TABLE OF CONTENTS


Introduction

In line with the recent NHSE Reasonable Adjustment Digital Flag (RADF) updates, NHSE has recommended the following steps. Below is a summary of these steps, along with the Ardens resources available to support their implementation.


Step 1. Identify RA Needs

The first step is to identify the patient has an impairment meeting the threshold for a Reasonable Adjustment. This is needed for the Digital Flag to function. 


A report is available to identify patients with LD, autism or dementia, who need to be reviewed to determine whether reasonable adjustment coding is appropriate. This can be located with the 1.31 Administration – Registration > Action + Info – Reasonable Adjustments > Action – Screening folder.


 

A screenshot of a computer AI-generated content may be incorrect.     

 


N.B. A new SNOMED code has been requested for ‘Does not require RA’. Once available, this will be added to this report to allow practices to exclude patients if they have been reviewed but do not have any RA requirements, in order to remove them from this report.


Step 2. Record RA Essential Codes

The following is the essential code for the RADF which can be recorded via the appropriate Ardens templates – Learning Disability, Autism, Dementia Review, Communications Accessibility and RA, New Patient or PRF1 Aligned New Patient.


  • Impairment with substantial and long-term adverse effect on normal day to day activity (Equality Act (2010) 1326341000000105


 

Explicit consent is no longer required for RADF sharing - if sharing is objected, the 'RADF declined consent' code can be used.


The following searches can help identify these patients and are located in the 1.31 Administration > Action + Info—Reasonable adjustments > Info + Action—RADF registers folder.

 

 

There are also some accompanying Ardens Data Quality searches to ensure all the correct codes have been recorded.



Step 3. Show RA Flag

An alert will show in the pink box if a patient has any of the 3 essential RADF codes above or a legacy RA code on their records.

 

 
 A screenshot of a computer AI-generated content may be incorrect.


Step 4. Share RA Needs

Referral letters should highlight any reasonable adjustments. 

 

N.B. Ardens are still in communication with NHSE about how best to do this and will provide an update shortly.

 

Step 5. Review RA Needs

It is recommended that RA needs are reviewed every 12 months. A search for this can be found within the 1.31 Administration – Registration > Action + Info – Reasonable Adjustments > Info + Action – RADF registers folder.

  • RA review - ?For RA review as has RA + no review in last 1 year

 

A screenshot of a computer AI-generated content may be incorrect.

 

Coding of the review can also be found in the relevant Ardens template.



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