Consider/include the following areas before an e-Consultation request is sent:
Can a GP/clinical colleague in the practice support your clinical decision making?
Can OSCAR (Online Support and Clinical Advice Resource) or other online clinical resources support your clinical decision making?
In the request, information should be concise and relevant to the patient's current problem. The question being asked should be clear. References to specific investigations or letters will also help the receiving clinician navigate the SystmOne record.
When should an e-Consultation request be considered?
For advice on a treatment plan and/or the ongoing management of a patient in primary care
For specialist clinical advice
Beneficial for more challenging or complex cases
Queries regarding new treatments
Advice regarding appropriate testing and clarification of results
When should e-Consultation not be used?
Severe or acute cases where immediate advice is needed
To chase up an appointment
When pathway information is readily accessible on OSCAR
To send a full referral
Secondary Care Good Practice
Check relevant letters and results
Check the current medication list
Ask for more information if needed
Explain rationale for why a referral is required
Why might the secondary care specialist advise to 'Recommend for Referral'?
Too complex and therefore inappropriate for e-Consultation
When specialist examination/investigation/treatment needed
Assurance & Governance
This guidance was developed on: 03.2017
This guidance was ratified by: The OSCAR Assurance Group