General practitioner England Practice manager Contract

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GP contract IT requirements

A number of IT-related changes became part of the GP contract from April 2014.

Read the guidance on the IT changes in 2014-2015 (Go to Page 13)

Implementation will be informed by the Royal College of General Practitioners' Patient Online: The Road Map.

Read the RCGP road map

 

Patient access to their GP record

GP practices are now required to promote and offer the facility for patients to view online, export or print any summary information from their records i.e. medications, allergies, adverse reactions and any additional information agreed between the GP and patient.

Practices should put this requirement in place as soon as possible ahead of the deadline of March 2015 and must publicise plans to do so. Plans should take the form of a statement of intent made available at the practice premises and, if the practice has one, on its website.

 

Referral management

GP practices are now contractually required to include the NHS Number as the primary identifier in all NHS clinical correspondence issued by the practice whether in electronic form or otherwise, except in exceptional circumstances where the number cannot be ascertained e.g. when the patient is seen urgently at home.

 

Electronic appointment booking

GP practices are now contractually required to promote and offer the facility for patients to book, view, amend, cancel and print appointments online. During 2014-2015 all practices will have approved national software made available to them to enable this.

 

Online booking of prescriptions

GP practices are contractually required to promote and offer the facility for patients who wish to order online, view and print a list of their repeat prescriptions for necessary drugs, medicines or appliances. During 2014-2015 all practices will have approved national software made available to them to enable this.

 

Interoperable records

Summary Care Record

GP practices are required to provide an automated upload of any changes to a patient's summary information, at least once every working day, to the Summary Care Record (SCR).

Practices should put these requirements in place as soon as possible ahead of the 31 March 2015 deadline and must publicise its plans to do so. Plans should take the form of a statement of intent made available at the practice premises and, if the practice has one, on its website.

The requirement is on the basis of the current definition of the SCR, i.e. the core SCR record contains medications, allergies and adverse reactions and uploaded on the basis of implied patient consent. Additional information can only be uploaded with explicit patient consent and should be information required to support patient care in an emergency or urgent situation.

The SCR should only be viewed in emergency or urgent care settings with the explicit consent of the patient unless the patient is unable to give their consent (for example if they are unconscious).

 

GP2GP record transfers

There is a contractual requirement to utilise the GP2GP facility for the transfer of patient records between practices, when a patient registers or de-registers (not for temporary registration).

Practices should put these requirements in place as soon as possible ahead of the March 2015 deadline and must publicise its plans to do so. Plans should take the form of a statement of intent made available at the practice premises and, if the practice has one, on its website.

This requirement is subject to the resolution of outstanding issues with GP2GP, such as the safe incorporation of changes to the patient's record when they return to their originating practice.