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Blue Sharing in Out Form

This document provides information about sharing a patient's health record electronically between healthcare services via a system called SystmOne. It explains that a patient can choose whether to allow their full medical details to be viewed by other services, such as GPs, hospitals, and community services, that are providing their care. The two sharing choices are: 1) Sharing Out, which controls if a service can share a patient's information with other healthcare providers, and 2) Sharing In, which determines if a service can view information entered by other services in the patient's record. Making both choices as "Yes" allows full sharing of a patient's record between the healthcare teams caring for them.

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8 views

Blue Sharing in Out Form

This document provides information about sharing a patient's health record electronically between healthcare services via a system called SystmOne. It explains that a patient can choose whether to allow their full medical details to be viewed by other services, such as GPs, hospitals, and community services, that are providing their care. The two sharing choices are: 1) Sharing Out, which controls if a service can share a patient's information with other healthcare providers, and 2) Sharing In, which determines if a service can view information entered by other services in the patient's record. Making both choices as "Yes" allows full sharing of a patient's record between the healthcare teams caring for them.

Uploaded by

Ra S
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Your health record

and sharing of information


Please read both sides of this leaflet carefully. It provides information about the
choices you can make about sharing your health record.
Your heath record includes your medical history, details about your medication
and any allergies you may have. You can now choose whether to share these full
medical details.
We use a secure electronic health records system called SystmOne. With your
permission, this system can allow clinicians to share your full record held here with
other healthcare services who are providing care for you. These other services will
ask your permission to view your record.
Many organisations may use SystmOne including some GP practices, out of hours
services, children’s services, community services and some hospitals. Sharing your
health record will help us deliver the best level of care for you.
You have two choices which allow you to control how your record is shared. You
can change these choices at any time by letting the relevant practice or service
know.
Please read the other side of this leaflet and fill in your choices. You
may wish to keep this section for future information. Please contact the Patient
Experience Team on 0800 279 2535 or capccg.pet@nhs.net if you have any queries.
Please note: if you have previously opted out of sharing your information via the
Summary Care Record, you will still need to complete this form with your choices
about sharing your health record within SystmOne.
For further details visit www.cambridgeshireandpeterboroughccg.nhs.uk

Please complete your details below AND make your choices OVERLEAF
Patient name: ..........................................................................................................
Date of birth:...........................................................................................................
Address: .................................................................................................................
..........................................................................Phone: ..........................................
Signature: ..........................................................Date: ............................................

Please complete a separate form for each of your dependents.


Complete both sides of this section and return to the practice or service
receptionist
NHS Cambridgeshire and Peterborough CCG—July 2013
Your choices at each practice or service

Sharing OUT - This controls whether your information recorded at this


practice or service can be shared with other healthcare services.
Sharing IN - This determines whether or not this practice or service can
view information in your record that has been entered by other services
who are providing care for you, or who may provide care for you in the
future.
Imagine you’re receiving care from three services:
your GP, a district nurse and a smoking clinic.
You want your GP and District Nurse to share
Shared
information with each other and you want both of Record

them to know your progress at the smoking clinic.


However, you don’t want the smoking clinic to see
any of your other medical information.
Your sharing choices at each practice or service
would be:
• The GP can share information IN and OUT.
• The district nurse can share IN and OUT.
• The smoking clinic can only share information OUT but not IN.
You can change your choices at any time. Let each practice or service know.
Note: You can request individual entries in your record to be marked as ‘Private’. These are not shared with the rest
of your record even if you choose to share out.

The choices you would like to make about sharing your health record:

SHARING OUT
I would like my health record at this practice or service to be shared with other
healthcare services providing care for me. ❏ Yes ❏ No
SHARING IN
I would like this practice or service to be able to view information in my health
record that has been recorded by other healthcare services. ❏ Yes ❏ No

My choices apply to my record here at.................................... PRACTICE or SERVICE


Complete both sides of this section and return to the practice or service
receptionist
NHS Cambridgeshire and Peterborough CCG—July 2013

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