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Information Sharing

Dated: 11-Oct-13

Care Data

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

Medical Research Data Collection

We are involved in research studies which require access to anonymous information from patients' notes. All directly identifiable details (name, address, post code, NHS number, full date of birth) are removed from your notes before they are collected for research. Individual patients' records are added into a much larger anonymous database from many patients across the UK which is used by researchers outside this practice. This data may be anonymously linked to other data, such as hospital data.

If you would like to opt out of this data collection scheme, please let your doctor know and your records will not be collected for use in the anonymous research database. This will not affect your care in any way.

Summary Care Record

A Summary Care Record is an electronic patient record a summary of patient data held on a central database cover England (the national spine). The purpose of the data base is to make patient data readily available anywhere that the patient seeks treatment from another Healthcare provider for example the Out of Hours service, A and E departments or if they are staying away from home and need to see a GP. Demographic details, allergies and adverse reactions and medications are initially uploaded to the spine. It is the information that is useful in the event of an emergency and to provide patients with direct care and treatment. It can also contain additional medical information that is agreed between patient and GP.

If you are happy to have a Summary Care Record then you do not have to do anything. If you do not wish to have a Summary Care Record you will need to complete an opt out form. Please obtain a copy from reception or visit:  systems.hscic.gov.uk/scr or Download the form below.

Download OPT OUT form.

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.

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