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How to complete and e-mail a Special Patient Note or RightCare© referral
E-mail rightcare.documents@derbyshirehealthunited.nhs.uk or
specialpatientnote.documents@derbyshirehealthunited.nhs.uk
and you will receive an e-mail as below for RightCare containing the most up to date RightCare
Plan, Implementation Guidance and Patient Information Leaflet.
Or Special Patient Note
Double click on the RightCare Management Plan for referrers or Special Note Form attachment to open
the document. This is a Word document and you are able to type the information directly into the boxes.
Please ensure that all boxes are fully completed as per the examples on the next two pages.
©
RightCare Management Plan
PLEASE BE AWARE RIGHTCARE PLANS WILL ONLY BE ACCEPTED
WHEN ALL FIELDS ARE POPULATED. THANK YOU.
Patient Details
Surname:
Smith
First Name:
Gender: Male
Ethnicity:
White British
DOB: 15/10/48
Address:
1 The Close, Smallville
Postcode: SS1 DD5
NHS No:
John
123456
Diagnosis:
Patient’s GP:
:
Tel No:
Dr Brown
0112 345678
Patient’s Surgery: The Centre, Merry Way
COPD previous MI
Current Medication:
Aspirin 75 mgs
Bisoprolol fumarate 2.5 mgs daily
Digoxin 125mcgs
Gaviscon suspension PRN
GTN Spray
Ipatroprium inhaler 2 puffs
Salbutamol inhaler
Symbicort turbo haler 400/12 1 puff b.d.
Salbutamol nebulas 2.5 mgs/5mls
Family Contact: Jean (daughter)
Consultant: Nil
Tel No: : 0666555444
Hospital: Nil
Tel No:
Social Services input: Frozen meals every 2 weeks, help form family, daily care to help with pc and dressing
Care Plan (If your patient contacts us out of hours, you would like us to ……….)
This patient has COPD and SOB symptoms at rest and Anxiety
His sats at rest are normally 95% on air
He has a rescue pack of antibiotics and steroids
Has frequent anxiety with SOB symptoms and has frequent exacerbations of his COPD
If this occurs he has been advised to use his nebuliser and to do controlled breathing.
If more cough and more sputum which is green/yellow then he is to commence antibiotics and his steroid therapy
He may not need admission if this occurs but will require some reassurance and possible clinical input from either doctor or paramedic.
Patient Aware of diagnosis/plan : YES
Patient on Gold Standard Framework Register :
Consent to share with parties listed
in the DHU Data Protection Register
YES
NO
Carers aware of the plan: YES
On Terminal Care Pathway: NO
Review Date (MUST BE SPECIFIED – MAX 6 MONTHS) 3 Months
Form completed by: (PLEASE PRINT)
Address: The Surgery
Position: Community Matron
Contact Tel No: 01333444555
Date: 1.6.09
Return Email Address: jane.doenhs.net
On completion of the form please email to Rightcare.Referrals@nhs.net
© 2008 Derbyshire Health United Limited
SPECIAL PATIENT NOTE INFORMATION
Please complete the details below, giving as much information as you feel is necessary.
It is the responsibility of the originator to ensure patient consent is obtained.
Patient Details:
Surname: Smith
Gender: Female
First Name: Jane
Ethnicity: White British
DOB: 16.10.48
Address: 1 The Close, Smallville
Postcode: SS1 DD5
Tel No: 0112 345678
NHS Number: 23456
Patient’s GP & Surgery: The Centre, Merry Way
Diagnosis: Schizophrenia
Current Medication: Clozapine
Family Contact: Bill (Son)
Tel No: 01252 226322
Consultant: Dr Raj
Tel No: 01409 111222
Care programme co-ordinator
Tel No: 01409 222333
Special Patient Information eg Treatment Plans/Crisis Plans
This patient can get agitated and has a tendency to attack; clinicians please do not visit this patient alone.
Patient Aware: Yes
Carers aware: Yes
Consent to share with parties listed in the DHU Data Protection Register: Yes
(If No, state justification for breaching confidentiality)
Expiry Date (MUST BE SPECIFIED – MAX 12 MONTHS) 9.6.10
Form completed by: (PLEASE PRINT) J BLOGGS
Address: 10 The Mill
Contact Tel No: 01222 333444
Position: Nurse
Date: 10.6.09
On completion of the form please email to Specialpatientnote.referrals@nhs.net
Once you have completed the form you will need to save the form.
On the File menu, click Save As. In the File name box, enter a name for the file. In the Save
in box find where you want to save the document eg my documents and then press Save.
You will then need to e-mail the completed plan.
Go to your e-mail programme eg Outlook and click to create a new e-mail message.
Enter the rightcare.referrals@nhs.net e-mail address or specialpatientnote.referrals@nhs.net
in the To box and fill in the subject box.
Click on the insert menu and click on file. Find the RightCare/Special Patient Note form you
have saved and double click on it to attach it to the e-mail. The Send button can now be
pressed.
If the plan is accepted you will receive confirmation of this.
If the nurse deems the patient unsuitable for RightCare©/Special Patient Note or the plan is not
complete,” you will be contacted.
DHU recommend that the referrer saves copies of the RightCare plans and Special Patient
notes in a “shared drive” on the practice system in order that everyone in the practice, with
permission, can review or administer.
This process is managed entirely by e-mail.
The e-mail addresses to use for RightCare are as follows:RightCare.documents@derbyshirehealthunited.nhs.uk
This is the e-mail address referrers should use to request the latest version of our RightCare©
Plan (Automatically replies)
RightCare.referrals@nhs.net
This is the e-mail address referrers should use to send their completed RightCare© plans to.
Rightcare forms can only be received via email Monday to Friday prior to 1600 hours for them to
be actioned. Please do not attach any additional information to the Care Plan as unfortunately
there is no where to log this information.
RightCare.info@derbyshirehealthunited.nhs.uk
This is the e-mail address referrers should use to request information about the RightCare©
system.
The e-mail addresses to use for Special Patient Notes are as follows
Specialpatientnote.documents@derbyshirehealthunited.nhs.uk
This is the e-mail address referrers should use to request the latest version of our Special
Patient Note template (Automatically replies)
Specialpatientnote.referrals@nhs.net
This is the e-mail address referrers should use to send their completed Special Patient notes to.
Please do not attach any additional information to the note as unfortunately there is no where to
log this information.
Specialpatientnote.info@derbyshirehealthunited.nhs.uk
This is the e-mail address referrers should use to request information about the Special Patient
note system.
The Team can be contacted on the DHU Healthcare Professional Line 0844 7420501 if you
have any queries regarding RightCare© of Special Patient Notes.
PH/LS 24.09.09