Moorfields Eye Hospital NHS Foundation Trust
We're a small team solely focused on improving the consent process, and we hope you enjoy the move over to digital consent. You can read about the team and why we're working on Concentric in our about us page. Most healthcare software is difficult to use, slow, and gets in the way. We hope you soon agree that using Concentric feels pretty different.
Why switch to digital consent?
After using Concentric, the vast majority of clinicians state that they prefer digital consent to the traditional paper process, that the quality of the consent process is improved, and that their time is better utilised.
Patients report improved shared decision making quality, appreciate that their consent information is increasingly accessible and clearly presented, and allows them to revisit the information in their own time.
Read more about the benefits of introducing digital consent and watch our intro video.
How is Concentric used?
Using Concentric is simple, and most clinicians take minutes to get accustomed to how it works. This 30-minute in-depth demonstration gives them a detailed understanding, including how Concentric is used in different scenarios, and should give you the confidence to start using Concentric with your next patient.
Some scenarios are not relevant for every clinician, for example the consent form 2 scenario, so use the sections within the video if you'd prefer to only view the scenarios that are relevant to you.
There are additional guides available covering the use of Consent Form 2 and Consent Form 4 scenarios.
If you'd prefer to read a walkthrough of how Concentric is used rather than watch the above video, here's our written workflow guide, but you must return to this page to review the subsequent onboarding information.
Let's get you started
- When your account was set up you’ll have received an email from Concentric with initial instructions, including a link to this onboarding guide. You'll use your NHS email address with a Concentric password to login at app.concentric.health.
- Concentric can be accessed from anywhere, on any web-enabled device. The integrations with other systems work the same regardless of where you are accessing from.
- To get comfortable with using Concentric, most clinicians try it out with a test patient record initially. Search for patient 'test-patient' for an adult test patient, or 'child-test-patient' for the child test patient where the consent form 2 process can be seen.
Creating a patient record
Currently there is no integration with patient demographics so a patient record needs to be created within Concentric before a first episode is created. You'll know this is the case if you're offered the option to 'Add a new patient with this number' after searching for a patient. Creating a new patient record involves adding some basic demographics:
In this non-integrated scenario you should ensure that all the patient demographic fields are correct prior to creating the patient record as errors are associated with clinical risk and may mean that it is difficult to find the record in future, and may mean that consent episodes associated to the patient record cannot be used to confirm that consent has been given (for example in theatre).
WHO Surgical Safety Checklist
During the pilot phase, completed consent forms are to be printed for review as part of the WHO Surgical Safety Checklist. If the pilot is successful, integration with OpenEyes will be done so that completed Concentric consent forms will be sent automatically, and then viewed in theatre, in OpenEyes.
Additional Moorfields user reference guide
This additional step-by-step user reference guide has been developed by the team at Moorfields to further support you in getting started with Concentric.
Important clinical safety considerations
As part of using the Concentric application you confirm that you have read, understood, and agree to the following statements:
- As a clinician you maintain the clinical responsibility for the consent interaction and the appropriateness, at an individual patient level, of consent information being selected, documented, and shared.
- The information within a treatment template may change over time as part of Concentric Health's review processes or due to local requests for changes. In most cases these changes will not be directly communicated to an individual clinician. It is the clinician's responsibility to ensure, for each consent episode, that the information being shared is appropriate for the patient.
- Information provided within Concentric should be consistent with, and supplementary to a consent conversation between clinician and patient. Information shared as part of the Concentric process sits alongside but does not replace the need for a consent conversation.
- As a clinician it is your responsibility to read and adhere to the professional responsibilities and standards set out by the General Medical Council in their guidance, Decision Making and Consent.
- When delegating consent, you must ensure that the practitioner has the relevant training and knowledge to undertake this and if not, make alternative arrangements which may include training and direct supervision.
- When the process of obtaining consent has been delegated to you, you should only undertake this if you have the appropriate training and knowledge. You must let your colleague know if you are not able to meet this standard, and ask for support. You must not practice outside your area of competence.
- Where the clinician and patient do not share a spoken language professional interpretation services should be used to facilitate the consent conversation. Translated Concentric information can be used alongside, but should not be used instead of an interpreter.
- It is important that patients have access to their consent information. Whilst most patients will receive this digitally it is important that consent information is printed and shared with patients when digital access is not possible.
- To ensure the security of patient health data and reliability of the audit trail you must log out following clinical use, and you must not share access credentials. All interactions within Concentric are associated with your name and clinical practice registration.
- When needing to enter patient contact details you should ensure accurate data entry so that information is successfully received and not inappropriately shared with a different individual.
- Following departmental transitioning to digital consent it is important to only use digital consent (outside of some business continuity plan scenarios) in order to minimise confusion and potential errors within the healthcare system.
Clinician consent statements
To simplify the process, the clinician receiving the patient's consent automatically adds an electronic signature to the consent form PDF as part of being logged in and going through the consent flow with the patient (consult view), or by enabling remote consent.
The electronic signature is associated with the following two statements, added to the 'Statement of health professional' section on the consent form PDF:
- I have explained the procedure, including the intended benefits and serious- or frequently occurring risks described in this document to the patient.
- I have also discussed what the procedure is likely to involve, the benefits and risks of any alternative treatment (including no treatment), and any particular concerns of the patient.
You should ensure that you are comfortable that the above is true prior to progressing through the consent flow in consult view or enabling remote consent.
Concentric is shaped by what our clinician and patient users tell us, and we are always looking to improve based on this feedback. We regularly release updates to Concentric with new and improved product features, and updated clinical content.
You can read our product release notes and content release notes to see the updates that we've made recently. The list of all the treatment templates currently available within Concentric, presented by specialty, is maintained in our treatment template list.
Support and contact details
If you are having any issues getting started with Concentric, a problem arises, or you need an account set up, please let us know so we can quickly get things sorted for you. You can also explore our knowledge bank for answers to frequently asked questions (FAQ's) from clinicians and deploying teams.
Email: Safwana Abdulrasid, Project Support Officer for Department of Digital Medicine - firstname.lastname@example.org
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