David Baddeley

Dear Miss Kearsley Regulation 28 Report Mr David Anthony Baddeley Thank you for your Regulation 28 Report regarding the death of Mr David Baddeley and the concerns with regard to avoidable harms. NHS England, GPs and Clinical Commissioning Groups have also identified the risks to patients where records do not make obvious the tests, allergies or other significant clinical matters. diagnoses, blood 2 Since the advent of the new GMS contract, circa 2004, Care have been incentivised and contracted to apply accurate electronic practices coded items (READ codes are fixed and specificacodesteseectooreicORE Aati diagnoses, blood test results, allergies and so on within clinical patient GP contract terms require IT systems to be approved and demoratraretem): compliance to these IT standards_
3. Where records are transferred electronically, the READ codes are to be used by the recipient practice to establish for themselves, in conjunction with medical records summary the clinical needs and conceros relating totthany patient: The sending practice has a data governance obligation in ensuring accuracy. Today_the electronic transfer of patient records within England takes place using GPZGP . This is the consistent single tool for practices to transfer all READ coded items automatically to the receiving clinical system . All narrative data is also transferred. This occurs regardless of the computer system used, providing that both %f the practices are GPZGP enabled (currently 98% of Gp practices in England have GPZGP capability): can confirm that the two practices involved are GPZGP enabled. High quality care for all, now and for future generations Anthony key = Primary the

OFFICIAL-SENSITIVE: PERSONAL 14_ SHS England has recently procured Capita to manage it' s Primary Care Support Services. One of the work streams is the management of medical records From June 2016 it is planned that practices will be able to track records and see expected delivery dates. In the meantime, practices necessary; request paper records urgently: can, when
15. Electronic records can be summarised in the usual way at the receiving practice If there is a concern about a patient; the practice GP summarising of a particular set of notes, usually at the may prioritise the request of the clinician who may be after them at new practice, especially if it is felt that the patient may have complex medical
16. Note summarising was included as part of the national GP contract as part of the and Outcome Framework: This ceased at the end of 2012/13 when it was retired on the grounds that it was standard good practice maintained. This standard for this indicator was that 80% of and would be patients had their notes summarised within 8 weeks Of newly registered receipt by the practice.
17. Practices will be reminded to ensure that when patients are seen at health checks that are screened for serious new patient psychiatric illness 18 Practices will be reminded to ensure that when a patient transters 0 another praciceo €asure hatiereecopatteoth Jeieciorec and should be checked to ensure that significant diagnoses and paper; are recorded, highlighted and correctly coded. My apologies for the small delay in sending this response This response is on behalf of NHS England Lancashire and Greater Manchester: shared letter with the North of England Medical Director to learn if this this behalf of NHS England more widely: am awaiting response can be on a response