Policies and Guidance
We are a member of the Therapeutics Advisory Group, the area prescribing committee that recommends the circumstances in which medicines should be used within the local health economy. This includes medicines recommended for use by NICE.
East Coast Community Healthcare (ECCH) is committed to providing our patients with the appropriate medicines.
NICE guidance is reviewed by the ECCH Clinical Quality Manager and Integrated Governance Committee, and relevant medicines issues, including formulary discussions are referred to the ECCH Medicines Management Group.
All services within ECCH follow the NHS Great Yarmouth and Waveney Clinical Commissioning Group Formularies (antibiotic formulary, mental health and palliative care formularies and other therapeutic areas).
It's often important for information to be shared within a healthcare team in order to provide you with the best care. All employees working in the NHS are bound by a legal duty of confidence to protect personal information they access in the course of their work.
Work is always ongoing to improve the way that medical records are made available to treating clinicians. At ECCH, our main computer system is called SystmOne.
Enhanced Data Sharing Model (EDSM) enables us, with your consent, to share your medical records with those in the NHS who are involved in your care. Your express consent will be asked for and obtained where possible. NHS staff can only access shared information if they are involved in your care and being an electronic service an audit log is maintained showing when and who has accessed medical records.
EDSM does not enable patient records to be used for research or other purposes.
We already share records of children for child protection reasons. This helps clinicians to make decisions based upon a wider knowledge of the patient and also helps to reduce the number of times that patients or family members are asked the same question In short it assists clinicians to provide more 'joined up' care.
If I agreed, who could see my records?
EDSM will allow clinicians treating you, who have access to SystmOne, to view and in some cases update your medical records. Locally this includes our GP surgeries, some departments at local hospitals and community services, such as the District Nursing Team.
Clinicians outside of East Coast Community Healthcare who wish to access your medical records will ask for your consent to do so and will need to have been issued with an NHS Smartcard. This is a ’chip and pin’ card, similar to a bank card.
Can I ‘opt out’ pick and choose who sees my record?
Yes, you can. Under EDSM there are two levels of consent. The first is to agree to sharing your medical records OUT. This is your agreement that records maintained by your clinician can be seen, subject to your authority at the time, by other health professionals providing you with care. The second is agreeing to share your records IN. This means that your clinician can see the records made by other health professionals who have access to EDSM.
However, as the treating clinician needs to ask your permission to see the records at the beginning of each period of care, you are in control of who can see your medical information.
As EDSM has been designed to enhance patient care we will automatically 'opt you in' to both parts of the scheme. If you prefer not to be, please mention it to your clinician. You are free to change your mind at any time
I can see the benefits of the other people treating me seeing my notes, but what if there is a matter that I want to stay just between me and my clinician?
You can ask for any consultation to be marked as private, this means that viewing is restricted to the organisation, but allows the rest of the record to be viewed by whoever else is treating you. It is your responsibility to ask for a consultation to be marked as private.
Haven’t I agreed/disagreed to do this before?
EDSM may seem very similar to patients as the Summary Care Record which came into use some years ago. The Summary Care Record contains only a very small part of your record that is available to be seen by clinicians who might be treating you in A+E departments, Walk In Centres or if you register temporarily somewhere else within the UK.
The Summary Care Record allows other NHS Services to see your current medications and the drugs that you are allergic or sensitive to. Your Summary Care Record can be enriched by your GP to include information that it is important to pass on in the case of an emergency.
Can I change my mind?
Yes, you can always change your mind and amend who you consent to see your records. Just contact your clinician to advise that you have changed your mind and they will update your record.
If I decline—what happens in an emergency?
In the event of a medical emergency, for instance if you were taken unconscious to A+E, and the clinician treating you feels it is important to be able to see your medical records he is able to override any consents set.
However, the doctor has to give a written reason for doing so. Where this happens an audit is undertaken by the local Caldicott Guardian (the person with overall responsibility for Data Protection compliance).
Can anyone else see my medical records?
We can get requests from Insurance Companies to either have copies of medical records or excerpts from patients’ medical records. This requires your signed consent.
Occasionally we are asked for information from the medical records for legal reasons. Again this has to be done with your written consent or, in very exceptional circumstances, by court order.
If you have any questions, please speak to a clinician. If necessary the clinician will arrange for someone to give you a call.
Information about how ECCH manages, processes and protects information about you can be found in our privacy notice and fair processing leaflet (you can find these below). It also tells you about your rights under the data protection act.
In addition each of our services has its own privacy notice.
On this page you will find a selection of ECCH clinical policies. This list is updated and extended as policies come up for review.
The NHS is accountable for delivering safe, high quality care to patients. This duty is underpinned by the NHS Constitution that all providers of NHS services are legally obliged to take account of quality. This means that all care provided must be safe and effective which, in turn, will result in a positive patient experience.
Some patients may be unable to defend their rights and protect themselves from abuse, neglect or harm. These patients may be the most vulnerable and have the greatest dependency on services but be unable to hold those services to account for the quality of care delivered. The NHS has a clear responsibility to ensure that those patients receive high quality care and that their human and civil rights are upheld – including the right to be safe.
The Government has issued the document 'What to do if you’re worried a child is being abused' for anyone whose work brings them into contact with children and families, including those who work in early years, social care, health, education (including schools), the police and adult services.
You can also view ECCH's safeguarding children policy and safeguarding adult policy.
For advice and support contact the Multi-Agency Safeguarding (MASH) Hubs for your area. They are teams of professionals from a range of agencies brought together to ensure all safeguarding concerns are dealt with in the most effective way.
Suffolk Multi Agency Safeguarding Hub
For more information on the Suffolk MASH visit www.suffolk.gov.uk/MASH
Suffolk MASH Professional Consultation Line: 0345 6061499
The MASH Professional Consultation Line is for practitioners to gain advice and guidance on all safeguarding issues. The MASH will offer the most appropriate and effective way of providing or obtaining help and support for a child or adult that may be at risk of abuse or neglect.
Norfolk Multi Agency Safeguarding Hub
Tel: 0344 800 8020
If you are worried that a child, young person or adult is at risk of abuse, harm or neglect, please contact:
Norfolk: Care Connect: 0344 800 8020
Suffolk: Customer First: 0808 800 4005
Every Local Authority has a Local Safeguarding Children Board in place to make sure that children are protected from harm and that their welfare is promoted. The Norfolk Safeguarding Children Board and Suffolk Safeguarding Children Board are independent organisations that make sure people working with children carry out their safeguarding responsibilities as required by the law.
Modern Slavery and Human Trafficking
ECCH fully supports the Government's objectives to eradicate modern slavery and human trafficking and recognises the significant role we play in its prevention. In particular, we are strongly committed to ensuring our supply chains and business activities are free from ethical and labour standards abuses, as set out in our Modern Slavery and Human Trafficking Statement 2017/18.