035 Reasonable Adjustments Digital Flag search suite
Introduction
The Reasonable Adjustment Digital Flag (RADF) searches are designed to help practices manage the workload of:
- Finding appropriate patients for consideration of a Flag.
- Ensuring that the correct codes are added (in conjunction with our templates and alert).
- Tracking where the patient is along the "process".
- Identifying errors and gaps in coding.
The codes you need:
Code term: | Code ID: | Code Purpose |
Requires reasonable adjustments for health and care access (Equality Act 2010) | 1108111000000107 | Use the Associated Text field to enter the adjustment that is requires (e.g. double appointments, wheelchair access) |
Impairment with substantial and long term adverse effect on normal day to day activity (Equality Act 2010) | 1326341000000105 | Use the Associated Text field to enter the impairment that other staff need to be aware of (e.g. learning disability, severe anxiety) |
| Consent given to upload data to Reasonable Adjustment Digital Flag | 1853771000000105 | This code is used to record consent to upload data to the NHS Spine - not consent to record the flag. |
Declined consent to upload data to Reasonable Adjustment Digital Flag | 1853781000000107 | This code is used to record dissent to upload data to the NHS Spine - not dissent to record the flag. |
If a patient dissents to the entire flag, Primary Care IT recommend coding "Review of Reasonable Adjustment needs (1833271000000103)", with text entered alongside to say the patient declined. This will cause our alerts, templates and searches to stop flagging this patient for 12 months.
The Categories, or "Standards"
RADF has been build around finding certain risk codes on the patients record. These codes are dictated by the Accessible Information Standard, the Impairment Harmonised Standard, and a couple of our own recommendations. The broad categories that we search for are as follow:
Accessible Information Standard
- Communications support
- Requires communications professional
- Requires specific contact method
- Requires specific information format
- Accessibility Needs identified
Impairment Harmonised Standard
- Vision
- Hearing
- Mobility
- Dexterity
- Learning, understanding, concentrating (including your LD register)
- Memory (including your Dementia register)
- SMI register
- Stamina, breathing, fatigue
- Social behaviour (including your Autism and ADHD registers)
- "Disability code - Other"
PCIT-added recommended categories
- Speech Impairment
- Frailty (mild, moderate or severe)
How your practice prioritises these categories beyond the NSHE recommendation is up to your team; this is just our recommendations.
1 High priority Long Term Conditions
- The first two searches 1a and 2a, are based on your surgery's Learning Disabilities (LD) register and Autism (ASD) register. These are recommended by NHSE to review firstly.
- 3a and 4a highlight any patient who is in 2 or more of the recommended categories.
- 5a-8a are High priority PCIT-recommended registers for review.
Each report contains a breakdown of every category the patient falls into, not just the current register you are looking at. For example, if a patient is on the ASD register and also is blind, the Autism report will show this information to you. As you work through each list, our RADF Alert should appear for each patient. We highly recommend using this to ensure correct coding.
2 Work to do
- The first report is a "Master" report, containing every patient that falls into at least one of the Categories. We recommend only reviewing this list after you have worked through the High priority registers. As stated above, coding "Review of Reasonable Adjustment needs (1833271000000103)" with associated text will remove a patient from this report.
- The third report is where the patient only has one of the two initial required codes. If you are coding correctly, there should ideally never be patients in this search/report.
The second report was to audit the consent/dissent code. This report has been retired following NSHE's update to RADF3 Complete
These are your achievement searches. A breakdown of the high priority registers is provided should you want a quick view of a specific register.
4 12 month review
NSHE recommends a review is coded every 12 months, with a note of "No change/change required" (or similar note). If a change is required, we have been informed that staff should recode the "Requires" or "Impairment" code, with new associated text following the code table above.
Development Log
Version 2.0.1 - Fix for "8b Speech impairment with RADF" search which was returning incorrect patients.
Version 2.0 - Following updated guidelines from NSHE the need to code "consent" has been removed from the searches.
Version 1.0 - Released 1st September 2024
Communications Log
Related Articles
Reasonable Adjustment Digital Flag information (RADF)
What is the Reasonable Adjustment Digital Flag The Reasonable Adjustment Digital Flag is a way of communicating reasonable adjustments that patients have between NHS organisations using the NHS spine. This means that all organisations using spine ...RADF Reasonable Adjustments Digital Flag alert (HP319)
Purpose: This protocol will: The Reasonable Adjustment Digital Flag (RADF) alert is designed to ensure that all your healthcare team are aware of and can act upon the specific needs of patients with disabilities, as defined under the Equality Act ...CQRS: HPV completing dose (booster) searches
The current version of CQRS: HPV completing dose vaccination is v4 The HPV completing dose vaccination indicators are a manual submission to CQRS following the end of the monthly reporting period. Unlike other vaccination indicators found on CQRS, ...001 CQRS searches
CQRS extracts data from the clinical system to support payment and management of various Enhanced Services. The automation of these monthly reports saved Practices having to construct their own searches, which did not always accurately reflect the ...CQRS: Rotavirus searches
The current version of CQRS: Rotavirus vaccination programme is v4 The rotavirus service indicators are extracted automatically from your system approximately 10 days after the end of the monthly reporting period. Practices have a short opportunity ...