Recording Consent on the FGM Recording and Reporting (2015/16) Template

Consent is not mandatory, but is recommended. The different consent statuses should be recorded on the template and are subsequently reported in Vision+ Practice Reports. The practice has the final decision on whether or not to include a patient in an extract.

There are currently no specific clinical terms for recording FGM consent, so the clinical term Obtaining Consent (Read 9Nd/SNOMED 414925007) is used, along with a free-text comment to indicate the patient's preference. The three potential consent statuses are:

• Consent - The patient consents to identifiable information being uploaded to the Clinical Audit Platform (CAP).
• Dissent - The patient does not consent to patient identifiable information being uploaded to Clinical Audit Platform (CAP).
• Absent
  Training Tip - Remember GP2GP does not pick up the specific free-text entries recorded against consent, so new patients to the practice with FGM clinical terms are reported by the module as having consent absent with relation to the extract.

To record a patient's consent:

1. Select Codeset at the end of the Consent line of the FGM Recording and Reporting (2015/16) Template:

   

2. Select the clinical term, simply tick Apply next to the required codeset code and then select the relevant freetext comments:

   

   Select OK to save the data to the Template.