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FIT Safety Netting Pilot - NHSE

FIT Safety Netting Pilot - NHSE

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We’re currently transitioning Ardens Clinical support articles to this new Knowledge Base. Content will be added progressively, so you may find limited articles available at this stage.

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ℹ️Introduction

This article explains how to use the Ardens FIT Pilot resources to support the identification, follow-up and monitoring of patients who have been offered a Faecal Immunochemical Test (FIT). By the end of this article, you will understand how to record key FIT information, identify patients requiring follow-up, and monitor FIT activity within your practice.

Background

The FIT Pilot aims to support a more structured and consistent approach to managing FIT completion across participating practices. It focuses on identifying patients who have been offered a FIT but have not yet completed the test, as well as highlighting gaps in the recording of key information, such as cancer safety netting and written advice.

The pilot will help practices understand how the process is working in practice, identify opportunities for improvement, and inform the implementation of a consistent approach to FIT follow-up in the future.

How Ardens Can Help

Ardens provides a range of resources to support practices throughout the FIT Pilot:

  • Clinical templates: to support consistent recording of FIT provision, cancer safety netting, written information and follow-up activity.

  • Clinical reports: to identify patients who may require follow-up, highlight gaps in recorded information, and monitor FIT activity and results.

How to Access

Reports

  • Go to Population Reporting

  • Expand the Ardens Searches folder

  • Select 4.14 Conditions - Cancer > FIT Pilot

For the latest version of the reports, download from the Ardens Portal, access this support article for further guidance.

Template

  • Open a consultation and select Run Template

  • Search for the Faecal Immunochemical Test (FIT) (Ardens) template.

  • Alternatively, add the Fit Pilot protocol to your F12 key for each access to the template (access this support article on how to add the launcher to your F12).

Reports

  • Go to Population Reporting

  • Expand the Ardens Searches folder

  • Select 4.14 Conditions - Cancer > FIT Pilot

For the latest version of the reports, download from the Ardens Portal, access this support article for further guidance.

Template

  • Open a consultation and select Run Template

  • Search for the Faecal Immunochemical Test (FIT) (Ardens) template.

  • Alternatively, add the Fit Pilot protocol to your F12 key for each access to the template (access this support article on how to add the launcher to your F12).

📝Record

Accurate coding is essential to ensure activity is captured correctly. The Ardens Faecal Immunochemical Test (FIT) template provides a consistent way to record key FIT information and follow-up activity for the patient.

The Test page is used to record the patient's indication for FIT and the action taken. Select the relevant indication(s) based on the patient's symptoms and age, then record the appropriate action, including whether a FIT was indicated and provided.

For the FIT Pilot, ensure the following key information is recorded:

  • Provision of FIT kit

  • Cancer safety netting

  • Provision of written information

⚠️Please note: For the FIT Pilot, recording the above codes is essential because the associated reports use these entries to identify patients needing follow-up and to monitor pilot activity

🚨Identify

The FIT Pilot reports can help practices identify patients who may require further action. Work to Do reports highlight outstanding activity or missing information, while Activity reports can be used to monitor activity that has already been recorded.

Work to Do

The Work to do reports can help identify patients who:

  • Have a FIT recorded up to 6 weeks ago, and no results have been recorded

  • Have had a FIT recorded, but are missing cancer safety netting and/or written information.

  • Have a FIT test request recorded, but do not have the associated safety netting, written information or FIT provided recorded.

Reports should be reviewed regularly in line with the practice's agreed process to identify and address any outstanding actions.

Depending on the report and the information identified take the following action:

  • No result recorded after FIT provided → review the patient and record follow-up on Results not back page of the template.

  • Missing safety netting / written information / FIT provided entry → reopen the Test page of the template and add the missing pilot information.

  • Result recorded but patient not appearing as expected → check the result has been coded/recorded in the expected way and rerun the report.

Activity

Activity reports can be used to monitor the FIT activity recorded within the practice.

Examples include reports showing:

  • FIT results recorded in the last 1 month.

  • FIT results recorded in the last 1 year.

  • FIT follow-up activity where a result has not been received.

These reports can help practices monitor activity during the pilot and understand how the process is being used.

Work to do reports

Right-click on the Work to do folder and select Run. Once the reports have been run, select the Population Included tab to action the patients appropriately.

Results not back

Access the template and use the Results not back page record outcomes, such as you were unable to contact the patient, or there was a sample error. Save the template once documented.

Activity reports

Right-click on the Activity folder and select Run. Once the reports have been run, select the Population Included tab to view patients that meet the criteria, or Population Excluded for those who have not.

🏫 Additional Support