I'd be a good example of who might need to access records.
I used to live on the border so while my gp and normal team was one trust, my nearest a+e worked for a completely different trust. Ive previously been in a situation where ive been in an ambulance begging them to take me to a further away hospital so they could see all my notes
Equally when I was hospital my notes would have been accessed by all sorts because I went in via a+e, went to several wards, got transferred hospital but also was seen by multiple teams in the hospital eg imaging, bloods, salt, physio etc
I have a role where I would have access to mental health notes to every single person in my county which is needed. When I need to access something the system is unsure of, it asks me why.
Every single click i make is recorded and can be used in investigations. While paper notes were open to less people, they had no audit trail.
While the system notices odd patterns, it cant automatically recognise whos your neighbour, cousin or high-school enemy. We have previously put flags on highprofile patients that question everyone accessing