diff --git a/rcr/forms.py b/rcr/forms.py
index 7d2277c7..7d1add11 100644
--- a/rcr/forms.py
+++ b/rcr/forms.py
@@ -21,7 +21,7 @@ from django.contrib.auth.models import User
 class ItemForm(ModelForm):
     class Meta:
         model = Item
-        exclude = ["rcr_platform_id", "name", "assessed_by", "assessed_date"]
+        exclude = ["rcr_platform_id", "name", "assessed_by", "assessed_date", "assigned_to"]
         #fields = ["category", "level"]
 
 class AssessorAssignmentForm(Form):
diff --git a/rcr/migrations/0006_item_outcome_free_text.py b/rcr/migrations/0006_item_outcome_free_text.py
new file mode 100644
index 00000000..60b0bc40
--- /dev/null
+++ b/rcr/migrations/0006_item_outcome_free_text.py
@@ -0,0 +1,21 @@
+# Generated by Django 4.1.4 on 2023-12-13 20:24
+
+from django.db import migrations, models
+
+
+class Migration(migrations.Migration):
+    dependencies = [
+        ("rcr", "0005_item_assigned_to_alter_item_assessed_by"),
+    ]
+
+    operations = [
+        migrations.AddField(
+            model_name="item",
+            name="outcome_free_text",
+            field=models.CharField(
+                default="",
+                help_text="Reason for outcome (if not available above)",
+                max_length=255,
+            ),
+        ),
+    ]
diff --git a/rcr/migrations/0007_alter_item_outcome_free_text.py b/rcr/migrations/0007_alter_item_outcome_free_text.py
new file mode 100644
index 00000000..d9e9f057
--- /dev/null
+++ b/rcr/migrations/0007_alter_item_outcome_free_text.py
@@ -0,0 +1,18 @@
+# Generated by Django 4.1.4 on 2023-12-13 20:29
+
+from django.db import migrations, models
+
+
+class Migration(migrations.Migration):
+
+    dependencies = [
+        ('rcr', '0006_item_outcome_free_text'),
+    ]
+
+    operations = [
+        migrations.AlterField(
+            model_name='item',
+            name='outcome_free_text',
+            field=models.CharField(blank=True, default='', help_text='Reason for outcome (if not available above)', max_length=255),
+        ),
+    ]
diff --git a/rcr/migrations/0008_alter_item_options.py b/rcr/migrations/0008_alter_item_options.py
new file mode 100644
index 00000000..23593cde
--- /dev/null
+++ b/rcr/migrations/0008_alter_item_options.py
@@ -0,0 +1,17 @@
+# Generated by Django 4.1.4 on 2023-12-13 21:56
+
+from django.db import migrations
+
+
+class Migration(migrations.Migration):
+
+    dependencies = [
+        ('rcr', '0007_alter_item_outcome_free_text'),
+    ]
+
+    operations = [
+        migrations.AlterModelOptions(
+            name='item',
+            options={'ordering': ('pk',)},
+        ),
+    ]
diff --git a/rcr/models.py b/rcr/models.py
index 9b2c5520..71915e9d 100644
--- a/rcr/models.py
+++ b/rcr/models.py
@@ -30,9 +30,13 @@ class Item(models.Model):
 
     outcome = models.ForeignKey("Outcome", on_delete=models.SET_NULL, blank=True, null=True)
     outcome_reason = models.ForeignKey("OutcomeReason", on_delete=models.SET_NULL, blank=True, null=True)
+    outcome_free_text = models.CharField(max_length=255, help_text="Reason for outcome (if not available above)", default="", blank=True)
 
     completed = models.BooleanField(default=False)
 
+    class Meta:
+        ordering = ("pk",)
+
     def __str__(self):
         return self.name
 
diff --git a/rcr/templates/rcr/item_update.html b/rcr/templates/rcr/item_update.html
index 1440b46c..9d8a25b7 100644
--- a/rcr/templates/rcr/item_update.html
+++ b/rcr/templates/rcr/item_update.html
@@ -10,6 +10,11 @@
     <form method="post">{% csrf_token %}
         {{ form|crispy }}
         <input type="submit" value="Update">
+
+        {% if skip %}
+            <button> <a href="{% url 'rcr:radiology_update_next_skip_view' skip|add:1 %}">Skip</a> </button>
+        {% endif %}
+
     </form>
 
     <details><summary> </summary>
diff --git a/rcr/urls.py b/rcr/urls.py
index ef1d00d8..6a023709 100644
--- a/rcr/urls.py
+++ b/rcr/urls.py
@@ -18,5 +18,6 @@ urlpatterns = [
     path("radiology/completed/user/<int:user_pk>", views.radiology_index_completed_by_user, name="radiology_index_completed_by_user_view"),
     path("radiology/item/<int:pk>/", views.ItemDetailView.as_view(), name="radiology_detail_view"),
     path("radiology/item/next/update", views.ItemUpdateNextView.as_view(), name="radiology_update_next_view"),
+    path("radiology/item/next/update/skip/<int:skip>", views.ItemUpdateNextView.as_view(), name="radiology_update_next_skip_view"),
     path("radiology/item/<int:pk>/update", views.ItemUpdateView.as_view(), name="radiology_update_view"),
 ]
\ No newline at end of file
diff --git a/rcr/views.py b/rcr/views.py
index 64798bdc..01dc7fb5 100644
--- a/rcr/views.py
+++ b/rcr/views.py
@@ -57,7 +57,7 @@ def radiology_index_completed(request, user_pk=None):
 
     assessor = None
     if user_pk is not None:
-        items = Item.objects.filter(completed=True, assessed_by=user_pk)
+        items = Item.objects.filter(completed=True, assessed_by=user_pk).order_by("pk")
         assessor = User.objects.get(pk=user_pk)
     else:
         items = Item.objects.filter(completed=True)
@@ -95,20 +95,33 @@ class ItemUpdateNextView(ItemUpdateBase):
     form_class = ItemForm
     template_name = "rcr/item_update.html"
 
+    skip = 0
+
+    def get_context_data(self, **kwargs: Any) -> dict[str, Any]:
+        context = super().get_context_data(**kwargs)
+        context["skip"] = self.skip
+
+        return context
 
     def get(self, request, *args, **kwargs):
         try:
+            if "skip" in kwargs:
+                self.skip = kwargs["skip"]
             self.object = self.get_object()
-            print("What", self.object)
         except Http404:
-            print("YES")
             # redirect here
             return redirect("rcr:radiology_index_view")
         context = self.get_context_data(object=self.object)
         return self.render_to_response(context)
 
     def get_object(self):
-        obj = Item.objects.filter(completed=False).first()
+        if self.skip < 1:
+            obj = Item.objects.filter(completed=False).order_by("pk").first()
+        else:
+            try:
+                obj = Item.objects.filter(completed=False)[self.skip]
+            except IndexError:
+                raise Http404
 
         print("HELLO", obj)
         print(obj)