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EMIS is one of the suppliers approved by the GP Systems of Choice and so funded by the NHS. Through its Patient Access service, EMIS was the first clinical system providers to enable patients to book GP appointments online and order repeat prescriptions. [11] Patient Access also enables patients to access their own records online. [12]
In 2019 only 10% of NHS trusts claimed to be fully digitised. The NHS Long Term Plan requires all hospitals to move to digital records by 2023, so clinicians can access and interact with patient records and care plans wherever they are. As of 2019, 62% of trusts have plans to digitise all their patient records. [11]
The Access to Health Records Act 1990 gave them the right to inspect their own records. The Data Protection Act 1998 and the Data Protection Act 2018 apply to medical records as to other records. Only 3% of GPs in England offered online record access in October 2014 to patients although all of them were expected to by April 2015. [3]
TPP are involved in the development of electronic patient record systems converting large numbers of paper records into digital form. [2] This enables GPs, community services and care homes to share access to records, with the patient's consent, enabling the ordering of clinical tests and medication without the need to visit the institution.
The terms EHR, electronic patient record (EPR) and electronic medical record (EMR) have often been used interchangeably, but "subtle" differences exist. [6] The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations.
Health information management's standards history is dated back to the introduction of the American Health Information Management Association, founded in 1928 "when the American College of Surgeons established the Association of Record Librarians of North America (ARLNA) to 'elevate the standards of clinical records in hospitals and other medical institutions.'" [3]
A number of pilot schemes followed, in the primary care trust areas of Bolton, Bury, South Birmingham, Dorset, South West Essex, and Bradford & Airedale. In response to a freedom of information request, the Department of Health revealed that, as at 24 April 2009, 258,488 patients' clinical records had been updated to form Summary Care Records.
Sue Arnott a GP serving 5,000 patients in Shotts, Lanarkshire began using askMyGP in 2018 after two colleagues at the practice retired. [6] In November 2021 she temporarily shut down the askMyGP service, and reportedly 70% of patients were managed online and some were receiving insufficient treatment.