Organisations that do not currently have an Additional Requirements Manager (i.e.The provider organisation should have an Additional Requirements Manager who is responsible for ensuring that additional requirements are met when the patient attends the booked appointment.The provider confirms the appointment (or cancels the appointment if, for example, the provider clinic is cancelled, and asks the user to pick another appointment). Provider confirmation of appointment and ‘additional requirements’ If digital support cannot be provided effectively by TAL, for example because the user has a speech impairment, the TAL service will guide the user and suggest that they contact their referring organisation for help.ĥ. The TAL has textphone facilities charged at local rate, and the ability to send out letters in braille and large print.Most GP practices also have staff available to help the patient choose and book their appointment. The patient then follows the booking instructions to access the Patient Web Application (PWA) or The Appointment Line (TAL) to choose the place, date and time of their appointment.This screen can also be updated by the referring organisation at a later time after the booking has been made.It is essential that records clearly indicate how the patient’s information and / or communication needs can be met, to enable the provider to take action, for example, ‘requires British Sign Language interpreter’ or ‘requires information via email’. The patient’s information and / or communication support needs should be recorded using ‘free text’ (in line with the ‘fully specified names’ (FSNs) of the data items associated with the four subsets of the Standard or ‘categories’).The accessible information and / or communication needs of a patient should be recorded under the ‘advocacy’ section of the ‘additional requirements screen’.
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