The Individual Health Record (IHR) in Wales is a comprehensive view of patients GP record with some of the major clinical conditions, drug history and allergy information included. This record is currently viewed in Out Of Hours, Accident & Emergency and Medical Assessment units throughout Wales but is “view only” and protected by an audited “consent to view” model. Which means patients must give their consent to the practitioner to allow them to view their medical records.
The only additions to this record come from the GP practice. This information is particularly important during emergency admission so practitioners can see patient’s clinical conditions, the drugs they are on and any allergy information which may be crucial to the treatment the patient may need.
Patients can opt out of the IHR if they choose.
Patients may visit, telephone or write to the GP Practice indicating that they do not want an Individual Health Record; however it is advisable to discuss any concerns with a member of the practice team to make an informed decision. In the absence of the IHR, medical staff providing out of hours treatment or advice will only have access to the medical history and medication details that the patient can provide at the time. This may lead to difficulties in determining and providing the optimum treatment.
The following should be taken into consideration when making a decision:
- Only factual clinical information is shared.
- Any records of private discussion with the patient during a consultation are not shared.
After consideration if patients still wish to opt out please contact the practice.