{"id":5771,"date":"2026-05-22T18:12:44","date_gmt":"2026-05-22T17:12:44","guid":{"rendered":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/?p=5771"},"modified":"2026-05-22T18:12:44","modified_gmt":"2026-05-22T17:12:44","slug":"guidance-for-practices-practitioners-accurate-recording-of-outcomes","status":"publish","type":"post","link":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/2026\/05\/22\/guidance-for-practices-practitioners-accurate-recording-of-outcomes\/","title":{"rendered":"Guidance for Practices &#038; Practitioners: Accurate Recording of Outcomes"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5625\" src=\"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-content\/uploads\/sites\/23\/2025\/11\/primary-eyecare-300x132.png\" alt=\"\" width=\"300\" height=\"132\" srcset=\"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-content\/uploads\/sites\/23\/2025\/11\/primary-eyecare-300x132.png 300w, https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-content\/uploads\/sites\/23\/2025\/11\/primary-eyecare.png 338w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<div id=\"m_164637463815132880isPasted\">\n<div>\n<p>Dear Colleague,<\/p>\n<p>This email outlines the importance of accurately recording episodes and outcomes in OPERA, ensuring follow-ups and referrals are logged correctly to support clear patient pathways and reliable service data.<\/p>\n<p><strong>Recording Guidance for Practices and Practitioners:\u00a0<\/strong><\/p>\n<\/div>\n<div>\n<p>We would like to remind all practices and practitioners of the importance of recording episodes accurately and consistently. Accurate recording is essential to ensure patient pathways are clear, outcomes are correctly represented, and service data can be interpreted reliably.<\/p>\n<\/div>\n<div>\n<p><strong>Recording Episode Types Correctly:<\/strong><\/p>\n<\/div>\n<div>\n<p>In Community Urgent Eyecare Services (CUES), for example, it is important that follow\u2011up appointments are recorded as follow ups, rather than being added to the system as additional telemedicine or face to face episodes.<\/p>\n<\/div>\n<div>\n<p>While we recognise that patients may flow through CUES in different ways depending on clinical need, it is crucial to record accurately whether an interaction represents a\u00a0<strong>new\u00a0<\/strong><strong>episode\u00a0<\/strong>or a\u00a0<strong>follow\u00a0<\/strong><strong>up\u00a0<\/strong>to an existing episode.<\/p>\n<\/div>\n<div>\n<p>In general, there should not be multiple episodes of the same type recorded for the same patient where these represent continuation of care rather than a new presentation. We have identified cases where multiple telemedicine or face to face episodes have been recorded, when follow ups would have been more appropriate.<\/p>\n<\/div>\n<div>\n<p><strong>Example:<\/strong><\/p>\n<\/div>\n<div>\n<p>If a patient pathway is as follows<\/p>\n<\/div>\n<div>\n<ul>\n<li>Telemedicine assessment<\/li>\n<\/ul>\n<\/div>\n<div>\n<ul>\n<li>Face to face appointment<\/li>\n<\/ul>\n<\/div>\n<div>\n<ul>\n<li>Further face to face review<\/li>\n<\/ul>\n<\/div>\n<div>\n<p>This should be recorded as:<br \/>\n<strong>Telemedicine \u2192 Face to face \u2192 Follow up\u00a0<\/strong>rather than multiple face to face episodes.<\/p>\n<\/div>\n<div>\n<p>Similarly, where a patient is referred to your practice appearing on your clinical dashboard, the Face-to-Face consultation should continue on the same record using the same OPR number. A new record should not be created.<\/p>\n<\/div>\n<div>\n<p>Guidance on accepting referrals can be found here\u00a0<a href=\"https:\/\/d4jq2.r.sp1-brevo.net\/mk\/cl\/f\/sh\/SMK1E8tHeFuBo1J3zcBuJMCkUDZP\/T3Ap2D2-0WwL\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/d4jq2.r.sp1-brevo.net\/mk\/cl\/f\/sh\/SMK1E8tHeFuBo1J3zcBuJMCkUDZP\/T3Ap2D2-0WwL&amp;source=gmail&amp;ust=1779555832277000&amp;usg=AOvVaw25U9CEJT-B1GWGNM2VOyXk\">Internal Referrals &#8211; OPERA<\/a><\/p>\n<\/div>\n<div>\n<p>Accurate episode type recording ensures that follow ups are recognised correctly and avoids misrepresentation of activity.<\/p>\n<\/div>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<div>\n<div>\n<p><strong>Recording Outcomes Accurately:\u00a0<\/strong><\/p>\n<\/div>\n<div>\n<p>It is essential that outcomes recorded in Opera accurately reflect the outcome for the patient.<\/p>\n<\/div>\n<div>\n<p>We have identified examples where an episode has been recorded as discharged, but the written clinical notes indicate that the patient was referred outside Opera, this may happen for a number of reasons.<\/p>\n<\/div>\n<div>\n<p>Local protocols may require referrals to be sent via another route in certain circumstances. For example, in an Emergency or where another EeRS platform is used to transfer information. This is a local variation and not the usual route for referral.<\/p>\n<\/div>\n<div>\n<p>\u00a0Guidance on how to correctly process these referrals can be found here:<\/p>\n<\/div>\n<div>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<a href=\"https:\/\/d4jq2.r.sp1-brevo.net\/mk\/cl\/f\/sh\/SMK1E8tHeG13GA81AmLOPBVUSW9f\/0_htPJxJG51m\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/d4jq2.r.sp1-brevo.net\/mk\/cl\/f\/sh\/SMK1E8tHeG13GA81AmLOPBVUSW9f\/0_htPJxJG51m&amp;source=gmail&amp;ust=1779555832277000&amp;usg=AOvVaw0DGvRptudJ8LtoQsF8Fwhf\">Managing referrals sent outside of the Opera Platform &#8211; OPERA<\/a><\/p>\n<\/div>\n<div>\n<p><strong>Under no circumstances<\/strong>\u00a0should an episode be closed and a referral made using a GOS 18 referral on OPERA, where this is done the referral will be rejected back to you from the Eyecare Navigation Service and you will be instructed to refer via the original service record e.g. in CUES or GERS.<\/p>\n<\/div>\n<div>\n<p>In all cases, where a referral has been made outside Opera, the episode outcome should clearly reflect this.\u00a0<strong>Discharge should only be selected where the patient has genuinely been discharged from care with no onward referral.\u00a0<\/strong><\/p>\n<\/div>\n<div>\n<p><strong>Why this matters:<\/strong><\/p>\n<\/div>\n<div>\n<p>Accurate recording<\/p>\n<\/div>\n<div>\n<ul>\n<li>Supports patient safety and continuity of care<\/li>\n<\/ul>\n<\/div>\n<div>\n<ul>\n<li>Improves the quality and reliability of service reporting<\/li>\n<\/ul>\n<\/div>\n<div>\n<ul>\n<li>Reduces the need for retrospective clarification and follow up<\/li>\n<\/ul>\n<\/div>\n<div>\n<p>Further guidance including recording of different episode types can be found in the relevant service guides located on OPERA help pages\u00a0<a href=\"https:\/\/d4jq2.r.sp1-brevo.net\/mk\/cl\/f\/sh\/SMK1E8tHeG7uiIwyLwUsV0oEQojv\/WeGEeQJKsV-l\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/d4jq2.r.sp1-brevo.net\/mk\/cl\/f\/sh\/SMK1E8tHeG7uiIwyLwUsV0oEQojv\/WeGEeQJKsV-l&amp;source=gmail&amp;ust=1779555832277000&amp;usg=AOvVaw2P2dwv9-UcqlmAjZBZzIKM\">Service Guides for Practices and Practitioners &#8211; OPERA<\/a><\/p>\n<\/div>\n<div>\n<p>Thank you for your continued support in maintaining high standards of delivery.<\/p>\n<p>Kind regards,<\/p>\n<\/div>\n<div>\n<p>Primary Eyecare Services<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dear Colleague, This email outlines the importance of accurately recording episodes and outcomes in OPERA, ensuring follow-ups and referrals are logged correctly to support clear patient pathways and reliable service data. Recording Guidance for Practices and Practitioners:\u00a0 We would like to remind all practices and practitioners of the importance of recording episodes accurately and consistently. &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.loc-online.co.uk\/berkshire-loc\/2026\/05\/22\/guidance-for-practices-practitioners-accurate-recording-of-outcomes\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Guidance for Practices &#038; Practitioners: Accurate Recording of Outcomes&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1146,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5771","post","type-post","status-publish","format-standard","hentry","category-uncategorised"],"acf":[],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-json\/wp\/v2\/posts\/5771","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-json\/wp\/v2\/users\/1146"}],"replies":[{"embeddable":true,"href":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-json\/wp\/v2\/comments?post=5771"}],"version-history":[{"count":1,"href":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-json\/wp\/v2\/posts\/5771\/revisions"}],"predecessor-version":[{"id":5772,"href":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-json\/wp\/v2\/posts\/5771\/revisions\/5772"}],"wp:attachment":[{"href":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-json\/wp\/v2\/media?parent=5771"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-json\/wp\/v2\/categories?post=5771"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.loc-online.co.uk\/berkshire-loc\/wp-json\/wp\/v2\/tags?post=5771"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}