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Only patients receive SMS or NHS App notifications. Carers will be contacted by email only.

If an NHS App message about new data is read within 4 hours, a copy by email will not be sent.

Notification trigger	PKB notification panel	Email notification	NHS App Push notification	NHS App message	SMS	Notes
Demographic update	❌	❌	❌	❌	❌
New appointment	✔️	✔️ Unless NHS App message read first	✔️ If organisation has enabled	✔️ If organisation has enabled	❌	No email notifications sent if the appointment date is in the past Sent to registered and not registered patients
Updated appointment	✔️	✔️ Unless NHS App message read first	✔️ If organisation has enabled	✔️ If organisation has enabled	❌
New allergy added	❌	✔️ Throttled so max 1 per day	❌	❌	❌	no email notifications sent in the following scenarios: If GP data from the EMIS Extract Service is added to the record that is older than one week (unless a patient has not received a notification about their record containing EMIS data before) If data comes via FHIR API If data comes via HL7 API
Allergies updated	❌	❌	❌	❌	❌
Diagnoses added	❌	✔️ Throttled so max 1 per day	❌	❌	❌	no email notifications sent in the following scenarios: If GP data from the EMIS Extract Service is added to the record that is older than one week (unless a patient has not received a notification about their record containing EMIS data before) If data comes via FHIR API If data comes via HL7 API
Diagnoses updated	❌	❌	❌	❌	❌
Library links added	❌	✔️ Throttled so max 1 per day	❌	❌	❌	No email sent if item added to team library, only if added to patient library
Measurements added	❌	✔️ Throttled so max 1 per day	❌	❌	❌
Medications added	❌	✔️ Throttled so max 1 per day	❌	❌	❌	no email notifications sent in the following scenarios: If GP data from the EMIS Extract Service is added to the record that is older than one week (unless a patient has not received a notification about their record containing EMIS data before) If data comes via FHIR API If data comes via HL7 API
Medication updated	❌	❌	❌	❌	❌
Symptoms added	❌	✔️ Throttled so max 1 per day	❌	❌	❌
Plans added	❌	✔️	❌	❌	❌	Sent to registered and not registered patients
Plans updated	❌	✔️	❌	❌	❌	Sent to registered and not registered patients
Test results added	✔️	✔️ Throttled so max 1 per day	❌	❌	❌
Test results updated (corrections)	✔️	✔️ Throttled so max 1 per day	❌	❌	❌	PKB notification panel will use the message timestamp, so if the HL7 message is very old, the updated notification won't appear at the top
Files added	❌	✔️ Throttled so max 1 per day	❌	❌	❌
Journal added	❌	✔️ Throttled so max 1 per day	❌	❌	❌
Advanced questionnaire sent	✔️	✔️	🏗️ Coming November 2025	🏗️ Coming November 2025	✔️ If organisation has enabled	SMS only sent to unregistered patients Email sent to registered and unregistered patients.
Legacy questionnaire sent	✔️	✔️	✔️ If patient has logged into PKB from NHS App previously	❌	❌	Email sent to registered and unregistered patients.
Encounter sent	✔️	✔️	✔️ If patient has logged into PKB from NHS App previously	❌	❌	NHS App will push notifications will be switched OFF November 2025
Document sent	✔️	✔️	✔️ If patient has logged into PKB from NHS App previously	🏗️ Coming November 2025	✔️ If organisation has enabled	Email sent to registered and unregistered patients. SMS only sent for Referral letters to unregistered patients No email notifications sent if the document date is older than one week
Message sent	✔️	✔️	✔️ If patient has logged into PKB from NHS App previously	🏗️ Coming November 2025	❌	Email sent to registered and unregistered patients.
Carers added	❌	✔️	❌	❌	❌	Email sent to registered and unregistered patients.
Teams added	❌	✔️	❌	❌	❌	Email sent to registered and unregistered patients.
Individual professionals added	❌	✔️	❌	❌	❌	Email sent to registered and unregistered patients.

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Version	Old Version 13	New Version 14
Changes made by	Ruth Whichelow	Ruth Whichelow
Saved on	Sept 22, 2025	Sept 22, 2025

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