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Your medical records

NHS Data Sharing at Oakley Health Group 

The NHS shares information from your medical records in a number of ways.

In North East Hampshire & Farnham, a number of data sharing schemes are running that involve either extracting and uploading information from your GP record to a 3rd party data controller, or making information from your GP record visible to other healthcare professionals.

You have the right to control how your personal information is used and who has access to it.

You can do this by opting out of any or all of these schemes.

We have detailed information about all of these schemes in our "Your Medical Records" booklet.


Our NHS Data Sharing factsheet
brief details of all the data sharing schemes

Our universal opt out form
to opt out of any or all of the schemes below

The Summary Care Record (SCR)
This is a national centralised database of limited medical information (allergies and medication only), extracted and uploaded from your GP record to the Health and Social Care Information Centre.
That information is then potentially available to medical staff nationwide.
There are no secondary uses of the SCR, and data uploaded to the SCR database is neither shared nor used beyond that required to provide direct medical care.
However, at present neither Frimley Park Hospital A&E, nor the local ambulance service (SECAMB), nor Frimley Primary Care Services GP out-of-hours centre, nor our community staff (district nurses and health visitors), use or access the SCR.


The Hampshire Health Record (HHR)

This is a localised centralised database of very large amounts of medical information extracted and uploaded from your GP record to NHS South, Central and West CSU, where it is combined with information from hospital records, community care records, social care records and mental health records.
That combined information is then potentially available to medical staff across Hampshire (i.e. regionally).
In addition, uploaded data is processed for secondary purposes.
However, at present neither Frimley Park Hospital A&E, nor the local ambulance service (SECAMB), nor Frimley Primary Care Services GP out-of-hours centre, nor our community staff (district nurses and health visitors), use or access the HHR (at all, or in any meaningful way).


EMIS Web data streaming

Both A&E at Frimley Park Hospital and Frimley Primary Care Service GP out-of-hours centre, can – with your explicit consent at the time – access details of your GP record should you have need to attend either organisation. Your information is only available locally with this scheme.
No data from your GP record is extracted, uploaded or “sent” anywhere with this system – it is “viewed” in real time.
The GP out-of-hours service and A&E are increasingly using this facility, with Frimley Primary Care Service accessing GP records in this way more than 4600 times in the last year.


Secondary uses of your medical record

Secondary purposes are those unrelated to your direct medical care.
Examples include using your information for research, audit, healthcare planning, risk profiling (or “stratification”), "population health management", extraction of sick note data to the DWP, commercial and even political uses.
In addition, if you have not opted-out of your GP information being uploaded to the Hampshire Health Record, then that uploaded data is also processed for secondary purposes.
Data is nearly always extracted from your GP record and uploaded to a 3rd party database/data controller.

Mandatory data collections

GP surgeries are sometimes required by law to extract and upload data to NHS Digital. We are required by law to let patients know about these and of their right to opt-out (fair processing information).

In October, one such mandatory extraction will take place - you can read about it here .

If you have opted out of secondary uses of your GP record, then data from your GP record will not be extracted and uploaded to NHS Digital for this purpose.

Risk stratification

** Currently, Oakley Health Group have suspended extractions and uploading for risk stratification for case finding **

Complete deletion of all previously uploaded data has now been completed.

Remote Consultations 

From 1st October 2017, a small number of routine, pre-bookable
Sunday morning GP appointments will be available to patients of Oakley Health Group.

This service is being provided by Frimley Primary Care Services (FPCS), our local GP out of hours provider (part of North Hampshire Urgent Care).

16 x 15-minute GP appointments will be available every Sunday morning, and will be bookable via the surgery, in the normal way, if required.

As part of this service, the GP that you see at FPCS will necessarily require access to view your full GP record, and permission to record that consultation directly in your GP record. These types of GP appointments are known as “remote consultations”.

Any accesses to your GP record for remote consultations are recorded and auditable, and are only permissible in this way

  • if you have booked a Sunday morning appointment, and
  • if you have given your explicit consent at the time of booking

Full details about this can be found in our factsheet.

Access to Medical Records

You have the right to get a copy of information that is held about you.

This is known as a subject access request.

In accordance with the Data Protection Act 1998, you are entitled to request to see your medical record, or obtain a copy of it.

Such requests should be made through the Practice Manager and may be subject to an administration charge.

Read about Access to your medical records in our booklet

Our access to medical records policy



Confidentiality

We provide a confidential service to all our patients, including under 16s. This means that you can tell others about a visit to the surgery, but we won't.

You can be sure that anything you discuss with any member of this practice– family doctor, nurse or receptionist – will stay confidential.

Even if you are under 16 nothing will be said to anyone – including parents, other family members, care workers or tutors – without your permission. The only reason why we might have to consider passing on confidential information without your permission, would be to protect you or someone else from serious harm. We would always try to discuss this with you first.

Confidential patient data will be shared within the health care team at the practice, including nursing staff, admin staff, secretaries and receptionists, and with other health care professionals to whom a patient is referred. Those individuals have a professional and contractual duty of confidentiality.

All of our medical records are held on the surgery server. We do not hold any records on laptops, USB sticks or other portable devices.

Read about Confidentiality at Oakley Health Group in our booklet



If you would like any further information about primary or secondary uses of your GP record, opting out, the NHS Databases, access to your medical record, confidentiality, or about any other aspect of NHS data sharing, then please do contact the surgery’s Caldicott Guardian / Information Governance lead:

Dr Neil Bhatia
Neil.Bhatia@nhs.net



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