Assessment & reports
10Autism Assessment Report
- Owner
- Lead practitioner, supported by admin
- Trigger
- An autism assessment has taken place.
Purpose
Tracking an autism report from assessment through drafting, amendments and issue to the GP.
Procedure
- Add the patient to the autism reports tab, recording both the lead practitioner and the second practitioner.
- Complete the 1st draft of the report. Approval is the lead practitioner's responsibility - the second practitioner does not need to sign off before the draft goes out.
- Report is formatted by admin, as with ADHD.
- Record the diagnostic outcome.
- If no diagnosis was given, the patient is discharged (C5) and no 6-week follow-up is offered.
- Send the 1st draft to the patient and record the date. Send resources and record the date.
- If amendments come back, record the date received, handle under 14, and record the date the amendments were completed and sent to the patient.
- Send the final report to the GP and record the date.
- Set Pathway complete = Yes and filter out. If a diagnosis was given, the patient moves to the 6-week follow-up pathway (13).
Fields recorded
NHS number · name · funding stream · lead practitioner · second practitioner · date of referral · date of assessment · days referral to assessment · 1st draft completed (Y/N) · diagnostic outcome · date 1st draft sent to patient · date resources sent · days assessment to 1st draft · date amendments sent back · date amendments completed and sent · date report sent to GP · days assessment to GP · pathway complete
Notes
- Autism assessments require two practitioners, but only the lead practitioner approves the report.
