Ever wondered why, when you visit your GP or a hospital, you find yourself having to answer the same old questions over and over – questions like what medicines you take and whether you have any allergies?
The reason is because different health and care providers use different computer systems to record your details. Because these systems don’t talk to each other, the organisations looking after you can’t see the information each other holds on you.
But that is set to be a thing of the past, with the introduction of One Health and Care, a confidential NHS shared care record for the Black Country and West Birmingham, and neighbouring areas.
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A NHS shared care record (ShCR) is a way of bringing together all your separate records from the different organisations involved in your health and care.
It will let the professionals who are directly involved with your care see relevant information about the care and treatment you’ve had across all services, in all parts of the Black Country and West Birmingham.
This means you only have to tell your story once, and our local health and care professionals have instant access to all the information they need to treat you in the fastest, safest and most effective way.
One Health and Care is the name of our local NHS shared care record (ShCR). It is already up and running in our neighbouring areas of Shropshire Telford and Wrekin, and Staffordshire and Stoke-on-Trent. This means that if you’ve previously had treatment in these areas, any professional who is caring for you will be able to see that information too.
Looking ahead, there are plans to join up One Health and Care with other local ShCRs, making a comprehensive ShCR for the West Midlands.
The first phase of One Health and Care in the Black Country and West Birmingham will allow health and care professionals to view appropriate information contained in:
your GP practice medical record
information from secondary care, including hospitals, mental health and community services
radiology and pathology results
social care information such as care plans and wishes.
Being able to see this information will help them give you the best care as quickly as possible without having to make phone calls or wait for other organisations to forward details on.
Some administrative and secretarial staff will also be able to see information so they can support the professionals, for example by sending you an appointment letter.
All staff must follow the law on keeping your information confidential. Each time they look at your records this will be recorded to make sure they’re only looking at the right information, for the right reasons.
We’ll bring together information from GPs and allow it to be seen by health professionals in hospitals, including emergency departments. And we’ll be adding information from community and social care, ambulance and NHS 111 services.
There are strict rules around how we use your information. Your data will only be managed and viewed in line with legal requirements, including UK data protection legislation (DPA 2018 and superseding legislation). Official inspections, or audits, will be carried out to check this is the case.
In the longer term, selected information will be used confidentially to help services understand local health and care needs and find the best ways to meet them. This is not coming in right away, we’ll tell you when it does, and you will have the option to opt out of this part without affecting your care.
GDPR Article 6 (1)(e) – processing is necessary for the performance of a task carried out in the public interest or in the exercise of official authority vested in the controller. N.b. Public authorities will need to justify why processing is necessary to carry out their functions if using Art 6. (1) (e).
GDPR Article 9(2)(h) – processing is necessary for the purposes of preventative or occupational medicine, for assessing the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or management of health or social care systems and services on the basis of Union or Member State law or a contract with a health professional.
As reinforced by:
DPA 2018 Schedule 1, Part 1 (2) – (1) condition is met if the processing is necessary for health and social care purposes, (2) means the purposes of (c) medical diagnosis, (d) provision of health care or treatment, (e) provision of social care and (f) management of health care systems or services or social care systems or services.
Additional lawful basis that OHC Partners may rely on in specific circumstances:
Emergency situations where the data subject is incapable of giving consent to treat:
- GDPR Article 6(1)(d) – processing is necessary in order to protect the vital interests of the Data Subject or of another Natural Person.
- GDPR Article 9(2)(c) – processing is necessary to protect the vital interests of the Data Subject or of another Natural Person where the Data Subject is physically or legally incapable of giving consent.
Safeguarding of vulnerable adults and children:
- GDPR Article 6(1)(c) – processing is necessary for compliance with a legal obligation to which the Controller is subject.
- GDPR Article 9(2)(g) – processing is necessary for reasons of substantial public interests, on the basis of Union or Member State law which shall be proportionate to the aim pursued, respect the essence of the right to data protection and provide for suitable and specific measures to safeguard the fundamental rights and the interests of the Data Subject.
Staff Data Processing:
- Access control and audit logs of user credentials used for authentication purposes
- GDPR Article 6(1)(b) – processing is necessary for a contract to which the Data subject is party or in order to take steps at the request of the Data Subject prior to entering into a contract.
The organisations currently taking part in the programme are local health and care services:
GP practices in the Black Country and West Birmingham
The Dudley Group NHS Foundation Trust
Sandwell and West Birmingham Hospitals Trust
Walsall Healthcare NHS Trust
Royal Wolverhampton Hospitals NHS Trust
Black Country Healthcare NHS Foundation Trust
Dudley Integrated Health and Care Trust
Dudley Metropolitan Borough Council
Sandwell Metropolitan Borough Council
Walsall Metropolitan Borough Council
Wolverhampton City Council
West Midlands Ambulance Service.
Health and care organisations in the neighbouring areas of Staffordshire and Stoke-on-Trent, and Shropshire Telford and Wrekin, will also be able to view your information for the purpose of giving you direct care should it be necessary.
You don’t need to do anything. For anyone aged 18 or over who is registered with a GP in the Black Country and West Birmingham, the change will take place automatically when we switch on the shared care record across the organisations taking part in the programme. We’ll update the list of organisations over time to reflect any changes that may take place.
The benefits to you include:
not having to repeat your details every time you need care
better and potentially faster treatment as the professionals caring for you will be able to quickly see your records
not having to explain your social care support to health professionals
clinicians being able to see what medications you’re taking, what you’ve taken in the past, and if you have any allergies – making your treatment safer.
Yes – you have the right to object at any time. We don’t recommend this, as it could affect your care in the long term if information is not easily available when needed, for example if you are admitted to a hospital emergency department and are too unwell to answer questions about things like your allergies and medications.
Objecting will mean the services giving you care will be unable to view your records from other services.
However, the decision is entirely yours. If you do want to object, visit our Your data, Your rights page to learn more.
Our Fair Processing Notice sets out in detail the types of information that is recorded about you, why this is necessary and the ways in which this information may be used. Read the Fair Processing notice here.
You’ll find lots more information in our frequently asked questions. These will give you answers to some of the things you might still want to ask after reading our Fair Processing Notice. They’ll also cover new developments with the shared care record as and when they happen, explaining what these mean for you.
If you’re unsure about anything, or have any questions we haven’t answered in the FAQs, please contact our Time2Talk team:
- Telephone: 01216124110
- Email: email@example.com
- Post: Time2Talk, Black Country and West Birmingham CCG, Civic Centre, St Peter's Square, Wolverhampton, WV1 1SH
You can also contact us if you need this information in an alternative format, for example, braille, audio, easy read or your spoken language.
List of pages
One Health and Care: Fair processing notice
The One Health and Care fair processing notice explains in detail the types of information that is recorded about you by the NHS and some of its partner organisations, why this is necessary and the ways in which this information may be used.
Frequently asked questions
Here you will find a list of frequently asked questions and answers about One Health and Care
Your data, your rights
Information about how to object to inclusion in One Health and Care
Fair processing campaign
Information about how the NHS and partners are making local people aware of One Health and Care