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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 £70,695 before tax and National Insurance.  This is for 2 full time GPs, 7 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.

How We Use Your Personal Information

This Privacy Notice explains why GP practices collect information about you and how that information may be used.

 

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

 

NHS health care records may be electronic, on paper or a mixture of both, and we use a combination of working practices and technology to ensure that your information is kept confidential and secure. Records this GP Practice hold about you may include the following information;

 

  • Details about you, such as your name, address, carers, legal representatives and  emergency contact details
  • Any contact the surgery has had with you, such as appointments, clinic visits, emergency appointments, etc.
  • 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

 

To ensure you receive the best possible care, your records are used to facilitate the care you receive. Information held about you may be used to help protect the health of the public and to help us manage the NHS. Information may be used within the GP practice for clinical audit to monitor the quality of the service provided.

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

Sometimes your information may be requested to be used for research purposes – the Surgery will always gain your consent before releasing the information for this purpose.

 

Risk Stratification

 

Risk stratification data tools are increasingly being used in the NHS to help determine a person’s risk of suffering a particular condition, preventing an unplanned or (re)admission and identifying a need for preventive intervention.

 

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 managed by EMBED Health Consortium and is only 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.

 

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. This service is provided to practices within North Yorkshire through Harrogate and Rural District Clinical Commissioning Group.

 

The care.data programme – collecting information for the health of the nation

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:

 

  • Data Protection Act 1998 and General Data Protection Regulation 2016
  • Human Rights Act 1998
  • Common Law Duty of Confidentiality
  • Health and Social Care Act 2012
  • NHS Codes of Confidentiality, Information Security and Records Management
  • Information: To Share or Not to Share Review

 

Every member of staff who works for an NHS organisation has a legal obligation to keep information about you confidential.

 

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), where the law requires information to be passed on and / or in accordance with the new information sharing principle following Dame Fiona Caldicott’s information sharing review (Information to share or not to share) where “The duty to share information can be as important as the duty to protect patient confidentiality.” This means that health and social care professionals should have the confidence to share information in the best interests of their patients within the framework set out by the Caldicott principles. They should be supported by the policies of their employers, regulators and professional bodies.

 

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 / Foundation Trusts
  • GP’s
  • NHS Commissioning Support Units
  • Independent Contractors such as dentists
  • Opticians
  • Pharmacists
  • Private Sector Providers
  • Voluntary Sector Providers
  • Ambulance Trusts
  • Clinical Commissioning Groups
  • Social Care Services
  • Health and Social Care Information Centre (HSCIC)
  • Local Authorities
  • Education Services
  • Fire and Rescue Services
  • Police & Judicial Services
  • Voluntary Sector Providers
  • Private Sector Providers
  • Other ‘data processors’ (which you will be informed of)

You will be informed who your data will be shared with and in some cases asked for explicit consent for this happen when this is required.

 

We may also use external companies to process personal information, such as for archiving purposes. These companies are bound by contractual agreements to ensure information is kept confidential and secure.

 

Access to Personal Information

You have a right under the Data Protection Act 1998 to request access to view or to obtain copies of what information the Surgery holds about you and to have it amended should it be inaccurate. In order to request this, you need to do the following:

 

  • Your request must be made in writing to the GP – for information from the hospital you should write direct to them
  • There may be a charge to have a printed copy of the information held about you
  • We are required to respond to you within 40 days
  • You will need to give adequate information (for example full name, address, date of birth, NHS number and details of your request) so that your identity can be verified and your records located

 

Objections / Complaints

 

Should you have any concerns about how your information is managed at the GP, please contact the GP Practice Manager. If you are still unhappy following a review by the GP practice, you can then complain to the Information Commissioners Office (ICO) via their website (www.ico.gov.uk).

 

If you are happy for your data to be extracted and used for the purposes described in this privacy notice then you do not need to do anything. If you have any concerns about how your data is shared then please contact the practice.

 

Cookies

 

The Practice website (www.dyneleyhousesurgery.co.uk) uses cookies to function correctly.

 

You may delete cookies at any time but doing so may result in some parts of the site not working correctly.

 

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

 

Complaints

 

Should you have any concerns about how your information is managed by the Practice please contact the Practice Manager at the following address:

 

Dyneley House Surgery

Newmarket Street

Skipton

North Yorkshire

BD23 3PQ

 

If you are still unhappy following a review by the Practice you can then complain to the Information Commissioners Office (ICO). www.ico.org.uk, casework@ico.org.uk, telephone: 0303 123 1113 (local rate) or 01625 54

How Dyneley House Surgery Implements the NHS Constitution

Principles

The Practice:

 

Provides a comprehensive service, available to all irrespective of age, disability, gender reassignment, race, religion or belief, sex or sexual orientation and has a duty to respect their human rights.

Promotes equality through the service, providing and to paying particular attention to groups or sections of society where improvements in health and life expectancy are not keeping pace with the rest of the population.

Provides access to services based on clinical need, not on an individual’s ability to pay.

Aspires to the highest standards of excellence and professionalism, providing safe and effective high-quality care focused on patient experience.

Ensures that it is effectively lead and managed and its staff receive relevant education, training and development.

Its services reflect the needs and preferences of patients, their families and carers who will be involved in and consulted on all decisions about their care and treatment.

Ensures that it works across organisational boundaries and in partnership with other organisations in the interest of patients, local communities and the wider population.

Is accountable to the public, communities and patients that it serves.

Supports staff when they raise concerns about the service by ensuring their concerns are fully investigated and that there is someone independent, outside of their team, to speak to.

 

Patient Rights

Patients Have the Right:

 

To receive NHS services free of charge, apart from certain limited exceptions sanctioned by Parliament.

To access NHS services and not be refused accesson unreasonable grounds.

To expect the Practice to assess the health requirements of the local community and to commission and put in place the services to meet those needs as considered necessary.

Not to be unlawfully discriminated against in the provision of NHS services including on grounds of gender, race, religion or belief, sexual orientation, disability (including learning disability or mental illness) or age.

To access services within maximum waiting times,or to be offered a range of alternative providers if this is not possible.

To be treated with a professional standard of care, by appropriately qualified and experienced staff, in a properly approved or registered organisation that meets required levels of safety and quality.

To be treated with dignity and respect, inaccordance with their human rights.

To accept or refuse treatment that is offered,and not to be given any physical examination or treatment unless valid consent has been given.

To be given information about their proposed treatment in advance, including any significant risks and any alternative treatments which may be available, and the risks involved in doing nothing.

To privacy and confidentiality and to expect the Practice to keep their confidential information safe and secure.

To access to their own health records.

To choose their GP practice, and to be accepted by that Practice unless there are reasonable grounds to refuse, in which case they will be informed of those reasons.

To express a preference for using a particular doctor within their GP Practice.

To make choices about their NHS care and toinformation to support these choices.

To be involved in discussions and decisions about their healthcare, and to be given information to enable them to do this.

To be involved, directly or through representatives, in the planning of healthcare services, the development and consideration of proposals for changes in the way those services are provided,and in decisions to be made affecting the operation of those services.

To have any complaint you make about NHS services dealt with efficiently, to have it properly investigated, know the outcome and escalate the complaint to the independent Health Service Ombudsman.

To make a claim for judicial review if theythink they have been directly affected by an unlawful act or decision of an NHS body.

To compensation where they have been harmed by negligent treatment.

 

Patient Responsibilities

 

To make a significant contribution to their own,and their family’s, good health and well-being, and take some personal responsibility for it.

To treat NHS staff and other patients with respect and recognise that causing a nuisance or disturbance on NHS premises could result in prosecution.

To provide accurate information about their health, condition and status.

To keep appointments, or cancel within reasonable time.

To follow the course of treatment which they have agreed, and talk to their clinician if they find this difficult.

To participate in important public health programmes such as vaccination.

To ensure that those closest to them are aware of their wishes about organ donation.

To give feedback – both positive and negative –about the treatment and care they have received, including any adverse reactions they may have had.

 

Practice Staff Rights

Practice Staff have the right:

 

To a good working environment with flexible working opportunities, consistent with the needs of patients and with the way that people live their lives;

To have a fair pay and contract framework;

To be involved and represented in the workplace;

To have healthy and safe working conditions and an environment free from harassment, bullying or violence;

To be treated fairly, equally and free from discrimination; and

To raise an internal grievance and if necessary seek redress, where it is felt that a right has not been upheld;

To raise any concern with their employer,whether it is about safety, malpractice or other risk, in the public interest,without suffering any detriment.

 

NHS Pledge to Staff Members

The NHS Commits:

 

To provide all staff with personal development, access to appropriate training for their jobs and line management support to succeed;

To provide support and opportunities for staff to maintain their health, well-being and safety;

To engage staff in decisions that affect them and the services they provide, individually, through representative organisations and through local partnership working arrangements. All staff will be empowered to put forward ways to deliver better and safer services for patients and their families;

To support all staff in raising concerns at the earliest reasonable opportunity about safety, malpractice or wrong doing at work, responding to and, where necessary, investigating the concerns raised and acting consistently with the Public Interest Disclosure Act 1998.

 

Practice Staff Responsibilities

Practice Staff have the duty:

 

 To accept professional accountability and maintain the standards of professional practice as set by the appropriate regulatory body applicable to their profession or role.

To take reasonable care of health and safety at work for themselves, their team and others, and to co-operate with employers to ensure compliance with health and safety requirements.

To act in accordance with the express and implied terms of their contract of employment.

Not to discriminate against patients or staff and to adhere to equal opportunities and equality and human rights legislation.

To protect the confidentiality of personal information that they hold unless to do so would put anyone at risk of significant harm.

To be honest and truthful in applying for a job and in carrying out that job.

To play their part in ensuring the success ofthe NHS and delivering high-quality care by:

Maintaining the highest standards of care and service, taking responsibility not only for the care they personally provide,but also for their wider contribution to the aims of their team and the NHS as a whole;

Taking up training and development opportunities provided over and above those legally required of their particular post;

Actively taking part in sustainably improving services by working in partnership with patients, the public and communities;

Raising any genuine concern they may have about a risk, malpractice or wrong doing at work (such as a risk to patient safety,fraud or breaches of patient confidentiality), which may affect patients, the public,other staff or the Practice itself, at the earliest reasonable opportunity;

Being open with patients, their families, carers or representatives, including if anything goes wrong; welcoming and listening to feedback and addressing concerns promptly and in a spirit of co-operation. Staff should contribute to a climate where the truth can be heard and the reporting of, and learning from, errors is encouraged;

Viewing the services they provide from the stand point of a patient, and involve patients, their families and carers in the services they provide, working with them, their communities and other organisations, and making it clear who is responsible for their care.

 

Source: TheNHS Constitution = 8 March 2012:

 http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_132958.pdf

 

 
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