Data sharing consent choices
Care and Health Information Exchange (CHIE)
The Care and Health Information Exchange (CHIE) is a secure system which shares health and social care information from GP surgeries, hospitals, community and mental health, social services and others. CHIE helps professionals across Hampshire, the Isle of Wight and surrounding areas provide safer and faster treatment for you and your family by:
Ensuring that you only have to tell your story once
Reducing delays to your treatment. For example, by reducing the need to repeat blood tests
Making sure the doctors, nurses and others involved in your care know about your medical history
Identifying diseases that you might be at increased risk of developing in the future. This can help you take action early to protect your health
CHIE contains health and social care information from over 150 GP surgeries in and around Hampshire and the Isle of Wight, as well as local hospitals, community health, mental health and social care teams in order to help coordinate and improve your care. CHIE shows the medication you are currently taking, your allergies, test results and other important medical and care information. Health and care staff can see this information if they need to know about your previous history.
For more information please visit: www.careandhealthinforamtionexchange.org.uk
After reading the information above CAREFULLY please tick your choice below:
I would like to OPT IN to the CHIE Scheme
I would like to OPT OUT of the CHIE Scheme
Summary Care Record (SCR)
The Summary Care Record (SCR) is a national scheme and is used to support your emergency care nationwide. It will contain important information about medicines you are taking, any bad reactions or allergies to medications, your significant medical history and information about any long-term conditions. Giving healthcare staff access to this information can prevent mistakes being made when caring for you in an emergency or when your GP practice is closed. Your Summary Care Record will also include your name, address, date of birth and your unique NHS Number to help identify you correctly.
After reading the information above CAREFULLY please tick your choice below:
I would like to OPT IN to the SCR Scheme
I would like to OPT OUT of the SCR Scheme
In accordance with the Data Protection Act, we need your consent to carry out the following:
Send text reminders
Yes No Many people find it useful to have important messages sent to them via text messages. Here at The Swan Medical Group we can use texts to keep you informed about your appointments and if there are any issues or news about the practice.
Leave voicemail on mobile
Yes No Leave voicemail on landline
Yes No Leave voicemail on both
Yes No To make life a little easier we can leave messages on your phone either at home or on your mobile. You should be aware that your messages may be picked up by another person at home or if you don’t keep us informed of a number change.
DISCLAIMER – If you agree to the practice contacting you via your mobile phone or fixed landline number, we agree to adhere to the following;
1.The mobile number or fixed landline number will only be used by the practice and will not be passed to any other parties
2.If at any time you would like to opt out of either of the above services, please make a written request to the practice and you will be opted out of the service within 48 hours. You may also like to include your reason for opting out to help us review and improve the service in future
3.Your mobile phone number will solely be used by the practice in relation to the healthcare services offered by the practice. You will not be contacted in relation to any other types of products or services
Signature
I confirm that the information I have provided is true to the best of my knowledge.
Signature of patient Signature on behalf of patient
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