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Sharing Your Medical Record

Increasingly, patient medical data is shared e.g. between GP surgeries and District Nursing, in order to give clinicians access to the most up to date information when attending patients.

The systems we operate require that any sharing of medical information is consented to by patients beforehand. Patients must consent to sharing of the data held by a health provider out to other health providers and must also consent to which of the other providers can access their data.

e.g. it may be necessary to share data held in GP practices with district nurses but the local podiatry department would not need to see it to undertake their work. In this case, patients would allow the surgery to share their data, they would allow the district nurses to access it but they would not allow access by the podiatry department. In this way access to patient data is under patients' control and can be shared on a 'need to know' basis.

Summary Care Record

There is a new Central NHS Computer System called the Summary Care Record (SCR). The Summary Care Record is meant to help emergency doctors and nurses help you when you contact them when the surgery is closed. Initially, it will contain just your medications and allergies.

Later on as the central NHS computer system develops, (known as the ‘Summary Care Record’ – SCR), other staff who work in the NHS will be able to access it along with information from hospitals, out of hours services, and specialists letters that may be added as well.

Your information will be extracted from practices such as ours and held on central NHS databases.

As with all new systems there are pros and cons to think about. When you speak to an emergency doctor you might overlook something that is important and if they have access to your medical record it might avoid mistakes or problems, although even then, you should be asked to give your consent each time a member of NHS Staff wishes to access your record, unless you are medically unable to do so.

On the other hand, you may have strong views about sharing your personal information and wish to keep your information at the level of this practice. Connecting for Health (CfH), the government agency responsible for the Summary Care Record have agreed with doctors’ leaders that new patients registering with this practice should be able to decide whether or not their information is uploaded to the Central NHS Computer System.

For existing patients it is different in that it is assumed that you want your record uploaded to the Central NHS Computer System unless you actively opt out.

YOU SAID / WE DID

Over the last few months we have been asking our patients for their feedback.  You may have received the questionnaire and provided the team with encouraging information to help us understand the improvements we need to review to ensure the smooth running of our practice.

  • You raised concerns that the telephone system was not providing an efficient service.

We installed a 21st Century telephone system, August 2022.  This provides the team with vital data to ensure that our patients are responded too in a timely manner, it offers patients the option to have a call back and also provides a recording of the telephone call.  This has significantly reduced patient call waiting times.

  • We appreciated your comments regarding an additional GP on site

We have recruited a further GP to provide additional support and reduce waiting times for appointments.

  • Your feedback raised concerns that extra staff were needed in the reception team

We have recently employed an additional member of the reception team, this will provide further support during our busy call times and we ae currently recruiting for a further 2 members of staff to join our team. 

  • Requests have been made for additional, routine pre-bookable appointments.

We have reviewed the pre-bookable appointment system and changes have been implemented.  Routine, pre-bookable appointments are released every Monday for the following two weeks. Due to the changes we have made, pre-bookable appointments ae currently in line with the National Standards on appointment waiting times.