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Noticeboard

Patient Online Services - April 2016

Dyneley House Surgery has offered patients’ facilities to book appointments and order their repeat prescriptions ‘on-line’ since 2011.

From 1 April, we are able to offer patients the facility to view information from their medical record. 

Please ask at Reception about the process of registering to be able to access this facility.

NHS Friends & Family Test

We welcome your feedback and would be really pleased if you can spare a few minutes to complete the new NHS Friends & Family Test. You can find the survey in the 'Have your say' section on the homepage of the website.

Named Accountable GP

From the 1 April 2015, under the terms and conditions of the General Medical Services Contract, the Practice is required to allocate a named, accountable GP to all registered patients.

 

If you wish to know who your allocated GP is, or have a preference as to which GP you are allocated, please contact Reception.

 

These new arrangements do not prevent you making an appointment or seeing any GP at the Practice as patients have always been able to.

 

GP Earnings

From April 2016, all doctors’ practices are required to declare the mean earnings (average pay) for GPs working to deliver NHS services to patients. 

The average pay for GPs working in Dyneley House Surgery in the last financial year was £67,250 before tax and National Insurance.  This is for 2 full time GPs, 8 part time GPs and 0 locum GPs who worked in the practice for more than six months.”

NHS England require that the net earnings of doctors engaged in the Practice are 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 with any other practice.

Accessible Information Standard - Making Health & Social Care Information Accessible

The Accessible Information Standard will come into force from 31 July 2016 across health and social care in England. Our aim is to make sure disabled people have access to information that they can understand and any communication support they might need.

You can find out more by reading this guide in easy words and pictures. You can also watch a video in British Sign Language (BSL) or listen to an audio recording.

We are currently working towards the standard.  The first thing we need to do is identify those people with information and communication needs. Please help us to do this.

Let us know if you have a disability, impairment or sensory loss, and the kind of information and communication support that you need.

We will record this on your medical records.  This will help us to be prepared the next time you use our services. Please ask a member of the Practice Team if you need any further information or assistance.

Privacy Notice - The Practice's Commitment to Information Governance

How we use your information

 

This privacy notice explains why we as a Practice collect information about our patients and how we use that information.

 

Dyneley House Surgery manages patient information in accordance with existing laws and with guidance from organisations that govern the provision of healthcare in England such as the Department of Health and the General Medical Council.

 

We are committed to protecting your privacy and will only use information collected lawfully in accordance with:

 

  • Data Protection Act 1998
  • Human Rights Act 1998
  • Common Law Duty of Confidentiality
  • Health and Social Care Act 2012
  • NHS Codes of Confidentiality and Information Security

 

As data controllers, GPs have fair processing responsibilities under the Data Protection Act 1998. In practice, this means ensuring that your personal confidential data (PCD) is handled clearly and transparently, and in a reasonably expected way.

 

The Health and Social Care Act 2012 changed the way that personal confidential data is processed, therefore it is important that our patients are aware of and understand these changes, and that you have an opportunity to object and know how to do so.

 

The health care professionals who provide you with care maintain records about your health and any NHS treatment or care you have received (e.g. NHS Hospital Trust, GP Surgery, Walk-in clinic, etc.). These records help to provide you with the best possible healthcare.

 

NHS health records may be processed electronically, on paper or a mixture of both; a combination of working practices and technology are used to ensure that your information is kept confidential and secure. Records held by this GP practice may include the following information:

 

  • Details about you, such as address and next of kin
  • Any contact the practice has had with you, including appointments (emergency or scheduled), clinic visits, etc.
  • Notes and reports about your health
  • Details about treatment and care received
  • Results of investigations, such as laboratory tests, x-rays, etc.
  •  Relevant information from other health professionals, relatives or those who care for you

 

The practice collects and holds data for the sole purpose of providing healthcare services to our patients and we will ensure that the information is kept confidential. However, we can disclose personal information if:

  1. It is required by law
  2. You provide consent – either implicitly or for the sake of their own care, or explicitly for other purposes
  3. It is justified to be in the public interest

Some of this information will be held centrally and used for statistical purposes. Where we hold data centrally, we take strict and secure measures to ensure that individual patients cannot be identified.

 

Information may be used for clinical audit purposes to monitor the quality of service provided, and may be held centrally and used for statistical purposes. Where we do this we ensure that patient records cannot be identified.

 

Sometimes your information may be requested to be used for clinical research purposes – the practice will always endeavour to gain your consent before releasing the information.

 

Improvements in information technology are also making it possible for us to share data with other healthcare providers with the objective of providing you with better care.

 

Patients can choose to withdraw their consent to their data being used in this way. When the practice is about to participate in any new data-sharing scheme we will make patients aware by displaying prominent notices in the surgery and on our website at least four weeks before the scheme is due to start. We will also explain clearly what you have to do to ‘opt-out’ of each new scheme.

 

A patient can object to their personal information being shared with other health care providers but if this limits the treatment that you can receive then the doctor will explain this to you at the time.

Mobile Telephone

If you provide us with your mobile phone number we may use this to send you reminders about any appointments or other health screening information being carried out.

 

Practice Website & Cookie Policy

Like most websites, we use cookies and similar tools across our website to improve your experience and our website's performance. This page explains how we do that.

What are cookies?

Cookies are small text files which a website may put on your computer or mobile device when you first visit a site or page. The cookie will help the website to recognise your device the next time you visit.

 

Cookies do many things. For example they can help us to analyse how well our website is performing, or even allow us to recommend content we believe will be most relevant to you.

Certain cookies contain personal information. For example, if you click to "remember me" when logging in, a cookie will store your username. Most cookies won't collect information that identifies you. Instead, cookies will collect more general information such as how users arrive at and use our website, or a user's general location.

 

What cookies do we use?

We use Google Analytics cookies in order to evaluate your use of the website and compile reports for us on activity on the website. You can learn about Google Analytics cookies by visiting this site:

www.google.com/intl/en/policies/privacy/

 

Can you block our cookies?

Cookies help you to get the most from our website, so please remember that if you do choose to disable cookies, you may find that certain sections of our website do not work properly.

 

How do I disable cookies?

All recent versions of popular browsers give you a level of control over cookies. You can find out how to control cookies in your browser by visiting this site: www.aboutcookies.org.uk Our website uses cookies to optimise your experience. The ‘Remember my details’ feature on our online prescription form uses first party cookies on your computer to store your information. This information is only used to remember your details and is never passed to any third party (cookies must be enabled for this to work).

 

Using this feature means that you agree to the use of cookies as required by the EU Data Protection Directive 95/46/EC. You have the option to decline the use of cookies on your first visit to the website.

 

Risk Stratification

Risk stratification is a process for identifying and managing patients who are at high risk of requiring emergency or urgent care. Typically this is because patients have a long term condition such as COPD, cancer or other medical condition at risk of sudden worsening. NHS England (the national Commissioning Board) encourages GPs to use risk stratification tools as part of their local strategies for supporting patients with long-term conditions and to provide care plans and planned care with the aim to prevent avoidable admissions or other emergency care.

 

Information about you is collected from a number of sources including NHS Trusts and from this GP practice. A risk score is then arrived at through an analysis of your de-identified information using software provided by Dr Foster as the data processor and is provided back in an identifiable form to your GP or member of your care team as data controller.

 

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 Risk Stratification.

 

Should you have any concerns about how your information is managed, or wish to opt out of any data collection at the practice, please contact the practice, or your healthcare professional to discuss how the disclosure of your personal information can be limited.

Patients have the right to change their minds and reverse a previous decision. Please contact the practice, if you change your mind regarding any previous choice.

 

Invoice Validation

If you have received treatment within the NHS your personal information may be shared within a strictly monitored, secure and confidential environment in order to determine which Clinical Commissioning Group should pay for the treatment or procedure you have received.

 

Information such as your name, address and date of treatment may be passed on to enable the billing process - these details are held in a secure environment and kept confidential. This information will only be used to validate invoices, and will not be shared for any further commissioning purposes.

 

How do we maintain the confidentiality of your records?

We are committed to protecting your privacy and will only use information collected lawfully in accordance with the Data Protection Act 1998 (which is overseen by the Information Commissioner’s Office), Human Rights Act, the Common Law Duty of Confidentiality, and the NHS Codes of Confidentiality and Security. Every staff member who works for an NHS organisation has a legal obligation to maintain the confidentiality of patient information.

 

All of our staff, contractors and committee members receive appropriate and regular training to ensure they are aware of their personal responsibilities and have legal and contractual obligations to uphold confidentiality, enforceable through disciplinary procedures. Only a limited number of authorised staff have access to personal information where it is appropriate to their role and is strictly on a need-to-know basis.

 

We maintain our duty of confidentiality to you at all times. We will only ever use or pass on information about you if others involved in your care have a genuine need for it. We will not disclose your information to any third party without your permission unless there are exceptional circumstances (i.e. life or death situations), or where the law requires information to be passed on.

 

Who are our partner organisations?

We may also have to share your information, subject to strict agreements on how it will be used, with the following organisations:

  • NHS Trusts
  • Specialist Trusts
  • Independent Contractors such as dentists, opticians, pharmacists
  • Private Sector Providers
  • Voluntary Sector Providers
  • Ambulance Trusts
  • Clinical Commissioning Groups
  • Social Care Services
  • Local Authorities
  • Education Services
  • Fire and Rescue Services
  • Police
  • Prescription Pricing Authority
  • Care Quality Commission
  • Department of Work and Pensions
  • Coroner’s Office
  • NHS Digital
  • Primary Care Support England
  • Solicitors and insurance companies.
  • Other ‘data processors’ which you will be informed of.

Access to personal information

 

You have a right under the Data Protection Act 1998 to access/view information the practice holds about you, and to have it amended or removed should it be inaccurate. This is known as ‘the right of subject access’. If we do hold information about you we will:

 

  • give you a description of it
  • tell you why we are holding it
  • tell you who it could be disclosed to
  • let you have a copy of the information in an intelligible form

 

If you would like to make a ‘subject access request’, please contact the practice manager in writing. There may be a charge for this service. Any changes to this notice will be published on our website and on the practice notice board.

 

The practice is registered as a data controller under the Data Protection Act 1998. The registration number is Z5461251 and can be viewed online in the public register at http://www.ico.gov.uk/

 

Change of Details

It is important that you tell the person treating you if any of your details such as your name or address have changed or if any of your details such as date of birth is incorrect in order for this to be amended. You have a responsibility to inform us of any changes so our records are accurate and up to date for you.

 

Notification

The Data Protection Act 1998 requires organisations to register a notification with the Information Commissioner to describe the purposes for which they process personal and sensitive information. This information is publicly available on the Information Commissioners Office website www.ico.org.uk. The practice is registered with the Information Commissioners Office (ICO).

 

Who is the Data Controller?

The Data Controller, responsible for keeping your information secure and confidential is Dyneley House Surgery. Any changes to this notice will be published on our website and displayed in prominent notices in the surgery.

 

The Partnership is registered as a data controller under the Data Protection Act 1998 Z5461251. Our registration can be viewed on-line in the public register at www.ico.gov.uk

 

Further information

Further information about the way in which the NHS uses personal information and your rights in that respect can be found in:

 

 

An independent review of information about patients is shared across the health and care system led by Dame Fiona Caldicott was conducted in 2012. The report, Information: To share or not to share? The Information Governance Review, be found at: https://www.gov.uk/government/publications/the-information-governance-review

 

NHS England – Better Data, Informed Commissioning, Driving Improved Outcomes: Clinical Data Sets provides further information about the data flowing within the NHS to support commissioning.

 

Please visit the NHS Digital website for further information about their work. Information about their responsibility for collecting data from across the health and social care system can be found.

 

The Information Commissioner’s Office is the Regulator for the Data Protection Act 1998 and offer independent advice and guidance on the law and personal data, including your rights and how to access your personal information. For further information please visit the www.ico.gov.uk

Healthy Lifestyles - Craven Leisure Centre Services

Weight Management

How much does it cost?

The programme is FREE service for up to 24 weeks to support adults to lose weight, move more and maintain long term weight loss.  This service is fully funded by North Yorkshire County Council Public Health.

Who is the service for?

What does the programme consist of?

Group sessions are usually 45-75 minutes long and consist of a weekly weigh-in, healthy eating advice for weight loss and an exercise circuit session.

Some group sessions are healthy eating and weigh-in only (45mins). Where this is the case the sessions are shorter in length and to exercise, participants can access a range healthy lifestyles group classes at other times and venues free of charge for 12 weeks. You will also be issued with 1 FREE swim or Gym pass per week when you attend your weekly weigh-in session.

All Healthy Lifestyles participants can take advantage of the free activities offered whilst they are attending the weekly weigh-in and nutrition session.

What happens each week?

  • Private weigh-in

  • Physical Activity

  • Healthy eating educational group taks/activities.

Are you ready?

  1. Do you have any holidays planned?

  2. Can you commit to a 24 week service?

  3. Are you in the right frame of mind to lose weight now?

How do I access the service?

Your health professional can complete a referral form that they will forward on to us or you can complete the self-referral form below. We will then contact you to arrange an induction*

Self-referral

*We advise you speak to your GP before starting any new exercise or nutrition programme, especially if you have medical conditions and or have been sedentary for a long period of time.

Register your interest in Healthy Lifestyles Online

What happens next?

  • A member of healthy lifstyles team will call you to talk through the service, your eligibillity, and any previous attempts to lose weight, what your motivations are, and the session options available to you.

  • After the intial discussion you will be booked in for a health asessment with your weight management advisor.

  • Once completed you will start the 12 week FREE programme at the venue.

  • If you are successfull in achieving the agreed 5% weight loss, you will be entitled to a further 12 week maintenance programme.

Rewarding you for your hard work

If you decide to join the programme we want to support you every step of the way so we have put together the following incentives*:

Free Keelham Farm Shop Fruit or Vegetable Box

When you join and complete the 12 week programme - speak to your advisor for your voucher.

A Further 12 Weeks of free access to the Healthy Lifestyles Programme of activities at Craven Leisure and satellite sites throughout Craven District.

When you achieve your 5% weight loss target by the end of the initial 12 weeks.

A Free Months Membership at Craven Leisure PLUS a Further Three Months at a Discounted Rate. We Will Also Treat You To a Meal In Revive Cafe

If you maintain your 5% weight loss target after 24 weeks.(end of 12 week maintenance programme)

Car Parking

Healthy Lifestyles customers who are based at Craven Leisure on Monday , Wednesdays or Friday afternoons can apply for a FREE car park permit.  Otherwise pay & display is in operation from 50p an hour.

Links to useful services

NHS Choices

NHS healthy recipes

ONE YOU eating

ONE YOU move

Specialist staff skills and competencies

The programme is led by advanced instructors (REPS Level 3 or equivalent).

All of our advanced instructors are trained in the following areas:

  • Instructors - Personal Trainer (Level 3)
  • Nutrition & Weight Management
  • First Aid
  • Motivational interviewing
  • Alcohol intervention
  • Smoking cessation
  • Behaviour change


For further information please contact the team by telephone: 01756 792805 (option3) or email here: healthylifestyles@cravendc.gov.uk

VenueDaySession formatTime
Gargrave Village Hall, Gargrave, Skipton, BD23 3PTMonday Starting 3rd September 2018Nutrition, exercise and weigh-in10.30am-11.45am
Craven Leisure, Skipton BD23 1UDMondayNutrition, exercise and weigh-in2.15pm-3.30pm
Dyneley Barn, Dyneley Surgery, Skipton BD23 2HZMondayNutrition and weigh-in7pm-8pm
Broughton Road Community Centre, Skipton, BD23 1TSTuesday Starting 4th September 2018Nutrition, exercise and weigh-in2pm-3.15pm
Giggleswick School, Settle BD24 0DETuesday Starting 18th September 2018Nutrition, exercise and weigh-in6.30pm-7.45pm
Dyneley Barn, Dyneley Surgery, Skipton BD23 2HZTuesdayNutrition and weigh-in6.45pm-8pm
Craven District Council, Belle Vue Mills, Skipton, BD23 1FJTBCNutrition and weigh-inTBC
Craven Leisure, Skipton BD23 1UDWednesday Nutrition, exercise and weigh-in2pm-3.15pm
Skipton Town Hall Gallery Hub, BD23 1AHWednesday Nutrition, exercise and weigh-in6.15pm-7.30pm
Greatwood Community Centre, BD23 2SWTBCNutrition, exercise and weigh-inTBC
Craven Leisure, Skipton BD23 1UDFridayNutrition, exercise and weigh-in

Exercise Referral

Exercise referral programme for lifestyle change

The detrimental effects of an inactive lifestyle are increasingly apparent and it is widely recognised that inactivity can elevate the risk of developing a wide range of health problems, such as; type 2 diabetes, CHD (Coronary Heart Disease), hypertension, cancer, stroke, obesity, and osteoporosis (Department of Health, 2000).

Background

An exercise referral programme allows Health Care professionals to refer individuals with a variety of medical conditions and/ or a history of sedentary lifestyle, who would never normally consider participating in regular physical activity, to a short-term, supervised programme of physical activity. The aim of this short-term intervention is to promote long-term adherence, by encouraging lifestyle changes, through which more physical activity will be incorporated into their lives.

The scheme may be seen as an alternative or an option to the prescription of drugs for certain conditions, and may ultimately reduce patient visits to the doctor.

Exercise referral relies heavily on the professionals involved as a powerful motivator in encouraging an individual to take up the supervised exercise programme, and indeed, to continue with physical activity in the long-term.

For health professionals, the schemes offer a practical approach to promoting physical activity, with a view to preventing and managing a range of medical conditions.

Referral costs

Gym and / or swim

Individuals who have been referred by a health professional can either pay a one off fee of £51.00 to participate on the scheme or pay a pro-rata and only £17.00/month (via direct debit for 3 months). This covers a 12 week period, during which the patient has unlimited access to the gym and / or swimming and an exercise programme designed. There is no cost implication for the health professional. Classes and sauna/steam are not currently included in the scheme.

The following conditions are not suitable for a swim referral:

  • Spinal cord injury (depending on functional ability & assistance available)
  • Stroke (depending on functional ability)
  • Severe back pain - no breaststroke recommended.


Craven Leisure Centre accept referrals from medical health professionals who:

  • have knowledge of the patients medical history, current health status and medication
  • can make a clinical judgement as to the suitability of the scheme for the patient
  • can provide the necessary information about the patient (e.g. address, telephone number, date of birth, blood pressure, height, weight, resting heart rate).
  • Inform 
  • based in Craven and have agreed to the Memorandum of understanding agreement.


NB. Any health professional who refers a patient to the scheme must inform the patients GP via an individually agreed protocol.

Referral allowance

One twelve week referral per annum with reduced costs per person.

Re-referrals not allowed in a 12 month period.

Aims of our exercise referral scheme - 'Fit 4 Life'

  • To allow individuals who have a range of low to moderate physical or mental health problems to participate in a structured physical activity programme in a safe, supervised environment.
  • To offer a programme of physical activity, which looks at the individual needs of the referred patient rather than a general approach to certain target groups.
  • To raise awareness of the physical, psychological and social benefits of physical activity with individuals who are not normally physically active.
  • To promote long-term participation in regular physical activity by developing the individuals confidence in being active.
  • To improve participants health, well being and quality of life.

Specialist staff skills and competencies

The schemes are facilitated by advanced instructors (Level 3) who hold the Wright Foundation Exercise Referral Qualification which has been recognised by REPS as a quality training provider.

The service professionals will be enrolled on the Register of Exercise Professional (REPS) and appropriately trained as below:

  • Instructors- Advanced Instructor / Personal Trainer (Level 3)
  • including Nutrition & weight management
  • Exercise referral (Wright foundation)
  • First Aid at Work.

Referral criteria

Exercise referral schemes aim to improve the physical and mental health of participants.

Though they are aimed at people with a range of existing, low to moderate risk medical conditions, they should also be viewed as a way of preventing such conditions.

The scheme is only available to patients who meet the following essential criteria:

  • Sedentary or physically inactive (less than 30 minutes activity per week)
  • Low to moderate risk
  • Aged 16 years or above
  • Would benefit from being more physically active
  • Keen to do facility based exercise.


The following low to moderate health problems are recommended reasons for referral onto the scheme:

  • Overweight/ Obesity
  • Hypertension (controlled) and current BP below 100mg systolic and 100mg diastolic
  • Mild to moderate mental health problems (e.g. depression, anxiety or stress)
  • Diabetes I and II (controlled)
  • Arthritis / Osteoporosis
  • Osteoporosis
  • Asthma / Chronic Obstructive Pulmonary Disorder (COPD)
  • Post physiotherapy musculoskeletal conditions e.g. knee, hip, shoulder etc
  • Family history of heart disease
  • Physical Disabilities.

This scheme is not appropriate for high risk individuals. Clinical judgement will be important but usually individuals with the following will not be suitable for referral:

  • Unstable Angina
  • Unstable hypertension
  • Unstable diabetes
  • Severe coronary heart disease or early post myocardial infarction/coronary artery bypass graft/angioplasty
  • Unstable and or severe mental health problem
  • Late stages of pregnancy


The Instructor will contact the referring health professional if we require further advice or clarification on any medical condition or medication. Exercise instructors reserve the right to refuse to support any patient whom they feel unqualified or unconfident to deal with.


Neuorological Injury recovery

A neurological Injury and stroke rehabilitation scheme has started at Craven Leisure. Neurological injury and stroke survivors can be referred to the programme through the normal Exercise GP Referral scheme. ARNI stands for Action for Rehabilitation from Neurological Injury. More information is available here: www.arni.uk.com

The class is led by an ARNI trained instructor and takes place every Friday at 1.15pm (60mins)

The programme started here at Craven on January 22, 2016.

The ARNI Approach to stroke recovery encompasses:

  • Task-related functional movement training
  • Physical coping strategies
  • Stroke-specific resistance training
  • The design of self-recovery programmes with the aim of self-reliance.


ARNI training aims to come in after the stroke survivor has been discharged by the hospital and physiotherapist and now have the rest of their lives to live.

The ARNI approach was developed by Tom Balchin who suffered a stroke while in university.

It is based on functional, practical physical training, so people can improve their ability to perform everyday tasks. For example:

  • Sitting/standing.
  • Getting up off the floor.
  • Walking on varied surfaces and in crowds.
  • Interacting with household objects.


Using the principle of neuroplasticity, it aims to improve stroke survivors' abilities through practice and repetition of traditional and innovative exercise training.

It aims to challenge the idea that recovery from stroke is not possible after a few months.

We are now starting Stroke Survivors Group Training Sessions at Craven Fitness Centre. This will initially be 1 hour, group sessions to get people together and moving. This will be a simple, functional training circuit, aiming to challenge their stamina, balance, coordination, hand dexterity and strength.

If there is a demand, the aim is to also provide 1 to 1 rehab sessions for people, consisting of:

  • Physical and emotional assessments
  • Working out their goals
  • Developing a training plan for them to follow towards these goals
  • Support, motivation and encouragement during training for these goals.


Stroke survivors can be referred to Craven Fitness Centre through the normal GP Referral scheme. At the time of writing, the GP referral scheme consists of:

  • 12 week referral for full use of the gym and pool.
  • One off fee of £51 covering the full 12 weeks (£17/month).
  • Stroke survivors will also get the group session with the aim for 1 to 1 sessions in the future.


For questions on the administration of the referral scheme, please contact Head of Fitness Neil Harrison on: healthylifestyles@cravendc.gov.uk

For questions about the actual stroke rehab training and to complete the initial form, please contact the rehab instructor, Cerin Rees on: cerin@ReesFitness.co.uk



 
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