Ardens supports GP practices with the steps to record a Reasonable Adjustment in EMIS Web. Below is our understanding of the guidance and the steps required to record this information. 


Step 1

Identify that the patient has an impairment meeting the threshold for a Reasonable Adjustment. This is needed for the Digital Flag to function. The required impairment code for this step is "impairment with substantial and long-term adverse effect on normal day to day activity (Equality Act (2010) 1326341000000105" and can be recorded via the appropriate Ardens templates - Learning Disability, Autism, Communications Accessibility and RA, New Patient or PRF1 Aligned New Patient.



Step 2

Identify that, having reached the threshold for Reasonable Adjustment, the patient actually needs one. This may change over time, therefore, the 'latest' instance of the code is likely to be most relevant. The required code for this step is "requires reasonable adjustment for health and care access (Equality Act 2010) 1108111000000107".  A code for "does not require reasonable adjustment for health care access (Equality Act 2010) is being requested from SNOMED-CT by the national team.



Step 3

Obtain and record consent (or lack of it) for the sharing of Reasonable Adjustment information as a digital flag using API. The required code for this step is "consent given to upload data to Reasonable Adjustment Digital Flag (finding) 1853771000000105" OR "declined consent to upload data Reasonable Adjustment Digital Flag (finding) 1853781000000107".



Protocol

Ardens have created a protocol to alert the end user to reasonable adjustments that the patient might have. The alert will appear in the pink box if the codes above are added to the patients record. Hover over the alert to see the details.




Searches

Searches are available to highlight data quality issues and information on coding used. These can be located in the Population Reporting module > Ardens Searches > 1.31 Administration - Registration > Action + Info - Reasonable Adjustments search folder. There are three folders here:


Action - DQ - Searches checking that correct reasonable adjustment codes has been added to the patient records.



Action - Screening - reporting patients that need reviewing to see if  reasonable adjustment coding is appropriate because of conditions already recorded.


Info + Action - RADF registers - searches and reports showing patients who have or should have the RA adjustment codes.




Further References



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