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| Version 2 | Version 3 |
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| NHS e-records programme launched | NHS e-records programme launched |
| (39 minutes later) | |
| The first patients' electronic records have been uploaded to the new NHS online database. | The first patients' electronic records have been uploaded to the new NHS online database. |
| Around 20 GP surgeries in Bolton and Bury have added 110,000 patients' details to the system, part of the £12bn NHS IT upgrade project. | Around 20 GP surgeries in Bolton and Bury have added 110,000 patients' details to the system, part of the £12bn NHS IT upgrade project. |
| The e-records will eventually be available to NHS staff nationwide and contain details on medical conditions, current medication and allergies. | The e-records will eventually be available to NHS staff nationwide and contain details on medical conditions, current medication and allergies. |
| In September, MPs criticised the slow progress of the e-records project. | In September, MPs criticised the slow progress of the e-records project. |
| The health committee also raised concerns about security of the database. | The health committee also raised concerns about security of the database. |
| The opt-out levels have been very low but we want to make sure that is because patients are happy rather than because of any bureaucracy Dr Richard Vautrey, British Medical Association NHS staff on e-records | The opt-out levels have been very low but we want to make sure that is because patients are happy rather than because of any bureaucracy Dr Richard Vautrey, British Medical Association NHS staff on e-records |
| But they said the system, which will ultimately contain 50 million medical records, had a huge potential to improve patient care. | But they said the system, which will ultimately contain 50 million medical records, had a huge potential to improve patient care. |
| The records are due to "go live" in January. | The records are due to "go live" in January. |
| A national roll-out is planned from late 2008, once an evaluation of the pilot sites is completed. | A national roll-out is planned from late 2008, once an evaluation of the pilot sites is completed. |
| So far more than 550,000 patients in Bolton, Bury, Dorset, south Birmingham and Bradford and Airedale have been asked to register with the scheme. | So far more than 550,000 patients in Bolton, Bury, Dorset, south Birmingham and Bradford and Airedale have been asked to register with the scheme. |
| As well as opting out altogether, patients can choose to only allow access once staff have their explicit consent. | As well as opting out altogether, patients can choose to only allow access once staff have their explicit consent. |
| Patients can also view their own records online through the HealthSpace website. | Patients can also view their own records online through the HealthSpace website. |
| But not all GPs are convinced by the scheme - a recent survey in Bolton found 67 out of the 98 responders were against the idea of e-records. | |
| Security fears | Security fears |
| The current system, which is predominantly paper-based, can lead to unnecessary delays and risks, say proponents of the project. | The current system, which is predominantly paper-based, can lead to unnecessary delays and risks, say proponents of the project. |
| Marlene Winfield, national patient lead for the programme, said: "Patients are always surprised that their records aren't already available in other parts of the NHS - they say we thought the NHS has been doing this for years." | Marlene Winfield, national patient lead for the programme, said: "Patients are always surprised that their records aren't already available in other parts of the NHS - they say we thought the NHS has been doing this for years." |
| She admitted it would be a big cultural change but stressed the system would be a lot more secure than current records. | She admitted it would be a big cultural change but stressed the system would be a lot more secure than current records. |
| "Patients have to go through a security process before they can set up the record. | "Patients have to go through a security process before they can set up the record. |
| "The NHS has always had a confidentiality culture as patient information is regarded by everyone as sensitive - it's in everyone's training and contracts." | "The NHS has always had a confidentiality culture as patient information is regarded by everyone as sensitive - it's in everyone's training and contracts." |
| OPTIONS FOR E-RECORD ACCESS Green - record available to any legitimate NHS user and to the patient through HealthSpaceAmber - record only available if patient gives the clinician permission at the time of the consultation and the patient can view it on HealthSpaceRed - there is no record available on the system or on HealthSpace | OPTIONS FOR E-RECORD ACCESS Green - record available to any legitimate NHS user and to the patient through HealthSpaceAmber - record only available if patient gives the clinician permission at the time of the consultation and the patient can view it on HealthSpaceRed - there is no record available on the system or on HealthSpace |
| Dr Richard Vautrey, deputy chair of the British Medical Association GP committee, said there were several questions that needed to be answered by the pilots. | Dr Richard Vautrey, deputy chair of the British Medical Association GP committee, said there were several questions that needed to be answered by the pilots. |
| "We want to know patients have been fully informed about the implications. | "We want to know patients have been fully informed about the implications. |
| "The opt-out levels have been very low but we want to make sure that is because patients are happy rather than because of any bureaucracy." | "The opt-out levels have been very low but we want to make sure that is because patients are happy rather than because of any bureaucracy." |
| He added that there were reasonable levels of security in accessing the system but recent data leaks from several government departments were causes for concern. | He added that there were reasonable levels of security in accessing the system but recent data leaks from several government departments were causes for concern. |
| "It shows even in a very secure system, the weakest link is the people using it." | "It shows even in a very secure system, the weakest link is the people using it." |
| But he said: "The key thing is what patients think about it." | But he said: "The key thing is what patients think about it." |
| Joyce Robins from Patient Concern also raised the issue of security. | Joyce Robins from Patient Concern also raised the issue of security. |
| "Our main problem is that they are doing it on an opt-out basis - we think they should ask for consent before records go up." | "Our main problem is that they are doing it on an opt-out basis - we think they should ask for consent before records go up." |