Select location
Membership information
0800 561 9000
Medicolegal advice
0800 561 9090
Menu
Refine my search

Communicating with patients by text message - Wales

Post date: 01/10/2015 | Time to read article: 2 mins

The information within this article was correct at the time of publishing. Last updated 09/05/2019


Text messaging allows practices to target and contact hundreds of patients within minutes. Patients can respond by text with replies automatically forwarded to a specified email address. Many practices are signing up to using a text messaging service to inform patients of appointments, flu vaccinations, etc.

How is consent taken?

Do not assume that just because you hold the patient’s mobile telephone number on the patient’s record, they have provided consent for text messages to be sent. Only send text messages to those patients where consent has been recorded for you to undertake this form of communication.

During an appointment or other communication, ask the patient if he/she would be happy to receive a text message via mobile phone, eg, for an appointment reminder. The patient’s consent or refusal must be clearly recorded on the patient’s computer record where it is easily visible. Patients who consent should be advised of the importance of informing the surgery of any changes to their contact details.

This is important because patients may change their mobile phones at regular intervals, and if they choose to give their old phone to a friend or family member there is obvious potential for a breach of confidentiality. The consent should be revisited and updated at regular intervals.

What should practices be wary of?

Whilst the use of text messages can offer greater convenience and flexibility for patients and doctors, it is essential for practices to review the systems in place relating to this. This is to ensure that they are as secure as possible and compliant with the relevant legislation and professional guidance. Remember that text messaging in this context is a professional communication, hence “text-speak” should be avoided.

What information needs to be provided?

Inform patients of the practice’s text messaging service and the limitations, via the practice leaflet, website or notice in the waiting room. The leaflet could be given to the patient when they consent to receiving text messages. The content of the leaflet should be reviewed at regular intervals and adapted to reflect any changes in the service and/or advances in technology. Practices would be well advised to liaise with the Local Health Board and other practices that have instigated a text messaging service, and find out what information they provided.

Does it form part of the medical record?

The text message would be considered part of the patient’s medical records, hence it is important that the consent for the text message is recorded in full, as well as the date and time that it was sent and the content of the message. Any response received should also be recorded in the patient’s record in the same way.

What information is not appropriate to send by text message?

Be careful about the information contained in text messages; in general terms, text messaging lends itself to sending out generic reminders to specific target groups. However, it is not an appropriate way to deal with clinical queries and patients should be made aware of this.

Practices should not rely on text messaging alone in relation to the issuing of reminders; it should simply form part of a wider strategy.

There is a risk that patients may respond to the text and seek other information (for example, clinical advice). Careful consideration should be given to this potential problem, particularly given that there is a possibility that a patient may seek urgent advice outside the practice opening hours.

Further information

 
Download a PDF of this edition
PDF

Share this article

Share
Load more reviews
Rating

You've already submitted a review for this item

|
New site feature tour

Introducing an improved
online experience

You'll notice a few things have changed on our website. After asking our members what they want in an online platform, we've made it easier to access our membership benefits and created a more personalised user experience.

Why not take our quick 60-second tour? We'll show you how it all works and it should only take a minute.

Take the tour Continue to site

Medicolegal advice
0800 561 9090
Membership information
0800 561 9000

Key contact details

Should you need to contact us, our phone numbers are always visible.

Personalise your search

We'll save your profession in the "I am a..." dropdown filter for next time.

Tour completed

Now you've seen all of the updated features, it's time for you to try them out.

Continue to site
Take again