Documenting in patient clinical records

Course description:

Pharmacy professionals, as an integral part of the NHS Long Term Plan, are now routinely working in GP practices, care homes, secondary care, community and commissioning within a multi-disciplinary team. This growing infrastructure demands the need for effective communication between healthcare professionals working in different sectors. This programme will support you with documenting in patient clinical records to enable continuity of patient care in integrated local services.

On completion of all aspects of this learning programme you should be able to:

  • summarise the legal and regulatory requirements for patient clinical records
  • describe the information required for clear, concise and appropriate patient clinical records
  • recognise the required structure expected when writing in patient clinical records
  • document details of patient consultations and clinical interventions concisely and accurately in patient clinical records.

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Pharmacy Training is a trading name of Habeda Ltd, 205 Lavender Hill, London, England, SW11 5TB.
A company registered in England & Wales with the registration number 13907256.