Viewing and managing a patient's preadmissions

You can view and manage a patient's preadmissions from Patient Detail > Patient admin > Show pathways > TCI. You can edit or cancel a preadmission. You can admit a patient with a preadmission, or record that they didn't attend.

Viewing and managing a patient's preadmissions on a mobile

You can't do this on a mobile.

Viewing and managing a patient's preadmissions on a desktop

From Patient Detail > Patient admin > Show pathways > TCI, you can view and manage a patient's preadmissions.

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Select to add a new preadmission to an existing episode of care.

Read more about creating a preadmission in an existing episode

Pending Preadmissions

Shows upcoming admissions for the patient.

Select to view information about the preadmission.

Read more about viewing information about a preadmission

The actions available for the selected preadmission. These depend on the preadmission's status, and the date of the expected admission.

You can:

Completed and Cancelled Preadmissions

Shows completed and cancelled preadmissions.

  1. Open the patient's record.

  2. From Patient Detail > Patient admin > Show pathways, select TCI.

  3. Select next to a preadmission.

    You can:

If you created a draft preadmission in error, you can delete the draft preadmission. If the preadmission is no longer a draft, you must cancel the preadmission, or record a DNA Did Not Attend..

Read more about cancelling a preadmission

Read more about recording a DNA

To delete a draft preadmission:

  1. Open the patient's record.

  2. From Patient Detail > Patient admin > Show pathways, select TCI.

  3. From Pending Preadmissions, select the preadmission, or select next to a preadmission.

  4. Select Delete Preadmission.

You can edit a preadmission to change the date and time you expect the patient to arrive for admission, and to change the ward and bed the patient is admitted to when they arrive.

  1. Open the patient's record.

  2. From Patient Detail > Patient admin > Show pathways, select TCI.

  3. From Pending Preadmissions, select the preadmission, or select next to a preadmission.

  4. Select Edit Preadmission.

  5. From Edit Preadmission, select if you want to edit an existing preadmission, or cancel the existing preadmission and book a new preadmission.

  6. If you are editing an existing preadmission, enter the time you expect the patient to arrive.

    If you are cancelling the existing preadmission and booking a new preadmission, select the date and time of the new preadmission.

  7. Select the ward the patient is admitted to when they arrive.

  8. Select the bed the patient is admitted to when they arrive.

  9. If you are cancelling the existing preadmission and booking a new preadmission, select who cancelled the existing preadmission and the reason they are cancelling.

    Enter any notes.

  10. Select Update.

  11. Select a correspondence option to change who the letters are sent to.

    To not send the letters, select None.

    The options you see depend on your organisation.

  12. Select Click to preview letters.

    The letters appear in your organisation's PDF viewer.

    A list of letters appears on the right. This shows the recipient of each letter and how the letter is delivered. For example, 'GP - MESH' or 'Patient - Manual print'. To view a letter, select view.

    You can also see information about the patient's preferred method of receiving letters, and preferred letter format.

  13. Depending on your permissions, if Nervecentre is sending a patient's letter by the patient's preferred delivery method, by Docmail, or by email, you can choose to manually print and send the letter instead.

    To manually print and send a patient's letter, select Prevent sending of this letter, I will manually print it instead.

  14. Select Send.

From Case Notes, you can view a preadmission form after it has been submitted.

Read more about Case Notes

From Patient admin, you can view and edit a preadmission form after it has been submitted. The form shows the current values, and not the values from when the form was submitted. Changes you make to the preadmission form don't cause Nervecentre to send new letters.

  1. Open the patient's record.

  2. From Patient Detail > Patient admin > Show pathways, select TCI.

  3. From Pending Preadmissions, select next to a preadmission.

  4. Select Preadmit Form.

  5. Select fields on the form to edit them.

  6. To save and leave the form, select Close.

Nervecentre can automatically cancel some preadmissions.

For example:

  • If a patient called NHS 111 to cancel their appointment at UEC, NHS 111 can send a cancellation message to Nervecentre. Nervecentre then cancels the preadmission.

  • If a patient's planned procedure was cancelled, Nervecentre cancels the preadmission for that procedure.

Read more about NHS 111 bookings

  1. Open the patient's record.

  2. From Patient Detail > Patient admin > Show pathways, select TCI.

  3. From Pending Preadmissions, select a preadmission, or select next to a preadmission.

  4. Select Cancel Preadmission.

  5. For some types of preadmission, you can return the patient to a waiting list. For example, a preadmission for a procedure.

    From Return to Waiting List, select an option.

  6. Select who cancelled the preadmission.

    For example, the patient, or the provider.

  7. Select why they cancelled the preadmission.

  8. Enter any notes.

  9. Select Confirm.

  10. Select a correspondence option to change who the letters are sent to.

    To not send the letters, select None.

    The options you see depend on your organisation.

  11. Select Click to preview letters.

    The letters appear in your organisation's PDF viewer.

    A list of letters appears on the right. This shows the recipient of each letter and how the letter is delivered. For example, 'GP - MESH' or 'Patient - Manual print'. To view a letter, select view.

    You can also see information about the patient's preferred method of receiving letters, and preferred letter format.

  12. Depending on your permissions, if Nervecentre is sending a patient's letter by the patient's preferred delivery method, by Docmail, or by email, you can choose to manually print and send the letter instead.

    To manually print and send a patient's letter, select Prevent sending of this letter, I will manually print it instead.

  13. Select Send.

On the day a patient is expected to arrive, you can admit a patient using their preadmission.

  1. Open the patient's record.

  2. From Patient Detail > Patient admin > Show pathways, select TCI.

  3. From Pending Preadmissions, select a preadmission, or select next to a preadmission.

  4. Select Admit.

  5. Complete the form, including all mandatory fields.

    Mandatory fields are marked .

  6. Select Admit.

    The label on this button depends on the type of visit. For example, a visit to an inpatient ward, or a visit to SDEC.

  1. Open the patient's record.

  2. From Patient Detail > Patient admin > Show pathways, select TCI.

  3. From Pending Preadmissions, select a preadmission, or select next to a preadmission.

  4. Select Record DNA.

  5. Select the reason the patient didn't attend.

  6. Enter any notes.

  7. Select Continue.

    The preadmission's status changes to 'DNA, outcome required'.

  1. Open the patient's record.

  2. From Patient Detail > Patient admin > Show pathways, select TCI.

  3. From Pending Preadmissions, select a preadmission with the status 'DNA, outcome required'.

  4. Select Outcome DNA.

    A form appears.

  5. From Outcome, select an outcome.

    More options appear. These options depend on the outcome you chose.

  6. Select options until Continue appears.

  7. Select Continue.

    What appears next depends on the options you chose.

    One of the following appears:

    • Future Activity

      You must decide what happens to other activities related to the preadmission.

    • Actions Taken / Required

      Shows any actions Nervecentre has automatically done. For example, added the patient to a PIFU list or waiting list.

      Shows any actions you need to do before you can record the outcome. For example, list a procedure, or book an appointment.

    • No Actions Required

      Appears when you don't need to anything other than record the outcome.

  8. Select Complete Outcome.

  9. Optional: depending on the outcome you selected, you can send letters about that outcome.

    For example, you might need to send letters when you discharge a patient, or add them to a waiting list.

    1. Select a correspondence option to change who the letters are sent to.

      To not send the letters, select None.

      The options you see depend on your organisation.

    2. Select Click to preview letters.

      The letters appear in your organisation's PDF viewer.

      A list of letters appears on the right. This shows the recipient of each letter and how the letter is delivered. For example, 'GP - MESH' or 'Patient - Manual print'. To view a letter, select view.

      You can also see information about the patient's preferred method of receiving letters, and preferred letter format.

    3. Depending on your permissions, if Nervecentre is sending a patient's letter by the patient's preferred delivery method, by Docmail, or by email, you can choose to manually print and send the letter instead.

      To manually print and send a patient's letter, select Prevent sending of this letter, I will manually print it instead.

    4. Select Send.

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