The Surgery prides itself in maintaining professional standards. For certain examinations during consultations an impartial observer (a “Chaperone”) may be requested by the clinician or patient.

This impartial observer will be a suitable qualified trained professional, who is familiar with the procedure and be available to reassure and raise any concerns on your behalf. If a chaperone is unavailable at the time of your consultation then your examination may be re-scheduled for another time.

You are free to decline any examination or chose an alternative examiner or chaperone. You may also request a chaperone for any examination or consultation if one is not offered to you. The GP may not undertake an examination if a chaperone is declined.

The role of a Chaperone:

• Maintains professional boundaries during intimate examinations.
• Acknowledges a patient’s vulnerability.
• Provides emotional comfort and reassurance.
• Assists in the examination.

The practice fully supports the NHS Zero Tolerance Policy. The aim of this policy is to tackle the increasing problem of violence against staff working in the NHS and ensures that doctors and their staff have a right to care for others without fear of being attacked or abused.

We understand that ill patients do not always act in a reasonable manner and will take this into consideration when trying to deal with a misunderstanding or complaint. We ask you to treat your doctors and their staff courteously and act reasonably.

All incidents will be followed up and you will be sent a formal warning after the first incident or removed from the practice list after a second incident if your behaviour has been unreasonable.

However, aggressive behaviour, be it violent or verbal/abusive, will not be tolerated and may result in you being removed from the Practice list and, in extreme cases, the Police will be contacted if an incident is taking place and the patient is posing a threat to staff or other patients, in which case this would result in immediate removal from the practice list.

Removal from the Practice List

A good patient-doctor relationship, based on mutual respect and trust, is the cornerstone of good patient care. The removal of patients from our list is an exceptional and rare event and is a last resort in an impaired patient-practice relationship. When trust has irretrievably broken down, it is in the patient’s interest, just as much as that of The Surgery, that they should find a new practice. An exception to this is on immediate removal on the grounds of violence e.g. when the Police are involved.

Removing other members of the household

In rare cases, however, because of the possible need to visit patients at home it may be necessary to terminate responsibility for other members of the family or the entire household. The prospect of visiting patients where a relative who is no longer a patient of the practice by virtue of their unacceptable behaviour resides, or being regularly confronted by the removed patient, may make it too difficult for the practice to continue to look after the whole family. This is particularly likely where the patient has been removed because of violence or threatening behaviour and keeping the other family members could put doctors or their staff at risk.

About your Summary Care Record

Your Summary Care Record contains important information about any medicines you are taking, any allergies you suffer from and any bad reactions to medicines that you have previously experienced.

Allowing authorised healthcare staff to have access to this information will improve decision making by doctors and other healthcare professionals and has prevented mistakes being made when patients are being cared for in an emergency or when their GP practice is closed. Your Summary Care Record also includes your name, address, date of birth and your unique NHS Number to help identify you correctly.

Healthcare staff will have access to this information, so that they can provide safer care, whenever or wherever you need it, anywhere in England.

FAQs

Who can see my Summary Care Record?

Healthcare staff who have access to your Summary Care Record:

• need to be directly involved in caring for you
• need to have an NHS Smartcard with a chip and passcode
• will only see the information they need to do their job and
• will have their details recorded every time they look at your record

Healthcare staff will ask for your permission every time they need to look at your Summary Care Record. If they cannot ask you (for example if you are unconscious or otherwise unable to communicate), healthcare staff may look at your record without asking you, because they consider that this is in your best interest.

If they have to do this, this decision will be recorded and checked to ensure that the access was appropriate.

What are my choices?

You can choose to have a Summary Care Record or you can choose to opt out.

If you choose to have a Summary Care Record and are registered with a GP practice, you do not need to do anything as a Summary Care Record is created for you.

If you choose to opt out of having a Summary Care Record and do not want a SCR, you need to let your GP practice know by filling in and returning an opt-out form. Opt-out forms can be downloaded from the website or from your GP practice.

If you are unsure if you have already opted out, you should talk to the staff at your GP practice. You can change your mind at any time by simply informing your GP practice and either filling in an opt-out form or asking your GP practice to create a Summary Care Record for you.

Children and the Summary Care Record

If you are the parent or guardian of a child under 16, you should make this information available to them and support the child to come to a decision as to whether to have a Summary Care Record or not.

If you believe that your child should opt-out of having a Summary Care Record, we strongly recommend that you discuss this with your child’s GP. This will allow your child’s GP to highlight the consequences of opting-out, prior to you finalising your decision.

Where can I get more information?

For more information about Summary Care Records you can

• talk to the staff at your GP practice
• phone the Health and Social Care Information Centre on 0300 303 5678
• Read the Summary Care Record patient information

Seeking Advice from NHS 111 – British Sign Language

Using your computer and webcam, or the InterpreterNow app on your smartphone or tablet, you can make a video call to a BSL interpreter. Please visit the InterpreterNow website for further information.

The interpreter telephones an NHS 111 adviser and relays your conversation with them. The NHS 111 adviser will ask you questions to assess your symptoms, then give you the healthcare advice you need or direct you straightaway to the local service that can help you best.

If NHS 111 advisers think you need an ambulance they will immediately arrange one for you.

This service is available every day.

Translation and BSL for Consultations With Your Doctor or Nurse

The practice is able to make arrangements for an interpreter to join your GP consultation over the telephone, please advise reception when booking your appointment if an interpreter is required so that arrangements can be made.

If you require a sign-language interpreter this can be arranged in person provided sufficient notice has been given.

The Freedom of Information Act creates a right of access to recorded information.

The Act covers any recorded organisational information such as reports, policies or strategies, that is held by a public authority in England, Wales and Northern Ireland, and by UK-wide public authorities based in Scotland, however it does not cover personal information such as patient records which are covered by the Data Protection Act.

Public authorities include government departments, local authorities, the NHS, state schools and police forces.

The Act is enforced by the Information Commissioner who regulates both the Freedom of Information Act and the Data Protection Act.

Who can request information?

Under the Act, any individual, anywhere in the world, is able to make a request to a practice for information. An applicant is entitled to be informed in writing, by the practice, whether the practice holds information of the description specified in the request and if that is the case, have the information communicated to him. An individual can request information, regardless of whether he/she is the subject of the information or affected by its use. 

How should requests be made?

Requests must:

• be made in writing (this can be electronically e.g. email/fax)
• state the name of the applicant and an address for correspondence
• describe the information requested.

What cannot be requested?

Personal data about staff and patients covered under Data Protection Act. For more information see these websites:

• Legislation GOV.UK
• Information Commissioners Office

If you have any special needs please let our staff know so that we can help and ensure you get the same support in the future.

Wheelchair access

Where possible, a wheelchair will be made available for patient’s use, at their own risk, should you require one whilst visiting our premises.

Loop System

We have a loop induction system at the reception desk to assist the hearing impaired. For more information on the loop hearing system visit Hearing Link website.

• British Deaf Association
• The Deaf Health Charity – SignHealth
• Action Hearing Loss
• Royal Association for Deaf People
• National Deaf Children’s Society

Blind/Partially Sighted

If you or family members are blind or partially sighted we can give you a CD or large print of our practice leaflet upon request. Please ask Reception for further information.

For more advice and support for blind people please access the following websites:

• Royal National Institute of Blind People (RIND)
• Action for Blind People
• Blind.org.uk
• British Blind Sport
  

Guide Dogs

Guide dogs are welcome at the surgery but we ask that you be aware of other patients and staff who may have an allergy or fear of dogs.

Further Information:

• Guide Dogs

Other Disability Websites

• BID Services
• Disability Go
• Disabled People, your Rights, Benefits, Carers and the Equality Act
• Disability Rights UK
• Living with a Disability NHS Choices
• Disability Action
• Mencap

Aim: To use the latest innovations in smartphone technology to help patients find and use apps to manage conditions and make better lifestyle choices in a way that is convenient for them.

The surgery is an integral part of the health care system and view the use of apps as a complimentary means of promoting patient self-help and support through digital tools. We want to encourage the patient to take an active role in managing their healthcare condition. We do not aim to use apps to replace the role of a qualified medical practitioner, nor to remove monitoring of chronic conditions from within the surgery setting. We do recognise that in the passage of time we may be able to directly use the information and data collected and stored by our patients through apps as part of their ongoing health plan.

Approved Apps
There are European regulations about medical apps and the assurance that an app meets essential criteria, we will endeavour to include only medical apps, including web apps which bear the CE mark. We will include on our website NHS Digital Apps showcased on the NHS Public Health Site as NHS approved or ‘being tested in the NHS.

The surgery (surgeries in cluster for voting purposes) will remain objective, impartial and even-handed in selection of apps listed in the app library. The surgery will make any such selection based on merit alone and will not directly benefit financially from apps for which a fee is charged. Any financial arrangement for use of apps is an agreement made between the patient and supplier and the surgery will not seek to influence any such decision for financial gain.

A medical app is one that diagnoses, supports diagnosis or clinical decisions, makes calculations to determine diagnosis or treatment, or are used for any medical purpose that are classed as ‘medical devices’. A medical app does not need to link to the patient’s records or capture the patient’s name or NHS number; if it uses patient specific information, it is a medical app and it needs a CE mark.

What is NOT a medical app?
Apps that have only administrative functions, eg to book an appointment or request a prescription. Apps that give general guidance or are not marketed as medical apps, such as generic calculators on mobile phone apps that do not provide personalised advice.

Consultation & Planning
The addition of new apps to the website will be by majority decision and will meet the criteria for medical apps as stated above. Review of website apps will take place three monthly, removal of apps will be by majority decision – except in exceptional  circumstances where content, information or advice is known to be incorrect, damaging and controversial or may be used for extortion.

Reporting issues or problems with apps
The Medicines and Healthcare Products Regulatory Agency (MHRA) are the body to report any known problem with apps used for medical purposes (such as calculation errors) and should be reported to MHRA online at www.mhra.gov.uk.

Disclaimer
The surgery or the approving body is not the owner, manager or supplier of the tools/apps listed on the website. The surgery or the approving body has set standards for reviewing the tools/apps as detailed in this policy, but this does not mean that we or the approving body has itself reviewed all aspects of the tool/app, or version of the same tool/app. The named supplier listed is the entity solely responsible for the tool/app. The surgery or the approving body is not responsible or liable for any advice, or any other information, services or products that you obtain through the use of the tool/apps listed our website.

The Digital Apps on this website are intended to provide supportive relevant information only. They do not provide medical advice and is not a substitute for a medical consultation. For less urgent health needs, contact your GP or local pharmacist in the usual way. If you have an urgent medical need you should call 111. If a life is at risk, call 999.

Policy Created: 14.11.2017
Policy Reviewed: 24/09/2019
For Review: 24.09.2022