Patient Record

New for October 2023 - 'Prospective Medical Record On-line Access'

NHS England wants to give patients better ways to see their personal health information online.  We know at Seaside Medical Centre that patients would find it helpful so they can see their results faster without phoning the Practice and the ability to read and review notes from their appointments at their leisure. 

From Monday 30th October, we will be giving patients access to their prospective medical record.  If you are over 16 and have an online account, such as through the NHS App or another online primary care service as Patient Access, on application you will be able to see all future notes and health records from your doctor (GP).  

This means that you will be able to see notes 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.  You need to remember, prospective means you will only be able to see information going forward.  

Your doctor (GP) may talk to you to discuss your test results before you are able to see some of the information on the app.  There may be some sensitive information on your record, so you should talk to your doctor if you have any concerns.

The NHS App, website and other online services are all very secure, so no one is able to access your information except you.  You will need to protect your login details.  Don't share your password with anyone as they will then have access to your personal information.

What do I need to consider about having Prospective Record Access?

For many patients this will prove a valuable tool for helping to manage their healthcare.  However, we do recognise that this isn't for everyone and this is why we have asked our patients to complete a form of consent to have this form of access given.  

You may be happy to have this level of access from a personal point of view, but please consider whether you have given access to your account to other people, maybe just so they can order your medication or book appointments for you.  

Please remember by giving us consent you will be able to view all of your consultations, medication, test results, incoming and outgoing letters etc.  Please note this is not retrospective, so you will not be able to see any records that have been added previously, access will only be viewable from the date access has been granted.    

Please see these links for the consent form and the our guidance on things to remember Application for Access to GP Online Services form.pdf

Things to Remember for Access to GP Online Services .pdf

Sharing Your Medical Record

Increasingly, patient medical data is shared e.g. between GP surgeries and District Nursing, in order to give clinicians access to the most up to date information when attending patients.

The systems we operate require that any sharing of medical information is consented to by patients beforehand. Patients must consent to sharing of the data held by a health provider out to other health providers and must also consent to which of the other providers can access their data.

e.g. it may be necessary to share data held in GP practices with district nurses but the local podiatry department would not need to see it to undertake their work. In this case, patients would allow the surgery to share their data, they would allow the district nurses to access it but they would not allow access by the podiatry department. In this way access to patient data is under patients' control and can be shared on a 'need to know' basis.

Consent For Online Access To Your Retrospective Medical Records

All applications for medical record access must be authorised by a GP or other designated member of the practice team before this is enabled for a registered online user. A GP may wish to review the record and discuss the content with the patient prior to authorising access. Access to retrospective access (past) will not be enabled for any individual registered with the practice for less than three months except by approval of a GP partner. All patients wishing to see their retrospective medical records should come into reception and complete the relevant form. We would require photo ID as part of this application. By signing this form you will be giving us permission to proceed with setting up this service for you. If you decide not to join, or wish to withdraw, it will not affect your treatment in any way. Access will be withdrawn to patients that do not use the system in a responsible manner and it is the patient's responsibility to keep their username and passwords secure. Please remember that this process will take 21 days from submitting the relevant form.


Make your Choice about Sharing Data from your Health Records

Sharing data from your health records easy read leaflet and NHS data matters

Summary Care Record

There is a new Central NHS Computer System called the Summary Care Record (SCR). The Summary Care Record is meant to help emergency doctors and nurses help you when you contact them when the surgery is closed. Initially, it will contain just your medications and allergies.

Later on as the central NHS computer system develops, (known as the ‘Summary Care Record’ – SCR), other staff who work in the NHS will be able to access it along with information from hospitals, out of hours services, and specialists letters that may be added as well.

Your information will be extracted from practices such as ours and held on central NHS databases.   

As with all new systems there are pros and cons to think about. When you speak to an emergency doctor you might overlook something that is important and if they have access to your medical record it might avoid mistakes or problems, although even then, you should be asked to give your consent each time a member of NHS Staff wishes to access your record, unless you are medically unable to do so.

On the other hand, you may have strong views about sharing your personal information and wish to keep your information at the level of this practice. Connecting for Health (CfH), the government agency responsible for the Summary Care Record have agreed with doctors’ leaders that new patients registering with this practice should be able to decide whether or not their information is uploaded to the Central NHS Computer System.

For existing patients it is different in that it is assumed that you want your record uploaded to the Central NHS Computer System unless you actively opt out.

Proxy Access Online

You can now request to act as a proxy for children, relatives and dependants that you care for.  This enables a parent, family member or carer to act on behalf of the patient with their access tailored accordingly. 

You can ask your GP Practice to register you for proxy access. They will guide you through the set-up process.

If the relative or person you wish to act on behalf of is at a different practice to yourself, you can ask your relative’s GP Practice to register you for proxy access.

What information do I need to provide to act on behalf of someone?

When the GP Practice registers you for proxy access, you will need to provide your identification (ID) to establish you are the person that you say you are. Please check with the practice regards the type of ID they require.

A legal basis will also be required. If the relative or person you wish to act on behalf of is aged over 11 years, consent from them for the proxy access must be provided to the Practice and recorded in either:

  • Verbal consent to the GP witnessing the consent.
  • Written consent. A signed consent form, or a letter from the relative or person, requesting that you are given proxy access. This form should also detail the level of access you will require, if you are uncertain about what access you require, please discuss this with the GP Practice. Examples include: access to book appointments and order repeat prescriptions only; or access to book appointments, order repeat prescriptions, view the patient’s medical records, share or download the patient’s medical records.

Access to GP Online Services things to consider