Welcome to the Right Decision Service (RDS) newsletter for April 2024.
Tactuum has been working hard to address the issues experienced during the last week. They have identified a series of three mitigation measures and put the first of these in place on Friday 3rd May. If this does not resolve the problems, the second mitigation will be actioned, and then the third if necessary.
Please keep a lookout for any slowing down of the system or getting locked out. Please email myself, mbuchner@tactuum.com and onivarova@tactuum.com if you experience any problems, and also please raise an urgent support ticket via the Support Portal.
Thank you for your patience and understanding while we achieve a full resolution.
A rotating carousel presenting some of the key RDS tools and capabilities, and an editable slideset, are now available in the Resources for RDS providers section of the Learning and Support toolkit.
The redesign of RDS Search and Browse is still on-track for delivery by mid-June 2024. We then plan to have a 3-week user acceptance testing phase before release to live. All editors and toolkit owners on this mailing list will be invited to participate in the UAT.
The archiving and version control functionality is also progressing well and we will advise on timescales for user acceptance testing shortly.
Tactuum is also progressing with the deep linking to individual toolkits within the mobile RDS app. There are several unknowns around the time and effort required for this work, which will only become clear as the work progresses. So we need to be careful to protect budget for this purpose.
These have all been compiled and effort estimated. Once the redesign work is complete, these will be prioritised in line with the remaining budget. We expect this to take place around late June.
Many thanks to those of you completed the value and impact survey we distributed in February. Here are some key findings from the 65 responses we received.
Figure 1: Impact of RDS on direct delivery of care
Key figures
Figure 2 shows RDS impact to date on delivery of health and care services
Key figures
These data show how RDS is already contributing to NHS reform priorities and supporting delivery of more sustainable care.
Saving time and money
Quality assurance and governance
Service innovation and workforce development
A few examples of toolkits published to live in the last month:
Some of the toolkits the RDS team is currently working on:
Please contact his.decisionsupport@nhs.scot if you would like to learn more about a toolkit. The RDS team will put you in touch with the relevant toolkit lead.
Thanks to all of you who have responded to the retrospective quality audit survey and to the follow up questions. We still have some following up to do, and to work with owners of a further 23 toolkits to complete responses. An interim report is being presented to the HIS Quality and Performance Committee.
Eight clinical services and two public library services are undertaking tests of change to implement the Being a partner in my care app. This app aims to support patients and the public to become active participants in Realistic Medicine. It has a strong focus on personalised, person-centred care and a library of shared decision aids, as well as simple explanations and videoclips to help the public to understand the aims of Realistic Medicine. The tests of change will inform guidance and an implementation model around wider adoption and spread of the app.
With kind regards
Right Decision Service team
Healthcare Improvement Scotland
Ailsa Stein - Programme Manager, SIGN. ailsa.stein@nhs.scot
Kirsty Littleallan - Administrative Officer, SIGN. kirsty.littleallan@nhs.scot
Co-chairs of SIGN Guideline Group:
Dr Selena Gleadow Ware, Consultant Perinatal Psychiatrist, NHS Lanarkshire, Selena.Gleadow-Ware@lanarkshire.scot.nhs.uk
Susan McConachie, Regional Perinatal Nurse Consultant, NHS Lothian, susan.mcconachie2@nhslothian.scot.nhs.uk
Senior responsible owner
Roberta James, SIGN Programme Lead.
Content has been checked for accessibility in line with the relevant RDS standard operating procedure.
The content in this toolkit has been developed by the SIGN guideline group for SIGN Guideline 169: Perinatal mental health conditions.
Content has been reviewed and approved in line with the SIGN editorial governance process.
Final content was signed off by SIGN Programme Lead.
The content will be considered for update 3 years from publication. Any minor updates brought to the attention will be dealt with on an "as needed" basis.
Updates will be reviewed and approved in line with the SIGN editorial governance process.
Content updates on the Right Decisions platform will be carried out by the SIGN team, with support from the Right Decision Service team when required.
RDS automated alerts when review is due will be sent to the Programme Manager responsible for the project, and the generic SIGN inbox, sign@sign.ac.uk .
Six months prior to the deadline for update (ie 3 years post publication) a scoping review will be conducted to identify new evidence which may change the recommendations in the toolkit. The results of the scoping review will be circulated to the original guideline development group for comment, and to identify any other new areas for inclusion. Their responses, along with the review results, are submitted to the work programme committee for consideration for update or revalidation.
Content will be updated using the guideline development processes outlined in the SIGN methodology manual, SIGN 50: a guideline developer's handbook.
Amendments will be developed by a multidisciplinary group of clinicians and people with lived experience, subject to peer review, and signed off by the SIGN editorial team.
The content was reviewed by the clinicians and people with lived experience on the guideline development group.
The SIGN guideline was available for peer review in June 2023. All comments received were addressed and responses published on the SIGN website. The guideline was reviewed by clinical experts from SIGN Council as part of the editorial process.
Copyright permission was obtained from the Australian government for use of recommendations from the Centre for Perinatal Excellence (COPE) guideline, Mental Health Care in the Perinatal Period: Australian Clinical Practice guideline, 2023.
Copyright permission was obtained from Professor Marie-Paule Austin, Adjunct Professor, School of Psychiatry, UNSW, to use the version of the Antenatal Risk Questionnaire (ANRQ) deployed in this toolkit..
The City Birth Trauma Scale is free to use in clinical practice or research under a Creative Commons licence. It was published by Ayers S, Wright DB and Thornton A (2018) in Development of a Measure of Postpartum PTSD: The City Birth Trauma Scale. Frontiers in Psychiatry, 9:409.
The authors of the Edinburgh Postnatal Depression Scale (EPDS) grant permission for reproduction. Copyright remains with the British Journal of Psychiatry, as detailed in Cox, J.L., Holden, J.M. and Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal
Depression Scale. British Journal of Psychiatry, 150, 782-786.
All icons are from Flaticon.com, accessed through the licence held Tactuum Ltd for the resources supported by the software platform it provides.
The content is based on robust evidence-based guidelines. Each recommendation was assessed for suitability for the Scottish healthcare context and acceptability to the patient population in Scotland.
The content of this toolkit was reviewed by the SIGN editorial team (October 2023) and signed off by the SIGN Programme Lead.
SIGN Council and the SIGN senior management team monitor the SIGN work programme, and SIGN methodology includes procedures for identifying when new evidence prompts an update to current guidance.
The email for the SIGN Programme Manager is available in the "Key contacts" section above and can be used to highlight any feedback or complaints.
Any messages received through the RDS Feedback form will also be forwarded to the Programme Manager.
The Programme Manager will address the feedback. If it requires significant amendments, it will be referred to the SIGN senior management team for consideration for the SIGN work programme.
The toolkit has been risk assessed, and mitigations put in place where required.
The toolkit was user tested by the group of clinicians and people with lived experience in the guideline development group throughout its development.
The toolkit was available for open consultation in June 2023. Responders were asked to comment on the ease of navigation, look and content of the toolkit. All comments were addressed and responses published on the SIGN website.
Mental health in pregnancy and after birth (SIGN)