Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether patients removed from NHS waiting lists are informed by trusts of their removal and the reason for it.

Validation is a clinically supported process and forms a long-standing part of trusts’ routine management of their waiting lists. Effective communication between patients and their healthcare teams is a key part of the process, and patients should always be kept well-informed about their care management.

As part of the administrative process for validation, trusts should contact patients after 12 weeks of waiting, providing them with the opportunity to update on their current status. This will allow patients to confirm if they have been treated elsewhere, their symptoms have resolved or they otherwise no longer require an appointment, all of which would result in them being removed from the list. If a clinical decision has been taken to discharge a patient, the patient and referrer are expected to be notified by the trust, including the reason.

There is published national guidance from NHS England to support National Health Service trusts to deliver effective validation and to make best use of clinical time. NHS England also has a published national standard for outpatient clinic letters, including discharge letters, which allows clinical information to be recorded, exchanged, and accessed consistently across care settings.