Data Protection Impact Assessments

In accordance with the General Data Protection Regulation (GDPR), Yorkshire Ambulance Service carries out a Data Protection Impact Assessment whenever new types of processing are undertaken or new systems are introduced that have the capacity to create a high risk to the security of personal data.

Each Data Protection Impact Assessment involves the systematic evaluation of the information risks associated with the new processing and the determination of appropriate measures and controls that will reduce these risks to a level that enables the Trust to process the personal data in compliance with the data security requirements of GDPR. Completed assessments are authorised by the Trust’s Data Protection Officer.

Data Protection Impact Assessments completed by YAS since the introduction of GDPR in May 2018 are shown in the register below. Copies of these Assessments are available on request from:

Information Governance Manager

Yorkshire Ambulance Service NHS Trust
Springhill 2
Brindley Way
Wakefield
WF2 OXQ
(yas.yasinformationgovernance@nhs.net)
(01924 584916)

Star BadgesYAS are to share the first name, surname and private residential address of each staff member and volunteer so they can receive a badge and accompanying letter from Rod Barnes, Chief Executive, and Kath Lavery, Chairman as part of the Star Awards on their doorstep of their home.March 2021

YAS Pathway to Scarborough and Ryedale Single Point of Access (SARSPA) incl. Whitby and Pocklington Single Points of Contact (SPOC)The pathway will support the formation of an updated clinical pathway allowing YAS clinicians to refer patients to the service and to monitor the effectiveness of the pathway. Also to support investigations relating to the pathway if this becomes necessary. If the service provider identifies an issue they will send details of the YAS incident number, patient initials and date of birth to the YAS Patient Relations Department, who will allocate a manager in the Clinical Pathways team to investigate. Any further person-identifiable or special-category information will be shared only when necessary for an investigation and passed via NHS secure email after the incident is logged with Patient Relations. The opposite will occur if the Clinical Pathways team identifies an issue that they wish the service provider to investigate but this will also utilise the patient’s NHS number.May 2021

Data Protection Impact Assessment  Brief Description  Date Finalised 
Vocare Vocare Ltd is to be utilised for Emergency Department validation, using associated qualified clinicians for a time limited pilot with the appropriate governance arrangements. As part of this contractual arrangement YAS will be using Vocare Clinicians to assess cases sent to their call queue via the DoS these cases would normally be handled in the YAS call centres. Vocare Ltd is an existing NHS 111 provider with outsourcing arrangements in place with other providers. May 2018
National Record Locator Service (NRLS) The NRLS can store the location of digital (and paper) records across the NHS. YAS is involved in a pilot of the NRLS which is restricted to sharing Mental Health Emergency Care or Crisis Plans with Ambulance and 111 services. The NRLS will identify which NHS organisations hold these plans, enabling YAS to request access. Access will be provided only in accordance with GDPR confidentiality requirements. October 2018
Paediatric Pain Service Evaluation Yorkshire Ambulance Service is preparing a research project to examine whether an alternative method of analgesia administration may improve the management of pain in children. This evaluation is to better understand the current situation in the Service with regards to pain control in paediatric patients December 2018
R Statistical Software To support the introduction at Yorkshire Ambulance Service that enables powerful data analysis beyond that available in simpler spreadsheet applications. December 2018
Paramedic Rotation Pilot Scheme YAS is taking part in a trial paramedic rotation scheme led by Health Education England (HEE). The aim of the scheme is to improve patient care through the more effective deployment of specialist and advanced paramedics. The focus of the Data Protection Impact Assessment was on the exchange of data with HEE as part of the evaluation of this project. January 2019
Mental Health Crisis Project in conjunction with Bradford District Care Trust This is a local pilot project aimed at optimising outcomes for patients by monitoring patient re-contact with YAS following referral to the mental health crisis team at BDCT. February 2019 
Clinical Feedback Pilot with York Hospitals NHS Trust This is a local pilot project aimed at optimising outcomes and improving in-transit care for ambulance patients by obtaining clinical feedback on individual patients from the Emergency Department at York Hospitals Trust. February 2019
GP Connect – Calderdale Clinical Commissioning Group GP Connect – ‘Appointment Management’ and ‘Record Access’ by Integrated Urgent Care Service (NHS 111 – Yorkshire Ambulance Service). To allow Integrated Urgent Care Service (NHS 111 – Yorkshire Ambulance Service) to directly book patients into pre-configured slots within the practice system and to enable NHS 111 clinicians to see a view of the GP Practice clinical record in read-only format. December 2019
Beverley Road Corridor Yorkshire Ambulance Service is taking part in a project with other public sector agencies operating in Hull and the wider Humber region to accelerate progress in improved outcomes, informed by successful early intervention. The chosen geography has a number of challenges, including a high churn in residents that has contributed to significant change in the area over a relatively short period of time. The data set will be used to identify areas of high demand and service activity across public sector, and in due course, voluntary and community sector partners. This understanding will be used to create, change and deliver services more effectively. January 2020
GRS to CAD Global Rostering System (GRS) to be configured to allow crew qualifications to be passed through the interface to update the Trusts Computer Aided Dispatch (CAD) live system automatically. January 2020
Empactis to GRS (Global Rostering System The transfer of staff sickness records information from Empactis system to Global Rostering System (GRS), to allow staff sickness records to be correctly monitored. January 2020
InVentry Visitors signing into Headquarters currently use a manual signing in book. This system would replace the manual system with an electronic system can InVentry. This would enable the Trust to meet its statutory requirements under the Health and Safety Act in respect to the security on the site and it’s duties under the Regulatory Reform Act in terms of fire safety. February 2020
North Lincs CCG – Non- Emergency Transport Services From 7 March 2020 Yorkshire Ambulance Service will be providing Non-Emergency Transport Services for North Lincs CCG. Data will be entered into the Cleric Booking system via the call centre or electronically by a Health Care Representative. This will enable the timely and efficient booking, planning and delivery of non-emergency patient transport as required by our contract. Staff data will be transferred for staff administration. March 2020
Hull CCG – Non- Emergency Transport Services From 12 April 2020 Yorkshire Ambulance Service will be providing Non-Emergency Transport Services for Hull CCG. Data will be entered into the Cleric Booking system via the call centre or electronically by a Health Care Representative. This will enable the timely and efficient booking, planning and delivery of non-emergency patient transport as required by our contract. Staff data will be transferred for staff administration. March 2020
Yorkshire & Humber Care Record The YHCR will support the delivery of integrated care by providing health and social care teams working together with a single point of access to information about the service user, collected from their separate medical and social care records.

The system allows Care Professionals within the Yorkshire and Humber region Health and Social Care community to view, personal and sensitive information about service users. The information held on this system will include Social Care data, as well as data provided by other primary and secondary healthcare providers in the Yorkshire and Humber region Health community.
April 2020
Violence Reduction Unit (VRU) The West Yorkshire Violence Reduction Unit (VRU) is a Unit that brings together specialists from health, police, local government, education, youth justice, prisons, probation and community organisations to tackle violent crime and the underlying causes of violent crime.

The Unit’s work will involve gathering a wide and varied set of personal and special category data from police, health, criminal justice, local authorities and other public services. This data will be used to help identify the underlying risk factors that can lead to violence, diagnose the problem and then assist in the development and the delivery of plans and interventions - alongside communities - to tackle them. The data will be used to improve services as a whole for the region.
April 2020
Connected Yorkshire (Bradford District & Craven)

The Connected Yorkshire (cYorkshire) programme supports service improvement, learning health systems and Population Health Management projects across Bradford District & Craven. The anonymised data will be used to support service improvement and will be applied for all pathways of care as identified by the programme.

This project allows the linkage of ambulance service and primary care datasets. This presents a valuable opportunity to evaluate care that is currently provided by the ambulance service to determine whether public health initiatives are effective, and clinical management and diagnosis decisions are appropriate.

May 2020
GoodSAM

Clinical triage to be completed from home during the COVID 19 pandemic via video from GoodSAM.

This will allow Emergency Operations Centre staff (EOC) to provide clinical triage to patients if widespread staff sickness or isolation starts due to COVID 19. The information will be recorded in the trusts ePR/C3 system and stored according to established trust process. Information is pertinent to the call and outcome will be passed back to EOC and where relevant will be passed to an attending crew or referral recipient. No video images will be recorded.
June 2020
First Response Service (FRS)

This service will support the new formation of a new clinical pathway. It will allow Yorkshire Ambulance Service clinicians to refer patients to the service and monitor the effectiveness of the pathway. This will also allow support for investigations relating to the pathway if necessary.

June 2020
SINEPOST

Research study between Yorkshire Ambulance Service and University of Sheffield. This specific research project is supporting paramedics to make more appropriate and effective decisions for patients who may not require the level of care provided by a hospital. Its aim is to navigate care decisions that will safely provide patients with the right care, first time.

July 2020
PRIEST

Urgent public health (pandemic) research to identify various findings regarding triage methods, routine tests associated with under triage and over triage during a pandemic. To look at alternative triage methods for predicting severe illness in patients presenting with suspected respiratory infections during a pandemic. To link NHS 111 calls identified as potentially relating to COVID19 to participating hospitals. To link ambulance ePR data to hospital and NHS Digital data.

July 2020
Wakefield SPOC To support the formation of a new clinical pathway allowing YAS clinicians to refer patients to the service and monitor the effectiveness of the pathway. This will also support investigations relating to the pathway if this becomes necessary August 2020
Sheffield Alcohol To support the sharing of information to allow the referral of patients over the age of 18 who have been clinically assessed by a Yorkshire Ambulance Service clinician, using M-SASQ tool, and are believed to have ongoing alcohol misuse issues or issues with substance misuse regardless of transport decision. The patient will need to consent to the referral. September 2020
York Alcohol To support the sharing of information to allow the referral of patients over the age of 18 who have been clinically assessed by a Yorkshire Ambulance Service clinician, using M-SASQ tool, and are believed to have ongoing alcohol misuse issues or issues with substance misuse regardless of transport decision. The patient will need to consent to the referral. September 2020
York and Selby Community Response Team (CRT To support the formation of a new clinical pathway allowing Yorkshire Ambulance Service clinicians to refer patients to the service and monitor the effectiveness of the pathway. Also to support investigations relating to the pathway if this becomes necessary. September 2020
Leeds Alcohol To support the sharing of information to allow the referral of patients over the age of 18 who have been clinically assessed by a Yorkshire Ambulance Service clinician, using M-SASQ tool, and are believed to have ongoing alcohol misuse issues or issues with substance misuse regardless of transport decision. The patient will need to consent to the referral. September 2020
FLUMIS FLUMIS system (created by Microcare Technologies Ltd) will enable paperless recording of staff’s flu vaccine into a secure system other than a paper based system. October 2020
Epilepsy Bradford Following the attendance at a 999 call a crew will identify if the patient has suffered from a seizure and is known to have epilepsy. Following a decision that the patient is safe to remain at home the crew will call the clinical hub (health desk) and make a non-urgent referral to the local epilepsy service. Information, detailed above, will be passed via the phone from the clinician to the health desk staff member who will add the information into the referral form The referral form is then emailed securely to the epilepsy service on the email address provided. The epilepsy service will then action the referral and make contact with the patient as required. October 2020
Epilepsy Barnsley Following the attendance at a 999 call a crew will identify if the patient has suffered from a seizure and is known to have epilepsy. Following a decision that the patient is safe to remain at home the crew will call the clinical hub (health desk) and make a non-urgent referral to the local epilepsy service. Information, detailed above, will be passed via the phone from the clinician to the health desk staff member who will add the information into the referral form The referral form is then emailed securely to the epilepsy service on the email address provided. The epilepsy service will then action the referral and make contact with the patient as required. October 2020
Epilepsy RDASH Following the attendance at a 999 call a crew will identify if the patient has suffered from a seizure and is known to have epilepsy. Following a decision that the patient is safe to remain at home the crew will call the clinical hub (health desk) and make a non-urgent referral to the local epilepsy service. Information, detailed above, will be passed via the phone from the clinician to the health desk staff member who will add the information into the referral form The referral form is then emailed securely to the epilepsy service on the email address provided. The epilepsy service will then action the referral and make contact with the patient as required. October 2020
Sheffield Teaching Hospital - SDEC Person-identifiable information will be shared between STH and YAS for the purpose of investigations arising from patient care episodes and to allow follow up, audit and review of the effectiveness and safety of the pathway and to allow for amendments to be made for the referral criteria to benefit patient care and allow care provision in the right place. Number data will be shared at regular intervals between the service in relation to the numbers of referrals and this will be completely anonymised. Any data sharing will be via NHS secure email to a specific email address. The opposite will occur if the Clinical Pathways team identifies an issue that they wish the service provider to investigate but this will also utilise the patient’s NHS number. October 2020
Thank you card YAS are to share the first name, surname and private residential address of each staff member and volunteer so they can receive a personal thank you card from Rod Barnes, Chief Executive, and Kath Lavery, Chairman November 2020
Hull East Riding To support the formation of a new clinical pathway allowing YAS clinicians to refer patients to the service and to monitor the effectiveness of the pathway. Also to support investigations relating to the pathway if this becomes necessary December 2020
Hull East Riding To supply the number of patients referred and accepted to City Health Care Partnership Hull & East Riding Integrated Nursing & Conditions Service by YAS clinicians and to provide information relating to the initial referral outcome on a monthly basis. This is to assist with the evaluation of the pathway, support service improvements and allow feedback to staff on the effectiveness of referrals. Person-identifiable information will be shared between the organisations for the sole purpose of investigations arising from patient care episodes. If the service provider identifies an issue they will send details of the YAS incident number, patient initials and date of birth to the Clinical Pathways team so that they can investigate. The opposite will occur if the Clinical Pathways team identifies an issue that they wish the service provider to investigate but this will also utilise the patient’s NHS number. December 2020
Ambulance Data Set The Ambulance Data Set Project is a three-year piece of work planned over the period April 2019 to March 2022. The Ambulance Data Set into NHS Digital extends the utility of the existing data from its current primary uses into secondary uses. The data set is to bring consistency to information held by the Ambulance service providers, with a view to higher quality and more consistent reporting, removing the need for duplicated effort, all with a view to improving patient outcomes. The information will be collected at patient level and, where there is a legal basis to do so, will be able to link with existing NHS Digital data assets through the Data Processing Service (DPS) to connect patient episodes through different healthcare providers. December 2020
Optima To enable Optima to provide Occupational Health Services to YAS staff. This will allow Optima staff to assess the eligibility of the staff member accessing the service and provide the correct treatment to the staff member. December 2020
Lateral Flow Antigen testing Regular staff testing for COVID 19. To provide COVID – 19 self-test results to Public Health England. This will include personal data, including results of the lateral flow test. The purpose is for track and trace to be implemented properly and allow the joining up of health records. December 2020
YAS Covid Management System The Covid 19 Management System will enable paperless recording of staff Covid Vaccinations. The system will also include a booking system. The employee will complete a consent form prior to arranging their appointment which includes this NHS number, an up to date telephone number and some health related questions. This will enable YAS to report on the number of vaccinations and the suitability of the vaccine. Any data reported nationally will not include any identifiable data. January 2021
Barnsley Buckingham Care Home Calls from the frequent caller database will be shared in relation to patients from a specific care home (Buckingham Care home - Barnsley) over a 2 month period of high 999 call demand. This is to identify and assess system wide issues to help make correct decisions for the residents as to where they are best located and which service would best suit their needs. January 2021
CFR Study This is a study to decide if CFR’s comprise a sizeable part of the rural care workforce. The increasing use of and investment in CFR schemes by ambulances services means that it is important to know which patients and conditions they attend, the range of care they provide, the consequences of their input and at what cost, or how provision could be improved for rural communities. This study will provide important insights into an under researched area of health care provisions in rural areas and will provide important knowledge for ambulance services and CFR schemes and how they can be developed to meet the services future needs. January 2021
Prisons

There is currently sparse information relating to the use of ambulance services by the prison population. Some work in Australia has investigated the use of emergency health services following release from prison, but not the use of emergency health services during stay in prison.

Previous work extracting data from clinical records in four prisons saw that many of the prison population are identified as having long-term conditions (LTCs) and are amongst some of the most vulnerable members of society.

There are 14 remand prisons within the region covered by Yorkshire Ambulance Service NHS Trust (YAS). Initial work indicated that the highest proportion of ambulance calls originating from prisons were made by Health Care Professionals (HCP). However, further details regarding the reason for calls, any treatments provided and the resulting disposition of these patients is unknown.

The aim of this evaluation is to understand the current level of demand, reasons for demand and patient disposition when emergency ambulance calls are made from prisons in the Yorkshire and Humber region.

February 2021
Non YAS Site Vaccination Application To enable YAS staff members to be booked in at other NHS providers to receive a COVID vaccine. YAS will collect information from staff who may be eligible to receive a COVID vaccination at another NHS provider site. The data collected will be passed to the NHS provider who will use the information to contact the staff member. All results will be collected through a secure ‘365’ form and uploaded to a secure portal. Once collected, the data will be shared with the Employee Health and Wellbeing team. February 2021
InVentry

Visitors signing into Headquarters currently use a manual signing in book. This system would replace the manual system with an electronic system can InVentry.

This would enable the Trust to meet its statutory requirements under the Health and Safety Act in respect to the security on the site and it’s duties under the Regulatory Reform Act in terms of fire safety.

February 2021
N365

As part of the N365 product, the Teams rollout is part of a suite of applications, including Microsoft office and will replace the out of support Office 2010 and SharePoint 2010. Products within this include; Office (Word, Excel, PowerPoint, etc.) Teams SharePoint OneDriveTEAMS DPIA – Final March 2021 Page 3 of 26 Plus additional components that will allow workflows, forms and advanced functionality to develop line of business improvements.

This DPIA needs to be read in conjunction with the NHSD DPIA

March 2021
Leeds Mental Health Crisis Triage Service

Supporting the formation of a new clinical pathway allowing YAS clinicians to refer patients to the service and monitor the effectiveness of the pathway.

This will also support investigations relating to the pathway if this becomes necessary.

March 2021
Bike to Work

The Bike to Work Scheme has been available to Yorkshire Ambulance Staff since 2011. The platform that we use is the Vivup benefits platform. This is already available to YAS staff but we have received approval to increase the value available to staff through the scheme. The Bike to Scheme limit has been raised from £1000 to £3000.

Data is collected in order to discount salary as part of the Bike To Work scheme. The types of data collected is detailed below: The employee self-registers on the platform using their First name, Last Name and Email address. This allows them to access the dedicated Employer portal to view their benefits.

March 2021
Body Worn Cameras

The Trust is participating in the National Pilot Evaluation of Body Worn Cameras (BWc). The BWC’s are capable of capturing both video and audio information. These will be used by uniformed operational staff and be fitted to their Trust issued clothing.

With the progression of technology, the devices have become smaller, lighter and more easily carried by staff. It is widely known that members of the public, going about their daily lives, are likely to have their movements and identity captured on a multitude of surveillance systems and it is of paramount importance to mitigate any privacy risks and issues associated with body worn cameras.

This pilot demonstrates YAS commitment to supporting front line staff regarding instances of violence and aggression.

April 2021
Ascenti

Ascenti will provide Musculo skeletal care for the Trust staff including physiotherapy.

Ascenti will hold staff data to effectively assess and treat the patient.

April 2021
Health Passport

The project will ask staff to share information regarding their health condition that would require an adjustment to be made to enable them to work without barriers. This information can be shared with a new manager and will contain monitoring information about the adjustment.

N365 forms with controlled limited access to SharePoint will hold the information in the FORMS application and an exported spread sheet.

April 2021
Hull & East Riding Mental Health Response Service Supporting the formation of a new clinical pathway allowing YAS clinicians to refer patients to the service and to monitor the effectiveness of the pathway. This will also support investigations relating to the pathway if this becomes necessary. May 2021
Hull Substance Misuse

Supporting the sharing of information to allow referral of patients over the age of 18 who have been clinically assessed by a Yorkshire Ambulance Service clinician and are believed to have ongoing substance misuse issues or have taken an unintentional overdose and are not conveyed by ambulance to the hospital.

The patient must consent to this referral

May 2021
End of Life Pilot

The the End of Life Pilot across the WY&H region is to provide interoperability between the disparate systems in the region, providing a golden thread of patient record information that is securely and appropriately available at the point of care across the full health and care system.

There is a clear case for change that is focused around the ability to deliver safer, more effective and joined-up care and to achieve more efficient (and cost-effective) internal processes.

May 2021
Connected Bradford The Connected Yorkshire (cYorkshire) programme supports service improvement, learning health systems and Population Health Management projects across Bradford District & Craven. The anonymised data will be used to support service improvement and will be applied for all pathways of care as identified by the programme. The intentions and purposes of the Connected Yorkshire linked datasets include the following. This list is not exhaustive: - Understanding the patterns of health needs for patients - Mapping of pathways of care across organisations. - Using this learning to develop new patient care interventions and quality improvement programmes, that integrate health and social care, including self-management and community based approaches. - Evaluating the effects of changes in healthcare practice and policy. - Anonymised data will be used for research purposes and in research publications. May 2021
West Yorkshire and Harrogate Local Maternity System Following the review of maternity services at Shrewsbury and Telford NHS Trust (Ockenden, 2020), the West Yorkshire and Harrogate Local Maternity System (LMS) now has a requirement to support the quality surveillance of maternity services. The LMS is currently hosted by NHS Wakefield CCG. The LMS are a partnership of maternity and neonatal providers, commissioners, local authorities and Maternity Voices Partnerships working together to transform maternity services in West Yorkshire and Harrogate. acute trust maternity services and YAS are required to share information regarding the nature of serious incidents and immediate DIPA – Maternity SI LMS Final Signed - YAS Page 2 of 17 actions taken, in order for LMS peer review to be undertaken, as appropriate; for themes to be identified and escalated as appropriate and for learning from incidents to be shared and lessons learnt. May 2021
SARSPA

The pathway will support the formation of an updated clinical pathway allowing YAS clinicians to refer patients to the service and to monitor the effectiveness of the pathway. Also to support investigations relating to the pathway if this becomes necessary.

If the service provider identifies an issue they will send details of the YAS incident number, patient initials and date of birth to the YAS Patient Relations Department, who will allocate a manager in the Clinical Pathways team to investigate.

Any further person-identifiable or special-category information will be shared only when necessary for an investigation and passed via NHS secure email after the incident is logged with Patient Relations.

The opposite will occur if the Clinical Pathways team identifies an issue that they wish the service provider to investigate but this will also utilise the patient’s NHS number.

May 2021
National Defibrilator Network

The British Heart Foundation (BHF) are leading a project to create a National Defibrator Network (NDN) which is also known as The Circuit.

The NDN is a secure national repository of data on the location of defibrillators for public use. It is designed to synchronise every 60 seconds with the computer aided dispatch (CAD) system within each of the UK’s 14 ambulance services. In doing so, it provides the emergency dispatcher with vital data on the location of the nearest defibrillator at the time of an out-of-hospital cardiac arrest (OHCA) so that the bystander can be directed to the nearest one.

From summer 2021, location data (and relevant data such as times of opening of the building which the defibrillator is housed) will be shared through a public facing web application if the Guardian has given permission for that data to be shared.

Nationally there is an expectation and a need for all ambulance trusts to join The Circuit to map the locations of all their CPADs. The Circuit would enable us to manage all CPAD activations more effectively.

July 2021
Pathways LVW(F)

To support the formation of an updated clinical pathway allowing YAS clinicians to refer patients to the service and to monitor the effectiveness of the pathway. This will also support investigations relating to the pathway if this becomes necessary.

When making referrals, YAS clinicians will share personal information (as highlighted above) and health information about their patient with staff in the receiving service, to enable the receiving service to identify the correct patient and ensure appropriate continuity of care.

July 2021
SARSPA

When making referrals, YAS clinicians will share personal information and health information about their patient with staff in the receiving service, to enable the receiving service to identify the correct patient and ensure appropriate continuity of care. This may include details passed to the receiving service by telephone, written Patient Information Leaflets left with a patient for a receiving clinician to use after YAS attendance, or by sharing a summary ePR directly with the receiving clinician via the Universal Receipt function.

Person-identifiable or special-category information will also be shared between the organisations for the purpose of investigations arising from patient care episodes.

Pathways team identifies an issue that they wish the service provider to investigate but this will also utilise the patient’s NHS number.

July 2021
YAS Violence Data

This will enable the development of an injury and violence monitoring system across West Yorkshire.

It will provide a surveillance system to be utilised alongside other datasets within a data repository and dashboard to aid the WY VRU.

Not all violence is reported to the police, however victims of assaults may present at health services.

Access to this data will mean better identification of assault trends, hotspots and those at risk which will inform both tactical and strategic interventions. This will be used to information the West Yorkshire VRU with the ultimate aim of reducing violence which impacts positively on health services.

July 2021
SWYFT

SWYFT This DPIA will support the formation of an updated clinical pathway allowing YAS clinicians to refer patients to the service and to monitor the effectiveness of the pathway.

This will also support investigations relating to the pathway if this becomes necessary. YAS clinicians will share information and health information about their patients with staff in the receiving service to enable appropriate continuity of care. July 2021

July 2021