# data[].attributes.body
issues with paper, human error, actually completing/returning

# data[].attributes.body
Patients take them away
Consultants take them away

# data[].attributes.headline
Filling in orange forms - not always done correctly, boxes not ticked 

# data[].attributes.subject
Filling in orange forms - not always done correctly, boxes not ticked 

# data[].attributes.body
can't decipher handwriting

# data[].attributes.headline
Will try to do the RTT pathway, but cannot be done as it has been ended or the orange form hasn't been processed

# data[].attributes.subject
Will try to do the RTT pathway, but cannot be done as it has been ended or the orange form hasn't been processed

# data[].attributes.headline
Consultants want to be able to see the triage data during the patient appointment

# data[].attributes.subject
Consultants want to be able to see the triage data during the patient appointment

# data[].attributes.headline
Some nurses are very resistant to an electronic system:  want to retain paper

# data[].attributes.subject
Some nurses are very resistant to an electronic system:  want to retain paper

# data[].attributes.headline
Suggest focusing on Med Surge; will provide biggest win

# data[].attributes.subject
Suggest focusing on Med Surge; will provide biggest win

# data[].attributes.headline
Patients take orange forms away / don't leave at reception

# data[].attributes.subject
Patients take orange forms away / don't leave at reception

# data[].attributes.headline
Orange forms can take a month to six weeks to reach reception

# data[].attributes.subject
Orange forms can take a month to six weeks to reach reception

# data[].attributes.headline
Could focus on ENT as a discreet area, consultant is engaged and supportive

# data[].attributes.subject
Could focus on ENT as a discreet area, consultant is engaged and supportive

# data[].attributes.body
Discrete area with consultant buy in - eg ENT

# data[].attributes.body
Discrete area / speciality
wch second site

# data[].attributes.headline
Suggest Workington as second site; mix of clinics, but still a discreet area

# data[].attributes.subject
Suggest Workington as second site; mix of clinics, but still a discreet area

# data[].attributes.body
Workington to start with mixed clinic

# data[].attributes.headline
Penrith has acute clinics run by community staff.  New to processes.

# data[].attributes.subject
Penrith has acute clinics run by community staff.  New to processes.

# data[].attributes.headline
Need to take time to understand Penrith clinics before deciding where to put them in the roll out plan.  Maybe a good idea to bring them on early, as consultant may easily outcome own appointments and remove need to transfer forms to CIC

# data[].attributes.subject
Need to take time to understand Penrith clinics before deciding where to put them in the roll out plan.  Maybe a good idea to bring them on early, as consultant may easily outcome own appointments and remove need to transfer forms to CIC

# data[].attributes.body
missing orange forms delay in orange forms returning

# data[].attributes.headline
Emergency appointments don't have orange forms - have to generate one for them.  

# data[].attributes.subject
Emergency appointments don't have orange forms - have to generate one for them.  

# data[].attributes.body
ophthalmology have more emergency appointments

# data[].attributes.body
hand writing on Orange forms can be difficult to read

# data[].attributes.headline
Don't know who has completed an orange form

# data[].attributes.subject
Don't know who has completed an orange form

# data[].attributes.body
not meeting health record standards

# data[].attributes.headline
Daily audits:  10 to 15 thousand pieces of paper per month counted by hand

# data[].attributes.subject
Daily audits:  10 to 15 thousand pieces of paper per month counted by hand

# data[].attributes.headline
Not obvious which pathway a patient is on

# data[].attributes.subject
Not obvious which pathway a patient is on

# data[].attributes.headline
Difficulty in demonstrating where the gaps in the system are, as in forms not completed, or not delivered to reception for inputting

# data[].attributes.subject
Difficulty in demonstrating where the gaps in the system are, as in forms not completed, or not delivered to reception for inputting

# data[].attributes.headline
Complex room usage - a clinic might need multiple rooms for a single clinic appointment, such as breast screening can need 3 different rooms for a single clinic

# data[].attributes.subject
Complex room usage - a clinic might need multiple rooms for a single clinic appointment, such as breast screening can need 3 different rooms for a single clinic

# data[].attributes.headline
Rooms appear to be empty but they are booked as the secondary / support rooms for the clinic that needs multiple rooms

# data[].attributes.subject
Rooms appear to be empty but they are booked as the secondary / support rooms for the clinic that needs multiple rooms

# data[].attributes.body
visiting consultants using a room no charge

# data[].attributes.headline
Newcastle / other orgs / visiting consultants use clinic rooms for non-NCIC patients and NCIC patients

# data[].attributes.subject
Newcastle / other orgs / visiting consultants use clinic rooms for non-NCIC patients and NCIC patients

# data[].attributes.headline
CCG commissioning and ability to charge room usage correctly

# data[].attributes.subject
CCG commissioning and ability to charge room usage correctly

# data[].attributes.headline
Lee Scott working on SLA for private patients

# data[].attributes.subject
Lee Scott working on SLA for private patients

# data[].attributes.headline
Consultants running private clinics outside NHS hours using clinic rooms

# data[].attributes.subject
Consultants running private clinics outside NHS hours using clinic rooms

# data[].attributes.body
private patients /cat 2 seen out of nhs time
still needs that room runs private clinic but no charge for room.
insurance company will send a referral consultant will use a clinic room we don't charge for room hire

# data[].attributes.body
responsible for booking room and finance for charging

# data[].attributes.headline
Who books room? Need to ensure nursing staff know and have people available to cover

# data[].attributes.subject
Who books room? Need to ensure nursing staff know and have people available to cover

# data[].attributes.body
book the room when booking the clinic's ??

# data[].attributes.headline
Room bookings need connecting to  staff rotas so that nurses available

# data[].attributes.subject
Room bookings need connecting to  staff rotas so that nurses available

# data[].attributes.headline
need to talk to contact centre to discuss who liaises with nurses when clinics are booked

# data[].attributes.subject
need to talk to contact centre to discuss who liaises with nurses when clinics are booked

# data[].attributes.body
Gill Coward
Zoe Errington

# data[].attributes.headline
Will need a business continuity plan and SOP for emergency / late changes to clinics

# data[].attributes.subject
Will need a business continuity plan and SOP for emergency / late changes to clinics

# data[].attributes.body
cashing up of clinics is a problem

# data[].attributes.body
currently done by receptionist

# data[].attributes.headline
Patients are not always shown as attended - will continue to show as booked.  Impacts on DNA numbers

# data[].attributes.subject
Patients are not always shown as attended - will continue to show as booked.  Impacts on DNA numbers

# data[].attributes.body
attending clinic the consultant attend patients this makes a difference when cashing up clinics

# data[].attributes.headline
Telephone clinics are not always held in a booked room - meaning no list of patients for clinics that do not have a room booked.

# data[].attributes.subject
Telephone clinics are not always held in a booked room - meaning no list of patients for clinics that do not have a room booked.

# data[].attributes.headline
Cardiology / vascular clinics putting patients on after the date / non-scheduled appointments

# data[].attributes.subject
Cardiology / vascular clinics putting patients on after the date / non-scheduled appointments

# data[].attributes.headline
Lots of additions to clinics the day before, but not added to clinics on PAS

# data[].attributes.subject
Lots of additions to clinics the day before, but not added to clinics on PAS

# data[].attributes.body
How are emergency or extra patients added to clinics?

# data[].attributes.body
non schedule appointments are put on the system as hopa's - no orange forms not on PAS - daily basis

# data[].attributes.body
data quality of demographics

# data[].attributes.body
other system tied in together

# data[].attributes.headline
Need to speak to lead for Attend Anywhere contract review to discuss links between systems / projects

# data[].attributes.subject
Need to speak to lead for Attend Anywhere contract review to discuss links between systems / projects

# data[].attributes.headline
eTrauma system - 6 month trial.  Business case being processed, need to ask James McCourt if being extended

# data[].attributes.subject
eTrauma system - 6 month trial.  Business case being processed, need to ask James McCourt if being extended

# data[].attributes.headline
eTrauma need to add to Orth fracture clinic for next day, booked by receptionists not contact centre

# data[].attributes.subject
eTrauma need to add to Orth fracture clinic for next day, booked by receptionists not contact centre

# data[].attributes.body
without having someone filling out pieces of paper which rooms are free

# data[].attributes.body
Patients & consultants
Direct patients - patient experience better

# data[].attributes.body
Kiosks will highlight if data is incorrect and will be able to confirm
No shouting across the atrium

# data[].attributes.headline
Data quality improvements;  patient can check own data via kiosks

# data[].attributes.subject
Data quality improvements;  patient can check own data via kiosks

# data[].attributes.headline
Cashing up clinics - know if patients have attended/not straight away

# data[].attributes.subject
Cashing up clinics - know if patients have attended/not straight away

# data[].attributes.body
Consultants add outcomes
Patient experience much better - quicker notification of needing another apt

# data[].attributes.headline
Know patients have attended; secretaries can see patients have attended so know there should be / may be a dictation

# data[].attributes.subject
Know patients have attended; secretaries can see patients have attended so know there should be / may be a dictation

# data[].attributes.headline
patient experience improved: outcomes done quicker, meaning follow up appointments are booked quicker - vast improvement

# data[].attributes.subject
patient experience improved: outcomes done quicker, meaning follow up appointments are booked quicker - vast improvement

# data[].attributes.body
Change in processes

# data[].attributes.headline
Once consultant has outcomed, receptionists will still need to book next apt

# data[].attributes.subject
Once consultant has outcomed, receptionists will still need to book next apt

# data[].attributes.body
Need to ensure data outcomes are transposed into PAS - 2 way interface
Steve Dobie's team involvement

# data[].attributes.body
Standardised way of managing clinics where possible - eg room bookings and outcomes

# data[].attributes.headline
Audits - more data available within system than counting forms

# data[].attributes.subject
Audits - more data available within system than counting forms

# data[].attributes.body
Can check what is being done by consultants

# data[].attributes.headline
Where is staff time going to be refocused?

# data[].attributes.subject
Where is staff time going to be refocused?

# data[].attributes.headline
Training - reception, nurses and consultants

# data[].attributes.subject
Training - reception, nurses and consultants

# data[].attributes.body
Explore site visits to other Trusts where currently in use
Access to User groups

# data[].attributes.headline
Need SOP for long term planned changes to rooms/clinics

# data[].attributes.subject
Need SOP for long term planned changes to rooms/clinics

# data[].attributes.headline
Need consultant buy-in - SSO really important

# data[].attributes.subject
Need consultant buy-in - SSO really important

# data[].attributes.headline
need to future proof to tie in with other systems - historical digitised records, CRIS, ICE, new EPR etc.

# data[].attributes.subject
need to future proof to tie in with other systems - historical digitised records, CRIS, ICE, new EPR etc.

# data[].attributes.headline
Care for staff - avoid mistrust, speak to other trusts so can provide a better idea of how it works

# data[].attributes.subject
Care for staff - avoid mistrust, speak to other trusts so can provide a better idea of how it works

# data[].attributes.body
Benefits seen by other trusts to be included in early coms to staff

# data[].attributes.headline
Coding of orange forms - different coding version being used, may be out of date

# data[].attributes.subject
Coding of orange forms - different coding version being used, may be out of date

# data[].attributes.headline
Room bookings - reception never been involved

# data[].attributes.subject
Room bookings - reception never been involved

# data[].attributes.body
reception never been involved
Have to ask within clinics
Currently no central booking
For each clinic:
need Nurse staffing
Medical records
Contact centre ring patient

# data[].attributes.headline
Process for tying in nursing cover with room bookings

# data[].attributes.subject
Process for tying in nursing cover with room bookings

# data[].attributes.body
need to fully understand how this currently works for each clinic
Just because a room is empty doesn't mean a clinic can occur as may not have staff available

# data[].attributes.headline
2. What are the issues / barriers to success?

# data[].attributes.subject
2. What are the issues / barriers to success?

# data[].attributes.body
Have previously tried digital orange forms and request return via email, and was refused due to time it takes to switch between systems
Need to fully understand the benefits for consultants

# data[].attributes.headline
4. What has to change in order to see that happen?

# data[].attributes.subject
4. What has to change in order to see that happen?

# data[].attributes.headline
5. What will we have to do to make those changes?

# data[].attributes.subject
5. What will we have to do to make those changes?

# data[].attributes.body
What will we have to do to make those changes?