144,102 members

Skip to content. | Skip to navigation

Blog

Remote clinical triage model

 

Blog headlines

  • Risk stratifying elective care patients
    10 September 2020

    This blog has been shared by MBI healthcare technologies. As services are starting to treat routine patients those on waiting lists are making enquiries as to where they are on the list, and if they are still on the list.

  • Link of the week
    4 September 2020

    This week the link we would like to share are reflections from physiotherapy students on placement at Alzheimer Scotland https://letstalkaboutdementia.wordpress.com/

  • Link of the week
    28 August 2020

    This week we would like to share a blog published on the Mind website about being a BAME health worker in the pandemic.

  • Remote clinical triage model
    20 August 2020

    This week we are sharing how a remote clinical triage model was implemented at Tollgate Medical Centre. This has been shared with us by Sarah Portway, a Nurse, and Clinical Services Manager at Tollgate Medical Centre.

  • Can the Community Pharmacy become the gateway to integrated care in the NHS?
    13 August 2020

    The NHS is a continually evolving innovative demand led public service the role of the Community Pharmacist is becoming the public face on a journey to the more responsible public engagement in the personal care of individuals and their family. There are currently over 11000 Pharmacies many are single or small chain service providers, while multiples occupy the urban shopping centres and more densely populated conurbations, the value of the rural High Street can’t be understated.

  • Crunch time for patient involvement
    7 August 2020

    There are new challenges for primary care, which could really do with patient input. Mike Etkind, chair of a PPG and founding member of his PCN’s patient group, recognises the size of the task clinical directors have managed over the last few months but identifies two particular issues where patients have a necessary and valuable contribution, that need to be addressed now – the 2020 vaccination programme and primary care from a distance- total triage, remote consultations, and the use of telemedicine.

  • Link of the week - Visionbridge
    31 July 2020

    The link we are sharing this week was submitted by Julian Jackson, Visionbridge.

  • Links of the week
    23 July 2020

    This week we are sharing two articles with you.

  • Link of the week
    21 July 2020

    The blog is from the perspective of the Company Chemist Association's Chief Executive Malcolm Harrison.

  • Link of the week
    9 July 2020

    This week we are sharing a blog from the NHS Confederation’s “NHS Reset” looking at the work of Healthwatch, the role of volunteers in supporting patients being discharged from hospital and the importance of the community.

  • Virtual education sessions on spinal cord injury from Spinal Injuries Association
    2 July 2020

    This week Karen Mikalsen from the Spinal Injuries Association shares some information on their work and events for healthcare professionals.

  • Guest blog:Karen Chumley
    25 June 2020

    Thank you to Karen Chumley for a second blog –this time on the local use of an Electronic Palliative Care Coordination system during the Covid-19 pandemic. Karen is the Clinical Director and Deputy CEO at St Helena.

  • Link of the week
    19 June 2020

    This week's link of the week is article by Yasmin Khanagha published in Nursing Times – Why we need to open the conversation about racism.

  • Guest blog: Dr Karen Chumbley
    12 June 2020

    This week we have a guest blog submitted by Dr Karen Chumbley, clinical director and deputy chief executive at St Helena (https://www.sthelena.org.uk/)

  • Social care to become lifestyle brand
    16 April 2020

    Social care is to get a new brand identity as the government seeks to reverse the perception that it is the poor relation of the NHS.

  • Blithering Covid-19 bulletin plays vital role
    2 April 2020

    To fill a gap in the market for timely and relevant Covid-19 information, Martin Plackard, director of global crisis communications at NHS Blithering introduces his latest initiative to reach out to stakeholders during the outbreak.

  • Social distancing the Longstay way
    27 March 2020

    We asked Sir Trevor Longstay, chief executive of the NHS Blithering University Hospitals Foundation Trust and commander-in-chief of the Blithering Covid-19 Taskforce to give us some practical tips on social distancing. Here he shares some of the lessons learned over four decades of leadership – not all of them relevant or epidemiologically sound

  • Nothing left to shift: fears grow over NHS paradigm supply
    12 March 2020

    The government has issued a stark warning that stocks of paradigms and other basic supplies could soon run out if NHS managers continue panic-buying.

  • Matt Hancock’s diary – a week of levelling up
    27 February 2020

    Taking personal charge of global pandemics is one of the perks of this job. I’m referring to coronavirus, of course, and I’m booked to appear on Sky News to talk about it.

  • Exceeding your expectations: the Blithering staff survey
    20 February 2020

    Staff at NHS Blithering feel listened to “at least once a year” and report that their expectations of taking part in surveys have been “met” or “exceeded” in the past 12 months.

 
 
Thursday, 20 August 2020

Remote clinical triage model

This week we are sharing how a remote clinical triage model was implemented at Tollgate Medical Centre. This has been shared with us by Sarah Portway, a Nurse, and Clinical Services Manager at Tollgate Medical Centre.

Sarah is an Associate Partner, at Tollgate Medical Centre and is also Clinical Director of the local Primary Care Network of around 43,000 patients. Sarah has been working in General Practice since 1997, and has trained as an RGN/RMN, Advanced Nurse Practitioner, and Independent Prescriber. She is passionate about all things General Practice but particularly around how nursing teams can continually adapt to ensure patients are provided with the best access and care. Therefore, Sarah is always looking for innovative ways of working.

In her day job she manages the nursing team, (of three practice nurses, a phlebotomist and three HCA's (one of whom is training to become a nurse associate. She also manages the day-to-day service delivery of the Partners and salaried GPs, to ensure delivery of high quality clinical services to 18,000 patients. Last year the management team (a team of four including Sarah) at Tollgate Medical Centre were concerned about just how hard staff were having to work to deal with patient demand. Patients also had to wait 3-4 weeks to book a routine face to face appointment and the practice wanted to develop a new solution to this ongoing problem. They spent much time looking at ways to make the workplace a better one for all and took tools that were already available and developed a remote clinical triage model. They went live with it earlier this year, starting initially with the GPs. Once it was up and running it soon became clear that the nursing team also needed the flexibility to work in this way, so Sarah developed a Nursing Services form which was added into the online consultation system. The practice nurses respond to the queries raised in the form, and this can be done via several methods:

  • Telephone call
  • Video consultation
  • Face to face
  • Text
  • Remote LTC review
  • Remote NPHC/NHS check and various other checks

The benefits have been:

  • The nursing team are able to work flexibly so they can manage their own workload throughout the day
  • There are less DNA's
  • Patient satisfaction is high (see our NHS Choices reviews)
  • Patients are no longer wrongly booked in with the incorrect member of the nursing team so there is better use of skill mix
  • Many queries can be dealt with over the phone
  • Freeing up of the Nursing Teams time to work on innovations and in-house training of staff to further develop their roles.

Read more