The current national emergency that the NHS is facing due to the global pandemic of Covid-19 will mean that general practice is set to see a significant rise in demands for palliative care in the community. Where there is a need to reduce burdens on the district nursing team in having to collect community drug charts in person from the surgery, we've outlined below two ways to send this chart electronically. It is imperative that this suggested solution is firstly discussed with your local District Nurse team/ District Nurse team manager. This is a temporary suggested solution given the national emergency, and district nurse teams may vary on whether this solution is acceptable to them.



NB: Process if PDF Printer not installed.

1. Prescribe

The EOL drugs can be issued from the template by clicking over the medication, once issued the doses can be increased by right clicking over the medication from the view below and selecting Amend medication. From the same screen the chart can then be printed by selecting "Community Drug Chart - Syringe Driver". For further information, please see the End of Life Support Article


2. Written Signature

When the drug chart opens in Word you can then Print the document through File and Print and then sign the paper Drug Chart document. 




3. Scanning back on to SystmOne

If the district nurse team has access to SystmOne, the Drug Chart is scanned back into the record once signed. The District nurses can then find it in Communication & Letters on the clinical tree, right click and print the electronically signed Drug Chart, hence saving the need for anyone having to come to the practice.



4. Emailing

If the district nurse team does not have access to SystmOne you can email the Drug Chart to them. Each practice will have to make sure that we have an email setup for the relevant district nurse teams. 


This can be done from Setup>Referrals & Letters> Address Book> Then adding a new place to you Organisation list and putting the email within there.


Once this has been done the practice can open the patient's records and go to Communications & Letters on the clinical tree then Right Click over the Drug Chart and send via NHS Mail and choose Existing Contact.




NB: Process if PDF Printer installed and Paid Adobe Acrobat Account.


1. Prescribe

The EOL drugs can be issued from the template by clicking over the medication, once issued the doses can be increased by right clicking over the medication from the view below and selecting Amend medication. From the same screen the chart can then be printed by selecting "Community Drug Chart - Syringe Driver". For further information, please see the End of Life Support Article


2. Sign/Electronic

When the drug chart opens in word you can print the document through File and PDF Printer, select print, make sure you select the option for open after creation, save the document and Adobe Acrobat will open. If you have an active account you will be able to use the sign document icon. After you have signed the document, file and Save As, and we suggest saving it into a folder that sits on the desktop appropriately labelled, eg Community Drug Charts. Close Adobe and Save Final Version into SystmOne.




3. Send

You can then open you're NHS email, attach and send. When this is sent you need to delete the drug chart from the folder on the desktop.



4. Accurx / ChainSMS

If the District nurse would like this sent to their mobile phone, this could be sent via Accurx / ChainSMS using the district nurses mobile phone number.

NB: The district nurse will need the patient's Date Of Birth to access this attachment via Accurx.