1. next Throughout this demo, if nothing happens for a couple of seconds click ‘Next’ to continue … SCI Gateway Product Demonstration Updated 18.03.02 next

2. back next SCI Gateway - Demonstration SCI Gateway provides the mechanism to enable the electronic communication of clinical messages, initially between GP and hospital but potentially ‘any to any’. It can be used via a PC with only a web browser and NHSnet connection, or it can integrated into GP and hospital systems. This demonstration is based GP to Hospital referral and integration already achieved with both GPASS and SCI Outpatients.

3. back next Scenario overview Patient assessment Patient record Optional GPASS Patient feels unwell… visits GP 1 GP logs on to SCI Gateway stand-alone, or through GPASS SCI Gateway GP decides to refer 2 choose provider & specialty select referral protocol GP selects New Referral 3 Complete Referral Details GP enters referral information 4 protocol-based clinical info GPASS info auto-imported Send referral 5A Make an electronic booking 5B Book appointment (where available) choose from available slots or save unsent referral get other requisite info Park (optional) Referral letter Appointment letter (where booked) (optional) Print and file documents 6 back next

4. back next GP decides to refer … and sees log-on screen …or if using a stand- alone Web browser, sees same screen Clicks SCI tab on Consulting Room screen …

5. back next GP logs on to SCI Gateway taking the GPASS example from now on, when logged sees various buttons and a ‘bulletin board’

6. back next GP accesses his referrals Referrals can be sent from here, once ready The list can be filtered by clicking on an _ The Referrals button links to the GP’s referral work list, shown here …and set filters can be cleared And new referrals can created from this work list screen, as we’ll see now …

7. back next A new referral is created First thing is to choose destination, and a local set is provided If not a local destination then a list of other regions is available The required specialty is chosen… …and if desired the appropriate protocol is selected The GP then confirms this new referral has been kicked off

8. back next Referral details are then completed Demographics and administration fields are automatically populated for GPASS users A set of tabs gives access to the various referral sections Referrals may be parked for later completion Protocol-specific information is then requested Parked referrals are marked In Progress. Clicking the patient name re-opens it Once complete, the referral can be sent

9. back next The referral is sent to the Gateway The referral is checked automatically to ensure that all fields required by the protocol have been completed Hospitals that have implemented SCI Outpatients can offer electronic booking If booking is selected, an appointment slot may be chosen

10. back next The GP is prompted to print out the referral letter …and a confirmation letter for the patient’s appointment (if booked) Letters can be printed out

11. back next Click the patient name to access a referral for manual processing The SCI Outpatients application offers comprehensive outpatient management Hospitals can receive referrals Sent but as yet unprocessed referrals are marked as submitted For those without SCI Outpatients, the SCI Gateway offers a lightweight solution for referral management Secondary Care end

12. back next The status should be updated after each processing step The hospital can print newly received referrals, and process manually Status changes will then be visible to both primary and secondary care via the Gateway Referral processing

13. back next SCI Gateway (Referral) Summary That’s the demo complete. The typical referral mechanism has been shown, and also how SCI Gateway simplifies the transmission and tracking of referrals. Thank you.