Ardens have designed Multi-Morbidity templates to help manage patients with multiple long term conditions. The templates are QOF focused and can now also be used for remote consultations (click here for further information). 


There are two templates available:

  • The Multi-Morbidity Initial Consultation template - we recommend to be completed by the HCAs.  This will allow the HCAs to capture data on the initial examinations that has taken place before the patient sees either a Nurse or GP for their annual review.
  • The Multi-Morbidity Annual Review template - to be used by the Nurses and GPs and includes elements for a full annual review. 


Access the Multi-Morbidity templates in one of the following ways:

    Click on the Run Template option within the consultation.

   Click on Add > Data using Template option outside of a consultation.


Clicking on either of the options above will display the Template Picker screen. Search for the Multi-Morbidity templates using the search box provided or folder navigation pane. Select the template and click OK.


The Multi-Morbidity templates contain visibility rules and will only display certain pages in the template if the patient has been coded with the particular condition. For example - the below patient has  Atrial Fibrillation, CHD, Dementia, Diabetes and a Mental Health condition. 



Multi-Morbidity Initial Consultation Template

Once accessed, the HCA will click on the relevant page on the left hand side of the template.


Depending on the condition, options will be available to capture the initial examinations. Please note - there could be elements of a examination required for several of the conditions (e.g. Blood Pressure), the examination only needs to be captured in one of the pages.



Information displayed in red indicates this is a QOF requirement for the particular condition.



The Lifestyle and Wellbeing page is displayed for all patients and does not depend on a visibility rule. This page will allow the HCA to record alcohol, smoking and BMI information. 


Complete the template using the required fields and ensure you save the information, using the Save Template option.


Multi-Morbidity Annual Review Template

To be accessed by a Nurse or GP completing the patients annual review. Navigate to the required page on the left-hand side of the template. 


Each page will contain latest QOF requirements for the current financial year. 


The template will display all the results from the HCAs initial consultation if taken place. Details of last entries recorded will be found to the left of each data field. 


Please note - there could be elements of a annual review required for several of the conditions (e.g. Blood Pressure), the data only needs to be captured in one of the pages.


Information displayed in red indicates this is a QOF requirement for the particular condition.


From April 2020, the Multi-Morbidity Annual Review template to facilitate remote reviews. Elements of each chronic disease which can potentially be reviewed remotely will be indicated by ):



Sections which are more challenging to complete remotely are indicated with a ):



The Lifestyle and Wellbeing page, along with the Medication Review page is displayed for all patients and does not depend on visibility rules. 


Where blood tests or further investigations are required you can use the Ardens Diary Recall system to add an automatic reminder to follow patients up for these tests in the future (patient will receive an email/text message/letter inviting them in for this investigation around the date you have selected). There is more information about this here.


Complete the template using the required fields and ensure you save the information, using the Save Template option.



If you require any further assistance on the process above, please contact Ardens support on: support-emis@ardens.org.uk