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Old 9th November 2021, 17:03   #11
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Originally Posted by KWIL View Post
I note that is moving to a different health area so trying to keep him is not practical
Thank you for your observation, most kind.
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Old 9th November 2021, 17:07   #12
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Firstly congratulations to your Nephew on their degree

Just spoke to Marina on this and she simply said "A GP cannot refuse to transfer your records.". She said if this happens the first port of call is the Surgery Manager.

Her experience on the sequence of events is that you register with a new Practice, you are then allocated a GP. It is the new Practice that then request the records from the old Practice, not the GP as they do not own them.

It's worth noting that there are instances when a person doesn't know or cannot remember their previous GP or Practice and these people can still register with a new Practice and subsequent GP. All the medical history info in the UK is held electronically on what is called "System 1" and is accessible by all GP's on line using your NHS number.
Thank you Dave and Marina, I bow to your experiences and you are both correct. I feel its only half the story I am getting from my nephew, the other half I would need to get from his former GP practice. They might not talk to me because of patient confidentiality.
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Old 9th November 2021, 17:19   #13
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Is this any help?
https://www.nhs.uk/using-the-nhs/abo...in-to-the-nhs/

Has your nephew spoken to the university, surly they have professional counsellors that can help?

He made need more then just tablets, he may need to speak to a counsellor. My daughter was at Nottingham and saw a counsellor who was wonderful, good luck

macafee2
Thank you very much for the link and I agree with you, that my nephew needs more than pills. I should mention, he has finished with the university. He suffers with shyness, anxiety, depression and unresolved grief, as you know its still early days following the bereavement. These are things his new GP can address, but hold on, we don't know what services are available in the new practice, perhaps Counselling via a via video link or a referral to a professional counselling service.

He has family living in the Oxford area, but they are elderly, not in the best of health from being drunkards and would not be in a position to be of any help.
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Old 9th November 2021, 17:25   #14
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Hello Philip,

From my own experience, and bearing in mind your nephew's age, I would say that it's perfectly natural for him to feel depressed, particularly concerning the reason for his mother's death. Two years is nothing in such circumstances. Consequently I don't agree with his previous GP's decision to prescribe anti-depressants although they typically do. Drugs don't address the underlying cause, they just mask the symptoms as I'm sure you know Philip.

macafee2's suggestion is a better solution. Ideally, your nephew may benefit from talking about his feelings with someone who has had the same experience, or a psychologist, but steer clear of psychiatry and drugs.

I hope he manages to resolve the medical records problem. As you know, the NHS' bureaucracy can be very demanding.

Simon
Thank you Simon for your suggestions and comments. Thank you for your private message, I am still to formulate an answer.
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Old 9th November 2021, 17:33   #15
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The system is not as patient-orientated as many think it to be. Only when they come up against a problem, such as this one, do thy begin to understand that it is a stich-up in favour of a GP's practice and its allocated turf to operate on. I encountered it when my allotted practice closed its doors and I tried to go to another, I could not believe the attitude of the practices I approached. I was shocked to discover that it was like ice cream van wars, each with their own little territory which must be defended at all cost. Why are you coming to us when you are not in our catchment area, I was asked in no uncertain terms by every single practice I approached. Go away or ultimately, we are not taking on any new patients was the response of choice that I encountered. This appalling state of affairs was well and truly clocked by former Health Secretary, Andy Burnham, who looked set to change the system had the then government retained power.

I went for some time without a GP leaving me with A & E at the local hospital as the only option had I needed medical assistance, which by the grace of God I did not at the time. I did however contact the local Primary Care Trust about my predicament and it advised that it could, as a last resort, instruct a practice to take me but it may not like it and it would be best for me to try to find one to take me on its books of its own accord. So, Phil, if you are out of options you could give the relevant trust a call to see what if anything can be done. Could it be that your nephew is still living in the catchment area of the GP who won't release his records?

My predicament as outlined above only resolved itself when my closed practice eventually opened its doors again when new GP's were found to run it.
Thank you for your suggestion about giving the trust a call, it may come to that.

I know from my own experience here in Bristol, not all GP practices are equal. Before I moved from London to Bristol 2 years ago, the GP practice in London allowed me to have full online access to my medical history and vaccination records. The practice I am with here in Bristol gives me restricted access where I can order repeat meds on line and see my allergies. I am not allowed online access to anything else. I have signed the consent form twice requesting full access, as I need to see everything to understand my health
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Old 9th November 2021, 17:47   #16
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Sorry to hear of these experiences. Medical and dental records do belong to the patient, and you have a right to at least have a copy, although this may be charged for by some practices. On line access is also offered now by most GP practices, but not dentistry yet. Much depends on the attitude of individual Drs. In dentistry, there are binding out clauses in contracts which almost treat the patients as possessions of the principal(s) of a practice. They are designed to prevent young associates moving locally and taking a large list of patients with them ( which instantly reduces the income of the original practice). Private dental practices are usually only too happy to register new patients, but the NHS generally is suffering from too many demands. This leads to a reluctance to increase the list size in some areas.
I've had the message 'your call is important to us, please hold, you are number x on the list' many times, but I know of some who have had ' We are oversubscribed and unable to take your call, please call back next week!'
And if you get too upset, your get de-listed. Good luck to us all.
Ps. Our second son has been living with us now for over 10 years. He is intelligent, but has mood swings which are heavily influenced by food choices. There is a book called 'Food mind and mood' which is worth reading. Anti- depressants are a short term solution, but long term is all about how those around the depressed individual can help. Diet and exercise with meaningful work are all very important.
Thank you Martin for those insights into the workings of the NHS and how your son's mood is affected by food. I can understand a dentist in private practice wanting to hold onto their patients, must be fearful of losing a patient when a partner in the practice moves away, taking patients with them. Thank you for the book recommendation 'Food mind and mood.
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Old 9th November 2021, 18:35   #17
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The practice I am with here in Bristol gives me restricted access where I can order repeat meds on line and see my allergies. I am not allowed online access to anything else.
Thanks Philip. This is my experience too of the reality rather than the theory. My practice insists that patients capable of using the internet use a third party app to book appointments, request repeat prescriptions and view their medical records. The latter is only the basics that I know already; my vaccinations, dates of past consultations and prescriptions issued. To see anything more enlightening I am required formally to request access and the practice may not grant it. Even if they did, it would no doubt be written in medical jargon and so not easily understood.

It's not quite the "freedom of information" that we are led to believe exists.

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Old 9th November 2021, 20:21   #18
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Interestingly As well as book appointments ( currently not available due to the pandemic) I can see all of my tests and results on systmonline. I think it is very much a how the practice wants to set the default settings scenario
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Old 12th November 2021, 09:34   #19
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Interestingly As well as book appointments ( currently not available due to the pandemic) I can see all of my tests and results on systmonline. I think it is very much a how the practice wants to set the default settings scenario
Morning Dave, thanks for recommending systmonline. The GP practice had a notice up on their website saying no routine blood tests are available due to a shortage of blood test bottles and there were links to having blood tests being done privately. I had no luck in getting the booster jab the other day at the walk-in. I was told I can book it a month early but must wait until December for the full 6 months before I can have the booster.

Thank you for taking the time to reply and for your help.
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