Cinapsis enables you to communicate with selected specialists by mobile device, desktop PC and by landline, and integrates all this into a single clinical record which is accessed in the usual way via your practice clinical record system. It has been adopted in Gloucestershire for use in two key clinical situations:
1. Urgent Care: To enable clinicians to discuss potential admissions directly with relevant GHFT receiving specialist prior to admission. The purpose of this is to ensure that the patient gets the most appropriate care in the most appropriate place for their particular situation and condition, which is very often not ED. The positive impact of these discussions on patient flow throughout the system has been quite marked and we believe is of great benefit to all concerned.
2. Dermatology Advice and Guidance: To enable clinicians to seamlessly use their mobile device’s high quality camera to obtain dermatological advice and guidance. Each practice has also been provided with dermatoscopes and mobile phone adaptors for use when dermoscopic images might be helpful. Responses to advice in the form of pdf’s are returned both to the referring clinician and to the patient’s own practice, ensuring that cases do not get overlooked and also that we clinicians get the maximum benefit from the specialist’s guidance.
This is an FAQ on Cinapsis – please continue to send in queries to us and we will endeavour to answer them as promptly as possible, the project team contact details are included below:
Cinapsis should help you to ensure that your patients get the care they need in the place that is best for them. This may be direct admission onto the appropriate specialist unit (such as AMIA and hence avoiding ED), a booked attendance on the appropriate specialist unit for the intervention or investigations they need, or continuing management in primary care if that is more appropriate and you are happy with the recommendation. This should give you better support, give your patient a better experience and help the system to cope through better and more appropriate patient flow.
All primary care clinicians wishing to arrange a medical admission into Gloucestershire hospitals should use Cinapsis to discuss their cases with the receiving specialist. Those wishing to take advantage of teledermatology will also find it easier to use than e-Referrals service because it integrates with your smartphone camera, either on its own or together with a dermoscope.
We are encouraging clinicians to use Cinapsis prior to sending a patient to hospital for any acute medical, paediatric, frailty or respiratory problem, as well as for tele dermatology. More specialities will come online in the early New Year, including T&O, General Surgery and potentially Gynaecology.
No, it shouldn’t. We have worked very hard to make using Cinapsis and easy and fast as possible, for example by building finger-print smartphone login into the software.
From our own direct measurements and observations the average Cinapsis call takes between 4 and 5.8 minutes. This is made up as follows:
This compares very favourably with the average SPCA call, which together with waiting times and discussion takes approximately 15 mins.
No, it will continue to offer all the services it currently provides such as managing potential acute surgical admissions and rapid response queries. As outlined above, there will be occasions when it will also manage an acute medical admission where use of Cinapsis has either failed or not been possible.
You will need an NHS email address and preferably a mobile smartphone.
There are three easy ways to get started:
On-board (register) your Cinapsis account by clicking on the link in the e-mail sent to you by Cinapsis. If the link fails please ask your team administrator to send you a new invitation to on-board.
A mobile phone will be required for on-boarding your account as a verification code will be sent to you. Once on-boarded future verification codes (i.e. resetting your password) can be sent to your e-mail address or your mobile phone
Save Cinapsis log on page to your favourites on your desk top PC https://app.cinapsis.org/login/auth
Download the Cinapsis app to your mobile phone
If your mobile phone has biometrics enablement, activate finger print recognition for speedier logging on
Use a PC/tablet web browser and a land telephone or you can use the Cinapsis app on your mobile phone to make a A&G requests
Mobile phone signal problems - enable Wi-Fi calling on your mobile phone, your mobile provider will have instructions on setting this up
Save the Cinapsis telephone number to you phone 0203 322 4757
There are a number of tutorial videos which can be accessed from the Cinapsis homepage once logged in.
Each practice you work at has to approve your registration for IG reasons. Once you are registered at one practice, it is a single click process for a practice manager to approve you at their practice, via their Cinapsis.org administration page.
If you are registered at more than one practice, whenever you use Cinapsis you will need to select the practice the patient is registered at from a list, to ensure that the records get back to the patient’s correct practice.
The voice call is recorded and saved on the Cinapsis secure remote server which has been approved by NHS Digital. Cinapsis also creates a ‘Post Event Message’ in pdf format which is automatically e-mailed to the referring clinician (you!)as well as to the patient’s practice and to the specialist unit concerned via their secure clinical e-mail addresses. In the practice the PEM will be processed just like any other clinical correspondence and will be filed in the patient’s records. Any image used as well as a link to the voice recording is stored in these PEMs. This link can also be used to see images in their original resolution on the Cinapsis server.
If you are not in a hurry for a response, or if your call does not connect for whatever reason, you can request a ‘call-back’. If so, the specialist will receive a message and will call you back via Cinapsis and they should respond within 20 minutes. Please note that you will need a mobile phone to use this service, and please remember to cancel a call-back request if it is no longer needed, via Cinapsis.
Yes, you can do this at any time. If you select the menu option (like a hamburger: top left) > > Training:
While in your consulting room, either connect your mobile phone via the practice Wi-Fi, or use Cinapsis via your browser and use the landline number to make your call. If you are really unable to use Cinapsis then SPCA will still be available.
The minimum requirement for iOS 12 or above (Apple) or Android 5.0 'Lollipop' or above.
You can still use Cinapsis when you are in surgery via your browser and landline. When out visiting you will either need to return to the surgery to make the call, or use the SPCA as at present.
Many patients do not require transport services but if they do it can be done quickly and easily by using the direct access professionals’ ambulance telephone number for Cinapsis cases, either via Cinapsis itself, or by direct dial using 0300-369-0096 (for calls that require an urgent pick up within 1-4 hours). These calls are picked up very quickly and should take no more than 4 mins.
The SWASFT call handler will ask you the following mandatory questions:
Cinapsis Enquiries Email: email@example.com
Project Manager, Advice and Guidance Software Implementation
Tel: 0300 421 1773
Commissioning Manager - Urgent Care
Tel: 0300 421 1829