Access to health records of a deceased person - Guidance notes Who can apply for access? The Access to Health Records Act 1990 provides certain individuals with a right to apply for access to information contained within a deceased patient’s record. These individuals are defined under Section 3(1)(f) of the Act as, ‘the patients personal representative and any person who may have a claim arising out of the patient’s death’. A personal representative is the executor or administrator of the deceased person’s estate. Under the legislation, next of kin do not have an automatic right of access to health records. Please note that a charge may apply as specified by the Access to Health Records Act 1990. The Trust is not obliged to comply with your access request unless they have sufficient information to identify the deceased patient and to locate the information held about them. You may also be required to pay a fee as described above. How to apply for access? 1. Complete the ‘application for access to health records of a deceased patient’ form. This is available on the Trust website www.southwestyorkshire.nhs.uk or by contacting the relevant health records department in your area 2. Provide two forms of proof of identity, such as a passport and driving licence. 3. Provide proof that you are an individual able to request access i.e. a person with a claim arising out of the patient’s death or the patient’s personal representative. Examples of acceptable evidence for this are outlined below: Type of applicant Patients personal representative e.g. executor or administrator of estate Type of evidence Documentation identifying them as the executor of the will or the administrator of the deceased patient’s estate. The evidence could be: Solicitors letter Copy of the will / Probate documents Letter from the executor to give authority to another individual to have access to the records. Person with a claim arising out of the patient’s death The evidence could be: Solicitors letter Insurance claim / letter Evidence of a genetic problemdoctors or solicitors letter to support How long will it take to process the request? Once you have supplied all the required information, we should process your request within 40 calendar days. If the health record has been updated within the last 40 days, the request should be processed within 21 calendar days. If the evidence you have provided us with is not sufficient, this will hold up your request. In exceptional circumstances it may not be possible to supply the information within the timescale. If this is the case we will inform you of the delay and give you a timescale for when your request is likely to be met. If the Trust feels that you have not met the requirements set out in legislation to be provided with the information, the Trust will not process your request. What information will be in the record? Information about personal treatment and care is confidential and if a patient indicated their wish not to release information whilst they were alive then that wish must be considered by a health professional. The act only allows access to information created after November 1991and only to information that is relevant to any claim. In some circumstances the Act permits the Trust to withhold information held in the health record. These cases include but are not limited to: Where it has been judged that supplying you with information is likely to cause serious harm to the physical or mental health to yourself or others, or where another person has been mentioned or provided information (third person). This exemption does not apply where that third person is a health professional who was involved in the care of the patient If you are not satisfied with the Trust’s response to your request for access If you think the Trust has failed to disclose information to you without good reason, in the first instance you should write to the team that handled your request explaining why you are dissatisfied with the response and asking for a review to be carried out. If you remain dissatisfied and wish to make a formal complaint you can do this by contacting the Trust’s customer services team. You can: Tel: 0800 587 2108 Email: [email protected] Write: Customer services South West Yorkshire Partnership NHS Foundation Trust Block 10, Fieldhead Ouchthorpe Lane Wakefield WF1 3SP Independent advice If you remain dissatisfied with the Trust's response you can contact the Information Commissioner’s office, who is responsible for enforcing access to health records. Tel: 0303 123 1113 (local rate) or 01625 545 745 (national rate) Address: Information Commissioner Office Wycliffe House Water Lane Wilmslow Cheshire SK9 5AF Website: www.ico.org.uk
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