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Online Access to Medical Records – Safeguarding

Mass Roll-Out Halted (29th November 2022)

The BMA have reached a negotiated agreement with NHS England and DHSC over halting the mass roll out of the records access programme. Read the Press Release here: Halting of Citizens’ Access mass roll-out is the right thing to do for patients 

The BMA have published a webpage on the current programme which also includes some useful FAQs that you may have on the current situation, depending upon what your practice has or has not yet put in place.

Accelerated Online Access - Safeguarding        

As of November 2022, patients with online accounts, such as through the NHS App, will be able to read new entries in their health records. This applies to patients whose practices use the TPP and EMIS systems (practices using Vision [Cegedim] clinical system are under discussion).

NHS England recently 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.

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. To find out what the changes mean for you and what you need to do next, register for one of the upcoming awareness webinars

Accelerated Access to GP-held Patient Records                      A summary for the admin team

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

Caroline explains:

  • What accelerated access to GP-held patient records is
  • What is meant by prospective access
  • What patients will be able to see 
  • Which patients will have online access
  • How proxy access will work
  • How patients can access thier record
  • If patients can see redacted information
  • If patients will be able to see who has accessed and made an entry on thier record

Further Reading

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

Update - system changes for all practices using TPP and EMIS - June 2022

General practices were previously informed that from April there will be system changes for all practices using TPP and EMIS systems to provide all patients with easy access to their future health records. Go-live date is now expected to be 30th November 2022.

For more information please click HERE

There are a number of resources that NHSE&I have published on FutureNHS. This includes a useful FAQ document. we would recommend subscribing to this channel, it is quick and easy to sign up.

Proxy Access

This a topic referred to and the FAQs say that the new changes do not apply to proxy.

The accelerated access program is for those aged 16yrs+. However, we would recommend that this topic is reviewed and details can be found at: -

RCGP https://elearning.rcgp.org.uk/mod/book/view.php?id=13455&chapterid=770

NHSD https://digital.nhs.uk/services/nhs-app/nhs-app-guidance-for-gp-practices/guidance-on-nhs-app-features/linked-profiles-and-proxy-access

We have raised concerns about certain aspects of this with both NHSD and the BMA, and in particular around safeguarding. We are currently awaiting further guidance on this issue.

In the meantime, we would recommend that practices

​​​​​Clinical System Guides

An EMIS guide for redacting a consultation

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”.

Further reading

More information can be found on our page  Wessex LMCs: Safeguarding: Children and Storing Information

Information Governance Lunch and Learn

Subject Access Requests & Dealing with Third Party Data recording

Data Sharing Update from Caroline Sims at the PM Conference, June 2022

Information Governance with Adam Horton-Tuckett - from PM Webinar 25 May 2022

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Updated on Wednesday, 30 November 2022 3430 views