Including Local Sharing Across Derbyshire (MIG)

A SystmOne computer project which enables all healthcare sites using it to securely share information between them e.g. child health; podiatry; physiotherapy; palliative care; some hospitals and district nursing. This sharing has been rolled out successfully to all our surrounding counties, including South Yorkshire, Nottinghamshire, Leicestershire etc.

The important thing to know is that if a share agreement is put into place, then the third party e.g. physiotherapy, will be able to see the whole GP record and if the patient wishes, the GP will be able to see the physiotherapy records.

After the episode of care has ended, i.e. upon discharge, the share agreement also ends. For instance, you are referred to physiotherapy for back pain – you have treatment – the back pain gets better and you are discharged. Several months later you have a knee injury and are referred to physiotherapy again, but on this referral a further share agreement would need to be created if you wanted the GP and physiotherapist to be able to share your records again*.

You can request individual entries in your GP record to be marked as private. These will not then be routinely shared with other services. Please discuss this with your GP.

*It is important to understand that you can change your mind about eDSM at any time but if you have said yes to sharing on one occasion, all of the data, up until the point at which you change your mind, will still remain shared. The change of decision will only stop future information being shared.

Local Electronic Medical Record Sharing Across Derbyshire – The Medical Interoperability Gateway (MIG)

The Medical Interoperability Gateway (MIG) is a “middle ware” technology that links Local Health and Care Bodies. It allows viewing of GP clinical data in clinical settings outside of the GP practice supporting health and care professionals to make a more informed clinical decision.

Some of the partners included in the local sharing protocol include:

• Derbyshire GP practices
• East Midlands Ambulance Service
• 111
• Chesterfield Royal Hospital
• Derbyshire Community Health Service
• Royal Derby Hospital
• Nottingham University Hospitals
• Derbyshire County Council
• Derbyshire Health United (out of hours GP services)

You can ask for any entry in your GP records to be marked as private to ensure that these entries cannot be seen outside of the practice. You can change your mind at any point, let us know and we will record your new choice of consent.

Further information about sharing your health record across Derbyshire can be found www.derbyshirehealthcareft.nhs.uk.