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Your Personal Held Record

 
Your Personal Held Record is a folder that contains records of the assessment and health and social services care you are getting at home.

The folder pages in yellow belong to you and stay in the file. Other teams, such as District Nurses, may leave their records in the folder, but take them away again when your treatment is complete.

Why do I need this record?

The purpose of your Personal Held Record is to keep all your records in a central place. You can use this record to check what services are being provided for you at home, and what you can expect from each service.

Any health professional coming into your home will be able to see at a glance from your folder what services you are receiving. It won't be necessary to ask you the same questions again and again.

Information sharing

You will be asked to give your agreement to sharing your information. If you don't want your information to be shared, you must say so.

There are some exceptional circumstances where we may need to share your information even if we don’t have your consent - for example, we may need to follow up concerns about your safety, or we may need to help if you are unwell and unable to give informed consent and a delay could endanger your health or wellbeing. 

Where do I keep my Personal Held Record?

Your Personal Held Record is an important personal document. You may want to keep it somewhere secure so that it can't be seen by other people who come to your home. Because it is kept in your home, you are responsible for keeping the folder safe and locating it whenever needed.

We would urge you to take your Personal Held Record whenever you go to your GP, to the hospital, or to other medical or social services appointments.

What if I am unhappy about information in my record?

If you are unhappy with anything you read in the folder, you may want to talk directly to the person who has written in a particular section. You can also raise the matter with a manager, or ask your family or friends to do so. If you are still not satisfied, you should contact the complaints department for the Adults and Older People's Directorate. More information about making comments or complaints can be found at the back of your folder.

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