Inaccurate medical notes at GP's - Pernicious Anaemi...

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Inaccurate medical notes at GP's

yorkshiregirl4 profile image
15 Replies

I noted inaccuracies on my medical notes, when I logged onto my notes at the GP Practice, resulting in an inaccurate diagnosis being listed. This consultation was months ago. I wrote to the Practice Manager twice and months later these inaccuracies have still not been rectified. I have just been informed that the GP concerned is not available for several weeks and nothing can be done in the meantime.

I am extremely annoyed and know that there are very knowledgeable people on this site who will give me advice.

Many thanks.

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yorkshiregirl4 profile image
yorkshiregirl4
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15 Replies
Jillymo profile image
Jillymo

Your not alone others have reported innacurate notes ! You have done the right thing by contacting the manager. Apparently medical notes can not be usually be changed but a covering note by the said Gp can be added to correct the error.

I had a similar issue with a consultant who I took to tribunal who was had to add a covering note of correction to my file.

Dont let it drop even if you have to wait the 8wks until this Dr is back.

yorkshiregirl4 profile image
yorkshiregirl4 in reply toJillymo

Hello Jillymo

Many thanks for your reply which is very useful. It is so frustrating wasting energy trying to deal with these issues on top of the challenges of trying to juggle health problems too. They have altered/rectified earlier mistakes and removed inaccuracies before but this is a new manager, who has suggested I see a different doctor to discuss this.

I think your suggestion is much better because it is so much more sensible and I do not want the stress of arguing this with someone else. I find it pretty scary that I have had significant mis-diagnosis episodes when reading the doctor's report following a GP appointment that I now check each one carefully. At least I can now do this and would thoroughly recommend this to everyone. As usual, Jillymo excellent advice , thank you.

MrsTuft profile image
MrsTuft

It’s summer holidays - you might just have to wait. Only GP’s are allowed to alter your records.

Lilian15 profile image
Lilian15

My notes are an absolute farce. You would think they belong to someone else. Also I think they must have recently employed someone who is dyslexic, or whose first language is not English, because some of the notes are impossible to head nor tail of.

yorkshiregirl4 profile image
yorkshiregirl4 in reply toLilian15

Hello Lilian15, Looks as if we have similar problems and a similar level of support from our GP's. It is quite scary though when notes can be written and the patient does not recognise what happened in a consultation as compared to reading the notes afterwards.

yorkshiregirl4 profile image
yorkshiregirl4

Hello MrsTuft

Thanks for your reply. Yes, I am just going to have to wait but it is unfortunate that I initially wrote to request this be changed two months ago and nothing has been done.

On a different note, could you confirm what help or treatment you received for your foot drop, please. I have this problem, or at least have had a fall when I turned my body and my right foot stayed where it was. Although foot drop was diagnosed at about the time I started self injecting B12 about 15 months ago I never received any treatment but recently had a physio. appointment to strengthen my leg/feet muscles. This does seem to have improved but I am very interested in your treatment for foot drop.

Angel_of_the_North profile image
Angel_of_the_North

I've taken to just ignoring mine now - but I rarely see GP so it is not as important as it is for you. Apparently I have had several pregnancies - strange that I didn't notice them! Must be someone else's notes.

Wwwdot profile image
Wwwdot in reply toAngel_of_the_North

Angel of the North

That made me laugh! But it’s not laughable is it?

Perhaps you could take one of your “offspring” in for a consultation - - second thoughts best not as GP will either treat it!! Or prescribe psychiatric help for you!! And that’s in a good day!!

🤗🤗🤗

Sleepybunny profile image
Sleepybunny

Hi,

I think GP surgeries have to correct factual mistakes such as wrong name, wrong date of birth.

As far as I know in general they don't have to change a diagnosis because a patient disagrees with it.

Patients can ask to have a note inserted which says they disagree with the diagnosis and giving their reasons why.

I think there are some situations where GP surgery would have to remove/change a diagnosis eg if medical information from another person had been included by mistake.

Articles about mistakes in medical records (UK)

transform.england.nhs.uk/in...

patients-association.org.uk...

ico.org.uk/for-the-public/y...

ico.org.uk/for-organisation...

Also thought this might be interesting....it's about GP surgeries redacting (editing) information from online records

england.nhs.uk/long-read/re...

There might be something of interest in this thread about Patient Safety.

healthunlocked.com/pasoc/po...

Inaccurate medical records could be a safety issue.

I'm not a health professional.

yorkshiregirl4 profile image
yorkshiregirl4 in reply toSleepybunny

Many thanks Sleepybunny, My problem is about a GP recording what I said in a consultation inaccurately. When I first checked the note following the appointment the notes were accurate. They were subsequently added to with inaccurate additions that I never said. Apologies if I had not explained this properly from the start.

Sleepybunny profile image
Sleepybunny in reply toyorkshiregirl4

Hi,

It won't help now sadly but perhaps in future you could ask to record consultations.

If you have fatigue, brainfog, memory issues, issues that affect concentration eg pain etc you could ask on disability grounds.

Maybe put request in writing to GP in advance of future appointments.

Recording Appointments (UK)

BMA article

bma.org.uk/advice-and-suppo...

Sleepybunny profile image
Sleepybunny in reply toSleepybunny

Not sure if you've had a look at the ICO links in my other reply.

ICO is the Information Commissioner's Office.

Link below says organisations have a month to reply.

ico.org.uk/for-organisation...

It is possible to extend the time limit by another two months in some circumstances.

"I wrote to the Practice Manager twice and months later these inaccuracies have still not been rectified"

Maybe you could involve ICO or quote from ICO guidelines in next communication.

Do you keep copies of your requests and do you ask for a written acknowledgement that your request has been received ..... in case they deny receiving them?

ICO England

ico.org.uk/

ICO Wales

ico.org.uk/about-the-ico/wh...

ICO Scotland

ico.org.uk/about-the-ico/wh...

(Not sure about NI equivalent)

Might be worth talking to your MP about this. Also MS (Wales) and MSP (Scotland) as Health is a devolved matter in Wales/Scotland.

MPs website should have a tel no. or online contact form to get in touch with caseworkers.

Some GPs find assertive patients difficult to cope with. You may find that GP/patient relationship is affected.

yorkshiregirl4 profile image
yorkshiregirl4 in reply toSleepybunny

Many thanks for all your suggestions Sleepybunny. I totally appreciate that GP's do not like assertive patients and I will probably wait to discuss with the GP concerned when she returns to work. My ongoing problem, along with so many problems we may all have in relation to GPs is living in a rural location, GPs working from one half day a week in term time only up to a maximum of three days a week so continuity of care is not available. Thank you for your extremely informative reply.

Sleepybunny profile image
Sleepybunny in reply toyorkshiregirl4

"My ongoing problem ......... is living in a rural location, GPs working from one half day a week ......up to a maximum of three days a week so continuity of care is not available."

Some GP surgeries will accept registrations from patients outside their catchment area.

I can't remember if you're working or not. Might be possible to register at GP surgery near place of work.

Registering with a GP surgery outside your local area

nhs.uk/nhs-services/gps/reg...

yorkshiregirl4 profile image
yorkshiregirl4

Many thanks, Sleepybunny.

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