Uploading of data to the Summary Care Record

Dr Neil Bhatia made this Freedom of Information request to Royal Bolton Hospital NHS Foundation Trust

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

The request was successful.

Dr Neil Bhatia

Dear Royal Bolton Hospital NHS Foundation Trust,

I would like to make some requests under the FOI Act.

For the purposes of the Act, the date of your receipt of this request will be 27th May 2010.

• Please could you state whether your trust will be uploading data (that is, "non-GP" or "Release 2 information") to the Summary Care Record at some point between May 2010 and December 2010. is your A&E Department one of the two pilot A&Es planning upload data to the SCR.

If not, then please so state so and ignore the rest of this request.

However, if you are planning to upload data to the SCR then I would be grateful for the following information:

• Please could you state the date that you intend to commence uploading of data to the SCR.

• Please could you specify which departments within your trust will be uploading data.

• Please could you specify, exactly and in detail, what data you will be uploading to the SCR.

The Department of Health have commented on the fact that many patients across England have opted out of the SCR and as a result have the read code "93C3" in their GP records. However, the vast majority of these patients do not have this code synchronised with their Central Spine Flag, which is therefore not set to "Patient does not wish to store a Summary Care Record" but remains at "Implied consent". Accordingly, despite their wishes not to have a SCR, Release 2 Information can still be uploaded to the SCR (even if they do not have a GP summary).

Connecting for Health have stated ""Until the National Spine holds information about those patients who have expressed a preference not to have a Summary Care Record, it is possible that a contribution to the Summary Care Record of a patient who has expressed the wish not to have a Summary Care Record (via their GP) could be made (for example from an A&E department). It is agreed that this must not be allowed to happen".

• Please could you specify what policies and procedures you have in place to ensure that patients (from wherever in England) who have the code "93C3" in their GP records - but do not yet have their Central Spine Flag set accordingly - cannot, under any circumstances, have data uploaded by you to the SCR.

• Please could you specify whether you will be uploading data to the SCR about patients under the age of 16yrs who might present unaccompanied to your trust for medical help (e.g. for the morning after pill, STI, alcohol ingestion, accidental or deliberate overdose etc). Will you be uploading data to the SCR for such attenders?

• Please could you specify what policies and procedures you have in place to ensure fully informed consent is obtained prior to uploading of data to the SCR from people who are under the influence of drugs or alcohol. Will you be uploading data to the SCR for such attenders?

• Please could you specify what policies and procedures you have in place to ensure fully informed consent is obtained prior to uploading of data to the SCR from people who appear to be suffering from psychiatric illness (e.g. psychosis, severe depression, dementia). Will you be uploading data to the SCR for such attenders?

• Please could you specify which staff members, of what profession and grade, will be entering the data onto computers for upload to the SCR.

• Please could you specify who the registered data controller is for information recorded at your site.

• Please could you state whether your trust will be downloading/importing, and storing, a copy of a patient's SCR (which may have already have been "enriched") to your local computer system (i.e. into the patient's local trust-held record) when that patient is seen.

• If you are downloading a copy of the SCR onto your local system:

a) Will you be making patient's aware that a copy of their SCR will be downloaded and stored locally?
b) Will you be seeking the patient's explicit consent before downloading and storing a copy of their SCR?
c) Will you be subsequently deleting the downloaded SCR data once the patient has been discharged?
d) What provisions are in place to ensure that the downloaded and locally-held copy of the SCR cannot be subsequently viewed by anyone within your trust without both appropriate smartcard privileges and the patient's contemporaneous and explicit consent?
e) Will patients be able to have the downloaded and locally-held copy of their SCR deleted should they be unhappy that you have stored a copy of it?

As per Section 4a of Part 1 of the FOI Act
( http://www.opsi.gov.uk/acts/acts2000/ukp... ) I would like the information in question held at the time when my request is received (draft or otherwise), except that account may be taken of any amendment or deletion made between now and the latest time by which the information is to be communicated to me, being an amendment or deletion that would have been made regardless of the receipt of my request.

I would be grateful if you would be kind enough to send me the requested information promptly and in any event not later than the twentieth working day following the date of receipt of my request - that is by then end of the working day of 25th June 2010.

If my request is denied in whole or in part, or specific items within the responses are withheld from disclosure, then you must justify all deletions by reference to specific exemptions of the act, as per Section 17 of the Act
( http://www.opsi.gov.uk/acts/acts2000/ukp... ). Where you rely on a qualified exemption to withhold disclosure, you are obliged to consider the public interest in your decision and the refusal notice must explain not only which exemption applies and why, but also the public interest arguments addressed in reaching the decision.

I wish to receive the information by email; I believe such a request would be reasonable in these circumstances. As per Section 11 of Part 1 of the FOI Act ( http://www.opsi.gov.uk/acts/acts2000/ukp... ) I would be grateful if you would "so far as reasonably practicable give effect to that preference"; if you determine that it is not reasonably practicable to comply with this preference then you are required by law to notify me of the reasons for your determination.

The “return address” (to which the information that I have requested be should be sent ) is the email address that this particular request originates from.

I would be grateful if you would kindly acknowledge receipt of this request as recommended by the ICO (“It would be good practice to acknowledge receipt of requests and to refer to the 20 working day time limit, so that applicants know their request is being dealt with”).

Thank you once again.

Yours sincerely,

Dr Neil Bhatia

Davies Eileen, Royal Bolton Hospital NHS Foundation Trust

Dear Dr Bhatia

With reference to your request under the Freedom of Information Act
2000, I am able to report that the Royal Bolton Hospital Accident and
Emergency Department is not one of the pilot sites planning to upload
data to the Summary Care Record.

Thank you

Eileen Davies
Freedom of Information Co-ordinator

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Dr Neil Bhatia

Dear Eileen,

Thank you for your response.

Could you confirm that no department in your trust is planning to upload data to the SCR?

Bournemouth & Poole PCT have stated that:

"The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust and South Western Ambulance NHS Trust (Out of Hours service) are taking part in the SCR project"

Yours sincerely,

Dr Neil Bhatia

Dr Neil Bhatia

Dear Royal Bolton Hospital NHS Foundation Trust,

Apologies - clearly Bournemouth has nothing to do with you, my mistake!

Please could you confirm though that no departments within your trust are planning to upload to the SCR (not just A&E).

Thanks,

Yours faithfully,

Dr Neil Bhatia

Dr Neil Bhatia

Dear Eileen,

Please could you kindly confirm that no department within your trust will be uploading to the SCR this year?

If so, I can regard this FOI request as closed.

Yours sincerely,

Dr Neil Bhatia

Davies Eileen, Royal Bolton Hospital NHS Foundation Trust

Dear Dr Bhatia

I passed your request on to NHS Bolton (the local PCT) as they are in a
better position to know what, if anything, is planned.

I will chase it for you.

Please accept my apologies - I thought I had notified you of this

Thank you

Eileen

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Dr Neil Bhatia

Dear Eileen,

Thank you, although I cannot see why Bolton PCT should be responsible for providing me with the information.

I find it very disconcerting that your hospital is unable to say whether your hospital is planning to upload information from your hospital's records by your hospital staff.

Quite why you have to ask another organisation to tell you what you are planning to do is beyond me.

Yours sincerely,

Dr Neil Bhatia

Davies Eileen, Royal Bolton Hospital NHS Foundation Trust

Dear Dr Bhatia

The Summary Care Record does not consist of hospital records but is the
GP record and as such comes under the PCT

Please excuse me if you are referring to another aspect of hospital
records - if so I am not aware that the hospital plans to upload any of
its records onto the Summary Care Record

Perhaps we are at cross purposes here and some clarification may be
needed

Thank you

Eileen Davies

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Dr Neil Bhatia

Dear Eileen,

Yes, I am interested in whether you will be uploading hospital records (A&E discharge summaries, clinic letters and results etc) to the SCR - so called "non-GP" data or "Release 2 Information". This is known as "enrichment" of the SCR and is in addition to data uploaded by GP systems.

Kind regards,

Dr Neil Bhatia

Davies Eileen, Royal Bolton Hospital NHS Foundation Trust

Dear Dr Bhatia

With reference to your request for information under the Freedom of
Information Act 2000 I am pleased to provide the following response

The Trust has no plans to upload Release 2 Information to the Summary Care
Record between May 2010 and December 2010.

The Trust's A & E Department is not one of the two pilots

If you have any queries or concerns please do not hesitate to contact the
Freedom of Information Department. It would be helpful to quote the above
reference number in any future communication.

If you are unhappy with the service you have received in relation to your
request and wish to make a complaint or request a review of our decision,
you should write to The Chief Executive, Royal Bolton Hospital NHS
Foundation Trust, The Royal Bolton Hospital, Minerva Road, Farnworth,
Bolton. BL4 0JR.

If you are not content with the outcome of your complaint you may apply
directly to the Information Commissioner. Generally the Information
Commissioner cannot make a decision unless you have exhausted the
complaints procedure provided by Bolton Hospitals NHS Trust. The
Information Commissioner can be contacted at The Information
Commissioner's Office, Wycliffe House, Water Lane, Wilmslow, Cheshire. SK9
5AF.

Yours sincerely

Eileen Davies

Freedom of Information Co-ordinator.

Royal Bolton Hospital

Tel 01204 390390 ext 4063

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References

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Dr Neil Bhatia left an annotation ()

Information about the NHS Database / Summary Care Record can be found on my site:

www.summarycarerecord.info