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PJ Online homeThe Pharmaceutical Journal
Vol 274 No 7351 p637
28 May 2005

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Strict controls on electronic health records promised

Patients will eventually have access to their records from any internet point

Patients will eventually have access to their records from any internet point

Patients’ anxieties about the confidentiality of their health records are addressed in a “guarantee” published by the Department of Health this week. It outlines the controls that will be introduced when the new electronic databases are created as part of Connecting for Health, the national programme for IT.

The “NHS care record guarantee” (PDF 380K) sets out 12 promises to patients describing who will be able to access their health records and how this will be policed.

The NHS promises that under the new system health professionals will only have access to the information they need to play their part in the health care of the patient. However, it will not become clear how much access pharmacists will have to the records until further consultation has taken place.

Harry Cayton, chairman of the Care Record Development Board (CRDB), told The Journal that community pharmacists do not need to see the whole clinical record to play their part in the care of the patient, although hospital pharmacists may have broader access. “If pharmacists read what the guarantee says about the “needs to know” basis they will see how it applies to them,” he added.

The guarantee says that patients will be able to view their own records and point out any mistakes. Patients will also eventually have secure, 24-hour access to their records via the internet. The document also confirms that patients will have a level of choice about what information about them is recorded or shared, and that an audit trail will be recorded of who has been accessing the information.

The guarantee was designed after research conducted by the NHS Information Authority and the Consumers’ Association showed that the public would feel more reassured about who has access to their records if there was a published sharing agreement.

The CRDB has pledged to review the information in six months time since much of the work on what the care records will contain is still under way.

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