Consent

doctor examining patient's eyes

Your choice is important

Your doctor, nurse, midwife, therapist or other qualified healthcare professional will always ask for your consent before they undertake an examination, procedure or treatment.

You always have a choice. Before anything happens, you can:

  • say no
  • ask for more information
  • discuss your options with your relatives or carers.

Consent can be given:

  • verbally, by saying you are happy for the clinical team to undertake a procedure, such as a blood test
  • in writing, by signing to say you consent to surgery.

If you are unable to give consent to treatment, we will discuss treatment options with your next of kin.

However, in an emergency that will not always be possible – for example, if you are being treated for life threatening injuries.

For more information, visit NHS Choice’s guide to consent to treatment.

Electronic consent

At BHRUT, we will soon be using electronic consent forms instead of paper-based forms, as part of our electronic patient record (EPR). 

This new way of agreeing to your treatment gives you more time to consider your decision and discuss it with your family and friends at home before giving your consent. It also offers you a safer and more convenient experience. 

Your personal information will be stored securely, and provide your clinical team with accurate information at all times.

Video created by Bradford Teaching Hospitals NHS Foundation.

How does the e-consent process work? 

Data is entered into the digital consent application by a doctor or qualified healthcare professional. They modify the information in the form to meet your individual needs and this is shared with you via email or text message to review later. 

After reviewing the information provided, you can document your consent to the proposed treatment or ask your healthcare professional for further information. 

Can I complete my consent at home? 

Provided your consent has been shared with you by the clinician in charge of your care, you can sign your consent via your smartphone or computer at home if you have access to the internet. You just need to use your finger or a compatible electronic pencil to draw your signature. 

Is e-consent available in another language? 

Yes, Concentric is available to view in multiple languages, which can be changed through a simple process on your web browser. 

Will I still have access to an interpreter when signing the digital form? 

Yes, you can still have access to an interpreter when signing the digital form. 

The GMC’s Good Medical Practice guidance expects clinicians to ‘make sure that arrangements are made, where possible, to meet the patients’ language and communication needs’. Family members should not be used for the purpose of interpreting for consent discussions. 

Where the use of a qualified interpreter is needed or has been used for your consultation, this is documented in Concentric. 

Do I have to use digital consent if I don't want to, or can't? 

Paper forms will still be available for a short time, and you can discuss this with the clinician in charge of your care at the time. 

Can someone consent on my behalf?  

Yes, our process remains the same. If you are a parent, guardian, or person with legal responsibility for another, you will still be able to sign on behalf of the person receiving treatment. For more information you can discuss this with your clinician. 

Where is my data stored, how is it protected? 

The Google Cloud Platform (GCP) is used for hosting and data processing within a data centre in the UK. It is compliant with all healthcare information governance requirements. Once the consent episode is completed, a pdf version of the consent form is automatically transferred into the Trust’s Electronic Patient Record (EPR) systems. 

All data is protected in line with industry best practice. 

Why am I being contacted by Concentric? 

You may be contacted electronically after you sign your consent to complete a short survey. By completing this survey, you are helping us improve our services. However completing the survey is optional. While you can’t opt out of receiving the survey, you can opt out from completing it.

How do I know the message I've received is not a scam? 

There are six key things to look out for to make sure the message you received is not a scam: 

  1. Your text message will be addressed from “Concentric”.
  2. It will read ‘Dear [Name]’ and will provide a secure, randomly generated link which you can only open with the date of birth which you have confirmed with Barts Health
  3. Your email message will be addressed from “BHRUT (via Concentric) notifications@concentric.health
  4. It will be titled “Important information about your upcoming treatment”.
  5. It will include the BHRUT and will read ‘Dear [Name]’
  6. The ‘View my information link’ will only be accessible by using the date of birth you have confirmed with BHRUT . 

Does it cost me to receive the text and open the link? 

No, this service is free. 

Can my form be shared with someone else (potentially a paediatric patient and their guardian)? 

Yes. Concentric has consent functionality which requires the parent/guardian’s consent, as well as the ability for the child to sign in parallel. For young people aged 14-17 there is an option to complete a consent form 1 or 2 depending on their ability to consent. 

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