Hi Mike, You are absolutely right when you describe the existance of duplicate patients within ICE. There are a huge number of reasons why this may occur and alot of them relate to the quality of data being input into the departmental systems which feed ICE. I don't think you are questioning the existence, you are asking for a simple way of notifying the administrator at the Trust. The latest version of ICE has a facility called ICEMail which allows you to send an ICEMail relating to a specific report with any comment you wish to make. This would allow the recipient to know exactly which patient you are referring to as a link to the original report is included. This may be a convenient way for you to notify the Trust whilst within the report you are concerned about. If you require more information please feel free to contact the Trust or if you have no joy there - myself. I hope that helps Dominic |