Safety Netting (SN)
Robust safety netting should reflect three core elements:
- Patient Communication
- GP Actions During Consultation
- Practice Processes and Systems
Implementing practice safety netting procedures in primary care.
Safety netting is an important part of cancer referrals and investigations.
Review Safety Netting Practices – Primary Care Networks should support practices to review their safety netting processes. Could Primary Care Networks agree some standard processes and principles across the Primary Care Network? Support update and learning sessions including – using safety netting review tools .Your CRUK Facilitator can provide safety netting workshops/sessions and resources.Download Cancer Research UK Cancer Insights Safety Netting
Ensure recently issued Northern Cancer Alliance COVID-19 Safety Netting Guidance has been used to consider current practice and potential enhancements. N.B. New Safety Netting Guidance and Tools were issued by the Cancer Alliance in March 2020.
Consider the use of safety netting templates within clinical systems.
When practices audit their cancer diagnoses it can often show occasions where there are delays in investigation and referral for a variety of reasons. These delays can be related to patients, clinical or system failure. Safety netting can minimise this risk.
Safety Netting – Hints and Tips
- Ask your CRUK Facilitator to provide tools and support sessions.
- Download CRUK Cancer Insights Safety Netting
- Safety Netting Checklist
- Macmillan Safety Netting Tools – Macmillan 10 Top Tips
- Safety Netting Examples
Listed below are some helpful sources of information and tools to support effective patient safety netting:
- A basic spreadsheet to support an effective safety net system of follow up to discuss investigation/potential referrals available here.
- EMIS 5 Tips – creating deferred treatment workflow available here.
- Systemone – CDRC Delayed Treatment System Guide available here.
- CRUK Safety netting patients during theCOVID-19 pandemic available here.
- NCA advice to GPs for suspected cancer referrals during COVID-19 Pandemic here.
Safety Netting in General Practice
Safety netting in a general practice is way of ensuring that systems are in place to provide safe monitoring and follow-up for patients. It can help to reduce clinical risk, manage diagnostic uncertainty and support timely diagnosis of cancer.
The short film below provides an overview of the benefits of safety netting to the patient and the primary care team.
For the PCN Early Cancer Diagnosis DES – consider a minimal standard including:
On the 8th September 2021 the Northern Cancer Alliance and Cancer Research UK hosted a Cancer Early Diagnosis Safety Netting Webinar for PCN Clinical Directors and practice managers . This was an interactive session about safety netting, hearing insights and good practice to improve safety netting of patients. Here are the presentations recordings, along with links to the session PowerPoint presentations and supporting resources. For further information contact the facilitators firstname.lastname@example.org or Sharon.email@example.com
- Safety Netting PowerPoint
- Fast Track Suspected Cancer Referrals Safety Netting Process PowerPoint
- NHS ViewPoint PCN User Guide
- New Safety Netting SNOMED Code