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Resources

CHIE
A5 patient flyer

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CHIE
A4 patient poster

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CHIE
A3 patient poster

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CHIE - Our Story!

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Care and Health Information Exchange DPIA

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Opt out form - adult

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Opt out form - child

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Cancellation of opt out - adult

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Cancellation of opt out - child

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Request to view audit trail

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CHIE – An introduction

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CHIE Diagram

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Videos

Previous CHIE bulletins

September 20222

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August 20222

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July 20222

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June 20222

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May 20222

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April 20222

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February 20222

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January 20222

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December 2021

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November 2021

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October 2021

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September 2021

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August 2021

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July 2021

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June 2021

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May 2021

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March 2021

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February 2021

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January 2021

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December 2020

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November 2020

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October 2020

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September 2020

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August 2020

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July 2020

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May/June 2020

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April 2020

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COVID-19 Bulletin

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March 2020

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January 2020

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December 2019

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November 2019

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October 2019

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September 2019

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August 2019

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July 2019

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June 2019

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May 2019

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April 2019

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March 2019

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February 2019

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January 2019

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December 2018

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November 2018

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October 2018

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September 2018

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August 2018

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June 2018

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May 2018

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April 2018

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March 2018

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Special Edition 1 Feb 2018

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19 February 2018

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January 2018

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User Support Materials

Main user guide

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Uploading a Care Plan (including ReSPECT)

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The Clinical Document Viewer (CDV Tree)

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The Medicines Viewer

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Access guide for web browser users

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Access guide for GP EMIS web SSO users

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Access guide for GP TPP SystemOne SSO users

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Access guide for Emergency and OOH Staff (via Adastra and iCAD)

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Access guide for HCC staff

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Access guide for HHFT staff

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Access guide for IOW staff

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Access guide for PHU staff

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Access guide for SHFT staff

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Access guide for Solent NHS Trust staff

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Access guide for UHS staff

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Uploading a document

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Access Guide – Southampton City Council

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FAQs

Who uses the Care and Health Information Exchange?

CHIE is used by a wide variety of professionals across the region including GPs, hospital consultants, district nurses, occupational therapists and social care staff. Health and care staff use information in CHIE to find out vital details about you and your medical and care history that will help them give you the best care and advice possible.

Where does the Care and Health Information Exchange get its information from?

CHIE contains health and social care information from over 160 GP surgeries in and around Hampshire and the Isle of Wight, as well as local hospitals, community health, mental health and social care teams in order to help coordinate and improve your care.

What information is available in the Care and Health Information Exchange from my GP’s clinical system?

CHIE shows the medication you are currently taking, your allergies, test results and other important medical and care information. Health and care staff can see this information if they need to know about your previous history.

 

The amount of information will vary between patients, depending on how much care you have received, but will normally include information about allergies, medication, diagnosis, tests and treatments.

 

Information relating to sexual health, terminations, abuse and complaints is not included on the Care and Health Information Exchange.

 

A detailed list of exactly what information is shared with CHIE is available here

What information is available in the Care and Health Information Exchange from hospitals?

The type of information shared to CHIE varies across the hospitals in the local region but in general will include the following:

 

  • clinical correspondence (letters about your care and treatment)
  • radiology reports (i.e. x-ray results)
  • pathology reports (i.e. blood test results)
  • discharge summaries and outpatient appointments

 

A detailed list of exactly what information is shared with CHIE is available here

Is my data used for anything else?

Your information also helps to improve treatment for future patients. We do this by assisting in legitimate research programmes and in helping the NHS and social care systems understand what new services might be needed to help care for you and your family. Importantly, the people who do this research cannot find out your name or address from the information and cannot identify you.

Will this affect the care I normally receive at my GP practice?

CHIE has been designed in such a way that ensures that no existing services are affected by the sharing of data from your GP practice system.

 

Sending data to CHIE is an automated process that happens overnight, and therefore does not affect the care you would normally receive.

 

Having data on the Care and Health Information Exchange may improve the care you receive by providing your GP and practice staff with access to additional information.

Will it add to my doctor’s workload or increase costs?

Your doctor’s workload is not increased by having access to CHIE and in fact, is often the opposite! Being able to see information about you in once place reduces the amount of time that doctors spend searching through paper records or other IT systems.

 

Submitting data to the Care and Health Information Exchange does not cost you or your practice anything.

 

The costs associated with the record are paid for by a central Hampshire group, specifically responsible for the record and its maintenance. This group, in turn, receives funding from the various hospitals and care providers within Hampshire.

How do I consent?

CHIE does NOT use ‘consent’ as the legal basis to process or share your information. Instead, CHIE data is processed under the General Data Protection Regulations, condition 6(1)(c) and (d).

 

For further information, click here

What can I do if I do not want my record shared?

You have the right to object to having your data on CHIE. You should be aware, however, that the removal of your information from CHIE may make communication between people involved in your care more difficult and therefore reduce the care you receive. For this reason, we encourage you not to object.

 

If you do object to having your data on CHIE, please speak to your GP practice or contact the CHIE team for further information.

How do I view my record?

Please contact your GP Practice and other organisations involved in your care to see a copy of the information that is shared with CHIE.

How do I lodge a complaint?

You have the right to be confident that we are handling your personal information responsibly and in line with good practice. If you have any concerns that we:

 

  • are not keeping your information secure
  • are holding inaccurate information about you
  • have disclosed information about you
  • are keeping information about you for longer than is necessary or
  • have collected information for one reason and are using it for something else

 

You can follow this link for guidance about lodging a complaint with: https://ico.org.uk/for-the-public/raising-concerns/

What if my question hasn't been answered?

If you would like more information, then please do not hesitate to contact us

Other shared health and care records programmes

National Summary Care Record

The National Summary Care Record (SCR) has some similarities with CHIE, such as the ability to both share and restrict access to clinical information.

However, CHIE is not part of the Summary Care Record project and does not provide information to the national system. Instead, CHIE is a more detailed record, but is limited to staff and patients within Hampshire and the Isle of Wight.

For more information on Summary Care Records visit: https://digital.nhs.uk/summary-care-records/patients

Wessex Care Records Programme

Wessex Care Records (WCR) is a strategic partnership to enable and support sharing of citizen information across borders and use of data and insight to improve patient-centred care and reduce health inequalities.

It builds on the best practice of CHIE and the Dorset Care Record Programme.

To find out more, please visit the WCR website

Dorset Care Record

Oxford Care Summary

The Oxfordshire Care Summary is a single electronic view of specific, up-to-date, clinical information from GP records and other records which may be kept to support patient care in NHS organisations in Oxfordshire.

Joining Up Your Information

JUYI is the secure online system for sharing information in Gloucestershire, giving local health and social care professionals directly involved in your care instant access to your health and social care records.

Find out more here: https://www.juyigloucestershire.org/

Connecting Care

Connecting Care is a digital care record system for sharing information in Bristol, North Somerset and South Gloucestershire. It allows instant, secure access to your health and social care records for the professionals involved in your care.

Find out more here: https://www.connectingcarebnssg.co.uk/

Learn more about Data Sharing

 

CHIE enables personal data to be shared between health and social care professionals according to the principles set out in Article 5 of the GDPR. This means that it will be:

 

  1. Used lawfully, fairly and transparently
  2. Used for specific, explicit and legitimate reasons
  3. Only collected for the purposes needed and will not be excessive
  4. Accurate and kept up to date
  5. Used only for as long as it is needed in a way that identifies you
  6. Kept secure with only those requiring access allowed to use it or look at it

 

The GDPR and other Data Protection Legislation makes it very clear that systems like CHIE must identify a ‘lawful’ basis for processing data. As CHIE is a shared care record, its main purpose is to process personal data in order to share it.

 

The lawful bases relied upon by the Data Controllers for processing your personal data to support your care are as follows.

 

  1. Under Article 6 (1e) of the GDPR, the ‘[P]rocessing 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’

 

This means that in order to provide you with safe and appropriate care, health and care professionals are under a duty to share your information where you have not objected to this. CHIE enables this processing and sharing to take place.

 

  1. As the data in CHIE is a special category of personal data (i.e. health data), under Article 9 (2h), the ‘[P]rocessing is necessary for the purposes of preventative medicine, medical diagnosis, the provision of health or social care or treatment and the management of health and social care systems and services’.

 

This means that the health and care professionals involved in your care can use CHIE to access your information for all of the purposes detailed above.

 

In addition to the Data Protection Legislation (including the GDPR and the Data Protection Act 2018), those working in health and social care also need to comply with other legislation that also requires the sharing of data for specific purposes. These include (but are not limited to):

 

  • Health and Social Care (Quality & Safety) Act 2015
  • Health & Social Care Act 2012
  • Care Act 2014
  • The Children Act 1989
  • The Children Act 2004
  • Childcare Act 2006
  • Children (Leaving Care) Act 2000
  • Children and Families Act 2014
  • National Health Service Act 1977
  • National Health Service Act 2006
  • Education Act 2002
  • Special Education Needs and Disability Regulations 2014
  • Localism Act 2011
  • Immigration and Asylum Act 1999
  • Crime and Disorder Act 1998

 

The common law duty of confidentiality also applies to the records held on CHIE. You can find out more information about this in relation to your health and care record using this link: https://www.gov.uk/government/publications/confidentiality-nhs-code-of-practice

Your Rights

 

The information held within your record in CHIE is about your medical and social care history. Being the primary ‘subject’ of the information (or data) held on CHIE, means that you have certain rights provided to you under the EU General Data Protection Regulations (GDPR). The 8 rights are:

  • The right to be informed
  • The right of access
  • The right to rectification
  • The right to erasure
  • The right to restrict processing
  • The right to data portability
  • The right to object
  • Rights in relation to automated decision making and profiling

You can find out more about GDPR and your rights as a ‘subject’ of data, by following the links below. If you have any concerns about the above, please contact your GP Surgery or the CHIE Systems Team (via the Contact us page).

What is ‘Personal Data’?

 

Article 4 of the EU General Data Protection Regulation (GDPR) defines personal data as ‘’any information relating to an identified or identifiable natural person (‘data subject’)”.

 

It adds that:

 

‘an identifiable natural person is one who can be identified, directly or indirectly, in particular by reference to an identifier such as a name, an identification number, location number, an online identifier or to one or more factors specific to the physical, physiological, genetic, mental, economic, cultural or social identity of that natural person.

 

Certain types of personal data are grouped into a Special Category and include: racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, genetic data, biometric data, data concerning health or data concerning a natural person’s sex life or sexual orientation. The CHIE will process special categories of personal data relating to your health.

 

You can find out more about GDPR and data sharing here. If you have any concerns about the above, please contact your GP Surgery or the CHIE Systems Team (via the Contact us page).

How my record is kept safe and secure

 

We take the security of your record very seriously.

 

The information shared with CHIE is stored in a secure IT database which is managed by the NHS and stored in an NHS location in the UK.

 

Your CHIE record is only accessed by approved health and social care staff in accordance with our Acceptable Usage Agreement.

 

If you have any concerns about the above, please contact the CHIE Systems Team via the Contact us page.

For how long do you keep my information?

 

Your CHIE record is an Electronic Patient Record which contains health and social care data about you. In England this type of information has to be managed following the rules and regulations contained in a document called the Records Management Code of Practice for Health and Social Care 2016. As the Data Controllers are the organisations responsible for the deleting and archiving of your records on their own computer systems, the CHIE system will only hold data about you for as long as the Data Controller does. In most cases this means that once a GP is no longer responsible for your care or you cease being a patient for a practice who uses CHIE, your data will no longer be available in CHIE. NHS England become responsible for GP health records if a patient is unregistered or is deceased. Shortly after CHIE is informed that a patient is deceased or is no longer registered; their data will be withdrawn from use for care purposes.

 

Appendix 3 of the code of practice specifies the length of time for which different types of information should be kept. More information can be found by following the above link.

 

Who is the Data Controller?

 

Any health and care information shared with CHIE has to be owned by what is known as a Data Controller. Control of this data remains the responsibility of the data controllers of the organisations supplying that data.

As CHIE is supplied with data from many different organisations, these organisations carry out this role together, and are classed as a joint data controller.

Please visit The Information Commissioner’s website to find out more about Data Controllers and their role.

two proofs of ID

 

Current UK Driving Licence

 

Or

 

Current Signed passport
ID card
Birth Certificate

 

Plus one of the following

 

Recent utility bill (within last 3 months)
Local Authority Council Tax Bill
Bank/Building Society Statement of personal account

Who is the Data Protection Officer?

 

Every organisation that processes data has to appoint a Data Protection Officer.

 

NHS South Central and West Commissioning Support Unit (SCW) acts as the representative.

To opt out of sharing

 

To opt out of sharing your information to CHIE, complete THIS form and send it with two *proofs of ID, to the CHIE Systems Team at the following address:

 

CHIE

NHS South, Central and West Commissioning Support Unit

Building 003 Fort Southwick

James Callaghan Drive

Fareham, PO17 6AR

 

*Acceptable proofs of ID

One each from the following groups:

1. Current UK Driving Licence, Current Signed passport, ID card, Birth Certificate

2. Recent utility bill (within last 3 months), Local Authority Council Tax Bill, Bank/Building Society Statement of personal account

To opt back in

 

If you would like to re-start sharing your information with CHIE, please complete THIS form and return it, with two *proofs of ID, to the CHIE Systems Team at the following address:

 

CHIE

NHS South, Central and West Commissioning Support Unit

Building 003 Fort Southwick

James Callaghan Drive

Fareham, PO17 6AR

 

*Acceptable proofs of ID

One each from the following groups:

3. Current UK Driving Licence, Current Signed passport, ID card, Birth Certificate

4. Recent utility bill (within last 3 months), Local Authority Council Tax Bill, Bank/Building Society Statement of personal account

Who has looked at my record?

 

To request a copy of the Audit Trail, please complete THIS form and send it with two *proofs of ID, to the CHIE Systems Team at the following address:

 

CHIE

NHS South, Central and West Commissioning Support Unit

Building 003 Fort Southwick

James Callaghan Drive

Fareham, PO17 6AR

 

*Acceptable proofs of ID

One each from the following groups:

1. Current UK Driving Licence, Current Signed passport, ID card, Birth Certificate

2. Recent utility bill (within last 3 months), Local Authority Council Tax Bill, Bank/Building Society Statement of personal account

Acceptable Usage Agreement

 

The following information is provided to all new users of CHIE and is also made available to all users of the system via a dedicated staff website and training guide:

All Clinical users of CHIE should at all times follow the rules laid down in the Acceptable Usage Agreement. All users are expected to abide by the following:

I will ensure that where practical, as a care professional, I will ask the patient before accessing CHIE for patient care. If the patient is unconscious or not present but would benefit from my care, I may use my judgement about accessing the information.

I accept that CHIE may have information missing and will make my clinical decisions accordingly.

I agree to keep my user name and password secure. I will make sure that no one else can access CHIE in my name.

I am aware that an audit trail will detail my name and date of all records that I have accessed/viewed and that a patient can request a copy of the audit trail of all staff who have accessed their record.

I accept that disciplinary action may be taken against me if I do not abide by the security & confidentiality policy.

I accept that my personal details will be recorded to enable the audit trail to work.