SPN Information

 

Special Patient Notes (SPN) and SPN Signpost Flags

 

What are the different SPN’s and what do they mean? 

The DHU Notes Team administers SPN’s for some of the 111 contracts.  They differ in respect of content and what they are called;   they are shared with other providers during that episode of care.  EMAS cannot view from our system so the CARE PLAN entry at the beginning of the offload when taking the call highlights to them that the patient has a plan of care in their home, they sue this as a signpost to look for a care plan or call us for further information.

Derbyshire

Had SPNs and RightCare was a scheme which was designed by Derbyshire Health United (DHU) clinicians to ensure that seamless patient care takes place out of hours, when GP practices are closed. RightCare was designed for patients with long term conditions and complex healthcare needs, including end of life patients. The scheme helped to prevent unnecessary admissions to hospital and attendance at A&E, lower patient anxiety, provides reassurance and allowed patients to access the most appropriate healthcare and advice quickly.  This has been replaced with the Derbyshire Health and Social Care summary (DH&HS UCE –was RightCare – same principle as above but a different name and DH&SC SPN – same as the SPN but a different name).

How are the notes viewed and accessed?

These are viewed by the 111 Health Advisors via Adastra  notes and are marked as RightCare if UCE and SPN if an SPN.  Clinicians view the notes via the Summary Care record (SCR).

Surgeries can send emails to an encrypted email address:

UCE (RightCare) – Rightcare.referrals@nhs.net

SPN –specialpatientnote.referrals@nhs.net

 

 

 

 

 

 

Leicester (LLR)

Had SPNs that were manually inputted by the notes team. Last year they moved over to a flagging system.  This tells the Health Advisor what to do with the call and allows the Clinical staff to view the SPN via the summary care record.  As notes expire they are being replaced by the new flags.  These have 9 categories and 3 ways for the Health Advisors to assess – don’t assess in module zero and pass to OOH clinician or Own GP, assess and pass to a 111 Clinician or assess in the normal manner.

Surgeries can send emails to an encrypted email address:

SPN Flag – specialpatientnote@nhs.net

 

 Northamptonshire

Have SPNs that are added manually to Adastra

How are the notes viewed and accessed?

These are viewed by the 111 Health Advisors and Clinical Advisors  via Adastra  notes and are marked as Northants SPN. 

Surgeries can send emails to an encrypted email address:

SPN – Northants111@nhs.net

 

 

 

 

 

 

 

 

 

 

Lincolnshire

Have SPNs that are added manually to Adastra

How are the notes viewed and accessed?

These are viewed by the 111 Health Advisors and Clinical Advisors  via Adastra  notes and are marked as Lincs SPN. 

Surgeries send emails to an encrypted email address:

SPN –specialpatientnote.referrals@nhs.net

 

Update:

Lincoln will be moving over to view by SCR and DHU are in talks with the CCG about a Flag for the Health Advisor (update to follow)

 

Nottinghamshire

Have SPNs that are added manually to Adastra by their out of hours provider (NEMS)

How are the notes viewed and accessed?

These are viewed by the 111 Health Advisors and Clinical Advisors  via Adastra  notes that are shared by NEMS and are also viewable via the MIG (Medical Interoperability Gateway) by Clinical staff. 

Nottinghamshire surgeries wanting to send notes in to us should be directed to contact NEMS

Update:

Nottinghamshire are looking at using a flag for Health Advisors (talks are in place with the CCG

 

 

 

 

 

 

 

Milton Keynes

Have SPNs that are added manually to Adastra by their out of hours provider (MCUCS)

How are the notes viewed and accessed?

These are viewed by the 111 Health Advisors and Clinical Advisors via Adastra notes that are shared by MKUCS

Update:

Milton Keynes are looking at using a flag for call advisors (talks are in place with the CCG) and SCR for Clinical Advisors

 

 

 

What if I think someone would benefit from a note?

Just let the Note Team know on the ESR by selecting RIGHTCARE NURSE and case number and the reason why you think that they would benefit from a note.  The Notes Team will look at the case and previous cases and if they think it is necessary will contact the surgery for the note.  Unfortunately, the decision if to supply a note is with the GP practice and sometimes they disagree with our recommendation and don’t supply a note – in these cases after 3 requests, we ask our Clinical Directors to speak with the surgery.

 

 

 

 

 

 

 

 

 

When should patients contact DH&SC UCE?

Patients should contact 111 when their own GP surgery is closed and they feel unwell. Patients will have their own copy of the DH&SC UCE Plan, which will help them decide when further medical help is needed.

For further information please contact the Notes Team on 03001000404

Debi Pickering (Manager) EXT 5520

Tara Bingham (supervisor) EXT 4529

Paramjit Mudan (Administrator) EXT 5799

Kirsty Reeves (Administrator) EXT 4585

Sam Mowbray (Administrator) EXT 4014

Ann Thurman (Notes Nurse Admin) EXT 4327

Lynda Way (Notes Nurse Admin) EXT 4328