Practice Policies & Patient Information
Accessible Information and Reasonable Adjustments
Accessible information –
The Accessible Information Standard is a requirement that all NHS organisations, including GP practices must follow to make sure that people who have a disability, impairment or sensory loss or their carers are given information in a format they can easily read or understand.
So, we can help and support you we want to know;
- If you need information in a specific format e.g. braille, large print or easy read
- If you need to receive information in a particular way
- if you need someone to support you at appointments e.g. a sign language interpreter or an advocate
- We want to know if you lip read or use a hearing aid or communication tool
Please let us know if you require any type of support so we can record this information and add it to your record. You can do this by telling our reception team, doctor or nurse the support you need. It is best you do this prior to needing an appointment, so the practice can make the necessary adjustments in advance.
NHS England has more information on the standard which is available in a range of formats including easy read, audio and BSL video with subtitles. You can see these by clicking the link below:
Healthwatch Sunderland have created a leaflet to explain this
Do you have communication needs? | Healthwatch Sunderland
Reasonable Adjustments
All disabled people have the right to reasonable adjustments. This includes when using healthcare, including GP practices.
We need to make it as easy for disabled people to use health services. This is called making reasonable adjustments.
Reasonable adjustments are changes which mean people with a disability can access the healthcare they need.
Reasonable adjustments are dependent on the person. Everyone has different needs. Some examples might include:
- making sure there is good access for people who use a wheelchair in the surgery
- providing plain English or easy read appointment letters.
- giving someone a priority appointment if they find it difficult waiting in their GP surgery or hospital.
- offering a longer appointment if someone needs more time with a doctor or nurse to make sure they understand the information they are given.
- having a quiet space available for people waiting for their appointment.
- making sure there is a hearing loop system in consultation rooms
- using a communication chart to support a person with dementia during an appointment.
Please let us know if you require any type adjustment to access your appointments so we can record this information and add it to your record. You can do this by telling our reception team, doctor or nurse the adjustments you need. It is best you do this prior to needing an appointment, so the practice can make the necessary adjustments in advance.
Accessing someone else’s information
Accessing someone else’s information
As a parent, family member or carer, you may be able to access services for someone else. We call this having proxy access. We can set this up for you if you are both registered with us.
To requests proxy access:
- collect a proxy access form from reception from 10am to 6pm
Linked profiles in your NHS account
Once proxy access is set up, you can access the other person’s profile in your NHS account, using the NHS App or website.
The NHS website has information about using linked profiles to access services for someone else.
Complaints
We make every effort to give the best service possible to everyone who attends our Practice.
However, we are aware that things can go wrong, resulting in a patient feeling that they have a genuine cause for complaint. If this is so, we would like the matter to be settled as quickly, and as amicably, as possible.
To have your complaint investigated, you need to complain within 12 months of the event happening, or as soon as you first become aware of the issue you want to complain about.
The time limit can be extended in special circumstances.
How to make a compliment or complaint
Whether you are happy or unhappy with the care and treatment that you have received, please get in touch and let us know your views.
Receiving compliments and complaints is important to ensuring good quality local healthcare in our Practice – helping us to find out more about what we’re getting right and what we can improve.
We hope this will help you to make your feelings and experiences known to the appropriate people. Should you have a complaint we hope this page will give you more information about what to do, who to contact and what happens next.
How do I raise a concern / informal complaint?
You can speak to any member of staff initially with your complaint. This gives you the opportunity to resolve any concern you may have without it going through a formal process.
Most complaints are best resolved within the practice and these should be made via the Management team.
If you’re considering making a complaint but need help
If you require support to make a complaint Voice Ability can offer both offer both information and support. They have advocates to support people to make a complaint about the treatment or care that they or a friend or family member have received from an NHS service. This support is available at every stage of the complaints process.
Complaint Form
If you wish to raise a complaint please complete our form by clicking here
Formal Complaint
What we will do
We will contact you about your complaint within three working days and offer to discuss with you the best way to investigate it, including the time scales for a reply. We will aim to offer you an explanation within that time frame. Or a meeting with the people involved.
- Find out what happened and what went wrong
- Invite you to discuss the problem with those involved, if you would like this
- Apologise where this is appropriate
- Identify what we can do to make sure that the problem does not happen again.
If you feel you do not want to contact the surgery directly, then you can contact the NHS integrated care board complaints team on:
Website address: NHS North East and North Cumbria ICB contact us
Email: necsu.pccomplaints@nhs.net
Telephone: 0191 512 8484
In General
If you have a complaint to make, you can either contact the Practice Manager or ask the Receptionist for a copy of our Complaints Procedure. We will endeavour to:
- acknowledge any letter or Complaints Form within 3 working days of receiving it.
- deal with the matter as promptly as possible – usually within 20 working days – dependent on the nature of the complaint.
Who can complain
- Complainants may be current or former patients, or their nominated or elected representatives (who have been given consent to act on the patients behalf).
- Patients over the age of 16 whose mental capacity is unimpaired should normally complain themselves or authorise someone to bring a complaint on their behalf.
- Children under the age of 16 can also make their own complaint, if they’re able to do so.
If a patient lacks capacity to make decisions, their representative must be able to demonstrate sufficient interest in the patient’s welfare and be an appropriate person to act on their behalf. This could be a partner, relative or someone appointed under the Mental Capacity Act 2005 with lasting power of attorney.
Appropriate person
In certain circumstances, we need to check that a representative is the appropriate person to make a complaint.
- For example, if the complaint involves a child, we must satisfy ourselves that there are reasonable grounds for the representative to complain, rather than the child concerned.
- If the patient is a child or a patient who lacks capacity, we must also be satisfied that the representative is acting in the patient’s best interests.
If we are not satisfied that the representative is an appropriate person we will not consider the complaint, and will give the representative the reasons for our decision in writing.
Procedure
We have a two stage complaints procedure. We will always try to deal with your complaint quickly however if it is clear that the matter will need a detailed investigation, we will notify you and then keep you updated on our progress.
Stage one – Early, local resolution
- We will try to resolve your complaint within five working days if possible.
- If you are dissatisfied with our response, you can ask us to escalate your complaint to Stage Two.
Stage Two – Investigation
- We will look at your complaint at this stage if you are dissatisfied with our response at Stage One.
- We also escalate some complaints straight to this stage, if it is clear that they are complex or need detailed investigation.
- We will acknowledge your complaint within 3 working days and we will give you our decision as soon as possible. This will be no more that 20 working days unless there is clearly a good reason for needing more time to respond.
Complain to the Ombudsman
If, after receiving our final decision, you remain dissatisfied you may take your complaint to the Ombudsman.
The Ombudsman is independent of the NHS and free to use. It can help resolve your complaint, and tell the NHS how to put things right if it has got them wrong.
The Ombudsman only has legal powers to investigate certain complaints. You must have received a final response from the Practice before the Ombudsman can look at your complaint and it will generally not look into your complaint if it happened more than 12 months ago, unless there are exceptional circumstances.
Phone: 0345 015 4033
Confidentiality
All complaints will be treated in the strictest confidence.
Where the investigation of the complaint requires consideration of the patient’s medical records, we will inform the patient or person acting on his/her behalf if the investigation will involve disclosure of information contained in those records to a person other than the Practice or an employee of the Practice.
We keep a record of all complaints and copies of all correspondence relating to complaints, but such records will be kept separate from patients’ medical records.
Data Protection (GDPR)
Why do we need your information?
The NHS Act 2006 and Health and Social Care Act 2012 invests
statutory functions on GP Practices to promote and provide the
health service to improve quality of services, reduce inequalities,
conduct research, review performance of services and deliver
education & training. To do this we will need to process your
information in accordance with current data protection
legislation to:
• Protect your vital interests
• Pursue our legitimate interests as a provider of medical care, particularly where the
individual is a child or vulnerable adult
• Performs tasks in the public’s interests
• Deliver preventative medicine, medical diagnosis, medical research; and
manage the health and social system and services
Should you require any further information on GDPR or Data Protection Act, this can be found on the Information Commissioner’s Office (ICO) website: https://ico.org.uk/for-organisations/guide-to-thegeneral-data-protection-regulation-gdpr/
You can also contact the Practice Data Protection Officer.
When contacting the Data Protection Officer please ensure that you include the details of the Practice.
Data Protection Officer: Mr James Carroll
Tel No: 0191 404 1000 Ext 3436
Email address: stsft.dposunderlandpractices@nhs.net
Please click the following links for details:
Practice privacy notice Redhouse Medical Centre – England 1.3
GP Published Earnings
NHS England require that the net earnings of doctors engaged in the practice is publicised, and the required disclosure is shown below. However, it should be noted that the prescribed method for calculating earnings is potentially misleading because it takes no account of how much time the 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.
The average pay for GP’s working in REDHOUSE MEDICAL CENTRE in the last financial year was £79718.00 before tax and National Insurance. This is for 3 full time GP’s, 0 part time GP’s and 0 locum GP who worked in the practice for more than 6 months.
2020/2021
Patient Confidentiality
We respect your right to privacy and keep all your health information confidential and secure. It is important that the NHS keeps accurate and up-to-date records about your health and treatment so that those treating you can give you the best possible advice and care. This information may be used for management and audit purposes. However, it is usually only available to, and used by, those involved in your care. You have the right to know what information we hold about you. If you would like to see your records, please inform a member of staff who can arrange this with the practice manager.
Summary Care Record
Summary Care Records (SCR) are an electronic record of important patient information, created from GP medical records.
This will enable health and care professionals to have better medical information about you when they are treating you at the point of care. This change will apply for the duration of the coronavirus pandemic only. Unless alternative arrangements have been put in place before the end of the emergency period, this change will be reversed.
All patients registered with a GP have a Summary Care Record, unless they have chosen not to have one. The information held in your Summary Care Record gives health and care professionals, away from your usual GP practice, access to information to provide you with safer care, reduce the risk of prescribing errors and improve your patient experience.
Your Summary Care Record contains basic information about allergies and medications and any reactions that you have had to medication in the past.
Some patients, including many with long term health conditions, have previously agreed to have Additional Information shared as part of their Summary Care Record. This additional information includes information about significant medical history (past and present), reasons for medications, care plan information and immunisations.
During the coronavirus pandemic period, your Summary Care Record will automatically have Additional Information included from your GP record unless you have previously told the NHS that you did not want this information to be shared.
There will also be a temporary change to include COVID-19 specific codes in relation to suspected, confirmed, Shielded Patient List and other COVID-19 related information within the Additional Information.
By including this additional Information in your SCR, health and care staff can give you better care if you need health care away from your usual GP practice:
- in an emergency
- when you’re on holiday
- when your surgery is closed
- at out-patient clinics
- when you visit a pharmacy
Additional Information is included on your SCR
In response to the coronavirus (COVID-19) pandemic we are temporarily removing the requirement to have explicit consent to share the SCR Additional Information. This change of requirement will be reviewed when the pandemic is over.
You can be reassured that if you have previously opted-out of having a Summary Care Record or have expressly declined to share the Additional Information in your Summary Care Record, your preference will continue to be respected and applied.
Additional Information will include extra information from your GP record, including:
- health problems like dementia or diabetes
- details of your carer
- your treatment preferences
- communication needs, for example if you have hearing difficulties or need an interpreter
This will help medical staff care for you properly, and respect your choices, when you need care away from your GP practice. This is because having more information on your SCR means they will have a better understanding of your needs and preferences.
When you are treated away from your usual doctor’s surgery, the health care staff there can’t see your GP medical records. Looking at your SCR can speed up your care and make sure you are given the right medicines and treatment.
The only people who might see your Summary Care Record are registered and regulated healthcare professionals, for example doctors, nurses, paramedics, pharmacists and staff working under their direct supervision. Your Summary Care record will only be accessed so a healthcare professional can give you individual care. Staff working for organisations that do not provide direct care are not able to view your Summary Care Record.
Before accessing a Summary Care Record healthcare staff will always ask your permission to view it, unless it is a medical emergency and you are unable to give permission.
Protecting your SCR information
Staff will ask your permission to view your SCR (except in an emergency where you are unconscious, for example) and only staff with the right levels of security clearance can access the system, so your information is secure. You can ask an organisation to show you a record of who has looked at your SCR – this is called a Subject Access Request.
Opting out
The purpose of SCR is to improve the care that you receive, however, if you don’t want to have an SCR you have the option to opt out. If this is your preference please inform your GP or fill in an SCR patient consent preferences form and return it to your GP practice, alternatively complete our online OPT-OUT form here:
https://practice365.co.uk/a89008/summary-care-record-opt-out/
Regardless of your past decisions about your Summary Care Record consent preferences, you can change your mind at any time. You can choose any of the following options:
- To have a Summary Care Record with Additional Information shared. This means that any authorised, registered and regulated health and care professionals will be able to see a enriched Summary Care Record if they need to provide you with direct care.
- To have a Summary Care Record with core information only. This means that any authorised, registered and regulated health and care professionals will be able to see information about allergies and medications only in your Summary Care Record if they need to provide you with direct care.
- To opt-out of having a Summary Care Record altogether. This means that you do not want any information shared with other authorised, registered and regulated health and care professionals involved in your direct care, including in an emergency.
To make these changes, you should inform your GP practice or complete the SCR patient consent preferences form and return it to your GP practice.
More information on your health records
More about SCR
Summary Care Records (SCR) are an electronic record of important patient information, created from GP medical records. They can be seen and used by authorised staff in other areas of the health and care system involved in the patient’s direct care.
With this in mind, the following settings and use cases are not in scope for SCR viewing and will not be approved for rollout for:
- research purposes, including clinical trials
- police and other government departments
- non-clinical cosmetics
The PRINCIPLE and PANORAMIC trials
Two exceptions have been agreed for accessing the SCR to ensure timely prescribing and safe patient care by clinical staff working within the PRINCIPLE and PANORAMIC. These are both urgent public health COVID-19 clinical trials.
The PRINCIPLE and PANORAMIC trials seek to identify treatments that, if used early in the course of a coronavirus (COVID-19) infection, will reduce the duration of symptoms, prevent the need to admit people to hospital and reduce deaths.
SCR access has been assessed as essential to ensure individuals are safely brought onto the trial within the very restrictive timeframe of five days since symptom onset. This access enables vital safety checks to be undertaken with the permission of the participants.
Access is sought only for those people who have been screened as eligible to be part of the trial, and who have already signed informed consent for participation.
An urgent patient and public health need for access to specific information contained within the SCR has therefore been demonstrated.