In the England context, hospital pharmacy access to the SCR would be an
advantage: I believe it has been authorised in Scotland for the ECR (please
correct me if I'm wrong). My understanding is that this is with patient
consent.
There is a considerable difference with the problem in BC :-
"Here in BC there is a system call Pharmanet that is said to wonderfully
list all of everyones medicaations (if obtained within the province).
This list is accessed every time someone has a drug dispensed.
It is also accessible by physicians.
An example of how this might be bad:
.....in a small village, someone has bipolar disorder or another sensitive
diagnosis that they choose to seek their care for outside the village, goes
to get an antibiotic prescription filled (or other innocuous thing) at the
village pharmacy, the pharmacist (possibly their cousin/ex/etc) learns that
they have that diagnosis.....and it seems that there is no way around this."
In other words, every pharmacist - and possibly dispenser - has access to
the entire medication record of everyone getting a prescription dispensed
*without any need for patient consent*
(let's leave aside the professional obligation of confidentiality on the
pharmacist: maybe the situation is more full-proof in Canada and/or BC)
Jell, who else has access to Pharmanet, how long does the information on it
persist and what is the security regime?
Mary Hawking
Retired from NHS on 31.3.13 because of the Health and Social Care Act 2012
"thinking - independent thinking - is to humans as swimming is to cats: we
can do it if we really have to." Mark Earles on Radio 4
blog http://maryhawking.wordpress.com/ And Fred!
http://primaryhealthinfo.wordpress.com/2013/11/02/freds-saying-you-just-dont
-get-it/
-----Original Message-----
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Roger Gardiner
Sent: 21 October 2014 11:47
To: [log in to unmask]
Subject: Re: Prescriptions and privacy
not generally but being able to validate current medication for
hospital pharmacists would be worhwhile
Roger
-----Original Message-----
From: Mary Hawking <[log in to unmask]>
To: GP-UK <[log in to unmask]>
Sent: Tue, 21 Oct 2014 11:26
Subject: Re: Prescriptions and privacy
I think Marcus was writing about Summary Care Record – *not* GP2GP.
I don’t think anyone has every suggested a copy of the total GP EPR
should be transferred to a pharmacist dispensing a prescription – or
that pharmacists ought to have GP systems capable of receiving a GP EPR!
Mary Hawking
Retired from NHS on 31.3.13 because of the Health and Social Care Act
2012
"thinking - independent thinking - is to humans as swimming is to cats:
we can do it if we really have to." Mark Earles on Radio 4
blog http://maryhawking.wordpress.com/ And Fred!
http://primaryhealthinfo.wordpress.com/2013/11/02/freds-saying-you-just-dont
-get-it/ ;
------------------------------------------------------------
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Marcus Baw
Sent: 21 October 2014 10:23
To: [log in to unmask]
Subject: Re: Prescriptions and privacy
It might be 'occasionally true' depending on clinical system, and where
the other drug was prescribed etc, but the OP question: ".any med
prescribed anywhere in the UK is accessible to a doc seeing that
patient" is not something you could reliably say is true.
M
On 21 October 2014 08:53, Roger Gardiner
<[log in to unmask]> wrote:
yes,
but Marcus was writing about GP2GP information
it's also possible to have viewers in ED and hospital pharmacies so
staff there can see primary care information
Roger
-----Original Message-----
From: Mary Hawking <[log in to unmask]>
To: GP-UK <[log in to unmask]>
Sent: Tue, 21 Oct 2014 8:31
Subject: Re: Prescriptions and privacy
Wouldn’t it only apply to SystmOne if both the pharmacy and the
GP/prescriber were on S1 , the pharmacy shared in, the prescriber’s
organisation shared out and the patient gave consent for the pharmacist
to see his/her entire record under EDSM?
Mary Hawking
Retired from NHS on 31.3.13 because of the Health and Social Care Act
2012
"thinking - independent thinking - is to humans as swimming is to cats:
we can do it if we really have to." Mark Earles on Radio 4
blog http://maryhawking.wordpress.com/ And Fred!
http://primaryhealthinfo.wordpress.com/2013/11/02/freds-saying-you-just-dont
-get-it/ ;
------------------------------------------------------------
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Roger Gardiner
Sent: 21 October 2014 07:03
To: [log in to unmask]
Subject: Re: Prescriptions and privacy
Hi
depends on the clinical system - applies to SystemOne
Roger
On 21 Oct 2014, at 06:27, Marcus Baw <[log in to unmask]> wrote:
A UK doc who just moved here told me that the same is true in the
UK....any med prescribed anywhere in the UK is accessible to a doc
seeing that patient, with no protection.
Not true as far as I am aware. May be true if Summary Care Record
becomes ubiquitous, but so far it is a long way from widespread use.
M
|