A 1-hour course on records that would still make sense to another clinician, a patient, or an expert in two years: who did what, why, and what happens next.
Course aim
Give the whole team a shared standard for contemporaneous, attributable notes so care can be continued safely and you can explain yourself if asked.
What you will be able to do
- 1Explain why records exist for patients, colleagues and professional accountability
- 2Write contemporaneous notes that another clinician can continue from
- 3Attribute entries, corrections and omissions without dishonest alteration
- 4Handle access, sharing and screens so records stay confidential
Suitable for: the whole team, including reception and practice managers.
Always follow current GDC Standards on records, your system’s audit trail, and UK GDPR / DPA 2018. Information Governance has its own two modules. This course is knowledge CPD.
Course Content
Begin with lesson 1 — later lessons unlock as you progress.
Start course: 1. Why the record is part of the treatment