NHS Nursing Discharge Summary Template
Created by
Nicole Walsh
Specialty
Nurse
Last edited
10/20/2026
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About this template
A reusable NHS discharge summary structure for recording patient identity, admission and discharge details, clinical problems, allergies, medicines, and follow-up arrangements. It supports clear communication of discharge outcomes and ongoing care needs between hospital, patients, families, and community or specialist services.
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Royal Brisbane and Women's Hospital Metro North Hospital and Health Service Tel: 07 3646 8111
Dr. David Chen Respiratory Medicine Butterfield Street, Herston QLD 4029
Discharge Summary
Date: 24/10/2023 14:30 Discharge Status: Final
Name: Arthur Pendelton MRN: 849-204-11 Gender: Male D.O.B.: 14/05/1948 NHS Number: 482 910 3847 Home Telephone: 07 3849 2011 Mobile Telephone: 0412 384 920 Address: 42 Jacaranda Avenue, Chermside QLD 4032
Admission Date/Time: 21/10/2023 09:15 Discharge Date/Time: 24/10/2023 15:00 Consultant: Dr. David Chen
Outcome: Discharge with consent
Presenting Complaint: The patient presented with a 3-day history of worsening shortness of breath, productive cough with green sputum, and fever.
Discharging Ward: Ward 7B (Respiratory) Discharging Hospital: Royal Brisbane and Women's Hospital Discharged by: Sarah Jenkins Discharge Method: Usual place of residence
Clinical Summary
Admission Information
Admission Diagnosis: Acute infective exacerbation of COPD (J44.0)
Problems
Co-morbidities: Hypertension, T2DM, Osteoarthritis
All Problems
- Acute infective exacerbation of COPD (resolved hypoxia, weaned off supplemental O2)
- Essential hypertension (stable)
- Type 2 diabetes mellitus (transient steroid-induced hyperglycaemia, managed with PRN novorapid, now back to baseline)
Allergies
Allergies: Penicillin Allergic Reactions (Selected): Maculopapular rash (moderate severity)
Medications
Warfarin treatment: Not on Warfarin during admission and not required post-discharge. Medications to take home:
- doxycycline 100 mg PO OD for 4 days (to complete 7-day course)
- prednisolone 25 mg PO OD for 2 days (to complete 5-day course)
- salbutamol (Ventolin®) 100 mcg INH 2 puffs QID PRN
- tiotropium (Spiriva®) 18 mcg INH 1 puff OD
- metformin 1,000 mg PO BD
- perindopril 5 mg PO OD TTO medicines have been checked and reconciled with the patient's regular regimen.
Discharge Plan
Advice, Recommendations and Future Plan
GP: Review in 1 week to assess respiratory recovery, check BGLs post-steroid therapy, and review inhaler technique. Community/Specialist Services: Referred to Community Pulmonary Rehabilitation service. Other Details: Patient educated on COPD action plan and red-flag symptoms (worsening SOB, chest pain, Confusion). Advised to return to ED if acute deterioration occurs. Smoking cessation reinforced (ex-smoker).
Signed by: Sarah Jenkins Bleep/Tel: Ext 4829 Grade: Nurse Practitioner
How to use this template
This template can be used to assist with various tasks in the medical field. You can use it to generate notes, manage patient information, or assist with diagnosis and the Assessment and Plan. To use this template, simply click the “Use Template” button above. If you have any questions or need assistance, feel free to reach out to the support team or refer to the description and example output provided above.