OSCAR Care Pathway Template

OSCAR Template

  • Any new Care Pathways should be developed using the OSCAR template below
  • Any existing local pathways should be transferred onto the OSCAR template below
    • The template includes standard statements
    • Supporting guidance is provided in italics
  • A word version of the OSCAR template can be downloaded here

Development Guidance

  • All guidance should be developed in accordance with the following supporting guidelines
    • Information should be clear, concise and easy to use
    • Where possible bullet points should be used
    • Large amounts of information should be hyperlinked and not included in the main body of the referral guidance
    • Reflective of good practice and most recent national guidelines
    • Developed in partnership with lead commissioners, Primary and Secondary Care Clinicians, Medicines Optimisation and Public Health
    • Reflective of local service provision and needs
    • Any resource implications and changes in service delivery should be addressed. As long as QIA is done, liaison with commissioners and providers occurs and this is reflected in the Assurance Process Document, LMC can be consulted but it is not mandated.
    • If relevant an integrated impact assessment (IIA) should been completed and agreed in relation to any changes in service provision
    • Implementation of the guidance should not pose a risk to patients or the organisation/s
  • All new or reviewed guidance should be supported by a completed Assurance Process Document

Scope

This pathway refers to:

  • Be clear about what it covers
  • Are there any age ranges/ exclusions etc.?

This pathway does not cover:

  • ? age range restrictions
  • Limited to ...

Commissioning Statement:

  • Is there an eligibility criteria that must be met prior to referral?
  • Does this procedure require prior approval or Individual Funding Request?
  • if yes please indicate name of commissioning statement and this will be linked to the pathway

Assessment

Signs and Symptoms


History and Examination


Differential Diagnoses

Red Flags

  • Seek immediate or urgent specialist advice/treatment if:


Investigations

  • Clearly specify what tests and investigations with any exclusions / parameters as required

Management

  • Please ensure all hyperlinks are correct and working
  • Provide clear management plans (with supporting links where required) ensuring they are current, evidence based, credible, cost effective and support the local guidance or CCG commissioning intentions.
  • Ensure there has been consideration as to the self-care options (promotion and protection of good health or prevention of ill heath) available or how this could support a medical management plan.
  • Ensure the correct professionals are consulted as part of any management plan options (eg Medicines Optimisation teams if medicines are suggested).

Referral

Referral Criteria

  • When/What to refer
  • Where to refer
  • Any pre-referral requirements?
  • Any information required to support the referral?
  • Is the criteria reflective of the DoS?

Referral Requirements

  • What information is required to support this referral i.e:
    • Evidence of management in primary care
    • Results of test and investigations
    • Is this reflective of the DoS?

Commissioning Statement

  • This will reflect information identified in Scope section

Referral Instructions

  • e-Consultation is/is not currently available for this speciality - Please amend as appropriate Ensure all links are included as required
  • Consider all referral options including both health sector referrals and social care.
  • Please state how referrals should be made i.e. via eRS, SystmOne, referral form SPA etc
  • Referrals should be made via ICG to TRISH (if training has been undertaken) - See user guides (EMIS & S1) for further information.
  • Please identify speciality and clinic type
  • Please include any telephone numbers or addresses if relevant

Supporting Information

Shared Decision Making

  • Patients have a right to make decisions about their care and should be fully informed about the options they face. They should be provided with reliable evidence-based information on the likely benefits and harms of interventions or actions, including any uncertainties and risks, eliciting their preferences and supporting implementation. Signpost patient to Decision Making aid (hyperlink tool if available) – this can be printed off for the patient if required -Please delete last sentence if no decision aid available

Patient information/Public Health/Self Care

  • Add links to NHS choices and relevant patient information

Evidence/additional information

  • Include links to NICE or other relevant clinical evidence based information

Assurance & Governance (completed by OSCAR admin)

  • Assurance Process Document for completion of the pathway was completed on:
  • This pathway was reviewed and recommended by: The OSCAR Assurance Group on:
  • Approval and ratification by Integrated Governance Committee on:
  • Date ratified:
  • Publication Date:
  • Review Date:
  • Ref No:
Any feedback, comments or concerns to improve this pathway should be sent to: oscaradmin@this.nhs.uk or use this link provided
Only the electronic version is maintained, once printed this is no longer a controlled document

 

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