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 services (999, 111, out of hours, secondary care etc) will be able to see that a patient has reasonable adjustments required.
What do I need to do to implement this?
There is
detailed step by step guidance from NHS England to the process your practice should go through to consistently record reasonable adjustments and implement the RADF. There is also some very useful pragmatic g
uidance from Wessex LMC which gives a very practical approach to implementation.
Do I have to do this? Is it contractual?
It has been confirmed that this is required under current contracts. This guidance from
Wessex LMC highlights both the legal requirements and also gives a lot of other useful information.
How do I add a Reasonable Adjustment Digital Flag
In order to add a reasonable adjustment digital flag, users must add both of the following codes:
- impairment with substantial and long-term adverse effect on normal day to day activity (Equality Act (2010) 1326341000000105
- requires reasonable adjustment for health and care access (Equality Act 2010) 1108111000000107
What if a patient declines upload of a Reasonable Adjustment Digital Flag?
You should add the code: declined consent to upload data to Reasonable Adjustment Digital Flag (finding) 1853781000000107. You can still add the two codes required for Reasonable Adjustment Digital Flag recording within your practice to ensure this information is recorded consistently.
What about reviews?
Users can record this using the code: "review of reasonable adjustments needs (procedure); 1833271000000103"
How do I remove patients from the Reasonable Adjustment Digital Flag?
The only way to currently remove patients from the Reasonable Adjustment Digital Flag is to delete the original codes. PCIT have requested the addition of a second code which will remove patients from the Digital Flag.
PCIT resources to help with implementation
PCIT have created a suite of resources to aid implementation of RADF. This includes:
SystmOne:
- Searches
- Patient Status Alerts to aid with implementation
- All OneTemplates have been updated to include RADF information where appropriate.
See our EMIS support article for this toolset
here.
Other useful links:
Related Articles
014 Accessibility Information searches
The Accessible Information Standard was introduced in August 2016 to ensure that NHS organisations had a consistent approach to identifying, recording, and flagging patients who had communication support needs, and ensuring that this information is ...
Over using reliever inhaler (HP277)
Purpose: This protocol will: Ensures poorly controlled asthmatics are flagged to users so that they can be reviewed What does it actually do? The protocol performs the following functions: Checks when loading the record if the patient is asthmatic ...
Raising a Support Ticket or Development Request
Development Requests/Report an Issue: Each template has a page called PCIT Information. To report an issue or log a development request. Click on the PCIT Info page Click either Report an Issue or Development Request (as appropriate). Submit a ...
Medical Examiner Process
Overview/Purpose This article covers the new Medical Examiner Referral process. We explain: Background information about the process Important changes to be aware of How to find resources within the PCIT toolset to make the process as smooth as ...
004B Contract Pro QOF
004B Routine QOF work The 004B Routine QOF work search folder is located within PCIT Reporting Group in 004 Contracts folder. The 004 Routine QOF work folder is divided into 8 main folders (shown in the screenshot below). Throughout this article PCA ...