Link to the Brighton GP Referrals Section embedded within the Map of Medicine.

Detail of how to access are here on the PCT website

Click the "Feedback" button to let us know what you think of each page.

We initially used Dizziness as a referral pathway to learn how to use the Map.
Some background work is being done bringing together all the links and forms related GP referrals.
The Early Adopter Plan is being formulated.
It is also planned to move the hosting onto the www to allow access at home, and to allow individual logins to gain access to further features like personal notes.
See docs below for an idea of the plans and progress.

• The Map of Medicine (MoM) is software designed initially with clinicians at the Royal Free Hospital London to create Clinical pathways/guidelines.
• It is designed to be visual, consistent, to chunk information and to encourage feedback.
• It is structured to show the evidence-based and record the information governance behind pathways.
  
• It is now part of the National Program for IT, backed by the National Knowledge Service.
  
• They are working together with professional bodies (including many Royal Colleges) to accredit current pathways and plan new ones.
• So far they have created about 400 Evidence-Based National Clinical Pathways.

We have access to a local copy of these to "localise" for Brighton and & Hove if we wish.

There are two levels of localisation.

1. Local Admin Info  (such as adding local clinic times/contacts/leaflets at an appropriate part of a Pathway)
2. Clinical Localisation  (changing the clinical content or creating a whole new Pathway)

(This is a Chapter heading - if you wish to see the titles of the pages below this chapter then click the title of this page)
Click the link to take a Quick Tour of the features of this book.

A place to start putting your drawings

"off to the PROMs!"

Steth decides to check out Patient Reported Outcome Measures

This is a protocol for the investigation of raised LFTs

Not for the faint hearted

The Crisis of Credit Visualized from Jonathan Jarvis on Vimeo.

Maybe we can use this as Clinicians and Patients:

A selection of Podcasts below

The chapter for Brighton GP Localities.
I have started a Googlemap of the Brighton and Hove General practices to help me get a feel of the geography.
You can drag'n'drop or double-click a place on the map to magnify.
Also I just worked out how to do this and link it, so not populated yet, but I'm working on that.
Fun and useful, but might slow the site down a little.

Central - yellow
East - blue
West - green

View Larger Map

Doc from MoM

Some of the docs received from the Wirral MoM team (thank you Andy Poole)

Sussex HIS website MoM info:www.sussexhis.nhs.uk/our-services/map-of-medicine/

Sussex HIS: Brighton&Hove Workflow Doc repository:

Work related to this month's publishing cycle:

• Check when Published on Fujitsu - 27th October DONE
• Communicate to Triagers (Started and ?show at triager meeting 28.11.08) and CRG leads
• Test usuability IN PROGRESS
• Collect required corrections
• Discuss corrections and plan next steps 10.11.08 Meeting SEE attached most recent XL file 14.11.08
  
• Meeting 14.11.08 - Transfer workflow to team, ES/SB/CD'A
  
• Edit pages and then proceed to publishing by 21st November.
• ES planning triager-testing rollout 28 November?
• Some Map Manager Suite installation issues need  URGENT sorting by MoM&HIS team.
• Desktop shortcut icon needs sorting
• SHA to request no generic login on N3 network
  

Localisation work:
Listed in attached Doc

Clinical Localisation work:
CRG Work (See XL file 24.11.08)

• Urology Service Map  Discuss this and Pathways at next CRG 21st November DONE , CRG wish to create a localised pathway for Female Incontinence.
• Derm Service Map ((plus poster for Triagers)
• ? Digestive Diseases/Gastro 18week pages, contacted the Gastro CRG/Bernadette Alves-using the National Iron deficiency anaemia pathway to start
  

BICS Clinic RE-DIRECTIONS  (see BICS Clinics xl.file below) have D/W Janet Heath, and further coordination with Rita Garner and check correct docvs on website to link to

• Community Derm Nurse
• Leg Ulcer Service
• Tissue Viability Service / Wound Care
• Falls Screening
• Osteoporosis Nurse Specialist
• Rheumatology Nurse Specialist
• TIA  http://www.brightonhovecitypct.nhs.uk/healthprofessionals/clinical-areas... (?link on STAN page)
• Back Pain
• Continence and Erectile Dysfunction
• CRDS
• Community Neuro-Rehab team
• Rheumatology Specialist OT
• MS & Parkinson's Nurse Specialists (Neurology Nursing Service)
• Health Trainers Service

Ancillary service list to check with SDH

Rapid Assessment Clinic for Older People Here's a page to discuss and receive comments on the recent idea by Rachel. Please discuss the idea. Also comment on Outcomes/Process/Quality that you think should be measured.

Should be starting 3 days per week from the 1st December 2008
See DRAFT referral pathway below.

updated during pre-publication work for November by Emma Stanley

Separate nodes by anatomical region:

• Shoulder & Elbow
• Hand & Wrist
• Hip
• Knee
• Foot & Ankle
• Podiatry?
• Back Pain Clinic

Local Admin later

• ? Acute clinics like Knee

Criteria and pathway

Liz Derrick has written some guidelines

There is also some work with Anne Foster and Clare Mitchison regarding the

• Community Dermatology LES
• Minor Surgery DES

Although we are not allowed to publish these yet.So the docs are not attached as yet.

See Docs below

Pathways  progressing, but unlikely to be published this month.

Collating the Documents relating to this Pathway

18weeks pathway

Collated documents related to these to Pathways

Here's an xl file of interested Clinicians from the recent Primary Care Conference

Looking at: 2 Week Wait18 Weeks:

• Indigestion (Dyspepsia)
• Rectal Bleeding
• Change of Bowel habit
  / IBS
• Abdominal Wall Hernia
• Upper Abdominal Pain
• Iron Deficiency Anaemia

See attached ppt

Work to create a useful GP Triage large poster to display Clinics available.

Also below is the recent email sent to GP Triagers:

Dear Triagers,

Emma, a few reviewers and I have been working on the local view of the
Map of Medicine to start to collate the local referral guidelines and
documents.
This is a PBC idea to use the Map, instead of creating a separate website of referral guidelines.

I am not sure how  much you all know about the Map of Medicine (see attachments).

There is now something to see and test.
We have created a section called
Brighton GPs - Quick referral Guide
This contains locally created pages with much of the guidance we have so far.
We are interested in testing what we have produced so far for:

• Content
• Usability

The link is http://mom.sou.ncrs.nhs.uk/
You need to be on an NHS computer (nww) for this to work (next year it should be available on the www).
Username and password are the same "C-Sussex" (case sensitive).

More Pathways are being drafted in the background.

For example the Dermatology in Brighton page is being redesigned as a Service map as this becomes clearer.
(Brighton GPs - Quick referral Guide>>Medicine-Brighton>>Dermatology - Brighton)
So please take a look as all suggestions are welcomed.

The rest of the Map sections contains the 400 Evidence-Based National Pathways.
You may find looking through these useful too.

Some pages in the Brighton GPs  section are repositories of forms (2
Week Rules, Prior Approvals, etc), others are guidance or service maps.

Each box on a page is called a Node, and these have info in them represented as a circle with a letter in it.
i - Quick info, or
L - Local Administrative Info
Click these symbols to open the info box to the right.

Please use the Feedback button on each page, so we can collect your responses.

Once we have ironed out the creases in response to your feedback, we will have a general rollout to clinicians in Primary Care.
However, this is a chance for us to test and adjust the work so far.
I'm sure many pages will need some adjustments, but we're at the stage where we could really use your feedback.

There are attached 2 documents:

• A quick reference guide on how to use the Map of Medicine, and
• one of the Map of Medicine Brochures giving a description/background.

(This
should explain some of the differences between Local Admin info and
Clinical localisation, also referral form nodes have not been activated
on our view, so we a linking to them.)

This is a lot of info to transmit via email, but it will be useful to
see how intuitive it is to use, or whether we need a more formal intro.

Also let us know if you want to contribute in a particular area.

Best wishes,
Darren