External Staff Request Form (RA02b)

The RA02b form is for the use of Non- EKHUFT Members of Staff requiring access to EKHUFT IT Systems.

For Remote Suppliers requiring IT Access, please ensure you have selected the correct Employer (Remote Supplier- IT Access Only) for successful application.

Your details

Title ^*

First name ^*

Middle name

Last name ^*

Preferred Name

Job Role

E-mail Address ^*

Providing personal e-mail (Hotmail, Gmail etc) will result in the form being rejected.

You must ensure that this e-mail is 'Active' and accessible in order to receive login details.

Contact number ^*

Start date for access required

Final working day if known

Unique Identifiers

Please be aware, we require a minimum of 2 unique identifiers for successful application

N.I Number / Employee Number ^*

For all NHS Employees- Please supply your National Insurance Number for Spine Identity Checks.
Non-NHS Employees- Please supply Employee Number from your Company for audit purposes.

Professional registration Number

For Example:
GMC - NMC - GDC - GOC

Smartcard UUID

Date of birth

Your Employer

Please select the organisation you work for, once this form is submitted it will be sent to your Organisation's Sponsor who will be responsible to approve before processing.

Your employer ^*

Other employer

Department / Practice / Pathway ^*

Site ^*

Reason for application ^*

MIG Shutdown- Temporary EKHUFT Timeline Access Route (Not LIVE- Please do not use)

Important Notice: Temporary Access Request Form for EKHUFT Clinic Letters This is to be used for requesting urgent, temporary read-only access to documentation (primarily clinical) letters that were previously accessible via the MIG and are now available through the EKHUFT Timeline.

Please note that this is an interim solution until this clinic correspondence can be sent directly from EKHUFT to the centrally accessible KMCR system.

Before submitting a request, please ensure the following:
• You have confirmed that your access to MIG has been removed or is no longer active.
• You have checked whether the required documentation is already available through existing systems such as EMIS or DOCman. Requests should only be made if the information is not available elsewhere and is urgently and legitimately required for direct patient care. Please do not submit a request for administrative purposes or if this would duplicate information already accessible to you.

Please be advised that periodic confidentiality audits will be carried out by the Trust’s Clinical Information Systems Teams. These will be conducted in collaboration with your contracting organisation to ensure all accesses requested and made are appropriate and in line with data protection policies. Thank you for your co-operation.

EKHUFT Timeline

Not Required Yes

Access to EKHUFT Timeline due to MIG Shutdown.
Please ensure your Managers Name & e-mail is included at the bottom of this form.

Systems access

Aria

Not Required Yes

Aria is the electronic prescribing system for cancer patients receiving chemotherapy treatment.
Please state the role required in the field to the right:

1. Consultant
2. Nurse
3. Nurse Manager + Planner
4. Nurse Manager + Scheduling
5. Pharmacist
6. Pharmacy Technician
7. Scheduler
8. View and Print

Specify Aria Role

Aria Citrix

Not Required Yes

Please note: Aria Citrix must be selected in conjunction with Aria for a successful application.

BeyondTrust

Not Required Yes

Server Access for remote Suppliers for IT access only

Careflow

Not Required Yes

Careflow is a clinical communication tool, available on different device types enabling teams to manage patient care, through use of handover, alerts and referrals.

Attention: An NHS.net e-mail address is required for access

CITO

Not Required Yes

Electronic Document Storage
There are 4 parts to CITO access which are listed below.
Please use the "specify Cito access" box below to confirm which access you require:

CITO – Clinical OU
CITO – Payroll & HR
CITO – Child Safeguarding
CITO – Occupational Health
Please ensure that you have requested in the box to the right the correct access required to prevent delays and to ensure successful account setup.

Specify Cito Access

DartOCM

Not Required Yes

A web based application for Pathology results and sample printing.

e-RS- (E-Referrals)

Not Required Yes

Please make sure your UUID number from your smartcard has been added where requested on this form. Failure to provide this could slow down the process of gaining access.

EuroKing

Not Required Yes

Maternity system used to record Antenatal, Delivery and Postnatal information

Infoflex Version 5 (Citrix for V5/V6 Access Included)

Not Required Yes

The Infoflex system collects information which supports the treatment decision making for patients with suspected and diagnosed cancer.

Infoflex Web (Version 6)

Not Required Yes

Infoflex Cloud Version 6 is the web based version of Infoflex

Infoflex Surveillance

Not Required Yes

Infoflex Surveillance allows you to monitor specific patient care pathways - Part of Infoflex Web (Version 6).

Please specify in the box to the right the specific access required:

1. Targeted Lung Health Check (TLHC)
2. Liver Surveillance

Infoflex Surveillance Access Required...

Masey Colposcopy Database

Not Required Yes

Public Health England Electronic Patient Record for Colposcopy.

PACS

Not Required Yes

(Picture Archiving and Communication System) Medical Imaging Technology which provides economical storage and convenient access to images from multiple source type machines.
PLEASE NOTE - Your GMC code must be provided in the box above otherwise your access will be rejected.
KMPT users-- Need to contact their own IT Service Desk and be give access to pucka.j

Allscripts PAS

Not Required Yes

(Patient Administration System) PAS records the patient's demographics and details all patient contact with the hospital, both outpatient and inpatient.
PLEASE NOTE- Mandatory E-Learning to be completed. Once all relevant PAS E-Learning has been completed end-users will need to call the IT Service Desk and request their login details. Following this an e-mail will be sent containing your logins.

Philips ICCA - Critical Care system

Not Required Yes

Philips IntelliSpace Critical Care and Anaesthesia (ICCA) is a Data Management system used within the Critical Care Units across the Trust to capture data and information related to all patient.

Qlikview

Not Required Yes

Qlik provides an end-to-end platform which includes data integration, user-driven business intelligence and conversational analytics.

Renal Plus

Not Required Yes

System Information coming soon..

RMS (Referral Management System)

Not Required Yes

RMS is used to manage all referrals and provide this referral information within the clinical work environment - Patient Timeline viewer. All EKHUFT specialities that currently receive and manage external referrals will need to use RMS. Who will require this - Clinicians, Operational Managers, Outpatient booking staff, some secretaries.
Please specify the specialty codes that the member of staff requires access to for the RMS in the box below.

Specify details for RMS

RMS Dropper

Not Required Yes

RMS is used to manage all referrals and provide this referral information within the clinical work environment - Patient Timeline viewer.
All external referrals will need to be uploaded to RMS using the dropper.

Secure link (external supplier server access ONLY)

Not Required Yes

Server Access for remote Suppliers for IT access only

Soliton

Not Required Yes

Soliton has now replaced the old RIS system - Radiology Information system.

Solus Endoscopy (GI & Bronchoscopy Reporting Tool)

Not Required Yes

Solus Endoscopy is an Endoscopy and Bronchoscopy Reporting Tool for clinicians with Endoscopy and Respiratory to write clinical reports, and for non-clinical staff to view reports. This system is also used by Endoscopy and Respiratory for the booking of Patients to Endoscopy and Bronchoscopy lists. For clinical staff who require access to write Endoscopy/Bronchoscopy reports please provide your GMC number in the Professional registration box above. We will not be able to process this request without this.

Sunrise Surgical Care (SSC)

No longer available

Scheduling and Management of elective and non- elective (emergency and trauma) theatre sessions.
Staff members requesting this access should also request sunrise access if access is not already issued and staff MUST complete the relevant training prior to access being granted.
Staff who require this are those who book patients into Theatres, Waiting List staff,
Theatre staff and Operational Managers
Sunrise Surgical Care (SSC) will replace Theatreman

Sunrise

Not Required Yes

Staff will be required to complete the role specific training on the Moodle Learning Management system (LMS). To access this you need to visit https://lms.ekhuft.nhs.uk/login/index.php. You will need to complete this training before access to Sunrise will be activated. A Moodle account is automatically generated by logging in with your AD details which may take up to 24 hours for the system to sync with the AD for this to work.

Theatreman

Not Required Yes

TheatreMan web browser enables staff to view up to date operating lists. This is a live dynamic system showing a snapshot of the current lists, any changes to an operating list are made directly in TheatreMan, as and when they occur.

Timeline

Not Required Yes

Patient Document Library

T-Pro - Virtual Consultations

Not Required Yes

T-Pro will be used to facilitate virtual consultations. It is a system that enables clinicians to see and hear patients on screen as an alterative to face to face appointments.
Staff who will require this access will be staff who already use Eclinic.

Winscribe AUTHOR Access

Not Required Yes

Digital Dictation system used by EKHUFT.

NHS Professionals (NHSP) (Currently Not In Use)

This section is not live yet... Please do not use.

AD- NHS Professionals (NHSP)

Not Required Yes

NHS.net E-mail - NHS Professionals (NHSP)

Not Required Yes

Spencer Private Hospitals - Systems Access

AD - Spencer Private Hospitals Domain

Not Required Yes

Main Computer Account for Spencer Private Hospitals

DartOCM- Spencer Private Hospitals

Not Required Yes

DartOCM is a browser-based order communications solution, designed to meet the needs of individual users, primary care teams and hospital departments.

E-Referrals (e-RS) - Spencer Private Hospitals

Not Required Yes

Electronic Referral Service (eRS) - National Spine System.

Please make sure your UUID number from your smartcard has been added where requested on this form. Failure to provide this could result in a rejection.

MaThS - Spencer Private Hospitals

Not Required Yes

The purpose of the MaThS system is to provide users of the Theatreman system with an electronic platform in which to request changes to Theatre capacity in an electronic format.

Moodle – Spencer Private Hospitals

Not Required Yes

EKHUFT Moodle Learning Management System (LMS) for online training

NHS.net - Spencer Private Hospitals

Not Required Yes

Secure E-mail Platform for NHS Staff

PAS (Allscripts) - Spencer Private Hospitals

Not Required Yes

Electronic patient record

Sunrise - Spencer Private Hospitals

Not Required Yes

The Allscripts Sunrise charting system enables physicians to keep track of patient charts and use searches, as well as handle electronic medical records.

Theatreman- Spencer Private Hospitals

Not Required Yes

theatre management system designed around the needs of operating theatres and day surgery departments.

Pilgrim's Hospice Systems Access

AD- Pilgrim's Hospice

Not Required Yes

Main Computer Account for Pilgrim's Hospice Staff.

DartOCM

Not Required Yes

A web based application for Pathology results and sample printing.

PACS

Not Required Yes

(Picture Archiving and Communication System) Medical Imaging Technology which provides economical storage and convenient access to images from multiple source type machines.

PLEASE NOTE - Your GMC code must be provided in the 'Professional Registration Number' field near the top of this form, otherwise your access will be rejected.

Sunrise- Business Continuity

Not Required Yes

Sunrise Business Continuity Service for Pilgrim's Hospice.

Please Note: You must ensure you have reviewed all e-learning modules before you use this system, these can be viewed here.

Community Ophthalmic Services- Systems Access

AD- Community Ophthalmic Services

Not Required Yes

Active Directory (AD) Account for access to EKHUFT Network.

OpenEyes

Not Required Yes

The OpenEyes system is an ePR system for use within Ophthalmology.

Active Directory (AD) Account

Please make a note in the comment box below if an EKHUFT Computer Login (AD Account) is required.

This will not be created automatically. If you are not sure, please seek clarification.

Please note- Spencer AD & Community Ophthalmology Services AD are exempt from this condition.

Is AD Required?

Before submitting

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Please be aware, once this form has been submitted it will be automatically sent to your Trusts / Employers Sponsor for approval.

East Kent Hospitals cannot process your request until sponsor approval has been confirmed, please ensure the correct employer has been selected to avoid issues or delays.
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Please note the manager’s name and e-mail address cannot be the same as the submitters, non-adherence to this condition will unfortunately result in the form being rejected.

Manager's name ^*

Email ^*