LLR Care Records (LLR CR)
People living in Leicester, Leicestershire and Rutland (LLR) are set to receive better, safer care and treatment, thanks to the introduction of joined-up health and care records.
The LLR Care Record (LLR CR), part of the national Connecting Care Records programme, brings together a person’s separate records into a structured, easy-to-read format. This gives health and care professionals directly involved in an individual’s care a more complete view of the care and treatment that they have received across all services.
It means information recorded about someone’s health and care such as illnesses, treatments and hospital admissions can be accessed by different people who are involved in their care. Previously, different hospitals, GPs and other health and care workers recorded separate pieces of information, which was not easily shared. This caused care and treatment delays, with organisations having to forward important facts by phone, email or paper.
The LLR Care Record means that clinicians and care professionals can all see a person’s care plan and respond in real time to any updates. Those involved in an individual’s care will be able to see the ‘bigger picture’ in someone’s care records – easing an individual’s transition of care as they move between different health services or between NHS and social care services.
The information is available via a secure and safe IT system and can be accessed by different care providers regardless of the computer software programmes they use. The LLR Care Record pulls together data from different systems (getting the systems talking to each other) – it does not store any data itself.
All records are strictly confidential and can only be accessed by clinical and care staff who are directly involved in an individual’s care.
The LLR Care Record programme is being progressed by the LLR Integrated Care Board, University Hospitals of Leicester, Leicestershire Partnership Trust, the three upper tier local authorities (Leicester City Council, Leicestershire County Council and Rutland County Council) as well as other partners such as LOROS, East Midlands Ambulance Service, community pharmacy and DHU111.
Community Pharmacies Initiative and Description
For the first time LLR community pharmacies have the opportunity to access to the patient’s LLR CR. LLR CR’s are different from summary care records.
The purpose of this initiative is to bring together a person’s separate records into a single read-only portal. This will give health and care professionals including LLR community pharmacies, directly involved in an individual’s care a more holistic picture of the care and treatment that they have received across all services.
Why should community pharmacies get involved?
LLR CR’s pull together information on a patient from several sources, such as GP and hospital records, so they contain extra information compared to the NHS Summary Care Record
e.g., important vaccine information including eligibility/ blood test results/ drug allergies/ previous ADRs.
The LLR CR’s will also:
- Provide an individual’s up-to-date health and care information all in one secure place.
- Enable more joined up and safer care.
- Reduce duplication of tests and referrals for an individual.
- Help prevent someone having to repeat their story each time they receive care from a different organisation.
- Create more time devoted to providing care, less time spent on paperwork.
- Enable better decision making among clinical and care staff.
- Mean access to better information, faster; improving an individual’s experience of care.
LLR Care Record – Community Pharmacy FAQ
How do I get involved?
The EOI has now closed.
However, if you are interested, please email.
Further Information
For further information, please email the LLR Care Record programme team: lpt.llrcarerecord@nhs.net
Resources
- Frequently asked questions
- Objecting to inclusion in the LLR Care Record
- LLR Care Record Poster A3 portrait
- LLR Care Record Poster A3 landscape
- LLR Care Record leaflet
- LLR Care Record leaflet – Arabic
- LLR Care Record leaflet – Gujarati
- LLR Care Record leaflet – Polish
- LLR Care Record leaflet – Punjabi
- LLR Care Record leaflet – Romanian
- LLR Care Record leaflet – Somali
- LLR Care Record leaflet – Urdu
- LLR Care Record easy read
Patient Consent
The LLRCR is covered under the legal basis of direct care and implied consent is adequate, but we also recommend discussing with the patient before accessing as part of best practice and understanding/transparency for the patient. The LLRCR ICS IG workstream have also clarified the below captured texts from the 3 main Acts and National Documents can be used and quoted.
Health and Social Care Act 2012
All health and adult social care providers are subject to the statutory duty under section 251B of the Health and Social Care Act 2012 to share information about a patient for their direct care. This duty is subject to the common law duty of confidence, the Data Protection Act 2018 and the General Data Protection Regulation (GDPR).
Common Law Duty of Confidence
For common law purposes, sharing information for the LLRCR is on the basis of implied consent.
Most patients understand and expect that relevant information must be shared within the direct care team to provide their care. The LLRCR will allow sharing for direct care to become more reliable and systematic, but it will not change the legal basis of implied consent.
Implied consent to access relevant information about the patient, or to share it with those who provide (or support the provision of) direct care to the patient can be relied on as a legal basis if the following conditions are met:
– The information being shared or accessed is to provide or support the individual patient’s direct care.
– Information is readily available to patients, explaining how their information will be used and that they have the right to object.
– There is no reason to believe the patient has objected.
– The information is shared in confidence.
The LLRCR meets these conditions. In addition, it is good practice for the person to be asked by the care professional at the point of care, whether they are content for their record to be accessed.
GDPR – Data Protection Act 2018
Under GDPR there must be a valid lawful basis to process personal data. For GDPR sharing information for the LLRCR is on the basis of public task where “processing is necessary for the performance of a task carried out in the public interest or in the exercise of official authority vested in the controller”
Article 6(1)(e) of the GDPR is the condition for lawfully processing data for delivering direct care as part of the LLRCR:
-6(1)(e) ‘…for the performance of a task carried out in the public interest or in the exercise of official authority…’
Article 9(2)(h) of the GDPR is the condition for processing ‘data concerning health’ (personal data relating to the physical or mental health of a natural person, including the provision of health care services, which reveal information about his or her health status) for direct care as part of the LLRCR:
-9(2)(h) ‘…medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems…’
PharmOutcomes
From the outset, the working pilot group, has been working closely with PharmOutcomes. It is the policy of PharmOutcomes that individual have their own login credentials which are not shared. This is also the expectation for when accessing the LLR Care records platform.
User Guides
https://pharmoutcomes.org/pharmoutcomes/help/home
End User Licence Agreement (EULA)
https://phpartnership.com/EULA
PharmOutcomes – Creating New Users
PharmOutcomes – Editing User Information