ABM University Health Board will shortly be launching a new system to help doctors working at night and weekends to gain easier access to patients’ medical records – and therefore be better informed to make decisions about their care. The new Individual Health Record scheme will overcome the current problem of NHS computers not always being able to ‘talk to each other’. Information held by GPs, for example, isn’t always readily available for other NHS Wales staff providing care. Under the new system, doctors and nurses working for the out of hours service will be able to view GP records on a computer if they need to treat patients when their own GP surgery is closed. The new Individual Health Record will contain a summary of important information from a patients GP medical record including:
- Patient’s name, address and contact details
- Current medication
- Allergies or any adverse reactions
- Current problems or diagnosis
As well as GPs from the ABM GP Out of Hours Service, a limited number of clinical staff in local A&E departments may also be able to access this information. ABM Individual Health Record scheme spokesperson (Dr Jane Harrison, Swansea Interim Locality Director) said: “The Individual Health Record means that patients’ information can be shared with the medical staff who look after them if they are ill and need advice or assistance outside normal GP surgery hours, or in an emergency. This information is very valuable to out of hours clinical staff because it helps them make the best decisions about a patient’s care.”
The Individual Health Record in Wales does not form part of the English electronic summary care health record. The scheme has strict controls in place to ensure patients’ personal information is protected, included access being limited to clinicians who are providing the care, and a record kept of those accessing it. In time, every GP practice in Wales will be invited to take part in the new service. However, the scheme is not compulsory, and patients can opt out by telling their GP that they do not want their information available out of hours. Additionally, when patients receive out of hours or emergency care, staff will also ask them for permission to access their Individual Health Record. The Individual Health Record scheme is currently being rolled out across Wales, and is expected to go live in Swansea, Neath Port Talbot and Bridgend in the autumn.