CONFIDENTIALITY AND DATA SHARING

Confidentiality

We ask you for personal information so you can receive appropriate care and treatment. This information is recorded on computer and we are registered under the Data Protection Act. The practice will ensure that patient confidentiality is maintained at all times by all members of the practice team. However, for the effective functioning of a multi-disciplinary team it is sometimes necessary that medical information about you is shared between members of the team. Access to confidential patient information is given only to those NHS healthcare professionals who need it in order to provide a service to the patient. All staff working in the surgery are subject to stringent confidentiality requirements and no information from your record will be released to third parties outside the NHS without your specific consent.

If you have any concerns regarding the confidentiality of your personal medical records, or you would like further information. Please do not hesitate to discuss this with your doctor, or the Practice Manager. 

14.10.20 - Using email to send confidential patient information

Sometimes the surgery has to send confidential patient information to other healthcare colleagues; for example, this might be for a referral or to support your treatment.  Within the NHS we have an email system that allows us to send this type of information safely and securely. When we send information outside of the NHS system it is our responsibility to ensure it is sent securely and for this we use a system called Egress. When the patient receives an email from us it will be encrypted for security and the recipient will have to create an Egress account in order to decrypt and view the email. There are instructions on how to do this on the link below. Some of our patients have experienced some difficulty using Egress and in these cases we can send the message unencrypted but we will need an email from the patient (sent to somccg.wellshealthcentre@nhs.net) advising they are content to receive emails from us that are unencrypted. The email will be stored on the patient record.     

Egress can be contacted direct by calling 0844 8000 172

click here to read the guide on accessing Egress secure emails

 

Data sharing

The IT system we use for your medical records is EMIS WEB. This is a hosted system, which means your data is held on the EMIS servers in Leeds and is accessed by us via the Health And Social Care Network (HSCN), a secure broadband network which is only accessible to the NHS. If signed EMIS data-sharing agreements are in place, other NHS organisations can also view this patient data over their HSCN connection and/or the practice can view your data held on another organisation’s EMIS WEB system.

 

30.11.20 - Physical Health Checks for people with Severe Mental Illness

NHS England has directed NHS Digital to collect and analyse data in connection with Physical Health Checks for people with Severe Mental Illness. Data is being collected from all General Practices in England including the Wells Health Centre.

The data will allow monitoring of progress towards commitments set out in the Five Year Forward View for Mental Health,  reiterated in the NHS Long Term Plan and associated Mental Health Implementation Plan, to increase the number of people with Severe Mental Illness receiving physical health checks.

Please click on the link below for more information about this Data Provision Notice:

Click here for more information about this data collection (opens new window).

 

26.10.20 - CVDPREVENT

CVDPREVENT is a national primary care audit to support professionally led quality improvement in the diagnosis and management of six high-risk conditions that cause stroke, heart attack and dementia: atrial fibrillation (AF), high blood pressure, high cholesterol, diabetes, non-diabetic hyperglycaemia and chronic kidney disease.

The audit data will support practices and Primary Care Networks (PCNs) to identify gaps, inequalities and opportunities for improvement in clinical care. It will provide the core data to assist General Practices and PCNs to meet the requirements of the PCN Directed Enhanced Service for CVD prevention, (scheduled for April 2021), as well as local improvement schemes.

You can find out more about this audit by clicking here to visit the NHS website:

Click here to find out more about the CVDPREVENT audit (opens new window)

You can find out more about the data that is being collected and what is being done with it by clicking on the link below:

click here for more information about data being collected and what it is used for (opens new window)

There is more information on the link below about how NHS Digital serices use your medical data:

click here to find out more about how NHS Digital uses your health data (opens new window)

 

09.10.20 - Covid-19 at risk Patient data collection

The objective of this data collection is to identify patients who may be:

  • clinically extremely vulnerable if they contract Covid-19
  • at moderate or high risk of complications from flu or Covid-19.

Please click on the link below to visit the NHS Digital website which explains this in greater detail as well as giving the legal basis for this data collection.

click here for more details on the data collection and the legal basis for it (opens new window)

 

20.05.20 - Sharing patient data

A Summary:

This practice is supporting vital coronavirus (COVID-19) planning and research by sharing your data with NHS Digital. The health and social care system is facing significant pressures due to the coronavirus (COVID-19) outbreak. Health and care information is essential to deliver care to individuals, to support health, social care and other public services and to protect public health. Information will also be vital in researching, monitoring, tracking and managing the coronavirus outbreak. In the current emergency it has become even more important to share health and care information across relevant organisations. This practice is supporting vital coronavirus planning and research by sharing your data with NHS Digital, the national safe haven for health and social care data in England. 

Further details:

The Health and Social Care Act 2012 (the 2012 Act) gives the Health and Social Care Information Centre, now known as NHS Digital1 and hereafter referred to by this name, statutory powers, under section 259(1)(a), to require data from health or social care bodies (this includes the Wells Health Centre), or organisations that provide publicly funded health or adult social care in England, where it has been directed to establish an information system by the Secretary of State for Health and Social Care (Secretary of State) or NHS England and NHS Improvement (NHS England). NHS Digital has been directed by the Secretary of State under section 254 of the 2012 Act under the COVID-19 Direction to establish and operate a system for the collection and analysis of the information specified for this service: GPES Data for Pandemic Planning and Research (COVID-19).

The purpose of the data collection is also to respond to the intense demand for General Practice data to be shared in support of vital planning and research for COVID-19 purposes, including under the general legal notice issued by the Secretary of State under Regulation 3(4) of the Health Service (Control of Patient Information) Regulations 2002 (COPI).

COVID-19 purposes for which this data may be analysed and used may include:
• understanding COVID-19 and risks to public health, trends in COVID-19 and such risks, and controlling and preventing the spread of COVID-19 and such risks
• identifying and understanding information about patients or potential patients with, or at risk of COVID-19, information about incidents of patient exposure to COVID-19 and the management of patients with or at risk of COVID-19 including: locating, contacting, screening, flagging and monitoring such patients and collecting information about and providing services in relation to testing, diagnosis, self-isolation, fitness to work, treatment, medical and social interventions and recovery from COVID-19
• understanding information about patient access to health services and adult social care services as a direct or indirect result of COVID-19, and the availability and capacity of those services
• monitoring and managing the response to COVID-19 by health and social care bodies and the Government including providing information to the public about COVID-19 and its effectiveness and information about capacity, medicines, equipment, supplies, services and the workforce within the health services and adult social care services
• delivering services to patients, clinicians, the health services and adult social care services workforce and the public about and in connection with COVID-19, including the provision of information, fit notes and the provision of health care and adult social care services; and
• research and planning in relation to COVID-19.

The data being shared with NHS Digital will include information about patients who are currently registered with a GP practice or who have a date of death on or after 1 November 2019 whose record contains coded information relevant to coronavirus planning and research. The data contains NHS Number, postcode, address, surname, forename, sex, ethnicity, date of birth and date of death for those patients. It will also include coded health data which is held in your GP record such as details of:

diagnoses and findings

medications and other prescribed items

investigations, tests and results

treatments and outcomes

vaccinations and immunisations

NHS Digital will analyse the data they collect and securely and lawfully share data with other appropriate organisations, including health and care organisations, bodies engaged in disease surveillance and research organisations for coronavirus response purposes only. These purposes include protecting public health, planning and providing health, social care and public services, identifying coronavirus trends and risks to public health, monitoring and managing the outbreak and carrying out of vital coronavirus research and clinical trials. The British Medical Association, the Royal College of General Practitioners and the National Data Guardian are all supportive of this initiative.

The application of the National Data Opt-Out to information shared by NHS Digital will be considered on a case by case basis and may or may not apply depending on the specific purposes for which the data is to be used. This is because during this period of emergency, the National Data Opt-Out will not generally apply where data is used to support the coronavirus outbreak, due to the public interest and legal requirements to share information.

 

27.04.20 - Sharing of medical records during Covid-19 pandemic

The Secretary of State for Health has powers granted to him or her under the Health Service (Control of Patient Information or COPI) Regulations 2002 that can be used in exceptional circumstances such as the Covid-19 pandemic. In this current situation he has recently issue this directive in relation to the sharing of medical records with other health care professionals using the Summary Care Record (SCR) and GP Connect:

The relevant COPI notice states that its purpose: “…is to require organisations to process confidential patient information for the purposes set out in Regulation 3(1) of COPI to support the Secretary of State’s response to Covid-19 (Covid-19 Purpose). “Processing” for these purposes is defined in Regulation 3(2) and includes dissemination of confidential patient information to persons and organisations permitted to process confidential patient information under Regulation 3(3) of COPI.”

Please click on this link further information:

Click here for information on how your data is being used during the Covid-19 pandemic (opens new window)

 

NHS Summary Care Record (SCR)

NHS Summary Care Record (SCR) is an electronic record containing your medication and allergy details that is held on the the central NHS database (known as the Spine). Allowing authorised healthcare staff to have access to this information helps to improve decision making by doctors and other healthcare staff and has prevented mistakes being made when patients are being cared for in an emergency or when their GP practice is closed. Access to your SCR is strictly controlled.  The only people who can see the information is the healthcare team currently in charge of your care. You have the right to opt out of the service.  Please ask at Reception.  Further information is available at Your Health Records

Click on the link below for further information on the SCR during the Covid-19 pandemic:

click here to find out more about SCR and Covid-19 (opens new window)

 

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