A6: Managing personal information

Question 1

What different ways is information stored?

Answer 1

• Oral reports (spoken information)
• Writte reports
• Forms and documents
  -Presentations
• Graphs and tables
• Webs and social media pages
• Leaflets and posters.

Question 2

What things should be considered when sharing data?

Answer 2

• Principles for protecting individual’s identification.
• Intended audience
• Uses the individual NHS number as an identifer.
• need to inform the individual and gain consent unless it is required by the law to share or benefit in sharing into outweighs confidentiality.
• Individual info and confidentiality requirements as set out in relevant regulations.
• need to inform appropriate adult or adovcate if sharing the individual’s information.

Question 3

When is it apporpriate to share information?

Answer 3

• When their is a risk of harm to individuals.
• For ensuring effective, diagnosis, treatment and care.
• Safeguarding issues.
• Legislative requirements
• Sharing improvements to practice
• Sharing good practice
• Introducing new ways of working
• A crime has been committed.

Question 4

Give the advantages of reporting systems.

Answer 4

• Easy access to patient user information for tracking or monitoring.
• Timely reporting information
• Prevents misinterpretation of information.

Question 5

What are the reasons for record keeping?

Answer 5

• Continuity of care
• Important to provide overall view and history of individual medical history and care needs
• Individuals should be at the center of the care.
• Protects individuals and professionals so MDT have access to information.

Question 6

Give the purpose of abbreviations

Answer 6

Facilitates and shorten written narratives
Standardisation

Question 7

How is personal information protected?

Answer 7

• Information governance
• Data protection regulations e.g. GDPR

Question 8

Why is personal information stored?

Answer 8

• Can be shared appropriately with a wider network of MDTs
• future use
• Individual rights to access data records

Question 9

Why is personal information collected?

Answer 9

Treatment purposes
- Follow on care
- Diagnosis
- Obtain individual’s physical and mental health history.

Question 10

What is professional role in relation to audits?

Answer 10

• If using IT systems, ensure data is entered accurately.
• Ensure all records have time, date and a signature.
• Ensure information is legible where records have been recorded by hand in a black all point pen

Question 11

Give some key aspects of legislations that guide record keeping

Answer 11

• Data protection Act 2018
  Care Act 2014
  Human rights Act 1998
  Equality act 2010
  Freedom of information Act 2000.

Question 12

What is information is needed when obtaining patient history?

Answer 12

Family history
Drug history
Presenting complaint
Individual NHS or hospital number
DOB
Social history
Name
Age
Culture, belief, religion
Social care involvement

Question 13

What are the professional roles in relation to record keeping and audits?

Answer 13

Avoid abbreviations where possible
Ensure information is factual and in line with legislation
Ensuring timely and accurate records for every interaction and care provided.
Ensure you are competent in using systems to record data where applicable