SO
5Sophia
User from
Great
Posted on 22/04/2026
Record Keeping
Top Rated4.5(15 reviews)
Record keeping is a challenging concept and as the industry moves away from paper records towards digital records it is more important than ever to ensure that the records we keep are accurate and timely.
8 Modules1 hour
£169£0
From £0
Start LearningLearning Outcomes
What you'll learn
- To be aware of the types of records you may be required to keep
- To understand the legal and professional requirements to maintain accurate and detailed resident / patient records
- To ensure that all documentation is recorded in a legible and indelible manner
- To enhance your knowledge around the General Data Protection Regulation in relation to record keeping
- To be mindful of the importance of the duty of confidentiality and appropriate storage of all records
- To understand what actions to take if you believe there has been a data breach in relation to patient / resident or staff records
Learning Outcomes
What you'll learn
- To be aware of the types of records you may be required to keep
- To understand the legal and professional requirements to maintain accurate and detailed resident / patient records
- To ensure that all documentation is recorded in a legible and indelible manner
- To enhance your knowledge around the General Data Protection Regulation in relation to record keeping
- To be mindful of the importance of the duty of confidentiality and appropriate storage of all records
- To understand what actions to take if you believe there has been a data breach in relation to patient / resident or staff records
Modules
Module 1
The Principles of Record Keeping
Module 2
Why do we keep records?
Module 3
Types of documentation used in healthcare
Module 4
Factors that contribute to 'good' record keeping
Module 5
Access and ownership of records
Module 6
General Data Protection
Module 7
Legal Matters and Complaints
Module 8
Summary
Top reviews
NE
5Netochukwu
User from
great
Posted on 09/04/2026
OL
5Oluwaseyi
User from
The course is a brilliant overview of record-keeping in healthcare.
Posted on 18/04/2026
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Frequently Asked Questions
Accurate records support safe, effective and coordinated care. UK healthcare workers should document information clearly, promptly and factually while following legal and professional requirements.
Healthcare records should be accurate, relevant, secure, legible and accessible to authorised users. UK care workers must follow data protection law, confidentiality duties and workplace policies.
Store records securely and restrict access to authorised people. Follow your organisation's data protection, confidentiality and retention policies to protect personal information in UK health and social care.
UK GDPR and the Data Protection Act 2018 provide rules for collecting, using, storing and sharing personal data. Healthcare workers must handle records lawfully, securely and confidentially.
Report suspected data breaches promptly through your organisation's information governance procedures. Do not conceal, alter or delete records, and follow UK data protection guidance.