Skip to content

Evidence Boundaries and Risks

Evidence Boundaries

  • Public NHS App eligibility does not automatically resolve Defence Primary Healthcare (DPHC) registration.
  • Public NHS child and proxy-access rules do not automatically resolve DPHC minors, dependants, same-practice proxy constraints, or split ordinary NHS GP / DPHC family registrations.
  • GP Connect Patient Facing API availability does not automatically prove local DPHC feature availability.
  • Professional GP Connect API support does not automatically prove patient-facing NHS App support.
  • Interface Mechanism 1 (IM1), Message Exchange for Social Care and Health (MESH), NHS Notify API, or partner-onboarding evidence does not automatically prove DPHC patient-facing NHS App feature availability.
  • Programme Cortisone integration with the NHS does not automatically mean NHS App integration.
  • A Defence Medical Services (DMS) / DPHC appointment-booking issue in one source-defined cohort does not automatically apply to adults or all DPHC patient groups.
  • Armed Forces Covenant annual reports are authoritative for reported issues and programme status, but they are not NHS App feature specifications.
  • The direct annual-report NHS App evidence is currently a 2024 appointment-booking access issue for a source-defined child cohort; the broader 2012 to 2025 report-series evidence is NHS App-adjacent digital-health, continuity, and interoperability evidence.

Risks

Risk Impact Mitigation
Over-generalising from ordinary NHS GP registration Incorrect patient guidance or service design Require DPHC-specific source evidence.
Treating roadmap items as live features Operational mismatch Recheck NHS roadmap and API status.
Confusing GP Connect professional and patient-facing APIs Wrong architecture assumptions Keep API pages separate and capability-specific.
Collapsing supplier interfaces and national routes False confidence that a component exists end-to-end Map each feature to NHS App integration, GP Connect, IM1, NHS Notify, MESH, Patient Care Aggregator / Wayfinder, Patient Engagement Portal (PEP), Electronic Prescription Service (EPS), e-RS, and partner-onboarding evidence separately.
Ignoring minors, dependants, and proxy access Missed safeguarding, consent, capacity, and same-practice constraints Track own access, linked profiles, proxy setup, age boundaries, and dependant registration explicitly.
Ignoring DPHC Overseas [DPHC(O)] cohorts Incomplete armed-forces coverage Track Defence Global Practice and DPHC(O) separately from DPHC Firmbase.