Shomi Moshina and Steven Alexander Wiseman

Consideration should however be given to devising a formal system to ensure so far as can reasonably be done that algorithm outcomes are not overridden save for clear and identified reasons; that the ability of nurse advisors to make that decision should be tested before they are allowed to do so, and should thereafter be regularly reviewed. The occasions when the outcomes are overridden should be recorded together with the reason and overrides should be regularly monitored. In cases where a 999 hospital admission or an urgent consultation with a doctor is concerned consideration should be given as to whether the concurrence of a supervisor should be obtained before such an outcome is overridden.