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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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<strong>iDocs</strong> Bindr® digital redaction solution integrated<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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tasks.<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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documents<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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research<br />
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and<br />
delivery methods.<br />
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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scheme in<br />
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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<strong>iDocs</strong><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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acerumqui blam re, comnis rehendaessi quasperi archil ipici ducitatemo volorest<br />
5<br />
<strong>iDocs</strong> Solutions Ltd | www.idocssolutions.com | 20-22 Wenlock Rd London N1 7GU England | +44 20 3286 5060