In line with recent NHS England contractual goals and local policies from our Clinical Commissioning Group, opportunities to share records in order to improve quality of care are developing rapidly. There are two main areas in which record sharing may occur. In light of recent media reports involving concerns with data governance of a major alternative GP clinical system provider, please rest assured that our clinical system, Microtest, prides itself being deliberately cautious with releasing clinical data and controlling access to it. All access is fully auditable.
1. Summary Care Records (national scheme). This is currently limited to a continually updated live medication list, allergies and adverse reactions to drugs ONLY. You can also view exactly what your summary care medical record consists of online. Other than yourself, only NHS staff involved in your care (eg. paramedic or pharmacist) with an accredited smart card can view your summary care record.
Your consent for this scheme is implied unless you opt out by informing Reception or downloading and returning or e-mailing the opt out form to firstname.lastname@example.org. The opt out process is then very straightforward and quick, a simple read code added to your records will prevent the summary care record from being accessible at all times. This may have an impact on the quality of your out of hours care or pharmacy care by staff no longer having access to the live medication and allergy list.
If you wish you can opt in to add additional information to the summary care records (eg. medical history, care plans, rescucitation preferences). Your explicit consent will be required for each class of information. This process is not live yet but you express consent for additional information to be displayed in advance.
2. Local Shared Care Records (within Devon via the Medical Interoperability Gateway). This is a more detailed medical record and is therefore subject to a dual layer of consent. You can opt out as above from Local Shared Records in all circumstances by informing Reception or e-mailing us the opt out form. However you do not need to opt out in order to still have control over each time the shared record is accessed. Prior to accessing it, the healthcare worker (e.g out of hours GP) will seek your explicit consent and once granted will be able to view a snapshot of your medical record that cannot be modified, saved or deleted. Information marked as sensitive will not be shared and free text is not shared, only read coded clinical data.
Please click on the above links to find out detailed information on both areas. Further information on how the legal framework for record sharing has evolved can be found here.