Primary Onward Signposting Tool
Get patients the right care with the right person at the right time
Results
Primary Heading
Also known as:
[Symptoms / AKAs]
General Information
[General Information]
Consider using a different POSTcard if:
[Why you might use a different card]
Is this the condition the patient is describing?
Patient identification
As part of our telephone handshake (Greet, Identify, Reason) and for data protection, please ensure you've asked the patient to give you their name and date of birth. Use this to find them on EMIS and then copy their EMIS number below (not NHS number).
What is the patient's EMIS number?
Please enter a valid EMIS Number between 1 and 6 digits long. If the patent is new enter '0'.
COVID-19 Screening
Does the patient (or anyone in their household) have any of the following:
-
a new, continuous cough
-
high temperature
-
a loss or change to sense of smell or taste
If the patient has answered yes to any of the above, give them all of the information below:
-
The patient should order a PCR test kit to be sent to your home or book an appointment at a walk-in or drive-through test site.
-
If you have symptoms, you and everyone you live with must immediately self-isolate. Do not leave home until you get your test results, except to post a test kit or for a PCR test appointment.
Please Only book telephone appointments .
Primary Question
[Primary Question text]
Do any of the above apply to the patient?
Secondary Question
[Secondary Question text]
Do any of the above apply to the patient?
Is the condition new, worsening or ongoing
NEW refers to an issue that the patient has started to experience recently and has not previously been assessed by a clinician.
WORSENING refers to an issue which the patient has previously reported and has been assessed but has now worsened.
ONGOING refers to an issue which has already be assessed by a clinician and remains active but has not changed or worsened.
Outcome
[Output text]
[Output text]
If the patient is resistant:
[OutputText]
SiteSpecificOutcome
Safety Netting
There is no specific safety netting advice for this condition. Please see below for general advice.
If anything else changes, worsens, if you develop any new symptoms or have any other concerns, then please call back to the surgery. During the OOH period call 111.
Feedback
Was the POSTcard easy to follow and not too long/complex?
Did you feel this outcome was appropriate?
Did you feel any questions were missing that should have been asked?
Was the patient happy with the suggested outcome?
Thank you for taking the time to complete our feedback
Primary Heading
Also known as:
[Symptoms / AKAs]
General Information
[General Information]
Consider using a different POSTcard if:
[Why you might use a different card]
Is this the condition the patient is describing?
Patient identification
As part of our telephone handshake (Greet, Identify, Reason) and for data protection, please ensure you've asked the patient to give you their name and date of birth. Use this to find them on EMIS and then copy their EMIS number below (not NHS number).
What is the patient's EMIS number?
Please enter a valid EMIS Number between 1 and 6 digits long. If the patent is new enter '0'.
COVID-19 Screening
Does the patient (or anyone in their household) have any of the following:
-
a new, continuous cough
-
high temperature
-
a loss or change to sense of smell or taste
If the patient has answered yes to any of the above, give them all of the information below:
-
The patient should order a PCR test kit to be sent to your home or book an appointment at a walk-in or drive-through test site.
-
If you have symptoms, you and everyone you live with must immediately self-isolate. Do not leave home until you get your test results, except to post a test kit or for a PCR test appointment.
Please Only book telephone appointments .
Primary Question
[Primary Question text]
Do any of the above apply to the patient?
Secondary Question
[Secondary Question text]
Do any of the above apply to the patient?
Is the condition new, worsening or ongoing
NEW refers to an issue that the patient has started to experience recently and has not previously been assessed by a clinician.
WORSENING refers to an issue which the patient has previously reported and has been assessed but has now worsened.
ONGOING refers to an issue which has already be assessed by a clinician and remains active but has not changed or worsened.
Outcome
[Output text]
[Output text]
If the patient is resistant:
[OutputText]
SiteSpecificOutcome
Safety Netting
There is no specific safety netting advice for this condition. Please see below for general advice.
If anything else changes, worsens, if you develop any new symptoms or have any other concerns, then please call back to the surgery. During the OOH period call 111.
Feedback
Was the POSTcard easy to follow and not too long/complex?
Did you feel this outcome was appropriate?
Did you feel any questions were missing that should have been asked?
Was the patient happy with the suggested outcome?
Thank you for taking the time to complete our feedback
Primary Heading
Also known as:
[Symptoms / AKAs]
General Information
[General Information]
Consider using a different POSTcard if:
[Why you might use a different card]
Is this the condition the patient is describing?
Patient identification
As part of our telephone handshake (Greet, Identify, Reason) and for data protection, please ensure you've asked the patient to give you their name and date of birth. Use this to find them on EMIS and then copy their EMIS number below (not NHS number).
What is the patient's EMIS number?
Please enter a valid EMIS Number between 1 and 6 digits long. If the patent is new enter '0'.
COVID-19 Screening
Does the patient (or anyone in their household) have any of the following:
-
a new, continuous cough
-
high temperature
-
a loss or change to sense of smell or taste
If the patient has answered yes to any of the above, give them all of the information below:
-
The patient should order a PCR test kit to be sent to your home or book an appointment at a walk-in or drive-through test site.
-
If you have symptoms, you and everyone you live with must immediately self-isolate. Do not leave home until you get your test results, except to post a test kit or for a PCR test appointment.
Please Only book telephone appointments .
Primary Question
[Primary Question text]
Do any of the above apply to the patient?
Secondary Question
[Secondary Question text]
Do any of the above apply to the patient?
Is the condition new, worsening or ongoing
NEW refers to an issue that the patient has started to experience recently and has not previously been assessed by a clinician.
WORSENING refers to an issue which the patient has previously reported and has been assessed but has now worsened.
ONGOING refers to an issue which has already be assessed by a clinician and remains active but has not changed or worsened.
Outcome
[Output text]
[Output text]
If the patient is resistant:
[OutputText]
SiteSpecificOutcome
Safety Netting
There is no specific safety netting advice for this condition. Please see below for general advice.
If anything else changes, worsens, if you develop any new symptoms or have any other concerns, then please call back to the surgery. During the OOH period call 111.
Feedback
Was the POSTcard easy to follow and not too long/complex?
Did you feel this outcome was appropriate?
Did you feel any questions were missing that should have been asked?
Was the patient happy with the suggested outcome?
Thank you for taking the time to complete our feedback
Primary Heading
Also known as:
[Symptoms / AKAs]
General Information
[General Information]
Consider using a different POSTcard if:
[Why you might use a different card]
Is this the condition the patient is describing?
Patient identification
As part of our telephone handshake (Greet, Identify, Reason) and for data protection, please ensure you've asked the patient to give you their name and date of birth. Use this to find them on EMIS and then copy their EMIS number below (not NHS number).
What is the patient's EMIS number?
Please enter a valid EMIS Number between 1 and 6 digits long. If the patent is new enter '0'.
COVID-19 Screening
Does the patient (or anyone in their household) have any of the following:
-
a new, continuous cough
-
high temperature
-
a loss or change to sense of smell or taste
If the patient has answered yes to any of the above, give them all of the information below:
-
The patient should order a PCR test kit to be sent to your home or book an appointment at a walk-in or drive-through test site.
-
If you have symptoms, you and everyone you live with must immediately self-isolate. Do not leave home until you get your test results, except to post a test kit or for a PCR test appointment.
Please Only book telephone appointments .
Primary Question
[Primary Question text]
Do any of the above apply to the patient?
Secondary Question
[Secondary Question text]
Do any of the above apply to the patient?
Is the condition new, worsening or ongoing
NEW refers to an issue that the patient has started to experience recently and has not previously been assessed by a clinician.
WORSENING refers to an issue which the patient has previously reported and has been assessed but has now worsened.
ONGOING refers to an issue which has already be assessed by a clinician and remains active but has not changed or worsened.
Outcome
[Output text]
[Output text]
If the patient is resistant:
[OutputText]
SiteSpecificOutcome
Safety Netting
There is no specific safety netting advice for this condition. Please see below for general advice.
If anything else changes, worsens, if you develop any new symptoms or have any other concerns, then please call back to the surgery. During the OOH period call 111.
Feedback
Was the POSTcard easy to follow and not too long/complex?
Did you feel this outcome was appropriate?
Did you feel any questions were missing that should have been asked?
Was the patient happy with the suggested outcome?
Thank you for taking the time to complete our feedback
Welcome to the Penrose
Primary Onward Signposting Tool
What is this tool?
Welcome to Penrose Health's new Primary Onward Signposting Tool (or Penrose POST for short!)
As demand for GPs keeps increasing, this tool is designed to ensure we get the right patient to the right place every time. Using a series of questions designed to keep patients safe and understand who can best help them, each POSTcard gives you an output for what to do with the patient's query.
We're still in testing, so please make sure to pay close attention to what the patient is telling you and use your judgement if you feel the tool is giving the wrong output. We hope that won't happen, but if it does happen, please please please let us know with the feedback at the end of each POSTcard.
How do I use it?
To get started, we've laid out the three basics you'll need to get started:
1. Telephone handshake
Handling calls in a consistent and appropriate manner is essential. When answering any call, please remember the below:
A) Greet - answer with a friendly hello, the name of the practice and your name so patients know who they're talking to
B) Identify - data protection is important, so make sure the patient states their name and date of birth. Don't guess!
C) Reason - ask the patient for the reason for their call
P.S. If the caller is calling on behalf of the patient, make sure they are registered to care for the patient!
2. Use Penrose POST
Once you've completed the telephone handshake, use the blue search bar and identify the most relevant POSTcard. Once you've found the one you think is relevant, follow the questions through to get to an outcome
3. Check and book
When you've got an outcome from the POSTcard, just double check in your head if it seems reasonable and matches what the patient is telling you. Then simply give the outcome to the patient and book them in on EMIS! Once that's done, please select the answers to the feedback questions - these are critical to us improving the tool for everyone.
❗❗NEW❗❗
We have now introduced a coding system for each outcome to help staff trace where the patient came off at and to help improve outcome accuracy.
Simply copy the care name and outcome letter (e.g., Allergies - A) into the booking reason and then enter as much information you have gathered into the booking notes. Please try to avoid using phrases like "F/U" and "See triage".
To get started, enter your name here:
P.S. Please wait a moment if you can't click here - it takes a couple of seconds to load!