Patient Record / Shared care record

Emergency Care Summary

Shared care record

Who we are

The Herefordshire & Worcestershire Shared Care Record allows health and social care professionals to view the most up-to-date information about you so they can give you better, safer care.

 

Partner health and social care organisations will make the information they hold on you available for professionals to view through the Shared Care Record. These organisations provide health and social care services in the following areas:

 

  • Birmingham and Solihull
  • Coventry and Warwickshire
  • Herefordshire and Worcestershire.

 

They include local GP practices, hospitals, NHS 111, community, mental health, ambulance and social care services.

 

The health and social care partners involved follow the law on keeping your information confidential. The laws they must abide by are the Data Protection Act 2018 and the UK General Data Protection Regulation (UK GDPR).

 

Each is also registered with the Information Commissioner’s Office (ICO) as a data controller – an organisation that decides what information is collected and why, and how it is handled. The partners will be joint data controllers for any personal, or special categories of personal information they handle.

 

This privacy notice explains how your personal information will be used, what for, who will be able to see it and why.

 

 

What will your personal information be used for?

Allowing health and social care professionals involved in your care to view your records helps them understand your needs and make the best decisions with you, and for you.

 

It means:

 

  • you won’t have to repeat your details every time you need care
  • clinicians will be able to see what medications you’re taking and if you have any allergies, making your treatment safer
  • they’ll also be able to make better decisions about your care by knowing your recent history – things such as tests, scans, results and prescriptions
  • you won’t have to explain your social care support to health professionals
  • you’ll get more efficient treatment because clinicians won’t have to wait for other organisations to forward your information by letter or phone
  • your care will be more joined up wherever you need it in Birmingham and

Solihull, Coventry and Warwickshire or Herefordshire and Worcestershire.

 

What information will health and social care professionals be able to see?

The information that will be available for professionals at our partners to view through the Shared Care Record is shown below. We have split this between

‘healthcare’ and ‘social care’ to show the kind of information each partner organisation will be able to look at.

 

Healthcare

 

  • Information such as your name, address, date of birth and NHS number
  • People to contact in an emergency
  • Social care assessment information
  • Care providers and the services you’ve used
  • Any safeguarding information designed to protect you
  • Your legal status for being in the UK
  • Any conditions or illnesses you’ve been diagnosed as having
  • Any operations you’ve had
  • Your medication
  • Any alerts or risks relevant to your care
  • Your medical and maternity history
  • Any birth and neonatal details
  • Records of care you’ve had as an inpatient or outpatient
  • Your appointments
  • Documents such as discharge summaries, clinical letters, care plans, risk assessments and referrals
  • Results of investigations, scans and laboratory tests
  • Reports such as those from radiology scans or X-rays
  • Examinations, for instance to check your blood pressure
  • Trials or studies you might be part of
  • If you’ve been sectioned under the Mental Health Act
  • Details of supportive care, such as your end-of-life preferences

 

 

Social care

 

 

  • Information such as your name, address, date of birth and NHS number
  • People to contact in an emergency
  • Social care assessment information
  • Care providers and the services you’ve used
  • Any safeguarding information designed to protect you
  • Your legal status for being in the UK
  • Any conditions or illnesses you’ve been diagnosed as having
  • A summary of the care you’ve had from a service, such as a hospital, when your care with that service is finished

 

  • Details of supportive care, such as your end-of-life preferences
  • Your assessment information such as care plans, risk assessments, date of     last assessments/review/visit, housing status, immigration status

 

 

 

Our lawful basis for processing your information

Each partner organisation is responsible for the information they view, or make available to view, through the Shared Care Record. This includes personal records and special category information they hold in their records.

 

All the partners that can view your information must follow the law to make sure they always handle your personal information in a lawful way. What they have to do depends on the care or service you need.

 

Our lawful bases are:

 

NHS trusts/local authorities/primary care (GPs)/clinical commissioning groups (CCGs) (to the extent that CCGs have access to shared personal data to provide integrated care):

 

  • Provision of health/social care (Art 6(1) (e) UK GDPR, 9(2)(h) UK GDPR, in combination with Section 10 (1)(c) and any relevant condition in Schedule 1, Part 1 of the DPA 2018.

 

NHS trusts/primary care (GPs):

 

  • Vital interests (situation of ‘life or death’) (Art 6(1)(d) and 9(2) (c) UK GDPR.

 

NHS trusts/local authorities/primary care (GPs)/clinical commissioning groups (CCGs) (to the extent that CCGs have access to shared personal data to provide integrated care):

 

  • Safeguarding of vulnerable adults and children (Art 6(1) (c), 9(2) (g) UK GDPR in combination with Section 10(3) and Schedule 1, Part 2, condition 18 of the DPA 2018.

 

 

 

Who do we allow to view your personal information?

Here’s a full list of all our partners who can view your information through the Shared

Care Record when needed for your care. (add link to Partner organisations document)

 

 

 

How long do we keep your records?

Each partner organisation keeps its own record of the care you’ve received from it in line with ‘The Records Management Code of Practice for Health and Social Care’ guidance. None of your personal information (including your healthcare information) is kept in the Shared Care Record – it is only made available for health or social care professionals to view. To fulfil your ‘right to object’ (please see the next section), the Shared Care Record will keep limited information about you, such as your name,

date of birth and NHS number. This will ensure that, where you have objected, no health or care professional will be able to view your records through the Shared Care

 

Record. They will see only the electronic information recorded on their own organisation’s system for the care you have received there.

 

 

 

Your rights

You have the right to:

 

  1. 1. Object to your information being available for health and social care professionals to view through the Shared Care Record.
  2. 2. Complain to the Information Commissioner’s Office if you are unhappy with the way we are handling your information. See below for details of how to do thi

 

Contact your relevant health or care provider to:

 

  1. 1. ask to see the personal information they hold about you
  2. 2. ask them to change information they hold about you if it is wrong.

 

If you would like to object to your records being made available for professionals to view through the Shared Care Record, you can find out how to do so on our ‘right to object’ page:  https://herefordshireandworcestershireccg.nhs.uk/health- services/shared-care-record/right-to-object

 

If you are aged 16 or above, we will process your ‘right to object’ form by carrying out our normal checks on the details you have given us.

From the age of 13 to 16, we will consider your right to object if your form has been signed on your behalf by someone with parental responsibility.

If it has not, we will ask a recognised health or care professional if they consider you to be competent to make such a decision.

If you are under the age of 13, we will only consider your right to object if your form has been signed on your behalf by someone with parental responsibility.

 

Complaints

You have the right to complain if you are unhappy with the way your information is handled, or disagree with your healthcare provider’s decision about your information. In these circumstances you can contact the healthcare provider and ask them to look again at the decision.

 

If you are not happy with any decision your healthcare provider makes, you can contact the Information Commissioner’s Office at:

 

Information Commissioner’s Office

Wycliffe House Water Lane Wilmslow

Cheshire, SK9 5AF

Telephone: 0303 123 1113 (local rate) Telephone: 01625 545 745 (national rate) Fax: 01625 524 510

Email: casework@ico.org.uk

Parties signatory to the Collaborative Shared Care Record DSA

Herefordshire & Worcestershire (H&W) ICS

 

Names of Provider Organisations/Local Authorities/CCGs

NHS HEREFORDSHIRE & WORCESTERSHIRE CLINICAL COMMISSIONING GROUP (CCG)

HEREFORDSHIRE COUNCIL

WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST

ST RICHARD'S HOSPICE FOUNDATION, WORCESTER

WYE VALLEY ACUTE HOSPITALS NHS TRUST

PRIMROSE HOSPICE, BROMSGROVE

WEST MIDLANDS AMBULANCE SERVICE NHS TRUST

ST MICHAEL’S HOSPICE HEREFORD

HEREFORDSHIRE AND WORCESTERSHIRE HEALTH AND CARE NHS TRUST

WYRE FOREST, KEMP HOSPICE 

Herefordshire & Worcestershire GP Surgeries

Herefordshire GP Surgeries

ALTON STREET SURGERY

LEDBURY HEALTH PARTNERSHIP

BELMONT MEDICAL CENTRE

MUCH BIRCH SURGERY

CANTILUPE SURGERY

NUNWELL SURGERY

COLWALL SURGERY

PENDEEN SURGERY

CRADLEY SURGERY

THE MARCHES SUGERY

FOWNHOPE MEDICAL CENTRE

KINGSLAND SURGERY

EWYAS HAROLD

MORTIMER MEDICAL CENTRE - LEINTWARDINE SURGERY

PETERCHURCH (BRANCH)

ORLETON SURGERY (BRANCH)

HEREFORDSHIRE MEDICAL GROUP

WARGRAVE HOUSE SURGERY

THE KINGSTONE SURGERY

WEOBLEY SURGERY

KINGTON MEDICAL PRACTICE

 

Herefordshire & Worcestershire GP Surgeries

PRACTICE PLUS GROUP

 

Worcestershire GP Surgeries

ABBEY MEDICAL PRACTICE

HOLLYOAKS MEDICAL CENTRE

ABBOTTSWOOD MEDICAL CENTRE

HOLLYWOOD MEDICAL PRACTICE

ALBANY HOUSE SURGERY

KIDDERMINSTER MEDICAL CENTRE

AYLMER LODGE COOKLEY PARTNERSHIP

KNIGHTWICK SURGERY

BARBOURNE HEALTH CENTRE

MALVERN HEALTH CENTRE

BARN CLOSE SURGERY

MERSTOW GREEN MEDICAL PRACTICE

BARNT GREEN SURGERY

NEW COURT SURGERY

BEWDLEY MEDICAL PRACTICE

NEW ROAD SURGERY, BROMSGROVE

BREDON HILL SURGERY

NEW ROAD SURGERY, RUBERY

CATSHILL SURGERY

NORTHUMBERLAND HOUSE SURGERY

CHADDESLEY CORBETT SURGERY

OMBERSLEY MEDICAL CENTRE

CHURCH STREET SURGERY

PERSHORE MEDICAL PRACTICE

CHURCHFIELDS SURGERY

RIDGEWAY SURGERY

CORBETT MEDICAL PRACTICE, THE

RIVERSIDE SURGERY

CORNHILL SURGERY

SALTERS MEDICAL PRACTICE

CRABBS CROSS SURGERY

SEVERN VALLEY MEDICAL PRACTICE

DAVENAL HOUSE SURGERY

SPA MEDICAL PRACTICE

DEMONTFORT MEDICAL CENTRE

SPRING GARDENS MEDICAL PRACTICE

ELBURY MOOR MEDICAL CENTRE

ST JOHNS HOUSE MEDICAL CENTRE

ELGAR HOUSE SURGERY

ST JOHN'S SURGERY

FARRIER HOUSE SURGERY

ST MARTINS GATE SURGERY

GLEBELANDS SURGERY

ST SAVIOURS SURGERY

GREAT WITLEY SURGERY

ST STEPHEN'S MEDICAL PARTNERSHIP

GREY GABLE SURGERY

STANMORE HOUSE SURGERY

HAGLEY SURGERY

STOURPORT MEDICAL CENTRE

HARESFIELD SURGERY

TENBURY SURGERY

HILLVIEW MEDICAL CENTRE

THE BRIDGE SURGERY

THE DOW SURGERY

WHITEACRES MEDICAL CENTRE

THORNELOE LODGE SURGERY

WINYATES SURGERY

UPTON SURGERY

WOLVERLEY SURGERY

Sharing Your Medical Record

Increasingly, patient medical data is shared e.g. between GP surgeries and District Nursing, in order to give clinicians access to the most up to date information when attending patients.

The systems we operate require that any sharing of medical information is consented to by patients beforehand. Patients must consent to sharing of the data held by a health provider out to other health providers and must also consent to which of the other providers can access their data.

e.g. it may be necessary to share data held in GP practices with district nurses but the local podiatry department would not need to see it to undertake their work. In this case, patients would allow the surgery to share their data, they would allow the district nurses to access it but they would not allow access by the podiatry department. In this way access to patient data is under patients' control and can be shared on a 'need to know' basis.

There is a Central NHS Computer System called the Emergency Care Summary (ECS). The Emergency Care Summary is meant to help emergency doctors and nurses help you when you contact them when the surgery is closed. It will contain information on your medications and allergies.

Your information will be extracted from practices such as ours and held securely on central NHS databases.   

As with all systems there are pros and cons to think about. When you speak to an emergency doctor you might overlook something that is important and if they have access to your medical record it might avoid mistakes or problems, although even then, you should be asked to give your consent each time a member of NHS Staff wishes to access your record, unless you are medically unable to do so.

On the other hand, you may have strong views about sharing your personal information and wish to keep your information at the level of this practice. If you don’t want an Emergency Care Summary to be made for you, tell your GP surgery. Don’t forget that if you do have an Emergency Care Summary, you will be asked if staff can look at it every time they need to. You don’t have to agree to this.