Patient Access is a web tool that allows you to access certain services online.

Standard Access includes arranging appointments, ordering repeat medication, and updating your details.
Enhanced Access further allows patients over the age of 18 to look at their Detailed Coded Record.
Proxy Access allows someone trusted to access the record of a person they support.

Registering for standard access

Standard online services access allows you to order repeat prescriptions, book and manage some appointments, and view your allergies and immunisation history.

Initial set up takes about five minutes online (you can do it here), but to view more than your contact details or book one appointment we must first verify your ID.


Standard Access for yourself

Please be aware that you will not be able to request repeat medications straight after registering unless you have been specifically told you can. If you need your prescription quickly please make other arrangements, remembering that we cannot take requests for repeat prescriptions by phone.

To register online go https://patient.emisaccess.co.uk. You will be asked to create a password; this must have a minimum of eight characters and include at least one number. You will then be asked to set up two security questions. Please note that this method of access gives restricted access until you prove your identity in person at the practice and that you will not be able to order repeat prescriptions until we have checked your ID documents. Please see Verifying your identity to find out what documents you must provide.

However you register please be sure that only you are able to see your online record. If you wish to give a trusted family member or carer access to your account so that they can order your repeat medications or book appointments online, please see 'Proxy access' below.

Standard Access for parents

Children aged 0-10 years

If you wish to register on behalf of your child aged 0-10 years to order repeat prescriptions, manage appointments, and view medications or immunisations history, please apply online as you would for yourself but please read the specific requirements for parents on our identity verification page.

Children aged 11-15 years

We do not offer access to online services or the medical record of young people aged 11-15. From their 11th birthday, access to a child's online record is switched off and neither the child nor the parents can access these services. As the child approaches their 16th birthday we will invite them to register for online services in their own right. The practice does not offer online services to patients aged between 11-15 years.

Respecting patient confidentiality is an essential part of good care. This applies to every patient: child, young person, or adult. Without the trust that confidentiality brings, children and young people might not seek medical care and advice when they need it most, or they might not tell a doctor all the facts needed to provide good care. The same duties of confidentiality apply when using, sharing or disclosing information about children and young people as about adults. Although someone with parental responsibility can seek access to a child's medical records, if there is information given by the child or young person in confidence this would not normally be disclosed without their consent. In giving those with parental responsibility online access to their children’s records there is a risk that we could breech the confidentiality of the child.

For this reason, the doctors at Didcot Health Centre have decided to adopt the policy that parents of children aged 11 years or more cannot currently have online access to their child’s records, nor do we allow children in this age group to access these online services for themselves.

You can still of course apply to view your/your child's medical record, just as before. Please ask Reception for details of how to apply.

Young people aged 16-17 years

Once a young person reaches the age of 16 it is reasonable to assume that most are competent to access their own records or appoint a proxy such as their parents to do so, although this may not be the case for patients with learning difficulties or some other disabilities. In such cases a Mental Capacity assessment may be conducted by the GP.

Requests for proxy access to the record of a patient aged 16 or 17 are treated the same as for an adult (see Proxy access to your own record below).

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Enhanced Access


Before applying for Enhanced Access all patients are required to read this information leaflet regarding the service.

In addition to the services offered by Standard Access, Enhanced Access allows you to see more of your medical record online, which you may find helpful for example in managing a medical condition. It also means that you can access your record from anywhere in the world should you require medical treatment on holiday. The NHS sets out the contractual requirements for the Practice in terms of what patients are able to see, and Didcot Health Centre complies with these current requirements.

Enhanced Access enables you to see online your Detailed Coded Record - a record of your medical history including test results, details of medications you have been prescribed, referrals, and a coded entry of consultations and diagnoses. Please note, at present this does not mean you can see your entire medical record.



Applying for Enhanced Access for yourself

You may have already signed up to online services such as repeat prescriptions requests. If so, and you wish to view more of your medical record, you are required to complete the separate Enhanced Access - application for self form. You can download this from the menu on the right of this page, or you can pick up an application from Reception. Once submitted and following verification of your ID, your application will be reviewed at the practice by a doctor. Each application will be considered individually, with consideration for your best interests as a patient. The whole process can take up to 21 days and in some instances may take longer, so please be patient.

If you decide not to sign up for this service, or if you decide to withdraw from it, it is entirely your choice and practice staff will continue to treat you in the same way as before. This decision will not affect the quality of your care.


Proxy access - allowing someone else to view your record

If you are registered for Online Services we urge you not simply to share your login details with another person as this may give them access not just to your repeat medications and current appointments, but to your medical history.

Proxy access to your own record

You may find it helpful if someone else, usually a family member, close friend or carer, has online access to your GP record so that they can book appointments for you, order repeat prescriptions, or even to access your detailed care record on your behalf to help with your care. This is called proxy access.

Please note that as yet (November 2016) the clinical records system that we use at Didcot Health Centre does not allow online formal proxy access to another patient's record for more than 24 hours. Provided you are already registered for Online Services yourself, you can enable 24 hour access for someone else through a link in your own login. You can find out more about 24 hour proxy access and how to set it up here

However we can consider proxy access to the GP record we hold here for any patient who is, in the opinion of their usual GP, freely able to give their fully-informed consent for their nominated proxy. If you are the patient and you wish to do this, you should complete the Proxy access application form and return it to your usual GP to formally request this. Your GP may wish to discuss the matter with you before consenting.

Proxy access for parents/carers applying on behalf of a patient

For children aged 0-10 years

A parent, guardian, or carer with proxy access will be able to book appointments and order repeat prescriptions for the child, and will also have access to the elements of the child’s patient record that have been released for online access. The parent must show proof of ID and proof of parental right e.g. full birth certificate, at the time of requesting proxy access for their child. See www.didcothealthcentre.com/idcheck or ask at Reception for information about ID checks.

Please note that we are only allowed to enable proxy access to a child's record if you are able to prove your parental rights. Furthermore, if there are any limitations regarding parental access to the child or their information imposed by a Court or Social Services it must be declared, and the application may be declined.

Any requests from parents or carers of children under 11 years of age for access to a child’s Detailed Coded Record must be authorised by a GP. You should apply using the form 'Parental access to the record of a child under 11'.

To apply for standard access for your child (i.e. to view appointments and repeat prescriptions) see Standard Access for parents above. 

For children aged 11-15 years

From their 11th birthday, access to a child's online record is switched off and neither the child nor the parents can access these services at either standard or enhanced level. As the child approaches their 16th birthday we will invite them to register for online services in their own right. The practice does not offer online services to young people aged between 11-15 years.

If you wish to know more about why, please read the section Standard Access - Children aged 11-15 years above.


Proxy access for 16 and 17 year olds

Once a young person reaches the age of 16 it is reasonable to assume that most are competent to access their own records or appoint a proxy such as their parents to do so, although this may not be the case for patients with learning difficulties or some other disabilities. In such cases a Mental Capacity assessment may be conducted by the GP.

Requests for proxy access to the record of a patient aged 16 or 17 are treated the same as for an adult and should where possible be made by the patient themselves. See 'For yourself - an adult patient' above.


Proxy access for an adult who lacks capacity

Where a patient lacks capacity to give their free and fully informed permission for proxy access, access may be granted to a family member or carer who holds a power of attorney for health and welfare of the patient, or where the patient's usual GP judges it to be in the patient’s best interest. If you wish to apply for proxy access on behalf of someone who lacks capacity, please complete the Proxy access application form and return it with a covering letter to the patient's usual GP.

 

ALL enhanced proxy access (i.e. to the Detailed Coded Record) for both children and adult patients will be reviewed by the practice annually, including for children. All access to a child's record will cease when the child reaches their 11th birthday. 

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Verifying your ID

Before allowing you access to any online service other than booking one appointment, we will need to verify your ID. You will need to visit the surgery in person to prove both your identity and your address. We are open late on Monday and Thursday evenings and on alternate Saturday mornings if work makes this difficult.

Verifying your identity - click here for details of required documents

Security – Your responsibilities

It will be your responsibility to keep your login details and password safe and secure. If you know or suspect that your record has been accessed by someone that you have not agreed should see it, then you should change your password immediately. If you can’t do this for some reason, we recommend that you contact the Practice so that they can remove online access until you are able to reset your password.

If you print out any information from your record, it is also your responsibility to keep this secure. If you have any concerns whatsoever about keeping printed copies safe, we recommend that you do not make copies at all.

For more information about keeping your healthcare records safe and secure, you will find a helpful leaflet produced by the NHS in conjunction with the British Computer Society:

http://www.nhs.uk/NHSEngland/thenhs/records/healthrecords/Documents/PatientGuidanceBooklet.pdf


Confidentiality our responsibilities

We take confidentiality and the care of your personal confidential data very seriously, so please be patient with us as we carry out all the necessary checks to allow you access whilst ensuring it remains protected.

The Practice has the right to remove online access to services for anyone that does not use them responsibly. The Practice further reserves the right to withdraw any patient’s access to their record when a change in circumstances means that access is no longer in the best interests of the patient. For further information about circumstances where this might apply, please contact the Practice Manager and ask to see a copy of the Practice Policy regarding Patient Access.

If you would like to know more about how we ensure confidentiality please read our Practice Privacy Notice. Alternatively, please ask at Reception to view a copy in the Patient Information Folder.

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