Why Mohammed is on the list
- Record review
- Review recommended
- Unplanned hospital episodes
- 1 in the past year
- Most recent 14 Aug 2026
- Care planning
- No advance care plan
- Not on the palliative care register in this record source
1 indicator present in the record
Unplanned hospital attendance on 14 Aug 2026: Chest pressure at rest with diaphoresis and shortness of breath
Shaped after SPICT general indicator (service use) REC_ADMISSION_RECENT
Recorded 14 Aug 2026
Screening
No screening has been run for this patient.
Record review
The record supports a prompt clinical review for a goals-of-care conversation.
Prompt clinician review is supported to decide whether and when to offer a priorities-focused goals-of-care conversation. The record shows a worsening chest-symptom trajectory from exertional pressure to pressure after a few steps and then an acuity-1 emergency-department presentation with chest pressure at rest, diaphoresis, and shortness of breath. This may represent a treatable acute cardiac problem and is not, by itself, evidence of life-limiting illness; discussion should therefore be timed around stabilization and framed as understanding priorities rather than predicting outcome.
Show the full review
The snapshot does not establish diagnosis, outlook, broader functional baseline, residence, patient wishes, family support, decision-making capacity, or active advance-care planning.
What the record shows
Progressive chest symptoms and reduced exertional threshold
The documented change from symptoms on walking uphill to symptoms after only a few steps, with breathlessness and a longer episode, warrants prompt human review of the clinical trajectory and the appropriateness of a priorities conversation alongside acute evaluation.
1 source in the record
- Eligible
GP documentation first describes central pressure after walking uphill and fatigue, settling with rest, and later chest pressure after a few steps with breathlessness and a longer-than-usual episode.
High-acuity emergency presentation
Rest pain with autonomic and respiratory symptoms in an acuity-1 emergency attendance creates an immediate need for clinician-led review; it does not establish outlook but may make a sensitive priorities discussion relevant once clinically appropriate.
1 source in the record
- Eligible14 Aug 2026
Hospital attendance records acuity 1, emergency-department arrival, and chest pressure at rest with diaphoresis and shortness of breath.
Serial blood-count abnormalities
Repeated low haemoglobin and platelet values add clinical complexity that should be interpreted by the treating team rather than assumed to be benign or life-limiting.
2 sources in the record
- Eligible27 Jun 2026
Anaemia and platelet check reports haemoglobin 108 g/L and platelets 130 ×10⁹/L.
- Eligible
Other serial FBC reports include haemoglobin values below the stated reference range and platelet values of 119, 101, and 111 ×10⁹/L.
What they and their family want
- Letter is repeatedly recorded as the administrative contact preference; this should be reconfirmed for sensitive clinical communication and does not replace accessible real-time communication during acute care.
- The patient's understanding, priorities, values, fears, and preferred level of involvement are unknown.
- Family, carer, or other supporter identities and wishes are unknown.
- Consent to involve another person is unknown.
- Decision-making capacity, communication needs, language, sensory needs, and accessibility requirements are unknown.
- The existence of legal representatives or care-planning documents outside this snapshot is unknown.
1 source in the record
- Eligible
Multiple GP observations record the administrative contact preference as letter; no patient wishes, family wishes, supporter details, capacity assessment, or legal planning record is supplied.
Care at present
Unknown; no residence or current home setting is documented in the supplied snapshot.
Broader baseline activities of daily living and mobility aids are unknown. The symptom record indicates a decline in exertional tolerance from chest pressure walking uphill to pressure after only a few steps, but this does not define the patient's usual functional independence.
- GP involvement is documented through long-term-condition and chest-symptom reviews.
- Cardiology and emergency teams are listed for the latest emergency-department attendance.
- Residence and usual living arrangements are unknown.
- Personal care, instrumental activities, mobility aids, falls, cognition, nutrition, and frailty are not documented.
- Medication list, diagnoses, treatment plan, emergency-attendance outcome, and follow-up arrangements are not supplied.
- Informal and formal care support is unknown.
2 sources in the record
- Eligible
GP notes document worsening exertional chest symptoms, while the snapshot provides no structured residence, ADL, mobility-aid, frailty, cognition, or carer information.
- Eligible14 Aug 2026
The latest attendance identifies cardiology and emergency teams in the emergency department.
Clinical decision support only. A named clinician decides. Generated 12 Sept 2026, committed for the demonstration; wording adjusted to Cairn's language rules where the review used terms Cairn avoids.