Confidentiality & Medical Records
The practice complies with data protection and access to medical records legislation. Identifiable information about you will only be shared with others in the following circumstances:
- To provide further medical treatment for you e.g. from district nurses and hospital services.
- To help you get other services e.g. from social services. This requires your consent.
- When we have a duty to others e.g. in child protection cases.
- Anonymised patient information may also be used at local and national level to help the Health Board and Government plan services e.g. for diabetic care. This information would be unidentifiable information.
If you do not wish anonymous information about you to be used in such a way, please let us know.
Welsh GP Record
What is in my Welsh GP Record? It is a summary of important information from your full GP medical record which is available to selected Health Professionals in Out of Hours and certain Secondary Care providers:
• Your name, address and contact details
• Current medication and medication you have been prescribed in the last two years
• Allergies or any adverse reactions
• Current problems or diagnosis
• Results of any recent tests you have had in the previous year, for example, blood tests and x-rays
It does not include any private discussions you may have had with your GP.
More information is available here.
Management of Records
Records and Information Management are key elements within the Information Governance Agenda, which steer the design and maintenance of appropriate policies and procedures. Records management will help ensure that we have the right information at the right time to make the right decisions. Organisations are required to create and manage records appropriately as set out in the requirements of the UK General Data Protection Regulation, the Data Protection Act 2018 and the Freedom of Information Act 2000.
Various standards and legislation govern the use of records within an organisation. These can include, but are not limited to administrative records, paper and electronic documents, emails, audio and video recordings, X-rays and CCTV footage.
The NHS operate a zero tolerance policy with regard to violence and abuse and the practice has the right to remove violent patients from the list with immediate effect in order to safeguard practice staff, patients and other persons. Violence in this context includes actual or threatened physical violence or verbal abuse which leads to fear for a person’s safety. In this situation we will notify the patient in writing of their removal from the list and record in the patient’s medical records the fact of the removal and the circumstances leading to it.