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GPs refuse to pilot summary care records
07-May-08
A 'significant minority' of GPs are refusing to participate in the summary care record (SCR) programme, say researchers.
A report out this week from University College London found that at least two practices have pulled out of the programme because of ethical concerns about the system of assumed consent.
The electronic record programme allows hospital doctors to access a patient's GP records and medical history. It is currently being trialled in a number of ‘early adopter' areas before being rolled out nationally.
The researchers found that it offered real benefits for treating patients in emergencies. However, some GPs see it as incompatible with their role in protecting patient confidentiality.
The report found that many patients were not aware of the SCR programme, raising questions about whether consent could be assumed. It proposed shifting to a system under which NHS staff must ask a patient for their consent whenever they wish to look at their records.
Dame Deidre Hine, chairman of the BMA working party on IT, welcomed the report's recommendations. ‘We would strongly urge that until these changes are made there should be no further roll out of the scheme,' she added.
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Comments
Graham Brown
07/05/2008
This is another example of mass scale assumed consent, which is dangerous and probably infringes several pieces of legislation. Add to this automatic opt-in for Electronic Px's, organ donation and the national spine.
Mary Hawking
08/05/2008
There is a right of refusal to have a SRC - and patients in the pilots were supposed to be informed of the SCR and their options explained.
When a practice moves to a system which is planned to be shared with organisations outside the practice (a Single Shared EPR - SSEPR - such as CSC/TPP SystmOne and Lorenzo level 4) is installed, what are the mechanisms for informing the patients affected, and is it possible to have patient optout - whether of having a shared record or of allowing access - in a SSEPR or Detailed Care Record when that DCR is a SSEPR - the Lorenzo model?
Hyman Silver
09/05/2008
Dates given on messages now seem to have adopted the American system - Why? It is confusing.
Why can we not continue to use the British system- is the American superior or is it that we have to copy everything they do ?
Emilie Reymond
12/05/2008
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