Missing Information Checklist

REF-2041

Eileen Hargreaves · admission information

Tick each item as it is received. Use “Needs follow-up” to flag anything to chase with the referrer.

Received
5
Needs follow-up
5
Missing
5
Required outstanding
9

Information checklist

15 items

  • Full medication list

    Required
    Missing

    Reconciled list with doses, route, and timings.

  • Allergies

    Required
    Needs follow-up

    Discharge summary lists penicillin; GP letter adds codeine — needs reconciling.

  • GP details

    Required
    Received

    Dr. Khan, Riverside Surgery.

  • NHS number

    Required
    Received

    10-digit identifier from referrer.

  • DNACPR / ReSPECT status

    Required
    Needs follow-up

    If applicable — original or certified copy required on admission.

  • Mobility assessment

    Required
    Missing

    Most recent physio or OT assessment.

  • Falls history

    Required
    Missing

    Last 12 months, including any post-fall investigations.

  • Skin integrity / pressure sore risk

    Required
    Needs follow-up

    Waterlow score and any current wounds or dressings.

  • Continence needs

    Required
    Missing

    Day/night products and any catheter or stoma care.

  • Capacity / consent notes

    Required
    Missing

    Mental capacity assessment and best-interest decisions on file.

  • Family contact

    Required
    Received

    Next of kin with phone and relationship.

  • Funding status

    Required
    Received

    Local Authority, CHC, or self-funded — confirmation letter required.

  • Hospital discharge date

    Required
    Needs follow-up

    Confirmed date and expected transport arrangements.

  • Infection status

    Required
    Received

    MRSA, C. diff, COVID-19 and any current isolation requirements.

  • Equipment needed

    Optional
    Needs follow-up

    Hoist, profiling bed, pressure mattress, hearing aids.

Required items must be received before admission can be approved.