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The Online System

HS – Live NHS Health Check

HN – Non-Participating Practices Screen

HD – Individual District Parameters Screen

HX – Deducted NHS Health Check


HS – Live NHS Health Check

HS]Live NHS Health Check                 Qualifier[987 888 4295                ]
Reply in batch F1036,1 - expected
HAYNES, Mr Aaron                                  DoB : 01.01.1961  Age : 50
1, Hexagon House, EXO                             Dr. M Shires (000040)
Q Code:   QT2                               Sender ID. [                   ]
Screening Status -                          Recall date. . [        ]
Date of test . . . [        ]          Previous test.
Unemployed .  Self [ ] Ptnr [ ]  (Y/N)      Urine:  Albumen. . . . [ ] (Y/N)
Social class [  ]  [  ] (1-5,3M,3N,H,M)             Sugar. . . . . [ ] (Y/N)
Family History:                 Patient    Family  Rel'ship
Coronary Heart Disease Age [   ]  [ ] S or D [ ]  [        ]  Age [   ]
C.V.A.                     [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Hypertension               [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Diabetes    New? . [ ]     [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Hyperlipidaemia            [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Blood pressure . . [   \   ]  Category. . .  [ ] (H,B,N)
Weight . . . . . . [    ]Kg    Height. . . . [    ]m BMI -    0.0
Smoking:  Category [ ] (1-7)   Years Smoking [  ]    Date stopped [        ]
Alcohol. . . . . . [   ] (units/week)
Cholesterol. . . . [    ]                   Urea . . . . . [    ]
Triglycerides. . . [    ]                   Uric Acid. . . [    ]
HDL. . . . . . . . [    ]                   LDL. . . . . . [    ]
Established Hypertensive [ ] (Y/N)          Still complying[ ]
Patient to be excluded . [ ] (C,E,O)        Date of excl.. [        ]

Figure 1: The HS Screen

Description

This is the main live patient input screen for the NHS Health Check System. It holds all the clinical information gathered for the patient from health check tests.

The HS screen may also be used to exclude a patient from health checks or to set/reset the patient's recall date for the purpose of postponing the health check invitation.

Purpose

To record health check results and generate a recall date for individual live patients.

The following functions are available:

  • view health checks and test result details
  • enter/amend/delete a patient's health checks and test result details
  • exclude a patient from health checks
  • postpone a patient's invitation.

How to Use the HS screen

To enter this screen use a key of HS with a qualifier of either:

  • NHS number, or
  • Surname,Forename,Date of Birth (ensure the commas are present).

Examples of valid qualifiers are:

  • 344 123 6599
  • Smith,,
  • Smith,Mary,
  • Smith,Mary,1.5.46
  • Smith,,1.5.46
  • ,,1.5.46

A blank input screen is displayed, showing the following:

  • patient ID details (name, address, date of birth, GP)
  • screening status stage and date (if appropriate)
  • recall date (if appropriate)
  • previous test date (if appropriate)

The minimum data which constitutes an update is:

  • the date of the test, plus the sender ID; and
  • the exclusion marker, with the date of exclusion.

To view or amend the most recent, or historical, test results the user should 'page on'. Test result screens are displayed in reverse chronological order', that is, most recent first. The screening status and recall date, where recorded, remain constant on each test results screen.

Care should be taken, when amending previous test result date, that the correct test is being amended. This is determined from the date of test and should not be confused with the previous test date.

It is possible to amend the date of test for a previously recorded test. In such cases, the system will automatically resequence the test result record when necessary, to maintain the reverse chronological order. Likewise, if a new test result record has to be recorded with a date of test which is earlier than the most recent test already recorded, the new record is automatically inserted into the correct place in the sequence of records held for that patient.

The following information displayed on the screen cannot be entered or amended:

  • patient identification details
  • registered GP
  • screening status (generated by analysis jobs, this shows the stage where the patient is in the programme)
  • previous test date (generated from the previous test results record to which it refers).

When test results date is entered, the recall date is automatically updated as being at the end of the appropriate recall period. However, this can be overridden by the user simply typing in a new recall date.

If test results are to be entered for a patient who was checked opportunistically (i.e. who did not appear on a prior notification list), the recall date is automatically recorded as five years on from the current date, or otherwise as specified in the district parameters (HD screen). Again, this can be overridden by the user.

To mark a patient to be excluded from health checks, enter the appropriate code in the Patient to be Excluded box as follows:

  • C = Cancelled
  • E = Exclude temporarily
  • O = Exclude for Other reasons

along with the date of exclusion, (i.e. the 'exclude from' date).

This exclusion code, which can be set at any time in a processing cycle, will prevent the patient from being included in any subsequent processing stages.

In order to postpone an invitation for a patent, enter the required recall date. Do not enter an exclusion code. This action will ensure that the patient will be excluded from the current health check programme and future programmes until the new recall date matches that of the health check programme call/recall date. The patient will be treated as call at that time if no health check test results exist for that patient; otherwise, the patient will be treated as recall.

Note the following about the HS screen:

  • In the Family History section:
    • S or D means suffered or died
    • valid Rel'ship entries are MOTHER, FATHER, BROTHER SISTER or SIBLING.
  • If the patient is a newly diagnosed diabetic, enter Y in the New box.
  • The BMI (body mass index) is automatically calculated from the entered height and weight.
  • If the patient is an established Hypertensive, enter Y in the Established Hypertensive box. In this instance, the Blood Pressure Category should be H. If the category is H and a Y is not entered in the box, then the patient will be counted as a newly diagnosed hypertensive for statistics.

For definitions of other category codes used on the screen see the On-Line User Guide.

Result Deletion

When results are entered via screen HS, on sending the details, an extra box appears on the screen (bottom right). This box will also appear on a screen for an existing set of test details.

    DELETE?    
     [ ]

Note that this will only appear if the user has full access.

Entering Y, sending and resending to confirm will effectively delete the result. The result record will in fact be transferred to another global, HSDEDN.

HS Screen Audit Information

The HS screen maintains an audit trail of all changes made. The audit trail can be viewed by pressing <Ctrl> <Shift> L from the Qualifier field.

HS]Live NHS Health Check                 Qualifier[731 584 3469                ]
                                                                         page->
[------------------------------------------------------------------------------]
|Date       Time       Job  User-ID   HS - Audit Trial Description             |
}------------------------------------------------------------------------------{
|26.07.2011 09:00:51   IN   NHSIAX    Add new record with test data            |
|26.07.2011 09:01:56   IN   NHSIAX    Amend the Marker on the exclusion record |
|26.07.2011 09:02:27   HS   NHSIAX    Delete a record (test or exclusion data) |
|                                                                              |
|                                                                              |
|                                                                              |
[------------------------------------------------------------------------------]
Hypertension               [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Diabetes    New? . [ ]     [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Hyperlipidaemia            [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Blood pressure . . [   \   ]  Category. . .  [ ] (H,B,N)
Weight . . . . . . [    ]Kg    Height. . . . [    ]m BMI -    0.0
Smoking:  Category [ ] (1-7)   Years Smoking [  ]    Date stopped [        ]
Alcohol. . . . . . [   ] (units/week)
Cholesterol. . . . [    ]                   Urea . . . . . [    ]
Triglycerides. . . [    ]                   Uric Acid. . . [    ]
HDL. . . . . . . . [    ]                   LDL. . . . . . [    ]
Established Hypertensive [ ] (Y/N)          Still complying[ ]
Patient to be excluded . [ ] (C,E,O)        Date of excl.. [        ]

Figure 2: The HS Screen, with Audit Information Pop-up Box

HN – Non-participating Practices Screen

HN]HS Non-participants                  Qualifier [                           ]
                                                                         page->
Enter below Practices who are not participating in NHS Health Check.

[A00005] TTEVES PRACTICE ZZZZZZZZZZZZ [A00006] EXETER PRIMARY POLYCLINICCCC
[A00007] SINGLE HANDED PRACTICE       [A00008] BLUE BOY CLINIC PRACTICE
[A00020] SADFADFADFASD                [A00022] A FINE NEW PRACTICE
[B00002] EXETER PRACTICE WITH A NEW N [B56565] B55555 PRACTICE
[B60606] BTTES1 AND BTTES2            [B70707] BTTES9
[C44444] CONSPONE                     [C90909] GFSDGFSD
[C99999] CONSPTWO                     [D45678] FSDFSDFSD
[D55555] D55555 PRACTICE GROUP        [D82040] LEGG AND PARTNERS
[D99999] FSDFSD                       [E12345] PRACTICE SJB11 SENIOR PARTNE
[E12346] KHGHJKHK                     [G00001] FRED FLINTSTONE
[I00010] IAN'S TEST                   [J00001] PYNES HILL SURGERY
[J00011] JANET'S PRACTICE             [L10101] SOLO PRACTITIONER
[L20202] TEST CASE PRACTICE           [L25000] LHG SR TEST GMS PRAC
[L32345] TEST PRACTICE                [M12345] PEACH PRACTISE
[M40404] M40404                       [M66778] FQWGTWGT
[M77777] PRACTICE FOR MRTES8          [N12345] NICKS NEW PRACTICE
[N65432] NICK'S SECOND NEW PRACTICE   [P00001] PMS TEST INDIVIDUAL
[P00002] PRACTICE FOR LHG11           [P00004] PMS PRACTICE FOR CB1 DOR1 PE
[P00005] PMS PRACTICE                 [P00085] SRTEST PMS PRACTICE
[P10001] LQ TST GMS                   [P12347] ANOTHER TEST PRACTICE

Figure 3: The HN Screen

Description

This is used for recording practices who have opted not to offer the NHS Health Check service.

Purpose

To record the practice codes of those practices not participating in the NHS Health Check System.

The following functions are available:

  • view practice codes
  • enter/amend/delete practice codes.

How to Use the HN screen

To enter this screen use a key of HN with a blank qualifier. The first screen displayed will be either:

  • a blank screen, indicating that no practice codes have been entered, and therefore all practices within the HA area are offering the service; or
  • a screen showing the codes of those practices who are not offering the service.

To view further non-participating practice codes, 'page-on'.

To include a new practice code, simply enter that code in the first available field on the screen, paging on if necessary to find that field.

To amend a practice code, overwrite it with the correct code.

To delete a practice code from the list, either erase it or overwrite it with the code of a new practice going onto the list.

If the word 'DELETED' appears alongside a practice code, this means that the practice has been removed from the HA system and the number should be removed from the HN screen.

HD – Individual District Parameters Screen

HD]NHS Health Check DHA Data             Qualifier[EX                          ]
 
           EXETER MAXIMUM LENGTH DISTRICT  District Health Authority
                               Local DHA Code EX
-------------------------------------------------------------------------------
                                 DEFAULT VALUES
Alternative signature
(HA originator only)    Name. . [                                              ]
                        Title . [                                              ]
Age range for Call/Recall. . . . . . .from [35] years. . . . . . . to [60] years
Recall Interval (1 to 5 years) . . . . . . .[5] years
 
-------------------------------------------------------------------------------
                             DEFAULT STAGE DETAILS
 
                    Stage            Originator*      Letter
 
                    Call Invite         [F]           [HS07]
                    Recall Invite       [F]           [HS08]
                    Non-Attender        [F]           [HS09]
 
                              * D=DHA, G=GP, F=HA
 
-------------------------------------------------------------------------------

Figure 4: The HD Screen

Description

The HD screen sets up parameters for individual districts for use in NHS health checks. HAs using health checks should have previously set up districts via the AT screen or the FD screen.

When running analysis jobs, HAs are given the choice of using the parameters set up via HD, or of overriding them by entering different parameters when requesting individual analysis jobs.

It is important that HAs running health checks set up district parameters whether or not they are using them. HAs with a single district should also set up values.

Default settings may be used.

How to Use the HD screen

To enter this screen, use a key of HD with a qualifier of the district code.

When first setting up district parameters, the screen will display default values as shown in Figure 3. There are no default letter types, since these are the HA's responsibility.

  • Ages 'from' and 'to' can be from 10 to 99, but 'from' must be less than 'to'.
  • Recall Interval must be 1, 2, 3, 4 or 5.
  • Letter originator can be F (HA), D (district) or G (GP). This will determine the name and address of the sender.
  • Letter type can be any valid letter in the Letter Library. Care must be taken not to enter a letter type corresponding to a non health check letter.

HX – Deducted NHS Health Check

HX]Deducted NHS Health Check             Qualifier[500 647 5145                ]
 
JONES, Ms. Ellen Sharon (SMYTHE)                  DoB : 12.07.1966  Age : 45
40 Whipton Lane, EXE                              Dr. D Amber (000068)
Q Code:   QT1                               Sender ID. [                   ]
Screening Status -                          Recall date. . [        ]
Date of test . . . [        ]          Previous test.
Unemployed .  Self [ ] Ptnr [ ]  (Y/N)      Urine:  Albumen. . . . [ ] (Y/N)
Social class [  ]  [  ] (1-5,3M,3N,H,M)             Sugar. . . . . [ ] (Y/N)
Family History:                 Patient    Family  Rel'ship
Coronary Heart Disease Age [   ]  [ ] S or D [ ]  [        ]  Age [   ]
C.V.A.                     [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Hypertension               [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Diabetes    New? . [ ]     [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Hyperlipidaemia            [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Blood pressure . . [   \   ]  Category. . .  [ ] (H,B,N)
Weight . . . . . . [    ]Kg    Height. . . . [    ]m BMI -    0.0
Smoking:  Category [ ] (1-7)   Years Smoking [  ]    Date stopped [        ]
Alcohol. . . . . . [   ] (units/week)
Cholesterol. . . . [    ]                   Urea . . . . . [    ]
Triglycerides. . . [    ]                   Uric Acid. . . [    ]
HDL. . . . . . . . [    ]                   LDL. . . . . . [    ]
Established Hypertensive [ ] (Y/N)          Still complying[ ]
Patient to be excluded . [ ] (C,E,O)        Date of excl.. [        ]

Figure 5: The HX Screen

Description

This is the main deducted patient input screen for the NHS Health Check System. It holds all the clinical information gathered for the patient from the health check tests.

The HX screen may also be used to exclude a patient from health checks or to set/reset the patient's recall date for the purpose of postponing the health check invitation.

Purpose

To record health check test results and generate a recall date for individual deducted patients.

The following functions are available:

  • view health check and test result details
  • enter/amend/delete a patient's health check and test result details
  • exclude a patient from health checks
  • postpone a patient's invitation.

How to Use the HX Screen

To enter this screen use a key of HX with a qualifier of either:

  • NHS number; or
  • Surname,Forename,Date of Birth (ensure the commas are present).

Examples of valid qualifiers are:

  • 344 123 6599
  • Smith,,
  • Smith,Mary,
  • Smith,Mary,1.5.46
  • Smith,,1.5.46
  • ,,1.5.46

A blank input screen is displayed, showing the following:

  • patient ID details (name, address, date of birth, GP)
  • screening status stage and date (if appropriate)
  • recall date (if appropriate)
  • previous test date (if appropriate).

The minimum data which constitutes an update is:

  • the date of the test, plus the sender ID; and
  • the exclusion marker, with the date of exclusion.

To view or amend the most recent, or historical, test results the user should 'page on'. Test result screens are displayed in reverse chronological order', that is, most recent first. The screening status and recall date, where recorded, remain constant on each test results screen.

Care should be taken, when amending previous test result date, that the correct test is being amended. This is determined from the date of test and should not be confused with the previous test date.

It is possible to amend the date of test for a previously recorded test. In such cases, the system will automatically resequence the test result record when necessary, to maintain the reverse chronological order. Likewise, if a new test result record has to be recorded with a date of test which is earlier than the most recent test already recorded, the new record is automatically inserted into the correct place in the sequence of records held for that patient.

The following information displayed on the screen cannot be entered or amended:

  • patient identification details
  • pegistered GP
  • screening status (generated by analysis jobs, this shows the stage where the patient is in the programme)
  • previous test date (generated from the previous test results record to which it refers)

When test results date is entered, the recall date is automatically updated as being at the end of the appropriate recall period. However, this can be overridden by the user simply typing in a new recall date.

If test results are to be entered for a patient who was checked opportunistically (i.e. who did not appear on a prior notification list), the recall date is automatically recorded as five years on from the current date, or otherwise as specified in the district parameters (HD screen). Again, this can be overridden by the user.

To mark a patient to be excluded from NHS health checks, enter the appropriate code in the Patient to be Excluded box as follows:

  • C = Cancelled
  • E = Exclude temporarily
  • O = Exclude for Other reasons.

along with the date of exclusion, (i.e. the 'exclude from' date).

This exclusion code, which can be set at any time in a processing cycle, will prevent the patient from being included in any subsequent processing stages.

In order to postpone an invitation for a patent, enter the required recall date. Do not enter an exclusion code. This action will ensure that the patient will be excluded from the current health check programme and future programmes until the new recall date matches that of the health check programme call/recall date. The patient will be treated as call at that time if no health check test results exist for that patient; otherwise, the patient will be treated as recall.

Note the following about the HX screen:

  • In the Family History section:
    • S or D means suffered or died:
    • valid Rel'ship entries are MOTHER, FATHER, BROTHER SISTER or SIBLING.
  • If the patient is a newly diagnosed diabetic, enter Y in the New box.
  • The BMI (body mass index) is automatically calculated from the entered height and weight.
  • If the patient is an established hypertensive, enter Y in the Established Hypertensive box. In this instance, the Blood Pressure Category should be H. If the category is H and a Y is not entered in the box, then the patient will be counted as a newly diagnosed hypertensive for statistics.

For definitions of other category codes used on the screen see the online user guide.

Result Deletion

When results are entered via screen HX, on sending the details, an extra box appears on the screen (bottom right). This box will also appear on a screen for an existing set of test details.

    DELETE?    
     [ ]

Note that this will only appear if the user has full access.

Entering Y, sending and resending to confirm will effectively delete the result. The result record will in fact be transferred to another global, HSDEDN. It is possible to reinstate deleted results if required, but this can only be carried out by support teams.

HX Screen Audit Information

The HX screen, like the HS screen, also maintains an audit trail of all changes made, but for deducted patients. The audit trail can be viewed by pressing <Ctrl> <Shift> L from the Qualifier field.

HX]Deducted NHS Health Check             Qualifier[500 647 5145                ]
                            ** DATA RESTORED **                          page->
[------------------------------------------------------------------------------]
|Date       Time       Job  User-ID   HX - Audit Trial Description             |
}------------------------------------------------------------------------------{
|26.07.2011 09:09:58   IN   NHSIAX    Add new record with test data            |
|26.07.2011 09:11:07   IN   NHSIAX    Add new record with test data            |
|26.07.2011 09:11:52   HX   NHSIAX    Amend the Marker on the exclusion record |
|                                                                              |
|                                                                              |
|                                                                              |
[------------------------------------------------------------------------------]
Hypertension               [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Diabetes    New? . [ ]     [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Hyperlipidaemia            [   ]  [ ]   "    [ ]  [        ]  Age [   ]
Blood pressure . . [   \   ]  Category. . .  [ ] (H,B,N)
Weight . . . . . . [    ]Kg    Height. . . . [    ]m BMI -    0.0
Smoking:  Category [ ] (1-7)   Years Smoking [  ]    Date stopped [        ]
Alcohol. . . . . . [   ] (units/week)
Cholesterol. . . . [    ]                   Urea . . . . . [    ]
Triglycerides. . . [    ]                   Uric Acid. . . [    ]
HDL. . . . . . . . [    ]                   LDL. . . . . . [    ]
Established Hypertensive [ ] (Y/N)          Still complying[ ]
Patient to be excluded . [E] (C,E,O)        Date of excl.. [01.05.11]

Figure 6: The HX Screen, with Audit Information Pop-up Box