(following a shared decision-making conversation)

We are often asked questions around the patient choice pathway.

This PCA criteria requires a personal contact or discussion recorded in the patient record, noting the reason for the intervention being declined. This contact may be face-to-face, video or telephone contact between the patient and a health professional.

What does this include?

  • Patients who decline a complete review (so patient has received 1 invite and they decline – informed dissent codes)
  • Single-indicator declines such as blood pressure declined (more specific codes where they are available)
  • Many practices get reception to call patients to come in for BP, the patient declines so they code BP declined

These should also be reviewed on an annual basis – if the patient declined last year, it cannot be assumed they are declining again. The exceptions to this are CS005 & CS006.

Recommended
From 1st January 2026 eligible children are now offered a combined…
Cresta Posts Box by CP