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12 May 2017
In response to news of a cyber attack on some NHS systems, we offer some advice.
We have been made aware of an IT problem in the NHS which may affect access to electronic record systems in some primary care practices. Some of our members have told us this means they are having to consult with patients without having access to patients' records.
We do not know the extent of the problem, but if your practice is affected, the following questions may arise.
A: All doctors must act in the best interests of patients. It may be more difficult to consult effectively without access to records, but patients may be put at risk if they cannot access the care they need, particularly if they have urgent problems.
GPs will need to put themselves in a position to decide whether it is safer to assess the patient without records, or whether it may be possible to take some other action (such as to offer to re-book the patient's appointment). Whatever you decide, keep a record of your actions and reasons.
A: The GMC expects doctors to make records at the same time as the events or as soon as possible afterwards. If you don't have access to your usual system and need to make notes on paper, remember that notes must be clear, accurate and legible.
Clinical records should include relevant clinical findings, the decisions made and actions agreed, the information given to patients, any drugs prescribed or other investigation or treatment, and who is making the record and when ('Good medical practice' (2013), paras 19-21).
The National Cyber Security Centre has published some advice on how to protect your organisation from ransomware.
This guidance was correct at publication on 12/05/2017. It is intended as general guidance for members only. If you are a member and need specific advice relating to your own circumstances, please contact one of our advisers.
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