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❤️‍🩹 Special circumstances

Describes the Local Form special circumstances question and how patient selections like homeless, housebound, or refugee are recorded in their record.

Written by Vanessa Gouveia
Updated over 2 months ago

The Local Form is a separate follow-on form that allows patients to provide extra information after completing the NHS England registration form.

Special circumstances is one of several local form questions and captures situations that may affect a patient’s care.


What are the special circumstances options?

Patients can select one or more of the following options:

  • Approaching end of life

  • Asylum seeker

  • Experiencing homelessness

  • Housebound

  • Refugee

  • Victim of domestic abuse

Below is an image showing how the special circumstances question appears on the Local Form 👇.


How do I make this question available?

To make the Special Circumstances question visible to patients:

  1. Go to the ⚙️ Settings page of the Hub.

  2. Scroll to Local Form settings on the left-hand side.

  3. Tick the Special Circumstances question.

  4. Scroll to the bottom and click Save Settings.

Below is an image showing how this appears in the Hub 👇.


Which SNOMED codes are added?

The following SNOMED codes are recorded in the patient’s record for the corresponding options:

Option

SNOMED Code

Notes

Approaching end of life

No code added

Due to sensitivity, this is not coded. Take post-registration action via Signals.

Asylum seeker

390790000

Experiencing homelessness

160700001

Housebound

160689007

Refugee

446654005

Victim of domestic abuse

879911000000102


Anything else?

We will add a 🔮 Signal that reads "This patient has special circumstances" so that you can review and complete any necessary post-registration actions.

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