Patient Online Access to their GP Record
At Newthorpe Medical Practice we use an electronic system to store medical records. This is called Systmone.
Systmone offers the opportunity to access the system online to order repeat prescriptions and make appointments.
With effect from 1st March 2016 you will be able to see coded items on your medical records (coded items relate to consultations where specific medical conditions have been recorded).
You will also be able to see the medications prescribed, test results and vaccination history.
In order to access our system online you will need complete a request for access form (available from reception) or put your request in writing or complete the online form available via our website. Once received in the practice the relevant logon information and passwords will be posted to your home address (the password will then need to be changed on your first log on to the system).
Access to our online system can be obtained through our website and also via apps for smart phones and tablets. Just search for Systmonline in your app store.
Once you have requested on-line access you should receive the information within 14 days from the date of the initial request.
If you have any queries regarding any of the information contained within your online record you will be issued with a form to complete where the query information can be recorded. This will then be passed to our data quality department for investigation. We anticipate that majority of queries will be resolved within a 14 day period however some may take longer. Under these circumstances you will be kept updated on the status of your query.
Proxy Access To Children’s On Line Records
Parents or the registered carers of children (with the permission of the children’s parents or those granted legal guardianship) are able to also have access to their children’s records and this will be linked to the parents online account.
There are however strict guidelines relating to children’s medical records and from age 12 online access will automatically stop. This is to ensure that children have the opportunity to access medical help with the knowledge that this will be confidential.
If you have a child over the age of 12 and would like access to their online medical records they must be present when this is requested and freely give consent. If consent is granted then the access date will be extended to the child’s 16th birthday when it will then automatically stop.
The guidelines that we follow in relating to children are called Gillick Competence and Fraser Guildlines. Information relating specifically to these guidelines can found overleaf.
Access For Registered Carers
Registered carer’s for adults may have online access to medical records providing the patient is mentally competent to grant access. If there is a lack of mental capacity then access will only be given if a lasting power of attorney stating health and welfare capacity has been granted. Your can obtain more information regarding this issue by visiting:- http://www.nhs.uk/Conditions/social-care-and-support-guide/Pages/lasting-power-of-attorney.aspx.
Some background information first…
In UK law, a person's 18 birthday draws the line between childhood and adulthood (Children Act 1989 s105) - so in health care matters, an 18 year old enjoys as much autonomy as any other adult.
To a more limited extent, 16 and 17 year-olds can also take medical decisions independently of their parents. The right of younger children to provide independent consent is proportionate to their competence - a child's age alone is clearly an unreliable predictor of his or her competence to make decisions.
The 'Gillick Test' helps clinicians to identify children aged under 16 who have the legal capacity to consent to medical examination and treatment. They must be able to demonstrate sufficient maturity and intelligence to understand the nature and implications of the proposed treatment, including the risks and alternative courses of actions.
In 1983, a judgment in the High Court laid down criteria for establishing whether a child had the capacity to provide valid consent to treatment in specified circumstances, irrespective of their age. Two years later, these criteria were approved in the House of Lords and became widely acknowledged as the Gillick test. The Gillick Test was named after a mother who had challenged health service guidance that would have allowed her daughters aged under 16 to receive confidential contraceptive advice without her knowledge.
As one of the Law Lords responsible for the Gillick judgment, Lord Fraser specifically addressed the dilemma of providing contraceptive advice to girls without the knowledge of their parents.
He was particularly concerned with the welfare of girls who would not abstain from intercourse whether they were given contraception or not. The summary of his judgment referring to the provision of contraceptive advice was presented as the 'Fraser guidelines'.
Fraser guidelines are narrower than Gillick competencies and relate specifically contraception.