Refat Hussain · Prevention of Future Deaths report

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Issued 12 Feb 2014•Inner West London

Published report and response evidence

This report’s concerns and statements found in recipients’ published responses. Statements are included even where no link to an individual concern is recorded. A link shows an evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
4

Described in responses

Recipients and published responses

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised1

  1. Lack of access to patients' GP medical records for accurate out-of-hours diagnosis

Stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.4

  1. Practice Plus Group Hospitals Limited

    Work with HSCIS to establish access to Summary Care Records and promote their wider national use and content expansion.

  2. Practice Plus Group Hospitals Limited

    Work with NHS England to enable out-of-hours services to access patient records through Coordinate My Care in London.

  3. Practice Plus Group Hospitals Limited

    Implement a Special Patient Notes system with submission routes, data-capture templates and review reminders.

  4. Practice Plus Group Hospitals Limited

    Continue pressing GPs to submit Special Patient Notes for patients with long-term conditions, serious illness or vulnerability.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.2

  1. Practice Plus Group Hospitals Limited

    Routine information flow from daytime GP practices to out-of-hours providers is not possible under current NHS protocols.

    Unable to actThe respondent said that a constraint prevented them from taking the relevant action.
  2. Practice Plus Group Hospitals Limited

    Registered GP practices are responsible for enabling out-of-hours providers to access patients’ information.

    Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Lack of access to patients' GP medical records for accurate out-of-hours diagnosis

Wider context from the report

“(1) The lack of access to the patients GP medical records reduces the ability of out of hours GPs working for Harmoni to make accurate diagnoses. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Work with HSCIS to establish access to Summary Care Records and promote their wider national use and content expansion.

Verbatim wording from the response

“In addition to this, we are working closely with the Health and Social Care Information Service (“HSCIS”) to ensure that systems are in place to ensure that we can see patients’ Summary Care Records (“SCRs”). The SCR is a direct element of GP patient records and has the potential to be enormously helpful in ensuring that we have access to important information extracted from the patient's registered GP. Together with HSCIS, we are promoting this nationally as SCRs will only become truly useful when more GPs have uploaded them and the content of the SCR is expanded.”

Source location

Response from Care UK
Page 2 · response
Published 12 February 2014

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Work with NHS England to enable out-of-hours services to access patient records through Coordinate My Care in London.

Verbatim wording from the response

“I should also add that in London, we also work closely with NHS England to ensure that our OOH (and other) services can access patient records on a system called Coordinate My Care (“CMC”). CMC is widely used across London to try and integrate the daytime medical care, community nursing care, hospital care and OOH care.”

Source location

Response from Care UK
Page 2 · response
Published 12 February 2014

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Implement a Special Patient Notes system with submission routes, data-capture templates and review reminders.

Verbatim wording from the response

“As such, we have not been complacent about this concern and have taken, and continue to press GPs to submit information to us about patients who have long term conditions, are very poorly or vulnerable. This is achieved through a system called Special Patient Notes”

Source location

Response from Care UK
Page 1 · response
Published 12 February 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Continue pressing GPs to submit Special Patient Notes for patients with long-term conditions, serious illness or vulnerability.

Verbatim wording from the response

“As such, we have not been complacent about this concern and have taken, and continue to press GPs to submit information to us about patients who have long term conditions, are very poorly or vulnerable. This is achieved through a system called Special Patient Notes”

Source location

Response from Care UK
Page 1 · response
Published 12 February 2014

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Routine information flow from daytime GP practices to out-of-hours providers is not possible under current NHS protocols.

Verbatim wording from the response

“Our OOH information system, called Adastra, does communicate with daytime GP practices in the sense that, after an OOH consultation has taken place, the GP practice receives a "post event message" (“PEM”) detailing the consultation that has taken place in OOH period. The PEM contains a summary of the consultation notes. As such, our OOH service is able to communicate with GP practices. However, the reverse (i.e. an information flow from a GP practice to OOH as a matter of routine) is simply not possible under current NHS protocols. Our clinicians are not routinely able to see records from daytime GP computer systems. This situation applies generally to OOH services and is not specific to Harmoni/Care UK.”

Source location

Response from Care UK
Page 1 · response
Published 12 February 2014

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Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Registered GP practices are responsible for enabling out-of-hours providers to access patients’ information.

Verbatim wording from the response

“An important factor applying to all of the above developments is that the onus is on the registered GP practice to enable us to access information.”

Source location

Response from Care UK
Page 2 · response
Published 12 February 2014

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026