News and Notices

DCHS has introduced a Flag in SystmOne for patients with a Learning Disability and/or autism

The flags are displayed in the patient demographics summary (top right hand of screen) and on the Patient Home screen (what users see when they first open the patient record). In both cases, the flags are identified by an icon:

  • Learning Disability flag – N.B. this icon has been selected to mirror the flag that GPs see for their LD QOF flag 
  • Autism flag 

As with all flags (Patient Status Alerts in SystmOne-speak), if the user hovers their mouse pointer over the icon in the Patient Demographics Summary, a pop-up ‘tip’ appears to explain what the flag.

The “Better standards of care: The learning disability improvement standards for NHS trusts” state that trusts must have mechanisms to identify and flag patients with learning disabilities, autism or both from the point of admission through to discharge; and where appropriate, share this information as people move through departments and between services.

For this reason DCHS has developed this flag in SystmOne. The flag should alert staff to consider any possible reasonable adjustments the person might need. Identifying people with a learning disability and/ or autism will help improve the experience and outcomes for the patient and help prevent both them and the clinician having to duplicate asking for/giving the same information.

Both of the flags have been set-up so that the system will automatically check the patient record for certain Read codes and if they are present, apply the flag. In the case of the Learning Disability flag, this will be triggered by the code we use on the new Diversity Monitoring questionnaire which indicates that the patient has self-reported a learning disability; the new diversity monitoring questionnaire will be rolled out on SystmOne in the coming months. However, it will also be triggered by any recording of a LD diagnosis code across the patient’s shared record – these are much more likely to have been recorded by the patient’s GP rather than ourselves. The Autism flag works in a similar way, in this case being triggered by any instance of an Autism Spectrum Disorder code on the patient record.

If you have any questions or concerns please contact dchst.cet@nhs.net