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Archiving vs deleting — what's the difference?

When to make a record inactive and when (rarely) to erase it — and why the two are not the same.

These sound similar but mean very different things, and mixing them up is how clinics accidentally break their retention obligations. Here's the distinction.

Archiving (making inactive)

Archiving keeps the record — it just moves it out of the way. When a patient's care ends, you make them inactive: they leave your active list and stop counting towards your plan limit, but everything (appointments, notes, invoices, files) is retained and can be reactivated. See discharging a patient.

This is what you want almost every time. Health records must be kept for years after the last treatment, so "tidying up" a finished patient means archiving, not deleting.

Deleting (erasure)

Deleting removes personal data — and it's tightly constrained. You'd only erase a record in response to a valid right-to-erasure request, and even then only where retention law allows; financial and clinical records often must be kept for their retention period regardless of a deletion request. Erasure anonymises the record rather than destroying the structure needed for financial history. See handling a right-to-erasure request.

Quick guide

You want to…Do this
Tidy a finished patient off your listArchive (make inactive)
Stop someone counting to your plan limitArchive
Respond to a patient asking to be forgottenErasure — and check retention first
Free up space by removing old patientsDon't — retention rules apply; archive instead

Rule of thumb: archive by default, erase only on a valid request. Atlacare surfaces records that have passed their retention window under Settings → GDPR so you review them rather than deleting on a hunch.

NextHandling a GP or NHS referral letter

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