Patient Record
How do I access my medical records?
There are several ways you can access your medical records.
Online Access
Having online access either by NHS APP or SystmOnline is ideal for patients who would like to keep regular checks on their test results, review their hospital letters or order medication.
More features and functionality to these apps are being added regularly.
Ask a member of staff
If you need a copy of something from your record, talk to a member of staff. Often we can issue copies without the need to wait weeks for a Subject Access Request to be completed. As we are a Greener Practice, our preference will be to issue your documents electronically however we can always provide paper copies.
Subject Access Requests (SARs)
In brief, all patients are within their rights to request full copies of their records under the new GDPR rules for free. We will issue you copies of your electronic and any paper records we hold.
SARs requests should be completed within 28 days.
We fully understand it is our legal obligation and there is no charge, however due to the length of time these requests take to complete, we do ask patients to consider if a SARs request is the most the most appropriate way of getting the information they need. For example; if you would like copies of your tests results for the last year or you would like copies of your hospital letters - this can all be done via either of the available online apps or we can print copies of just the information you need.
Information from other health care organisations
Like most GP practices and health care organisations we use an electronic shared patient record system. Patients who have been seen, consulted or treated by other services will have records "owned" by those organisations. While these other organisations may allow us to view some of this electronic data, we do not have access to all the information nor do we control this data. Therefore, it is the responsibility of that organisation to provide any records they hold under a Subject Access Request (SAR).
We, Castle Donington Surgery, are unable provide records controlled/owned by another organisations under a Subject Access Request. For example, we do not routinely include information from district nurses or hospitals in a SAR response. For patients who wish to see the records owned by any of these other units, we ask them to contact these organisations directly to submit a Subject Access Request.
Postage & fees
Due to the sensitive nature of printed medical records, records are to be collected in person by the patient from reception. If records are required to be sent to a third party, this remains the responsibility of the patient to arrange. Castle Donington Surgery is not liable for the physical transportation of medical records or any associated postage fees.
Not Registered for Online Services?
Who can see my Medical Records?
All practice staff will have access to your medical record to the level that is required for them to perform their job role.
There are also many different local and national NHS services which involve sharing of your medical records. Each one is seperate and consent choices for one, does not apply to another.
Summary Care Record
Summary Care Record (SCR) is a national database that holds electronic records of important patient information such as current medication, allergies and details of any previous bad reactions to medicines
It is created from GP medical records - whenever a GP record is updated, the changes are synchronised to SCR.
It can be seen and used by authorised staff in other areas of the health and care system who are involved in the patient's direct care but do not need access to the patient's full record.
For more detailed information about the national Summary Care Record and the ways that you can alter what level of information about you is included, please visit NHS Digital's website
via the Electronic Data Sharing Model
The Electronic Data Sharing Model (EDSM) is designed to give patients control over their own records.
This model applies to your GP record, not just the limited information which can be found in the Summary Care Record.
This model also only applies to organisations and care providers who all use the same clinical software, TPP's SystmOne.
A patient's record will be configured to have two different consents;
1 - Consent/Dissent to "Share In" - Sharing in controls the information that can be viewed by the practice that has been recorded at another SystmOne organisation.
2 - Consent/Dissent to "Share Out" - Sharing out controls the information recorded at the practice that is shared to other SystmOne organisations.
IMPORTANT - All organisations within Leicester, Leicestershire and Rutland, who are using TPP's SystmOne as their clinical records system, have an LLR wide Data Sharing Agreement in place. Operating under your best interests, GP Practices within LLR (including us) share your records by default with those who are involved with your care via SystmOne's EDSM model.
How to change your consent
You can change your consent at any point, you can do this directly within the SystmOnline App, if you have it, or speak to a member of staff.
You could also send your request through our Online Request system under an Administrative Request.
NHS England Research
INFORMATION DIRECTLY FROM NHS WEBSITE.
The NHS uses information about patients (patient data) to research, plan and improve:
- the services we offer
- the treatment and care patients receive
We get this data from your GP surgery, hospitals and other healthcare providers. The organisation that collects your data is called NHS England.
To help improve services, NHS England shares this data with researchers from organisations such as universities or hospitals. This type of data-sharing has been happening for many years.
All data that is collected and shared is protected by strict rules around privacy, confidentiality and security.
We never sell patient data or share it with insurance or marketing companies.
To view more information and learn how you can opt out of your data being used, please visit; https://www.nhs.uk/using-the-nhs/about-the-nhs/opt-out-of-sharing-your-health-records/
Page created: 29 November 2022