Author: michelle dykes
Last saved by: Tabitha Buchanan
Company: emis

THE BUSH DOCTORS	PARTNERS
16 - 17 West 12 Shopping Centre ● Shepherds Bush ● London W12 8PP	Dr Faisal Samji
Tel: 020 8749 1882  ●  Fax: 020 8749 4278	Dr Joanna Huddy 
	Dr Shelina Chatoo
	Dr Pamini Ledchumykanthan
	Dr Beera Patel

	GENERAL PRACTIONER
                                                                                                                                                                                                           Dr Jay Patel

	PRACTICE MANAGER
	Marta Cabrera

Application for online access to my medical record
Surname | Date of birth
First name

Address                                                                              
                                                                              
                                                                             Postcode

Email address
Telephone number | Mobile number

I wish to have access to the following online services (please tick all that apply):
1.	Booking appointments | ☐
2.	Requesting repeat prescriptions | ☐
3.	Access to my Detailed Coded Medical Record | ☐

I wish to access my medical record online and understand and agree with each statement (tick)
1.	I have read and understood the information leaflet  provided by the practice | ☐
2.	I will be responsible for the security of the information that I see or download | ☐
3.	If I choose to share my information with anyone else, this is at my own risk | ☐
4.	I will contact the practice as soon as possible if I suspect that my account has been accessed by someone without my agreement | ☐
5.	If I see information in my record that is not about me or is inaccurate, I will contact the practice as soon as possible | ☐
6.	If I think that I may come under pressure to give access to someone else unwillingly I will contact the practice as soon as possible. | ☐
Signature | Date
For practice use only
Patient NHS number | Practice computer ID number

Identity verified by
(initials)

Date

Method                                     Vouching ☐
       Vouching with information in record ☐   
            Photo ID and proof of residence ☐

Authorised by | Date
Date account created
Date passphrase sent

Level of record access enabled
Contractual minimum ☐  
Other……………………. ………

Notes / explanation

What you need to know about your GP online records 
Wouldn’t it be great if you could look at your GP records online? Well, you can! You can also book and cancel appointments at your GP surgery and order repeat prescriptions online. You can already see some of the information in your GP online records, including your medications and allergies. During the next year, you will be able to see even more. This will include illnesses, immunisations and test results. Each GP surgery will make this information available at different times, as their computer systems become ready.

Just like online banking, you can look at your GP records on a computer, a tablet or a smartphone, using a website or an app. If you would like to start using online services, see the Getting Started with GP Online Services guide for more information. Information on how to get started is also available online at www.nhs.uk/patientonline or from your surgery or on their website.

What’s in it for you? 
You can look at your records whenever you choose to, without needing to print them. Online records are up to date and more secure than a printed paper record which could get lost or seen by others. 
People who have long term conditions, for example diabetes, hypertension or coronary heart disease, have found that looking at their test results online helps them make positive changes to improve their health. They can see if their condition is improving or getting worse by looking at past test results. Adam, a patient at University Health Centre said ‘Record access is useful for those, like me, who need to have more regular contact with their GP’. 
You can look at your medical records before your appointment to see if there is anything you need to discuss with your doctor or nurse. This could be your test results, illnesses you have had in the past or any new information added to your records. This would help you discuss any concerns you may have and help you benefit more from your appointment. 
Sometimes when you see your doctor, you are given a lot of information which you may not be able to remember it later. You may also want further information once you have had time to think about what was said. You can look at your online records after your appointment to make sure you understood what your doctor or nurse said. 
One of the most useful things patients have found is that you can make sure your medical information is accurate. For example, you will be able to let your doctor know if you have an allergy to a medicine and it is not recorded. 
Before you go on holiday, you can check if your vaccinations are up to date without having to go to your surgery. 

Understanding your records 
Your records are written to help medical people look after you and so in some cases, you may not understand everything you see. If you find anything difficult to understand, as well as talking to your doctor or nurse, you can go to the NHS Choices website by using this link www.nhs.uk. NHS Choices is the NHS website for patients so you can look for information on illnesses, improving health and to find NHS services in your local area. 
Other websites frequently used to search for information on illnesses and test results are Patient – www.patient.info and Lab Test Online UK – www.labtestsonline.org.uk. Although these are not owned or checked by the NHS, other patients have found them useful. 

A few things to think about 
There are a few things you need to think about before registering for online records. On very rare occasions 
Your GP may not think it in your best interest for you to look at your GP records online. If this happens, your GP will discuss their reasons with you. It is up to your GP to decide if you should be allowed access to your online records. 
You may see your test results before your doctor has spoken to you about them. This may be when you cannot contact your surgery, or when your surgery is closed. This means you will need to wait until an appointment is available to talk to your doctor. 
Information in your medical records might need correcting. If you find something you think is not correct, you should contact your surgery. The staff will be able to answer your questions and set things right when needed. Please bear in mind that you cannot change the record yourself. 
There may be information in your medical records that you did not know was there or that you had forgotten about, such as an illness or an upsetting incident. If you see anything you did not know about that worries you, please speak to your surgery and they will discuss this with you. 
If you see someone else’s information in your record, please log out immediately and let your surgery know as soon as possible. 

If you have questions about any of the above points, please talk to your surgery and they will be able to advise you further.