1-8 of 8 results for subject:Patients
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Answering member
Byrne, Liam (8)
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ICT (8)
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To ask the Secretary of State for Health under what circumstances patient records held by general practitioner surgeries can be released to pharmaceutical companies, their agents and staff.
To ask the Secretary of State for Health under what circumstances patient records held by general practitioner surgeries can be released to pharmaceutical companies, their agents and staff.
Asked by
Paul Flynn
(Labour)
Answered by
Liam Byrne
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
7 February 2006
For answer on
9 February 2006
Answered on
8 March 2006
Everyone working for or on behalf of the national health service, including general practitioners and their staff, works within a confidentiality code of practice which governs the use of patient information, and also has a legal duty to keep patient care records and patient-identifiable information secure. Under the code, patient care records may only be disclosed with the explicit consent of the patient, or where the record has been effectively anonymised. This obligation is reinforced in the NHS Care Record Guarantee, published in May 2005, which sets out the rules that will govern information held in the NHS Care Records Service. A copy of the guarantee is available in the Library.
Subjects
ICT; General practitioners; NHS; Patients; Medical records
Date
8 March 2006
Reference
50816; 443 c1629-31W;443 c1631W
House
House of Commons
To ask the Secretary of State for Health (1) whether a trained doctor will (a) oversee and (b) verify the accuracy of the transfer of a patient's records to the new electronic system;
To ask the Secretary of State for Health (1) whether a trained doctor will (a) oversee and (b) verify the accuracy of the transfer of a patient's records to the new electronic system;
Asked by
Stephen O'Brien
(Conservative)
Answered by
Liam Byrne
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
12 January 2006
For answer on
16 January 2006
Answered on
31 January 2006
National health service trusts and general practitioners (GPs) will not be required to transfer handwritten notes to the NHS Care Records Service (NHS CRS) when the services goes live locally. Rather, each patient's care record will be populated using data from existing electronic systems. Trusts and GP practices will, however, be free to supplement the transferred data from paper records where they feel it to be clinically and logistically appropriate.GPs already frequently transfer patient records to another GP when a patient changes their address or GP. It is the responsibility of the individual clinician to ensure that electronic data they have entered or transferred to a new or replacement electronic system is correct. An electronic facility to assist this process is currently under development—the ‘GP2GP' record transfer service. This will reduce the amount of re-keying required by enabling the direct transfer of the electronic component of a patient's existing care record.The Data Protection Act 1998 establishes a set of principles with which users of personal data must comply. These include the duty to ensure that information is accurate and up to date. This duty would extend to individual GPs and other clinicians when transferring local electronic records, or transcribing or scanning paper records, to the NHS CRS. Guidance for transcribing paper records developed by the Royal College of General Practitioners and issued by the Department makes it clear that responsibility for the quality of the necessary processes lies with the individual practice.When the NHS CRS is deployed locally, a senior clinician, for example, the principle practitioner in a GP practice is responsible for approving the transfer of data. This only occurs after industry-standard testing procedures have demonstrated that the data has been safely transferred. Verification is by a series of quantitative and qualitative pre- and post-validation checks that ensure that the data stored on the new system is the same as the original.It is considered to be good practice for NHS trusts and GP practices to preserve the existing paper records. The facility exists to easily store a case note reference on the electronic system that allows ready identification of the paper record where this may be required.
Subjects
ICT; NHS; Patients; Medical records
Date
31 January 2006
Reference
43010; 442 c472W;442 c472W
House
House of Commons
(2) what safeguards she has put in place to ensure that general practitioners' handwriting is not transcribed wrongly onto electronic patient records;
(2) what safeguards she has put in place to ensure that general practitioners' handwriting is not transcribed wrongly onto electronic patient records;
Asked by
Stephen O'Brien
(Conservative)
Answered by
Liam Byrne
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
12 January 2006
For answer on
16 January 2006
Answered on
31 January 2006
National health service trusts and general practitioners (GPs) will not be required to transfer handwritten notes to the NHS Care Records Service (NHS CRS) when the services goes live locally. Rather, each patient's care record will be populated using data from existing electronic systems. Trusts and GP practices will, however, be free to supplement the transferred data from paper records where they feel it to be clinically and logistically appropriate.GPs already frequently transfer patient records to another GP when a patient changes their address or GP. It is the responsibility of the individual clinician to ensure that electronic data they have entered or transferred to a new or replacement electronic system is correct. An electronic facility to assist this process is currently under development—the ‘GP2GP' record transfer service. This will reduce the amount of re-keying required by enabling the direct transfer of the electronic component of a patient's existing care record.The Data Protection Act 1998 establishes a set of principles with which users of personal data must comply. These include the duty to ensure that information is accurate and up to date. This duty would extend to individual GPs and other clinicians when transferring local electronic records, or transcribing or scanning paper records, to the NHS CRS. Guidance for transcribing paper records developed by the Royal College of General Practitioners and issued by the Department makes it clear that responsibility for the quality of the necessary processes lies with the individual practice.When the NHS CRS is deployed locally, a senior clinician, for example, the principle practitioner in a GP practice is responsible for approving the transfer of data. This only occurs after industry-standard testing procedures have demonstrated that the data has been safely transferred. Verification is by a series of quantitative and qualitative pre- and post-validation checks that ensure that the data stored on the new system is the same as the original.It is considered to be good practice for NHS trusts and GP practices to preserve the existing paper records. The facility exists to easily store a case note reference on the electronic system that allows ready identification of the paper record where this may be required.
Subjects
ICT; NHS; Patients; Medical records
Date
31 January 2006
Reference
43011; 442 c472W;442 c472W
House
House of Commons
(3) what estimate she has made of the time it will take to transfer handwritten general practitioners' notes on to the new IT system;
(3) what estimate she has made of the time it will take to transfer handwritten general practitioners' notes on to the new IT system;
Asked by
Stephen O'Brien
(Conservative)
Answered by
Liam Byrne
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
12 January 2006
For answer on
16 January 2006
Answered on
31 January 2006
National health service trusts and general practitioners (GPs) will not be required to transfer handwritten notes to the NHS Care Records Service (NHS CRS) when the services goes live locally. Rather, each patient's care record will be populated using data from existing electronic systems. Trusts and GP practices will, however, be free to supplement the transferred data from paper records where they feel it to be clinically and logistically appropriate.GPs already frequently transfer patient records to another GP when a patient changes their address or GP. It is the responsibility of the individual clinician to ensure that electronic data they have entered or transferred to a new or replacement electronic system is correct. An electronic facility to assist this process is currently under development—the ‘GP2GP' record transfer service. This will reduce the amount of re-keying required by enabling the direct transfer of the electronic component of a patient's existing care record.The Data Protection Act 1998 establishes a set of principles with which users of personal data must comply. These include the duty to ensure that information is accurate and up to date. This duty would extend to individual GPs and other clinicians when transferring local electronic records, or transcribing or scanning paper records, to the NHS CRS. Guidance for transcribing paper records developed by the Royal College of General Practitioners and issued by the Department makes it clear that responsibility for the quality of the necessary processes lies with the individual practice.When the NHS CRS is deployed locally, a senior clinician, for example, the principle practitioner in a GP practice is responsible for approving the transfer of data. This only occurs after industry-standard testing procedures have demonstrated that the data has been safely transferred. Verification is by a series of quantitative and qualitative pre- and post-validation checks that ensure that the data stored on the new system is the same as the original.It is considered to be good practice for NHS trusts and GP practices to preserve the existing paper records. The facility exists to easily store a case note reference on the electronic system that allows ready identification of the paper record where this may be required.
Subjects
ICT; NHS; Patients; Medical records
Date
31 January 2006
Reference
43012; 442 c472W;442 c472W
House
House of Commons
(4) whether a patient's notes will be (a) scanned and (b) transcribed into the new IT system.
(4) whether a patient's notes will be (a) scanned and (b) transcribed into the new IT system.
Asked by
Stephen O'Brien
(Conservative)
Answered by
Liam Byrne
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
12 January 2006
For answer on
16 January 2006
Answered on
31 January 2006
National health service trusts and general practitioners (GPs) will not be required to transfer handwritten notes to the NHS Care Records Service (NHS CRS) when the services goes live locally. Rather, each patient's care record will be populated using data from existing electronic systems. Trusts and GP practices will, however, be free to supplement the transferred data from paper records where they feel it to be clinically and logistically appropriate.GPs already frequently transfer patient records to another GP when a patient changes their address or GP. It is the responsibility of the individual clinician to ensure that electronic data they have entered or transferred to a new or replacement electronic system is correct. An electronic facility to assist this process is currently under development—the ‘GP2GP' record transfer service. This will reduce the amount of re-keying required by enabling the direct transfer of the electronic component of a patient's existing care record.The Data Protection Act 1998 establishes a set of principles with which users of personal data must comply. These include the duty to ensure that information is accurate and up to date. This duty would extend to individual GPs and other clinicians when transferring local electronic records, or transcribing or scanning paper records, to the NHS CRS. Guidance for transcribing paper records developed by the Royal College of General Practitioners and issued by the Department makes it clear that responsibility for the quality of the necessary processes lies with the individual practice.When the NHS CRS is deployed locally, a senior clinician, for example, the principle practitioner in a GP practice is responsible for approving the transfer of data. This only occurs after industry-standard testing procedures have demonstrated that the data has been safely transferred. Verification is by a series of quantitative and qualitative pre- and post-validation checks that ensure that the data stored on the new system is the same as the original.It is considered to be good practice for NHS trusts and GP practices to preserve the existing paper records. The facility exists to easily store a case note reference on the electronic system that allows ready identification of the paper record where this may be required.
Subjects
ICT; NHS; Patients; Medical records
Date
31 January 2006
Reference
43013; 442 c472W;442 c472W
House
House of Commons
To ask the Secretary of State for Health what the (a) timescale is for and (b) estimated cost is of implementation of NHS electronic patient records.
To ask the Secretary of State for Health what the (a) timescale is for and (b) estimated cost is of implementation of NHS electronic patient records.
Asked by
Mark Simmonds
(Conservative)
Answered by
Liam Byrne
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
29 November 2005
For answer on
1 December 2005
Answered on
12 January 2006
Initial implementation of the national health service care records service (NHS CRS) began in the summer of 2004 with the introduction of a personal demographic service containing personal identity details of patients; access controls to ensure secure service system access via Smartcard; a messaging service with the standard messaging protocols; and a spine directory service containing reference file information. Over time each person's NHS care record will build into a comprehensive patient history with a summary of patient information available at the point of need anywhere in the NHS in England. The final phase of the NHS CRS, by 2010, will be the full integration of health and social care information systems across England.A contract to the value of £620 million was awarded in 2003 from central expenditure for the creation of the national database of key information about patients' health and care, which is the core component of the NHS CRS. The contract covers on-going funding of core deliverables and the connection of existing systems to national applications. However, it does not include all the costs of implementation at local level, such as training national health service staff or local change management costs, which are planned to be borne by individual NHS organisations out of baseline budgets.
Subjects
Costs; ICT; NHS; Patients; Medical records
Date
12 January 2006
Reference
33946; 441 c862-3W
House
House of Commons
(7) what steps she takes to ensure that electronic patient records are maintained in a manner compliant with British Standard 7799; and if she will make a statement;
(7) what steps she takes to ensure that electronic patient records are maintained in a manner compliant with British Standard 7799; and if she will make a statement;
Asked by
Andrew Murrison
(Conservative)
Answered by
Liam Byrne
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
25 October 2005
For answer on
27 October 2005
Answered on
15 November 2005
The BS7799 part 1, recently updated and now known as ISO/IEC 17799, provides the foundation for the best practice security management of the national health service's information assets. Central arrangements have already been established that enable all NHS organisations to obtain a full reference copy of the standard for their own use. In addition, key requirements of the ISO/IEC17799 are included within the existing NHS Information Governance Framework, along with relevant topic guidance and illustrations. These are available to NHS organisations through the centrally provided and maintained NHS Information Governance Toolkit service.The NHS Information Governance Toolkit supports NHS organisations to meet information security requirements but also numerous other closely associated requirements including best practice in terms of records management, information quality, data protection and the confidential management of records. Bringing these requirements together in this way has eliminated considerable duplication of effort as each of these aspects of information governance are based on similar principles and working practices but in the past they were addressed separately. The Information Governance Toolkit is provided free of charge to NHS organisations and replaced a range of existing data collections and has generated significant savings in staff time and resources across a wide range of NHS organisations.Compliance assessment of NHS information security management, is based upon the ISO/IEC 17799 framework and is currently achieved on an annual basis through self-assessed organisational attainment reporting within the NHS Information Governance Toolkit. A review of these arrangements is currently under way and that will further refine and extend assurance criterion. These new arrangements should also in future form a significant part of formal NHS audit programmes at both local and national level.In addition to contractual obligations, it is also intended that equivalent information governance assurance reporting arrangements will shortly be developed and implemented for a range of non-NHS information partner organisations, including those private sector organisations treating NHS patients. These requirements already exist for commercial service provider organisations involved in the delivery of the NHS National Programme for Information Technology and whose security management performance is routinely monitored against the ISO/IEC 17799.Although there is no current requirement for NHS organisations to seek or maintain a formal BS7799 part 2:2002 registration, NHS organisations are able to do so as a local decision. This part 2 of the original BS7799 standard has recently been replaced and is now known internationally as ISO/IEC 27001:2005. The Information Governance toolkit was developed, in part, to provide a cost effective alternative to individual NHS organisations requiring assistance from independent qualified lead accreditation consultants at commercial rates. As formal registration is not an NHS requirement, there are no central records of NHS organisations that may already have chosen to formally register or that may be considering doing so.On 18 October 2005, a departmental official met with two representatives of the British Standards Institute to outline and discuss the NHS approach to BS7799. The British Standards Institute are therefore now fully aware of the significant steps taken by the Department to both adopt and promote the values of this standard to NHS organisations and relevant others.
Subjects
Data protection; ICT; NHS; Patients; Medical records; Standards; Security
Date
15 November 2005
Reference
22593; 439 c1163-5W;439 c1163-5W
House
House of Commons
To ask the Secretary of State for Health when she expects all patient records to be electronic.
To ask the Secretary of State for Health when she expects all patient records to be electronic.
Asked by
Andrew Murrison
(Conservative)
Answered by
Liam Byrne
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
25 October 2005
For answer on
27 October 2005
Answered on
15 November 2005
Demographic data is already held electronically for most patients, most already have an electronic primary care record and many hospitals also hold information electronically. However, these tend to be restricted to the general practice or hospital in which the record is created. The number of electronic records, linked to the NHS Care Records Service will continue to increase as health professionals find that linked electronic records improve patient care. The national programme for IT in the national health service aims to deliver the NHS Care Records Service by 2010.
Subjects
ICT; NHS; Patients; Medical records
Date
15 November 2005
Reference
22596; 439 c1167W;439 c1167W
House
House of Commons