Draft for UI design purposes only

Input interface - form based
Need audit trail - who logged incident and when
Should enable search on GMC number, name, date, site, source, type, poss free text (details field)
Need ability to upload and store documents e.g. original emails, images
Should enable reports on all fields
East Mids include health concerns (also declared on Form-R) here, but leave it out for now (we are dealing with Form-R separately at the moment)

Field name	Type	Comment
Date of log	Automatic data stamp
Logged by	Automatic based on user
GMC Number	7 digit number
First name		Pre-populated according to GMC number?
Surname		"
Specialty
Grade at time of incident
Source		Options: Employer report ARCP Panel Form-R GMC Other (please specify)
Date reported		This is date incident reported to HEE
Date of concern or incident		May not be known so may need to allow empty field 'Concern' doesn't work as well as 'Incident' here - but log could include a complaints as well as incidents, etc - so to discuss (Set rules so this date cannot be after date reported)
Concern type		Options: Complaint Conduct and capability Serious Untoward Incident Significant Event
Level of trainee involvement		Not sure about this, and only relates to incidents (so maybe only opens if that type of concern selected?) but could be options: Present Contact during incident Main actor (None of wording right, but basis for discussion with users - and provides some structure? May be too complicated at this stage)
LEP		Would hope could have drop down for Trusts, although may be 10s of GP practices - maybe have one of options 'GP Practice' and then further drop down if that selected?
Site		As above - could be e.g. Princess Elizabeth Children's Hospital, Nantwich (as part of Royal Cheshire NHS Hospitals Trust - names made up by me!) Might want to flip these tow fields, as the Trust could auto-populate once site is entered (assuming unique site names)
Description	Free text	This is the detail of the incident, so may need to put guidance on what to include?
Status		Resolved/Unresolved (may wish to use 'Open/Closed')
Anticipated date of resolution		Not right wording for field Should only appear if 'Open' This is where can put date when investigation likely to be completed, e.g. could be date of Coroner's court etc. Probably need a notes box to describe why particular date selected
Update		Not sure what this will be, but need somewhere to add notes as more details known, e.g. progress of investigation
Closure information: Closed by Actions Date		Record of when incident is closed May include details of ARCP review of incident and whether it can be archived or not
Additional information	Link to docs or description of where they are stored	Somewhere to put link to original docs/attachments etc) - in v1 we won't be able to upload documents (see Reuben's message in Slack)

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