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Courses/Embedding the SPLW in the MDT/Integration/Records access

Module 1 · Integration

Records access

Reading · 8 min · Lesson 2 of 2

Records access

The programme expects to have access to:

  • other healthcare professionals in the practice and team
  • electronic 'live' and paper-based record systems of their primary workplace(s)
  • administrative / office support and training and development as appropriate.

This is not a "nice to have". It is an expectation of the role, and there are operational reasons it matters.

Why SPLWs need records access

  • To see referrals and the clinical context the referring clinician wanted them to act on.
  • To record their work in a place clinical colleagues can see — so the person's story doesn't get fragmented.
  • To flag concerns back to the clinical team safely (safeguarding, deterioration, missed appointments, new disclosures).
  • To avoid the person telling their story twice — a stated aim of the programme.

The information governance to get right

apply secure information handling:

  • Information governance training is mandatory
  • Use approved systems and secure email
  • Apply consent processes; flag where competence-based consent (for minors) or capacity-to-consent (for adults) come into play
  • Record sufficient information for continuity of care, no more.

Some organisations are nervous about giving non-clinicians records access. The programme is clear: are part of the team and need access. Pseudonymising or restricting them out of access creates more risk (fragmented care) than it solves.

Practical points

  • Smart card / ID / login sorted before week one.
  • Read/write access to the primary record system.
  • Templates for common interactions, agreed with the practice — this saves time and standardises what's recorded.
  • Audit trail preserved (records remain auditable).
  • Backup processes when systems are down.
  • Mobile/working out of the office — secure access when working from home or in community settings.
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