MPs are set to debate plans for a single patient record for the NHS in England on Monday, aiming to integrate GP, hospital, and social care data to reduce repeated medical history disclosures. The system would allow A&E clinicians to access complete patient histories, medications, and allergies, potentially preventing misdiagnoses and improving care for the frail elderly.
However, the British Medical Association (BMA) and others have raised concerns about data sensitivity and access. Health Secretary James Murray assured that "strict legal safeguards" would be in place, with audit trails and cybersecurity protections. He stated, "Only specified people can access the data, and there will be a clear record of who has accessed it."
The Department of Health estimates the reform could reduce A&E visits by 20,000 annually and enable paramedics to share full patient information during emergencies. The system will be accessible via the NHS App, with a rollout planned from 2027. Currently, limited data sharing exists in some areas, but the new plan aims for nationwide consistency.
Dr. Deb Gompertz of the British Geriatric Society supported the move, noting that older patients often receive care from multiple teams and would benefit from better information continuity. However, Dr. David Wrigley of the BMA warned about confidentiality, emphasizing GPs' legal duty to protect records. Helga Pile of Unison highlighted public concern over corporate exploitation of patient data.
The single patient record is part of the NHS Modernisation Bill, which also proposes abolishing NHS England and Healthwatch. Separately, a contract with Palantir for a federated data platform is under review. Murray confirmed the record would involve multiple providers, with contracts yet to be awarded.