What this tab controls
Every switch saves on its own, straight away. There is no Save button.
Two notes on that list. The System switch is drawn but fixed, and the line under the card explains why: “System notifications cannot be disabled as they contain important updates about your clinic.” And the category list adapts to your edition, so you are only offered categories your hospital can actually produce.
Your notification bell, and what is yours alone
The bell in the header keeps your own copy of every notice, in three views: Unread, All and Archived. What you do with a notice is yours: a notice sent to the whole clinic that a colleague has read stays unread for you. On each notice you can Mark as read or Mark as unread, Archive or Restore; Mark all read clears everything unread that does not need you. A notice you have read is archived automatically 30 days later, and an archived notice is kept for 90 days. Notices that need you. A patient assigned to you, a countersignature waiting for you, a note returned to you and a change of supervisor are marked Needs action and carry an Acknowledge button. They stay in Unread — reading them is not enough — until you acknowledge them or the thing they ask of you is done (the visit is checked out, the note is countersigned), when they clear themselves. Mark all read leaves them where they are and tells you how many. A notice that needs you cannot be archived until you have acknowledged it. Acknowledging is recorded against your name. Pop-ups. When you are signed in, a new notice also appears as a card in the corner of the screen, with Acknowledge or Open where they apply. Notices that were already waiting when you opened the page do not pop up. While the bell is open nothing pops up over it, because a new notice joins the list you are looking at (an emergency still does). Clinical activity. The people whose work a record starts are told when it is created: the nurses on shift when a patient joins the triage queue (New triage), the lab when a lab order is placed (New lab order), and the pharmacy when a prescription is written (New prescription). Each says only what happened and opens the queue, never who the patient is. If your rota names who is on shift now, those people are told; if not, everyone in that role is. You are never told about a record you made yourself. Several arriving together show as one pop-up, such as 3 new lab orders. A clinic that has muted the Patient category does not send these three. Emergency. When a patient is marked as an emergency, the nurse of record and the doctors and nurses on shift see Emergency in triage in red. It always reaches you, always pops up, stays on screen until you dismiss it, and waits in your bell as Needs action until you acknowledge it or the patient is seen. Neither you nor the clinic can switch it off, and not even No pop-up for notices that need me silences it. Your own choices. Under Settings → Notifications, the My notifications card has three groups, saved the moment you change a switch (you get Notification settings saved):- Clinical activity: Show in my bell and Pop up for New triage, New lab order and New prescription.
- Sounds: Play a sound for emergencies (on by default) plays a short two-tone alert when an emergency arrives, and once more ten seconds later if you have not acknowledged it. Play a sound for other new notices (off by default) adds a soft chime for everything else. Your browser allows sound only after you have clicked or pressed a key on the page; until then the emergency pop-up shows Sound blocked — click to enable.
- Assigned to you: No pop-up for notices that need me, and Email me when a patient or shift is assigned to me. The email says that something was assigned and names no patient; it follows the clinic’s email switches and your account’s Product & account emails switch. A changed or cancelled shift still emails you so your calendar stays right.
- Everything else: Show in my bell and Pop up for each category.
Set it up
1
Open Notifications
From the sidebar footer select Settings, then Practice notifications → Notifications. The rail says “Practice” even for a hospital; the switches are the same.
2
Decide on email as a whole
Leave Email notifications on unless you want to pause hospital email entirely. Turning it off confirms with “All non-essential clinic emails are paused. Receipts, security, and billing alerts still send.”
3
Mute the categories nobody acts on
Flip a category switch off. You get “Notifications muted” and the name of what you turned off — for example “Appointment notifications turned off.”
4
Deal with the two extras
Achievement emails and Daily operational digests sit below the categories, separated by a line. The digests are a morning summary for the owner covering inventory, pharmacy and lab; turn them off if nobody reads them.
What changes once you save
There is no save — each switch takes effect as you flip it, and the toast tells you it landed.
This store governs email directed at the hospital. It is not your own account settings, and it is not what a patient has asked for. If you are trying to stop a specific message, work out which store owns it first:
So: a patient complaining about reminders is fixed on their record, not here. An owner tired of milestone emails turns off Achievement emails here. Someone who does not want marketing email changes it on their own account.
Rebooking reminders
A second card on this tab, Rebooking reminders, is about your patients. With Suggest the next visit on, a patient whose usual time until their next visit has come round — and who has nothing booked with you since — gets one email suggesting they book that service again, with a button that opens your booking page with the service already chosen. The same suggestion appears as a Book your next visit card in their patient portal.- Off by default, and only the owner can turn it on.
- A service needs a usual gap. Set Usual time until the next visit on the service in Appointment services; a service without one never sends.
- One email per visit, at most, and none if the patient has booked anything since. It names only the service and the hospital.
- Patients stay in control. A patient whose record has appointment emails turned off gets none, and every email carries Stop these reminders, which also removes the portal card. Appointment confirmations and reminders are not affected.
- Your booking page must be published and the service bookable online by existing patients.
Check it worked
Flip a switch and watch for the toast — “Notifications muted” or “Notifications enabled”, naming the category. Reload the tab; the switch should hold its new position. Then trigger something in that category — book a test appointment, say — and confirm nothing arrives in the hospital inbox and nothing appears under the bell.Common issues
The System switch will not move
The System switch will not move
It is deliberately fixed on. System notices carry service and maintenance information every hospital needs, so there is no way to mute them.
I turned everything off and email still arrives
I turned everything off and email still arrives
Essential email is out of scope for these switches. Receipts, security alerts, password resets and billing alerts always send. If what you are getting is a reminder to a patient, that is set on the patient’s record, not here.
A category I was told about is not in my list
A category I was told about is not in my list
The list adapts to your edition and only offers categories your hospital can produce. A missing switch means that category never fires for you.
"Failed to update preferences"
"Failed to update preferences"
The switch snaps back to where it was and nothing was saved. Check your connection and flip it again.
A colleague still gets emails I muted
A colleague still gets emails I muted
Muting here stops hospital-directed email. Email addressed to them as a person — account and security notices, marketing — is governed by their own account notifications.
I can see the switches but they will not move
I can see the switches but they will not move
Opening Settings needs owner, manager or accountant. If you have that and a switch still will not move, it is mid-save — each one disables for a moment while it lands.