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The NHS 'Care Pathways' pilot programme has been implemented by PCTs in several EXACT practices around the UK , with the aim of finding a better method of assessing patient need, increasing access to services, delivering preventative care appropriately and fair performance management of dental services.

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The Care Pathways data (services, custom screens, quickplans, etc.) will have been automatically added to your system with the latest EXACT upgrade. However, to ensure that you have the latest data, you will need to run the 'Care Pathways Setup Wizard' before the first time you use Care Pathways. Furthermore, if your practice has - as an early adopter of the pilot scheme - previously used Care Pathways, some of the custom screens such as the 'Care Pathways Indicators' window have been updated in EXACT 10.12 and later versions. The wizard will also be run the first time you access the Care Pathways report.

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To configure Care Pathways, you need to be an admin user. Select the Configure > Care Pathways menu option, to display a 'wizard' screen like the following example:

CarePathways Wizard1

Although your version of EXACT should already include most - if not all - of the software and data required to run Care Pathways, you can click the Import Care Pathways Data button button to ensure you have the most up-to-date data.

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If you tick the 'Enable care pathway recalls' checkbox, this will allow EXACT to use the "Calculated Assessment" from Care Pathways data to make recommendations for patient recalls, based on which care pathway (Green, Amber or Red) the data indicates, and the recall intervals entered here. Generally the intervals for Amber and Red will be shorter than a patient would normally have if they had good dental health. Note that these recall intervals are not compulsory, but rather suggestions to improve the patient's dental health, and can be overridden if required at the time the recall prompts appear when completing a course of treatment.

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Selected Care Pathway information is able to be printed and also exported if required. The report is only available to be printed for the first time once up-to-date Care Pathways data has been imported into EXACT. You will be prompted to import the data, or can also run the update manually at any time from the Configure > Care Pathways menu item if you have admin security privileges. In either case, the Care Pathways Setup Wizard will be run to ensure that your Care Pathways data is the latest.

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