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22 August 2016
No. A patient's record should be complete and accurate to ensure they receive appropriate care. Patients can question the content of their records, but not on the basis that it is upsetting or that they disagree with it.
Factual errors can be corrected but it must be immediately obvious what has been changed, who made the amendment and the time and date it was changed.
This guidance was correct at publication on 22/08/2016. It is intended as general guidance for members only. If you are a member and need specific advice relating to your own circumstances, please contact one of our advisers.
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