Skip to main content

🔮 Signals

Signals flag things a patient has told us on their registration form. They're an FYI - and you choose which ones you see.

Written by Vanessa Gouveia

What are Signals?

Patients sometimes share something on their registration form that you might want to know about.

We register them on your clinical system as normal, then flag it for you in the Patients to review folder.

We call these notifications 🔮 Signals.

Signals highlight safeguarding concerns, health concerns, and other patient details that your practice may have a follow up action for.


How will I know if a patient has Signals?

If a patient has been registered but they have a Signal, you'll receive this email notification:


Where do I find Signals?

In the Hub, you'll find Signals in the purple section at the top right of a patient's registration form:

You can check them off when you've reviewed them ✅


What Signals are there?

🖋️ Administrative

  • The patient has uploaded a document (eg. a baby red book or vaccination record)

  • We were unable to update the Pharmacy preferences for this patient. Please add this

  • We were unable to update the Summary Care Record (SCR) preferences for this patient. Please add this

  • We were unable to update the systmOne Record Sharing preferences for this patient. Please add this

  • The patient has a European Health Insurance Card (EHIC)

  • This patient has stated that they have a firearms licence*

  • This patient has stated that a member of their household has a firearms licence*

👥 Demographic

  • The patient has a social worker

  • The patient is fostered

  • The patient has a disability

  • The patient is out of area*

  • The patient is a carer

  • This patient has a main spoken language which has not been coded*

  • Patient's gender identity has changed since sex at birth*

  • This patient's stated gender is In Another Way*

🚑 Medical

  • The patient says they have repeat medications

  • The patient says they have long term conditions

  • The patient says they are pregnant*

  • The patient says they are pregnant and not booked in with maternity services*

  • The patient says they have a contraceptive device/implant and have provided a date it is due to be removed on*

  • The patient would like a HIV test*

  • The patient would like a chlamydia test*

  • The patient says they have special circumstances (Approaching end of life, Asylum seeker, experiencing homelessness, Housebound, Refugee, Victim of domestic abuse)*

  • The patient has a high alcohol FAST score (8+)

  • The patient has a high alcohol AUDIT-C score (10+)

  • The patient says they have mental health conditions

  • The patient says they require reasonable adjustments

  • The patient says they need to be communicated with in an accessible format

  • The patient has free texted an allergy which has not been coded

  • The patient may have missing vaccinations

  • The patient had vaccinations abroad

  • The patient may be eligible for TB Screening

  • The patient has a low/high weight/height which has not been coded

  • This patient is eligible for a Hepatitis C blood test

  • This patient has stated that they require regular or ongoing support for their mental health or emotional wellbeing*

🛡️ Safeguarding

  • The patient is a child (under 18 years old)

  • The patient is under 16 years old and their stated person of parental responsibility is anyone other than their mother or father

  • This patient has a carer which we have not added to the patient's record. Please add this

  • This patient has a second carer which we have not added to the patient's record. Please add this

  • The patient has professional involvement (Hospital specialist or consultant, Health visitor, Social worker, Other health professional)

  • This patient receives support from a professional agency*

* These Signals are part of configurable Local Form questions which may not feature on your practice's registration form. You can toggle these on by going to your Local Form settings (NHSE national registration form):


Can we reduce the number of signals we get?

Yes! Signals are optional.

If there's a Signal your practice doesn't need, head to Settings > Signal settings and switch it off - then you'll only see what's useful to you.

For more information on how to do this, check out our support article here.

Did this answer your question?