Standard operating procedure

Test Results Handling & Failsafe Procedure

A standard operating procedure for the safe receipt, review, coding, communication and tracking of pathology, imaging and other investigation results, with a failsafe to ensure no result is left unactioned.

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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

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 and abbreviations
  • 4. Responsibilities
  • 5. Procedure
  • 6. Records
  • 7. Audit
  • 8. Related documents
  • 9. Review and version control
  • 10. Disclaimer

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 12 (Safe care and treatment)
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 17 (Good governance)
  • General Medical Council, Good medical practice (2024) - continuity and coordination of care
  • Data Protection Act 2018 and the UK General Data Protection Regulation (UK GDPR)

Who it applies to

All clinical and administrative staff at [Organisation Name] who request investigations, or who receive, process, file, action or communicate test results, including GPs, nurses, advanced practitioners, the management team, reception and the secretarial and administrative team.

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Abnormal result
A test result that falls outside the expected normal range, or that otherwise needs review, action or follow-up.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Clinical code
A standard term or number entered in a patient's record so that a diagnosis, result or action is recorded consistently and can be searched for.
Computed tomography (CT)
A scan that uses X-rays taken from many angles to build detailed cross-sectional images of the inside of the body.
Critical (panic) result
A test result that signals a risk of serious, imminent harm and needs urgent clinical review and contact with the patient the same day.
Data Protection Act 2018
The UK law that sets the rules for how personal information must be collected, stored and used.
Did not attend (DNA)
A patient who did not come to a booked appointment or a requested test.
Duty clinician
The clinician on shift who handles urgent matters, including critical results, when the usual clinician is not available.
Failsafe
A back-up checking system that makes sure every requested test is returned, reviewed and acted upon, and flags any result that is outstanding, overdue or never received.
General Medical Council (GMC)
The body that registers doctors in the UK and sets the standards of professional practice they must meet.
General practitioner (GP)
A doctor who provides general medical care to patients in the community.
Good medical practice (2024)
The General Medical Council's core guidance setting out the professional standards expected of all doctors.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations that set the fundamental standards of safety and quality that care providers in England must meet.
Imaging
Tests that produce pictures of the inside of the body, such as X-rays, ultrasound and scans.
Incidental finding
An unexpected finding, usually on a scan, that is unrelated to the reason the test was originally requested.
Magnetic resonance imaging (MRI)
A scan that uses strong magnetic fields and radio waves, rather than X-rays, to create detailed images of organs and tissues.
Nominated deputy
A named clinician who reviews and acts on results in place of a requesting clinician who is absent.
Normal result
A test result within the expected range, or one the clinician judges needs no further action.
Pathology
The laboratory testing of samples such as blood, urine or tissue to help diagnose and monitor illness.
Reference range
The range of values a laboratory considers normal for a particular test in most healthy people.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Regulation 12 (Safe care and treatment)
The regulation requiring care to be provided in a safe way, including by assessing and managing risks to patients.
Regulation 17 (Good governance)
The regulation requiring providers to have effective systems to monitor, assess and improve the quality and safety of the service.
Requesting clinician
The clinician who ordered a test and who is mainly responsible for reviewing and acting on its result.
Safety-net advice
Clear guidance given to a patient on what symptoms to watch for and what to do, and when, if their condition changes or does not improve.
SNOMED CT
The standard set of clinical terms used in electronic patient records so that information is recorded consistently and can be shared and searched.
Standard operating procedure (SOP)
A written, step-by-step instruction describing how a particular task or process should be carried out consistently and safely.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.
Welfare check
A visit, often by the emergency services, to check on the safety and wellbeing of a person who cannot be contacted and may be at risk.

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.

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