/
Operational Administration

Operational Administration

Version

v1.0 - March 2024

Status

Published

Important Information

Within this requirements catalogue we use the terms woman, women, and pregnant women. However, we recognise that some transgender men, non-binary people and people with variations in sex characteristics (VSC) or who are intersex may also access maternity services. Maternity services and delivery of care must therefore be appropriate, inclusive, and sensitive to the needs of everyone who accesses maternity services, including those who are trans, non-binary or intersex. 

Contents

Capability M7.01

The solution must record the date of referral (self or via GP) of a woman into maternity services. If a woman is booked more than a Trust-definable number of days after the date of referral or number of days pregnant, the solution should prompt the booking appointment to be scheduled within the target timeline and allow the recording of a reason for the delay.

M7.01.1 - Pregnancy Referral Date

M7.01.1 - Pregnancy Referral Date

DCF Core Capability

As a Health Care Professional or Hospital Administrator

I want to be notified of all pregnancy referrals in a timely manner, regardless of the route of referral i.e. self or GP.

So that I am prompted to arrange maternity booking appointments manually within the target gestation and record a reason for late booking or delay where this is not possible

Acceptance Criteria

Given that the woman has provided information at referral that enables gestation to be calculated using Last Menstrual Period (LMP) or from Expected Date of Delivery (EDD) from ultrasound scan

When the Health Care Professional or Hospital Administrator records the referral for maternity care (regardless of source) on the maternity system

Then the system should prompt maternity booking appointments to be arranged within a defined gestation period

And the Health Care Professional or Hospital Administrator will be prompted to record the reasons for delay if there are any, which will be recorded via a defined list as per national data reporting standards

And the Health Care Professional or Hospital Administrator will be alerted where appointments are outside the target guidelines for systems with automated appointment booking systems.

Standards Compliance

STD157 Formatting dates and times in data
STD124 Clinical referral information

Capability M7.02

The solution should facilitate the scheduling, altering and cancelling of appointments in both community and outpatient clinic settings and scheduling of hospital procedures (Induction of Labour and caesarean birth). It should allow administrative views of groups of patients, e.g. a particular high risk clinic and community caseloads.

M7.02.1 - Appointments Management

M7.02.1 - Appointments Management

DCF Transformation Capability

As a Health Care Professional or Hospital Administrator

I want to be able to book, edit and cancel appointments within both hospital and community settings, for clinic activities as well as interventional procedures, i.e. induction of labour and caesarean births

So that I can have a smooth administrative pathway for managing caseloads with no duplication

Acceptance Criteria

Given that a Health Care Professional or Hospital Administrator is permitted to manage appointments on the system

When a woman requires an appointment in either community or outpatient clinic settings, or for hospital procedures (e.g. for induction of labour or caesarean birth)

Then the Health Care Professional or Hospital Administrator will be able to book, edit and cancel appointments within both hospital and community settings, for clinic activities as well as interventional procedures

And the system will enable configurable interactive lists that are auto-populated with women's data, and grouped according to clinical need or caseload management

And the system will have inbuilt logic to support the following:

  • safe and smart scheduling

  • prevent appointment duplication (if hospital and community appointments are on same day and time)

  • support automated cancellations i.e. cancel antenatal appointments once the neonate is born

And the system will identify women who did not attend an appointment to facilitate rescheduling and follow up, as per national guidelines

Additional Information

Appointments could include Induction of Labour (IOL) and caesarean birth. It should allow clinicians, managers and admin staff to manage caseloads and allocation of named midwives.

The system should actively prevent unnecessary duplication of appointments, for example a clash between a consultant appointment and an antenatal appointment. The solution should assist clinicians in managing caseloads by presenting them in an easy to comprehend format (for example a table or dashboard). It should also capture "did not attend" on appointments so that Health Care Professionals (HCP) can follow up or reschedule these. There should be a facility to review cancelled appointments where a new appointment has not been made so that women are not lost to follow up.

Standards Compliance

STD080 SNOMED CT: UK Edition
STD065 OPCS Classification of Interventions and Procedures
STD161 iCal
STD136 NHS Booking and Referral Standard