Connecting care for smarter referrals
Connecting care for smarter referrals
Transforming
49% of cases are successfully managed on the Cinapsis platform with advice and guidance alone.
~£1m expected total realignment of resource anticipated from reduction in unnecessary referrals.
There were two principal and longstanding issues that created the opportunity for
teledermatology to offer a solution to systematic diagnostic challenges in
Cheshire and Merseyside.
Firstly, historically poor IT integration meant the taking, transferring, and storage of
digital images was cumbersome, time consuming and unreliable for primary care
practitioners. For secondary care, the quality of images received was in most
circumstances insufficient to make any form of medico-legally sound clinical
assessment without first seeing a patient face to face in an outpatient setting.
The second issuewas the high level of inappropriate and benign moles and skin lesions
being referred by primary care to secondary care via the Two Week Wait (2WW) cancer
pathway, creating a significant pressure on trust dermatology departments.
Prior to the project roll-out:
The aspiration was to identify a smartphone/tablet app and software solution that could
easily take images, with the ability to attach a dermatoscope. These images required
safe storage and transfer into primary care systems and full integration with the patient
record before further processing and transfer into the NHS e-Referral Service system (e-RS)
for flow into hospital systems and secondary care opinion.
GP’s benefit fromaccess to timely advice from experienced secondary care clinicians, which enables more patients to be managed out of hospital, where that is safe and appropriate, and reduces pressure on NHS hospitals whilst helping to prevent burnout for staff.
The project has led to an increase in efficiency by:
The project has led to improved experience and improved outcomes by:
Key Aims
“As a Consultant Dermatologist, receiving high-quality images attached to every patient referral and advice & guidance is incredibly helpful. I can quickly review all the necessary information and make an informed, collaborative decision with the referring GP. - without the endless email chains.
“With the Cinapsis SmartReferrals platform available on my phone, laptop, iPad and PC, I can manage all referrals and requests through a single, integrated interface - whether in my office or on the wards. The APP system is simple but effective and can be adapted in a bespoke way for local service nuances. This is saving me time that I can put towards helping patients and reducing care backlogs.”
Dr Richard Azurdia, Consultant Dermatologist at Liverpool University Hospitals NHS Foundation Trust
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