If It’s Not Written, It Didn’t Happen” — Are You Documenting the NHS Way?

In the NHS, your notes don’t just record what happened — they prove your professionalism, clinical judgment, and patient safety awareness. Whether it’s a ward round or a deteriorating patient, IMGs are expected to master UK formats like SOAP and SBAR from day one. But no one really teaches this stuff properly, right? 🧠

📋 You’ll be expected to:

• Write admission clerkings, ward round notes, and discharge summaries

• Use SOAP for daily reviews and SBAR for escalations

• Avoid vague or unstructured notes that could fail audits or legal reviews

• Always include date/time, senior input, and a clear plan

📝 Yet many IMGs still face feedback like “write more clearly” or “structure your notes.” Why? Because they don’t know what ‘good’ NHS documentation looks like.

What’s your experience been like so far?
Have you ever been told your notes were too long, too vague, or not safe enough? Or maybe you’ve picked up some great tips on writing strong documentation?

👉 Read article for real-life examples, common pitfalls, and what IMGs need to know in 2025

https://community.trewlink.com/articles-hdmgi0x8/post/how-nhs-clinical-notes-are-written-soap-sbar-and-documentation-tips-NAbN7CloNjlZPAE