In brief

Today 60% of GP practices have the technology in place to allow patients 24-hour online access to their own patient records, but so far only 50 UK practices have seized the opportunity.

For many, the notion of allowing patients access to their own medical records raises fears of increased workloads, misuse of data and harm to patients or the practice. But evidence and experience shows that these concerns are unfounded, and that the approach improves quality of care, shared decision making, safety, effectiveness and patient experience.

This project will work with practices to create a cultural and attitudinal shift to make record access standard practice.

Why is this project needed?

There is clear evidence that enabling online patient access benefits patients and GP practices alike. Being able to view their medical records from anywhere, any time makes people feel more in charge of their own health and improves relationships between patients and their practice.

There is also some evidence that people who have access to their records self-care better too – so, for example, people are more likely to stop smoking or comply with their medication.

The notion is not new – maternity patients have had hand-held records for many years, and renal medicine has developed online access for patients that is widely used.

In the United States, millions of patients access their records, with significant benefits. Practices worry that patients will not use the information properly, or that the system might increase workloads or lead to loss of control. There are concerns about sharing records with particular groups, and fears of legal consequences.

However, the system is designed to cope with data protection issues, and experiences from practices offering record access show that there are few problems.

Evidence shows that the fears of litigation, complaints or misunderstanding of information have not come to fruition, and that barriers can be overcome if concerns are recognised and understood, and adequate support and learning provided.