Medical Records, Online Access and NHS App
From April 2020 there is a contractual requirement for practices to offer all patients online access to all prospective data on their patient record unless exceptional circumstances apply. (Additionally, patients can also ask for their full retrospective medical record, this will require sensitivity and third-party data checking)
Accelerating patient access to their GP-held records
1st November 2022 - An update from NHS England on Accelerating Citizen Access to GP Data - This topic is currently moving at pace. Please read this page on NHS Digital for the current position.
In autumn 2021, NHSx and Digital announced an “ Accelerated Access ” programme. The aim was to turn on all prospective access to medical records via the NHSApp for TPP SystmOne from 1st Dec 21 and EMIS and Vision to follow in early 2022. As we know this has been delayed more than once and will now be switched on 1st November 2022.
Both the RCGP and the BMA have engaged with NHSE raising concerns we have raised and recognising the risks that automaton brings.
Lisa Harding, Director of Primary Care at Wessex LMCs, talks with Caroline Sims, Information Governance Consultant and Data Protection Officer in the Hampshire & IOW area.
Listen to the podcast here
NHS Digital: https://digital.nhs.uk/services/nhs-app
104 and 106 Codes
There has been much confusion about what Snomed CT codes can or should be used and what effect they have on the online access if you do. NHSE&I have produced a handy guide that documents these scenarios and this can be downloaded form the FutureNHS website .
What can you do and what is available
In preparation, there are a number of resources and options that practices may wish to consider.
The BMA guidance includes:-
- redaction - how and what to consider
- clinical safety concerns
- the legal background
- summary of options.
- Template letter for sending to system suppliers
NHSE & RCGP
- RCGP statement on patients’ access to their GP records
- NHS England wrote to general practice staff to detail the need to prepare for this change and the support available, including an updated RCGP GP Online Services toolkit, videos covering key topics, learning from early adopter sites and communication materials for general practice to use to inform their patients.
- A GP practice readiness checklist has also been produced to help practices ensure they have completed all the necessary actions, such as staff training and reviewing of relevant policies and processes.
FuturesNHS - GP Online Services Channel
There is a wealth of material, including webinar recordings and slides. we recommend signing up to this channel, it is quick and easy and includes a useful discussion forum for any queries you may have. There are also a number of documents and FAQs .
All staff, including locums, should receive the necessary training with regards to checking and entering information into patient records and familiarise themselves with any change in business processes and GP system functionality. Access to training materials and webinar recordings can be found here.
- Access to patient records through the NHS App - NHS Digital
We also have a number of webpages that deal with other medical records issues: -
- Medical Records – Alterations
- Medical Records – Adopted Child
- Medical Records – Handling & Retention
- Parental Responsibility , Access to Children’s Medical Records and Parental Disputes
- Recording Safeguarding concerns in patient records
- Transgender Patients & Gender Reassignments
We also have a number of training resources related to these topics. Please refer to Wessex LMCs Education, Training and Development
Clinical System Guides
A TPP guide for redacting a consultation (Please note that due to the configuration of your system you may not have all 3 processes available to you)
Consider using a test patient in your clinical system and similarly a test patient in the NHS App to see how actions within your clinical system will look to the patient within the App. NHS Digital have full details of how to do this. The NHS App test patient can be set up on a computer or laptop, as well as a smartphone, android or tablet.
With our kind thanks to Dr Michelle Sharma from BSW who has produced a crib sheet or all healthcare professionals that shows how to “Redact from online view”.
NHS Acronyms and Abbreviations: