{# clinician_response.html #} {% extends "base.html" %} {% comment %} template parameters: clinician_involvement_requested: bool clinician_involvement_required_unknown: bool clinician_involvement_required_yellow: bool consent_mode: ConsentMode contact_request: ContactRequest extra_form: bool Leaflet: Leaflet class option_c_available: bool option_r_available: bool patient_lookup: PatientLookup permitted_to_contact_discharged_patients_for_n_days: int settings: Django settings object study: Study unknown_consent_mode: bool {% endcomment %} {% block extrahead %} {% endblock %} {% block onload %}onload="startup()"{% endblock %} {% block mainsiteheader %}{% endblock %} {% block content %} {#

#}

Dear {{ patient_lookup.clinician_salutation }},

Based on anonymised information in the CPFT Research Database, a research team has identified the following patient of yours as potentially eligible for a study that they are conducting:

{% include "patient_table.html" with patient_lookup=patient_lookup consent_mode=consent_mode verbose=True %}

The study is:

{% include 'study_table.html' with study=study contact_request=contact_request to_clinician=True offer_details=True offer_clinician_form=True %}

At this stage, the researchers do not know the patient’s identity. They have identified the patient based on a search of the anonymised CPFT Research Database. Patient information may only be disclosed to the researchers with the patient’s consent.

{% if clinician_involvement_requested %} The researchers have indicated that they would like you, as the patient’s clinician, to consider this request. This may be because they would need clinical information from you to establish whether the patient is indeed eligible to participate, or because they would need information from you as part of the study itself. {% elif clinician_involvement_required_yellow %} The researchers would like the patient’s permission to be contacted. This patient has actively chosen that all approaches by research teams should be on a case-by-case basis via the primary clinical team (“approach mode YELLOW”), and so this request has been passed along to you. {% elif clinician_involvement_required_unknown %} The researchers would like the patient’s permission to be contacted. This patient has never been asked their preference regarding direct approaches by research teams, and so this request has been passed along to you. We would like to know the patient’s preference about being contacted for this study, but also about future studies in general. {% else %}
Bug! Clinician involvement not specified. Please contact the CRATE developer.
{% endif %}

We would be very grateful if you would do the following:

Check…

{% if patient_lookup.is_under_16 %}
Under 16! This patient is under 16. Please follow the procedure outlined in the leaflet “Information for clinicians and researchers about the CPFT research database”.
{% else %} {# MCA doesn't apply to under-16s, so we don't need both. #}
Lacks capacity? If the patient lacks capacity to decide about research participation, please follow the procedure outlined in the leaflet “Information for clinicians and researchers about the CPFT research database”.
{% endif %} {% include "discharged_phrase.html" %}

Read…

Please examine the study details. (You don’t have to consider detailed inclusion/exclusion criteria; that’s the researcher’s job. If you think the patient might be suitable, that’s good enough.)

Choose.

Please select an option below, and follow the instructions that appear.


{% csrf_token %} {% for hidden in form.hidden_fields %} {{ hidden }} {% endfor %} {# Manual control of radio choice; see https://docs.djangoproject.com/en/1.8/ref/forms/widgets/ #} {# The appearance of option C is conditional on option_c_available; see clinician_response.js #}

Thank you. Please confirm your name below and click “Submit”. We’ll do the rest.

Thank you.

Please print out the CUSTOMIZED INFORMATION PACK.

If possible, please use a double-sided colour A4 printer.

Now choose whether you prefer to discuss this with the patient in person, or pass on the request by letter. A letter has been drafted for your signature (it’s in the pack) in case you prefer the latter.

If you prefer to discuss this with the patient in person:

  1. Please show the materials to the patient.
  2. {% if unknown_consent_mode %}
  3. Please explain to that all CPFT patients are asked their views about being contacted in the future by research teams about taking part in research. In addition, one particular research team is already interested in patients like them, and we would like to know whether they are willing for that research team to be given their details, so that researchers can talk to them about taking part in research. They are not being asked for consent to participate, just for consent to being sent information by the researchers and for the researchers to see their CPFT records (to check they’re suitable for the study).
  4. {% endif %}
  5. Please ask them to choose (consent or refuse) about this study on their personalized form and sign it.
  6. {% if extra_form %}
  7. If they consent, please complete the researcher’s form as best you can.
  8. {% endif %} {% if unknown_consent_mode %}
  9. Please ask them to choose (GREEN, YELLOW, or RED) about studies in general on the other decision form, fill in their details, and sign it.
  10. {% endif %}
  11. Return the form{% if extra_form or unknown_consent_mode %}s{% endif %} to {{ settings.RDBM_ADDRESS|join:", " }}.
If you prefer to pass the request to the patient by letter:
  1. Please sign the draft letter from you to the patient.
  2. {% if contact_request.is_extra_form %}
  3. Please fill in the researcher’s “clinician” form as best you can.
  4. {% endif %}
  5. Please send (or ask your secretary to send) all materials to the patient. Include an envelope pre-addressed to {{ settings.RDBM_ADDRESS|join:", " }} (if you’d like stocks of pre-printed envelopes, please e-mail {{ settings.RDBM_EMAIL }}).
Confirm your name below and click “Submit”. Thank you!

Thank you.

Normally, the decision about being contacted for research studies should be the patient’s. However, all approaches such as this one, via the clinical team, are subject to your “veto”: as the patient’s clinician, you may decline to pass the request on to the patient. If you choose this option, no information about the patient will be given to the research team. Please only choose this option in exceptional circumstances, as it reduces the patient’s ability to choose. Exceptional circumstances might include those in which, in your judgement, an offer to the patient to participate in research might cause extreme distress, or that the patient currently lacks the capacity to make a decision about participation (and the study does not concern such patients specifically). Your views on the study itself should not prompt you to select this option; all studies supported by CPFT have ethical approval and we seek to promote patient choice about research participation. Please give a reason for your choice, so that we may audit use of this option.

{{ form.veto_reason.label_tag }} {{ form.veto_reason }} {{ form.veto_reason.errors }}
Now, please confirm your name below and click “Submit”. Thank you!

Thank you.

If you can, please supply a brief reason. This will not be passed to the researchers but will help us to monitor the accuracy of researchers’ requests from the Research Database.

{{ form.ineligible_reason.label_tag }} {{ form.ineligible_reason }} {{ form.ineligible_reason.errors }}
>Now, please confirm your name below and click “Submit”. Thank you!

Thank you.

If you can, please give further details. This will not be passed to the researchers but will help us to monitor the accuracy of researchers’ requests from the Research Database.

{{ form.pt_uncontactable_reason.label_tag }} {{ form.pt_uncontactable_reason }} {{ form.pt_uncontactable_reason.errors }}
Now, please confirm your name below and click “Submit”. Thank you!
{{ form.clinician_confirm_name.label_tag }} {{ form.clinician_confirm_name }} {{ form.clinician_confirm_name.errors }}

If you have any queries, please telephone the Research Database Manager on {{ settings.RDBM_TELEPHONE }}.

Thank you for your help!

{% include "clinician_notes.html" with settings=settings Leaflet=Leaflet %} {# {% include 'show_form_errors.html' with form=form %} #} {% endblock %}