This article explains how Mosaic can support you in meeting the key Information Standard Notice (ISN) requirements for the reasonable adjustment digital flag.
đNote: From v24.1, the existing Current communication needs widget will be renamed to Reasonable adjustments and accessible information.
Identification of disability or impairment
You will need a local process to identify disabilities or impairments under the Equality Act 2010. Mosaic can support this by:
Providing question prompts throughout your existing workflow.
Using pre-population from the current communications needs widget.
Recording of disability or impairment
You will need a local process to record disabilities or impairments. Mosaic can support this by:
Providing question prompts throughout your existing workflow.
Using pre-population from the current communications needs widget.
Allowing disabilities and impairments to be recorded using the conditions and disabilities menu.
đ¤Tip: In line with the ISN recommendations, you may want to align your existing conditions and disabilities to SNOMED CT codes. For more information, visit NHS Digital - SNOMED CT.
Identification of reasonable adjustments
You will need a local process to identify reasonable adjustments. Mosaic can support this by:
Using the current communications needs widget on the person summary screen.
Providing question prompts throughout your existing workflow.
Recording of reasonable adjustments
You will need a local process to record reasonable adjustments. Mosaic can support this by:
Providing question prompts throughout your existing workflow.
Allowing information to be recorded directly into the current communications needs widget.
We recommend you also take the following steps to align your local system with the ISN:
Update your widget's category and sub-category codes to align with the codes listed in the ISN. You will find these in Appendix B, List of Reasonable Adjustment SNOMED codes grouped by category, including DCB1605.
Create a new category or sub-category to record whether a person has a disability or impairment recognised under the Equality Act 2010, along with any relevant details.
Flagging of reasonable adjustments
Mosaic lets you flag reasonable adjustment information locally by displaying relevant information on the person summary screen. You can also:
Enable the recording of more detailed free text information by creating a note category for reasonable adjustments.
Use Mosaic's pre-population functionality within forms to display all relevant information in a compact format, as shown in ISN example 6.4.3.2.
Sharing of reasonable adjustments
You will need a local process to share reasonable adjustments. Mosaic can support this using its existing forms functionality, which allows information to be shared with third-party services.
Reviewing of reasonable adjustments
You will need a local process to review reasonable adjustments. Mosaic can support this by providing question prompts throughout your existing workflow.
We recommend you update your existing forms to include relevant reasonable adjustment information to support this review process.
For more information and guidance, refer to the Information Standard Notice (ISN) â Reasonable Adjustment Digital Flag (DAPB4019 Amd 77/2020).