Access to Health Records
In accordance with the Data Protection Act 1984 and the Access to Medical Records Act 1990 patients may request to see their medical records. A charge may be levied for this service as specified by the Data Protection Act and any request for access should be made in writing. Access will be by appointment only. The doctor is entitled to withhold any information that he or she considers could be detrimental to you.
Care data is a forthcoming extract of patient data commissioned by NHS England.
NHS England is commissioning a modern data service from the the Health & Social Care Information Centre (HSCIC) on behalf of the entire health & social care system known as care.data. GPES will be used to extract GP data each month. The identifiers to be extracted are: NHS Number, DOB, Postcode & Gender, which will allow patients’ GP data to be linked to their hospital data. No free text will be extracted, only coded information about referrals, NHS prescriptions and other clinical data.
Leaflets are available at reception to answer any questions you may have.
The confidentiality and security of patient data is of paramount importance which is why GPES has established Information Governance Principles. The intention of the scheme is to make increased use of the information in medical records in order to improve the quality of care for patients.
This practice is registered under the Data Protection Act and all staff are bound by strict rules of confidentiality. Clinical information will only be divulged to other healthcare professional to allow for your continuing care. Information to other third parties will only be released with your written consent.
Enhanced Data Sharing Model
eDSM ( Enhanced Data Sharing Model)
eDSM uses a secure computer system (SystemOne) that allows the sharing of full electronic records across different NHS Care Services. It works on a patient-by-patient basis allowing each organisation to record whether the patient wants to share information out of an organisation, and to control their ability to view information made available from other organisations. The patient leaflet is available to view on our documents page of the website or you can collect a leaflet from our reception desk.
Named Accountable GP
From April 2015 ALL patients have been allocated a named accountable GP. This will be the same as the GP you are currently registered with unless otherwise notified.
This will not affect your right to see the GP of your choice.
National Diabetes Audit
Your GP practice is taking part in the National diabetes Audit (NDA). The NDA collects information from GP practices and hospitals. This information helps the NHS to improve care. The use of NDA information is controlled by law and strict rules of confidentiality. The NDA is managed by NHS Digital (formerly known as the Health and Social Care Information Centre)) working with Diabetes UK and Public Health England.
What Information about you is collected?
The NDA only uses information about your diabetes care that is already recorded. For example, type of diabetes, latest blood pressure result and results of HbA1c. The NDA is not a research project.
The NDA collects information on:
- How many peopke with diabetes are registered at the GP practice
- Whether people with diabetes are receiving the annual healthcare checks
- Whether people with diabetes acheive the national target for glucose control, blood pressure and cholesterol
- Whether people with diabetes with a learning disability or severe and enduring mental health problem are receiving the same level of care
- How many people use an insulin pump, why they use a pump and how well it is working
Your NHS number, date of birth and postcode are also collected. Your name and address are NOT collected.
The type of information used in the audit is listed on the NHS Digital website at:
How is the information used?
NHS digital will use your NHS number and date of birth to link information that is collected from the GP practice to other information recorded by the NHS or NHS Digital relating to your diabetes care. Once your information has been linked, your NHS number and date of birth are removed. So, all your information is then annonymised.
How will your information be kept safe?
There are very strict rules about what happens to your information. NHS Digital has special legal permission to handle individual patient data for clinical audits. They must keep to very strict security and confidentiality standards and follow the laws on the protection of personal data.
Saying ‘no thanks’
If you do not want your information to be used, please inform the receptionist, GP or Nurse. They will make sure that this is noted on your medical records, so your information is not included. This will not affect your care in any way.
Patient Partner (Voice Connect)
Through the use of a new telephone automated service you can now book, change, check or cancel your GP appointment or order your repeat prescription 24 hours a day, 7 days a week.
All you need to do is ring the surgery as normal anytime of the day and follow the automated prompts.
By using this new service the practice hopes to manage, improve and ease telephone access along with easing the pain of early morning congestion, enabling you the patient more control of accessing the practice.
To order a repeat prescription the sytem requires a 6 digit pin number which you need to set up at the practice. Please come into the surgery so that we can activate your pin number. ID is required to set up your pin.
SMS Text messages
We are now set up to use sms text messaging, this will enable a text to be sent to confirm your appointment along with a subsequent reminder. Please ensure we have your up to date mobile number.
STATEMENT OF INTENT FOR CITY HEALTH PRACTICE LTD
New contractual requirements came into force from 1 April 2014 requiring that GP Practices should make available a statement of intent in relation to the following IT developments:
- Summary Care Record (SCR)
- GP to GP record transfers
- Patient online access to their GP record to book appointments, order repeat prescriptions and access data contained in their Summary Care Record.
- Referral management, data for commissioning and other secondary care purposes
The same contractual obligations require that we have a statement of intent regarding these developments in place and publicised by 30 September 2014.
Please find below details of the practices stance with regards to these points.
Summary Care Record (SCR)
NHS England require practices to enable successful automated uploads of any changes to patient’s summary information, at least on a daily basis, to the summary care record (SCR) or have published plans in place to achieve this by 31st of March 2015.
Having your Summary Care Record (SCR) available will help anyone treating you without your full medical record. They will have access to information about any medication you may be taking and any drugs that you have a recorded allergy or adverse reaction to on the basis of implied patient consent. Additional information can only be uploaded with explicit patient consent and should be information required to support patient care in an emergency or urgent situation.
Of course if you do not want your medical records to be available in this way then you will need to contact the practice to let us know so that we can update your record.
City Health Practice Ltd confirm that your SCR is updated of any changes to ensure that your information is as up to date as it can possibly be.
GP2GP Record Transfers
NHS England requires practices to utilise the GP2GP facility for the transfer of patient records between practices, when a patient registers or de-registers (not for temporary registration).
It is very important that you are registered with a doctor at all times. If you leave your GP and register with a new GP, your medical records will be removed from your previous doctor and forwarded on to your new GP via NHS England. It can take your paper records up to two weeks to reach your new surgery.
With GP to GP record transfers your electronic record is transferred to your new practice much sooner.
City Health Practice Ltd confirm that GP to GP transfers will be active as from 28/11/2014.
As of 27th November 2014 the practice achieved GP2GP record transfers.
Patient Online Access to Their GP Record
NHS England require practices to promote and offer an electronic appointment booking system and online booking of prescriptions facility to enable patients online access to book appointments, view, amend, cancel and print appointments, order prescriptions, view and print a list of their repeat prescriptions for necessary drugs, medicines or appliance. We currently offer the facility. This is done by the Systm0ne Online facility. If you do not already have a user name and password for this system – please contact the practice to register.
NHS England require practices to promote and offer the facility for patients to view online, export or print any summary information from their records i.e. medications, allergies, adverse reactions and any additional information agreed between the GP and patient. The practice will achieve the requirement by 31 March 2015.
As of 9th March 2015 the practice achieved the facility for patients to view online, export or print any summary information from their records i.e. medications, allergies, adverse reactions and any additional information agreed between the GP and patient.
Referral management and data for commissioning and other secondary care purposes
The practice includes the NHS number as the primary identifier in all NHS clinical correspondence issued by the practice whether electronic for or otherwise, except in exceptional circumstances where the number cannot be ascertained e.g. when the patient is seen urgently at home.
It is a requirement of the Health and Social Care Act that practices must meet the reasonable data requirements of commissioners and other health and social care organisations through appropriate and safe data sharing for secondary uses, as specified in the technical specification for care data.
At City Health Practice Ltd we have specific arrangements in place to allow patients to “opt out” of care.data which allows for the removal of data from the practice. Please contact the practice for further information about care.data.
City Health Practice Ltd confirm these arrangements are in place and that we undertake annual training and audits to ensure that all our data is handled correctly and safely via the Information Governance Toolkit.
Violent, Threatening or Abusive Behaviour
In keeping with other practices in the Hull Teaching Primary Care Trust, this Practice operates a Zero Tolerance Policy and would wish to advise all patients and visitors that such behaviour will result in the individuals concerned being removed from the patient list immediately and may be reported to the Police.
Your Responsibilities To Us
- To notify the practice of any change to your name, address, telephone number or any other personal details to ensure that our records are up to date so that we can contact you if necessary
- To co-operate fully with the surgery if you are contacted to attend a clinic to monitor your health
- To cancel your appointment if you are unable to attend
- To remain patient if the doctor or nurse is running late with your appointed time. It normally means that something urgent has arisen or that a previous consultation needed to be longer than was originally anticipated and is therefore beyond the control of the Practice
- To observe the ‘one appointment – one patient’ rule and not ask the doctor or nurse to treat other family members at the same time
- To comply with any treatment or lifestyle recommendations made to help your particular complaint or condition
- Not to expect a prescription each time you visit the surgery
- To treat the doctor and his staff as you would expect to be treated by them – with courtesy and respect