1. CTLD Referral/Allocation Pathway
DRAFT
CTLD Referral/Allocation Pathway
Ask for all referrals from professionals and agencies to be forwarded to their local team in writing
Referrals from users or carers to be taken over the phone (basic details taken by admin staff and then forwarded to a clinical staff for reason for referral
All referral forms taken to the RAM for discussion and allocation.
Admin to search Pims & other systems for any previous involvement and register onto PiMS
Admin to order the integrated notes from medical records. ( A temporary file is issued if person referred is not known to service
Emergency referrals to be taken by admin staff (basic details ) and forwarded to a senior practitioner. (See Flow Chart)
ALL REFERRALS
Internal/external/psychiatry
Representatives from all teams/professions attend RAM
Referral and feedback forms taken from meeting via representatives
Agree core business and geographic boundaries of service
Referral is allocated to the relevant team for either an initial contact /learning disability screening assessment.
RAC to forward minutes from meeting (only those relevant to the team) to all teams via fax/ using safe haven procedures.
RAC to register referral with team
Admin to send letter to referrer/GP/client informing of receipt of referral and acceptance for assessment (up to 3 months)
Referral/
Allocation
meeting (RAM)
Inappropriate
referral
RAC to send letter to referrer/GP/ client
RAC to discharge on PiMS using inappropriate referral code.
RAC to forward details of the referral criteria and of the service to the referral agent
All referrals to be allocated within team meeting.
Assessments to be undertaken by all qualified multidisciplinary members of the teams
Undertake:Initial contact/Learning Disability screening assessment
caseload priority (form A)
Initial contact risk assessment
Record all outcomes and discuss at CTLD meeting.
Complete feedback form and forward to the RAM
Referral allocated to team
No further Action
Clinicians to send letter to referrer/client/GP
RAC to discharge on PiMS
Inappropriate referral
CTLD’s to hold team/profession waiting lists
Waiting lists to be reviewed weekly within the RAM
Record all contacts onto PiMS weekly
Identify all people who have identified needs but unable to allocate onto a waiting list.
Review of all waiting lists and caseload weighting scores weekly
RAM
No further Action
Accepted
onto caseload/
waiting
list
Agenda to identify
status of all referrals
status of all people waiting for a service across the service
Review of weekly reports from PiMS .
RAC to update PiMS to confirm allocation of external/internal(work spells) referrals.
RAC to update and maintain service waiting list
The following to be completed as necessary once allocated to caseload
Full assessment
Risk Assessment
Caseload weighting (Form B and C)
Health Screening
CPA*
Epilepsy Assessment*
PASADD*/TAG
HoNOS
Begin Health Action Plan with GP practice * if appropriate
Caseload
review
RAC to discharge from Pims
Clinicians to send discharge letters
Discharge
from service
Caseload weighting reviewed at:
supervision (monthly)
Professional clinical meetings
Discharge planning 3 monthly