ICE Create; Amend; Removal User Form / Apex Webviewer Create Form

Requester / submitter details

Please enter your details as the Practice Manager or designated deputy who is requesting ICE access for a member of staff. You will be entering details for the member of staff in a section below.

Requester name ^*

Requester email address ^*

Section 1: Details of amendment/removal of an existing user/requester

Type of change?

New user User amendment User removal

Type of amendment ^*

New details

Reason for removal? (if relevant)

Section 2: Practice details

Main GP Practice ^*

Practice code ^*

Branch (if applicable)

Please list any other locations that this request covers

Section 3: User's details

Employee name ^*

Contact telephone number ^*

NHS email address ^*

GMC number / professional reg number

GMP code (GPs only)

Job title / role ^*

Professional registration number

Access rights request (select requesting access required)

GP IRMER AHP with pathology requesting IRMER AHP without pathology requesting View (Radiology Only – Pathology results not available in ICE See section 5) Pathology requesting Pathology requesting and specimen collection Pathology specimen collection

Only doctors with the required GMC certification are allowed GP access. AHPs need a valid IR(ME)R certification supplied to EKHUFT Radiology, and be included on the practice's Scope of Practice and Scope of Entitlement.

If Locum or GP Registrar post - please provide details of the supervisory Lead Clinician

If Locum post - which other surgeries do they have access to on ICE?

Section 4: To be completed for IRMER Trained Practitioners only

Training details of IRMER qualified staff

Certificate(s) supplied to EKHUFT Radiology - ekhuft.radiologyscopes@nhs.net

Yes No

Date(s) of course(s)

Updated SOP supplied to EKHUFT Radiology - ekhuft.radiologyscopes@nhs.net

Yes No

Section 5: Additional Pathology Information

Is an ICE requester code required? ^*

Yes No

ICE Requestor code – this allows pathology results to come back to individuals within EMIS mailbox (Practice Nurses, GPs or HCAs) but staff can still request tests without one. (This will require mapping within EMIS to the relevant mailbox once code has been created).

If you wish the user to have the ability to view additional results that are not routinely sent to EMIS, please request an Apex WebViewer account.

Is an Apex WebViewer account required?

Yes No

Apex WebViewer access needs a 2FA process for security purposes (NHS address is vital Apex login details to be linked to account and without it, your request for access will be denied.)

See your superuser for WebView link and user guide

Role

Clinical Admin

Note: If selecting 'Admin' please ensure you complete the Clinical Sponsor fields that appear below. These fields will not show if 'Clinical' role is selected.

Clinical Sponsor - Full name

Clinical Sponsor - Job title

Clinical Sponsor - Professional Reg Code/Number

Clinical Sponsor - I hereby take the responsibility for, and confirm that, access to test results is needed for this user according to the justification given to me

IF ALL ABOVE 3 BOXES ARE NOT COMPLETED, ACCESS TO VIEW RESULTS WILL NOT BE MADE AVAILABLE TO ADMINISTRATIVE STAFF.

Useful additional information