Challenges we referred onwards

Making interpretation of ECGs easier

Consultants, cardiologists and hospital based cardiology teams see hundreds of Electrocardiograms (ECGs) and become expert at interpreting them. GPs on the other hand see very few but need to be good at interpreting them to identify when a patient has a cardiac condition. ECGs are performed by ECG technicians, casualty nurses, or health care assistants who have little training on ECG interpretation. Currently the inbuilt machine interpretation message is all those performing the ECG have to go on, and some GPs lack confidence in their ability to interpret results. If a more ‘useful’ interpretation could be presented by the machine, it would aid the person performing the ECG to take the next clinically appropriate step.

Status: Referred onwards to AI Lab Skunkworks, NHSX

Submitted by: Dr Arvind Mistry, Locum GP

Sharing conversations for joint care

Currently, there is nowhere for clinicians working across different organisations to write about joint care unless all involved are using the same software systems, which is not often the case. In meetings, several people will duplicate writing notes to ensure everything appears in their own system. Conversations can become out of date or missed entirely. Emails, telephone calls, meetings and referrals are required to continue joint care which means it can become disjointed. How might we create a space to share conversations, avoid duplication of effort and streamline processes?

Status: Referred onwards to Shared Care Records Programme, NHSX

Submitted by: Dr Emma Davis, SCW CSU / H&IOW ICS / Living Well

Accessing another person’s record on the NHS App

Currently, as someone recorded as a nominated carer on the GP record, you can only access the individual’s record via the NHS App if you are both registered at the same surgery, which means that the carer needs access to the individual’s phone or to call the surgery to order repeat prescriptions, book appointments on their behalf, etc. Being able to access records from different surgeries would make this much more efficient, improve user experience, and enable people to take full advantage of those services offered digitally.

Status: Referred onwards to Proxy/Delegated Access Programme, NHSX

Submitted by: Dr Emma Davis, Living Well Partnership

Providing patient communication in alternative languages and formats

A hospital was finding 40% of patients were failing to attend their first appointment in certain clinics, which then decreased to only 10% when the patient received a phone call, as the patients were unable to read the appointment letter. If there was the option to send out invites and other communications in other languages or formats, it would greatly improve the uptake of services for those with English as a second language or those requiring other formats e.g. braille, large print, etc, reduce wasted appointments and avoid the need for phone calls.

Status: Referred onwards to Platforms to potentially influence the roadmap for the Personal Demographics Service and Reasonable Adjustments Service

Submitted by: Dr Benjamin Solway, GP