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No standardised process.

Multiple handover routes; private message, ms teams, phone call, email, group call.

Most patients have not been informed of their visit being handed over to OOHs.

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Substantial risk of missing a patient; evidence of this from incident reports.

One oohs senior managing this resulting in info overload and substantial stress.

Missing patient information.

Lack of collaboration.

OOHs staff met with anger as patients not informed of later visit.

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A professional and standardised process which reduces risk and enables better continuation of care.

Clear responsibility for both day and oohs teams.

Improved communication and expectations with our patients.

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P1/NIC/Coordinator Group MS Teams Handover video call

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P1/NIC/Coordinator Group MS Teams Handover video call

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Each teams P1/NIC/Coordinator joins the call to handover between 4:15-4:45 every eve.

No need to be there for the total time - just join when ready and leave after handing their teams over.

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Day teams take responsibility to call all patients who are being handed over.

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Day teams take responsibility to call all patients who are being handed over.

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This should be standard practice to ensure basic communication and reduce anger directed at oohs staff when they visit.

Could admin staff be utilised for this process?

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A teams handover from NIC days to NIC OOH is needed however this may mean that ooh would need to factor this into their time. Often there is information to handover that would benefit OOH staff and the patient and communication is key however we understand that OOH NIC is triaging and allocating visits and all teams are contacting that person so I feel the need to keep it very brief and often not cover everything so not to add further time pressures to OOH NIC who is being bombarded. If days NIC have nothing to handover then there would be no need for team to join. Failing this would a handover word document with information of patients on syringe drivers or likely to sos due to symptoms etc be helpful to give you intelligence on our caseload?

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Nurse may be out on visits and not able to join.

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Nurse may be out on visits and not able to join.

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Each team operates differently - some have NIC some don't.

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Each team operates differently - some have NIC some don't.

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Good for records.
Negative is that there is so many chats going.

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Can we just standardise the current process? One route so that the OOHRS NIC is receiving all info in a consistent way?

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Can we just standardise the current process? One route so that the OOHRS NIC is receiving all info in a consistent way?

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Could take a long time to get through all of the staff which join- time consuming

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Could take a long time to get through all of the staff which join- time consuming

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Designated wait list for day staff to add patients on to?

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Designated wait list for day staff to add patients on to?