GP record

[Thicket]

This has just appeared on my GP record

Coded Entry

Enhanced review indicated before granting access to own health record. (Y2ffe)

I not sure what to make of this.

[helvella Administrator Thyroid UK]

I found this:

NHS England has decided to allow all patients full online access to their medical record from 1.11.22. GP surgeries have to review ALL records to ensure they are suitable for viewing by patients. This is to review the record and make sure there is no information in there that could harm the patient, for instance, a mental health patient with little insight into their condition could have a relapse if they see certain entries. Also, if it is believed the patient has a dominating partner, we don't want to risk that partner seeing things that could cause them to get angry with the patient. We also don't want them scared to tell their GP things because their partner might see it.

As you can imagine, this is a massive job on top of the increase in demand for all GP services. A lot of surgeries are adding that code to give them time to do these reviews. Once your record has been reviewed, that code will be removed.

reddit.com/r/nhs/comments/y...

I'd like to think that a fuller explanation could have been provided to you, directly.

DJR1

[Thicket in reply to helvella]

No explanation and I have full access at the moment. I’m tempted to ring them and ask.

[Thicket in reply to helvella]

I just called them and they didn’t have a clue either. But I’m not the only one to call and query it.

[DJR1]

I think this follows on from our discussion following helvella post earlier this week about the auto switch on of prospective GP records. As I anticipated both the BMA and RCGP have issued official guidance and statements querying the legality of system suppliers switching on all records. They suggest this negates the GP role as data controller which breaches GDPR. Practices have been advised to apply a code that blocks prospective access and states that all records must be individually reviewed before access is granted. In effect the auto switch on has been blocked by a large number of practices who have followed the guidance. You are seeing the code being applied to your records.

[DJR1]

I have some concerns that applying the code universally will in some way affect those of us that already have full access to our records. I am unsure if the Practice patient level settings are affected by the application of the code. There are two layers of system settings

1. Global- which sets the viewing of information for all patients

2. Patient-which sets the viewing access for each individual patient. For those who applied for full record access these individual settings are changed to allow visibility of the whole record.

However there are many Practices who do support patient access to their future records and some already give access to the full historical record so these Practices may not apply the code. It is a wait and see scenario.

NHSE have been providing training over the last year and redaction software is available (not sure about funded) to remove sensitive or third party data entry. Live redaction is also possible using the system software to make an entry invisible to the patient/others if there is a likelihood of harm. It is frustrating that after a year there is continued disagreement.

[Thicket in reply to DJR1]

I found out the same but I’m not in one of the group mentioned. My surgery have not done this to everyone and there is no possibility in the news harming me. I guess I will have to wait until the 1st November.

[DJR1]

I think I may not have explained this very well. NHS ENGLAND are trying to allow all patients access to prospective access by asking the IT system suppliers to turn access on at source. Many GP’s do not agree with this.

The code is being applied in GP Practices to block the auto switch on.

If patients already have access it may not affect them.

BUT if you are expecting to see NEW record access going forward after the 1st November as a result of auto switch on you may not as the code prevents it. I hope that makes sense.

[Thicket in reply to DJR1]

You have explained it perfectly! The only thing I don’t understand is why it only a few have queried it and my daughter is at the same surgery and it not on hers.

[StitchFairy in reply to Thicket]

Perhaps it depends on what's in your records? Or maybe it's your age? Or maybe there are remarks in your records they don't want you to see and they've marked it for editing before you see it. I don't know, just guessing. It doesn't make much sense does it!

[Thicket in reply to StitchFairy]

No it doesn’t. My GP is fabulous and that is why I’m so surprised.

[DJR1]

I am not sure how they are applying the code. It may be that the Practice has to apply the code individually to each patient which may take time and therefore code may appear at different times for each patient.

[DJR1]

I have just checked my record access and I still have full access with no sign of a code. Do you still have full record access or has the application of the code removed it?

[Thicket in reply to DJR1]

I still have full access. Why put it on there if nothing has changed or is it so when it goes live I won’t have access?

[DJR1]

I am sorry I don’t know the answer. For people interested in this issue please follow this link

pulsetoday.co.uk/news/break...

[Thicket in reply to DJR1]

Don’t be sorry! You have been very helpful and I’m confident my surgery will sort it in due course.

[Lizzab]

Useful thank you