Clinical Data Quality & Auditing

At the Royal Oldham Hospital in Manchester, multiple inpatient referral processes were used by different clinical specialties. These often needed administrative support to manage incoming referrals. In addition, there wasn't an adequate way to manage referrals electronically to ensure referrals were dealt with more quickly.

There was a lack of standardisation in referrals at the Royal Oldham Hospital. Therefore, there was a large range in the level of detail and clinical information documented in patient referrals. Benchmarking also showed that telephone calls between the referee and referrer were often not documented in the patient’s notes. So, there was a need for a better way to manage patient referrals.

Solution: Patient Referrals

To kick off, a team of senior clinical leaders, consultants, clinical fellows, registrars, and nurses worked in consultation. As a result, Bleepa was developed as a referral management tool used to create a standard in the way referrals were made. This included the clinical information needed to effectively process the referrals.

The goal of this is to capture only the essential, but enough, details that would apply across specialties. As well as not making the referral process too hard work or time-consuming. Within the tool, it is also possible to tailor questions for specific specialties.

The result is a patient referral process that aligns with best practice and maintains a standard along the patient pathway. As well as improving clinical communication by being auditable and transparent.

Conclusion: Clinical Data Quality

Bleepa is fully auditable system. Therefore, all referrals ands outcome are available to review during and following the patient journey. In addition, the Bleepa referral form standard includes information such as:

  • Co-morbidities
  • Frailty score
  • NEWS score
  • Access to all PACs imaging
  • Reason the for referral or clinical question
  • Contact details for the referrer


“The referral form in Bleepa allowed us to capture really important clinical information about the patient, which not only is it important to allow us to plan treatment, it also gave the clinicians more information, in one place, at one time, in order to aid them to triage patients’ requirements.”

Janine Beattie
EPR Clinical Configuration Lead

Key Facts

Referral Standardisation

100% of Bleepa submitted referrals contained the required clinical information identified by local clinical champions.

Auditable Messages

276 (non-imaging) messages were documented in the chat between clinicians, over the course of six-weeks.

Figures based on benefits realisation analysis by Royal Oldham Hospital.
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