Access to your Medical Record
The NHS wants to give people better ways to see their personal health information online. We know that people want to be able to access their health records. It can help you see test results faster. It also lets you read and review notes from your appointments in your own time.
We’re now letting you see all the information within your health record. If you are over 16 and have an online account, such as through the NHS App, NHS website, or other GP online services and apps, you will now automatically be able to see all future information entered on your medical record. Some people can already access this feature, this won’t change for you.
This means that you will be able to see records from your appointments, as well as test results and any letters that are saved on your records. This only applies to records from your doctor (GP), not from hospitals or other specialists, although you will be able to see any letters that hospitals or specialists send to your doctor (GP). You will only be able to see information from 1st November 2023. For most people, access will be automatic, and you won’t need to do anything.
Your doctor (GP) may talk to you to discuss test results before you are able to see some of your information on the app. Your doctor (GP) may also talk to you before you are given full record access to make sure that having access is of benefit to you. If you are concerned that seeing your records is not right for you, you should speak to your practice.
These changes only apply to people with online accounts. If you do not want an online account, you can still access your GP health record by requesting this information via reception. The changes also only apply to personal information about you. If you are a carer and would like to see information about someone you care for, speak to reception staff.
The NHS App, website and other online services are all very secure. You’ll need to make sure you protect your login details. Do not share your password with anyone as they will then have access to your personal information.
If you do not want to see your health record, or if you would like more information about these changes, please speak to your GP or reception staff. You can also read more by going to www.nhs.uk/gp-record.
Understanding your Medical Record
From November 2023, patients using the NHS app will be able to view all new entries made in their GP records. This is an NHS initiative to give patients greater access to their health information.
Upon reviewing your records, you may feel that certain notes made by our clinicians are incorrect and you may wish to request that they are removed.
The General Data Protection Regulations (GDPR) and the Data Protection Act 2018 state that an individual has the ‘right to be forgotten’, which is sometimes called the ‘right to erasure’, however medical records are slightly different in that they hold special category data. The GP’s (or other clinician’s) opinion at the time will not alter, therefore we cannot remove information simply at the patient’s request.
In line with the General Medical Council’s (GMC) guidance, Doctors have an obligation to:
- Keep clear, accurate and legible records.
- Make records at the time the events happen, or as soon as possible afterwards.
Source: https://www.gmc-uk.org/-/media/documents/good-medical-practice—english-20200128_pdf-51527435.pdf
The NHS constitution states that as a patient, “You have the right to have any factual inaccuracies in your health record corrected, however there are limited exceptions to this right, there is no obligation to amend something in a health record that is a professional opinion”, i.e. the GP’s opinion at the time.
This also applies to data that forms part of your medical record, for example letters and forms issued by other Healthcare organisations involved in your care that have supplied copies to us as your General Practice/registered GP. Data on your record is only to be used in relation to direct care purposes, and if considered to be used for anything else, it would need to have the relevant lawful basis and other data protection principles applied.
Should you request any corrections or redactions we will review your request and if we decide we are not able to comply we will inform you of this decision. We will also ensure we add details of your request to your record and the reasons why we have not been able to comply. Please make any such requests in writing or via the Online Consultations our website.
This is an NHS list of commonly used abbreviations which may help you understand your records.
Whilst we will endeavour to respond to any queries about your records, please bear in mind that we must prioritise our workload and deal with patients that are unwell and need us. You can ask for appointments online via the NHS App but please do not use appointments purely to request something is removed from or changed within your notes. As above, please contact us in writing or via the admin request on our website and we will liaise with the clinical team and respond within an appropriate time frame – as with most administrative requests this can be up to 28 days depending on operational priorities.
Patient Records
All individuals with access to your data have a professional and/or contractual duty of confidentiality.
Confidential patient data will be shared within the practice health care team and with other health care professionals to whom you are referred for care. Your data may also be used by those clinical teams providing your care for the essential purpose of clinical audit. Confidential patient data may also be required for the broader purposes of public health and audit, research, the provision of health care services, teaching and training. Data disclosed will be kept to the minimum required to serve the purpose and if possible will be anonymised before disclosure.
Confidential and identifiable patient information will not otherwise be disclosed without explicit consent unless:
- it is a matter of life and death or serious harm to you or to another individual
- it is overwhelmingly in the public interest to do so
- there is a legal obligation to do so.
In all of these circumstances the minimum identifiable information that is essential to serve the purpose may be revealed to someone with a legal entitlement to access the data for that purpose. If you are concerned about any of the ways in which your confidential data are managed, further information is available from the practice manager. You are entitled to register an objection and this will be respected if possible.