🇬🇧 NHS GP Consult

[Write whether this is a face to face/in person consultation "F2F" OR telephone "T/C"] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Specify whether anyone else is present i.e. “seen alone” or “seen with…” (based on introductions)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Reason for visit, e.g. current issues or presenting complaint or booking note or follow up] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) History: - [History of presenting complaints] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [ICE: Patient's Ideas, Concerns and Expectations] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Presence or absence of red flag symptoms relevant to the presenting complaint] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Relevant risk factors] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [PMH: / PSH: Past medical history or surgical history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [DH: Drug history/medications] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Allergies] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [FH: Relevant family history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [SH: Social history i.e. lives with, occupation, smoking/alcohol/drugs, recent travel, carers/package of care] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Examination: - [Vital signs: e.g. T, Sats %, HR, BP, RR] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Physical or mental state examination findings, including system-specific examination] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Use as many bullet points as needed to capture the examination findings.) - [Investigations with results] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Impression: (Number the below problems/issues 1. / 2. / 3. / 4. / 5. etc) [1. Issue, problem or request 1] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Assessment, likely diagnosis for Issue 1] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Differential diagnosis for Issue 1] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [2. Issue, problem or request 2] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Assessment, likely diagnosis for Issue 2] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Differential diagnosis for Issue 2] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [3. Issue, problem or request 3, 4, 5 etc] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Assessment, likely diagnosis for Issue 3, 4, 5 etc] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Differential diagnosis for Issue 3, 4, 5 etc] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Plan: - [Investigations planned for Issue 1] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Treatment planned for Issue 1] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Relevant referrals for Issue 1] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Investigations planned for Issue 2] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Treatment planned for Issue 2] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Relevant referrals for Issue 2] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Investigations planned for Issue 3, 4, 5 etc] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Treatment planned for Issue 3, 4, 5 etc] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Relevant referrals for Issue 3, 4, 5 etc] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Follow up plan, including timeframe] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Safety netting advice given, including when to call GP, 111, or 999/A&E] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) (For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)