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:
Go to the ⚙️ Settings page of the Hub.
Scroll to Local Form settings on the left-hand side.
Tick the Special Circumstances question.
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.


