Clinical triage as one boundary example

Clinical triage is one clear role boundary for reception and care navigation staff. Staff may collect agreed information but must not diagnose, judge seriousness, give treatment advice or decide that clinical review is unnecessary.
This boundary is safest when staff have clear scripts and defined escalation routes. It becomes unsafe if staff are expected to absorb clinical risk because the practice is busy.
When to contact 111 for urgent help - BSL - North East Ambulance Service
Do not decide
- What diagnosis is likely.
- Whether symptoms are harmless.
- Whether a patient can safely wait.
- Whether medicine should be started, stopped or changed.
- Whether a clinician definitely does not need to review the request.
Clinical triage is one boundary example: if the decision needs clinical judgement, use the agreed clinical or escalation route.

