I would like to suggest that Cliniko implement a system for letter proofing/review/editing AND letters waiting to be sent, that appear in a list or report. This would then remove needing to go into each patient file to see the status of a letter.
ie, 2 or 3 separate lists/report(s):
-Letters to be reviewed/edited
then once it is reviewed and edited, the letter would automatically move to the next folder called,
-Letters to be sent
then once sent, automatically moved into another folder called,
I think this would be very useful to track the status of letters.