Please note that no clinical or patient identifiable information should be placed in any section of a patient form. No medical record numbers, NHS numbers or other patient system related reference should be recorded as this will be considered patient identifiable information and as such a breach of data protection requirements and require reporting through Trust/Organisation incident reporting procedures.

The new patient/patient form is a generic form, which can be accessed from the Add A New Patient or Update buttons. These icons can be found when accessing either the dashboard or navigation bar view for the relevant organisation (Acute Trust View/Mental Health Trust View/Police View dependent on permissions).

Within the list view in the dashboard use the + feature to expand a record and then the View more button to view detail within the record and audit log of changes to the record.

Definitions and detailed guidance on patient form completion can be found in Appendix 3.

Please note – users should always check data entries prior to submission.