These updates are intended for Ardens EMIS customers only. To view a full list of the available Ardens resources click here.


Recent Email Communication:


20/05/24 - Blood Tests Due Analyser - Update

11/04/24 - Whats New for April

25/03/24 - GP Contract Changes 2024/25

12/03/24 - IMPORTANT - New Smart Templates 

29/02/24 - Prioritising Work for Financial Year End FAQ

06/02/24 - Ardens EMIS Updates - Feb 24 

01/02/24 - Automating Recall for Blood Tests

10/01/24 - New Features (Ardens EMIS)

09/01/24 - QOF, IIF and V+I Contract Updates & Changes


Ardens Searches:


Latest versions of the Ardens searches can be downloaded from the Ardens Portal.


20th May 2024


Search Folder

Version

Description

1.12 Chronic Disease Risk Stratification 

 

V1.90

Significant update – these searches, which are based on the UCLP model of risk stratification for chronic disease, have had a significant update. The risk stratification element has been updated to account for recent changes to QOF and updated UCLP risk stratification guidance has been taken into consideration. Additionally, we have built in a recall element, to allow users to recall patients at ‘higher risk’ as a priority if appropriate.

New – we have added a folder for Lower Layer Super Output Area (LSOA) reporting, which will allow a different pay of picking up patients in deprived areas. Note – this requires users to have a list of the ‘Exxxx’ codes which identify those in deprived LSOAs.

 

 

2.15Prescribing CAS Alerts

 

V3.70

New – A search has been provided to surface current patients who are on Creon 10000, 25000 or Nutrizym 22 as there is a supply shortage. The FSN recommends a number of actions, including reducing supplies to one month to help ensure that there are sufficient supplies for all.

5.40 CQRS 

 

V5.00

Significant update – we have reviewed and updated this suite and as a result have removed the ‘likely to be in auto-extract’. The reason for this is that we are unable to exactly replicate the extraction searches, which was causing confusion for many users. The critical part of this suite is the ‘data quality’ which have been refined and improved. We have also included a report to show all vaccines given in the month which have been coded using correct codes. More information is available in the support article - https://support-ew.ardens.org.uk/support/solutions/articles/31000155307-5-40-cqrs-searches


13th May 2024


Search Folder

Version

Description

5.36 NHS Health Check 

 

V32.60

Review and update of the suite for 2024-25.

  


6th May 2024


Search Folder

Version

Description

1.31 Administration - Registration

V25.20

Update - Military veterans search - new codes added on customer request further to eLFH training.
New - Care Home Residents folder containing a patient report that displays ‘residential institute’ code to ensure all appropriate patients are attracting the relevant global sum tariff.

1.20 Ardens Diary Recall System

 

V15.50

Correction - In Follow-up Diary searches, the code "Heart failure annual review" (390885007) was failing to display in the "Latest follow-up" columns. This has been rectified.

2.15Prescribing CAS Alerts

 

V3.60

New - search to help practices identify those patients who have Insulin InnoLet Devices on current meds to consider contacting for review given product discontinuation.

4.15 Conditions - Learning Disability

V2.20

Correction - dates updated in ‘Catch-up LD health checks’ updated to reflect new QOF year.

5.00 Case Finders

 

V3.20

Updates - NDH register (case finder exclusion) and BP logic (hypertension case finders) to new QOF v49 logic; Removed lithium from MH register and "QOF | ?Mental Health as in remission"; Removed Ardens Manager report as these are now auto-upload only.

5.35 Contracts - SMI Health Check

 

V33.1

Update – this folder now contains sub-folders with 2023-24 and 24-25 content. This is to avoid confusion for users still running data for last year. The changes for the new year are based on the new draft SMI guidance and are, in summary, as follows:

  • SMI HC Register – Now only includes those coded with an SMI diagnosis (excluding those coded as in remission). I.e. the register no longer includes any patients who are taking lithium and not also coded with an SMI diagnosis.
  • For the core, extra, follow-up and cancer screening reports declines do not count as work being done (or remove patients from any denominators) but are instead captured in separate reports to highlight these patients (though note that if a patient declines but also has the work done, they will show in the relevant work done report).
  • Follow-up reports have been updated to ‘needed’, ‘received’ and ‘declined’ intervention in the last 12 months with needed intervention showing all patients who have at some point in the last 12m had something recorded that requires intervention e.g. a high BMI.  (Note - the associated work to do reports only look at most recent readings where appropriate so that only patients for whom it is still relevant to record intervention are shown).

 


29th April 2024


Search Folder

Version

Description

3.20 Pneumococcal 

 

V25.60

Updated to re—instate pneumococcal vaccination eligibility as the old code is now searchable on EMIS.

 

3.10 Vaccination COVID

 

V13.20

Updated to remove ‘denosumab’ from eligibility criteria and to add ‘melphalan.

 2.25 Prescribing Review

 

 

V4.10

New – search to identify all patients potentially eligible for the HRT PPC.

Update to ‘Drugs of low clinical value’ and structure reorganised to match NHSE guidance. 

4.18 Conditions - CKD

 

V1.30

New searches added to support practices with identifying patients who may be eligible for either empafgliflozin, dapagliflozin or finerenone in CKD in line with their respective NICE technology appraisals.


22nd April 2024


Search Folder

Version

Description

5.30 Weight Management

 

V31.50

Update – weight management ES searches updated for 2024-25.

 

1.31 Administration - Registration

V25.10

Update – Info – Online record access > Online access – status > Registered but inactive – search updated to exclude anyone who has a status of active (was previously just looking for those with status of inactive or archived).

New – Info – Electronic communication status – new searches to show all patients with email address and all those with mobile number (excluding those declining contact by the specific means). New search also to show all those patients with NHS App access. NOTE due to the way that online services client is recorded in EMIS, you need to reset this search before use.

 

 

5.50 Contract Local (Generic)

 

 

V25.10

Update – Womens health > Coil insertion >10y ago – updated re exclude patients with medication issued and failed insertion.

Update – additional code added to minor surgery search for injection procedure to mirror template update.

 

5.20 - QOF Monitor

 

V20.00

Update – suite updated for 2024-25 and re-released.

4.11 Conditions - Frailty, Care Homes and EOL

 

V19.20

Update – ‘Daffodil’ death report updated to include 3 causes of death and to allow reporting on free text associated with these codes.

 

1.20 Ardens Diary Recall System

 

V15.40

Update – all Ardens Diary Recall searches now include a date of the most recent occurrence within the report.

5.40 CQRS

V4.30

Update – Manual upload reports changed to reflect new fiscal year.

5.22 QOF Misc

V3.60

Update – updated for 2024-25.

New – new recall suite for BP002 (BP for all over 45s within last 5y).

 

1.10 LTC Reviews - LTC Recalls

V9.30

New – Detailed Review Searches > Overview – new search and report added to indicate all the invitations which patients have had, where they have had 2 or more.


5th April 2024


Search Folder

Version

Description

5.31 Contracts – IIF 2024 -25

V1.0

New – folder contains work done, work to do and data quality searches for IIF 2024-25.

 

3.20 Vaccinations - Other

V25.50

Minor update – folders renamed to aid use (‘Info, Action, Review’ added as prefix)

 

 

1.36 PPA Searches (Personally Administered Drug Claims)

 

 

V24.30

Minor update – folders renamed to aid use (‘Info, Action, Review’ added as prefix)

1.30 Administration - Misc

V24.20

Minor update – folders renamed to aid use (‘Info, Action, Review’ added as prefix)

2.10 Prescribing Safety Searches 

 

V20.80

Minor update – folders renamed to aid use (‘Info, Action, Review’ added as prefix)

 

 

1.20 Ardens Diary Recall System

 

V15.30

Update – Medication Review searches – these have been refined to ensure that only patients with current repeat medications are included.

New – ahead of building new elements into the system, Hep A and Mild Cognitive Impairment have been added to the searches. To follow in rest of suit in 4-6 weeks.

 

4.14 Conditions - Cancer

 

V4.30

Minor changes to naming; cohort breakdown for screening searches added.

 

5.21 Time Sensitive QOF 

 

V2.50

Updates – these have been updated to reflect any fixed date changes required by the change in QOF year.

5.23 QOF Vaccination and Immunisation

 

V1.90

Update – these have been updated to reflect any fixed date changes required by the change in QOF year.

3.23 Vaccinations - Shingles

 

V1.30

Update – these have been updated to reflect any fixed date changes required by the change in QOF year.

5.33 NCD Access

N/A

Search folder retired.







22nd March 2024


Search Folder

Version

Description

1.10 LTC Reviews - LTC Recalls

v9.2

Minor changes - Vulnerable Patients can now have 'excluded condition' invitations coded (CKD, Rheumatoid Arthritis, Epilepsy); Fixed rare occurrence where a patient with a combination of LD and an excluded condition would not show in invitation lists; For Housebound/EoL/Care Home lists, Rheumatoid Arthritis is no longer in the list of routinely coded invitations. It remains in the dedicated folder for CKD/Epilepsy/RA

1.31 Administration - Registration

v25.0

Minor change – removed folder of ‘gender mismatch’ searches as they were potentially misleading.

2.25 Prescribing - Reviews

v4.0

New - Searches added to find Mirena coils that have been fitted for contraception, in the last 5y for patients aged under 45y at the time. This has been split into 'Work to do', i.e. patients to contact and inform and 'Data Quality; to catch other viable insertions that may be Mirena.

4.12 Conditions - Diabetes

v19.5

Update - The CGM searches have been updated to ensure patients are not identified in this search if they are currently prescribed any of the currently prescriptible CGM monitors; The searches identifying patients who should be prescribed glucose monitoring strips have been updated to ensure only appropriate strips are included; one of the diabetes case finder searches has been updated so that it now excluded patients who are currently prescribed SGLTs for heart failure of CKD.

5.23 Contracts - QOF - Vaccs + Imms

v1.8

New - New Data Quality report added for patients who are failing a QOF Vaccs & Imms indicator, who may not have had their notes summarised at your practice.

5.32 Contracts - Network DES

v2.4

Update - Inequalities | LD + age >=14y on 31/3/24 will now include achieved patients, even if they've previously declined.

5.50 Contracts - Local (generic)

v25.0

Update- minor change to new Minor Surgery reports to improve the list report for future claims( from April 2024).


18th March 2024


Search Folder

Version

Description

5.22 Contracts - QOF - Misc

V3.5

Name changes – recently released update called ‘Personalised care adjustments’ renamed to CVD Prevention as this is the intended use of these.

5.35 Contracts - SMI Health Check

v33.0

Update - "no history of substance misuse" code added to the relevant searches

Error fix - Improved accuracy of search "SMI: PHC - Follow-up - 2b. BP - not receiving pharmacological intervention"

Additional tweaks - Refined the content of "work to do", folder "2. Extra health check components" - added searches cervical screening searches; removed redundant (duplicate) searches.; renamed some searches for clarity.

4.11 Conditions - Frailty, CH + EoL

V19.1

Name change - to clarify the use of the Frailty Identification searches


8th March 2024


Search Folder

Version

Description

5.50 Contract Local (Generic)

 

V24.90

New – an additional folder of Minor Surgery reports has been added to reflect the changing coding, due to the retirement of codes from the Snomed Browser. These are in place ahead of time and additional comms will follow in due course.

 

 

4.14 Conditions - Cancer

 

 

V4.20

New – the national screening cohorts have been broken down to show the patients with e.g. LD, cancer diagnosis etc so that these populations can be appropriately managed.

5.22 QOF Misc 

 

V3.40

New – addition of exception coding reports for hypertension and cholesterol, to re-surface those patients who may become ‘invisible’ from a recall point of view to ensure appropriate clinical management if needed.

5.32 Network Contract DES 

 

V2.30

Error fix – the aggregate report beneath CAN-02 total referrals report was showing count of patients instead of referrals which was causing confusion for some Ardens Manager users when comparing data. This has been fixed.

3.23 Shingles Eligibility

 

V2.50

Update – fix to the invitation searches, which were not requiring a gap between invitations which meant a patient potentially have 2x invitation on the same day (low risk).


4th March 2024


Search Folder

Version

Description

2.20 Prescribing Monitoring 

 

V2.50

Error fix - CVD-PP: Register - 30-84y+ QRISK2/3 >=10%/MH/HYP/DM + no CVD/statin/antiplatelet is now looking at greater than OR EQUAL TO 10%, to align with the Ardens Blood Test Due Analyser and clinical best practice.

 

 

 

5.32 Network Contract DES 

 

V2.20

Error fix - Improved Inequality DQ search that was over-reporting.


27th February 2024


Search Folder

Version

Description

2.15Prescribing CAS Alerts

 

V3.50

A search and report have been written to help practices identify patients who may need review due to the recent supply shortage notification.


26th February 2024


Search Folder

Version

Description

5.36 NHS Health Check 

 

V32.40

Update - search "NHS HC | Done: LD" was slightly under-including.

New - Added 2x new searches - NHS HC | Done: Depression; NHS HC | Done: Is a Carer.

New - Added 2x reports - NHS HC | All: Done - Elsewhere (by code); Report showing mandatory elements in 28d before NHS HC last quarter.

 

1.31 Administration – Registration 

 

V24.90

Improved - "allocated/informed of named GP" search to ensure patients that have left the practice and subsequently re-registered are identified as "to do".

Folders re-named for clarity, into new divisions.

 

4.12 Conditions - Diabetes

 

V19.40

Updated to exclude patients with a diagnosis of DM1 or EOL from NDPP eligibility searches.

3.10 Vaccination COVID

 

V13.00

New – these searches have been updated for Spring Booster 2024.

5.32 Network Contract DES 

 

V2.10

Update - CAN-02 - we have corrected an error in the date range for CAN-02 exceptions. This may mean that you have additional patients appearing in your denominator for this indicator, so we have provided an additional 'data quality' for patients previously excluded from CAN-02 denominator

New - CAN-02 - we have created activity reports to enable practices to count the relevant referrals as a % of the count of total referrals. This will help users to understand their projected activity for year end.

 

2.15 Prescribing - CAS alertsv3.50Update - A search and report have been written to help practices identify patients who may need review due to the recent supply shortage notification for salbutamol nebuliser solution.



Ardens Clinical Templates:


Please note the following updates will reflect instantly for Resource Publisher sites. For Template Manager sites you will be manually updated during your next Ardens install.


April 2024


Template Name

Change Type

Description 

Suspected RA template (MSK folder)

Suspected depression template (Mental Health folder)

SGLT2i template 

Breast surgery referral template

Hyperhidrosis

Phimosis and paraphimosis

New Templates

New templates available.

Diabetes Review

Epilepsy Review

Depression Review

Bronchiectasis full review + QE

AAA full review

Varicose veins full review

DVT/phlebitis full review

GCA full review

Restless legs syndrome full review

General consultation full review

UTI in Men full review

UTI in Women full review

Nausea/vomit in pregnancy – full review and QE

Pharmacy technician review

Insomnia links and formatting mainly

PITSTOP templates

Vasectomy template update of consent and risks

Psoriasis

Axial spondyloarthritis full review

Fever in <5s full review

Anxiety full review

Future planning

Asylum seekers and marginalised groups

NHS HC

Smoking status 

Snoring and OSA + EBI additions

SMR template full review

Balanitis

Updated Templates

The following templates have been updated.


March 2024


Template Name

Change Type

Description

All Chronic Disease Templates

Updated

Chronic Disease templates are now saved in the 'Clinical Templates' folder. These templates are now smart versioned.

Suspected COPD

Suspected Dementia 

Suspected Epilepsy

Suspected Heart Failure

Suspected Stroke/TIA

Measles

Young Person’s Clinic

New Templates

New templates are available.

Future Planning Template

Updated

Removed eFI section, formatting updates of Frailty Diagnosis section.

Contraception Template

Updated

Update of wording for CSE on the Safeguarding page.

Childhood Immunisation Template

Updated

Updated in line with the new TB NICE update.

Asthma Review Template1

Updated

Minor tweaks.




If you require any further assistance on the process above, please contact Ardens support on:

 support-emis@ardens.org.uk