WIBU to request a block on my medical records?

[ChangChang]

Ex SIL has started a job taking blood samples at the GP practice where I'm registered. Ex was abusive, and his family (I feel) are complicit in his treatment of me any two of my children (our eldest lives with his dad ☹️) AIBU to feel uncomfortable with the idea that she may have access to my medical records? WIBU to speak to the practice manager to find out, and request a block on her to preserve my privacy? I have some health concerns that I need to get checked out, but don't want my ex to know...

Not a problem for them to do this, and perfectly reasonable.

She will have full access to your notes. Are you sure they can block it though, not sure how they would be able to do this

As a phlebotamist she will have limited access to records BUT ask to speak to the pratcice manager, let them reassure you in general and discuss the possibility of an access block - it should be easily agreed to, it isn't unusual and it is possible that she should have / has requested it herself - if she is sensible!

I used to work in a hospital and I had access to everyones records. You weren't allowed to look up patients if you had no reason to but at the same time you could have if you didn't care about that. I think it might be a good idea to contact them if you think she has access to your records and no scruples.

Pretty sure that she would be in grave trouble if she accessed your notes, i think every time someone views your records it is logged.

Definitely speak to the practice manager, just say you feel uncomfortable with the idea she could see your private records.

Accio it should be posible, the PM just adds an exemption to the global a list - Access to all except [specific name]. It should be as easy as using the full Boolean search in Google, it's the same computer speak.

I'm a GP receptionist and I can confirm that she will be able to see all your consults, reason being is that's where the GPS record what bloods need to be taken and therefore the nurse needs to access this to check.

The systems just about work therefore can't see how this can be blocked there is no procedure or ability to do this. Also if your a patient under the same Gp she works for then yes she can access your notes at anytime. Btw nobody checks that shot

Not at my surgery and we use the same system as a lot of other surgery's.

Do you really think given the current stress and pressures on services that someone sits and checked all the millions of records to see who staff accessed, no they really don't.

Speaking as a nurse, if I look up records that I have no need to be looking in including family and friends I could loose my registration let alone my job.
There was a case of a hospital receptionist who lost her job through looking at a famous singers notes who had been seen in a different department of the hospital.

She won't be able to access it if she is not the nurse under your Gp. For example there is two different doctors in my office and I can't access the other doctors patients and vice versa and can't access past or transferred patients without a warning sent to the PM

Pp hospital situation may be different and stricter but op is talking about her own GP surgery in which a nurse needs to access the records on a daily basis. If op is under her patient list then she's free to access it.

The systems just about work therefore can't see how this can be blocked there is no procedure or ability to do this. Also if your a patient under the same Gp she works for then yes she can access your notes at anytime. Btw nobody checks that shot

I have a vague memory that, procedure or not, that it it possible. But you are right. The 'delicacy' of the system probably makes it unwise to tamper with it.

And I know that any checks are utterly random and/or are only made if suspicions are aroused. The ICO gave a hefty warning to the NHS as a whole last year but very few people are taken to court, let alone prresucted when caught!

Thanks all for your thoughts - I definitely think she's the type to take a chance. Thought I might be being daft / paranoid, but I'd rather come across that way than avoid going to the doctor's!

I have often worried about this, but in a slightly different context.
Would it be possible for a friend of mine who is a GP in a different NHS Trust to read my DD's medical notes? Her son is a friend of my DD and she sometimes asks very personal questions about my DD's condition. Would she be able to access her file to satisfy her curiosity? I know she's not supposed to, but is it possible?

She should only be able to access the medical records of those patients she is taking blood from. Any unauthorised will be flagged up. If in doubt change surgery's.

@RelaisBlu The answer is no. One GP service can not access another Gp services patients, consults or notes

@Sunflowers211 it's Not unauthorised at all because it's a current patient of the Gp practice, why does no one understand this. If they are a patient then notes can be accessed at anytime.

@RelaisBlu that wouldn’t be possible unless someone at the practice cared for your dc so they were registered there or a sharing agreement existed. Even then it should be direct care, and audit trails of that are visible should be checked by practice managers and if you have pt access you could see the shared record had been viewed - with names and date/time stamp.

Op it isn’t possible to lock staff out of one record, there are options but this isn’t one of them.

I work for NHS department, and certain patient records are set so that if they are accessed by anyone not on a pre-approved list then management are alerted.

In a previous role staff accessing patient records was regularly audited and severe reprimands given for breaches

If there is another surgery in your area it might be worth moving?

Depends what system. SystmOne you can block individuals from accessing certain records easily

My daughter's MIL and Sil work at our Drs surgery, I'm sure they have seen our notes, but they would be in the shit if they told anyone else anything about you.

I was a senior nurse in general practice.
I was able to access all patients in 15 different GP practices using 2 different systems, all via my computer card. It is extremely easy to set up the necessary permissions when producing the card.
OP, speak to the practice manager and share your concerns.
The PM is the only person who can help you with this.

@RelaisBlu

Unlikely

I had a block on my notes as my Mum was. GP at our local practice and although we have a fantastic relationship I didn't want her being able to access everything. I remember it being fairly straightforward.