Nervecentre V8.1 Help for Users
Recording the outcome of appointments
The outcome of an appointment is made up of two parts.
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The clinical outcome
This is recorded by a clinician during and after an appointment.
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The administrative outcome
This is recorded by an office administrator after a clinician has finished recording the clinical outcome.
If the patient doesn't attend the appointment, or the appointment is cancelled, you only record the administrative outcome for the appointment.
When you record the administrative outcome of an appointment, you can:
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Book a follow-up appointment
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Add the patient to a waiting list
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Put the patient on a PIFU Patient Initiated Follow-Up. Allows patients and their carers the flexibility to arrange their follow-up appointments as and when they need them. pathway
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Discharge the patient from your care
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Refer the patient to another organisation
Recording the outcome of appointments on a mobile
You can't do this on a mobile.
Recording the outcome of appointments on a desktop

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A clinician completes the clinical outcome form.
They can do this during and after the appointment.
Progress is saved automatically.
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Optional: transcription.
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The clinician sends the clinical outcome form for transcription
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A member of staff transcribes clinical notes that contain audio
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The clinician reviews the transcription before submitting the form
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The clinician sends letters about the appointment to relevant people.
Nervecentre uses the information in the form to generate these letters.
Read more about sending letters about the clinical outcome of an appointment

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Select Outpatients > Clinic List > double-click on a patient's name > Patient Detail.
Depending on your permissions, you might need to select Go to patient record.
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From Patient Detail > Patient admin > Show pathways > Appts, find an appointment with one of the following statuses:
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'DNA, outcome required'
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'Clinic complete, admin outcome required'
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'Cancelled, outcome required'
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Select Outcome appointment.
A form appears. This shows:
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The current RTT Referral To Treatment. The length of time from referral to treatment. status of the referral
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Any booked future activities related to the referral
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The clinical outcome of the appointment
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Any procedures related to the referral
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If the patient attended the appointment, select if treatment commenced.
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From Outcome, select an outcome.
More options appear. These options depend on the outcome you chose.
The outcomes available depend on your organisation.
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Select options until Continue appears.
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Select Continue.
What appears next depends on the options you chose.
One of the following appears:
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Future Activity
You must decide what happens to other activities related to the referral. For example, internal referrals and waiting list entries.
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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.
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No Actions Required
Appears when you don't need to anything other than record the outcome.
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Select Complete Outcome.
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Optional: depending on the outcome you selected, you can send letters about that outcome.
For example, you might need to send letters when you place the patient on a PIFU pathway, or book a new appointment.
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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.
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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'.
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Select Send.
The appointment moves to Past and Cancelled Appointments and the appointment's status updates.
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