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 are essential codes for the RADF which can all be recorded via the appropriate Ardens templates – Learning Disability, Autism, 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
  • Requires reasonable adjustment for health and care access (Equality Act 2010) 1108111000000107
  • Consent given to upload data to Reasonable Adjustment Digital Flag (finding) 1853771000000105 or declined consent to upload data to Reasonable Adjustment Digital Flag (finding) 1853781000000107.

 

 

 


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.

  • RADF Essential Codes – 0. All (RA threshold + RA required + RADF consent)
  • RADF Essential Codes – 0. Any (RA threshold or RA required or RADF consent)
  • RADF Essential Codes – 1. RA Equality Act legal threshold met
  • RADF Essential Codes – 2. RA required
  • RADF Essential Codes – 2. RA required – Specific adjustment needs
  • RADF Essential Codes – 3. RA Digital Flag consent

 

 

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

  • RADF DQ - 1. ?Record legal threshold met as RA required or RADF consent
  • RADF DQ - 2. ?Record RA required as legal threshold met or RADF consent
  • RADF DQ - 3. ?Record RADF consent as RA legal threshold met or RA required
  • RADF DQ - 4. ?Record essential codes as legacy RA code used

 


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.


Video

This video will talk you through the above steps.



 


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