Information about considerations when uploading patient information to a health system





 

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Databases

Can GPs delay uploading patient data to Summary Care Records
indefinitely?
============================================================
Tony Collins emailThursday 18 March 2010 01:06

GPs have as much time as they think reasonable to upload patient data
to the Summary Care Records database, says guidance which has been
issued to London's GP practices.
It means that GPs who oppose care records could take years to upload
patient information, making it less likely that clinicians accessing
the system would find the summary records of patents they are treating
in emergencies in the meantime.

The guidance from the Londonwide Local Medical Committees - the
professional voice of London's GP Practices - has been issued with the
support of NHS Connecting for Health, which runs Summary Care Records.
It says NHS Connecting for Health has "assured us there is no
coercion" on when GPs should upload patient records.

 
But some GPs are reluctant to upload medical data unless their
patients have given their specific consent. They may delay posting
records to the care record system under the new guidelines.

The government has rejected seeking consent from patients to upload
records. Ministers want GPs to upload patient records unless patients
have put their signature on an "opt-out" form.
Primary care trusts are sending millions of patients information packs
on the benefits of having their GP-held medical information on
allergies, adverse drug reactions and allergies uploaded to a central
Oracle database known as the NHS data spine. Summary Care Records are
held on a BT-run database.

Patients have a minimum of three months to opt out. If they do nothing
their records may be uploaded by their GP Practice at any time after
three months. Patients can change their minds and opt out after the
upload has taken place, in which case the record will be deleted
unless it has already been accessed outside the GP Practice.
If that has happened, the patient's summary record will remain on the
central database - even if the patient opts out - but will
inaccessible except for legal reasons.

The guidance from the Londonwide Local Medical Committees tells GPs
that it is open to them not to participate at all in Summary Care
Records.
If GP practices do take part, they should not wait an unreasonably
long time to upload confidential records on their patients to the NHS
spine, says the Londonwide LMCs guidance paper. It doesn't specify how
much of a delay is unreasonable.

It also warns against the premature uploading of patient data to the
SCR.
Advice on opting-out patients en masse from Summary Care Records? - IT
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database

 
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1. care records

2. summary care
3. nhs connecting

4. londonwide local
5. gp practice

6. upload patient
7. gp practices

8. local medical
9. medical committees

10. patient data
11. gps

12. patients
13. records indefinitely

14. gps delay
15. uploading patient

 
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