title: Information governance and record keeping in community practice.
abstract: The quality of NHS record keeping and documentation has been a cause for concern in recent serious case reviews and inquiries. It is also a source of health professional referral to fitness to practise panels. Community practitioner record keeping is governed by national legislation as well as local policy. Recent developments in record keeping practice, not least the progressive move to electronic records, mean that legislation and policy must be reinterpreted to take account of new challenges and dilemmas. As community practitioners frequently work collaboratively with colleagues from other professions and organisations, efforts must be made to develop a shared understanding of the content and handling of records containing personal confidential information.
authors.affiliation: Regulation Unite/CPHVA.
authors.forename: Jane
authors.initials: J
authors.lastname: Beach
authors.affiliation: University of Hertfordshire.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Oates
mesh_terms: D003153:Community Health Services / Q000331:legislation & jurisprudence* / Q000458:organization & administration*; D003219:Confidentiality / Q000331:legislation & jurisprudence* / Q000592:standards*; D057286:Electronic Health Records / Q000331:legislation & jurisprudence* / Q000592:standards*; D006801:Humans; D013222:State Medicine / Q000331:legislation & jurisprudence*; D006113:United Kingdom