Your Medical Records


Your doctor and other health professionals caring for you (e.g. nurse or physiotherapist) keep records about your health and treatment so they are able to provide you with the best possible care.These records are called your ‘Medical Record’.

Your Medical Record may be stored in paper form or electronically on computer databases, and can include information such as:
• Your name, address and date of birth
• Details of your next of kin or named emergency contact
• Details of your hospital appointments
• Notes about your health and any treatments and/or procedures you have undergone
• Test results – e.g. laboratory and X-ray results


How your Medical Record is used to help you


Your Medical Record is used to ensure that:
• Health care professionals looking after you have accurate and up-to-date information about you, to help them assess and decide on any future care you may require.
• We are able to assess how well you have been looked after
• Your concerns can be properly investigated should you make a complaint


How your Medical Record is used to help the NHS


Medical Records are used to assist with:
• Looking after the health of the general public – e.g. notifying central NHS groups of outbreaks of infectious diseases
• Reporting events to the appropriate authorities when we are required to do so by law – e.g. notification of births
• Paying your GP or hospital for the care you have received
• The audit of NHS accounts and clinical audit of the quality of services provided
• Reporting and investigation of complaints, claims and untoward incidents
• Service planning to ensure we meet the needs of our population in the future
• Preparing statistics on our performance for the Department of Health
• Reviewing our care to ensure that it is of the highest standard
• Teaching and training health care professionals
• Conducting health research and development
• Sheffield Teaching Hospitals NHS Foundation Trust is a research-active Trust involved in developing future treatments and care.

You might be asked to take part in a research study. If you are, the researcher will explain the study in detail to you, including why it is necessary and what it will involve. If you decide that you would like to be involved, you will be asked to sign a consent form. If you do not want to take part, this will not affect your treatment in any way.


How we keep your information safe


Everyone working for the NHS has a duty to keep your information confidential and secure.
However from time to time there may be a need to share some, or all, of your information with other health care professionals, NHS organisations or other qualified health care providers so that we can work together to obtain the best possible care.
We will only ever share your information if it is in the best interests for your care.
We will not disclose any information that identifies you to anyone outside your care team or your health care pathway without your express permission, unless we are required to do so by law or in the best interests of your continuing care.
 

Summary Care Record (SCR)


The Summary Care Record (SCR) is a web based application and facilitates the access to patient information held on the NHS Care Records Service (NHS CRS).

For a patient to receive the best care from the NHS it is necessary for their information to be available wherever and whenever it is needed. Electronically held patient information will be accessible whenever they present for treatment anywhere in England.

The Summary Care Record is available nationally to authorised healthcare professionals and is accessed using a smartcard.
http://www.nhs.uk/NHSEngland/thenhs/records/healthrecords/Pages/servicedescription.aspx
 

How you can arrange to see or have copies of your own Medical Records
 

 

The Data Protection Legislation (made up of the General Data Protection Regulation (GDPR) goes live on 25th May 2018, and the UK Data Protection Act 2018, which is currently awaiting Royal Assent) entitles you to view or obtain copies of the information contained in your Medical Records.
If you would like to see or obtain a copy of your Medical Records you will need to make a written subject access request, providing proof of your identity, to the Subject Access Request Team at The Royal Hallamshire Hospital or at Northern General Hospital. The application forms and addresses can be found below, and you can fill the forms in online or print them out for completion.
 

Please note that after the 24th May there is no charge for the time and administration involved except when additional copies of already supplied information are requested. The Trust will have 30 days to supply your information from receipt of your request
You should be aware that in certain circumstances your right to see some details in your health care record may be limited in your own best interests.


You have a right to request that any inaccuracies be corrected or annotated. Your family and friends are not allowed to ask to see your records without your written consent.


Contact details


The contact details for the Medical Record Subject Access Request teams are:
Medical Record Administration Office
Royal Hallamshire Hospital
Glossop Road
Sheffield
S10 2JF
Tel: (0114) 2713054.
Email: sht-tr.sars@nhs.net


Medical Record Administration Office

Northern General Hospital
Herries Road
Sheffield
S5 7AU
Tel: (0114) 2713054.
Email: sht-tr.sars@nhs.net


The Application Forms and guidance can be found HERE:
INFORMATION SHEET - GDPR v1
Application for Access to Health Records v2 ngh
Application for Access to Health Records v2 RHH

The member of Staff overviewing the Data Protection Legislation and the Trust approach to it is Peter Wilson, Data Protection Officer and Information Governance Manager.

Should you have any queries regarding data protection or information governance please contact him on 0114 2265151 or email gdpr@sth.nhs.uk or infogov@sth.nhs.uk

Address:
Data Protection Officer
Department for Information Governance, Caldicott & SIRO Support
2 Claremont Place
Sheffield S10 2TB

 

 
 

Additional Information

Why wait for an operator?

Our new telephone system connects you straight to the ward or department you need.

Simply call:
0114 226 9696
and then state the name of the ward or department when prompted.
 

 
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