If a diagnosis is incorrectly recorded at discharge, can we resubmit the discharge once corrected?
It will be possible to send more than one Transfer of Care message for the same patient event.
FAQ Category: Transfers of Care
Does the discharge need to be a formatted document or just coded text that drops into the GP record?
Transfer of care FHIR structured messages need to comply with the specifications found by following the URL https://developer.nhs.uk/transfer-care-specification-versions/
What about test results that are not available at point of discharge
The NHS Standard Contract (2017-2019) states that a discharge summary should be electronically issued to the Service User’s GP within 24 hours. If test results are not available to meet this deadline, then it should be issued to meet the deadline and a further “results letter” rather than a Transfer of Care discharge letter sent at a later point
Have the Outpatient letter headings now been signed off as the Endorsements tab on https://theprsb.org/standards/outpatientletterstandard/ still says “The PRSB is publishing the outpatient letter standards in draft form while it undergoes endorsement by our relevant member organisations. The final version will be published on the PRSB as soon as it is available.”
The PRSB Outpatient Standard has not been ratified because the PRSB were waiting for the Royal College of Surgeons to nominate someone to provide an example letter. This is still the situation. NHS Digital have obtained reassurance from the PRSB that the Information Models associated with the Outpatient Use Case will not be impacted, and consequently this has not impeded the development of the FHIR bundles.
Community Mental Health discharges – we cannot see any guidance on these, are they included in the requirement?
If the Community Mental Health service the patient is being discharged from is managed by the NHS Standard Contract 2017-2019 then it will require a Transfer of Care message. If the answer is no, then it does not
24 hour discharge would normally be followed up with 5 days with a full discharge summary – in that case do organisations need to push out 24hr discharge electronically, or just full discharge summary?
Section 3.1.2 http://prsb-dev.riviam.com/wp-content/uploads/2018/02/Implementation-Guidance-from-Discharge-Phase-2-To-be-read-with-Mental-Health-Report.pdf states “the practice of sending an initial brief summary and following up with a later more detailed letter should be deprecated”, i.e. the 24hr discharge becomes the full discharge summary
What is the requirement for sending outpatient clinic letters – is it ALL letters or just where the GP’s are clinically required to provide ongoing care?
SC 11.7 of the NHS Standard Contract 2017/19 sets out:
How do I know what AoMRC headings are applicable?
There is implementation guidance and advice available on the PRSB website specifically relating to electronic discharge and clinic letters.
What are the timescales to send ToC electronically rather than by paper?
NHS organisations will be expected to have aligned their acute inpatient discharge, emergency care discharges, mental health discharges and outpatient letters with the nationally published specifications and have the capability to send by 1 October 2018. (Sending electronically (no paper or fax) was part of NHS Standard Contract 2015)
