1.  Patient’s consultation notes are completed and saved.

2.  Select “Document”,

      then “create letter”.

3.  A pop-up box will display.

     On the magnifying glass

     type, “2WW”.

     The list of all the 2WW templates will be displayed.

     Select required template.

  4. Complete the template,

      LINK the relevant clinical entry

      to the template if you have completed and saved it.

      “Save and Close”.

      The saved template: enters the patients record

       with a paper-clip symbol.

    EMIS eRS website

NHS E Referral 

1.  Select “Referal”,  

2.  then “NHS e-Referral”,

3.  then select “2 week rule”  

A&G

   drop down that is found on the top LHS of the screen

   “*Request type” .

     Selecting “Advice”

4.   Drop down select "Speciality"

5.   Drop down select “2ww”,     

6.   Click “Select All” ( Bottom right of screen)

      Service Selection screen.

7.   Select the appropriate clinic

      click on “Request”,  ( Bottom right of screen),

      then “Continue with selected services”

8.  “Check the details before you submit”.

        Select “Submit” (Bottom LHS of screen).

9.  “please select an action” – (Drop down,bottom of the screen )

        select   “I have selected a service”, then click “ok”.

10.   Pop-up box:

        On “Clinical term”,

        type the relevant clinic term,

        eg, “Fast-track lower GI”

        clicking on the magnifying box

        then clicking “Ok”.

        Click “Ok” again at the bottom of the pop-up box.

ADDING INFORMATION  Screen

Add a letter

    Please ensure an appropriate letter outlining

    the reasons for referral/presenting complaint etc

    is outlined here,

    eg:  “Dear Doctor,

    thanks for seeing this patient with XXX,

    I suspect they may have XXX.

    Please see attached result.

    Kind regards, Dr.  G.P”.

Add the template

     Select “Clinical Content” to attach the template

     (No completed template can result in a rejection of the referral)

Add the consult 

     Attach relevant consultations, investigations

     and relevant historic documents etc.

4. Select “Authorise and send” ( Bottom RHS) >> The end

    The Advice and Guidance (A&G) facility available on eRS 

   provides primary care with access to specialist clinical advice
   that enables patient care to be managed in the most appropriate setting

   and avoids unnecessary outpatient activity.

   This digital communication allows the clinician to seek advice from another clinician

    prior to or instead of referral.

    Reasons why a clinician may wish to seek advice and guidance include:

   •  Asking another clinician or specialist for their advice on a treatment plan;

   •  Asking for clarification regarding a patient’s test results;

   •  Seeking advice on the appropriateness of a referral;

   •  Identifying the most clinically appropriate service to refer a patient into.

    A&G can be found by selecting eRS

   drop down that is found on the top LHS of the screen

   “*Request type” .

     Selecting “Advice”