Covid Eclipse Training

What is Eclipse Covid Module? Watch this 6 minute video on the point of Eclipse before looking at the detailed instructional one below it.

The Eclipse COVID module is powerful tool for helping to identify patients who need to be shielded and to support them. However it has been up and running well in Norfolk where Eclipse is based for several weeks now. How useful is the later deployment in Suffolk going to be?

The Barrack Lane Based Video produced 11 May 2020 for Suffolk (14 minutes)

FOR FULLSCREEN PRESS PLAY AND THEN THE SQUARE ICON BOTTOM R

Resources and Information

Link to short introductory video
Dr Julian Brown Norfolk BUT NOTE THAT INTERFACE AND ICONS AND GOV GUIDANCE HAS EVOLVED since he posted the video (3 minutes)

Resource Page on Eclipse website
Some fairly useful resources on the left of the page (do not log in or you will miss these resources)

Mid Essex CCG have some useful documents on their website for SystmOne and EMIS users: midessexccg.nhs.uk/medicines-optimisation/covid-19-resources/covid-protect-resources-eclipse-advice-and-guidance

Useful SystmOne resources:

SUPPORT TEAM CONTACT DETAILS- very responsive
Email: support@prescribingservices.org
Tel: 01553615539

*** Specialties Shielding Guidance ***
Produced at Barrack Lane Surgery collating some of the most useful guidance.

IMPORTANT NOTE
A high WHO morbidity score means patients ARE extremely vulnerable.
However, even those with a very low score COULD be extremely vulnerable.

The VISTA features of Eclipse will be very useful once activated as secondary care data such as admissions and blood tests which have not been sent over to primary care but done in hospitals will be picked up by Eclipse automatically. This is being worked on for Suffolk and has been working well in Norfolk for years now.

NHSPatient.Org website for patients to do a “daily" update for the healthcare team (does NOT need to be daily) using their COVID code from Eclipse and dob.

This information from patients is visible in Eclipse COVID module by clicking on the "patient survey" icon

Clicking on the patient survey will basically reveal if there are any actions required in the following 4 areas:

Current COVID-19 Surveillance Alerts = cough, fever etc.
Current HealthCare Requests = non urgent clinical query for practice
Current Medication Requests = not enough meds for next few days and cannot source it
Current Council Requests = non-medical needs

Guidance for shielded patients already received

Requirements for GPs regarding shielded patients 9 April 2020 letter from NHSE/NHS Digital

COVID-19: Shielded Patients List – NHS Digital Algorithm

BMA/RCGP letter (Vulnerable Patients, The Role of General Practice during COVID-19) page 4 covers what to discuss in phone calls:

Confirm understanding of advice on shielding and on hygiene including regular hand washing in accordance with national guidelines.
Advice on the importance of routine immunisations such as seasonal flu, pneumococcus, shingles, as appropriate.
Advice on when and how to access medical care, if their condition deteriorates.
Consider whether care plans and prescriptions are in place for end of life decisions. This should include information sharing to GP Out of Hours services and other agencies.
Confirm details of carer and next of kin as appropriate.
Confirm that the patient has sufficient medication. It is recommended that this is prescribed electronically, if possible.
Consider an assessment of social care needs and referring the patient to social prescribing partners. This may be especially important for those who live alone to ensure that they have access to medication, day to day supplies and emotional support.
General Practitioners may also be asked to provide a Fit Note (Med3). Patients can now get an isolation note online. For example, https://111.nhs.uk/isolation-note
AND over the next few months and weeks, it is possible that individuals may suffer significant stress, anxiety and related psychological difficulties. Please be mindful of the support available through community mental health teams, social services, the voluntary sector, online resources and other agencies and as appropriate report any safeguarding concerns according to local protocols

Practices are reminded about the COVID-19 interface on Eclipse that can assist with identifying patients at high risk of needing an ITU bed if they become unwell with coronavirus.

COVID Protect - Centrally Optimising Vulnerable Individuals through Data

Ipswich and East Suffolk CCG have been liaising with ECLIPSE (Prescribing Services) regarding their new COVID-19 PROTECT module, which offers some critical functionality at this time and are urging all remaining practices to sign up to ECLIPSE as soon as possible.

ECLIPSE is already installed in half of Ipswich and East practices, most of West Suffolk and all the North East Essex area and in light of current circumstances it is now possible to fast track your sign up in 2-3 days. This module has been written by GPs for use by GPs with the key benefits being:

Automatically identifies and stratifies vulnerable patients using latest government criteria
Enables proactive engagement with those high-risk patients via online questionnaires to ensure they are self-isolating or being shielded correctly
Evaluates the risk of hospitalisation to a vulnerable patient based on age, gender, co-morbidities, medications, etc.
Potential for centralised monitoring of vulnerable patients to designated hubs or the CCG
Provides up to date and easily accessible patient information to East of England Ambulance crews to aid emergency decision-making
The module is being constantly updated with new functionality in response to this rapidly changing situation

By signing up to the system you will be improving your patients’ care by allowing local oversight of our vulnerable population and the ability of our Ambulance services to provide safer care.