The mandatory implementation deadline for the National Data Opt-Out (NDOO) is approaching as planned at the end of this month, 31 July 2022. We do not intend to extend implementation of the deadline any further.

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.

Further information:

GP Earnings – March 2016

The average pay for GPs working in Chancery Lane Surgery in the last financial year was £77,128 before tax and National Insurance. This is for 2 full time GPs and 2 part time locum GPs who worked in the practice for more than six months.

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.

 

Your medical record and 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. Further information on Electronic Transfer of your records can be found by following the link below.

NHS Digital

Our approach to your healthcare

Chancery Lane Surgery is a 2 Doctor Practice in an ex-mining, semi-rural location serving local area’s which includes Chapel End, Camphill, Hartshill and Ansley Common, opening 8:00 a.m. to 6:30 p.m. Monday to Friday and 9:00 to 12:00 noon on a Saturday.  We also host the Extended Hours service operated by Coventry & Rugby GP Alliance and details of this service can be found on our home page.

Whilst there has been a surgery here for many years, the current premises were purpose built in 1987 on the site which housed The Rose Inn and currently has approximately 6,000 registered patients.

We employ two part-time nurses and a Health Care Assistant who offer a variety of services including Wound Care, Child Immunisations, Holiday Vaccinations as well as specialist clinics for patients on various specialist registers for patients with Diabetes, Asthma/COPD, Heart Disease and Hypertension.  Seasonal clinics are undertaken to offer vaccinations for diseases such as Influenza and Pneumonia and we participate in health screening programmes such as Cytology (Smears) and Risk assessments for osteoporosis.

Working closely with other Health Care Agencies we also utilise the services of a Midwife and Health Visitors and liaise with the District Nurses and Community Matrons to ensure services for patients who are house-bound are accessible.  Throughout the year we accommodate other specialist Health Service providers such as the Breast screening and Retinal screening Services.

An administration team comprising of a Operations Manager, Finance & Development Manager, Medical Secretary, Reception Supervisor and seven reception staff, two of whom also cover admin duties.

Patient’s rights and responsibilities

As a patient you can expect

• To be treated with courtesy and with respect for your privacy and dignity
• To receive treatment on the basis of your clinical need.
• To be able to choose to have a friend or relative with you during consultations and examinations.
• Staff to understand that you might be feeling anxious and vulnerable and that this may effect the way you behave.
• To be told approximately when an appointment is likely to be.
• To be informed on arrival at an appointment if delays are occurring and to receive an explanation why: to take part in all decisions about your treatment and to have the pros and cons of treatment, including any risks, side effects and alternative methods of treatment fully explained to you.
• To be encouraged to ask questions about your diagnosis and treatment and to receive clear information in writing.
• To be given a telephone number and the name of someone you can ring with any further queries.
• To have details about you, including your medical records and anything you say , treated in confidence and , except where required from law, to be given an opportunity to decide whether your details can be passed to anyone else.
• To be given access to information kept about you.
• To know the names and professional status of all the staff involved in your care.
• To be told what aftercare, including rehabilitation, you will need to know how long this should last and the anticipated outcome.
• To receive an explanation and, where appropriate, an apology if things go wrong.
• To be able to complain if you are unhappy with the treatment you receive and to be given the name of someone who can help you with this if you wish.
• To choose whether you see medical and other healthcare students or not, or take part in any trials, surveys etc.
• To be able to request a second opinion

As a patient you have a responsibility…

• To treat staff who care for you with courtesy and respect at all times
• To inform the surgery at once of any change in contact address or telephone number.
• To attend appointments on time, or give reasonable notice of inability to attend.
• To understand that there are pressures and limitations of resources on the health service and those working within it.
• To consider the consequences of refusing treatment or not following medical advice and accept responsibility for your own actions.
• To let staff know if you have any allergies or sensitivities to medications.
• To give staff full information about your condition including permanent disabilities, along with the details of any medicines you are taking.
• To tell staff if you are uncertain or don’t understand any aspect of your treatment.
• To tell staff about any change in your health that could affect the treatment you are having.
• To take any medicines as instructed and seek medical advice before stopping or changing treatment.
• To treat other patients with courtesy and respect.
• To attend follow up appointments as directed by Doctor or Nurse.

Who has access to patient information

To give you the care you need, we keep information about your visits to surgery staff involved in your care or treatment. These could be visits to a GP or a practice nurse, or a visit by a health visitor. We keep information about your health and lifestyle and any illnesses, tests, prescriptions and other treatments that you have had.  When this information contains things that can identify you, such as your name, address, postcode or date of birth, it’s called your personal health information. This information is stored securely on paper or on computer, or both.

Your Records at the Surgery are securely maintained on a firewall EMIS Server to NHS Secure IT Infrastructure Specifications. No one except for GP or Nurse treating you, or administration staff processing appointments or processing requests for repeat medication, can see your medical-records.  Non-clinical staff are bound by confidentiality agreements in their contracts of employment.

We sometimes share your personal health information with other organisations involved in your healthcare. We only share relevant information. For example, when your GP refers you to a specialist at the hospital we send relevant details about you in the referral letter and receive information back from them about you. We sometimes share information including your name, address and date of birth so that you can be invited for health screening.

We also need to use your personal health information for administrative tasks, but we only use relevant information. So that we can be paid for services we give you, we share information about you with relevant NHS organisations. These organisations help to check that public money is being spent properly. The surgery must allow these checks to be done and we need to share your information to be able to give you healthcare services. Whenever we do this we will make sure that as far as possible we don’t share any information that could identify you.

The surgery is sometimes involved  in health research and in teaching student nurses, doctors and other NHS staff or there is a service that we give jointly with your local authority then we will always ask your permission before giving them your information.

Sometimes the law requires us to pass information to other organisations e.g. births, deaths and certain diseases or crimes.

The law sets out how we can use your personal health information. The General Data Protection Regulations 2016 gives you rights about how your personal information is used, including a right to see the information we hold about you. We are registered under the General Data Protection Regulations 2016 for the information we hold about our patients and comply with it in every aspect. In addition, all NHS staff have a legal duty to keep information about you confidential.

For further information on how we use, store and process your personal data please see our Privacy Statement on the GDPR page which can be found on the “about us” section of the web-site.

Policy on violent or abusive patients

The practice considers aggressive behaviour to be any personal, abusive and/or aggressive comments, cursing and/or swearing, physical contact and/or aggressive gestures.

The practice will request the removal of any patient from the practice list who is aggressive or abusive towards a doctor, member of staff, other patient, or who damages property.

All instances of actual physical abuse on any doctor or member of staff, by a patient or their relatives will be reported to the police as an assault.

Change of patient’s personal details

If you change your name, address, postcode or telephone number please give full details to reception. Remember to tell us if details for other members of your family have also changed.

When should I see a nurse?

There are three Nurses based at the practice and a Health Care Assistant. You can see them for any of the following:

Asthma Check Smears Ear Syringing Blood Pressure Review CHD/COPD Check Weight Management Rashs/Infections Well Person Check New patient Registrations Dressings	Diabetes Check Baby Immunisations Smoking Cessation ECG Suture Removal Minor Ops(warts, verrucca etc) Spirometry Depo Provera/Zoladex Injections Travel Vaccinations

To make an appointment for any of the above please contact the surgery.

How can patients have their say

Patient Participation Group —The practice holds quarterly meetings with a group of patients representing your views.  If you have any issues you would like raised please inform a member of staff.