Data protection of health records

Peter D Williams made this Rhyddid Gwybodaeth request to Almshouse Surgery, Wakefield

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

Roedd y cais yn llwyddiannus.

Peter D Williams

Dear Almshouse Surgery

I would be grateful if you could supply the following information as of today‘s date:

1/ the number of patients registered at your GP’s practice;

2/ the number of patients whose records have had the objection code 9Nu0 entered, following the patient declining their consent to their clinical data being extracted electronically;

3/ the number of patients whose records have been coded with 9Nu4 forbidding any of the patient's data, from any NHS source, leaving the Health and Social Care Information Centre (HSCIC);

4/ the number of patient subject access requests (Data Protection Act 1998, section 7) received in 2014;

5/ fees quoted for subject access requests in 2014;

6/ number of patients, to date, who have registered to obtain their medication records online.

Thank you for your precious time.

Yours sincerely

Peter D Williams

Samantha Crone, Almshouse Surgery, Wakefield

Good Morning,
We have looked into your request and unfortunately the 2nd question is not one that we can immediately answer without some more information.
The request looks to be one made under the Care.Data programme if I am correct. The 2nd question seems to be asking who has an objection code, after a dissent code. In which case we won't have any?

Can you please clarify this question.

Thanks,

Samantha Crone
Data Quality & Reception Manager
Almshouse Surgery & Sandal Castle Medical Centre
01924 784235

________________________________________
From: Peter D Williams [[FOI #289096 email]]
Sent: 31 August 2015 18:01
To: Beedham Carol
Subject: Freedom of Information request - Data protection of health records

Dear Almshouse Surgery

I would be grateful if you could supply the following information as of today's date:

1/ the number of patients registered at your GP's practice;

2/ the number of patients whose records have had the objection code 9Nu0 entered, following the patient declining their consent to their clinical data being extracted electronically;

3/ the number of patients whose records have been coded with 9Nu4 forbidding any of the patient's data, from any NHS source, leaving the Health and Social Care Information Centre (HSCIC);

4/ the number of patient subject access requests (Data Protection Act 1998, section 7) received in 2014;

5/ fees quoted for subject access requests in 2014;

6/ number of patients, to date, who have registered to obtain their medication records online.

Thank you for your precious time.

Yours sincerely

Peter D Williams

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Peter D Williams

Good morning Samantha

Thank you for your email. We are both puzzled. You don't understand what I am asking, and I'm awfully sorry, I don't understand what you're asking about the 2nd question. No one has made a similar query.

I understand a dissent code to be the same as an objection code and my request was to provide numbers of patients who have requested (i) that their data should not be shared with anyone outside your GP practice and (ii) their data, from any NHS source, should not leave HSCIC. It is the patient's own GP practice that is able to enter codes after the patient has declined his or her consent. The patient's dissent comes first, then comes the practice entering the codes.

A revised letter follows with SystmOne codes added. Maybe that will make it clearer. If it doesn't, I will telephone you.

Kind regards

Peter

___________________________________________________________________________________

I would be grateful if you could supply the following information as of today‘s date:

1/ the number of patients registered at your GP’s practice;

2/ the number of patients whose records have had the objection code 9Nu0 (SystmOne XaZ89) entered, following the patient declining their consent to their clinical data being extracted electronically;

3/ the number of patients whose records have been coded with 9Nu4 (SystmOne XaaVL) forbidding any of the patient's data, from any NHS source, leaving the Health and Social Care Information Centre (HSCIC);

4/ the number of patient subject access requests (Data Protection Act 1998, section 7) received in 2014;

5/ fees quoted for subject access requests in 2014;

6/ number of patients, to date, who have registered for your online service - booking appointments, receiving medication lists and making repeat prescriptions.

Thank you for your precious time.

Yours sincerely

Peter D Williams

Good morning Samantha

I should let you know that as you have asked for clarification, Almshouse Surgery is not now required by law to respond to my Freedom of Information request until 16 October 2015. However, it would be appreciated if you could let me have your responses as soon as possible.

I am providing further clarification to help. Below is an excellent response from a large practice. The practice manager has responded to my letter by inserting responses after my requests 1 to 6.

I look forward to your responses.

Best regards

Peter

_______________________________________________________

I would be grateful if you could supply the following information as of today‘s date:

1/ the number of patients registered at your GP’s practice;

Response: We currently have 12,238 patients registered.

2/ the number of patients whose records have had the objection code 9Nu0 (SystmOne XaZ89) entered, following the patient declining their consent to their clinical data being extracted electronically;

Response: Currently we have 55 patients who have code XaZ89 recorded within their record.

3/ the number of patients whose records have been coded with 9Nu4 (SystmOne XaaVL) forbidding any of the patient's data, from any NHS source, leaving the Health and Social Care Information Centre (HSCIC);

Response: Currently we have 55 patients who have code XaZ89 recorded within their record.

4/ the number of patient subject access requests (Data Protection Act 1998, section 7) received in 2014;

Response: During 2014, we have logged the following information. We normally have two types of request for patient information. Patients are asking for it themselves or solicitors asking for it on their behalf, this type of request could be for a number of reasons and would be done with the patient’s knowledge and consent.

Patients directly asking for copies of their records during 2014 = 11

Solicitors asking for copies of patient records during 2014 = 58

5/ fees quoted for subject access requests in 2014;

Response: Predominantly the following charges are used:

Patient request £25 is the standard fee. However, we did have one reference to a charge of £15 and another of £50 being made. The £50 was for a full printout of a patient record.

Solicitor request £50 is the standard fee.

6/ total number of patients, to date, who have registered for online services e.g. booking appointments, receiving medication lists and making repeat prescriptions.

Response: Currently we have 2,261 patients registered to use online services.

Samantha Crone, Almshouse Surgery, Wakefield

Hi Peter,
Thank you. I have the figures for most of the answers. We are just awaiting the figures for the subject access requests but we will respond ASAP.
Thanks,

Samantha Crone
Data Quality & Reception Manager
Almshouse Surgery & Sandal Castle Medical Centre
01924 784235

dangos adrannau a ddyfynnir

Peter D Williams

Good afternoon Samantha

Many thanks. It is much appreciated.

Best regards

Peter

Samantha Crone, Almshouse Surgery, Wakefield

Good Morning,
Please find below the answers to the questions asked under the FOI request. Data correct as of 31st August 2015
1. 12864
2. 58
3. 66
4. 138
5. between £10 and £50 based on the type and amount of records requested.
6. 1589

Thanks,

Samantha Crone
Data Quality & Reception Manager
Almshouse Surgery & Sandal Castle Medical Centre
01924 784235

dangos adrannau a ddyfynnir

Peter D Williams

Good evening Samantha

I am most grateful to you for your email of 29 September 2015 – a full and clear response to my Freedom of Information request about data protection of health records. Thank you.

You may be interested to learn, following responses from practices so far, specific dissent codes entered (as a percentage of the total number of patients registered) vary between 0.3% and 12.6% depending somewhat on the location of the practice — rates are higher, for example, in University practices. Between 0.3% and 55% of patients have opted for online services in different practices.

Best regards

Peter