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GMS Contract - Patients and Information

See the Guidance (From page 13 to 19)

Also, for information, See: Securing Excellence in GP IT Services. Operating Model 2014-2016

Referral management - Use the NHS number in all clinical correspondence

From April 2014, practices must include the NHS Number as the primary identifier in all NHS clinical correspondence issued by the practice whether in electronic form or otherwise, except in exceptional circumstances where the number cannot be ascertained.

Electronic appointment booking

Building on the Improving Patient Online Access Enhanced Service, GP practices are contractually required from April 2014 to promote and offer the facility for all patients who wish to book, view, amend, cancel and print appointments online. During 2014/15 all practices will have approved national software made available to them for patients to book and cancel appointments online. Whilst there is no requirement for practices to make a specific number of appointments available for online booking, practices may wish to consider reserving 20 per cent of appointments for online booking, although they should also take into account the characteristics of their population.

Online booking of prescriptions

Building on the patient online access ES, practices will be contractually required from April 2014 to promote and offer the facility for all patients who wish to order online, view and print a list of their repeat prescriptions for necessary drugs, medicines or appliances. During 2014/15 all practices will have approved national software made available to them for patients to request repeat prescriptions online. As well as requesting their repeat prescription medicines online, patients should be able to view and print a list of their repeat medicines.

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Interoperable records

Summary Care Record

GP practices are required to provide an automated upload of any changes to a patient's summary information, at least once every working day, to the Summary Care Record (SCR).

Practices should put these requirements in place as soon as possible after 1 April 2014 and must, by 30 September 2014, publicise its plans to achieve this requirement by 31 March 2015. Plans should take the form of a statement of intent made available at the practice premises and, if the practice has one, on its website.

The requirement is on the basis of the current definition of the SCR, i.e. the core SCR record contains medications, allergies and adverse reactions and uploaded on the basis of implied patient consent. Additional information can only be uploaded with explicit patient consent and should be information required to support patient care in an emergency or urgent situation.

The SCR should only be viewed in emergency or urgent care settings with the explicit consent of the patient unless the patient is unable to give their consent (for example if they are unconscious).

GP2GP record transfers

There is a contractual requirement to utilise the GP2GP facility for the transfer of patient records between practices, when a patient registers or de-registers (not for temporary registration).

Practices should put these requirements in place as soon as possible after 1 April 2014 and must, by 30 September 2014, publicise its plans to achieve this requirement by 31 March 2015. Plans should take the form of a statement of intent made available at the practice premises and, if the practice has one, on its website.

This requirement is subject to the resolution of outstanding issues with GP2GP, such as the safe incorporation of changes to the patient's record when they return to their originating practice

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Patient access to their GP record

From April 2014 GP practices are required to promote and offer the facility for patients to view online, export or print any summary information from their records relating to medications, allergies, adverse reactions and any additional information agreed between the contractor and patient.

Practices should put this requirement in place as soon as possible after 1 April 2014 and must, by 30 September 2014, publicise its plans to achieve the requirement by no later than 31 March 2015. Plans should take the form of a statement of intent made available at the practice premises and, if the practice has one, on its website.

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Data for commissioning and other secondary uses

It is already a requirement of the Health and Social Care Act that practices must meet the reasonable data requirements of commissioners and other health and social care organisations through appropriate and safe data sharing for secondary uses, as specified in the technical specification for care data.

System Requirements

The introduction of new GPSoC requirements from April 2014 will progressively introduce new functionality to GP systems across the whole estate, but it is recognised that not all systems will have the functionality to enable GP practices to comply with these contractual requirements from 1 April 2014. Working with system suppliers, practices will be expected to plan for the introduction of these new systems for their patients when the functionality is available. It is a contractual requirement that practices publicise their intentions for when such facilities are to be available to patients by 30 September 2014, in the form of a statement of intent made available at the premises and, if it has one, on the practice website and achieve that requirement no later than 31 March 2015.

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Prepared By Jean Keenan