Overview

COVID 19 Triage Spreadsheet
Information


Sheet 1: COVID 19 Triage Spreadsheet

COVID19 Dental Triage Spreadsheet

























This spreadsheet is required to be completed by NHS 111 or the referring dentist, the Clinical Triage Service and the Urgent Dental Care Systems. A new copy of the spreadsheet is required at each stage. When completed the spreadsheet needs to be emailed using a NHS.net email account to england.covid19triageeast@nhs.net along with a completed 'Patient Triage System -Care Record'.

























Further instructions are included within the 'Information' tab below and within the Standard Operating Procedure: Planning for Urgent Dental Care During the COVID19 Pandemic.

























Each completed spreadsheet is to be sent to: england.covid19triageeast@nhs.net
Patient Triage System- Care Record




























A)      Section A in green is to be completed by NHS111 service or referring general dental practitioner. See Information sheet for further guidance.


































































B)      Section B in yellow is to be filled by the Clinical Triage Service. See information sheet for further guidance.


































































C)      Section C in orange is to be filled by the Urgent Dental Care System See information sheet for further guidance








































































SECTION A - To Be Completed by 111 or Referring Dentist SECTION B To Be Completed by Clinical Triage Service SECTION C To Be Completed By Urgent Dental Care System
Date + Time Referral Sent Patient Name D.O.B. Age Group Patient Address & Post Code Patient Contact No. COVID-19 risk Patient Complaint Provided 3 A's & referral to CTS is appropriate/ there are no other treatment options? Medical History Summary Drug Allergies Name of Referring NHS 111 Service Name of Referring Dentist GDC Number Contract/ Performer Number Name of General Dental Practice GDP Post Code Date Clinical Triager Name Clinical Triager NHS.net Email Patient Referred by NHS 111 or GDP? Email Address of Referring GDP Referral appropriate for CTS Advice Given, Including Analgesia Advice Prescription Given Treatment outcome If sent to UDC, UDC code Email sent to GDP (where applicable) to advise on care provided? Date Treating Dentists Name Treating Dentist NHS.net Email Name of Urgent Dental Care Centre AM or PM DNA? Is Referral Appropriate From CTS? Treatment provided AGP Used? FFP3 Mask Used? Treatment outcome Clinical Notes Recorded In Patient Triage System- Care Record? Outcome Emailed to GDP?



0-19










































*see information tab for more information



*Only to be completed if patient is referred by NHS 111 * Only to be completed if patient is being referred by a dentist





*Further details to be provided in Patient Triage System- Care Record


*Email to include Patient Triage System- Care Record + spreadsheet






*Further details to be provided in Patient Triage System- Care Record



*Email to include Patient Triage System- Care Record + Spreadsheet

Sheet 2: Information

Section A
Section A in green is to be completed by NHS111 service or the referring general dental practitioner. The referring dental practitioner is also required to fill out the Patient Triage System - Care record, (link found at the bottom left of the spreadsheet) and also email this with this spreadsheet. Incorrectly completed forms will be returned. The spreadsheet must then be e-mailed using the following address: england.covid19triageeast@nhs.net to the Clinical Triage Service. (Please note information to up-to-date links to identify shielded and vulnerable/increased risk patient groups are provided in the Standard Operating Procedure or below. Columns K,L,M and N are to be completed by the referring dentist only i.e. NHS111 do not need to fill out these columns).

Section B
B)      Section B in yellow is to be completed by the Clinical Triage Service. Column O is to contain the contact details of the referring dentist. If treatment is completed, Column W indicates a confirmation email has been sent back to the dentist. This spreadsheet and the Patient Triage System - Care Record (link found at the bottom left of the spreadsheet) are to be attached to this email. The subject heading should read “Clinical Triage Service Patient Treatment Details For Your Records”.


Section C
C)      Section C in orange is to be filled by the Urgent Dental Care system. Included in this section is confirmation that an email has been sent back to the dentist at column AA. This email should include details from the Patient Triage System - Care Record (link found at the bottom left of the spreadsheet), along with attachment of this spreadsheet for the dental records. The subject heading should read “Urgent Dental Care System Patient Treatment Details For Your Records”.


Vulnerable Groups
For information on Vulnerable/increased risk patients refer to: https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people


Shielded Groups
Sheilded patients refer to: https://digital.nhs.uk/coronavirus/shielded-patient-list#spl-clinical-algorithm