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Laboratory notification list

Announcements and latest updates

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

Contingency planning for RDS outages

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 26^th 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.

New toolkits

The following toolkits are now live;

Gender identity healthcare: adults and young people standards. (https://rightdecisions.scot.nhs.uk/genderidentity ) Note that this toolkit includes self-evaluation forms for each standard. A Scottish Government launch of these standards, together with the toolkit and NES educational resources, is planned for 3^rd September.
Care Inspectorate staffing method framework.
Vascular surgery pathways from the Modernising Patient Pathways Programme within the Centre for Sustainable Healthcare Delivery.

Updated guidance on current and future Medical Device Regulations

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.

Guide to six stages of RDS toolkit development

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.

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

Thursday 5 September 1-2 pm
Wednesday 24 September 4-5 pm
Friday 27 September 12-1 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.)

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

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Referral procedure by laboratory

Laboratory staff notifying an abnormal result must speak directly to a consultant paediatrician. Either one of the two named paediatricians shown in the table below or the on-call paediatrician for the maternity unit.

N.B. all results are notified simultaneously to the person managing the Scottish CHT Register at Royal Hospital for Children, Glasgow.

(Please view these tables in landscape mode on mobile devices)

Table 1 – Named Paediatricians for Notifications Of Raised TSH

Centre	1^st Named Paediatrician	2^nd Named Paediatrician	Default
Ayrshire	Scott Williamson	TBC	On-call paediatrician in maternity / neonatal unit
Borders	Graeme Eunson	Andy Duncan
Dumfries	Rajendran Shyam	On call consultant
Fife	Anthony Tasker	Jo Watt
Forth Valley	Sabine Grosser	On call consultant
Glasgow	Guftar Shaikh	Avril Mason
Grampian	Amalia Mayo	Craig Oxley
Highland	Stuart Henderson	Alan Webb
Lanarkshire	Ian Hunter	Shubhangi Shewale / Padma Rajagopal
Lothian	Via Paed. Endo. Secretary	Endocrine Consultant of week
Tayside	Nicky Conway	Clare Webster

Table 2 - Telephone numbers

Centre	Hospital	Main contact number(s)	Switchboard
Ayrshire	Crosshouse, Ayr	-	01563 521003
Borders	Borders General, Melrose	01896 826892	01896 826000
Clyde	Royal Alexandra, Paisley	-	0141 887 9111
Dumfries	Dumfries General	01387 241732 01387 241963	01387 246246
Fife	Victoria Hospital, Kirkcaldy	-	01592 643355
Forth Valley	Forth Valley Royal, Larbert	01324 567202 (Bleep 1812) 01324 567692 (on-call paediatrician)	01324 566000
Glasgow	Royal Hospital for Children	0141 451 6548 0141 451 5799	0141 201 0000
Glasgow	Princess Royal Maternity	-	0141 211 5400
Grampian	Children’s Hospital	01224 550125	0845 456 6000
Highland	Raigmore, Inverness	01463 705324	01463 704000
Lanarkshire	Wishaw General	01698 366481	01698 361100
Lothian	Royal Hospital for Children and Young People, Edinburgh	-	0131 536 1000
Lothian	Royal Infirmary, Edinburgh	-	0131 536 1000
Tayside	Ninewells, Dundee	-	01382 660111