- Summary Care Record
The NHS has changed the way in which your medical information is accessed. A Summary Care Record (SCR) is now available to people providing you with care anywhere in England.
Summary Care Records contain key information about the medicines you are taking, allergies you suffer from and bad reactions to medicines you have had in that past. You will be able to add other information too if you and your GP agree that this is a good idea to do so.
If you have an accident of fall ill, the people caring for you in places like A&E departments and GP out of hours services will be better equipped to treat you if they have this information. Your Summary Care Record will be available to authorised healthcare staff whenever or wherever you need treatment in England and they will ask your permission before they look at it.
If you do not want your data shared and would like to opted out please print off the following form and hand it into reception.
- Summary Care Record – Additional Information
The Summary Care Record with Additional Information can be used by other NHS organisations, such as A&E and Out of Hours. These organisations can only access this information with your permission and with the appropriate rights. There may be occasional circumstances where a clinician is unable to consult you. For example, if you are unconscious, healthcare staff may look at your record without asking you. An audit trail is kept to identify who has viewed your record, where and when.
Under the Health and Social Care Act 2012, NHS England has the power to direct the HSCIC (Health and Social Care Information Centre) to collect and share patient confidential data (PCD) from all providers of NHS care, including general practices, without seeking patient consent. This data is not anonymized. One of the first initiatives, using these new powers is the launch of the Care.data service. This service has been commissioned by NHS England and will be delivered by the HSCIC. The HSCIC is England’s central authoritative source of health and social care information.
Care.data will make increased use of information from medical records with the intention of improving healthcare locally and nationally for example by ensuring that timely and accurate data are made available to NHS commissioners and providers so that they can better design integrated services for patients. It will also help in finding more effective ways of preventing, treating and managing illnesses. The British Medical Association supports the use of patient data for secondary purposes, including commissioning, and recognises the importance of greater transparency and more intelligent use of data to improve the quality of care delivered to patients. NHS England has made a commitment that personal confidential data will not be shared unless there is a legal basis or an overriding public interest in disclosure.
If you do not wish your data to be collected by Care Data please ask reception for an ‘opt out’ form. For more details about Care data visit: www.nhs.uk/caredata
- The Hertfordshire Care Record
The practice is committed to the delivery of safe, effective and integrated care to all patients.
The Hertfordshire Care Record is a tool that allows a patient’s GP Medical Record to be viewed, with patient permission, by clinicians outside GP practices. This will enable clinicians working within the Out of Hours Service ie Herts Urgent care to view a patient record and allow them to deliver effective clinical care to the patient. We see this as the first step to enabling the delivery of truly integrated care for our patients.
The technology for this facility is a national solution called the Medical Interoperability Gateway (MIG). It is provided through a company called Healthcare Gateway. All GP systems (EMIS, SystmOne and Vision) are part of Healthcare Gateway. The technology does NOT ‘extract’ or store any data from the GP clinical systems. It merely allows – with the practice and patient permissions, a ‘view’ of the GP record.
The view of the records is ‘read only’ meaning that records cannot be altered by anyone outside the practice and any sensitive data is not included in the view.
There are many clinical benefits to clinicians treating patients having access to the medical records such as:
- Information is available to providers at point of care
- No need to repeat medical history
- Latest medication information available to the treating clinician
Having up to date, accurate information enables clinicians to treat patients as safely and effectively as possible. Prescribing medications for patients where the clinician has no information presents a great risk due to the possibility of drug allergies or interactions with other medications being taken.
Patients calling Herts Urgent Care (HUC) on 111 when the surgery is closed, may now be asked if the clinician has permission to view their medical record. Giving of this permission will ultimately always be your choice and you will be asked every time you call HUC for your permission regardless of whether permission has been granted or refused previously.
If you do not wish to be part of the Hertfordshire Care record please let us know so that we can code your records accordingly.