Unit HSC41 Use and develop methods and systems to communicate, record and report.
(Mandatory Unit)
Level 4 NVQ in Health and Social Care
Performance criteria
You need to show that:
1 You identify, clarify and use legal, organisational and inter-agency policies and protocols for accessing and completing records and reports.
2 You provide evidence for your judgements and decisions within the records and reports, including where this is based on informed opinion.
3 You record evidence which:
supports your judgements and decisions
conflicts with your judgements and decisions clarifies events and decisions
4 You produce records and reports that:
reflect best practice
are accurate, concise, objective, understandable, legible and accessible to individuals, key people and others
document conflicts, disagreements, unmet needs and any risks associated with these document improvements, positive achievements and outcomes
use information and communication technology
5 You ensure that individuals have access to information about themselves that they can understand.
6 You check and agree the accuracy of the records and evidence with all concerned in the decision making process, and acquire the appropriate signatures, if required.
7 You receive, discuss and take action in response to feedback from those who receive your records and/or reports.
8 You store and share records and reports, within confidentiality agreement and according to legal, organisational and inter-agency agreements and requirements.
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1. The most important requirement here is the Data Protection Act 1998. It is linked to the organisation’s policies on confidentiality of information relating to service users or staff. It has 8 enforceable principles that must be complied with. These require that data or information must be:
Fairly and lawfully processed
Processed for limited purposes
Adequate, relevant & not excessive
Accurate
Not kept for longer than...