Diagnostic Report Standard & Template SOP

What's inside

This standard operating procedure is fully drafted and structured, ready to brand and complete for your service. It covers:

• 1. Purpose
• 2. Scope
• 3. Definitions
• 4. Standards every report must meet
• 5. The required report structure
• 6. Evidencing the diagnostic criteria
• 7. Recommendations and shared care
• 8. Quality, sign-off and peer review
• 9. Sharing the report
• 10. Record-keeping and retention
• 11. Training and competence
• 12. Monitoring and audit against this standard
• 13. Related documents
• 14. Document control and review

Legislation & standards it maps to

• NICE NG87 - Attention deficit hyperactivity disorder: diagnosis and management
• Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)
• International Classification of Diseases (ICD-11)
• General Medical Council - Good medical practice (2024)
• Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Regulation 17 (Good governance)
• Care Quality Commission single assessment framework
• UK General Data Protection Regulation (UK GDPR)
• Common Law Duty of Confidentiality

Who it applies to

All assessing clinicians who produce diagnostic reports at [Organisation Name].

How it works

1. Buy securely with Stripe - instant, no VAT, no account needed.
2. Download your editable Word file from the link we email you straight away.
3. Complete the placeholders for your service, then have it approved before use.
4. Add the optional updates subscription and we keep it current as guidance changes.