Viewing and responding to requests for advice and guidance

A GP can request advice and guidance from another clinician. Nervecentre can receive these advice and guidance requests from e-RS Electronic Referral Service. Used by GPs/patients to book initial appointments with specialists at a convenient time. This would replace the current system where a referral is made to the specialist who then sends out a letter with an appointment – if the patient can’t attend that appointment they’ll have to call back and rearrange..

You can view and respond to advice and guidance requests from Patient Detail > Patient admin > Show pathways > A&G. When you respond to an advice and guidance request, you can:

  • Return the request to the referrer with advice

  • Ask the referrer for more information

  • Convert the request into a referral

If you convert the request into a referral, the referral follows the same workflow for a referral from e-RS.

Read about the workflow for referrals from e-RS

Viewing and responding to requests for advice and guidance on a mobile

You can't do this on a mobile.

Viewing and responding to requests for advice and guidance on a desktop

  1. From  Outpatients > Patient Detail, search for the patient.

    Read more about searching for a patient

  2. From Patient Detail > Patient admin > Show pathways, select A&G.

Active Advice and Guidance

Shows active advice and guidance requests.

Double-click on a request to view messages between you and the referrer, and to respond to messages from the referrer.

Read more about responding to advice and guidance requests

Completed Advice and Guidance

Shows completed advice and guidance requests.

Double-click on a request to view messages between you and the referrer.

  1. Find the patient, or the advice and guidance request.

  2. From Patient Detail > Patient admin > Show pathways > A&G > Active Advice and Guidance, find an advice or guidance request with the status 'Provider response required'.

  3. Double-click to view more information about the advice and guidance request.

  4. To view any files attached to the request, select .

  5. Optional: to refresh the request, select Refresh.

  6. Enter a response to the referrer.

  7. Optional: attach a file, add a letter attachment, or add a link to a website.

    • To upload and attach a file stored on your desktop:

      1. Select Attach from file.

      2. Find and select a file to upload.

    • To add a pre-configured attachment stored in Nervecentre:

      1. Select Add Letter Attachment.

      2. Search for an attachment, or browse folders to find an attachment.

      3. Select an attachment.

      4. Select Add Attachment.

      5. Select outside the dialogue box.

      6. Select Yes to save changes.

    • To add a link to a website:

      1. Select Add Web Link.

      2. Enter a name the appears instead of the URL.

      3. Enter the URL for the website.

      4. Select Apply.

  8. Select a priority for the request.

  9. Select one of the following options.

    • To return the request to the referrer with advice:

      1. Select Return to referrer with advice.

      2. Select the intended outcome of your advice.

        The referrer doesn't see this.

    • To ask the referrer for more information, select Ask the referrer for further information.

    • To convert the request into a referral:

      1. Select Convert this to a referral.

      2. Optional: to upload and attach a file stored on your desktop, select Attach from file and select a file.

      3. Enter instructions for your organisation's administration team.

  10. Select Submit.

  11. Authenticate your response with your Care Identity log in.

    For example, a smartcard.

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