Table 2.

Components of safety netting in primary care

Ablett-Spence 201343Almond 200913Bankhead 201116Bertheloot 201638Buntinx 201136Cabral 201439Campion-Smith 20146CRUK 20165Chafer 200319de Bont 201756de Vos-Kirkhof 201553Eden 201048Hirst 201744Jones 201346Jones 201447Kaufmann 200820Kurtz 199815McKelvey 201021MDDUS 201623MDU 201822Mitchell 201349Mitchell 2015Morgan 201525NPSA 201051Neighbour 198714NHS Healthy London 201626NICE 2015NICE 20139Nicholson 201655Pearson 200727Rees 201752Roland 2014RCGP 201128Schiff 2012Singh 201029van Galen 201831Walter 201441Young 201032
Consultation activity
Communicate uncertainty
Discuss red flag symptoms or signs to look out for
Suggest time course for symptom resolution
Discuss how and when to represent/seek further help
  Cover who should make a follow-up appointment
  Outline actions if symptoms persistent/recur
  Legitimise repeat visits
  Signpost to additional services
Arrange planned follow-up
Provide verbal or written information
Check patient’s understanding
Document safety netting advice in the notes
Explain reasons for tests
Follow-up investigations or referrals
Practice administration
Follow-up missed appointments
Ensure current contact details for patients
Liaise with other care providers, for example, OOH
  • CRUK = Cancer Research UK. MDDUS = Medical and Dental Defence Union of Scotland. MDU = Medical Defence Union. NICE = National Institute for Health and Care Excellence. NPSA = National Patient Safety Agency. OOH = out-of-hours. RCGP = Royal College of General Practitioners..