Information Sharing Access

NHS Mansfield and Ashfield Clinical Commissioning Group

MIG – Medical Interoperability Gateway

Enabling Information Sharing Access (ISA)


MIG stands for Medical Interoperability Gateway and is a system which enables health organisations to safely and securely view predefined datasets of patient information from the GP patient record. This enables clinicians to have real time and appropriate information about the patient to help inform their clinical decisions.

The MIG project is part of a Connected Notts Programme initiative across the whole of Nottinghamshire and helps support improvements in unplanned and urgent care.

How it works

It works in “real time view only” mode and the patient information is only available to permitted clinical staff, with the permitted healthcare organisations, covered under the Information Sharing Agreement (ISA).

Essentially this means for an M&A patient using 111, EMAS, CNCS, local A&E departments or other providers, MIG enables the Clinician involved in their care, with the patient’s permission, the ability to view a predefined dataset of the patient’s information.

If a Clinician needs to view patient’s data via the MIG, they will request explicit consent from the patient at the time. The Clinician will have to record via the MIG that they have the patient’s consent in order to see the data held in the GP’s patient record. If the patient agrees and consent to share out is enabled in the SystmOne or EMIS system, the information will be shared. However, if the patient dissents or the preference is not share then no patient information is shared.

What are the key benefits to the Mansfield & Ashfiled Practices and their patients?

  • Improve patient safety: the clinicians from other healthcare organisations treating the patient have up to date medications and allergy information direct from the SystmOne GP clinical system
  • Improve clinical decision making: the Clinician can see recent visits, any tests requested and prescriptions issued
  • Improved clinical efficiency and patient care by providing appropriate and timely clinical information direct
  • Enables effective collaborative working across the area.

With whom would we be sharing information?

The practice would be sharing information with the following organisations as detailed in the Information Sharing Agreement:

Mansfield and Ashfield GP practices


Central Nottinghamshire Clinical Services

Nottingham University Hospitals NHS Trust

East Midlands Ambulance Service NHS Trust

Sherwood Forest Hospitals NHS Foundation Trust

Nottinghamshire Healthcare NHS Foundation Trust, including Community Health Partnerships.

Nottingham CityCare Partnership

Derbyshire Health United

Nottinghamshire Multi Agency Safeguarding Hub health team

United Lincoln Hospitals

Primary Integrated Community Services

Consent Model

The consent model for MIG is based on implicit consent to share and explicit consent to view. Patients can opt out from sharing at any time. The requesting application e.g. out of hours system requires the Clinician user to ask the consent question and log the response.

For any further information, please contact us on 01623 43 5555.