloadable.
  • Serialising builds to mobile app; separate mobile app build from other editorial and end-user processes
  • Load balancing – provides failover (also enables separation of editorial processes from other processes to improve performance.)

 

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.

 

2. New deployment with improvements.

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:

  • Deep-linking to individual toolkits within the RDS mobile app. Each toolkit will now have its own direct URL and QR code, both accessible from the app. These can be used to download the toolkit directly where users already have the RDS app installed. If the user does not yet have the RDS app installed, they will be taken to the app store to install the app and immediately afterwards the toolkit will automatically open and download. Note that this will go live a few days later than the improvements below due to the need to link up the mobile front end to the changes in the content management system.
  • Introducing an Announcement Header field to replace the hardcoded "Announcements and latest updates" text. This will enable users to see at a glance the focus of new announcements.
  • Automated daily emptying of the recycling bin (with a 30 day rolling grace period)  in the content management system. A bug preventing complete emptying of the recycling bin contributed to one of the outages earlier this year.
  • Supporting multiple passcodes (ticket 6079)
  • Expanding accordion section to show location of a search result rather than requiring user coming from a search result to manually open all sections and search again for the term.
  • Displaying first accordion section Content text as a snippet on the search results page as a fallback if default/main content is not provided
  • Displaying the context of each search result in the form of a link to the relevant parent tool/section. This will help users to choose which search result is most likely to be appropriate for their needs.
  • As part of release of the new national benzodiazepine quality prescribing guidance toolkit sponsored by Scottish Government Effective Prescribing and Therapeutics, a digital tool to support creation of benzodiazepine tapering/withdrawal schedules.

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.

3. RDS Search, Browse and Archive/Version control enhancements

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.

4. Support tickets

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.

Table formatting

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.

5. New RDS toolkits

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:

  • Focus on dementia
  • Highland Council Getting it Right for Every Child
  • Dumfries and Galloway Adult Support and Protection procedures
  • National Waiting Well toolkit
  • Fertility Scotland National Network
  • NHS Lothian postural care for care homes

6.Sign up to RDS Editors Teams channel

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.

 

7. Evaluation projects

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.

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

  • Friday 29th November 3-4 pm
  • Thursday 5 December 3.30 -4.30 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.)

 

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

 

 

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 10:00am 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