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Gold, incentives and meh

An opt-in to Care Record demanded

The BMA and RCGP are to oppose the 'opt out' patient consent model for the National Care Record proposed by Connecting for Health.

The association's annual representative's meeting last week voted that patients should have to give explicit consent for their medical information to be shar-ed on the Care Record.

Under Connecting for Heal-th's current proposals, notes will be loaded on to the shared national record unless patients specifically request they are not.

Dr Gill Beck, a director of Berkshire, Buckinghamshire and Oxfordshire LMC, said patients she had spoken to did not want their records automatically uploaded.

She added that it was wrong for patients to be told they would not have access to the full range of NHS services if they opted out of the scheme and also raised questions about the security of the system. She said: 'If 50,000 people have a key to an office no one calls that secure.'

Dr Michael Wilkes, chair of the BMA's medical ethics committee, said he was happy to support the 'opt-in' model.

Dr Gillian Braunold, national clinical GP lead for Connecting for Health, accused Dr Beck of 'conflating arguments and muddying issues'.

The RCGP's ethics committee also decided last to week to recommend patients should have a right to opt-in.

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