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Additional letters cover breaches identified by providers and reporting requirements between practices, LMCs, CCGs, and Trusts. Each letter references specific contract clauses and prompts timely direct communication to reduce unnecessary administrative workload on GP 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does the missed appointment template require a Trust to do?","Question",{"text":63,"@type":64},"The template asks the Trust to liaise directly with the patient to arrange another appointment, rather than automatically discharging the patient back to the GP for re-referral.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How soon should hospitals send discharge summaries under the contract?",{"text":68,"@type":64},"The template cites contract requirements that discharge summaries for inpatient, day case, or A&E care should be sent by direct electronic or email transmission within 24 hours.",{"name":70,"@type":61,"acceptedAnswer":71},"What is the purpose of the delayed clinic letter template?",{"text":72,"@type":64},"It notifies the provider that the outpatient letter has not been received within the required timeframe and requests prompt action so GPs can manage patient care without unnecessary 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with a patient who has missed anoutpatient appointment, in order to book another one.  \nAppendix 2–Template response for delayed discharge summaries  \nLetter to trust notifying of a delay of more than 24 hours in electronically receiving a discharge letter offrom A&E, inpatient or day case attendance, and to action this.  \nAppendix 3–Template response for delayed clinic letters  \nLetter to Trust notifying of a delay of more than 14 days in receiving a clinic outpatient attendance letter, and to action this.  \nAppendix 4–Template response for onward referral  \nLetter to Trust to directly internally refer a patient to a related specialty or service.  \nAppendix 5–Template response for provision of medication following discharge  \nLetter to trust to provide medications following discharge from inpatient or day case care, where medication must be supplied for a minimum of seven days (unless a shorter period is clinically necessary).  \nAppendix 6–Template response for follow-up of results and investigations  \nLetter to Trust requesting that the relevant clinician or department chases up the result of a hospital initiated investigation, including contacting the patient as necessary.  \nAppendix 7–Template letter from practices to CCG, informing them of the breach by the provider.  \nAppendix 8–Template letter from LMC to Trusts asking them for a report on what arrangements have been made to implement the changes set out in the new standard hospital contract.  \nAppendix 9–Template letter from LMCs to CCGs reminding them of the changes to the standard hospital contract and asking them what measures they have put in place to ensure that Trusts implement these, and to hold CCGs to account for their commissioning responsibilities.  \nAppendix 1  \nTemplate response for missed appointment  \nDear x,  \nRe: \u003C\u003CPatient Identifier Label>>  \nYour department has automatically discharged this patient from your service following missing an appointment. You have requested that we make a new GP referral for the patient to be seen.  \nYou should be aware that this breaches new requirements in the standard hospital contract which came into force on 1 April 2016, to reduce inappropriate bureaucratic workload shift onto GP practices.  \nContract reference SC6 states hospitals cannot adopt blanket policies under which patients who do not attend an outpatient clinic appointment are automatically discharged back to their GP for re-referral.  \nThis was reiterated in a recent letter from NHS England to all Trusts.  \nIn line with the national contract requirement, please liaise directly with the patient to organise another appointment as appropriate.  \nYou will be aware that general practice is under unprecedented workload pressures. It is not appropriate for GPs and staff to incur the additional bureaucracy and workload to re-refer patients after a single missed appointment. Additionally, several million GP appointments are wasted nationally due to patients seeing a GP for the sole administrative purpose of a rereferral, and which could instead have been offered to other patients.  \nThank you for reviewing your Trust’s policy accordingly, and liaising directly with patients who miss a clinic appointment.  \nWe have notified [insert] CCG as the commissioner of this breach in view of their responsibility to ensure delivery of the standard hospital contract.  \nYours faithfully,  \nAppendix 2  \nTemplate response for delayed discharge summaries  \nDear Provider,  \nRe: \u003C\u003CPatient Identifier Label>>  \nThe above patient was discharged from your [inpatient/day case/A&E care] on [insert date] . We have to date not received a discharge letter. Delays in receiving hospital communication prevent GPs from having necessary information to manage patents, and also","cbCaiphmYPGmS4ce","https://ap.wps.com/l/cbCaiphmYPGmS4ce","pdf",108703,10,"English","# Appendix 1 - Template response for missed appointment\n# Appendix 2 - Template response for delayed discharge summaries\n# Appendix 3 - Template response for delayed clinic letters\n# Appendix 4 - Template response for onward referral\n# Appendix 5 - Template response for provision of medication following discharge\n# Appendix 6 - Template response for follow-up of results and investigations\n# Appendix 7 - Template letter from practices to CCG\n# Appendix 8 - Template letter from LMC to Trusts\n# Appendix 9 - Template letter from LMCs to CCGs","[{\"question\":\"What does the missed appointment template require a Trust to do?\",\"answer\":\"The template asks the Trust to liaise directly with the patient to arrange another appointment, rather than automatically discharging the patient back to the GP for re-referral.\"},{\"question\":\"How soon should hospitals send discharge summaries under the contract?\",\"answer\":\"The template cites contract requirements that discharge summaries for inpatient, day case, or A\\u0026E care should be sent by direct electronic or email transmission within 24 hours.\"},{\"question\":\"What is the purpose of the delayed clinic letter template?\",\"answer\":\"It notifies the provider that the outpatient letter has not been received within the required timeframe and requests prompt action so GPs can manage patient care without unnecessary delays.\"}]","NHS England standard contract letter templates - Practice use - Appendix response letters | PDF"]