consultation-1300x180

Outpatient letter v2.1

PRSB standards for digital outpatient letters allow clinical information to be recorded, exchanged and accessed consistently across care settings. Best practice for most outpatient letters is writing directly to patients. Due to the rise in the number of specialist services delivered out of hospitals, well-structured outpatient letters have become increasingly important to provide good care. Outpatient letters are the main method of contact and communication between hospital staff and GPs, and are often the sole record of the consultation held by the outpatient department and hospital. The PRSB standard for outpatient letters is designed to improve and standardise the content of outpatient letters so that professionals, patients and carers receive consistent, reliable, high quality information between clinicians and patients. Watch the video Freeman Hospital renal consultant, Dr Ian Logan, explains how the outpatient letter standard has benefited patients he works with who receive regular kidney dialysis.
Endorsement
  • Royal College of General Practitioners
  • Royal College of Midwives
  • Royal College of Nursing
  • Royal College of Obstetricians and Gynaecologists
  • Royal College of Occupational Therapists
  • Royal Pharmaceutical Society
  • Royal College of Physicians
  • Royal College of Psychiatrists
  • Royal College of Radiologists (Faculty of Clinical Oncology)
  • British Psychological Society
  • Resuscitation Council UK
  • Chartered Society of Physiotherapy
  • Institute of Health Records and Information Managers (IHRIM)
  • TechUK

The standard

Outpatient letter standard

Release Notes V2.1
The Outpatient letter standard has been updated to version 2.1 (Dec 17 2019). V2.1 includes an update to:
– structured dose direction cluster
– structured dose amount
– structured dose timing and dose direction duration.

Previous revisions
– Release notes – V2.0
– Release notes V1.1

IHRIM record correction guidance

Despite vigilance when filing information in records, mistakes can occur. The Institute of Health Records and Information Management has guidance to support professionals in making corrections following errors.