# SystmOne: build a weekly safety net for unsent referrals

> One practice used SystmOne reporting and Batch Reporting to catch referral letters that were written but never coded as sent.

- Published: 23 Jun 2026
- Type: Tip
- Topic: EMIS/SystmOne
- For: Practice managers, PCN leads
- Applies to: UK-wide
- Review: Reviewed by the Abtrace team
- Web page: https://ontherecord.abtrace.com/posts/systmone-referral-safety-net-report/

## What's changed

- In a case study published by TPP in April 2026, a practice built a report finding patients who had a referral letter generated but no matching referral code added afterwards.
- Referrals had sometimes slipped through between a GP writing the letter and the secretaries sending it. The practice started with Two Week Wait referrals.
- The report runs automatically each week using Batch Reporting, and SystmOne creates a task for the secretarial team with the patient list to work through.

## Who it affects

Practices using SystmOne, especially those where referral letters pass between clinicians and an admin team.

## What to do

- Map your referral steps and note which code, if any, is added when a referral is actually sent. The report only works if that step is coded consistently.
- Build a report for patients with a referral letter but no sent code, starting with your highest-risk referral type.
- Test it with your management team before handing it over. The practice in the case study tested for two weeks before rolling it out.
- Schedule it weekly and route the results as a task to a named team, not an individual. TPP's reporting page says reports can be scheduled with a notification when results are ready.

## Sources

- [TPP: Building safety nets with smart reporting at Trinity and Bowthorpe Medical Practice](https://tpp-uk.com/news/building-safety-nets-with-smart-reporting-at-trinity-and-bowthorpe-medical-practice/)
- [TPP: Reporting](https://tpp-uk.com/general-practice/reporting/)

Published by Abtrace on On the Record (https://ontherecord.abtrace.com/). Summaries only; always check the linked source.