NHS 111: Assessment 2 Revision
Questions and Answers.
What does DOS stand for? - Answer Directory of Services
What does the DOS do? - Answer Determines the nearest, available, appropriate service
with the capacity to the see the patient.
Who oversees the clinical content of Pathways? - Answer National Clinical Governance
Group (NCGG) made up of representatives of all the major medical and nursing Royal Colleges.
NHS Pathways works on the basis of ruling out rather than diagnosing. What does this mean? -
Answer It does not diagnose. What it does is rule out potential diagnoses. Once it reaches a
point where cannot be ruled out, the assessment ends.
Why is it important to understand the differennce between ruling out and diagnosis? - Answer
It is important for users as well as local healthcare providers to understand that the system is
ruling out rather than diagnosing, otherwise there can be a tendency for people to think the
system is getting it wrong.
Give reasons why a face to face assessment might be able to rule out more than a telephone
assessment? - Answer Visual assessment of the problem. The ability to carry out tests. Better
overall comminication.
What is the name of the Pathway used to assess someone who has symptoms not covered by a
symptoms based pathway? - Answer Other symptoms (for toddlers, children and adults).
How are not sure answers dealt with? - Answer On the balance of risk. So sometimes yes
and sometimes no.
Are not sure answers usually a "yes" or usually a "no" ? - Answer Usually a no as too many
yes answers risk inundating local health services.
Causes of ill health? - Answer GAIL. Genetics. Age. Illness. Lifestyle.
Definition of illness? - Answer A state in which a function or part of the body is no longer in a
healthy condition and which is experienced by the patient.
, Definition of injury? - Answer Damage to the body produced by recent exposure to
mechanical, thermal, electrical or chemical sources (MTEC).
How many "not sure answers" should trigger transfer to a clinician? - Answer 3
In which part of the system is it recorded whether the problem is trauma or non trauma
related? - Answer Module 0.
Name the two types of care advice? - Answer Inline and interim.
What care advice is always given? - Answer Worsening.
Do all calls enter Module 1? Why? - Answer No. Some calls will be handled entirely in
Module 0 if they are obviously very serious.
Say whether the following is true or false, giving a reason for your answer: Only 999 and
emergency treatment centre dispositions are generated within Module 0. - Answer False.
There are a small number of primary care dispositions that can be generated in Module 0. This
happens for symptoms that appear at first to be quite serious but turn out to be less so.
What is the first screen that you will see in Module 1? - Answer The body map.
There are no ambulance responses generated in Module 1: True or False? Why? - Answer
False. Less obvious threats to life, which require more in depth probing, are assessed in Module
1. For example potential septicaemia.
What age range does the pregnancy question relate to? - Answer 11 to 55
Must all questions presented be answered? - Answer All questions must be answered but do
not necessarily have to be asked?
What should you also check when you have confirmed that a patient is conscious? - Answer
That they are awake.
With third party callers you should also confirm that... - Answer They are in the same room
as the patient.
Questions and Answers.
What does DOS stand for? - Answer Directory of Services
What does the DOS do? - Answer Determines the nearest, available, appropriate service
with the capacity to the see the patient.
Who oversees the clinical content of Pathways? - Answer National Clinical Governance
Group (NCGG) made up of representatives of all the major medical and nursing Royal Colleges.
NHS Pathways works on the basis of ruling out rather than diagnosing. What does this mean? -
Answer It does not diagnose. What it does is rule out potential diagnoses. Once it reaches a
point where cannot be ruled out, the assessment ends.
Why is it important to understand the differennce between ruling out and diagnosis? - Answer
It is important for users as well as local healthcare providers to understand that the system is
ruling out rather than diagnosing, otherwise there can be a tendency for people to think the
system is getting it wrong.
Give reasons why a face to face assessment might be able to rule out more than a telephone
assessment? - Answer Visual assessment of the problem. The ability to carry out tests. Better
overall comminication.
What is the name of the Pathway used to assess someone who has symptoms not covered by a
symptoms based pathway? - Answer Other symptoms (for toddlers, children and adults).
How are not sure answers dealt with? - Answer On the balance of risk. So sometimes yes
and sometimes no.
Are not sure answers usually a "yes" or usually a "no" ? - Answer Usually a no as too many
yes answers risk inundating local health services.
Causes of ill health? - Answer GAIL. Genetics. Age. Illness. Lifestyle.
Definition of illness? - Answer A state in which a function or part of the body is no longer in a
healthy condition and which is experienced by the patient.
, Definition of injury? - Answer Damage to the body produced by recent exposure to
mechanical, thermal, electrical or chemical sources (MTEC).
How many "not sure answers" should trigger transfer to a clinician? - Answer 3
In which part of the system is it recorded whether the problem is trauma or non trauma
related? - Answer Module 0.
Name the two types of care advice? - Answer Inline and interim.
What care advice is always given? - Answer Worsening.
Do all calls enter Module 1? Why? - Answer No. Some calls will be handled entirely in
Module 0 if they are obviously very serious.
Say whether the following is true or false, giving a reason for your answer: Only 999 and
emergency treatment centre dispositions are generated within Module 0. - Answer False.
There are a small number of primary care dispositions that can be generated in Module 0. This
happens for symptoms that appear at first to be quite serious but turn out to be less so.
What is the first screen that you will see in Module 1? - Answer The body map.
There are no ambulance responses generated in Module 1: True or False? Why? - Answer
False. Less obvious threats to life, which require more in depth probing, are assessed in Module
1. For example potential septicaemia.
What age range does the pregnancy question relate to? - Answer 11 to 55
Must all questions presented be answered? - Answer All questions must be answered but do
not necessarily have to be asked?
What should you also check when you have confirmed that a patient is conscious? - Answer
That they are awake.
With third party callers you should also confirm that... - Answer They are in the same room
as the patient.
