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<strong>iDocs</strong> Solutions<br />

<strong>Thorndike</strong><br />

Medical Centre<br />

works with<br />

<strong>iDocs</strong> Solutions<br />

to reduce the<br />

burden of data<br />

requests<br />

Subject access requests<br />

(SARs) and other requests for<br />

information such as medical<br />

reports for insurers are “a huge<br />

nuisance, tedious and time<br />

consuming,” according to Dr<br />

Daniel Kerley of <strong>Thorndike</strong><br />

Medical Centre in Kent, which<br />

looks after 13,000 patients.<br />

Dr Kerley looked for a digital<br />

solution to minimise the<br />

impact of data requests and<br />

worked with <strong>iDocs</strong> Solutions<br />

to implement a hardware<br />

and software solution that<br />

streamlines the fulfilment<br />

process across data capture,<br />

processing and compliant<br />

delivery.<br />

<strong>iDocs</strong> Solutions Ltd | www.idocssolutions.com | 20-22 Wenlock Rd London N1 7GU England | +44 20 3286 5060


The background and burden of data requests<br />

Producing the information required by a data request involves significant work for practices<br />

because each record requires checking to ensure it does not contain details about third<br />

parties.<br />

Respondents to a GPonline/Medeconomics survey said that their practices received, on<br />

average, seven SARs a week – although some received many more. The majority (62%) said<br />

it took them longer than 30 minutes to process a single subject access request, and 18% said<br />

it took longer than an hour. Practice staff members are therefore spending significant time<br />

processing SARs – for which practices receive no funding. Practices also incur the costs of<br />

photocopying, printing and postage.<br />

The British Medical Association (BMA) estimated that in 2019 GPs received 1.25 million SARs.<br />

In addition, hospitals receive 500,000 SARs a year. The number of SARs in both instances has<br />

risen significantly during the 2020-21 pandemic, frequently instigated by lawyers seeking<br />

compensation for their clients.<br />

The Chair of the BMA General Practitioners Council, Dr Richard Vautrey, said: ‘We know from<br />

our members that they are concerned about the increase in SARs since GDPR legislation<br />

came in, and the knock-on effect on both workload and practice finances.”<br />

<strong>Thorndike</strong> Partnership looks for ways to cut the<br />

time and costs of SARs fulfilment requests<br />

Dr Kerley is committed to improving the patient pathway and takes a keen interest in<br />

technology that improves healthcare systems.<br />

He points out that primary care remains heavily paper based. In order to fulfil requests for<br />

patient records the practice historically had to print, photocopy (in fact, twice!) and manually<br />

redact (remove) content in records page by page. The records of patients with lengthy medical<br />

histories could extend to hundreds of pages, so the effort involved to produce compliant<br />

copies was significant.<br />

The Chair of the BMA General Practitioners Council, Dr Richard Vautrey, said: ‘We know from<br />

our members that they are concerned about the increase in SARs since GDPR legislation<br />

came in, and the knock-on effect on both workload and practice finances.”<br />

2<br />

<strong>Thorndike</strong> Medical Centre works with <strong>iDocs</strong> Solutions to reduce the burden of data requests


The practice’s secretarial team was responsible for the redaction process, which would have<br />

to be signed-off by a doctor once completed. Dr Kerley observes that the SARS production<br />

and approval process is a poor fit with general practice work. Requests await fulfilment<br />

until staff can find time to begin processing them, then doctors have to give up time that<br />

they could otherwise spend on patient care in order to read and approve documents prior to<br />

release.<br />

In his efforts to reduce the burden of data requests, Dr Kerley looked for a solution to<br />

capture and redact data, and to generate digital records that could be easily and securely<br />

transmitted electronically.<br />

He also highlighted another system imperative heightened by the introduction of GDPR:<br />

“Security and compliance are important to the practice as we don’t want <strong>Thorndike</strong><br />

to become another test case for data breaches, which can result in stiff penalties and<br />

reputational damage.”<br />

Streamlined digital SARs fulfilment<br />

<strong>Thorndike</strong><br />

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The new system overcomes issues such as incomplete data masking associated with manual<br />

redaction and also the problem of operator fatigue that naturally occurs with repetitive<br />

mundane<br />

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The <strong>iDocs</strong> redaction solution gives the practice confidence that it can fulfil data requests<br />

efficiently and more comprehensively than when it was using daisy-chained manual<br />

processes.<br />

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3<br />

<strong>Thorndike</strong> Medical Centre works with <strong>iDocs</strong> Solutions to reduce the burden of data requests


System training and positive user feedback<br />

It often takes time to embed operational changes, especially when change involves new<br />

technology, which can trouble operators until the technology becomes familiar. However,<br />

<strong>Thorndike</strong> reports that software installation, hardware implementation and training went<br />

smoothly and system users have no negative feedback. Dr Kerley says, “staff feel trained and<br />

confident.”<br />

The introduction of Fujitsu scanners has proven to be popular and the<br />

fi-7300NX, in particular, is described by the Centre as “a good piece of<br />

kit that is easy to use.”<br />

The fi-7300NX is a fully networkable Image Scanner that supports web<br />

systems and connects directly to client systems. Users can initiate<br />

scanning from the scanner’s touch screen or from applications on<br />

smart devices. The fi-7300NX scans 60 pages a minute and loads up to<br />

80 sheets at a time.<br />

The capability to scan batches of paper documents makes data capture far more efficient and<br />

the practice has since invested in another fi-7300NX for its vaccination centre.<br />

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Potential for further system enhancements<br />

<strong>iDocs</strong> Bindr® has established roots in the legal sector where leading law firms, such as<br />

Magic Circle firms like Clifford Chance, use the system to collate and transmit sensitive case<br />

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The practice views the <strong>iDocs</strong> implementation as a gateway system that has the potential<br />

for future enhancements, such as the attachment of DWP forms (Department of Works and<br />

Pensions) and summaries.<br />

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Once the pandemic of 2020-1 eases, the practice and <strong>iDocs</strong> are also interested in conducting<br />

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4<br />

<strong>Thorndike</strong> Medical Centre works with <strong>iDocs</strong> Solutions to reduce the burden of data requests


What positive difference has <strong>iDocs</strong> Bindr® made?<br />

Dr Kerley reports that, since the introduction of <strong>iDocs</strong> Bindr®, <strong>Thorndike</strong> Partnership has<br />

been able to catch up on its post-covid backlog of data requests relatively speedily, and “free<br />

of pain” in comparison with the tedium of manual processes.<br />

He also notes that the practice has not replaced a secretarial position after that staff member<br />

left, which indicates the contribution of <strong>iDocs</strong> Bindr® to improved levels of efficiency in<br />

aspects of the practice’s administration.<br />

In conclusion, Dr Kerley says that GP practices have generally been a long way ahead in<br />

implementing digital solutions compared with most other medical institutions. Practices<br />

function as small businesses so it is worth medical professionals investing time to explore<br />

<strong>iDocs</strong> digitisation for its cost savings, compliance confidence and improved service.<br />

The <strong>Thorndike</strong> Medical Centre is based<br />

in Rochester, Kent, and looks after 13,000<br />

patients.<br />

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Kent and has worked as a partner since 2015.<br />

He joined <strong>Thorndike</strong> surgery as a partner and<br />

GP trainer in 2019.<br />

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solutions for Healthcare, Legal and other<br />

professional service organisations. <strong>iDocs</strong><br />

Bindr® applies powerful technology that<br />

creates secure digital bundles, medical<br />

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with ease.<br />

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5<br />

<strong>iDocs</strong> Solutions Ltd | www.idocssolutions.com | 20-22 Wenlock Rd London N1 7GU England | +44 20 3286 5060

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