Sharing your medical information
For a number of years, work has been ongoing to improve the way that medical records are made available to treating clinicians. Our main computer system is called SystmOne which has the advantage of enabling information to be shared between certain health professionals.
Enhanced Data Sharing Model (EDSM) enables us, with your consent, to share your medical records with those in the NHS who are involved in your care. By implied consent we share your medical records with other services treating you. This is known as 'sharing out'. Your express consent will be asked for and obtained where possible.NHS staff can only access shared information if they are involved in your care and being an electronic service an audit log is maintained showing when and who has accessed medical records.
EDSM should not be confused with care.data. EDSM only allows those treating the patient to access medical records. It does not enable patient records to be used for research or other purposes.
We already share records of children for child protection reasons and patients who are under the care of the District Nursing Team. This helps clinicians to make decisions based upon a wider knowledge of the patient and also helps to reduce the number of the number of times that patients or family members are asked the same question. In short it assists clinicians to provide more ‘joined up care’.
If I agree, who could see my records?
EDSM will allow clinicians treating you, who have access to SystmOne to view and in some cases update your medical records. Locally this includes the Walk-In-Centre, many departments at local hospitals (including A&E) and community services, such as the District Nursing Team. It is anticipated that over time more health services will be able to benefit from EDSM.
Clinicians outside of the surgery who wish to access your medical records will ask for your consent to do so and will need to have been issued with a NHS Smartcard. This is a ’chip and pin’ card -similar to a bank card.
Can I ‘opt out’ pick and choose who sees my record?
Yes, you can. Under EDSM there are two levels of consent. The first is to agree to sharing your medical records OUT. This is your agreement that records maintained by your GP can be seen, subject to your authority at the time, by clinicians working outside of the surgery. The second is agreeing to share your records IN. This means that your GP can see the records made by other health professionals who have access to EDSM.
However, as the treating clinician needs to ask your permission to see the records at the beginning of each period of care you are in control of who can see your medical information.
For example the diagram below shows that the patient has agreed to share his medical records with the District Nurse and the surgery. However, whilst he is happy for his GP to see notes made by the local smoking cessation adviser he doesn't want the adviser to have access to his other medical records.
I can see the benefits of the other people treating me seeing my notes, but what if there is a matter that I want to stay just between me and my doctor?
You can ask for any consultation to be marked as private, this means that viewing is restricted to the surgery, but allows the rest of the record to be viewed by whoever else is treating you. It is your responsibility to ask for a consultation to be marked as private.
Haven’t I agreed/disagreed to do this before?
EDSM may seem very similar to patients as the Summary Care Record which went live some years ago. The Summary Care Record contains only a very small part of your record that is available to be seen by clinicians who might be treating you in A E departments, Walk In Centres or if you register temporarily somewhere else within the UK.
The Summary Care Record allows other NHS Services to see your current medications and the drugs that you are allergic or sensitive to. Your Summary Care Record can be enriched by your GP to include information that it is important to pass on in the case of an emergency.
Can I change my mind?
Yes, you can always change your mind and amend who you consent to see your records. For instance you can decline to share your records out from the surgery, but if you built up a relationship with the physiotherapist who was treating you and they asked you if they could look at an x-ray report, you could give your consent at that point for them to view your records. You will be referred back to us to change your preference, so the physio treating won’t be able to see your records instantly, but should be able to by, the next time of your next appointment.
If I decline—what happens in an emergency?
In the event of a medical emergency, for instance if you were taken unconscious to A E, and the clinician treating you feels it is important to be able to see your medical records he is able to override any consents set.
However, the doctor has to give a written reason for doing so. Where this happens an audit is undertaken by the local Caldicott Guardian (the person with overall responsibility for Data Protection compliance).
Can anyone else see my medical records?
On a daily basis, we get requests from Insurance Companies to either have copies of medical records or excerpts from patients’ medical records. This requires your signed consent.
Occasionally we are asked for information from the medical records for legal reasons, again this has to be done with your written consent, or in very exceptional circumstances, by court order.
If you have any questions, please speak to reception. If necessary the receptionist will arrange for someone to give you a call. As EDSM has been designed to enhance patient care we will automatically ‘opt you in’ to both parts of the scheme.
If you prefer not to be then please mention it to a member of the reception team. You are free to change your mind at any time. Information about you and the care you receive is shared, in a secure system, by healthcare staff to support your treatment and care.
In July 2016, it was announced that the Care.Data scheme was to be scrapped.
This scheme was to link information from all the different places where you receive care, such as your GP, hospital and community service, to help provide a full picture. There were concerns over patient information being identifiable.
There is a new Central NHS Computer System called the Summary Care Record (SCR). It is an electronic record which contains information about the medicines you take, allergies you suffer from and any bad reactions to medicines you have had.
Summary Care Records
Why do I need a Summary Care Record?
Storing information in one place makes it easier for healthcare staff to treat you in an emergency, or when your GP practice is closed.
This information could make a difference to how a doctor decides to care for you, for example which medicines they choose to prescribe for you.
Who can see it?
Only healthcare staff involved in your care can see your Summary Care Record.
How do I know if I have one?
Over half of the population of England now have a Summary Care Record. You can find out whether Summary Care Records have come to your area by looking at our interactive map or by asking your GP
Do I have to have one?
No, it is not compulsory. If you choose to opt out of the scheme, then you will need to complete a form and bring it along to the surgery. You can use the form at the foot of this page.
For further information visit the NHS Care records website
Download the opt out form >>>>
Needs Profiling of 0-19 Year olds: How your NHS records are used
This practice is taking part in a new NHS service that helps your GP to spot whether more help is needed to manage children’s health. The service is called “needs profiling”.
Using information from your health records, a secure NHS computer system will look at any recent treatments children have had in the community or at this surgery, and any existing health conditions that they have, and alert the doctor to the likelihood of a possible future hospital admission. This may include screening service and technologies that help us search all of our patient’s records to identify patients that would most benefit from a particular treatment, sometimes by linking the information we hold with information about you from other organisations providing your care. The clinical team at the surgery will use the information to help patients get early care and treatment where it is needed.
The information will be seen only by qualified health workers involved in your care. NHS security systems will protect your health information and patient confidentiality at all times. If you don’t want your information being used in this way, or have any other concerns, please contact the Practice.
EDSM Allowed List
A list of trusted medical partners, surgeries and hospitals is being updated on a regular basis and used throughout the North Norfolk CCG. Below is a list of these pre-approved sharing partners.
Version 18 - Updated : 01/10/2019
|Unit Name:||Unit Type:|
|Suffolk Children's Services - Paediatrics West||Health Visitor - Early Help Team Children & Young People Services |
|Nutrition and Dietetics - James Paget Healthcare||Dietetics|
|Norfolk and Suffolk NHS Foundation Trust CRV||Acute Hospital|
|Cambs Community Paediatrics||Community Primary Care Clinic|
|Suffolk Children in Care||Health Visitor - Early Help Team Children & Young People Services|
|East Anglia's Children's Hospices|| |
|Suffolk CDC East||Occupational Therapy|
|Palliative Care Team - James Paget Healthcare||District Nurse Practice|
|Luton & Dunstable Hospital NHS Foundation Trust||Acute Hospital|
|Suffolk Paediatric OT||Occupational Therapy|
|Ipswich Hospital NHS Trust||Acute Hospital|
|Community Dentistry||District Nurse Practice|
|Suffolk SALT - Paediatrics||Speech Therapy Group|
|James Paget University Hospitals NHS Foundation Trust - EPR Core||Acute Hospital|
|Suffolk SALT Communication Aids||Speech Therapy Group|
|Suffolk Children's Audiology West||Health Visitor|
|Suffolk Children's Audiology||Health Visitor|
|East of England Ambulance Service NHS Trust||Acute Hospital|
|The South Norfolk Vasectomy Service||Community Services|
|Peterborough and Stamford Hospitals NHS Foundation Trust - EPR Core||Acute Hospital|
|Ealing Hospital Outpatient Therapy Service||Community Services|
|Norfolk Healthy Child Programme - East||Health Visitor|
|Imms and Vacs - Suffolk - CCS Screening Unit||Health Visitor|
|Norfolk Healthy Child Programme - Breckland||Health Visitor|
|Norfolk Healthy Child Programme - North||Health Visitor|
|Norfolk Healthy Child Programme - City||Health Visitor|
|Norfolk Healthy Child Programme - West||Health Visitor|
|Norfolk Healthy Child Programme - South||Health Visitor|
|MASH - CCS||Community Services|
|ECCH Community Hospital ||Community Hospital|
|ECCH Infection Prevention and Control||Community Primary Care Clinic|
|ECCH Out of Hospital South||Community Services|
|CCS Childrens Dietetics Service||District Nurse Practice|
|HCP East Cambs and Fenland||District Nurse Practice|
|Children Looked After - Cambridgeshire||Community Primary Care Clinic|
|Early Years Support Programme||Community Primary Care Clinic|
|Paediatric SALT - Cambridge||District Nurse Practice|
|BOC Healthcare South||Community Primary Care Clinic|
|ECCH Respiratory||Community Services|
|CPFT MIU North Cambs Hospital||Out of Hours PCC|
|NCHC Norfolk Community IV Therapy||Community Services|
|NCHC Childrens Centres||Community Services|
|NCHC Community Nursing and Therapy||District Nurse Practice|
|NCHC Norfolk Continence Assess and Treat||District Nurse Practice|
|NCHC Childrens Health Services||District Nurse Practice|
|NCHC Integrated Therapy Partnership||Community Services|
|NCHC Looked After Children||Community Primary Care Clinic|
|NCHC Infectious Waste Disposal||District Nurse Practice|
|NCHC Matrix||District Nurse Practice|
|NCHC Norfolk Out of Hours Nursing||Community Services|
|NCHC Norfolk Stroke Early Supported Discharge for Stroke||Community Services|
|NCHC North Norfolk Community Services||Community Services|
|NCHC Norwich HomeWard||Community Services|
|NCHC Norwich Community Services||Community Services|
|NCHC Specialist Palliative Care PBC||Palliative Hospital|
|NCHC Safeguarding||Community Services|
|NCHC South Norfolk Community Services||Community Services|
|NCHC Southern Locality||District Nurse Practice|
|NCHC Multi-Disciplinary Community Services||District Nurse Practice|
|NCHC Specialist Services||District Nurse Practice|
|NCHC Specialist Therapy Services||Community Primary Care Clinic|
|NCHC Early Supported Discharge Suffolk||District Nurse Practice|
|NCHC West Integrated Palliative Care||Palliative Hospital|
|NCHC West Norfolk Community Services||Community Services|
|ECCH Musculoskeletal Triage Service ||Community Primary Care Clinic|
|CHC cambridge||Child Health|
|CHIS Suffolk||Child Health|
|CHIS Norfolk||Child Health|
|Anglia Community Eye Service - Cambridge||District Nurse Practice|
|ECCH Falls Service||District Nurse Practice|
|ECCH CFS / ME||Occupational Therapy|
|ECCH Children and Family||Health Visitor|
|ECCH Community Nurses||District Nurse Practice|
|ECCH Continence ||Community Primary Care Clinic|
|ECCH Looked After Children||Community Services|
|ECCH SaLT CYP||Community Primary Care Clinic|
|ECCH TB Service||Community Services|
|ECCH Wheelchair Services||Community Services|
|ECCH LUTS||Community Services|
|ECCH Occupational Therapy||Occupational Therapy|
|ECCH Out of Hospital North||Community Primary Care Clinic|
|ECCH Podiatry Service||Podiatry|
|ECCH Primary Care and Prevention||Community Primary Care Clinic|
|ECCH Speech and Language||Speech Therapy Group|
|Health Outreach NHS (SAS team)||District Nurse Practice|
|Continuing Healthcare||Community Services|
|Norfolk Continuing Care Partnership (CHC)||Standard|
|NCHC (AHPS) Musculoskeletal West Triage||Community Services|
|NCHC Community Hospital One||Community Hospital|
|ECCH Community Diabetes||Community Services|
|ECCH Community Dietetics||Community Services|
|ECCH Cardiology||Community Services|
|Suffolk Paediatric Physio||Physiotherapy|
|West Suffolk Hospital NHS Trust - CRV||Acute Hospital|
|Norfolk and Norwich University Hospital||Acute Hospital|
|Suffolk Community Clinical Psychology Service||Health Visitor|
|West Norfolk MacMillan||Palliative Hospital|
|East Suffolk HV/SN Team||Health Visitor|
|Suffolk MASH Unit||Health Visitor|
|Suffolk Children's Services - Paediatrics East||Health Visitor - Early Help Team Children & Young People Services |
|Queen Elizabeth Hospital King's Lynn NHS Trust CRV||Acute Hospital|
|West Suffolk HV/SN Team||Health Visitor|
|Suffolk CCNT||Health Visitor|
|South Norfolk Healthcare CIC RMS||Community Services|
|North Suffolk HV/SN Team||Health Visitor|
|St Elizabeth Hospice||Palliative Hospital ECCH|
|St Nicholas Hospice Care||Palliative Hospital|
|North Norfolk Primary Care Ltd.||GP HUB|
|Coastal Health GP Provider Organisation||GP HUB|
|Coastal Health North HUB||GP HUB|
|Breckland South Norfolk HUB||GP HUB|
|Norwich/NPL Improved Access HUB||GP HUB|
|South Norfolk Mid Norfolk HUB||GP HUB|
|West Norfolk Health GP HUB||GP HUB|
|Grove Surgery||General Practice|
|Beaches Medical Centre||General Practice|
|Cromer Group Practice||General Practice|
|Sheringham Health Centre||General Practice|
|East Norfolk Medical Practice||General Practice|
|St Stephens Gate (Surgical, Orthopaedic, Dermatological, Urological, Opthalmic)||General Practice|
|Stalham Staithe Surgery||General Practice|
|Grimston Medical Centre||General Practice|
|Castle Partnership||General Practice|
|Magdalen Medical Practice||General Practice|
|Old Catton Medical Practice||General Practice|
|The Bridge Street Surgery||General Practice|
|Aural Microsuction (ear syringing)||General Practice|
|Trinity & Bowthorpe Medical Practice||General Practice|
|Hellesdon Medical Practice||General Practice|
|Millwood Partnership||General Practice|
|Orchard Surgery||General Practice|
|Lawns Practice Medical Practice||General Practice|
|Roundwell Medical Practice||General Practice|
|Taverham Surgery||General Practice|
|Hoveton & Wroxham Medical Centre||General Practice|
|Lakenham Surgery||General Practice|
|Heacham Group Practice||General Practice|
|Aylsham & Reepham Medical Practice||General Practice|
|Brundall Medical Centre||General Practice|
|Upwell Health Centre||General Practice|
|Old Mill & Millgates Medical Practice||General Practice|
|Wells Health Centre||General Practice|
|Mattishall Surgery||General Practice|
|Wensum Valley Medical Practice||General Practice|
|School Lane Surgery||General Practice|
|Watlington Medical Centre||General Practice|
|Vida Healthcare||General Practice|
|Wymondham Medical Partnership - microsuction||General Practice|
|Church Hill Surgery||General Practice|
|Oak Street Medical Practice (Vasectomy)||General Practice|
|Thorpewood Medical Group||General Practice|
|Theatre Royal Surgery||General Practice|
|St James Medical Practice (St Nicholas Endoscopy Unit)||General Practice|
|Mundesley medical Centre||General Practice|
|The Fakenham Medical Centre - Minor Surgery||General Practice|
|Elmham Surgery||General Practice|
|The Coastal Partnership||General Practice|
|Birchwood surgery||General Practice|
|Bacon Road Medical Centre||General Practice|
|Watton Medical Practice||General Practice|
|Humbleyard Practice||General Practice|
|Paston Surgery||General Practice|
|The Park Surgery||General Practice|
|East Norwich Medical Practice||General Practice|
|Lionwood Medical Practice||General Practice|
|Lawson Road Health Centre||General Practice|
|Heathgate Medical Practice||General Practice|
|Feltwell Surgery||General Practice|
|Blofield Surgery||General Practice|
|Harleston Medical Practice||General Practice|
|Hingham Surgery||General Practice|
|Prospect Medical Practice||General Practice|
|Woodcock Road Surgery||General Practice|
|Southgates Surgery & Medical Centre||General Practice|
|Shipdham Surgery||General Practice|
|St Clements Surgery||General Practice|
|West Pottergate Medical Practice||General Practice|
|Boughton Surgery||General Practice|
|The Wootton Surgery||General Practice|
|The Coastal Partnership (Windmill Surgery)||General Practice|
|Aldborough Surgery||General Practice|
|City Reach||General Practice|
|Alexandra & Crestview Surgeries||General Practice|
|Beccles Medical Centre||General Practice|
|Longshore Surgeries||General Practice|
|Bridge Road Surgery||General Practice|
|Victoria Road Surgery||General Practice|
|Sole Bay Surgery||General Practice|
|High Street Surgery||General Practice|
|Kirkley Mill Health Centre||General Practice|
|Bungay Medical Centre||General Practice|
|Cutlers Hill Surgery||General Practice|
|Rosedale Surgery||General Practice|
|Andaman Surgery||General Practice|
|Vida Healthcare (The Hollies Surgery)||General Practice|
|School Lane PMS Practice||General Practice|
|Norwich Practices Health Centre (Walk-in-Centre)||General Practice|
|St John's Surgery||General Practice|
|The Coastal Partnership (Beechcroft Surgery)||General Practice|
|Elmham Surgery (Toftwood Medical Centre)||General Practice|
|Health Outreach APMS||General Practice (providing primary care to patients in Norfolk who have been excluded from mainstream registrations)|
|NCHC Community Hospital Two||Community Hospital|
|NCHC Community Hospital Three||Community Hospital|
|CCS Cambs & Peterborough Imms & Screening||Health Visitor|
|ECCH North Norfolk MSK||Community Services|