ICE System for Radiology (& Pathology) Referrers

Setting up a Referrer in General Practice

Guidance on how to set up a new EMIS GP Practice staff member

Raise a request by completing the application form and sending to the relevant Trust's IT Service Desk. This form is used for both Radiology and Pathology ICE access.

If a member of staff in general practice works for multiple surgeries, they only need a single ICE account. If they historically have more than one account, this shouldn’t be a problem, but if technical issues arise, this would be an opportunity to recommend moving to a single account. If done, all EMIS systems used by the user would need to be updated to use the same singular ICE username.

If the user is a requester and is responsible for the requests, it is possible they can have the results sent directly back to them. To arrange this, they will need to setup as a 'Clinician' in the system. To do this, the ICE Team will need their GMC / Nursing / Other professional registration number.

UHBW If the user requires the ability to make Radiology requests, Radiology ICE can be granted to medical referrers. Radiology ICE can be provided for non-medical referrers only when IRMER compliance is confirmed.

• For UHBW email radiationprotectiontraining@uhbw.nhs.uk for confirmation of IRMER training

NBT If the user requires the ability to make Radiology requests, Radiology ICE can be granted to medical referrers. Radiology ICE can be provided for non-medical referrers only when IRMER compliance is confirmed. In this respect please contact: nmr@nbt.nhs.uk 

For more information regarding IR(ME)R please click on this link

It is possible, that in the future, medical referrers will also need evidence of IRMER training due to changes in national requirement. We will update Remedy when required.

Prescribers

If the user is also a prescriber, the surgery must add the prescribing access to the EMIS account before the ICE access. If they do not, the prescriber's code will be what EMIS tries to use as the ICE username. If this occurs, the surgery will need to remove the access to both, then re-add the prescribing access first, before then adding the ICE access. 

For GP Prescribers (only), due to an EMIS bug, the system will only use the prescriber code (G*******) as the ICE username.  As a result, we must provide the GP an ICE account with the prescribing code as the username.

Once account(s) have been created, the ICE usernames will be sent directly to the individual who logged the request with the Trust’s IT Service Desk. Once usernames have been provided, inputting these details into EMIS will be the responsibility of someone at the surgery who is trained in EMIS Manager. 

 If there are any issues when accessing ICE, please provide a screenshot(s) of any error messages given and provide numbers and names of all affected to the support emails given below.

NBT ICE support - Email: gplinks@nbt.nhs.uk

UHBW (Bristol & Weston) ICE Support - Email: ice.support@uhbw.nhs.uk

Guidance on ICE requesting on EMIS

ICE requesting guidance  Digital Induction and Learning Opportunities for BNSSG Primary Care Workforce (clarity.co.uk)

Non-Medical Referrers (NMR)

What is a Non-Medical Referrer (NMR)?

A Non-Medical Referrer (NMR) is a nurse, allied health professional or clinical pharmacist who has extended their role to include referral to radiology to improve the delivery of care to patients.

The Ionising Radiation (Medical Exposure) Regulations 2017 (and subsequent amendments) {IR(ME)R17} defines an NMR as being a member of a profession regulated by a body mentioned in section 25(3) of the National Health Service Reform and Health Care Professions Act 2002(a).

For more information regarding IR(ME)R please see:  The Ionising Radiation (Medical Exposure) Regulations 2017

IR(MR)R training dates

What training is required?

All NMRs should receive IR(ME)R training which is updated every 3 years. The training should cover the principles of radiation protection, legislation, benefits and risks of the examinations being referred for including an understanding of the dose.

Please see the resources section below for links to training dates and FAQs.

Resources

Training Dates and FAQs

For more information regarding Imaging requesting for Non-Medical referrers please see the Avon Local Committee website Radiological Imaging for non-medical referrers - Avon LMC.

Further advice or information about imaging for Non-Medical Referrers (NMR)

Please use the dedicated email addresses below:

• NBT: nmr@nbt.nhs.uk 
• UHBW: RadiationProtectionTraining@UHBW.nhs.uk

If you have further concerns, please email kerri@almc.co.uk

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.