AM.01

v1.0 - March 2024

Core Capability

Published

DCF Core Capability

As a 999 call handler,

I want the system to have a clear protocol and guidance for assessing and responding to low-acuity patients,

So that I can determine the appropriate response, improving patient care.

Acceptance criterion 1:

Given that a 999 call handler in the control room is permitted to add clinical information to a patients record,

When a call from a low-acuity patient is received,

Then the system should provide a clear protocol for assessing the patient's condition and determining the appropriate response.

And the system should provide appropriate advice or alternative care options to patients, such as directing them to alternative services or offering self-care instructions.

DCF Core Capability

As a 999 call handler,

I want the system to support using a Manchester Triage System (MTS) incident triage program for assessing and responding to low-acuity patients,

So that I can follow the prompts and accurately record the responses.

Acceptance criterion 1:

Given that a 999 call handler is permitted to add clinical information to a patients record,

When the system is accessed to assess and respond to a low-acuity patient,

Then the system should provide an option to use the Manchester Triage (MTS) incident triage program.

And the system should display the MTS prompts and guidelines for assessing low-acuity patients.

And the MTS prompts should be clear and easy to follow, guiding the 999 call handler through the appropriate questions and actions based on the patient's symptoms and condition.

And the system should allow the responses and findings from the MTS assessment to be accurately recorded.

Acceptance criterion 2:

Given that a 999 call handler is permitted to add clinical information to a patients record,

When the responses and findings from the MTS assessment are recorded in the system,

Then the system should ensure that the MTS program is integrated seamlessly into the overall call handling process, without causing any disruptions or delays.

And the MTS program should align with the established triage protocols and guidelines followed by emergency services.

DCF Core Capability

As a clinician in the clinical hub,

I want an intuitive navigation menu for conveyance service options when responding to low-acuity patients,

So that I can easily select the most appropriate healthcare pathway service for them, including booking taxis, advising self-transportation, and passing them to community partners.

Acceptance criterion 1:

Given that a clinician in the clinical hub is permitted to access the navigation menu for conveyance service options,

When the system is used for this purpose,

Then the system should provide a clear and intuitive main navigation menu.

Acceptance criterion 2:

Given that a clinician in the clinical hub is permitted to access the navigation menu for conveyance service options,

When "Conveyance Service Options" are selected

Then the system should present with a list of conveyance service options for low-acuity patients.

Acceptance criterion 3:

Given that a clinician in the clinical hub is permitted to access the navigation menu for conveyance service options,

When a Taxi booking is required,

Then the system should support booking a Taxi.

Acceptance criterion 4:

Given that a clinician in the clinical hub is permitted to access the navigation menu for conveyance service options,

When Self-Transport is the required,

Then, the system should provide advice regarding patient self-transportation to a healthcare facility.

Acceptance criterion 5:

Given that a clinician in the clinical hub is permitted to access the navigation menu for conveyance service options,

When ‘Pass to Community Partners’ is required

Then the system should provide the option to pass the patient's information to appropriate community partners for further assistance.

DCF Core Capability

As a 999 call handler,

I want a triage system that allows me to document the clinical situation and medical history,

So that I can track the patient's vital signs, symptoms, and medical history for accurate triage assessment.

Acceptance criterion 1:

Given that the triage system allows a 999 call handler to enter and update patient information via an intuitive interface,

When the system allows retrieval and review of the patient's previous triage assessments and medical history,

Then the system should ensure that all relevant information is accurately recorded and easily accessible during the triage process.

Standards Compliance

STD062 NHS Number
STD064 NHS Number for Secondary Care
STD001 Accessible Information
STD018 Child Protection Information Service (CPIS)
STD036 Female Genital Mutilation (FGM-IS)
STD156 Reasonable Adjustment Digital Flag
STD029 Dictionary of Medicines and Devices
STD080 SNOMED CT: UK Edition
STD130 Global Medical Device Nomenclature (GMDN)
STD169 Personal Demographics Service
STD170 Personal Demographics Service - SMSP API standards

DCF Core Capability

As a 999 dispatcher,

I want the system to provide real-time updates on the number of patients waiting, their triage category, and estimated wait times,

So that I can effectively manage patient flow and allocate resources.

Acceptance criterion 1:

Given that the triage system provides real-time dashboards or reports that display the number of patients waiting, their triage categories, and estimated wait times,

When the user monitors and tracks the status of patients in the triage process,

Then the system should provide alerts or notifications when the number of patients in a specific triage category exceeds a predefined threshold.

Standards Compliance

STD157 Formatting dates and times in data

DCF Core Capability

As an Ambulance Service provider,

I want a low-acuity patient triage system that generates data and analytics on low-acuity cases,

So that I can identify trends, allocate resources efficiently, and improve overall patient experience, identify areas for improvement and optimise the efficiency of ambulance services. Patient outcome will be important for paramedic training.

Acceptance criterion 1:

Given that an ambulance service provider is permitted to extract data from the system,

When generating reports,

Then the system should provide an overview of ambulance response times, including average response time, minimum and maximum response times, and response time distribution.

Acceptance Criterion 2:

Given that an ambulance service provider is permitted to extract data from the system,

When generating reports,

Then the system should provide insights into patient outcomes, such as the percentage of low-acuity patients transported to healthcare facilities versus alternative services.

Standards Compliance

STD062 NHS Number
STD064 NHS Number for Secondary Care
STD001 Accessible Information
STD018 Child Protection Information Service (CPIS)
STD036 Female Genital Mutilation (FGM-IS)
STD156 Reasonable Adjustment Digital Flag
STD029 Dictionary of Medicines and Devices
STD080 SNOMED CT: UK Edition
STD130 Global Medical Device Nomenclature (GMDN)
STD169 Personal Demographics Service
STD170 Personal Demographics Service - SMSP API standards

DCF Core Capability

As a 999 call handler or clinician,

I want the ability to flag patients considered for specific healthcare pathways,

So that their care can be appropriately managed and coordinated.

Acceptance criterion 1:

Given that a 999 call handler or clinician in the control room are permitted to add clinical information to a patients record,

When using the system to add a flag to a patients record,

Then the system should provide an option to flag them for a specific pathway.

Acceptance criterion 2:

Given that a patient has a flag on the system,

When the 999 call handler or clinician is permitted to view their information in the system,

Then the flag should be clearly visible to indicate the patient’s pathway status.

And the system should provide relevant details about the patient's pathway, such as the reason for the flag and any specific care instructions.

And the system should allow for the modification or removal or flag if necessary

Standards Compliance

STD062 NHS Number
STD064 NHS Number for Secondary Care
STD001 Accessible Information
STD018 Child Protection Information Service (CPIS)
STD036 Female Genital Mutilation (FGM-IS)
STD156 Reasonable Adjustment Digital Flag
STD029 Dictionary of Medicines and Devices
STD080 SNOMED CT: UK Edition
STD130 Global Medical Device Nomenclature (GMDN)
STD169 Personal Demographics Service
STD170 Personal Demographics Service - SMSP API standards

DCF Core Capability

As a 999 call handler or clinician,

I want to be able to search for alternative services based on a patient’s location,

So that I can get the required service for a low acuity patient.

Acceptance criterion 1:

Given that a 999 call handler or clinician in the control room are permitted to search for services,

When using the system to search for services based on a patient's location,

Then the system should provide an option to enter an address, postcode, or location details.

And the system should allow them to use GPS to automatically detect their current location.

And the system should validate and verify the entered address or location details to ensure accuracy.

And the system should provide suggestions or autocomplete options for addresses or locations to enhance user experience and accuracy.

Acceptance criterion 2:

Given that a 999 call handler or clinician in the control room are permitted to search for services,

When using the system to search for services based on a patient's location,

Then the system should display a list of ambulance services available in the specified or detected location.

And the system should provide relevant information about each ambulance service, such as contact details, availability, and services offered.

And the system should display the distance or estimated travel time from the user's [patient's] location to each ambulance service.

And the system should allow them to filter or sort the search results based on criteria such as distance, availability.

Standards Compliance

STD155 Exchange of location point
STD156 Unique Street Reference Number (USRN)
STD101 Unique Property Reference Number
STD165 Urgent & Emergency Care Interoperability & Technical Standards

DCF Core Capability

As an Ambulance Service provider,

I want the ability to perform Post Event Messaging to pass information to Primary Care / GP systems and Shared Care Records,

So the records are kept in the relevant data repository.

Acceptance criterion 1:

Given a post-event scenario,

When using the system,

Then it should provide a messaging feature to send messages to the Primary Care system / Shared Care Record.

Acceptance criterion 2:

Given a post-event scenario,

When sending a message to the Primary Care system / Shared Care Record,

Then the system should ensure the message is formatted correctly and contains all relevant information.

And the system should securely transmit the message to maintain the privacy and confidentiality of patient information.

And the system should provide confirmation of successful message delivery or notify the user of any errors or issues encountered.

Standards Compliance

STD062 NHS Number
STD064 NHS Number for Secondary Care
STD029 Dictionary of Medicines and Devices
STD080 SNOMED CT: UK Edition
STD130 Global Medical Device Nomenclature (GMDN)
STD039 Health and Social Care Organisation Reference Data
STD146 NHS 111 API standard
STD136 NHS Booking and Referral Standard
STD165 Urgent & Emergency Care Interoperability & Technical Standards
STD085 Core information standard
STD123 About Me
STD102 Medicine and Allergy/Intolerance Data Transfer
STD126 Ambulance handover to emergency care
STD169 Personal Demographics Service
STD170 Personal Demographics Service - SMSP API standards

DCF Core Capability

As an Ambulance Service provider,

I want the solution to generate follow-up alerts if a low-acuity patient is not conveyed,

So that appropriate actions can be taken to address their needs.

Acceptance criterion 1:

Given 999 call handler or clinician in the control room are permitted to add clinical information to a patients record,

When a patient does not require conveyance,

Then the system should provide an option to flag the patient for follow-up.

And the flag should be clearly visible to indicate the need for follow up.

Acceptance criterion 2:

Given a patient has a flag for follow-up,

When an ambulance service provider is permitted to access the patient’s information,

Then the system should provide relevant details about the follow-up required, such as the reason for follow-up and any necessary actions.

Acceptance criterion 3:

Given a patient has a flag for follow-up,

When an ambulance service provider updates the patient’s information,

Then the system should allow the ambulance service provider to modify or remove of the follow-up flag if necessary.

DCF Core Capability

As a 999 call handler or clinician,

I want the ability to flag low acuity frequent callers,

So that their care can be appropriately prioritised and coordinated.

Acceptance criterion 1:

Given 999 call handler or clinician are permitted to add clinical information to a patients record,

When a low-acuity frequent caller is identified,

Then the system should provide an option to flag the patient as a frequent caller.

And the flag should be clearly visible to indicate the frequent caller status.

Acceptance criterion 2:

Given 999 call handler or clinician are permitted to add clinical information to a patients record,

When a low-acuity frequent caller flag is added to a patient’s record,

Then the system should provide relevant details such as the reason for adding the flag and any specific care instructions.

Acceptance criterion 3:

Given 999 call handler or clinician are permitted to add clinical information to a patients record,

When a low acuity frequent caller flag is no longer required on a patient’s record

Then the system should allow for the modification or removal of the flag if necessary.

Standards Compliance

STD062 NHS Number
STD064 NHS Number for Secondary Care
STD001 Accessible Information
STD018 Child Protection Information Service (CPIS)
STD036 Female Genital Mutilation (FGM-IS)
STD156 Reasonable Adjustment Digital Flag
STD080 SNOMED CT: UK Edition
STD169 Personal Demographics Service
STD170 Personal Demographics Service - SMSP API standards

DCF Core Capability

As a 999 call handler in the control room or Ambulance clinician,

I want the ability to make safeguarding referrals for relevant patients,

So that their safety and well-being can be ensured and appropriate actions can be taken.

Acceptance criterion 1:

Given 999 call handler or ambulance clinician are permitted to add clinical information to a patients record,

When a patient requires a safeguarding referral,

The the system must provide the option to make a safeguarding referral.

Acceptance criterion 2:

Given 999 call handler or ambulance clinician are permitted to view clinical information to a patients record,

When a safeguarding referral has been made,

Then the system should clearly display the reason for referral, the referral status and any actions taken.

Acceptance criterion 3:

Given 999 call handler or ambulance clinician are permitted to edit clinical information in a patients record,

When a safeguarding referral has been made,

The the system should allow for modification or closure of the referral is necessary.

Standards Compliance

STD062 NHS Number
STD064 NHS Number for Secondary Care
STD029 Dictionary of Medicines and Devices
STD080 SNOMED CT: UK Edition
STD130 Global Medical Device Nomenclature (GMDN)
STD039 Health and Social Care Organisation Reference Data
STD146 NHS 111 API standard
STD165 Urgent & Emergency Care Interoperability & Technical Standards
STD085 Core information standard
STD123 About Me
STD102 Medicine and Allergy/Intolerance Data Transfer
STD126 Ambulance handover to emergency care
STD169 Personal Demographics Service
STD170 Personal Demographics Service - SMSP API standards

DCF Core Capability

As a 999 call handler and Ambulance clinician,

I want the system to directly refer potential safeguarding concerns to the Local Authority,

So that I can communicate the any safeguarding concerns or needs with the Local Authority.

Acceptance criterion 1:

Given 999 call handler or ambulance clinician are permitted to add clinical information to a patients record,

When a potential Safeguarding concern is identified,

Then, the system should provide the functionality (via email) to contact Local Authority and include information such as the nature of the safeguarding concern.

And the communication should be sent off-screen without requiring manual intervention.

And the Local Authority should receive the communication promptly and accurately.

And the system should provide confirmation to the call handler that the communication has been successful.

Standards Compliance

STD076 Secure Email

DCF Core Capability

As an Ambulance Service provider,

I want to receive a notification from any scheduled services

So that I can confirm the low-acuity patient attended the scheduled service.

Acceptance criterion 1:

Given a low-acuity patient has been given a scheduled service appointment,

When the scheduled service appointment is completed,

Then a notification should be sent to the Ambulance service confirming that the low-acuity patient has attended the service.

Standards Compliance

STD062 NHS Number
STD064 NHS Number for Secondary Care
STD039 Health and Social Care Organisation Reference Data
STD169 Personal Demographics Service
STD170 Personal Demographics Service - SMSP API standards