Record Keeping and Data Protection
It is considered good practice for counsellors to keep records on clients and their sessions. All clients using the service will be asked to sign the back of their Record Card to acknowledge receipt of the Data Protection Information leaflet, and to indicate their consent to records being kept. As a service, we need to be accountable for all the work that we do, and therefore we regret that if a student is unable to give their consent, only one session can be offered. Counselling notes may record background information and key issues worked on in the sessions. These will be brief and factual. Records are kept for 6 years and are then destroyed by shredding.
Access to Notes
Under the Data Protection Act, clients have a right of access to all notes kept on them. If those notes contain references to other individuals these may not be made available to the client as data protection is also granted to third parties.
If a client’s file includes a letter or additional information from the person responsible for their clinical care, usually their GP or psychiatrist, consent from the relevant practitioner must be obtained before the correspondence is disclosed.
If a client wishes to see their file they should put their request in writing to the counsellor or the Manager of the Student Counselling Service, giving at least 10 days notice. It will then be arranged for the client to meet with a counsellor to see their file.