Patient Record
Sharing Your Medical Record
The need to share patient medical data has become increasingly paramount. The Health and Social (Safety and Quality) Act 2015, which came into effect on 1st October 2015, sets a duty of information to be shared where it facilitates care for an individual and it is legal to do so. This sharing requires the patient to be informed and provide them with an opportunity to object.
Summary Care Record
Summary Care Records (SCRs) are an electronic record of key information from a patient's GP practice and as a minimum contain the 'core' dataset of medication, allergies and adverse reactions. 96% of patients have an SCR and the benefits are already clear, including improvements in patient safety and experience, and in the efficiency and effectiveness of patient care. Over 85% of GP practices now have enhanced functionality to simply and efficiently create 'richer' SCRs. Patients are required to provide their 'express consent' before their GP practice can create an SCR which contains additional information beyond the 'core' dataset.
Guidance for Patients and Service Users
Health and care organisations will ensure that people providing care to you have the information the need about you for your individual care.
When your information is shared with people providing care, your health and care organisation will ensure that this information is relevant and appropriate as they must balance any sharing of your information and their duty to protect your confidentiality.
You can always ask how your information is being shared and you can object to this. You should discuss any objection with your healthcare organisation as there may be times when not sharing your information might impact on providing you with safe care.
Your health care organisation must be clear about how and where they share your information. This is contained in a privacy notice, which must be clear and easily visible, ususally on the website.
Your Medical Records
The quickest and easiest way to view your medical record is via the NHS App.
You can also use the NHS App to access a wide range of other NHS services via your smartphone or tablet, such as viewing health advice or ordering your repeat medication. Please see the front page of our website for information on how to download the NHS App.
Patients have a legal right to request a copy of the information we hold about them, in line with GDPR. In addition to using the NHS App, you can also access your medical records for free by completing a 'Subject Access Request' form, requesting one of the following:
- Brief Medical Summary
- Full Medical Summary
- A Copy of All notes
- A specific document
As stated above, the quickest and easiest way to view your records is via the NHS App.
If you are unable to download the NHS App, please come into the surgery and request a Subject Access Request form. On receipt of this completed form, your request will be sent to our workflow team who will reply to you within 30 days.
Accessing Someone Else's Records
Health and care records are confidential, so you can only access someone else's records if you're authorised to do so.
Pleaser see link for futher information on Accessing Someone Else's Records.
Can I access someone else's medical records (health records)? - NHS(www.nhs.uk)
Getting Your Records Changed
If you suspect something in your medical records is incorrect, please get in contact with the surgery.
Proxy Access
Proxy access was developed to allow someone other than the patient to access and manage parts of their GP online services account. The proxy is given their own online access account (rather than using the patient’s login details). It is often used by the parents or recognised carers of young children, and recognised carers of adults.
Reasons for the practice to authorise proxy access without the patient’s consent include;
- A parent or guardian who has legal responsibility for a patient under 11.
- A parent or guardian where a patient aged 11 or over has given permission.
- A parent or guardian who has legal responsibility for a patient between 11 and 16 where a GP has assessed that the patient is not capable of making their own decisions about medical health.
- A carer for a patient over the age of 16 – we require a letter from the patient giving them permission.
Proxy Access can give a proxy representative access to the following services;
- Appointment Booking
- Prescription Management
- Demographics (NHS No, DOB, Name)
Further documentation can be accessed if a request is received in writing and approved by the patient's GP.
If you wish to apply for Proxy Access, please click this text to download the form and once completed, email it, with the relevant documentation, to workflow.berrycroft@nhs.net.
If you do not already have online access set up for yourself, you may be asked to come in to the surgery with your documentation.
Change of Details
Change of Gender
Changing Your First Name:
Notify us in writing or via the Change of Details form on our website.
Changing Your Surname (Except by Marriage):
Please provide proof of the change (e.g., passport, driving licence, or deed poll).
Changing Your Title:
Title changes must align with the gender listed in your medical record (e.g., Miss/Ms/Mrs for female; Mr for male). Non-Gender-Specific Title: You may choose "Mx" if you do not want a gender-specific title.
Important Note for Secondary Care:
- Inform any secondary care providers (e.g., hospitals) of your changes as updates made at the surgery will not alter records held by hospitals.
Changing Your Gender on NHS Records:
NOTE: This section is currently being updated following new instructions from NHS England - please contact us for further information.
We cannot change the gender on your existing medical record.
You can request a new medical record in your preferred gender identity. Your current record will be closed, and you will be issued a new NHS number and a new blank medical record.
Implications of a New Medical Record:
Your previous medical history can be attached as a 'document' but will take longer for clinicians to access. Regular medications will be added to the new record by a clinician upon your next request. You will need to set up the NHS App again under your new identity.
Additional Considerations:
Immunisation Records can be printed but will show your birth gender and previous name. NHS England may take up to 4 months to process gender change requests and issue a new NHS number. The surgery will process the new registration within a few days once we receive the information from NHS England. If you later decide to revert to your previous gender identity, you will receive another new medical record and NHS number; the original NHS number cannot be reinstated.
Please ensure that all changes are communicated promptly to ensure your medical records are up to date and accurate.
PLEASE EMAIL ALL CHANGE OF GENDER REQUESTS TO: berrycroft.health@nhs.net
Page created: 07 September 2022