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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

NHS won't show me my notes

221 replies

SnowWhiteAndTheTwoKids · 21/08/2023 18:34

I've had day surgery today, just a local anaesthetic, nothing major, it was done in 15 minutes. After the operation they said there were no doctors around to do my discharge paperwork so they would post it to me. They asked if I was okay with that or did I want to wait an unknown amount of hours for the paperwork. I said I was happy to get the paperwork in the post but please could I just have a quick look at my file? Nurse said "No, the notes are confidential." I said I just wanted to have a quick look at the info the consultant had added to my file and would give it right back to her. She went off and checked with a senior nurse then came back and said I would need to make a formal information request to see my file.
Why on earth would they be so cagey about this? When I gave birth I was given my notes to look through and it was all very transparent.
YABU - you should trust the NHS and not ask to see your notes.
YANBU - you should be able to read notes about yourself after an operation with wasting more NHS resources on a freedom of information request.

OP posts:
MrsCoconut · 21/08/2023 20:47

I had to ring up my gp & put in a request to see my medical record/notes. He then phoned me back and went through the notes with me. I’m glad he did - there was a random entry from 12 years prior saying I was allergic to something I definitely wasn’t allergic to, it said I had ‘a severe reaction’
It didn’t say who entered it either. Apparently, when changing gp practices, they used to copy notes over by hand, so doc put it down to human error and it was removed from my file.

caerdydd12 · 21/08/2023 20:47

Brefugee · 21/08/2023 20:45

but why? if you only have to do an SAR and you can see them, what is the issue around you using the actual words, and them showing you the actual file?

Because any data that references other people needs to be redacted first. Any comments, for example, made by an adult child about their parent if concerned about dementia etc would be redacted.

summertoautumn · 21/08/2023 20:49

@caerdydd12 but technically you could argue that's their data if it both identifies and relates to the patient themselves. Opinions can be personal data

XenoBitch · 21/08/2023 20:49

JusthereforXmas · 21/08/2023 20:46

If the are competent enough to ask questions (like to see their note) they are deserving of being able too.

The only ableism is coming from you here.

Did you see the previous post from the therapist, and how her clients could be retraumatised by reading their notes?

SnowWhiteAndTheTwoKids · 21/08/2023 20:50

Upsizer · 21/08/2023 20:43

Notes often contain references to other people (eg your spouse or children) which might need to be removed. Also mental health records need to be heavily redacted often if you have mentioned other people. Also safeguarding: your husband might have said something to your care giver which is on your file (eg he thinks you are a risk to yourself) and if you knew that, you would kill him….

While one clinician might think your notes are ok, it’s not their job to sign it off - that goes to someone who has the responsibility for any fuck-ups that occur once the notes are released.

Thanks Upsizer...these examples absolutely make sense.
In my case I just wanted to know how the hell I was meant to look after my wound as no one was there to discharge me!
Yes, I'll get the discharge notes in the post in about 2 weeks, or I could contact my GP who will have have availability to speak to me in 4 weeks time by then my hand might have fallen off but as long as my data is secure I'll be very happy! 🤣 I get the rules but given the circumstances you would think a little common sense would be helpful.

OP posts:
RichardMarxisinnocent · 21/08/2023 20:51

Brefugee · 21/08/2023 20:45

but why? if you only have to do an SAR and you can see them, what is the issue around you using the actual words, and them showing you the actual file?

Because that's what the law says. You just verbally asking, and the notes being handed over would be breaking the law. And as I've already posted it doesn't just apply to the NHS, nor is it just a UK thing.

caerdydd12 · 21/08/2023 20:51

JusthereforXmas · 21/08/2023 20:46

If the are competent enough to ask questions (like to see their note) they are deserving of being able too.

The only ableism is coming from you here.

Absolutely not, not a single thing I've said is ableist. Being competent is subjective and it is not something any random HCA or nurse is qualified to make a snap judgement on based on potentially short meeting. Many people with dementia, for example, can come across extremely "competent" until a trigger changes things. An elderly patient may seem absolutely fine but end up in hysterics reading the words "benign tumour" thinking they have cancer. The fact is you don't own your patient data and there are processes in place to protect the vulnerable and those mentioned within notes, other than the patent, as they're entitled to confidentiality too.

Rewis · 21/08/2023 20:52

It's been a minute when I've worked in patient care but we kept 2 sets of notes. One was the official notes that the patients were entitled to and then the other one was gor generic thoughts about the patients day that was only for the hospital staff when you were unable to inform your Colleagues due to shift change etc.

caerdydd12 · 21/08/2023 20:53

summertoautumn · 21/08/2023 20:49

@caerdydd12 but technically you could argue that's their data if it both identifies and relates to the patient themselves. Opinions can be personal data

You can try and argue it but you'd be wrong in the eyes of the law. Patient data isn't even owned by the patient, you have a right to view it upon request but you don't own the data. Someone else's opinion of you isn't your personal data, it's just their opinion.

RichardMarxisinnocent · 21/08/2023 20:55

OP if all you needed to know was how to look after your wound, could one of the nurses not have advised you on that?

becksbeer123 · 21/08/2023 20:56

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becksbeer123 · 21/08/2023 20:57

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stayclosetoyourself · 21/08/2023 20:58

I think the nurse could have asked the senior nurse to summarise / read out what was written. I think it would have been better to wait for the discharge note or say you'll call back for it tomorrow? Were they giving you any meds?

stayclosetoyourself · 21/08/2023 21:02

Anyway I hope you u are feeling well tonight x

summertoautumn · 21/08/2023 21:03

@caerdydd12 have you actually read the ICO guidance on personal data? It's not about owning it, it's about right of access and the ICO specifically say opinions can be personal data l

SnowWhiteAndTheTwoKids · 21/08/2023 21:05

RichardMarxisinnocent · 21/08/2023 20:55

OP if all you needed to know was how to look after your wound, could one of the nurses not have advised you on that?

The nurse was very sweet and made a lovely cup of tea but didn't fill me with confidence. She gave me a useless piece of paper (which she read out loud to me - struggling with the word 'convenient') with typed information, some of this contradicted what the surgeon had said. I wanted to read my notes to double check the consultant's follow up advice.
Number 2 on the sheet says: Treat as you would a cut. I wanted some more detailed info!
Also, see previous post about no painkillers or dressings.

OP posts:
caerdydd12 · 21/08/2023 21:06

summertoautumn · 21/08/2023 21:03

@caerdydd12 have you actually read the ICO guidance on personal data? It's not about owning it, it's about right of access and the ICO specifically say opinions can be personal data l

You do have right of access, I've explained this, you just have to follow the process of formally requesting them. You don't have right of immediate access. By pointing out that you don't own the data I haven't said otherwise, but many posters have complained that they have a right to "my data" and I'm highlighting it isn't actually their data.

Opinions can be personal data, but in terms of medical data, a non medical opinion isn't usually included because they would be failing to provide confidentiality to the opinion holder.

SnowWhiteAndTheTwoKids · 21/08/2023 21:08

Doctor said I would be given meds but nurse said I hadn't been prescribed any so tough luck. DH was downstairs waiting for me with 2 DC so I wasn't prepared to wait an unknown amount of time for discharge doctor to appear. She said it could be 2+ hours...

OP posts:
fuckmyuteruslining · 21/08/2023 21:08

The notes aren't for you. They are for the hospital so they have a record of your care. You can view that if you apply to do so. Wound care should be in the discharge letter. The nurse was right and you're wrong I'm afraid.

fuckmyuteruslining · 21/08/2023 21:09

And the reason the wait for the discharge doctor is so long is because they have too many patients and not enough time.

Pollyputhekettleon · 21/08/2023 21:12

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It's none of their business whether we understand what we're reading or not. Their job is not to protect us from reading things we may not understand. Some of us are also not completely stupid and perfectly capable of understanding it.

stayclosetoyourself · 21/08/2023 21:15

If it makes any better sense or reduced that feeling of being excluded, we are not allowed to access our own blood results or information. We would be disciplined.

becksbeer123 · 21/08/2023 21:15

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becksbeer123 · 21/08/2023 21:16

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Snowcloud92 · 21/08/2023 21:16

Belladonna56 · 21/08/2023 18:58

Someone said recently that the NHS is a highly patriarchal institution, which has a tendency to infantalise patients.

This struck me as being largely true. Of course you should have access to your notes. How can notes on your own body be 'confidential?'

Of course they can. Just like you have to submit a written request or pay to see the records a bank or company hold about you. The information is about you and relating to you but it is not yours. Therefore there are standard protocols in place.