We used to have a separate request form for A&E with tick box for General chest pain day 1, day2, day3 Abdo pain gases pregnancy and listed in small type what the profile consisted of. This allowed us to assess the usefulness of on admission Trop-T (before the days of the sensitive test) and thyroid function tests - one of our physicians thought hyperthyroidism could present mimicking cardiac symptoms. This meant we got the tests done on all patients without replying on staff to remember to request them and, when we agreed they were not useful, it allowed us to drop the test from the profile and didn't get staff continuing to request it. It also ensured we had at least minimal clinical information. Ah - happy days when we could control our own request forms! Elliott (enjoying permanent retirement) ________________________________ From: Clinical biochemistry discussion list [[log in to unmask]] On Behalf Of Melissa Yssel [[log in to unmask]] Sent: 03 December 2014 14:25 To: [log in to unmask] Subject: Re: Disease specific Profiles for GP's Dear all Profiles make requests easy for physicians, but we have discontinued its use as a profile adds significantly to total cost per patient because doctors tend to indiscriminately tick profiles from a list. Regards Melissa On 03 Dec 2014, at 3:56 PM, Yates, Alexandra (RJE) UHNS wrote: Dear All, We are considering setting up, disease specific monitoring profiles for GP’s. Do any labs currently do this? How did you decide on the content .. evidence based or Clinician lead? Any other experiences good / bad. Thanks Alex Alexandra Yates DipRCPath Clinical Biochemist Blood Sciences Department- Biochemistry Main Building Royal Stoke University Hospital University Hospitals of North Midlands NHS Trust Newcastle Road, Stoke-on-Trent, Staffordshire, ST4 6QG Tel: 01782 674255 Please note my normal working days are Monday to Thursday. ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Sitehttp://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere ******************************************************************************************************************** ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/