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Phase Two of Primary Care


inquiry was held in the James Clerk Maxwell committee room at the Scottish Parliament


perspective the range of services and the complexity of the care that we offer is forever increasing, and what we’re really also lack- ing is not just the ability to see records but the ability to populate those records with a record of the care that we’re providing.” He added: “So that really


does limit integration and every minute that you spend struggling to communicate with your col- leagues is a minute that takes you away from the patient.” In papers submitted to the


committee in advance of the hearing – which had a wide remit including workforce planning, public health and prevention and the creation of multi-disciplinary teams (MDTs) in local health


and care provision – there were concerns aired that the National Digital Service, a new national electronic health records (EHR) system was a positive develop- ment but that the timescales for its implementation as a nation- wide system were too far off.


The submission from the Royal Pharmaceutical Society in Scot- land read: “While we support the development of a nation a [sic] digital platform, the timescale for this is too long. Some essential steps need to be taken to de- crease the risk to patient safety over the next ten years. Measures will need to be put in place as a priority to provide community pharmacists access to health


records. Scotland is now lagging behind England and Wales in this respect. With several profes- sions including pharmacists now independent prescribers it is becoming even more important that all the appropriate informa- tion is available before dispensing occurs. Te Adastra system could be adapted for a two way system between GPs and community pharmacy and other health care professionals.” However, at the inquiry Mr


Burton said: “What we should be aiming for is a central digitised record that the patient has ownership of. And I think any of the professions that are arguing for increased access to records, increased ability to write into


records, we need to be mindful that we need to take patients with us on that journey and consent is absolutely essential.” Te expert witnesses gener-


ally supported the idea that with the development of the General Data Protection Data Regulation (GDPR), that patients should be at the centre of any new records portal and that they should “own the data”, with David Quigley, Chair, Optometry Scotland, say- ing: “Te patient should own the data. I think GDPR determines how contractors are able to use the data.” However, Mr Mc- Coll – a dentist from Govanhill in Glasgow – raised the point that contractors such as dentists do not need access to all patient è


FUTURESCOT | AUTUMN 2019 | 11


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