Practice Policies & Patient Information
Accessible Information Standards
Accessible Information Standards
What is the Accessible Information Standard?
The Accessible Information Standard – known officially as SCCI1605 Accessible Information – is a new ‘information standard’ for implementation by all organisations that provide NHS or adult social care.
Compliance with information standards of this type is a mandatory requirement, including for NHS Trusts and GP practices. This is set out in section 250 of the Health and Social Care Act.
The Accessible Information Standard aims to ensure that people who have a disability or sensory loss receive information that they can access and understand, for example in large print, braille or via email, and professional communication support if they need it, for example from a British Sign Language interpreter.
The Standard requires organisations that provide NHS or adult social care to:
Ask people if they have any information or communication needs, and find out how to meet their needs.
Record those needs clearly and in a set way.
Highlight or flag the person’s file or notes so it is clear that they have information or communication needs and how to meet those needs.
Share people’s information and communication needs with other providers of NHS and adult social care, when they have consent or permission to do so.
Take steps to ensure that people receive information which they can access and understand, and receive communication support if they need it.
Which patients are affected by the Standard?
The Standard applies to patients and service users who have information and / or communication needs relating to a disability, impairment or sensory loss. It also applies to parents and carers of patients / service users who have such information and / or communication needs, where appropriate. Individuals most likely to be affected by the Standard include people who are blind or d/Deaf, who have some hearing and / or visual loss, people who are deafblind and people with a learning disability. However, this list is not exhaustive.
At Manor Court Surgery, we will ask newly registered patients about their specific needs when you register.For existing patients, our staff will routinely ask when you visit. Please help us to communicate with you effectively by making us aware of your specific needs.
Care Data
Information about you and the care you receive is shared, in a secure system, by healthcare staff to support your treatment and care.
It is important that we, the NHS, can use this information to plan and improve services for all patients. We would like to link information from all the different places where you receive care, such as your GP, hospital and community service, to help us provide a full picture. This will allow us to compare the care you received in one area against the care you received in another, so we can see what has worked best.
Information such as your postcode and NHS number, but not your name, will be used to link your records in a secure system, so your identity is protected. Information which does not reveal your identity can then be used by others, such as researchers and those planning health services, to make sure we provide the best care possible for everyone.
You have a choice. If you are happy for your information to be used in this way you do not have to do anything. If you have any concerns or wish to prevent this from happening, please speak to practice staff or download the opt out form below, complete it and return it to the practice
We need to make sure that you know this is happening and the choices you have.
How information about you helps us to provide better care
Care Data – Frequently Asked Questions
Opt Out Form – Download, complete and return to the practice
You can find out more on the NHS England Care Data website
Complaints
We aim to give a friendly and professional service to everyone who attends our practice. However, if, for any reason, our service should fall below our patients’ satisfaction, we take all complaints very seriously. If you would like to make a complaint regarding the surgery or the services we offer, please contact the Practice Manager, either by telephone or in writing, who will make every effort to respond to your concerns as soon as possible. All complaints will be treated as confidential. The Parliamentary and Health Service Ombudsman website contains detailed information on raising a complaint about any aspect of the NHS in England. There is also a leaflet explaining the procedure of bringing a complaint to the ombudsman.
Confidentiality
COVID-19 Privacy Notice
Read/Download our COVID-19 Privacy Notice
Data Protection Privacy Notice for Patients
Date: 16/05/2023
This template is for use by Practices to Comply with the UKGDPR requirement to display a Privacy Notice regarding processing of patient data. The template is Generic in design as PCIG Consulting have clients across the UK, local sharing arrangements and area specific sharing or processing will need to be added by the practice.
EMIS Practices
The introduction of EMIS web activities has been added to this Privacy Notice, a DPIA to support this processing is available from PCDC.
This may include Area Specific Sharing such as:
Nottingham CCG
MIG
Healthcare Portal
GPRCC
Population Health Management Programme
Derbyshire CCG
Population Health Management Programme
Dudley CCG
POD
PCN
Manor Court Surgery (the Practice)
Data Protection Privacy Notice for Patients
Introduction:
This privacy notice lets you know what happens to any personal data that you give to us, or any information that we may collect from you or about you from other organisations.
This privacy notice applies to personal information processed by or on behalf of the practice.
This Notice explains
- Who we are and how we use your information
- Information about our Data Protection Officer
- What kinds of personal information about you we hold and use (process)
- The legal grounds for our processing of your personal information (including when we share it with others)
- What should you do if your personal information changes?
- For how long your personal information is retained / stored by us?
- What are your rights under Data Protection laws
The UK General Data Protection Regulation (UKGDPR) and the Data Protection Act 2018 (DPA 2018) became law on 25th May 2018, and 1st January 2021 when the UK exited the EU.
For the purpose of applicable data protection legislation (including but not limited to the General Data Protection Regulation (Regulation (UK) 2016/679) (the “UKGDPR”), and the Data Protection Act 2018 the practice responsible for your personal data is Manor Court Surgery.
This Notice describes how we collect, use and process your personal data, and how in doing so, we comply with our legal obligations to you. Your privacy is important to us, and we are committed to protecting and safeguarding your data privacy rights.
How we use your information and the law.
Manor Court Surgery will be what’s known as the ‘Controller’ of your personal data.
We collect basic personal data about you and location-based information. This does include name, address and contact details such as email and mobile number etc.
We will also collect sensitive confidential data known as “special category personal data”, in the form of health information, religious belief (if required in a healthcare setting) ethnicity and sex life information that are linked to your healthcare, we may also receive this information about you from other health providers or third parties.
Why do we need your information?
The health care professionals who provide you with care maintain records about your health and any treatment or care you have received previously. These records help to provide you with the best possible healthcare and treatment.
NHS health records may be electronic, paper-based or a mixture of both. We use a combination of working practices and technology to ensure that your information is kept confidential and secure.
Records about you may include the following information;
- Details about you, such as your address, your carer or legal representative and emergency contact details.
- Any contact the surgery has had with you, such as appointments, clinic visits, emergency appointments.
- Notes and reports about your health.
- Details about your treatment and care.
- Results of investigations such as laboratory tests, x-rays etc.
- Relevant information from other health professionals, relatives or those who care for you.
- Contact details (including email address, mobile telephone number and home telephone number)
To ensure you receive the best possible care, your records are used to facilitate the care you receive, including contacting you. Information held about you may be used to help protect the health of the public and to help us manage the NHS and the services we provide. Limited information may be used within the GP practice for clinical audit to monitor the quality of the service we provided.
How do we lawfully use your data?
We need your personal, sensitive and confidential data in order to provide you with healthcare services as a General Practice, under the General Data Protection Regulation we will be lawfully using your information in accordance with: –
Article 6, e) processing is necessary for the performance of a task carried out in the public interest or in the exercise of official authority vested in the controller;”
Article 9, (h) processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems
This Privacy Notice applies to the personal data of our patients and the data you have given us about your carers/family members.
We use your personal and healthcare information in the following ways:
- when we need to speak to, or contact other doctors, consultants, nurses or any other medical/healthcare professional or organisation during the course of your diagnosis or treatment or on going healthcare;
- when we are required by law to hand over your information to any other organisation, such as the police, by court order, solicitors, or immigration enforcement.
- In a de-identified form to support planning of health services and to improve health outcomes for our population
We will never pass on your personal information to anyone else who does not need it, or has no right to it, unless you give us consent to do so.
Legal justification for collecting and using your information
The law says we need a legal basis to handle your personal and healthcare information.
Contract: We have a contract with NHS England to deliver healthcare services to you. This contract provides that we are under a legal obligation to ensure that we deliver medical and healthcare services to the public.
Consent: Sometimes we also rely on the fact that you give us consent to use your personal and healthcare information so that we can take care of your healthcare needs.
Please note that you have the right to withdraw consent at any time if you no longer wish to receive services from us.
Necessary care: Providing you with the appropriate healthcare, where necessary. The Law refers to this as ‘protecting your vital interests’ where you may be in a position not to be able to consent.
Law: Sometimes the law obliges us to provide your information to an organisation (see above).
Special categories
The law states that personal information about your health falls into a special category of information because it is very sensitive. Reasons that may entitle us to use and process your information may be as follows:
Public Interest: Where we may need to handle your personal information when it is considered to be in the public interest. For example, when there is an outbreak of a specific disease and we need to contact you for treatment, or we need to pass your information to relevant organisations to ensure you receive advice and/or treatment
Consent: When you have given us consent
Vital Interest: If you are incapable of giving consent, and we have to use your information to protect your vital interests (eg if you have had an accident and you need emergency treatment)
Defending a claim: If we need your information to defend a legal claim against us by you, or by another party
Providing you with medical care: Where we need your information to provide you with medical and healthcare services
Risk Stratification
Risk stratification data tools are increasingly being used in the NHS to help determine a person’s risk of suffering a condition, preventing an unplanned or (re)admission and identifying a need for preventive intervention. Information about you is collected from several sources including NHS Trusts and from this GP Practice. The identifying parts of your data are removed, analysis of your data is undertaken, and a risk score is then determined. This is then provided back to your GP as data controller in an identifiable form. Risk stratification enables your GP to focus on preventing ill health and not just the treatment of sickness. If necessary, your GP may be able to offer you additional services. Please note that you have the right to opt out of your data being used in this way in most circumstances, please contact the practice for further information about opt out.
Individual Risk Management at a GP practice level however is deemed to be part of your individual healthcare and is covered by our legal powers above.
Medicines Management
The Practice may conduct Medicines Management Reviews of medications prescribed to its patients. This service performs a review of prescribed medications to ensure patients receive the most appropriate, up to date and cost-effective treatments. The reviews are carried out by the CCGs Medicines Management Team under a Data Processing contract with the Practice.
Transferring the current paper medical records into patients’ electronic medical records.
The following provisions of the General Data Protection Regulation permit us to digitise existing paper medical records:
Article 6(1)(e) – ‘processing is necessary…in the exercise of official authority vested in the controller…’’
Article 9(2)(h) – ‘processing is necessary for the purpose of preventative…medicine…the provision of health or social care or treatment or the management of health or social care systems and services…’
The paper patient records will be shared with [Scanning provider], who will scan and digitise the current paper medical records before destroying them. The paper patient records will be shared with the scanning provider above, who will scan and digitise the current paper medical records before destroying them.
Anonymised information
Sometimes we may provide information about you in an anonymised form. Such information is used analyse population- level heath issues and helps the NHS to plan better services. If we share information for these purposes, then none of the information will identify you as an individual and cannot be traced back to you.
GP Connect Service
The GP Connect service allows authorised clinical staff at NHS 111 to seamlessly access our practice’s clinical system and book directly on behalf of a patient. This means that should you call NHS 111 and the clinician believes you need an appointment with your GP Practice, the clinician will access available appointment slots only (through GP Connect) and book you in. This will save you time as you will not need to contact the practice direct for an appointment.
The practice will not be sharing any of your data and the practice will only allow NHS 111 to see available appointment slots. They will not even have access to your record. However, NHS 111 will share any relevant data with us, but you will be made aware of this. This will help your GP in knowing what treatment / service / help you may require.
Please note if you no longer require the appointment or need to change the date and time for any reason you will need to speak to one of our reception staff and not NHS 111.
Summary Care Records
All patients registered with a GP have a Summary Care Record, unless they have chosen not to have one. The information held in your Summary Care Record gives registered and regulated healthcare professionals, away from your usual GP practice, access to information to provide you with safer care, reduce the risk of prescribing errors and improve your patient experience.
Your Summary Care Record contains basic (Core) information about allergies and medications and any reactions that you have had to medication in the past.
Some patients, including many with long term health conditions, previously have agreed to have Additional Information shared as part of their Summary Care Record. This Additional Information includes information about significant medical history (past and present), reasons for medications, care plan information and immunisations.
Change to information held in your Summary Care Record
In light of the current emergency, the Department of Health and Social Care has removed the requirement for a patient’s prior explicit consent to share Additional Information as part of the Summary Care Record.
This is because the Secretary of State for Health and Social Care has issued a legal notice to healthcare bodies requiring them to share confidential patient information with other healthcare bodies where this is required to diagnose, control and prevent the spread of the virus and manage the pandemic. This includes sharing Additional Information through Summary Care Records, unless a patient objects to this.
If you have already expressed a preference to only have Core information shared in your Summary Care Record, or to opt-out completely of having a Summary Care Record, these preferences will continue to be respected and this change will not apply to you. For everyone else, the Summary Care Record will be updated to include the Additional Information. This change of requirement will be reviewed after the current coronavirus (COVID-19) pandemic.
Why we have made this change
In order to look after your health and care needs, health and social care bodies may share your confidential patient information contained in your Summary Care Record with clinical and non-clinical staff in other health and care organisations, for example hospitals, NHS 111 and out of hours organisations. These changes will improve the healthcare that you receive away from your usual GP practice.
Your rights in relation to your Summary Care Record
Regardless of your past decisions about your Summary Care Record preferences, you will still have the same options that you currently have in place to opt out of having a Summary Care Record, including the opportunity to opt-back in to having a Summary Care Record or opt back in to allow sharing of Additional Information.
You can exercise these rights by doing the following:
- Choose to have a Summary Care Record with all information shared. This means that any authorised, registered and regulated health and care professionals will be able to see a detailed Summary Care Record, including Core and Additional Information, if they need to provide you with direct care.
- Choose to have a Summary Care Record with Core information only. This means that any authorised, registered and regulated health and care professionals will be able to see limited information about allergies and medications in your Summary Care Record if they need to provide you with direct care.
- Choose to opt-out of having a Summary Care Record altogether. This means that you do not want any information shared with other authorised, registered and regulated health and care professionals involved in your direct care. You will not be able to change this preference at the time if you require direct care away from your GP practice. This means that no authorised, registered and regulated health and care professionals will be able to see information held in your GP records if they need to provide you with direct care, including in an emergency.
To make these changes, you should inform your GP practice or complete this form and return it to your GP practice.
Patient Communication
Because we are obliged to protect any confidential information, we hold about you and we take this very seriously, it is imperative that you let us know immediately if you change any of your contact details.
We may contact you using SMS texting to your mobile phone if we need to notify you about appointments and other services that we provide to you involving your direct care, therefore you must ensure that we have your up-to-date details. This is to ensure we are sure we are contacting you and not another person. As this is operated on an ‘opt out’ basis we will assume that you give us permission to contact you via SMS if you have provided us with your mobile telephone number. Please let us know if you wish to opt out of this SMS service. We may also contact you using the email address you have provided to us. Please ensure that we have your up-to-date details.
There may be occasions where authorised research facilities would like you to take part in research. Your contact details may be used to invite you to receive further information about such research opportunities.
Safeguarding
The Practice is dedicated to ensuring that the principles and duties of safeguarding adults and children are holistically, consistently, and conscientiously applied with the wellbeing of all, at the heart of what we do.
Our legal basis for processing For the General Data Protection Regulation (GDPR) purposes is: –
Article 6(1)(e) ‘…exercise of official authority…’.
For the processing of special categories data, the basis is: –
Article 9(2)(b) – ‘processing is necessary for the purposes of carrying out the obligations and exercising specific rights of the controller or of the data subject in the field of employment and social security and social protection law…’
Research
Clinical Practice Research Datalink (CPRD) collects de-identified patient data from a network of GP practices across the UK. Primary care data are linked to a range of other health related data to provide a longitudinal, representative UK population health dataset. You can opt out of your information being used for research purposes at any time (see below), full details can be found here: –
https://cprd.com/transparency-information
The legal bases for processing this information
CPRD do not hold or process personal data on patients; however, NHS Digital (formally the Health and Social Care Centre) may process ‘personal data’ for us as an accredited ‘safe haven’ or ‘trusted third-party’ within the NHS when linking GP data with data from other sources. The legal bases for processing this data are:
- Medicines and medical device monitoring: Article 6(e) and Article 9(2)(i) – public interest in the area of public health
- Medical research and statistics: Article 6(e) and Article 9(2)(j) – public interest and scientific research purposes
Any data CPRD hold or pass on to bona fide researchers, except for clinical research studies, will have been anonymised in accordance with the Information Commissioner’s Office Anonymisation Code of Practice. We will hold data indefinitely for the benefit of future research, but studies will normally only hold the data we release to them for twelve months.
Categories of personal data
The data collected by Practice staff in the event of a safeguarding situation will be as much personal information as is possible that is necessary to obtain in order to handle the situation. In addition to some basic demographic and contact details, we will also process details of what the safeguarding concern is. This is likely to be special category information (such as health information).
Sources of the data
The Practice will either receive or collect information when someone contacts the organisation with safeguarding concerns, or we believe there may be safeguarding concerns and make enquiries to relevant providers.
Recipients of personal data
The information is used by the Practice when handling a safeguarding incident or concern. We may share information accordingly to ensure duty of care and investigation as required with other partners such as local authorities, the police or healthcare professionals (i.e. their GP or mental health team).
Disability and discrimination
We will provide care, now and in the future, to all our patients without discrimination and irrespective of patient’s age, sex, race, beliefs or special needs. We expect that patients will show no discrimination towards other surgery users, members of the practice team or our colleagues in the NHS. Disability Protocol
Disabled Access
Our surgery is accessible to wheelchair users, with designated disabled parking bays in the car parks around the surgery and direct disabled access to the practice from the car park area. Please ring the bell for attention
A loop system is available at reception for the hearing impaired. We can arrange interpretation and translation services for patients who do not speak English. Please let us know if you need this service when booking an appointment.
Fair Processing Notice
Personal data is shared with information governance-compliant organisations to search and identify individuals entitled to health care in the community, recommended by NHSE, but not provided by practices.
Freedom of information
The practice produces a complete guide to the information routinely made available to the public by our GPs. A copy of this guide is available from reception.
GDPR
WE’RE MAKING IT EASIER FOR YOU TO FIND OUT HOW WE HANDLE YOUR INFORMATION
A new data privacy law is being introduced this year in the UK. As a result of this please see our Privacy Notice below, this explains how we use and protect your information. We won’t be changing the way we use your personal information, but the new notice will provide you with additional details such as:
- Your increased rights in relation to the information we hold about you
- How we keep your personal information secure
- The types of personal information Manor Court Surgery collects about you and how we collect it and use it
- The legal grounds for how we use your information
Our Data Protection officer is Paul Couldrey.
Generic GP GDPR – Children Privacy Notice (v2.5 January 2023)
Generic GP GDPR – Candidate Privacy Notice (v2.5 January 2023)
Generic GP GDPR – Privacy Notice [EMIS Practices includes GPDR NHS Digital]
GP Earnings
The average pay for GP’s working for 6 months or more at Manor Court Surgery in the last financial year was £66.520 before Tax and National Insurance. This is for 3 full time GP’s. 1 part time GP and 2 locum GP’s.
NHS England require that the net earnings of Doctors engaged in Practice is publicised and the required disclosure is shown above. However, it should be noted that the prescribed method for calculating earnings is potentially misleading because it takes no account of how much time Doctors spend working in the Practice, and should not be used to form any judgement about GP earnings, nor to make any comparison to any other Practice.
28/03/2017
GP Practice Privacy Notice for General Practice Data for Planning and Research
This practice is supporting vital health and care planning and research by sharing your data with NHS Digital. For more information about this see the GP Practice Privacy Notice for General Practice Data for Planning and Research.
Manor Court Surgery works with other health and social care organisations to share information that will form part of your Integrated Care Record. The Integrated Care Record allows health and care professionals involved in your care to view your records to help them understand your needs and make the best decisions with you, and for you. Information we hold about you will be available, to read only, to other Health and care professionals in Coventry and Warwickshire, Birmingham and Solihull, and Herefordshire and Worcestershire when they are involved in your health or social care.
For more information on how your data is used on the Integrated Care Record and how to exercise your rights please see the full Privacy Notice or copy and paste this link https://www.happyhealthylives.uk/our-priorities/digital-transformation/integrated-care-record/privacy-notice/
How we are using your information
National Opt out Programme
This policy is intended to identify how Manor Court Surgery will meet its contractual responsibilities in accordance with the NHS Digital National Data Op[t out and your data matters programme, and To comply with national data opt-out policy, you need to put procedures in place to review uses or disclosures of confidential patient information against the operational policy guidance.
The mandatory implementation deadline for the National Data Opt-Out (NDOO) is 31 July 2022.
Application of the NDOO is aligned with the authorisation for using a patient’s data in accordance with the common law duty of confidentiality. It does not apply where:
- The individual has consented (including where the consent is implied for the purposes of direct care)
- There is an overriding public interest. More on this can be found in the NDOO operational policy guidance–
- There is a mandatory legal requirement to use the information (e.g., where data is required by NHS Digital under section 259 of the Health and Social Care Act 2012).
- Data is processed under regulation 3 of the Health Service (Control of Patient Information) Regulations 2002 for purposes of communicable diseases and other threats to public health
- Data has been anonymised in line with the Information Commissioner’s Office (ICO) Code of Practice) on Anonymisation or is aggregate or count type data.
In practice this means that, broadly, the NDOO applies to data processed under regulation 5 of the Health Service (Control of Patient Information) Regulations 2002 (also known as section 251 approval) unless there is a specific exemption in place.
The Health Research Authority publishes a register of programmes which are processing data under regulation 5, which can be found here.
NHS Digital will publish a list of all those programmes relying on section 251 approval for processing which are exempt from application of the NDOO shortly.
Information for organisations on applying the NDOO can be found on the NHS Digital website here.
Type 1 opt-out: medical records held at GP practice
Some patients will have a type 1 opt-out registered with their GP practice, which indicates they do not want their confidential patient information leaving the practice for research and planning purposes. These existing type 1 opt-outs will continue to be respected until the Department of Health and Social Care conducts a consultation with the National Data Guardian on their removal.
Type 2 opt-out (National Data Opt-out): information held by NHS Digital
Previously patients could tell the practice if they did not want us, NHS Digital, to share confidential patient information that we collect from across the health and care service for purposes other than individual care. This was called a type 2 opt-out. The national data opt-out has replaced type 2 opt-outs. GP practices must no longer use the type 2 opt-out codes to record a patient’s opt-out choice as they are no longer collected or processed.
The type 2 opt-out was replaced by the national data opt-out. Type 2 opt-outs recorded on or before 11 October 2018 have been automatically converted to national data opt-outs.
Patients who previously had a type 2 opt-out
Where a patient had a type 2 opt-out registered on or before 11 October 2018, this was automatically converted to a national data opt-out and if they were aged 13 or over they were sent a personal letter explaining the change and a handout with more information about the national data opt-out.
Patients can be reassured that their choices will continue to be respected. If they want to change their choice, they can use the national data opt-out service to do this.
Guidance to prevent use of type 2 opt-out codes and identify if they have been used in error
Follow the guidance for the clinical system you use in your GP practice.
TPP SystmOne: guidance on invalid type 2 codes
EMIS Web: guidance on invalid type 2 codes
Vision: guidance on invalid type 2 codes
Microtest: guidance on invalid type 2 codes
Instructions for staff:
If a patient wants a Type 1 opt-out, provide them with ‘Patient Health Records – Refusal to consent’ form, Appendix 1, to complete. Then pass to PM for implementation.
If a patient wants a Type 2 opt-out, direct them to nhs.uk/your-nhs-data-matters as they must now do this directly with NHS Digital.
Further Info for staff: Information Sharing
The NHSD has a statutory role to collect and process health and social care information which is set out in the Health and Social Care Act 2012.
The NHSD’s fair processing materials, available on their website, explain and provide further information on:
- what NHSD collects – the types of information the NHSD collects and what it’s used for
- personal information choices – people’s rights regarding care information
- information requests from organisations – how organisations can ask NHSD to collect or provide access to care information
- assurance bodies and processes – how the information requests NHSD receive are carefully looked at
- examples of benefits that have been realised through the provision of such information including case studies involving breast cancer and diabetes that are available at: http://www.hscic.gov.uk/benefitscasestudies/extracts
The NHSD is absolutely committed to keeping all of the data it handles safe and secure and applies the same principle to any data that is released outside of the organisation.
Information is only ever shared with organisations that have gone through a strict application process, who can demonstrate they have a legitimate reason to access the data to use it for the benefit of health and care purposes, as per the new protections introduced as part of the Care Act 2014, and who have signed a legally binding agreement. So for example commercial companies cannot receive information for insurance or marketing purposes.
As part of the application process the Data Access Advisory Group, an independent group, hosted by the NHSD, considers all applications for data that are identifiable or de-identified for limited access.
Summary Information to give to patients:
You can choose whether your confidential patient information is used for research and planning. To find out more visit nhs.uk/your-nhs-data-matters. Or read leaflet available on reception ‘Your Data Matters to the NHS’
You do not need to do anything if you are happy about how your confidential patient information is used. You can change your choice at any time.
Resources are available for practice staff to share with patients if they have any questions. When patients ask about opting out:
- refer them to the website nhs.uk/your-nhs-data-matters
- it’s helpful to make sure they know their NHS number
- ensure they have an up-to-date email address or mobile phone number in their GP practice record, as this will be used to verify their identity when they use the service
Practices should check:
- existing posters, leaflet racks and screen display messages for materials that talk about data sharing and remove any which are no longer appropriate – for example, are there still copies of ‘Better information means better care’ leaflets or posters available that were used at the time of the care.data public campaign? (Care.data was formally closed in 2016, with no data extractions having taken place)
- the practice website (if you have one) for patient information about data sharing and opt-outs to check it is still relevant or whether anything will need to be updated to reflect the materials and information about the national data opt-out
- any patient registration forms that include information on different data uses and opt-outs available
- if there are any existing opt-out request forms in place and whether they are still accurate – for instance, do they offer the patient the ability to record an opt-out to prevent the sharing of data for purposes beyond individual care by NHS Digital (also referred to as a ‘type 2’ opt-out)
Detailed information for patients:
Sharing your records: your personal information
Information about you is used in a number of ways by the NHS and social care services to support your personal care and to improve health and social care services for everyone.
The NHS Digital (NHSD) is the national NHS organisation with a legal responsibility to collect data as people make use of NHS and social care services. The data is used both at a local level and nationally to help with planning, managing your care, supporting research into new treatments, identifying trends and issues and so forth, and is used to try to make services better for all.
You can, however, choose not to have information about you shared or used for any purpose beyond providing your own treatment or care.
Your right to opt out
You can choose not to have anything that could identify you shared beyond your GP practice (Type 1 objection). You can also choose for the NHSD not to share information it collects from all health providers any further (previously known as Type 2 objection, now National Data Opt-out).
If you have previously told your GP practice that you don’t want the NHSD to share your personal confidential information for purposes other than your own care and treatment, your opt-out will have been implemented by the NHSD from July 31 2022. It will remain in place unless you change it.
You can find more information about how the HSCIC handles your information and choices and how it manages your opt-out on the HSCIC website www.hscic.gov.uk/yourinfo
Appendix 1
Manor Court SurgerySurgery
Patient Health Records – Refusal to Consent – Type 1 Objection
Type 1 Objection: I am writing to give notice that I refuse consent for my identifiable information and the identifiable information of those for whom I am responsible (delete as appropriate) to be transferred from your practice systems for any purpose other than our individual medical care.
Please take whatever steps necessary to ensure my confidential personal information is not uploaded and record my dissent by whatever means possible.
This includes adding the ‘Dissent from secondary use of GP patient identifiable data’ code (Read v2: 9NU0 or SNOMED 827241000000103) to my record.
I am aware of the implications of this request, understand that it will not affect the care we receive and will notify you should I change my mind.
Type 2 Objection (National Data Opt-out): I understand that if I do not want NHS Digital to share confidential patient information that they collect from across the health and care service for purposes other than for my individual care, I must visit nhs.uk/your-nhs-data-matters or call 0300 303 5678 to action my wishes.
Signature: ………………………………………………………………… Date: ………………
Full Name: ………………………………………..………………………………
Address: ……………………………………………………………………………
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Our ICB
Coventry and Warwickshire Integrated Care Board
Westgate House,
Market St,
Warwick CV34 4DE
Patient charter
We aim to treat our patients courteously at all times and expect our patients to treat our staff in a similarly respectful way. It is your responsibility to keep your appointments, inform us of your past illnesses, medication, hospital admissions and any other relevant details. Our patient charter is available in full at reception. For further information on any of our policies, please contact the practice manager.
Summary Care Record
summary care record There is a new Central NHS Computer System called the Summary Care Record (SCR). The Summary Care Record is meant to help emergency doctors and nurses help you when you contact them when the surgery is closed. Initially, it will contain just your medications and allergies.
Later on as the central NHS computer system develops, (known as the ‘Summary Care Record’ – SCR), other staff who work in the NHS will be able to access it along with information from hospitals, out of hours services, and specialists letters that may be added as well.
Your information will be extracted from practices such as ours and held on central NHS databases.
As with all new systems there are pros and cons to think about. When you speak to an emergency doctor you might overlook something that is important and if they have access to your medical record it might avoid mistakes or problems, although even then, you should be asked to give your consent each time a member of NHS Staff wishes to access your record, unless you are medically unable to do so.
On the other hand, you may have strong views about sharing your personal information and wish to keep your information at the level of this practice. Connecting for Health (CfH), the government agency responsible for the Summary Care Record have agreed with doctors’ leaders that new patients registering with this practice should be able to decide whether or not their information is uploaded to the Central NHS Computer System.
For existing patients it is different in that it is assumed that you want your record uploaded to the Central NHS Computer System unless you actively opt out.
For further information visit the HSCIC Website
If you choose to opt out of the scheme, then you will need to complete a form and bring it along to the surgery.
Subscribe to the newsletter
Download the opt out form
Your Medical Records & You – Statement Of Intent
It is important that your medical record is available when and where you need it.
You may feel, especially if you have an extensive medical history, that it is very important for some of your medical information to be available if you were on holiday away from the practice area and or taken ill and ended up in hospital. Having your Summary Care Record (SCR) available will help anyone treating you without your full medical record. They will have access to specific information from your medical record about any medication you may be taking and any drugs that you have a recorded allergy or sensitivity to.
Your SCR is automatically updated on at least a daily basis to ensure that your information is as up to date as it can possibly be.
Of course if you do not want your medical records to be available in this way then you will need to let us know so that we can update your record accordingly.
Your medical records when leaving the practice.
It is very important that you are registered with a doctor near to where you live. We encourage patients to do this as soon as possible if they move out of the practice area. Once you have re registered with a new GP, your medical records will be forwarded on to them via NHS England.
If you move to a GP surgery that uses a clinical computer system compatible to ours (EMIS Web™), your electronic medical record will be available to them as soon as they register you at the practice. This is called GP2GP transfer
Zero Tolerance Statement
Zero Tolerance Statement
Our staff come to work to care for others, and it is important for all members of the public and out staff to be treated with respect.
We aim to treat our patients courteously at all times and expect our patients to treat our staff in a similary way.
We take seriously any threatening, abusive or violent behaviour againist any of our staff or patients. if a patient is violent or abusive, they will be asked to stop. if they persist, we may exercise our rights to take action to have them removed, immediately if necessary from our pratice list.
The practice considers thratening behaviour to be:
- Attempted or actual aggressive threatening physical actions made towards any member of staff.
- The use of aggressive, threatening or abusive language, (including raising of the voice, swearing and cursing, shouting) which threatens or intimidates staff.
In line with the rest of the NHS, and to ensure this is fully observed we have a Zero Tolerance policy in place, whereby any aggressive or violent behaviour towards our staff will not be tolerated under any circumstances.
Anyone giving verbal abuse to members of the staff will be sent a letter from the Practice stating that this behaviour will not be tolerated and may result in the removal from the Practice patient list. There will be no appeal process.
We hope that you will understand and welcome this policy which is in place for the best interest of our hard working staff as well as our patients.