Teledermatology can be incorporated into mainstream delivery of patient care using the NHS e-Referral service (e-RS) as;
Images can be attached to e-RS Advice and Guidance requests and Referral Assessment Service referrals.
All GP practices in England should now be using the NHS e-Referral Service (e-RS) to refer into consultant-led out-patient clinics (NHS Standard Contract since October 2018).
From 1 February 2021 additional functionality has been added to E-Referral.
Full details of the changes can be found at: A&G functionality changes
Clinicians now have the opportunity, where indicated by the GP, to convert an advice request into a referral without the need to send it back to the originating GP. This is to reduce the burden on GPs and streamline patient care.
Important- To avoid having to search for services and appointment slots, please only select Convert this to a referral and Request admin team to refer the patient
This will allow the advice request to be moved from the Advice & Guidance work list into the “Appointments for Booking” work list. From this list, the Administrative Team will be able to see the request and process it appropriately
Please continue to manage as many patients with advice as possible and appropriate, given the long waiting lists
If converting, please still give as much educational advice back as possible to help the GP manage the patient in the interim
Ensure local pathways are in place if upgrading A&G to 2WW
Quick NHS Reference Guides for Clinicians using e-RS for teledermatology (A&G, referral review and triage)
The following quick reference guides have been created to support Clinicians to carry out e-RS A&G and referral triage online via e-RS.
Quick guide for clinicians reviewing Advice and Guidance Requests
Quick guide for clinicians reviewing referral Assessment service (RAS) referrals
Useful resources for e-RS:
Advice and Guidance Toolkit - Advice and guidance supports the NHS long term plan to use digital technology to redesign clinical pathways and reduce unnecessary hospital referrals. The e-RS A&G Toolkit supports clinicians, commissioners and service managers develop A&G services across a range of specialties.
Advice and Guidance High Impact Intervention Guides September 2020 - National Elective Care Recovery and Transformation Programme guides
Specimen e-RS teledermatology consent form - including patient information about teledermatology and additional consent for use of images for teaching health care professionals