01Workflow
Test results and clinical correspondence
CQC asks every GP practice whether it has a safe and effective system to manage test results and correspondence, and names failure to follow up results as a major problem in primary care.1
- Order and track. Record every test ordered against the visit, and follow up patients who do not attend for it.1
- Spot what comes back, and what does not. CQC expects the system to identify when results return and to act when they do not.1
- Cover absence and locums. Results requested by a short-term locum or a clinician on leave still reach a named clinician.1
- Tell the patient and file the result. Inform the patient in a timely and clinically appropriate way, then record and file the result accurately.1
- Act on the abnormal. A clinician acts on results that alter management, and the action is in the signed note.
How wai handles it
- Follow-up. The results message is drafted for a clinician to approve, and recalls for a repeat test go out once a clinician approves them.
- Appointments. A patient who misses the test or the follow-up is offered a new time, and a cancelled slot goes to the waitlist.
- Evidence and audit trail. Every read and change of the record is logged against a named account, so who reviewed each result, and when, is on the record.
- Scribe. The results consultation becomes a signed note, and any referral is written from it.


