London Cancer & Transforming Cancer Services Team, August 2016

ELECTRONIC SAFETY NETTING USING LONDON CANCER & TRANSFORMING CANCER SERVICES TEAM TEMPLATE FOR EMISWEB

The aim of this toolkit is to deliver a robust in-practice system to embed electronic safety netting within your practice. Following the emphasis on safety netting published by NICE NG12 Suspected cancer: recognition and referral and the Pan London Suspected Cancer Safety Netting guide we recommend EmisWeb practices use the London Cancer (LC) & Transforming Cancer Services Team (TCST) toolkit when arranging any of the following to confirm or exclude a cancer diagnosis:

Suspected cancer referrals

Direct access diagnostics

Active monitoring of patients who you wish to review in an agreed time frame to re-evaluate their risk of cancer.

PART ONE: INSTALLING THE TOOLKIT The following step-by-step guide demonstrates how to install the Safety Netting toolkit; this includes importing

The safety netting template

11 alerts with auto-imported concepts

A diary entry search that will pick up INCOMPLETE safety net reminders that have been setup in the last 28 days.

1. Download and extract the files from the Toolkit Zip folder. You will see the following

folders and files.

2. Click on the Emis button and under Configuration you will see TEMPLATE MANAGER and CONCEPTS MANAGER.

London Cancer & Transforming Cancer Services Team, August 2016

3. Click on TEMPLATE MANAGER and create a folder called Cancer Safety Netting. We recommend you place this in your practice templates folder. IMPORT the LC_TCST Cancer Safety Net Tool into the Cancer Safety Netting folder.

4. Click on CONCEPTS MANAGER and create another folder called Cancer Safety Netting. This step is important as it allows the ‘concepts’ that trigger the ALERTS (that will pop up in the bottom right corner of the screen) to be imported and automatically saved in the appropriate folder.

5. RETURN to the TEMPLATE MANAGER and IMPORT into the Cancer Safety Netting folder each of the 11 ALERTS, one-by-one from the Cancer safety net toolkit alerts folder.

London Cancer & Transforming Cancer Services Team, August 2016

6. Your screen should now appear similar to the image below.

7. In the Cancer Safety Netting Concepts folder you will see the concepts have

automatically been imported and should appear similar to the image below.

London Cancer & Transforming Cancer Services Team, August 2016

8. Click on and under REPORTING go to POPULATION REPORTING. Import the Cancer Safety Net Diary Searches file.

9. The final step is to set the AUTORUN function within the Cancer Safety Net Diary Searches so that it runs every fortnight. You may wish to modify the time interval depending on the number of patients, your practice’s cancer activity and number of clinicians. Select the search LC&TCST Cancer safety net diary searches Auto Report and click on the PROPERTIES icon.

London Cancer & Transforming Cancer Services Team, August 2016

10. The following box will pop up. Select the SCHEDULE tab and edit the settings as illustrated below. You may wish to modify the time interval depending on the number of patients, your practice’s cancer activity and number of clinicians. As you can the search has been set to autorun every two weeks on a Friday with an established start date. Click on OK and you will see the search now has a clock face next to it indicating the autorun function.

You are now ready to use the Cancer Safety Netting toolkit. Go to the USER GUIDE pdf to learn how to setup an in-practice robust safety netting system and implement the toolkit.

USEFUL LINKS

CRUK Safety netting guide http://www.cancerresearchuk.org/sites/default/files/16._safety_netting.pdf London Cancer & Macmillan Safety Netting Guide http://www.londoncancer.org/media/126626/150708_Guide-to-coding-and-safetynetting_report_Dr-A-Bhuiya_V3.pdf NICE NG12, Suspected cancer: recognition and referral (2015) https://www.nice.org.uk/guidance/ng12 NICE CG27, Referral Guideline for Suspected Cancer (2005) http://webarchive.nationalarchives.gov.uk/20060715141954/http://nice.org.uk/nicemedia/pdf/cg027niceguideline.pdf Pan London Suspected Cancer Referrals https://www.myhealth.london.nhs.uk/healthy-london/cancer/pan-london-suspected-cancer-referrals Pan London Suspected Cancer Clinical Guides https://www.myhealth.london.nhs.uk/healthy-london/cancer/pan-london-suspected-cancer-referrals/guides Pan London Safety Netting Guide https://www.myhealth.london.nhs.uk/system/files/Pan%20London%20Suspected%20Cancer%20Safety%20Netting%20Guide%202016.pdf