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record keeping

Record keeping is an essential aspect in the health and social sector and plays a viral role in providing safe and effective care to patients and or service users. Effective record keeping helps promote high standards of clinical care, ensure continuity of care, helps detect problems such as deterioration in their health and condition while keeping an accurate account of treatment and care delivered.

This course will provide you with the understanding of what records are according to the law, their importance and functions in the provision of health and social care, the principles of record keeping, the content and style suitable when keeping records. The learner will be able to keep effective records and understand their professional and legal duty. It outlines the importance of audits and the role played in ensuring consistency of care, the right of access, retention of records and principles of delegation.

Course Content

  • Definition of records
  • The importance of records
  • Functions of good records
  • The principles of keeping records
  • Effective record keeping
  • Legal matters – your duty of care
  • Audits & Access to records
  • Person centred approach
  • Delegation
  • Countersigning
  • Problems with record keeping
Record Keeping Learning Outcomes

By the end of this online course, the learner will be able to:

  • Understand what records are
  • Understand the importance of keeping good records
  • Know the principles keeping good records
  • Know how to keep effective records
  • Understand their responsibilities and duty of care 
  • Understand what audits are and the patient’s right to confidentiality.
  • Understand the importance of adopting a person centred approach
  • Understand how to delegate records & countersigning
  • Learn the most common problems associated with record keeping. 


Upon the successful completion of the online learning material you will be able to undertake a 20 question quiz  with a pass mark of 80%. The questions are automatically marked and you will be automatically certificated. If you don’t pass, you can retake the assessment as many times as desired until you attain your certificate.

Duration: 3 hours         

Who is this course for?
This course is designed for all professionals in the health and social sectors responsible for handling, maintaining, storage and disposal of records. These include professionals such as but not limiting to doctors, nurses, midwives, health care assistants and other allied health professionals.

Why learn with Coral & Reed?

Our courses are:

CDP Accredited
Skills for Care aligned
Affordable to suit your budget
High quality and value for money
Courses are broken into bite sized chunks
Certificate immediately available upon completion of the course
Based on best practice knowledge to gain the highest standards
Highly interactive.

Frequently Asked Questions

When can I start my course?
You can start your course immediately after purchase.

How long will the course take?

All our courses will differ, according to the learning resource, but traditionally, previous learners have taken as little as 1 hour up to 3 hours. You have access to the courses once purchased for a period of 1 year.

When will I get my certificate?
Certificates are usually available immediately after completing the course. Click on the certificate button to download and save it somewhere easy to remember. We do not normally provide a hard copy of the certificate. A charge of £5.00 will apply where a hard copy is desired. If the course was purchased for you by your employer, please contact them for a copy of your certificate.

How do the courses work?
Once a course is purchased, go to our website – and log in at the top by entering your user name and password. A list of courses should appear on the screen. Click on a course. On your desired course page, scroll down to course content and select the 1st module, Study the learning material, click mark complete and click lesson content to access your assessment or next lesson where lesson content is missing.

Can I do my course on any other gadget but a desk top?
Yes, of course. Courses purchased can be completed on the phone, tablet or on a laptop.

I have purchased the course, what next?
Once the purchase of the course is complete, please allow up to 10 minutes before checking your email for log in details. Where details have not been emailed automatically please do not hesitate to contact us.

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