0–18 years: guidance for all doctors

Accessing medical records by children/young people/parents

53

Young people with capacity have the legal right to access their own health records and can allow or prevent access by others, including their parents.30  In Scotland, anyone aged 12 or over is legally presumed to have such capacity. A child might of course achieve capacity earlier or later. In any event you should usually let children access their own health records. But they should not be given access to information that would cause them serious harm or any information about another person without the other person’s consent.

30

There are circumstances in which disclosures may be made to parents and others without consent (see paragraphs 46 – 52).

54

You should let parents access their child’s medical records if the child or young person consents, or lacks capacity, and it does not go against the child’s best interests. If the records contain information given by the child or young person in confidence you should not normally disclose the information without their consent.31 

31

Information obtained as a result of examinations or investigations to which children or young people consented in the expectation of confidentiality should not normally be disclosed without consent either. See s5(3) of The Data Protection (Subject Access Modification) (Health) Order 2000. See also paragraphs 46 - 52 on disclosing information without consent.

55

Divorce or separation does not affect parental responsibility and you should allow both parents reasonable access to their children's health records.