Sample Response Letter to a Bad Performance Review by wcu17671

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									Change                                                                                                                                                                                                                                                                                           CCN
Request        CCN           Change Request/Software Issue Description                                                                                                   Comments                                                                                                       Proposed Priority
Ref No         Number                                                                                                   Raised by   Status    Working Group                                                                                  Action                        PFIG Review? Priority Class      Estimate
                             SCI-DC needs to collect and send more data to Soarian DR as follows:
                             1) Pt phone numbers including Home, Work, Cell
                             2) Need to have Diabetologist
                                                                                                                                                                         This is a Soarian - SCI-DC Interface issue which is being
                             3) Eye Clinic (Ophthamologist)
                                                                                                                                                                         addressed as a separate issue. See CR 81
                             4) Slit Lamp Examiner
                             5) Transport requirements
           1                 6) Complete GP Address                                                                     D Cromie    Closed    Passed to SCI-DC
                                                                                                                                                                         CHI should always be used as search criteria. Want search
                                                                                                                                                                         criteria to be identical and to include all facilities in mailing
                                                                                                                                                                         application and patient admininstration (combined with
                                                                                                                                                                         Change 68). Patient Admin screen display suspension
                                                                                                                                                                         reason. Ability to sort by patient. Linked with CR5 and CR35
                             Patient search in Mailing application should have CHI# as search criteria
                                                                                                                                                                         Fault logged to ask for Patient search screens in all parts of
                                                                                                                                                                         the system to use the same functionality which is a
                                                                                                                                                                         combination of all the functions currently available for
                                                                                                                                                                         searching for patients. (ref 760893) -LINKED TO CR68
                                                                                                                                                                         CCN27 technical response and estimate recieved.
           2            27                                                                                    L Urquhart            Open      Service Mgt                                                                                                                               FAULT     C         To be requested
                             On-line updates in Soarian DR to demographics are currently "ignored" by SCI-DC.                                                            CHI is the master for demographics. Any changes to contact
                             Need to negotiate which information should be updateable by users. Current                                                                  details should be held in "correspondence address" fields.
                             suggestion for workaround is to use "Contact Information" fields to store                                                                   Otherwise changes to demographics should be updated in the
           3                 demographics updates as these will not be over-written by SCI-DC.                D Cromie              Closed    None                       CHI via GP Practices as usual.
                                                                                                                                                                         Demographic for patient will come from CHI. Soarian will not
                             Can a Change of Address letter be generated out of Soarian DR to the GP when a                                                              allow that to be changed . Correspondence address will have
                             screener notes there is a change (Con argument in group: Screener will not have                                                             a "valid until date" and then revert back to CHI address. GP
                             time for this "extra" step); Suggested workaround again was to use the Contact                                                              needs to be alerted if a change of address has been made
                             Address as temporary solution.                                                                                                              through Soarian. ? Being dealt with through SCI-DC/Sorian
           4                                                                                                            D Cromie    Closed    Service Mgt                interface?                                                                                                     Reject
                                                                                                                                                                          Was this a specific item in the user acceptance test? Would
                                                                                                                                                                         like to make sure that list of transport requirements include
                                                                                                                                                                         boats and planes. When doing a mailing list and also the
                                                                                                                                                                         daily report it should flag up that you have patients in that list
                                                                                                                                                                         who have special transport requirements.
                             Transport Requirements need to be List Box controlled; suggestion that free text be
                                                                                                                                                                         GS - confirmed the specification states "Patient transport
                             replaced by specific list - then will need to be able to select patients for screening
                             according to the Transport Rqts (e.g. invite same types grouped together to have
                             ability to use single vehicle for larger group of people and group appt times); The list
                                                                                                                                                                         If yes, then there will be a free text box where details of the
                             box should have the same options as the NHS paper "Ambulance Booking" form;
                                                                                                                                                                         required patient transport
                             Add Transport Rqt Infor to daily appointment report e.g. as an icon.
                                                                                                                                                                         can be written.
                                                                                                                                                                         The call search from will capture only a no/yes field; free text
                                                                                                                                                                         details go into the
                                                                                                                                                                         patient data
                                                                                                                                                                                                                                            GS to check specification -
                                                                                                                                                                         See also chg 35
           5                                                                                                         All            Open      Service Mgt                                                                                   done see notes, CR required.                Medium    D
                             GPAS system does not match the Visual Acuity scale values (Glasgow issue? -
                             they manually populate GPAS) Workaround: Provide guidance on how to
                                                                                                                                                                         Not a clinical issue. For consideration by Service Managers
                             interpret for SCI-DC clinic or GPAS data entry
           6                 Final solution: Need a single set of data LOGMAR / SNELLEN                              Glasgow Rep    Closed    Clinical                                                                                                                                  Reject
                             SCREEN: Examination: Change selection of Tropicamide f 1% to 0.5% instead.
                             Suggest adding alternates to Tropicamide into the list as well (some people are                                                             Cyclopentolate 1% and Proxymetacaine 0.05% are on the list.
7a                           allergic to Tropicamide)                                                                               Closed    Clinical                                                                                                                                  Reject
                             SCREEN: Examination:Tropicamide the Batch number field is too small - need to
                                                                                                                                                                         There is a workaround - GS to distribute.
7b                           be able to add letters to batch number                                                                 Closed    Clinical                                                                                                                                  Low
                             Re-think "Special Case" selection of "proceed with Slitlamp Test" - is this the correct
                             selection? Some users suggest a photo should always be taken and that a
                             photographer should not make this decision to send to SlitLamp Test (it is a clinical
           8                 decision)                                                                                              Open      Clinical                                                                                                                                            C         To be requested
                                                                                                                                                                         Needs to be a failsafe so that if you picking up a patient that
                                                                                                                                                                         you have already started to screen there is a warning to the
                                                                                                                                                                         screener that this has already been started. Want to reduce
                             If Exam is not "finished" but only delayed because of dilation, the Exam should stay
                                                                                                                                                                         number of clicks to get back to open examination directly
                             in the Exam application without need to go into the Exam list.
                                                                                                                                                                         through examination screen. ? Include search faciflity on
                                                                                                                                                                         examination screen
                                                                                                                                                                         ADvised by Siemens that this would be a very large change.
           9                                                                                                                        Open      Service Mgt                                                                                                                               Medium    E
                                                                                                                                                                         Agreed to share information on how people have worked
                                                                                                                                                                         around this problem locally in the short term and then
                             DNA vs. Could not attend: offline conflict on timing. Need to think through
                                                                                                                                                                         consider technical aspects. DNA cancelling Suspension
                             preferred way to change (currently DNA letters are sent although patient called and
                                                                                                                                                                         details needs to be logged as a fault.
                             cancelled or DNA overwrites Suspension Details)                                                                                                                                                                 Service Managers to submit
                                                                                                                                                                         DNA Processing logged as a fault - revised process
                                                                                                                                                                                                                                             "work arounds" to Website -
                                                                                                                                                                         documented and for review with Service Managers CCN 35
          10            35                                                                                                          Open      Service Mgt                                                                                    complete                                   Low       B
                             System should automatically lift the Temporary Suspensions at the appropriate date
                             and/or have a Task List or Report/Export to remind a person to review these                                                                 Board Co-ordinators agreed that this should be given a high
                             manually and determine if still valid. (Add Suspended Person Queue, lots of                                                                 priority. Suspensions policy published and Soarian - SCI-DC
                             sorting capabilities). (CON: Automation is not a good idea, Suspension is a Clinical                                                        interface spec has been finalised and published.
                             decision not an Administrative one - prefer working a queue manually) OR get the                                                            Wrk now in progress on developing the change requests.
                             Ophthalmology Result and could re-suspend them in case the result is continued                                                              CCN 16 technical response and estimate recieved.
                             ophthalmology review. Need to ensure there is the ability via the task list to be able                                                      Software development started - due for release end 2008
                             to search for patients who are about to be re-included.
          11            16                                                                                                          Development
                                                                                                                                             Service Mgt and Bd Coords                                                                       Gavin Sell                                 High
                                                                                                                                                                         Agree that there needs to an defined protocol to reflect how
                             Cross Border Patients causing major issues (allocated to a region for screening if                                                          cross border patients and moves should be handled.
                             Patient moved, then original region cannot see them). NHS required restriction in                                                           Agreed that Service Managers should be able to see all
                             Soarian DR to allow only the patients for which user is responsible to be seen. All                                                         patients who are either resident in their board or are treated in
                             recommend to change the system back to display both BOT and BOR patients as                                                                 their board. - this is going to require a change request - to be
                             this is NOT a privacy problem. service mgrs should be able to assign a patient to                                                           added in the SCI-Dc Soarian Interface Spec. CCN16
                             any BOT.                                                                                                                                    technical response and estimate recieved
          12            16                                                                                                                   Board Coordinators
                                                                                                                                    Development                          Software development started - Due for release end 2008                                                        High
                                                                                                                                                                         Board Co-ordinators agreed as high priority. Being actioned
                                                                                                                                                                         through work on SCI-DC/Sorian interface. If someone is
                                                                                                                                                                         already part way through episode then the change can be
                                                                                                                                                                         registered but it will not "hit the system" until the episode is
                             SCI-DC Approved Change: Movement between BOTs should be carefully
                                                                                                                                                                         completed. Need to have ground rules for when the
                             automated or sent to manual queues. Suggestion to see how other screening
                                                                                                                                                                         BOD/BOR is changed in this situation. What happens in
                             areas handle this issue. NOTE: BOR is not really related to Patient Residence, but
                                                                                                                                                                         other clinical areas e.g. cervical, breast? Norah to speak with
                             to where they go for treatment (GP) and BOT may stay the same even when patient
                                                                                                                                                                         Aileen Primrose - draw up initial draft mapping and circulate
                                                                                                                                                                         for comment. Query if referral to Ophthalmology or DNA
                                                                                                                                                                         Status is the final stage of an episode for clarification. See
                                                                                                                                                                         CR81 & CCN16 technical response and estimate recieved.
                                                                                                                                                                         Software development started - due for release end 2008
          13            16                                                                                                          Development
                                                                                                                                             Service Mgt and Bd Coords                                                                       Norah Grant/Aileen Primrose                High
            Consider facilitating identification of "new diabetics" within the "ready for workflow"
            patients as it is a requirement to screen all new diabetics within 90 days. This can
            be readily derived from date of diagnosis - if date of diagnosis were a selection
                                                                                                                                                 This is a long term aspiration. Noted that it was not a
            criteria on the mail/search for patients screen this would help. (from the second
                                                                                                                                                 "requirement" more a "recommendation",
            year on they can be identified by the examination type "first screening" instead of
                                                                                                                                                 linked with CR 94 and CCN 25
            "regular rescreening", but in this first year, all patients will be "first screening" so this
            is critical need). NOTE: diagnosis date as a selection criteria is bad for the
14          performance of the patient search.                                                              Closed    Clinical and Service Mgt                                                                                                                Medium
            -all- The term -All- has been confusing in the drop down boxes. It means
            consistently in the system "all applicable" or "all relevant" and it is really only the
                                                                                                                                                 Same as Change 45
            sum total of the selections below it which provide additional filters. Some users
15          wanted th                                                                                       Closed    Service Mgt                                                                                                                             Reject
            Footnote/comment in Ophthalmology Letter should include a phrase to explain that
            the letter is generated automatically so if a patient has been recently seen, it may
            not be necessary to schedule another appointment. "Generic disclaimer…" (similar
            to the disclaimers regarding receiving a bill after you have already sent in a payment
            that has not yet been posted) (Style Sheet change)
16                                                                                                          Closed    Clinical                                                                                                                                Reject
                                                                                                                                                 This does not affect the Ophthalmology patients pathway.
                                                                                                                                                 Agreed want to have one extra field in the drop down to
            Grading: Should are pick lists be updated - for example: there may be a need for
                                                                                                                                                 include exudates outside 2dd and the grading scheme will
            exudates outside of 1db; If no other features… also non-active vessels & laser
                                                                                                                                                 need changing to R1.
            burns User Concern: Do not generate a letter of "no signs of retinopathy" when
                                                                                                                                                 CCN 12 Raised - but superceded by CCN 19 for the revised
            clearly there are indications of prior treatment for it
                                                                                                                                                 grading scheme 2007
17     12                                                                                                            Clinical
                                                                                                            Development                          Software development started due for release end 2008                                                        High
            Would like to re-introduce the URGENT flag at the grader level. Problem: grader
                                                                                                                                                 CCN13 Raised.
            also cannot take away the flag that may have been marked inappropriately by the
                                                                                                                                                 28/3 Agreed that this change to be put on hold as it appears
            examiner (e.g. on further review, there is not urgency, but urgent flag remains on
                                                                                                                                                 to be addressing a training issue.
            record and case goes to the top of the next grading list)
18     13                                                                                                   Closed    Clinical                                                                                                                                High
19          Would like to have patient details in grading screen again                                      Open      Clinical                   Add CHI number to the grading screen.                                                                        Low      D

                                                                                                                                                 Error in the software - non-DR feature screen Ophthalmology
                                                                                                                                                 referal result should produce a letter. We believe this is a fault
                                                                                                                                                 GS to progress - FAULT raised via ATOS (ref 17451) - CCN
                                                                                                                                                 08 raise. Technical response and estimate received.

                                                                                                                                                 Changes to the Patient and GP letters also required. Either:
                                                                                                                                                 if it's not significant say nothing
                                                                                                                                                 if it's significant
                                                                                                                                                 letter to GP:
                                                                                                                                                 A non-DR features has been found, please refer to eye clinic if
            How is referral or follow-up for non-DR features to be handled? Most are now doing                                                   not already treated - identify the feature
            it manually as non-DR handling was specified as outside of Soarian DR. Should                                                        Free text in box should go on the letter to the GP
            something be generated in Soarian DR for this (e.g. Letter generated?) Should                                                        letter to Patient:
            there be a non-DR task list or Export/Report? Clinical Risk to be considered.                                                        You have non-DR changes that may or not be significant, a
            Result list not sufficient.                                                                                                          letter has gone to your GP. You may need to referred to the
                                                                                                                                                 eye clinic.

                                                                                                                                                 Reminder to all L3 graders that urgent non-DR referrals are
                                                                                                                                                 out of the system.

                                                                                                                                                 HTBS report wording on the fact that this is screening service
                                                                                                                                                 for referrable Retinopathy only.... to be added to all letters to
                                                                                                                                                 patients and GP's.

                                                                                                                                                 Software development started - due for release end 2008
20      8                                                                                                            Clinical
                                                                                                            Development                                                                                                                                       Urgent

                                                                                                                                                 Fault in the software. Siemens to Fix, ref to grading scheme
            A. Grading Rule Change: request that the highest grade in either eye should be the
                                                                                                                                                 Fault raised via ATOS.
            top grade.
                                                                                                                                                 A. CCN 1 raised and is approved and implemented in
            B. Slit Lamp exam should be referred to Ophth if technical failure.
                                                                                                                                                 release 6
            C. Need option for "Re-screen / re-photo" when picture is ungradable but not due
                                                                                                                                                 B CCN 4 raised - technical reponse and estimate recieved -
            to patient problem - more a quality issue. (Current concern that Slit Lamp queue is
                                                                                                                                                 Software development started - due release 2008
            too large right now due to photog quality issues);
                                                                                                                                                 C &D CCN 5 raised - techcnial response and estimate                  Do we need a different a letter
            D. 2nd level grader should override "Slit Lamp" result and choose "Re-screen"
   1                                                                                                                                             recieved - CR 41 created                                             to the current Ophthalmology
21 4                                                                                                        Development
                                                                                                                     Clinical                                                                                         letter?                                 Urgent
            Provide grader with ability to re-label images if they are incorrectly labelled for
22          laterality.                                                                                     Open      Clinical                                                                                                                                Medium   D
                                                                                                                                                 Service Managers to send Gavin sample letters regarding
                                                                                                                                                 these scenarios. Need to be clear whether it is a result letter
            Need more variations on Slit Lamp letters: 3 scenarios: 1) Please phone for appt.
                                                                                                                                                 or an invitation letter.
            2) Here is your appt. 3) Refer to another Slit Lamp Clinic. Individual Slit lamp letters
                                                                                                                                                 ITUG - it is thought that a change to the slit lamp result letter
            per board ?
                                                                                                                                                 to the SLE might resolve the requirement for "refer to slit lamp
23                                                                                                          Open      Service Mgt                clinic" letter. A Ellingford to advise                            Service Managers                     Yes   High     C
          Letters Pt vs. GP (need to determine who should get what letters and what content
          in result letters)                                                                                                                     No requirement to change who recieves which letter. Agreed
          1) Send Pt letter and copy of GP letter to Pt                                                                                          to remove "Advise to call DRS centre for details" Can be put
          2) Send same letter to both Pt and GP                                                                                                  in free text.
          3) Send 2 different letters                                                                                                            CCN11 raised. Technical response and estimate received.
          Stop advising to call DRS center for details – need to replace this sentence on                                                        Development started due for release end 2008
24     11 letters.                                                                                                   Clinical and Service Mgt
                                                                                                            Development                                                                                                                                       High
          GPs are confused on whether they need to do a referral on the non-DR findings.
                                                                                                                                                 See chg 20
25        Handle this in the letter?                                                                        Closed    Clinical                                                                                                                                Reject
          Note in the letters if the patient has not English as primary language where he may                                                    This should be part of the CHI Registration. Gavin to do letter
26        get more information?                                                                             Closed    Service Mgt                for action by CHI team.                                                                                      Reject
            Can FONT size be increased on letters (CON: Users can automate letters if they
            remain single page - otherwise it costs more money, printer expenses); some said
            they don't want to have small font as some of their users can hardly see
27                                                                                                          Closed    Service Mgt                                                                                                                             Reject
                                                                                                                                                 Logo agreed as "NHS Scotland" in top right hand corner,
                                                                                                                                                 address in the middle. Gavin to clarify with Siemens what can
            Move logo on letters to the top left hand corner, in one line with the address to get                                                be done.
            more space for the letter content                                                                                                    Logo is available as requested. Service Managers can
                                                                                                                                                 request through ATOS help desk.
28                                                                                                          Open      Service Mgt                NO CCN Required                                                Gavin Sell                                    High     E
                                                                                                                                                 to be included in the SCI-DC/Soarian Interface review. Once it
            Need filter: Can SCI-DC generate a list of invitees for GPs to vet the list
                                                                                                                                                 is agreed what information is being passed to SCI-DC from
            (monthly/quarterly) ; all agreed SCI-DC using "Exception codes" is not a good idea
                                                                                                                                                 Soarian, SCI-DC will review the design/presentation of this
            for generating such a list
29                                                                                                          Closed    Board Coordinators         screen.                                                                                                      Reject
                                                                                                                                                 Ability to filter task lists and then print and complete the
            Would like to be able to "group print" result letters - introduce filters or group them                                              filtered list. See also CR49
                                                                                                                                                 CCN 09 raised. Technical response and estimate received.
30      9                                                                                                   Open      Service Mgt                                                                                                                             High     C   To be requested
            Want to be able to see Suspension Reason without opening Pt Detail                                                                   Include on the Patient Admin search screen. Added to CR2
31                                                                                                          Closed    Service Mgt                                                                                                                             Reject
          Comment Box in Pt History needs to be a lot bigger (CON: Must remember patients                                                        Comments box needs to be double current size. See also
          will be able to access their data and caution must be taken not to enter                                                               CR79
32     29 inappropriate information.)                                                                       Open      Service Mgt                CCN 29 technical response and estimate recieved.                                                             Low      C   To be requested
                   Add a flag that there is a comment in History; CON - eventually everyone will have a
                   comment; Better recommendation: Appt Booking screen should show "Special                                                                         combined with the requirements of 66 & 57
33                 Needs" flag and also on daily appointment report.                                               Open      Service Mgt                                                                                                                                   A   Requested
                                                                                                                                                                    Agree - CCN21. technical response and estimate recieved.
                   Add selection of "Sign language" to pick list for Primary Language
                                                                                                                                                                    Software development started - due for release end 2008
34           21                                                                                                             Service Mgt
                                                                                                                   Development                                                                                                                                    High
35                 Need to be able to sort by Transportation and Interpreter in Invite Patients List               Open     Service Mgt                             to be searched through mailing list (See Change No 5)                                         Medium   D
                                                                                                                                                                    Agreed by Board Coordinators
                   on behalf of … need extra date field of when exam took place                                                                                     CCN 7 raised - technical response and estimate received
36             7                                                                                                            Service Mgt and Bd Coords
                                                                                                                   Development                                      Software development started - due for release end 2008                                       FAULT
                                                                                                                                                                    Agreed by the Clinicians.
                                                                                                                                                                    Agreed by Board Coordinators. Soarian moves the recall date
                                                                                                                                                                    forward by 12 months.
                   Remove "DNA X 3" from Suspension Reasons list (coordinate with SCI-DC)                                                                           Implemented in the new suspensions policy and is included in
                                                                                                                                                                    the the SCI-DC/Soarian interface work
                                                                                                                                                                    CCN 16 technical response and estimate recieved.
37           16                                                                                                             Clinical and Bd Coords
                                                                                                                   Development                                      Software Development startted - due for release end 2008                                      High
                                                                                                                                                                    see agenda item:
                                                                                                                                                                    A Blanket temporary suspension maximum of 3 years
                                                                                                                                                                    1.Informed choice to opt out - letter from patient, temporary
                                                                                                                                                                    for 3 years, only GP can do it, but on completion of a
                                                                                                                                                                    disclaimer (kept in GP records). - a standard national
                                                                                                                                                                    disclaimer letter to be created. On completion of the
                                                                                                                                                                    suspension a new letter required to invite to be re-included
                                                                                                                                                                    (could go to the GP and not the patient) - to be considered by
                                                                                                                                                                    2. Under age - automatic by system - temporary
                                                                                                                                                                    3. Total Loss of Vision - no perception of light by Ophth.
                                                                                                                                                                    Letter to GP who excludes. Permanent NB we might need to
                                                                                                                                                                    generate a braille leaflet that explains why people with total
                                                                                                                                                                    loss of vision should be still screened.
                   Review Permanent Suspension List - it should be different from temporary
                                                                                                                                                                    4. Terminal Illness - temporary, GP
                   suspension list e.g. Underage
                                                                                                                                                                    5. Disabilities - temp or permanent, only GP, if appropriate
                                                                                                                                                                    discuss with Ophth
                                                                                                                                                                    6. Under the care of Ophthalmologist - letter from Opth, only
                                                                                                                                                                    for DR, temporary for period of recall within Opth plus 6
                                                                                                                                                                    months, only the DRS programme
                                                                                                                                                                    7. temporarily unavailable - GP or DRS admin, letter not
                                                                                                                                                                    necessary, require some text to explain the purpose (in
                                                                                                                                                                    Soarian), good practice the GP should record in patient
                                                                                                                                                                    8. Deceased - used when there is a delay in the CHI. by GP

                                                                                                                                                                    This is included in SCI-DC/Soarian Interface work
38           16                                                                                                             Clinical and Bd Coords
                                                                                                                   Development                                                                                                                              YES   High
                                                                                                                                                                    CCN 16 technical response and estimate recieved.
                                                                                                                                                                    agreed - see also CR 13
                   Patient Board of Residence should be determined by the patient address, whereas                                                                  On first registration in Soarian and when BOR changes this is
                   at the moment it is determined by the board of the registered GP. We also need                                                                   set to be same as the board of affiliation of the registered GP
                   rules defining for the assignement of the BOR for new patients.                                                                                  CCN 16 technical response and estimate recieved.
                                                                                                                                                                    Software development started - due for release end 2008
39           16                                                                                                             Board Coordinators
                                                                                                                   Development                                                                                                                                    High
                   Letters to GP's need amending to make it clear what action is required from a GP.
                   For example in the case of a DR referral or a non-DR referral. Can we agree on a                                                                 see CR 20
40                 national protocol for this?                                                                     Closed    Clinical

                                                                                                                                                                    Check special cases button the screener should be able to get
                   Camera Operators and graders need to be able to set the outcome of a screening                                                                   to this at any point.
                   episode to arrange for a patient to be re-invited for fundus photography or slit lamp                                                            GS: Camera operators can always use special case as long as
                   examination. Currently if you can't obtain a good enough image then the patient is                                                               they want to discard any images that they have captured.
                   sent to grading and then slit lamp.                                                                                                              However Graders can only select quality of image as "technical
                                                                                                                                                                    failure" which automatically sends the patient to slit lamp.
41             5                                                                                                   Open      Clinical                                                                                                                                      C   To be requested
                                                                                                                                                                    agreed - SCI-DC Soarian Interface work CCN 16 technical
                   No message is being passed to SCI-DC when the patient DNA's - this should be
                                                                                                                                                                    response and estimate recieved.
                   included in the info that can be accessed by GP's.
42           16                                                                                                             Board Coordinators
                                                                                                                   Development                                      Software development started - due for release end 2008                                       High
                                                                                                                                                                    Put 365 day calendar on appointment booking screen to show
                                                                                                                                                                    available slot and then drop into appointment booking screen
                   A facility that enables appointment bookers to see the free appointments rather
                                                                                                                                                                    for that day
                   than having to trawl through
                                                                                                                                                                    CCN 3 raised - estimate at 17/5 days effort. Service         Service Managers to re-
43             3                                                                                                   Closed    Service Mgt                            Managers to reconsider the requirement                       consider the requirement         Reject
                   An icon which takes users immediately from the appt booking screen into the
                                                                                                                                                                    Need one icon which takes you immediately from appointment
                   administration for altering booked clinics, instead of having to plough backwards
                                                                                                                                                                    booking into slot management screen
44                 and forwards via the main menus                                                                 Open      Service Mgt                                                                                                                          Medium   E
                                                                                                                                                                    Change deafult from All to "Not Started" in task lists
                                                                                                                                                                    CCN 14 raised. Technical Response and estimate received.
                   Change All to Not Started in Task Lists                                                                                                          CR amended to display the task list screen as blank initially
                                                                                                                                                                    and to then be able to select which task list and filter before
                                                                                                                                                                    the list is displayed
45           14                                                                                                    Open      Clinical and Service Mgt                                                                                                             High     C   To be requested
                                                                                                                                                                    Include facility to input GP Number to Search. Also to include
                   GP Lists in mailing should be limited to Board Area                                                                                              slit lamp. See CR51
46           28                                                                                                    Open      Service Mgt                            CCN 28 technical response and estimate recieved.                                              Medium   C   To be requested
                   When you are doing mailings an icon which allows you to add directly to the mailing
47                 lists rather than a tick box, then a drop down, select then go                                  Closed    Service Mgt                                                                                                                          Reject
                                                                                                                                                                    Item to be taken to IT Project Board
                                                                                                                                                                    J Olson will look for documentation. Poss agenda item. See
                                                                                                                                                                    also CR64
                                                                                                                                                                    Service Managers No 1.
                   Statistics function improved so we can select things we would wish to see                                                                        GS e-mailed Serv Mgrs asking for further definition of
                                                                                                                                                                    CCN 32 raised
                                                                                                                                                                    ITUG put on-hold pending a reporting solution - CR's 105 &
48           32                                                                                                    On-hold   Board Coords, Service Mgt & Clinical   106                                                               Gavin Sell                  High     C
                For screening episodes that results in an invite to slit lamp have an option to enable
                only printing the patient letters without having to individually selecting each patient                                                             Covered in Change Request 30
49              letter.                                                                                            Closed    Service Mgt
50 Interface Spec lit Lamp Results not being passed to SCI-DC
                S                                                                                                  Closed    Board Coordinators                     Agreed. Part of the SCI-DC/Soarian Interface work.                                            High
51              Display Slit Lamp Examiners and GP's by Board area in the selection list.                          Closed    Service Mgt                            GP's list is same as CR 46.
                                                                                                                                                                    See chg 21. CCN1 Raised and with IT Project Board for
                   When retinal images are graded as R3/4±M2 in one eye and TF/R6 in the other,
                   Soarian currently refers this patient for a slit lamp examination
52             1                                                                                           D Orr   Closed    Clinical                               Expected in next Soarian release April 2007
                 If an image is ungradeable, but you can still identify Retinopathy in the image at the                                                             Does this refer to L1,L2, L3 and QA or only L3 and QA. K
                 moment you have to identify the image as gradeable when it isn't. Can the system                                                                   Swa to advise.
                 be changed to allow the outcome to be amended so that the patient is referred to                                                                   CCN 06 raised and with siemens, estimate received.
53             6 Ophthalmology in these cases.                                                                     Development
                                                                                                                            Clinical                                Software development started - Due for release end 2008           K Swa to advise             Urgent
54                 Obtaining method – Default criteria currently unaided, change to pinhole                        Closed                                           Rejected by IT User Group, no rationale for the change.
55                 Difficult when patient needs to have drops to find them again                                   Closed                                           Same Chg No 9 - therefore closed
                                                                                                                                                                   agreed by board coordinators passed to Service managers for
          It should not be possible to invite a patient who is suspended.                                                                                          consideration.
56                                                                                                              Closed                 Service Mgt and Bd Coords   Service Managers agreed this is not required - 05/06/2008
          Patient attends for slit lamp examination. One eye can be viewed succesfully by
          photography, but the other has an opaque cornea i.e fundus is ungradeable, the
          patient is referred to Ophthalmology. Clearly this patient should be seen at Camera
          for the one good eye.
          This also applies if the patient has an injury in one eye.
          There needs to be a way of recording this when grading and ensuring that when the
          patient is recalled the screener is aware that they only need to photograph the one
57        "good/gradeable" eye.                                                               Grampian/Highland Closed                 Clinical                                                                                        to be added to 33                                C   To be requested
          Slit Lamp Examination screen has nowhere to record Tropicamide batch numbers, Julie Sutherland
58        expiry dates                                                                        Grampian          Open                   Clinical                                                                                                                                         B   Requested
          There should be different work queues for each of the areas, i.e DNA letters,                                                                            Extra filter on task lists, Results Delivery, Special Cases (See
          ophthalmology results, slit lamp appointments as these are handled by different                                                                          CR 30 and 49)
59   10 people                                                                                          Lorraine Urquhart    Open      Service Mgt                 CCN 10 technical response and estimate received                                                             High     C   To be requested
          If patient DNA and then phones to request an appointment but there are no
          appointment slots free (either because they can't make it, or because you haven't
          any slots open) then they stay at status DNA and you have to generate a false
                                                                                                                                                                   Want to be able to change the status of someone who is DNA
          appointment slot to book then into then cancel it to allow them to be on the ready
                                                                                                                                                                   to "ready for work flow"and will be required to add comments.
          for workflow list again - otherwise DNA triggers aother letter in 20 days.
                                                                                                                                                                   This should be a specific permission that can be given to any
                                                                                                                                                                   user at organisation level.
          Another scenario is a patient is issued an appointments and we are unaware they
                                                                                                                                                                   28/3 This change will create other problems in Soarian. GS
          attend the eye clinic. We receive an update from Ophthalmology that the patient
                                                                                                                                                                   has contacted Siemens to ask for advice on otherways to
          has attended and we should suspend them etc. If the patient doesn‟t contact us to
                                                                                                                                                                   resolve this set of problems. Siemens provided suggestions
          cancel their appointment, the DNA letter overwrites the suspension and puts them
                                                                                                                                                                   for how to deal with this.
          back into the system which goes on to generate the next DNA and trigger letter.
                                                                                                                                                                   10/7/07 Service Managers provided response to Siemens
          Also if the screener on the van DNA‟s a patient who had phoned the office and re-
                                                                                                                                                                   suggestions - long term work arounds are not acceptable.
          arranged their appointment. The DNA cancels the revised appointment and puts
                                                                                                                                                                   29/08 CCN 33 raised
          them into the trigger letter mode. We have found in the past when this happens,
                                                                                                                                                                   (see also CR 98)
          we are unaware, the patient turns up for their appointment and the screener is
          confused as we have slotted another patient into the same time.
          It would be much easier if we could overwrite the DNA in these circumstances.
60   33                                                                                                 Lorraine Urquhart    Open      Service Mgt                                                                                                                             High     B
          in mailing be able to sort the whole list into GP practices, i.e when you are
          searching to book slit lamp appointments you have to individually go through each             Lorraine Urquhart,
61        practice as they go to different areas                                                        Grampian             Open      Service Mgt                                                                                                                             Low      D
          Be able to remove clinics that are in the past from the appointment booking screen            Lorraine Urquhart,                                         Lorraine to clarify if this is the same as CR80 - confirmed it is
62        as the one who generated them                                                                 Grampian             Closed    Service Mgt                 the same. Therefore closed                                          Lorraine Urquhart

                                                                                                                                                                   Administrator only and in exam task lists for Fundus
                                                                                                                                                                   photography, slip lamp and ophthalmology.
                                                                                                                                                                   28/3 Also required for Grading tasks that have been deferred.
                                                                                                                                                                   The actual requirement is that we need to be able to identify
          Be able to reset a patient in the work queue even though you are not the person
                                                                                                                                                                   people who are stuck in the system and not moving. Another
          who started the process
                                                                                                                                                                   user needs to be able find these people and resolve the
                                                                                                                                                                   problem so that they re-appear on the task list.
                                                                                                                                                                   CCN 22 raised. technical response and estimate recieved.
                                                                                                        Lorraine Urquhart,                                         Software developmen started - due for release end 2008
63   22                                                                                                 Grampian                      Service Mgt
                                                                                                                             Development                                                                                                                                       High
                                                                                                                                                                   Need information/evidence from original specification as to
                                                                                                                                                                   what data could be extracted. In the future information from
                                                                                                                                                                   SCI-DC data will be extracted via business objects which will
          Be able to extract the data fields for further analysis. It is difficult to get information
                                                                                                                                                                   include data from Soarian. See also CR48
          from Soarian as a whole
                                                                                                                                                                   CCN 32 raised
                                                                                                        Lorraine Urquhart,                                         ITUG put on-hold pending a reporting solution - CR's 105 &
64   32                                                                                                 Grampian             On-hold   Clinical and Service Mgt    106                                                                                                         High     C
                                                                                                                                                                   Agreed. Should also be able to search by this flag. To go
                                                                                                                                                                   forward to Clinicians Group to consider. Needs to be visible in
                                                                                                                                                                   examination and booking list, daily report, mailing, patient
                                                                                                                                                                   admin and history tab
          A flag which says patient was dilated last time once or more than once
                                                                                                                                                                   28/3 Agreed that we also need to be able to search for those
                                                                                                                                                                   who do not require dilation, those who require dilation, and
                                                                                                        Lorraine Urquhart,                                         both of these.
65   23                                                                                                 Grampian             Open      Service Mgt                 CCN 23 Raised.technical response and estimate recieved.         GS to raise CCN                             High     C   To be requested
          We need somewhere to record correspondence that is flagged. For example
          patients who are allergic to tropicamide or something that directly affects the               Lorraine Urquhart,                                         Agreed. Need a warning display rather than a flag.
          consultation of the patient at the next screening                                             Grampian                                                                                                                       added to 33
66                                                                                                                           Closed    Clinical and Service Mgt
          Patient Search in Mailing application that allows to search by post code needs to
                                                                                                                                                                   Logged as a fault
          work on the basis of the structure of a post code. At the moment if you search for
                                                                                                                                                                   Reply from Siemens if you use a % you can do this. E.g XY1
          someone who lives in post code area XY1 then you get all people with a post code
                                                                                                                                                                   % will search for all post codes beginning with "XY1 "
          that begins with XY1 including post code areas XY11, XY12, XY13 etc.
67                                                                                                      Gavin Sell           Closed    Service Mgt                                                                                                                             FAULT
        The patient search facilities in Mailing should be available in the patient                                                                                Linked to CR 2
68   27 administration module as well.                                                                  Gavin Sell           Open      Service Mgt                 CCN 27. technical response and estimate recieved.                                                                    C   To be requested
                                                                                                                                                                                                                                GS to clarify if deceased
          It is very difficult to identify deceased patients in permanent suspension list. Could                                                                                                                                patients can be removed from
                                                                                                                                                                   Agreed. The default should be that deceased patients are not
          these appear greyed out? Or can we have deceased patients removed from patient                                                                                                                                        the database altogether after
          list based upon a check box similar to the defer check box on the grading screen.                                                                                                                                     the 5 year retention period of
                                                                                                                                                                   CCN 24.technical response and estimate recieved.
          Why are deceased patients in Soarian anyway                                                                                                                                                                           records.
69   24                                                                                                 J Doig               Open      Service Mgt                                                                              GS to raise CCN                                High     C   To be requested
          Overview calendar in slot management module is excellent. Would be very useful if
                                                                                                                                                                   See Change 43
70        could be added to appointment module                                                          J Doig               Closed    Service Mgt
                                                                                                        David Sawers,
          Sort order is not retained in grading applications after reloading
71                                                                                                      Glasgow              Open      Clinical                                                                                                                                         D
                                                                                                                                                                   Clinicians meeting June 2008 agreed that they need to be
          Be able to view both images together - this would allow artefacts to be identified
                                                                                                                                                                   able to view two selected images together side by side - size
                                                                                                        David Sawers,
                                                                                                                                                                   if images needs to be as large as possible on available screen.
72                                                                                                      Glasgow              Open      Clinical                                                                                                                                         A   Requested
                                                                                                                                                                   Clinicians meeting June 2008 agreed that it would be
          If the examination sub-screen within the grading application identified the examiner,
                                                                                                David Sawers,                                                      preferrable to have a report by screener of their technical
          this would help identify poor image quality
73                                                                                              Glasgow                      Open      Clinical                    failure rate compared to the other screeners.                                                                        B   Requested
                                                                                                David Sawers,                                                                                                                          David Sawers to confirm if this
          Have a record on the patient's demographics of previous screening dates                                                                                  This is already available through medical record
74                                                                                              Glasgow                      Open      Service Mgt                                                                                     is now required or not                  Low      E
          In SCI-DC it would be useful for the GP to be able to mark a patient record as
                                                                                                                                                                   Reports already available through SCI-DC.
          having been checked. Also when they go back to the Registration Summary                                                                                                                                                      Angela Ellingford to check and
                                                                                                                                                                   Service Managers agreed this is not required - 05/06/2008
75        Screens to be able to see which patient has been checked and when.                    Angela Ellingford            Closed    Service Mgt                                                                                     advise if this is now needed
                                                                                                                                                                   Being dealt with through SCI-DC/Sorian interface. Location
          SCI-DC to show where the patient was screened based upon the location in
                                                                                                                                                                   should be title from Soarian location
          Soarian. At the moment it simply says National Screening Programme.
76   16                                                                                                 Angela Ellingford             Service Mgt
                                                                                                                             Development                           Added to CCN 16
77        Display Preferred Screening Location in SCI-DC.                                               Gavin Sell           Closed   Service Mgt                                                                                                                              Reject
                                                                                                                                                                   Not necessary to have this detail in letters. Remove date and
          Why do Patient result letters have dates and time of the appointment. Remove the
                                                                                                                                                                   appointment time.
          date from the letter
78                                                                                                                           Open      Service Mgt                 GS to pass to Patient Reference Group                                                                 YES   Low      E
                                                                                                                                                                   See also CR 32
          Can the size of the history window be increased and scrolling be available
79   29                                                                                                                      Open      Service Mgt                 CCN 29 technical response and estimate recieved.                                                            Medium   C   To be requested
        On appointment booking screen - we don't want to see all historical locations. A
        facility is required to be able to switch on or off whether a location is in this drop                                                                     CCN 30 technical response and estimate recieved.
80   30 down. Could the exising Active flag be used?                                                                         Open      Service Mgt                                                                                                                             Medium   C   To be requested
                                                                                                                                                            R Harvey & G Sell developing specification. See CR1, 13, 29
                                                                                                                                                            and 76
          SCI-DC/Soarian interface needs respecifying and correcting to ensure the correct
                                                                                                                                                            Specification completed and published. CCN16 technical
          data is being transferred between the two systems.
                                                                                                                                                            response and estimate recieved.
81   16                                                                                            Gavin Sell          Development
                                                                                                                                Board Coordinators          Software development started - due for release end 2008            Gavin Sell/Rod Harvey            High
          Patient mailing selection criteria - could we search for people who "don't" meet
          particular criteria e.g. search for all patients at a registered practice who are not
82        ready for work flow.                                                                     Gavin Sell          Open      Service Mgt                                                                                                                             C   Requested
          we would like to be able to export results
          - by location (hospital, individual optometrist practice),
          - by grader (optometrist or double checker optometrist),
                                                                                                                                                            Ayrshire and Arran are prepared to pay for this if necessary
          - by person who took/examined the photograph (medical photographer or
83                                                                                                 Jim McHardy         Open      Board Coordinators
          Soarian needs to be able to use new camera‟s. Types not currently supported that                                                                  IT User Group agreed - the currently available cameras should
          need to be are:                                                                                                                                   be support by the software. CCN#15 raised.
          Canon Eos 30D…..                                                                                                                                  Approved in priniciple by IT Project Board - waiting technical
84   15                                                                                            Gavin Sell          Open      Service Mgt                spec and technical design authority approval                                                                 A
          Currently it appears as if the QA grading queues are picking up the first 500 images
          of each grader, including the level 3 graders and putting them on the queues. This
          is contrary to the specification which states that

          “500 photographs per grader per annum not otherwise referred to a third level

          grader are reviewed by the third level grader. The grading system must provide
                                                                                                                                                            Fault in the software. Siemens to Fix, ref to grading scheme
                                                                                                                                                            Fault raised via ATOS.
          this random sample of images, not previously referred to a third level grader, to
                                                                                                                                                            CCN2 raised and approved - with Siemens
                                                                                                                                                            Approved by IT Project Board and expected in next Soarian
          be "re-graded" by the third level grader for quality assurance purposes.”
                                                                                                                                                            Release - April 2007
          Obviously selecting the first 500 per year for all graders does not meet this
          requirement. This is urgent – the lead clinicians have confirmed that this is a very
          urgent clinical issue and that the health of patients is directly affected this needs
          urgent fixing.

85    2                                                                                            Gavin Sell          Closed    Clinical                                                                                                                       Urgent
          I've checked the DRS Specification for the GP letter regarding DNA No.
          Letter 2.6. It does say "This patient has not attended retinal screening following two
          invitations." However for GP's to exception report their patients for their QOF
          payment the patients need to be offered 3 invitations. The Soarian system does
          actually invite the patient for screening x3 and therefore the GP letter should
                                                                                                                                                                                                                               Change to letter requested via
          indicate that the patient has received 3 invitations.
86                                                                                                 Diane Smith         Development
                                                                                                                                Service Mgt and Bd Coords                                                                      Siemens UK support               Medium
          SCI-DC currently accepts read codes for examinations for retinopathy from GP
          systems and this is causing examinations that may not have come from the
          screening programme to be included on the SCI-DC retinal screening pages and
          therefore also impacting the Scottish Diabetes Survey results. SCI-DC should be
          amended to only include examinations from Soarian.

          Also, GP‟s are having to record retinal screening events in their practice systems to
          get QOF points. This is generating duplicate results in SCI-DC. Should GP
          systems take their information for DRS from SCI-DC?
87                                                                                                 G Sell              Open      Board Coordinators
          I‟ve checked the DRS Specification for the GP letter regarding „Patient Non
          Attendance – Slit Lamp Examination‟ No. Letter 4.5. It says „This patient
          has not attended their slit lamp examination following two recent invitations.‟
          However for GP‟s to exception report their patients for their QOF payment the
          patients need to be offered 3 invitations. Therefore this letter should be changed to
                                                                                                                                                                                                                               Change to letter requested via
          indicate to the GP their patient has received x3 invitations.
88                                                                                                 Diane Smith         Development
                                                                                                                                Service Mgt and Bd Coords                                                                      Siemens UK support               Medium
89   17 Inclusion of ability to extract data and images according to database query.               Dr A Fleming        Closed   Clinical                    CCN17 raised in order to obtain an estimate                                                         Medium
        Implement the changes to the grading scheme for 2007:
                                                                                                                                                            CCN 19 raised. technical response and estimate recieved.
        R1 is reported when there are feature of DR present in the absence of
                                                                                                                                                            Software development started - due for release end 2008
90   19 microaneurisms or other features sufficient to achieve a grade of R2 or above.             Dr Harvey                    Clinical
                                                                                                                       Development                                                                                                                              High
        Key Performance Indicators are not giving the right answers and need more                                                                           CCN 20.technical response and estimate recieved.
91   20 accurately defining                                                                        Dr Harvey                    Board Coordinators
                                                                                                                       Development                          Software development started - release due end 2008                                                 High
                                                                                                                                                            Clinicians meeting June 2008 agreed that the original grade
          Ophthalmologists do not have a way of viewing the result of Quality Assurance.                                                                    should be available to an Ophthalmologist as one of the
          The QA grade should be available to an Ophthalmologist as one of the documents                                                                    documents that they can retrieve when reviewing the patients
          that they can retrieve when reviewing the patient.                                                                                                image. Suggest that when there is a mismatch there is an
92                                                                                                 Service Managers    Open      Clinical                   ability to compare the results                                                                      Low      D
          Facility required in Export data to be able to search for appointments booked in the
          past which have not been reconciled after the clinic date.                                                                                        similar to, but not the same as CR 63
                                                                                                                                                            CCN26 raised.technical response and estimate recieved.
          “Pre-Booked Appointments not reconciled or completed                                                                                              Software development started - release due end 2008
93   26                                                                                            Lisa Steele                  Service Mgt
        Need to be able search for patients by the date of diagnosis in the patient admin                                                                   CCN 25 technical response and estimate recieved.
94   25 and mailing screens                                                                        Service Managers             Service Mgt
                                                                                                                       Development                          Software development started - due for release end 2008                                             High
          When you are in mailings or patients admin screen you cannot sort the lists by GP,
          you can with everything else and this is a real pain. Very minor but would make life
                                                                                                                                                            Already requested in CR 61
          a lot easier to save having to keep putting in individual searches all the time.
95                                                                                                 Lorraine Urquhart   Closed    Service Mgt                                                                                                                    Medium
                                                                                                                                                            Essential otherwise Soarian will eventually become out of step
                                                                                                                                                            with the list of available locations. Regular updates to ISD
                                                                                                                                                            Codes are available Soarian needs to be maintained in line
          ISD Locations held in Soarian need to be kept up to date
                                                                                                                                                            with these on at least a 3 monthly basis.
                                                                                                                                                            ITUG - suggested solution is to allow users to amend -
                                                                                                                                                            analysis required
96   31                                                                                     Gavin Sell                 Open      Service Mgt                                                                                                                    High     C
          An exception report is needed to provide a list of people who's status is not the
          same in SCI-DC and Soarian. There is a small risk that the two systems may swap
                                                                                                                                                            Automation of the reconcilation report is required by SCI-DC
          messages and the result could be that the two systems have different data. To
                                                                                                                                                            and ATOS.
          resolve the problem it would be easier and more appropriate to have an automatic
          exception report that identifies when this happens so that a user can resolve the Gavin Sell/Rod
97        problem.                                                                          Harvey                     Closed    Service Mgt                                                                                                                    High

          When a patient has DNA‟d and eventually the final letter is sent the patient stays
          are status DNA. Can the system reinclude these patients returning their status to                                                                 DNA Processing is actually incorrect - a fault in the processing
          Ready for Workflow after a 12 month period without having to manually do it – this                                                                agreed with Siemens.
          is an automatic feature of many other screening programmes whereby DNA are re-                                                                    CCN 35 raised to define how it should be working.
          included for call/recall after an agreed time parameter
98   35                                                                                   Elizabeth Rennie             Open      Service Mgt                                                                                                                    FAULT    B
        If a user creates a temporary patient and books them an appointment (due to lack
        of actual chi record) then subsequently the actual patient is found and is also
        booked an appointment, when the merge is carried out both appointments still
                                                                                                                                                            Advised this is a FOC change and quick action would enable
                                                                                                                                                            it to be included in the next release. Passed CCN to Siemens.
        Propose a solution whereby when merging under these circumstances, the user
        would be prompted to keep one of the appointments and therefore it would be up to Gavin Sell/Martin
99   34 them to advise the patient of the correct one                                     Brady                        Open      Service Mgt                                                                                                                    Medium   D
                                                                                                                                                                       Appproved by Dr Swa and Dr Harvey.
          Slit Lamp examiner has advised that he always needs to put drops into patients
                                                                                                                                                                       Forwarded to Siemens for action - no CCN required.
          eyes for Slit lamp examination. Invitation letter states “MAY need to put drops in
                                                                                                                                                                       Change request sent via ATOS call ref 1495112
          eyes”. Could this be changed to “WILL need to put drops in eyes”
100                                                                                                L Fowler           Closed    Clinical                               Completed
         When as a result of a quality assurance grading the result is different the system
         should treat the result of the QA grading as the latest result and therefore display it                                                                       included in CCN 16
         as such throughout the system. Similarly this should also result in a message                                                                                 Software Development started - release due end 2008
101   16 being sent to SCI-DC to update the result.                                                Service Managers            Clinical and Service Mgt
         Where the Board Of Residence (BOR) as recorded in the CHI does not match one
         of the current legally constituted NHS Boards in Scotland the BOR that is recorded
         in SCI-DC shall be determined by reference to a postcode lookup table supplied
         and maintained by ISD.                                                                                                                                        change raised on request from and passed to NSD.
         Note the BOR is determined by the patients home address post code and not the
         registered GP                                                                             Gavin Sell/Rod
102                                                                                                Harvey                      None

          The Clyde part of the now defunct Argyll and Clyde NHS Board is now part of NHS
          Greater Glasgow & Clyde. From the time that the new DRSP system was
          implemented in spring 2006 A&C have been utilising the NHS Lanarkshire staging
          server to store retinal screening images as part of a consortium agreement.
                                                                                                                                                                       Change raised on request from GG&C and passed to NSD.
          For a number of reasons, there is now a requirement for Clyde to provide the
          service utilising the GG&C staging server as part of a consolidated GG&C service.

103                                                                                              G Tytler                      None
          For Level 2 graders at least 75% of the sets of images that are placed on the QA
          grading queue should be R1 or above. Each week the software should first search
          for images where the grader has identified some features and randomly select until
          9 sets of images (75% of 12) have been added or there are no more to choose from
          with features and only then should images be selected that have no features
104       identified.                                                                            Lead Clinicians      Open      Clinical                                                                                       High   A   Requested
          A distributed reporting solution that would utilise an extract from the database to be
          download board specific data for each board. This might be loaded onto a server in
          each board or be held centrally. This database would be based on a commercially
105       available reporting tool.                                                              ITUG                 Open      Board Coords, Service Mgt & Clinical                                                                  B   To be requested
          A centrally hosted reporting solution that would utilise the central data centre and
          available over NHS Net. Users will need to be restricted in access to only data that
          is relevant to the services that the user has responsibility for. This database would
106       be based on a commercially available reporting tool.                                   ITUG                 Open      Board Coords, Service Mgt & Clinical                                                                  B   To be requested
          Require two additional drop down options within the visual acuity obtaining method
          in Examinations to include:

          “pinhole and spectacles”, and
          “forgot spectacles”.
107                                                                                                Lisa Steele        Open      Service Mgt                                                                                           D
          Additional Fields to be added to the monthly extract
          Fields requested – full postcode of patient; gender; Date of last screen; date of next
          screen; date of birth; date diagnosed with diabetes; next examination (outcome);
          final retinopathy grade
108                                                                                                Annette Little     Open      Service Mgt                                                                                           B   To be requested
          Amendments to the Reports available in Soarian to enable reporting against the
          Annual report template at para's 6.2 and 6.3
109       Item 6.4 to be able to have an optional breakdown by the reported grade                                     Open      Board Coords, Service Mgt & Clinical                                                                  C   To be requested
          Soarian should not send any messages to SCI-DC for patients who have denied
          consent for their data to be held in SCI-DC. Without this change we are breach
          DPA principles

          In order to implement this a new data item is required for each patient: SCI-DC
          consent with valid values “Y” and “N”.
110                                                                                                A O'Sullivan       Open      Board Coordinators                                                                                    C   Requested
          Remove diabetes diagnosis “Gestational” from the valid diabetes types in Soarian
111       and the XML schema.                                                                      R Harvey           Open      Clinical                                                                                              C   To be requested
          When a person who is suspended for reason of “Deceased” (Permanent or
          Temporary) is unsuspended, the Soarian software shall check the patients age and
          if they are under 12 years the patient shall be temporarily suspended for reason of
          “Under Age” with a suspend until date of their 12th birthday.
          Children under the age of 12 who are erroneously suspended for reason of
          deceased are included into the screening programme when they are unsuspended.
112                                                                                                R Harvey           Open      Board Coordinators                                                                                    C   To be requested
          Different text in invite letters for people depending on the patient‟s age. The age at
          which the letter changes should be a parameter that can be set at Health Board
113       Level by the health board administrator.                                                                    Open      Board Coordinators                                                                                    C   To be requested
          An ability to process mailshots and mark people who object to receiving mailshots
114                                                                                                DRS Executive      Open
          As in the Ophthalmology Referrals would it be possible to get a breakdown of the
115       screening results for the GP as well.                                                    G McFarlane        Open      Service Mgt
          The invite only mailing list needs to be changed so that the letters are not printed
116       for anyone who is suspended                                                              UAT                Open      Service Mgt                                                                                               To be requested
          A mechanism to be able to remove patients records from Soarian in the case where
117       they have ended up in the system by accident.                                            A Ellingford       Open      Board Coordinators
          Require a specific report to be extracted from Soarian on a calendar monthly basis
118       to detail number of examination uploads per screener.                                    L Steele           Open      Service Mgt
          Need the Soarian and SCI-DC systems to communicate about deleted
          examinations in Soarian so that SCI-DC no longer displays the old information or
119       allows the user to access the old images.                                                G Sell             Open      Clinical and Service Mgt
          KPI reports have been developed to include an option to breakdown the reports by
120       Age Band. We require to add the age band 0 – 12 to the reports.                          G Sell             Open      Clinical and Service Mgt
          KPI 8 and KPI 9 are missing key information on which episodes are included in the
          KPI calculation which mean that the information contained in the report is

          KPI 8 – does not include the number of Delivered Episodes which is the
          denominator for the calculations
          KPI 9 – is missing data on the episodes that have not been delivered with 20 days
          and are still undelivered and also the calculation of the % is misleading making the
          situation always appear worse than it really is because the denominator is actually
121       the total number of attendances.                                                         G Sell             Open      Board Coordinators
Working Group Selection
Service Mgt
Board Coordinators
Clinical and Service Mgt
Clinical and Bd Coords
Service Mgt and Bd Coords
Board Coords, Service Mgt & Clinical
Passed to SCI-DC

Status Selection



Priority Class
A            clinical risk that a patient will not be called or treated appropriately and no work around
B            clinical risk that a patient will not be called or treated appropriately but there is a work around
C            No clinical risk but detrimental to efficient management or monitoring of the screening programme
D            no clinical risk but detrimental to efficient management or monitoring of the screening programme
E            neither clinical risk or detriment to screening programme but inefficient and solution would reduce

To be requested
Added to Release
opriately and no work around
opriately but there is a work around
 monitoring of the screening programme and no work around
 monitoring of the screening programme and a work around
but inefficient and solution would reduce key strokes /mouse movements required to carry out task or make system easier or mo
arry out task or make system easier or more intuitive to use

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