Using the internet to access confidential patient records: a case study

The introduction of a dedicated NHS-wide network (NHSnet) to improve patient care is already in progress. Yet concerns about the security of patient information, connection and user charges may lead to poor uptake, particularly by general practice. Chadwick and colleagues believe they have found a safer and more cost-effective system, using existing internet technology, which they describe in this week's BMJ.

Using an existing information system based in Salford, the team have developed a secure internet connection that provides patient information to general practices or even patients' homes - exactly where GPs seeing sick patients need immediate access to this information. Home access would not be possible using NHSnet, they add. They have ensured patient confidentiality by using strong encryption and user authentication - stronger methods than those used within NHSnet, they warn. Furthermore, the system is integrated into browsers such as Internet Explorer, providing an interface that is familiar to most people.

This system is as safe, if not safer than, NHSnet, say the authors, and could be applied to most, if not all, forms of chronic disease management. With the use of information technology to improve patient care a key element of the government's strategy for the new NHS, clinicians should realise that NHSnet is not the only solution for providing better access to patients' information.

Contact:

John New, Consultant Diabetologist, Department of Diabetes and Endocrinology, Hope Hospital, Salford

Email: john.new@virgin.net