Nervecentre V8.1 Help for Users
About referrals
Clinicians and GPs can refer a patient to a service, for example, if a patient has a skin condition they can refer the patient to a dermatology clinic.
Your organisation can receive these referrals as letters, emails, or 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.. If you receive a letter for a referral, you can add that referral to Nervecentre. If your organisation receives a referral by e-RS, Nervecentre automatically adds that referral.
Nervecentre shares appointment slots for bookable services with e-RS. When a GP refers a patient to a bookable service, the GP can book an appointment for the patient.
GPs can also request advice and guidance from clinicians in your organisation. Nervecentre can receive these advice and guidance requests from e-RS.
About referrals on a mobile
You can't do this on a mobile.
About referrals on a desktop
About manually added referrals
You can manually add referrals to Nervecentre. You might do this when:
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A GP sends a referral letter to you
You can use the details on the referral letter to add the referral to Nervecentre.
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Another organisation sends you a referral letter
This is an Inter Provider Transfer (IPT). You can use the details on the letter to add the referral to Nervecentre.
About referrals from e-RS
A GP can log in to e-RS to send referrals, or advice and guidance requests, to service providers. Nervecentre can receive referrals, and advice and guidance requests, from e-RS.
When a GP refers a patient using e-RS, they can:
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Book an appointment, if they are referring the patient to a bookable service
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Send the referral to a Referral Assessment Service (RAS)
A clinician reviews or triages the referral.
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Request advice and guidance from a clinician
A clinician can send back advice, or convert the request into a referral.
About bookable services
Nervecentre shares appointment slots for bookable services with e-RS. When a GP refers a patient to a bookable service, the GP can view that service's appointment slots and book the patient an appointment. This process is called direct booking.
Read more about the workflow for referrals with an appointment booked
A service might not have any appointment slots available. For example, all the available slots could be booked, or there might be no slots created for dates more than 3 months ahead. These are called Appointment Slot Issues (ASI). If a service has appointment slot issues, the GP can place the referral on to a worklist in e-RS. This is called deferring the referral.
Nervecentre can show you the list of referrals to services with appointment slot issues. Clinicians can review these referrals and choose whether to book an appointment for the patient. If a clinician thinks the referral is not needed, they can send the referral back to the GP through e-RS.
Read more about the workflow for referrals to bookable services with ASI
About the Referral Assessment Service (RAS)
When a GP refers a patient to a service, they can send the referral to a Referral Assessment Service (RAS). A clinician then reviews or triages the referral.
Nervecentre receives referrals that need review from e-RS. Clinicians can view these referrals in Nervecentre and choose whether to book an appointment. If a clinician thinks the referral is not needed, they can send the referral back to the GP through e-RS.
Workflow for manually adding external referrals
You can manually add external referrals, for example, a referral you receive from a GP, or an inbound IPT Inter Provider Transfer. A referral is transferred from one healthcare provider to another healthcare provider. referral.
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An office administrator adds a referral to Nervecentre.
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Optional: an office administrator can acknowledge the referral.
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A clinician reviews the referral.
They decide what needs to happen next with the patient's referral.
Read more about triaging an external referral or IPT referral
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An office administrator reads the clinician's notes and performs necessary actions.
They can:
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Accept the referral
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Redirect the referral
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Decline the referral
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If the referral is accepted, an office administrator can:
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Book an appointment for the patient
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Add the patient to a waiting list for an appointment
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Workflow for referrals from e-RS with an appointment booked
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A GP refers the patient to a bookable service.
They successfully book an appointment.
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Nervecentre receives this referral from e-RS.
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Optional: an office administrator can acknowledge the referral.
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A clinician reviews the referral.
They decide what needs to happen next with the patient's referral.
Read more about triaging referrals with an appointment booked
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An office administrator reads the clinician's notes and performs necessary actions.
They can:
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Accept the referral
If the referral is accepted, no appointment needs booking.
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Redirect the referral
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Decline the referral
We recommend you perform these actions in e-RS instead of in Nervecentre. If you perform these actions in Nervecentre, the referral remains on the 'Referrals for Review' worklist in e-RS until you remove the referral from the worklist.
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Workflow for referrals to bookable services with ASI
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A GP refers the patient to a bookable service.
They try to book an appointment but the service has appointment slot issues.
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Nervecentre receives this referral from e-RS.
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A clinician reviews the referral.
They can:
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Accept the referral, and ask an office administrator to book an appointment for the patient
The status of the referral changes to 'Referral accepted, no activity booked'.
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Send the referral back to the GP with advice
The status of the referral changes to 'Referral complete, declined'.
Read more about triaging referrals to bookable services with ASI
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If the referral is accepted, an office administrator can:
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Book an appointment for the patient
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Add the patient to a waiting list for an appointment
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Workflow for referrals from e-RS sent to RAS
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A GP refers the patient to a service and asks for a clinician to review the referral.
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Nervecentre receives this referral from e-RS.
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Optional: an office administrator can acknowledge the referral.
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A clinician reviews the referral.
They can:
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Accept the referral, and ask an office administrator to book an appointment for the patient
The status of the referral changes to 'Referral accepted, no activity booked'.
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Send the referral back to the GP with advice
The status of the referral changes to 'Referral complete, declined'.
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If the referral is accepted, an office administrator can:
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Book an appointment for the patient
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Add the patient to a waiting list for an appointment
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Statuses for referrals
You can view a patient's referrals from Patient Detail > Patient admin > Show pathways > Referrals.
Referrals can have any of the following statuses.
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Enter referral details |
An office administrator started to add the referral to Nervecentre but didn't finish. Double-click on the referral to finish entering the referral's details. |
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Awaiting triage |
A clinician needs to triage the referral. Double-click on the referral to view the triage form. |
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ASI, Book from e-RS |
A clinician needs to triage the referral. Double-click on the referral to view the triage form. Read more about triaging referrals to bookable services with ASI |
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Acknowledged, awaiting triage |
An office administrator acknowledged the appointment. A clinician needs to triage the referral. Double-click on the referral to view the triage form. |
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Referral Review Complete |
A clinician reviewed the referral. An office administrator needs to look at the triage form and progress the referral. Double-click on the referral to view the triage form. |
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Referral accepted, no activity booked |
An office administrator accepted the referral. An office administrator needs to progress the referral by either booking an appointment, or adding the patient to a waiting list. |
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Referral accepted |
An office administrator booked an appointment, or added the patient to a waiting list. |
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Referral Accepted, Booking Required |
This is a referral to a bookable service with appointment slot issues (ASI). An office administrator accepted the referral. An office administrator needs to progress the referral by either booking an appointment, or adding the patient to a waiting list. They can book an appointment in Nervecentre or e-RS. |
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Expedite requested |
An office administrator received a request to expedite the referral. An office administrator needs to add details about the request to a form. A clinician needs to review the information and decide what happens next. Double-click on the referral to view the form for expediting the referral. |
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Expedite review complete |
A clinician has reviewed information about the expedite request. An office administrator needs to:
Double-click on the referral to view the form for expediting the referral. |
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Referral complete, declined |
An office administrator declined the referral. |
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Completed |
The referral is complete. |
Types of e-RS referral
You can view a list of referrals from Outpatients > Worklists, or from Outpatients > Manage > Referrals.
Read about viewing a list of referrals
You can filter these referrals to view referrals from e-RS. Each type of e-RS referral has a number.
Read about filtering a table of information
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0 |
Referrals not from e-RS. |
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1 |
Referrals that were created from advice and guidance requests. |
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2 |
Referrals from e-RS sent to RAS. |
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3 |
Referrals from e-RS to a bookable service with ASI. |
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4 |
Referrals from e-RS with an appointment booked. |
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