ISBN 978 0 7559 9291 1 (Web only publication)
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Contents
DOCUMENT CONTROL SHEET
SECTION 1 - FOREWORD
Background
Aims
Types of Record covered by the Code of Practice
SECTION 2 - INTRODUCTION
General Context
Legal and Professional Obligations
NHS Scotland eHealth Strategy
Social Care Records
SECTION 3 - NHS RECORDS MANAGEMENT AND INFORMATION LIFECYCLE
Roles and Responsibilities for Records Management and Organisational Responsibility
Roles
Training
Policy and Strategy
Record Creation
Record Keeping
Record Maintenance - Storage Archiving and Scanning
Information Asset Register
Records Management Systems Audit
Information Quality Assurance
Disclosure and Transfer of Records
Retention and Disposal Arrangements
Appraisal of Records
Record Closure
Record Disposal
ANNEX A - GLOSSARY OF RECORDS MANAGEMENT TERMS
A
B - C
D
E
F - G
H
I
J
K - M
N
O- P
R
S
T
U - Z
ANNEX B - RESOURCES TO SUPPORT IMPROVEMENT
The Role of the Information Governance Framework and the Information Governance Toolkit
Other Reference Material
Useful Contacts
ANNEX C - LEGAL AND PROFESSIONAL OBLIGATIONS
Legislation contents
Other Obligations contents
Relevant Standards and Guidelines contents
Professional Codes of Conduct and Guidance
Legislation
Other obligations
Relevant standards and guidelines
Professional Codes of Conduct and Guidance
ANNEX D - 'THE MANAGEMENT, RETENTION AND DISPOSAL OF PERSONAL HEALTH RECORDS
Introduction
Scope of Schedule
Responsibilities and Decision Making
Retention Periods
Disposal and Destruction of Personal Health Records
Decision Making
Disposal and Destruction
Archives
Interpretation of the Schedule
Health Records Retention Schedule
Pathology records: Documents, electronic and paper
Pathology Records: Specimens and Preparations.
Pathology Records: Transfusion Laboratories
Patient Held Records
Pharmacy Records: Prescriptions
Pharmacy Records: Clinical trials
Pharmacy Records: Worksheets
Pharmacy Records: Quality Assurance
Pharmacy Records: Orders
Pharmacy Records: Controlled Drugs, Others
Other Health Records
Principles to be used in Determining Policy Regarding the Retention and Storage of Essential Maternity Records
Joint Position on the Retention of Maternity Records
List of Maternity Records to be retained
ANNEX E - ADMINISTRATIVE RECORDS RETENTION SCHEDULE
Administrative Records - General
Administrative Records - Financial
Administrative Records - Property, Environment and Health & Safety
Administrative Records - Human Resource
Administrative Records - Procurement and Stores
Administrative Records - NHS Board
Administrative Records - Service Planning