Purpose

Handover notes ensure continuity of care at transitions between clinical teams. Clear, structured handover reduces risk, improves safety and supports the receiving team in prioritising care.

Key Components

  • Patient list with key identifiers
  • Current status and acuity
  • Active problems and diagnosis
  • Outstanding tasks and investigations
  • If-then contingency plans
  • Escalation plan and ceiling of care
  • Expected events overnight
  • Responsible clinician contact

Documentation Tips

  • Use SBAR or ISOBAR format for verbal handover
  • Flag the sickest patients clearly
  • Document specific tasks — not general phrases
  • Include contingency plans ("if X then do Y")
  • Confirm resuscitation status is documented
Reminder: Always date, time and sign all clinical entries. Include your name and GMC/NMC number.
Template
CLINICAL HANDOVER
=====================================
DATE: ___________  TIME: ___________
HANDING OVER: _________________________
RECEIVING: ____________________________
WARD/TEAM: ____________________________

PATIENT LIST
-------------------------------------
Pt | DOB | Bed | Diagnosis | Acuity
___|_____|_____|___________|________

INDIVIDUAL PATIENT DETAILS:
-------------------------------------
PATIENT: ______________________________
DOB: _____________  Bed: ______________
DIAGNOSIS: ____________________________
ACUITY: Stable / Needs Review / Sick

Current issues:
[Brief summary]

Outstanding tasks:
1.
2.

IF/THEN plans:
If [X] then [Y]

Ceiling of care: ______________________
DNACPR: In place / Not in place

-------------------------------------
[Repeat for each patient requiring handover]

GENERAL WARD ISSUES:
[Any ward-level concerns]

CONTACT FOR QUERIES:
Name: _________________________________
Bleep/Phone: __________________________

SIGNATURE: ____________  DATE: _________