As you may be aware there have been reports in the media this weekend regarding GP practices using a clinical system made by TPP called SystmOne, which is the clinical system we use here at Bath Row Medical Practice (BRMP). These reports raise concerns about the sharing of patient data through the Enhanced Data Sharing (eDSM) which is built into the system. eDSM gives the option to share in and/or share out patient data.
Sharing out data would let other organisations using SystmOne see your clinical information which is recorded at BRMP. It is important to note that only organisations that you have received care at, given consent to and that are using SystmOne would be able to see your shared out data.
Sharing in data means that BRMP would be able to see any data entered into SystmOne from another caring organisation that you have received care from and agreed to share out data.
For example if you visited another organisation (such as a walk-in Centre) who used SystmOne you could decide to block sharing in data so they would not be able to see your medical records from BRMP but consent to sharing out data so that BRMP received full details through the clinical system of your visit to the walk-in Centre.
The issue raised at the weekend in the media is regarding who can access your data at the other organisation. Potentially if their access rights allowed it, any member of staff using SystmOne at that organisation could view your medical record if you had consented to sharing data. The company who makes SystmOne TPP is working to make improvements to this functionality and you can find out more information by visiting the following website:
At BRMP we provide comprehensive information to patients regarding the different sharing options available in the NHS including instructions on how to opt out of sharing options such as Summary Care Record (SCR), Local Care Records, National Audits and eDSM. This information is provided to all patients upon registration and is also available in the Practice waiting room. It is important to note that your Summary Care Record is not the same as eDSM and not affected by this issue.
eDSM works slightly different as you specify whether you share in and share out at each specific organisation you receive care at instead of an outright opt out, however, after receiving advice previously about concerns with eDSM we followed recommendations given and disabled eDSM at the Practice. There may be a small number of patients affected who gave consent to eDSM before it was switched off and we will be writing to those patients shortly to clarify their consent. If you do not receive a letter from the Practice then you are not affected.
If you have any concerns please contact the Practice and ask to speak to a member of the Management Team.
Bath Row Medical Practice.