Good practice guidelines on the use of psychological formulation

Formulation Areas for development

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13. Formulation Areas for development

As Berger (in press, a) has pointed out:
Making the ECR the primary, if not sole source of future NHS information requirements means that if
something is not available for processing in the electronic record, it is unlikely to betaken into account
in the analyses and decisions that underpin NHS services. Hence, unless the ECR records psychology
involvement in away that reflects psychology thinking and practices, psychology will be off the record,
not just literally, but in other important ways. The overarching challenge, therefore, is to make
psychological perspectives part of the ECR.
He makes proposals for psychology-specific datasets which code the information from assessment and formulation, among other aspects of a psychologist’s work (Berger, in press, b. This task is still at a very early stage.
SNOMED CT has recently been approved as the standard clinical terminology for the NHS
in England. SNOMED CT stands for the Systematised Nomenclature of Medicine Clinical
Terms’, and it is used in more than 50 countries. It consists of a recognised set of clinical terms for ECR systems and can be utilised across all care settings and all clinical domains.

As with all types of ECRs, much work remains to be done on incorporating psychological activity in general, and formulation in particular, in a meaningful way with due regard for confidentiality (see
Guidelines on the use of electronic health records
, BPS 2011.)

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