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CAMHS won't see you now

'I'm opting my patients out of Care Records'

GPs concerned about the confidentiality of the NHS Care Records Service are considering coding all of their notes so as to opt patients out.

The GPs plan to add the Read Code 93C3 to all records and inform patients of their actions via posters and practice leaflets.

Anyone who asks for their summary record to be put on the spine will have the code removed.

Dr David Archer (pictured), a GP in Hitchin, Hertfordshire, said uploading patient data without explicit consent was contrary to the Hippocratic oath.

He said: 'A lot of patients will not realise what a blanket opt-in means. They don't realise the terminations, STDs, and affairs and employment problems at work will then be on the spine.

'We will probably put a notice up saying we will do this and if you want to opt in you can and we will explain the consequences.'

Dr Paul Cundy, joint chair of the joint GPC and RCGP IT committee, did not see why practices could not opt patients out provided they publicised the policy and gave people the chance to opt in.

He said: 'That is exactly the same arrangement as the Care Record is using.'

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