IHRD-26
Response
Accepted
Recording Clinical Discussions
Recommendation
Clinical notes should always record discussions between clinicians and parents relating to patient care and between clinicians at handover or in respect of a change in care.
Published Evidence Summary
The following publicly available evidence relates to this recommendation:
- HSC Trusts reported that clinical audit programmes for paediatric care have been strengthened (IHRD Implementation Programme, Department of Health NI, March 2018).
- No independent published verification of implementation has been identified.
- No independent published verification of implementation has been identified.
How was this evidence gathered?
Evidence searched by Claude (Anthropic) on 17 Jul 2026
Checked data held on this site (government responses, progress updates, independent evidence)
This recommendation applies across many organisations. The evidence above reflects central policy activity; adoption in individual organisations may vary.
Jurisdiction
Northern Ireland
Response
Accepted
Response
Accepted
Accepted
HSC Trusts
01 Mar 2018
Documentation standards updated to require recording of clinical discussions and handovers.
Source
Inquiry
Hyponatraemia Inquiry
Report
Report of the Inquiry into Hyponatraemia-related Deaths
31 Jan 2018
Responsible Bodies
HSC Trusts
Primary
Themes & Tags
Recommendation age
8.5 yrs
Last formal update
910 days ago