• Patient centred care

    Patient centred care including “Patient centred care” and “Multimorbidity”

    Patient centred care

    The evidence suggests that re-orientating the health and care system around a patient centred approach has the potential not only to improve health outcomes and quality of life for patients, but also to reduce avoidable demand for health and care services.

    The aim of patient centred care is to enable patients to work in partnership with health professionals to develop confidence, knowledge and skills to better self-manage.

    Simple access to GP health record is an important part of delivering patient centred care but equally important are measures to support patient understanding of this information to improve health literacy. The purpose of this guidance is to explain how online access to the GP health record can support patient centred care.


    Improving the care of patients with multimorbidity is one of the most important challenges facing General Practice. Online access to the medical record can improve patient engagement and enable them to improve self-management. It can also help family members and carers support patients. Patients will need help to understand the records they see. Good information is very important for them to gain the necessary health literacy.

    The purpose of this guidance is to describe how the practice clinical team can use online access to help manage single and multiple long term conditions. Diabetes mellitus is used as an example of how record access can support patient care. The principles illustrated can be applied to all long term conditions.

    Using Record Access for Clinical Benefit

    This guidance describes how patients can benefit from online access to the GP electronic health record as part of routine clinical care, using it to self-manage complex health conditions, meet their personal health goals and achieve better health outcomes.

    Clinical examples are used to illustrate the clinical benefits of access to the electronic patient record, including the detailed coded record, clinical correspondence and free text, as part of routine care.

    The decision about whether to recommend extended access to clinical correspondence and consultation free text to patients should be based on a balanced view of the potential for clinical benefit and risk to each individual patient. This guidance is intended to help GPs make the decision.

    See below for guidance for general practice:

    Patient centred care - guidance for general practice:

    • Patient centred care – guidance for general practice: PDF
    • Multimorbidity - guidance for general practice: PDF
    • Using record access for clinical benefit - guidance for general practice: PDF

    “Protecting patients and practices” eLearning – available here (free registration/ login required)