Please note – there is currently a delay in responding to Subject Access Requests (SAR’s) of approximately 4 months. Please be assured that we will do everything we can to issue a response as soon as possible however during this period we would request that you do not contact the team for updates on your request as this will potentially delay the process further. Please accept our apologies for any inconvenience this causes.

Did you know the NHS App gives you quick and secure access your medical record?

The NHS App gives you direct, quick and secure access both your GP and Hospital health records from your mobile phone, tablet or laptop which will often be a much easier and faster way for you to obtain your medical record than the SAR process.

From the NHS app you will be able to see your:

  • GP health record and because GP’s are informed about your hospital care and treatment this will include key parts of your hospital records.
  • Appointments
  • Test results
  • Prescriptions and medication
  • Vaccinations
  • You may also be able manage parts of your care through the NHS app such as appointments and prescriptions.

You can download the NHS app here.

If the information you need is not available on the NHS App or you still need to make a SAR, please complete the form below and we respond to you as quickly as possible.

GUIDANCE ON REQUESTING PERSONAL INFORMATION

The Trust is committed to being open and transparent about the way it uses your personal information. You can use this form to request copies of the personal information the Trust holds about you. If you are unable to do this yourself someone can fill this form out on your behalf. The form can also be used by solicitors and other parties who have your permission to request this information on your behalf.

If you are requesting information relating to a deceased patient please used to Access to Health Records Request.

If you have any queries or would like further information about your rights for access to your health records, please contact us by:- Telephone: 01270 273917 E Mail: SARS@mcht.nhs.uk 

Section 1 – Please tell us the details below about you, or the person you are applying on behalf of

Required
Please fill in this field.
Required
Please fill in this field.
Required
Please fill in this field.
Required
Please fill in this field.
Required
Please fill in this field.
Required
Please fill in this field.
Required
Please fill in this field.
Required
Please fill in this field.
Required
Please fill in this field.
Required
Please fill in this field.

Section 2 – Personal details

Section 3 – What information is requested?

Please note that information will be posted to you by recorded delivery and will need a signature upon receipt. 

Please provide a clear description of the information you require. Where possible please describe:

Please note, the Trust holds a significant number of different types of data stored in various different records management systems. However the majority of patient information is retained within our Electronic Patient Record system (EPR) which went live in June 2025. Therefore, if no description of the data being requested is provided the Trust will provide any data it holds about you that is recorded on the EPR.

Section 4 – Confirming your identity and address

You can send printed copies or electronic copies.

Applying for yourself

If you are applying for yourself, we need to see:

➢ One document confirming your name, from Group A

➢ One document confirming your address, from Group B

Applying on behalf of someone else

If you are applying on behalf of someone else, we need to see:

➢ One document confirming your name, from Group A

➢ One document confirming the name of the person you are applying on behalf of, from Group A

➢ One document confirming your address, from Group B

➢ One document confirming the address of the person you are applying on behalf of from Group B

➢ All documents needed to show that you have the authority to access the records, from Group C

A. Documents that confirm your name / name of the person you are applying on behalf of:

• Full driving licence

• Passport

• Birth certificate

• Marriage certificate

• NHS Digital identity badge

B. Documents that confirm your address:

• Utility bill

• Bank statement

• Credit card statement

• Benefit book

• Pension book

C. Documents that confirm you are allowed to act on behalf of the person you are making the request for:

• Health and Welfare Lasting Power of Attorney

• Court of Protection Order appointing you as a personal deputy for the personal welfare of the Subject

• Full birth certificate of child

• Full certificate of adoption

• Parental responsibility order

• Signed declaration from the subject

Required
Please fill in this field.
Required
Please fill in this field.

In exercise of the right granted to me under the terms of the General Data Protection Regulations, I request that you provide me with the information I have requested. I confirm that this is all of the information to which I am requesting access. I also confirm that I am either the patient, or am acting on their behalf. I am aware that it is an offence to unlawfully obtain such information, e.g. by impersonating the patient. I certify that the information given in this form is true. I understand that it may be necessary for Mid Cheshire Hospitals NHS Foundation Trust to confirm my identity and it may be necessary to obtain more detailed information in order to confirm my identity and/or locate the correct information.

Section 5 – Formal Declaration

Required