Transcript Patient Access Guide - NHS Stockport Clinical

Patient Online Access
Guide for Implementation
Contents
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What is Patient Online Access?
GMS Contract/PMS Agreement
What are the benefits?
Support and Resources
What is Identity Verification?
INPS Vision Configuration
Vision Online Screens
Privacy Impact Assessment
Help For Practices
Note: All documents attached in the Patient Online Pack are referenced
starting ‘Document:’ in this presentation.
What is Patient Online Access?
Patient Online will empower patients to take greater control of their
health and wellbeing by increasing online access to services
GP Appointments
Online
Repeat
Prescriptions
Online
View Your GP
Records Online
GMS Contract/PMS Agreement
To meet the Patient Online requirements by March 2015 practices
PATIENTS
must offer:
Online booking of appointments
Online cancellation of appointments
Online ordering of repeat prescriptions
Online access to summary information within patient
records (allergies, medications, adverse reactions)
And promote these services to patients
Possible for practices to offer online access to test results, letters and consultation
notes and more.
2014/15 GMS contract: http://www.legislation.gov.uk/uksi/2014/465/contents/made
2014/15 PMS contract: http://www.legislation.gov.uk/uksi/2014/465/regulation/14/made
What are the benefits?
Patients
General Practices
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Time saving in phone calls and car
journeys
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Administrative time savings on repeat
prescription
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Improved access and convenience
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Receptionist time release on
appointment booking
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Improved communication with the
practice
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Fewer missed appointments
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Increased patient safety, reduction in
errors and duplications
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Increased patient safety, reduction in
errors and duplications
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Improved health knowledge and health
literacy
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Improved communication with the
patient
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Improved patient experience and
control of their care
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Improved patient satisfaction
Support and Resources
Guidance Example Forms and Checklists
http://www.england.nhs.uk/wp-content/uploads/2014/10/npoguidance-291014.pdf
Support and Resources
Webinars/Training
The below links are useful guidance for Patient Online Access:
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http://inps-online.co.uk/1MWQ-36GWE-0AAJGPL566/cr.aspx
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http://elearning.rcgp.org.uk/patientonline
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http://elearning.rcgp.org.uk/mod/page/view.php?id=4775
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http://www.england.nhs.uk/ourwork/pe/patient-online/
Support and Resources
PATIENTS
Guidance Example Forms and Checklists
Getting started with record access
Document: Records_access-guidance.pdf
Identity Verification
Document: Identity_verification-guidance.pdf
Coercion
Document: Coercion-guidance.pdf
Proxy access
Document: ProxyAccess-guidance.pdf
This guidance and other supporting materials can be found on the RCGP website:
http://elearning.rcgp.org.uk/course/view.php?id=180&section=0
Support and Resources
Material for Patients
The following materials and templates are designed to help practices
promote their online services to patients. You can also add your own local
information to these to suit your practice.
Leaflet - Document: Leaflet for Patients.pdf
Poster 1 - Document: Poster 1.pdf
Poster 2 - Document: Poster 2.pdf
Poster 3 - Document: Poster 3.pdf
Appoint Card - Document: Appointment Card.pdf
Patient FAQs - Document: Patient FAQs.pdf
Support and Resources
Materials for Patients
Records Access - Checklist
Document: Records_access-checklist.pdf
Sample Leaflet for Patients
Document: Patient leaflet.pdf
Example form for Patients Requesting Access
Document: Example_registration_form.pdf
Identify Verification
Document: Identity_verification-checklist.pdf
Identify Verification Protocol
Document: Identity_verification-Example_protocol.pdf
What is Identity Verification?
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Ensuring that the patient requesting access is the subject of the record they wish to
access, or their proxy.
It is not about “real world” identities; only as “known to the practice”.
Proxies also need to have their identity verified.
Three options:
Documentation – Two documents, typically:
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Passport or photo driving licence (if both, this is sufficient).
Bank statement (not utility bill).
Vouching
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The person is “well known” to the authorised member of the Practice team.
Vouching with documentation
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Known, but not well known.
Medical record used to verify information by interview.
INPS Vision Configuration
Patient Summary
Document: Online Services Release - Patient Summary.pdf
Before patients can access their Patient Summary, practices must
ensure the following:
Patient Identification Seen - You should be recording that you
have seen patient identification when registering patients for
Online Services and added the Read code 91B.00 Patient
Registration Data Verified to the patient record. This is an NHS
requirement and ensures that the patient accessing Online
Services is indeed your registered patient.
Access to Patient Summary - In order for your patients to view
their Patient Summary data, you must add the following Read
code to each relevant patient record.
INPS Vision Configuration
Patient Summary Important:
You may wish to review patient records before allowing
patients to access their summary. You can track patients with
or without this Read code using the Online Services
Clinical Audit.
You must only record 93440 Electronic record notes
summary verified if the patient already has 91B..00
Patient Registration Data Verified recorded.
Only patients with the exact Read code 93440 Electronic
record notes summary verified (and NOT any others within
the Read category/hierarchy) will be able to see their Patient
Summary data.
Vision Online Screens
Patient Viewing their Summary - Allergies:
Vision Online Screens
Patient Viewing their Summary – Prescription History:
Privacy Impact Assessment
Document: NWCSU Privacy Impact Assessment Proforma.doc
Privacy impact assessments (PIAs) are a tool which can help
organisations identify the most effective way to comply with their data
protection obligations and meet individuals’ expectations of privacy.
An effective PIA will allow organisations to identify and fix problems at
an early stage, reducing the associated costs and damage to reputation
which might otherwise occur.
It is highly recommended that you complete the PIA included in the
pack.
Additional information can be found at:
https://ico.org.uk/for-organisations/guide-to-data-protection/privacy-by-design/
Help For Practices
For help and further information regarding the set up of Patient Online
Access, please contact:
• NHS England Helpline:
– 0800 011 8082 – Monday to Friday (8 am - 7 pm).
• Clinical Supplier – INPS:
– Email: [email protected]
– Telephone: 0207 501 7100