Presentation on theme: "Testing the Directory of Services (DoS)"— Presentation transcript:
1Testing the Directory of Services (DoS) Gavin Reader – CMS Regional LeadRoss Hamilton – BNSSG DoS Project Manager
2Event schedule 09:00 Welcome / Scene setting 10:00 Testing 12:30 Close The role of the DoS in 111Service profilingQDoS testing10:00TestingGuided exampleTesting expected scenarios (90 minutes)Testing rarer scenarios (30 minutes)12:30Close
3ObjectivesEnsure the expected services are returned for normally expected scenariosTest rarer scenarios, to identify where appropriate existing services are not returnedReinforce stakeholder confidence and commitment
4Building the DoS and how it works! How 111 works with the DoSNHS Pathways – outputs a disposition or ‘DX’ code (NOT WHAT WE ARE TESTING)Project Board – approves which DX codes go to one of four locations1)9992)111 i.e. stays in house3)DoS4)Self-careCommissioners – decided what services would meet those needsProviders – completed supplied profiles of what their services do, these are then uploaded to the DoS
5Building the DoS Process involved in building the DoS: Commissioners asked to identify services that are likely to be required through the 111 system.DX Mapping. Outcomes from NHS Pathways vs local healthcare servicesUrgent Care Services able to respond to the patients needs within 2,6,12,24 hoursPatient facing – does not require another healthcare professional to access the serviceCommissioners or Providers to provide:Demographics of the services. (Address, contact details, Opening hours)Clinical Details. (Profiling)Restrictions around GP registered patientsWorth Remembering that not every service within the Health Community is currently on the system.
6DoS ProfilesProfiling is vital to ensure the DoS provides the appropriate services to the 111 call advisors.The process to ensure this has been completed correctly is:Type 1 Services have been profiled using the National TemplateType 2 Services have been profiled by the providersCommissioners / CAC asked to verify demographics of each and every service(Address, contact number, opening hours).Commissioners / CAC ask to verify profiling for every serviceQDoS testing (explained later)End to End Testing‘Break the system Event’
7QDoSAutomated test to ensure the correct services return for a set of pre-defined scenarios.Can only be run by the CMS Regional DoS Lead.The scenarios are produced by Connecting for Health – based on calls received by the 111 pilot sites around the country.Works on returning the top two services from each team type that are appropriate, irrespective of the time of day the test is run.Works on GP restricted services and the patients postcode (37 mile radius)We will use the test to identify the ‘type’ of service returned is correct – Not every service entered onto the DoS!!NB: This is a requirement for ‘DoS readiness’ that is signed off by the DH
8QDoS Example Vomiting Scenario: Dx05 : The individual needs to be seen by the GP practice or other local service within 2 hours. If the practice is not open within this period they need to be seen by the out of hours service.Symptom Group: Vomiting Symptom Discriminators: non-trauma full Primary Care assessment and prescribing capabilityCall Report Patient: Joe Bloggs, Age Gender Selected: Adult, Male Significant blood loss was not described. Fighting for breath was not described. A heart attack, chest/upper back pain, recent probable stroke, recent fit/seizure or suicide attempt was not described as the main call reason. New confusion, a diabetic hypo, a probable allergic reaction was not described as being the main call reason. The individual was not described as feeling cold to touch. Pathway Selected: PW939, Vomiting Diarrhoea as well as vomiting was not described. Vomiting blood was not described. Vomiting after drinking alcohol was not described. A head injury in the previous 3 days was not described. Abdominal pain was not described. Vertigo was described.
9QDoS Example Cont….Dx05 : The individual needs to be seen by the GP practice or other local service within 2 hours. If the practice is not open within this period they need to be seen by the out of hours service.GP - Yeo Vale Medical Practice (Yatton) - North Somerset (Home GP) PostCode: BS49 4ER Disposition Instructions: Out of hours provided by Harmoni **GWAS Contact number only**Community Team - Strawberry Line - North Somerset PostCode: BS40 5JD Disposition Instructions: 111 Call Advisor must phone prior to the service accepting the referral Phone numbers 8am-5pm, then Carelink number 5pm-10pm Carelink number all weekend. Will Only accept patients over the age of 18GP in Urgent Care - (Harmoni) - North Somerset PostCode: BS23 4TQ Disposition Instructions:GP - Yeo Vale Medical Practice (Congresbury) - North Somerset PostCode: BS49 5DX Disposition Instructions: Out of hours provided by Harmoni **GWAS Contact number only**WIC - Harmoni (Weston Healthcare Centre) - North Somerset PostCode: BS23 1NA Disposition Instructions:WIC - Harmoni (Weston General Hospital) - North Somerset PostCode: BS23 4TQ Disposition Instructions:
10‘Break the System Event’ A few key aspects to remember:Urgent Care / patient facing services currently in the systemSystem is ‘Time of Day’ dependant – No OOHs services returningWe are trying to mimic the NHS pathways algorithm. Think about the profiling terminology.We are looking to enter scenarios that we expect our service to return for or ones that we know our services should not return for.Only Use 6.4 / 6.5 Symptom Groups – Ignore AMB Symptom DiscriminatorsRanking is based on National Ranking – MileageIf you identify an issue PLEASE let us know.
11Example CMS DoS - www.pathwaysdos.nhs.uk How to use the system demonstration:CMS DoS -Account Username and Password: gwtestaccount
12Example Cont…… Leave this box as it is. Patients Postcode. Format xxx xxxLeave for Open Access PatientsFor services restricted to GP surgeries:Un-tick the ‘Unknown Box’Enter first 3-4 letters of GP SurgeryClick on required surgery from the pop up listEnter first 3-4 letters of a symptom until drop down list appearsSelect required Symptom GroupSelect required Symptom DiscriminatorsEnter Urgency of the Patients condition