• Skip to main content
  • Skip to secondary menu
  • Skip to footer
Clinical Digital Resource Collaborative

Clinical Digital Resource Collaborative

Designed and developed in the North East and North Cumbria by local GPs

National Health Service
  • Home
  • About Us
  • Our Team
  • What We Offer
    • Primary Care
    • Commercial
  • Resources
    • Referral Forms
    • EMIS Resources
      • CDRC EMIS Access
      • EMIS: Long Term Condition (LTC) Management
      • Medicine Management
        • EMIS: Precision Monitoring Template
        • EMIS: DMARDs and High Risk Drugs
        • EMIS: Safe Prescribing of Opioids / Opiates
      • Specialties
        • EMIS: Cancer
        • EMIS Cardiovascular Overview
          • EMIS: Cardiovascular Disease (AF, CHD, Hypertension)
          • EMIS: Cardiovascular Disease (CVD) Prevention
          • Lipids, Familial Hypercholesterolaemia (FH), PCSK9i & Inclisiran Guide for EMIS
          • EMIS: Peripheral Arterial Disease Guide
        • EMIS Diabetes Overview
          • EMIS Diabetes
          • EMIS: Diabetes Technology
        • EMIS: Care for Frail Patients
        • EMIS: Haematology
        • Infection
          • EMIS: Infections Guide
          • EMIS: Blood Borne Virus (BBV)
        • EMIS: Learning Disabilities
        • EMIS: Neurology Guide
        • EMIS: NHS Health Checks
        • EMIS: Paediatric Assessment
        • EMIS Renal Overview
          • Chronic Kidney Disease (CKD) – EMIS
        • Respiratory Overview
          • EMIS Respiratory Resources
          • BeatAsthma+ Guide for EMIS
        • EMIS: Rheumatology
    • SystmOne Resources
      • National Early Warning Score 2 (NEWS2) Guide for SystmOne
      • Getting Started
        • Getting Started – Access
        • Getting Started – How-To’s
      • SystmOne Administration
      • Contract Management
        • Impact and Investment Fund (IIF)
        • Quality and Outcomes Framework (QOF) Guidance for 2023/24
        • SystmOne: NHS Health Checks
        • SystmOne: WorkWell Local Enhanced Service
      • Long Term Condition Management
        • Call/ Recall System
        • Recall Recovery System
        • Care Planning
      • SystmOne Safeguarding System
        • Safeguarding Adults
        • Safeguarding At Risk of Harming Others
        • Safeguarding Family/Household Cause for Concern
        • Safeguarding Children
      • Medicine Management
        • Drugs Requiring Monitoring System
        • SystmOne: Antibiotics Prescribing & Optimisation
        • Safety & Reviews
        • Safe Prescribing of Opioids / Opiates
        • Safe Prescribing of NSAIDS
        • Safe Prescribing of Lithium
        • Safe Prescribing of Valproate
        • Safe Prescribing of Corticosteroids / Steroids
      • Specialties
        • Blood Borne Virus (BBV) Test Alert for SystmOne
        • BeatAsthma+ Guide for SystmOne
        • Cancer Overview
          • Cancer
          • Suspected Cancer
        • Cardiovascular Overview
          • Cardiology Results
          • Hypertension & Blood Pressure
          • SystmOne Heart Failure
          • Atrial Fibrillation (AF)
          • Integrated CVD Prevention
          • Peripheral Arterial Disease (PAD)
        • SystmOne Diabetes Overview
          • SystmOne Diabetes
          • SystmOne: Diabetes Technology
          • SystmOne Diabetic Kidney Disease
        • ENT Infections
        • Geriatrics Overview
          • SystmOne: Care for Frail Patients
          • Comprehensive Geriatric Assessment
          • Co-ordinated Care
        • Haematology
        • Infection Overview
        • Learning Disabilities
        • Lifestyle
        • Lipids, Familial Hypercholesterolaemia, PCSK9i & Inclisiran Overview
          • Lipids, Familial Hypercholesterolaemia (FH), PCSK9i & Inclisiran Report Guide for SystmOne
          • Lipids Protocols
          • Lipid Management Templates
          • Lipid QoF Support
          • Screening for Familial Hypercholesterolaemia
          • Aetiology of Abnormal Lipids
          • Lipids Strategy
        • MSK Referral Management
        • Neurology
        • Obesity Resources
        • Ophthalmology
        • Palliative Care
        • SystmOne Renal/Urology Overview
          • Chronic Kidney Disease (CKD)
        • Respiratory Overview
          • Respiratory Resources
          • Respiratory Infections
        • Rheumatology Overview
          • SystmOne: Osteoporosis and Fragility Fractures
          • Bone Health
      • SystmOne: Weight Management
      • Women’s Health Overview
        • Gynaecology Resource Overview
          • Cervical Screening
          • Contraception
          • Prolapse
        • 6-8 Week Postnatal Check
      • Vaccination Overview
        • COVID-19 Resources- SystmOne
        • Influenza Vaccination SystmOne
        • Meningitis B Vaccination
        • Meningitis ACWY Vaccination
        • Pneumococcal Vaccination
        • Shingles Vaccination
  • FAQs
  • News and Events
    • Demonstrations
    • Events
      • Recordings
    • Articles
    • Conference abstracts
  • Contact us
You are here: Home / Resources / Referral Forms for the North East

Referral Forms for the North East

CDRC is proud to supply primary care teams in the North East with up-to-date and validated referral forms on SystmOne and EMIS Web. Our accurate merge fields and consistent appearance streamline the referral process, therby reducing administrative burden and improving clinical safety.

We work collaboratively with stakeholders in the region to support and advise on the development of new forms while amending existing forms based on clinician feedback and the most recent guidelines.

Live Referral Forms

Over 220 live Referral Forms on SystmOne and EMIS for use across the North East of England

Fast Track Referral Forms

Created in collaboration with the Northern Cancer Alliance to optimise the clinical information in the referral to support the safe and effective care of the referred patient.

Regions Covered

CDRC creates localised referral forms for the following regions, Newcastle/Gateshead, South Tyneside, Sunderland, North Tyneside, Northumberland, County Durham, Stockton/Hartlepool, South Tees.

Referral Form Sharing

Previous system for referral form sharing:

Problems with the previous system:

  • Large administrative burden falls to individual practices.
  • Increased use of out-of-date forms
  • Increased admin burden for provider organisations when ‘rejecting’ outdated forms
  • Patient safety affected from delays caused by rejection of out-dated forms.

CDRC approach to referral form sharing:

Benefits of CDRC’s approach:

  • Releasing time in primary care and provider organisations
  • Improved clinical safety and reduction in system-wide variability via use of correct merge fields/coding/look and feel and automatic form updates shared to practices.

Temporary Guide: Notification to the Medical Examiner Office Form & Supporting Resources

Referring non-coronial deaths to the local medical examiner will become a statutory requirement from April 2024. Long expected, a few practices have been piloting the process for the last 2 years.

There have been some last minute, unexpected changes to the service requirement that have meant that the resources need minor adjustments. We had hoped to have had all the requirements finalised by now.

In the meantime, the current resources are usable and how the resources will be accessed will not change.

EMIS Access & Usage Guide

Accessing the Medical Examiner Resources

With a patient active, press F12 to open the protocol launcher. Click “Select and launch…”:

Search for “Death Notification Process” and double click the protocol:

To make this is a keyboard shortcut, you can choose a spare slot on the Protocol Launcher, right click, Choose Add, and select the “Death Notification Process” to the quick launcher.

Main Menu

The protocol starts by launching a menu:

Death Notification Template

The template is divided in to two sections:

The upper section could be completed by anyone, including administration staff taking notification of the death and can be added to as more information is known. Data highlighted with a + will pull through as appropriate on to the Medical Examiner form and Cremation form.

The lower section should be completed by the doctor notification. At this stage, entering the cause of death effectively is what you propose to put on the death certificate, and will pull through onto the ME notification form. To amend the cause of death where necessary, simply relaunch the protocol and template. Note that if you have previously added something in a cause of death section and subsequently need to leave it blank, you will need to add a hyphen or “N/A” or hit 4 spaces to cancel previous entries; technically the code will still exist on the records, but when pulled through to the cremation form and ME form it will appear blank.

On saving, you will return to the menu.

Medical Examiner Notification Form

This works in the same way as a standard referral form. As much as possible is pulled though with boxes to add details where appropriate.

Saving it returns to the menu. At this point you will most likely need to simply exit, and email the form to the Medical Examiner

Cremation Form Part 4

Again this works as a standard referral form, pulling through as much as possible, but with free text boxes to add detail as appropriate.

When you have completed the form, print it to add a signature. Then save the form

However, if you are going to use an electronic signature, in order to email the form using nhs.net, you will need to unlock the form. Click on Review and then restrict editing. In the panel that appears, click Stop Protection.

SystmOne Access & Usage Guide

Accessing the Resources:

You will need to be a member of the DCS organisation group on SystmOne in order to access the following resources. If you are not a member, please click here for information on how to join this group.

With the appropriate patient’s record retrieved, using the search bar located in the bottom left-hand corner of the main screen type in “Death – CDRC” and select the following template:

Alternatively, you can open this template using the Launcher functionality by pressing F12.

Death – CDRC Template

The ‘Death – CDRC’ Template provides you with an overview of key relevant information that has been pulled from the patient’s record; from here you can also enter information directly onto the patients record. For example, there is no information on this patient’s cause of death, by clicking on the ‘Record Cause of Death’ button highlighted below you will be able to record information on the disease, injury, or complication which led to the patient’s death.

Cremation Form 4 & Medical Examiner Notification Form

Clicking on the respective buttons highlighted below will open the relevant forms, these forms are pre-populated as much as possible to reduce workload however manual input for some areas will be required.

Footer

Follow us on social media

  • Facebook
  • LinkedIn
  • Twitter
contact-cdrc@healthinnovationnenc.org.uk
This website is operated by Health Innovation North East and North Cumbria. Suite A, 2nd Floor, 1 Citygate, Gallowgate, Newcastle upon Tyne NE1 4WH. Registered in England and Wales, Company Registration Number: 08727658
  • Terms of Reference
  • Privacy policy
  • Terms of use
  • Cookie Policy (UK)
  • Accessibility Statement

Copyright © 2025 Clinical Digital Resource Collaborative

Manage Consent
We use cookies to optimise our website and our service.
Functional Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
Manage options Manage services Manage {vendor_count} vendors Read more about these purposes
View preferences
{title} {title} {title}