St George Health Centre

St George Health Centre, Bellevue Road, St George, Bristol BS5 7PH

Tel. 0117 9612161   Fax 0117 9618761

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Patient records are kept electronically on our practice systems. As the data controller of patients' personal confidential data, GP practices have a duty to protect the data they hold.  Click here to read more about how we handle your information, including using data for audit and research.

There are a number of data-sharing initiatives which potentially mean your GP medical records are available to other organisations.  These are described below together with methods for opting-out if you do not want to share your personal data in these ways.  All these systems are based upon the national Personal Demographics Service database.  We have also provided information on opting out of having your information taken in National Audit data extractions where applicable.

1. Summary Care Record (SCR)
2. care.data
3. Connecting Care Record
4. EMIS data-sharing agreements
5. Opting out of National Audit data extractions

1. Summary Care Record (SCR)

A NATIONAL system that takes information from patient's GP record (currently only medication and allergies) and makes it available to clinicians anywhere in the country.  Data sharing from our GP practice to the Summary Care Record started on Monday 2nd February 2015.

The Medication & Allergy sections of your GP record are now available via EMIS Patient Access so you can check what is accessible on your SCR record.  If you have not yet registered for online Patient Access you can do this via Reception - click here for further information.

An information letter and opt-out form for SCR was posted to patients in August 2013.  If you have not previously received the opt-out form, this can be obtained from http://systems.hscic.gov.uk/scr/library/optout.pdf or from Reception.  For more information, visit www.nhs.uk/NHSEngland/thenhs/records/healthrecords or phone 0300 303 5678.

If you do not want your data available within the SCR, you will need to complete the opt-out form and return it to the Practice to action.  You can complete this form on behalf of another patient.  Forms completed on behalf of children under the age of 16 will be reviewed by the GP who may wish to discuss the decision further with you and who ultimately may over-ride a parent/carer’s wishes if the decision is deemed to be not in the child's best interestsback

2. care.data

A NATIONAL system that takes identifiable patient information into a secure central system at the Health and Social Care Information Centre (HSCIC) for central planning and research.  Data was scheduled to start leaving GP surgeries to go to HSCIC in March 2014 but was postponed due to public concern. No new date has yet been fixed for this to start.  Read more about HSCIC's role in health and care information here.

Information about this system was delivered to households in January 2014 via the “Better information means better care” leaflet. You can obtain more information by visiting www.nhs.uk/caredata or calling 0300 456 3531. There is no national opt-out form - if you do not want your data made available to HSCIC and/or shared further from HSCIC (two separate data-sharing opt-out options) you can complete the opt-out form we have created (Microsoft Word).  Alternatively you can ask at Reception for this opt-out form to be created from your patient record which pre-fills it with your details.

You will need to return your completed opt-out form to us to action.  You can complete this form on behalf of another patient.  back

3. Connecting Care Record

A LOCAL system that makes the summary information from a patient’s record available to hospitals and Out of Hours services in the BNSSG area (Bristol, North Somerset & South Gloucestershire, or Bristol and Weston area).  Data sharing from our GP practice to Out of Hours services started on Monday 5th January 2015. 

Information about this system was included on the reverse of the August 2013 SCR letter.  You can obtain more information by calling 0117 947 4477 or visiting the Bristol CCG website which includes a link to the opt-out form you will need to complete if you do not want your data available within the Connecting Care record.  Alternatively you can ask at Reception for an opt-out form to be created from your patient record which pre-fills it with your details.

This form must be returned to Connecting Care to action, NOT to us.  You can complete this form on behalf of another patient.  back

4. EMIS data-sharing agreements

The IT system we use for your medical records is EMISWeb. This is a hosted system, which means your data is held on the EMIS servers in Leeds and is accessed by us via N3, 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 N3 connection and/or the practice can view your data held on another organisation's EMISWeb system.

You can now see which organisations have viewed your shared record in the last 12 months via Patient Access - a link in the brown menu bar at the bottom once you have logged in, takes you to "GP Shared Record History" (note this is only available to patients who have access to either their medical record or repeat prescribing).

The practice currently has agreements to share patient data with 1) Bristol Community Health (the organisation that employs District Nurses amongst other staff) and 2) One Care (a consortium which has been set up to facilitate new ways of working across practices in the Bristol, North Somerset & South Gloucestershire area):

1) On 2nd July 2015,  Bristol Community Health moved to using EMISWeb, having migrated from another computer system called RIO.  District Nurses working with patients from this practice previously accessed patient records on our EMIS system.  A data-sharing agreement is now in place so that we can each see data recorded for our patients on each other's EMIS system.

2) The practice signed an EMIS data-sharing agreement with One Care in June 2015.  Data-sharing with the One Care consortium means that your medical record will be available to staff from One Care treating you in the GP Out of Hours service. It also opens up the possibility in the future of booking appointments for a different organisation, with the practice being able to book patients directly into a One Care provided service and/or One Care operating a telephony service on behalf of all practices for patients who wish to book a GP appointment.

Before anyone can view your EMIS shared record they must have a legitimate relationship with you, i.e. you must be registered on their system as a current patient. Access to shared records is recorded and your consent should be obtained by the person accessing your medical record.

If you do not want your EMIS data to be shared in this way, let the practice or any other organisation using EMIS know – a flag can be set in any of your EMIS records which will stop all sharing from taking place.

The practice is also signed up to share data with local NHS commissioning organisations via EMIS Search & Report.  This involves sharing the results of specific searches set up to identify the numbers of patients meeting the search criteria - patient-identifiable data is not shared.

5. National Audit data extractions

This practice participates in:

  • the National Diabetes Audit - an annual extraction of data using your NHS number and date of birth to link information from your GP record and hospital records to assess diabetes care.  If you do not want information taken from your GP records for this audit, please let us know - we will need to add a code to your record to ensure your data is not extracted.  Read more here (pdf leaflet).

Personal Demographics Service (PDS)

All the above data-sharing systems are based on the national electronic database of NHS patient demographic details such as name, address, date of birth and NHS Number. The PDS enables a patient to be readily identified by the NHS quickly and accurately; it does not hold any clinical or sensitive data.

There is no opt-out however in special circumstances, e.g. for victims of domestic violence or people in a witness protection program, there is a process for flagging a record as ‘sensitive’ which means that healthcare professionals will only be able to see NHS Number, name, date of birth and gender - no other demographic details will be displayed.

If you require your record flagging, or for this flag to be removed, contact us and we will liaise with the Health and Social Care Information Centre (HSCIC) to action this as appropriate. Flagging your record is not an action to be undertaken lightly - your demographic information will still be held nationally and having your details unavailable locally will have an impact on your GP being able to make referrals for you to hospital consultants or to other NHS services.  back