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Patient Confidentiality

PATIENT CONFIDENTIALITY

We ask you for personal information so that you can receive appropriate care and treatment. This information is recorded on computer and we are registered under the Data Protection Act. The practice will ensure that patient confidentiality is maintained at all times by all members of the practice team. However, from time to time it is necessary to share information with other Healthcare Professionals such as District Nurses, Midwives, Counsellors etc.

We will usually only release medical information about you provided we have your written consent. However, when we agree to refer you to a specialist we will not ask you to sign a consent form before we send the referral.

When we do not have your written consent the staff in the practice will observe the following rules in order to protect the confidentiality of your medical records:

• We will not release any information which could be linked to you unless it is absolutely necessary.

• Information that could be linked to you will be restricted to people who need the information in order to help you.

An electronic version of your medical records containing repeat medication and allergies is called your Summary Care Record. In recent years there has been a government initiative to upload all Summary Care records to a central point so that medical professionals can access it in times of emergency. Patients have been automatically opted in. For more information and details of how to opt out the following links will help:

http://www.hscic.gov.uk/yourinfo?_cldee=aGt1bGxhckBuaHMubmV0&urlid=3

http://www.nhs.uk/NHSEngland/thenhs/records/healthrecords/Pages/overview.aspx?_cldee=aGt1bGxhckBuaHMubmV0&urlid=2

ACCESS TO MEDICAL RECORDS

The practice has a system to allow patients to access their medical records in accordance with current legislation. If you wish to access your medical records, please make a request in writing to your doctor.

How we use your information

This document explains why we collect your information and how that information may be used.

Your personal data is handled in ways that are transparent and that you would reasonably expect. The Health and Social Care Act 2012 has altered the way that your personal confidential data are processed. Consequently, you must be aware and understand these changes and that you have the opportunity to object and understand how to exercise that right.

Health care professionals who provide you with care are required by law to maintain records about your health and any treatment or care you have received within any NHS organisation. 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, and through established working procedures and best practice coupled with technology we ensure your personal data is kept confidential and secure. Records held by us may include the following:

Your personal data, such as address and next of kin;

  • Your history with us, such as appointments, vaccinations, clinic visits, etc;
  • Notes and reports about your health;
  • Details about your treatment and care;
  • Results of investigations and referrals such as blood tests, x-rays, etc; and relevant information from other health professionals, relatives or carers.

We obtain and hold data for the sole purpose of providing healthcare services to our patients and we will ensure that the information is kept confidential. We can disclose your personal information if:

(a) It is required by law;

(b) You consent – either implicitly or for the sake of your own care or explicitly for

other purposes; and

(c) It is justified in the public interest

Some of this information is held centrally and used for statistical purposes. Where we hold data centrally, 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 Practice will always endeavour to gain your consent before releasing the information.

You may choose to withdraw your consent to personal data being used in this way. If we are to participate in a new data-sharing project we will make patients aware by displaying prominent notices in the Practice and on our website at least four weeks before the scheme is due to start. Instructions will be provided to explain how 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.

Risk Stratification

Risk Stratification is a process that helps your family doctor (GP) to help you manage your health. By using selected information from your health records, a secure NHS computer system will look at any recent treatments you have had in hospital or in the surgery and any existing health conditions that you have. This will alert your doctor to the likelihood of a possible deterioration in your health. The clinical team at the surgery will use the information to help you get early care and treatment where it is needed. North West Surrey CCG supports GP Practices with this work. NHS security systems will protect your health information and patient confidentiality at all times.

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

We will use limited information about individual patients when validating invoices received for your healthcare, to ensure that the invoice is accurate and genuine. This will be performed in a secure environment and will be carried out by a limited number of authorised CSU staff. These activities and all identifiable information will remain with the Controlled Environment for Finance (CEfF) approved by NHS England. Where possible we will strive to use the NHS number as a quasi-identifier to preserve your confidentiality.

Medicines Optimisation

We may process your information to ensure that you benefit from good quality medicines and so you may make choice related to better health. This work is always done with your Clinician in your GP practice. We sometimes ask other partners to support in identification of groups of patients which would benefit from a clinical review. For example in the project stroke Prevention in Atrial Fibrillation we have support from Interface Clinical Services. We will make it very clear when a piece of work involving processing your information is being undertaken however when we believe you could be at a higher risk of ill health by not acting quickly your Clinician will act in your best interest and may allow your data to be processed. This is to ensure so you can receive the care you may need as soon as possible.

Our partner organisations

We may need to share your information, subject to agreement on how it will be used, with the following organisations:

NHS Trusts

  • Health & Social Care Information Centre (HSCIC)
  • Specialist Trusts
  • Independent Contractors such as dentists, opticians, pharmacists
  • Private Sector Providers
  • Voluntary Sector Providers
  • Ambulance Trusts
  • Clinical Commissioning Groups
  • Commissioning Support Units
  • Social Care Services
  • Local Authorities
  • Education Services
  • Fire and Rescue Services
  • Police
  • Other ‘data processors’

Access to personal information held about you

Under the Data Protection Act 1998, you have a right to access/view information we hold about you, and to have it amended or removed should it be inaccurate. 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 and 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 in a prominent area at the Practice.

We are registered as a data controller under the Data Protection Act 1998. The registration can be viewed online in the public register at:

http://ico.org.uk/what_we_cover/register_of_data_controllers

How we keep your personal information confidential

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.

All our staff, contractors and committee members operate in accordance with the requirements of the NHS Constitution and NHS Care Record Guarantee.

All of our staff, contractors and committee members also receive appropriate and on-going training to ensure they are aware of their personal responsibilities and have contractual obligations to uphold confidentiality, enforceable where appropriate 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, and even then we will only pass on the minimum necessary personal data. 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.

Visitors to our websites and use of cookies

When someone visits our website we collect standard internet log information and details of behaviour patterns. We do this to find out things such as the number of visitors to the various parts of the site. We collect this information in a way which does not identify anyone. We collect identifiable information from visitors to our website who register in order to receive particular services or to receive further information on specific topics. This information is held securely and only used for the purposes provided.

We do not make any other attempt to find out the identities of those visiting our website. We will not associate any data gathered from this site with any personally identifying information from any source. If we do want to collect personally identifiable information through our website, we will make it clear when we collect the personal information and will explain what we intend to do with it.

Links to other websites

This Fair Processing Notice does not cover the links within this site linking to other websites. We encourage you to read the Fair Processing Notices on the other websites you visit.

Complaints

The practice complaints leaflet gives details of the procedure and is available from reception. For further information contact the Practice Manager.

Further information

Further information in relation to the use of personal data within the NHS can be found at:

NHS Constitution (26 March 2013) http://www.nhs.uk/choiceintheNHS/Rightsandpledges/NHSConstitution/Pages/Overview.aspx

NHS Care Record Guarantee (Version 5, January 2011) http://systems.hscic.gov.uk/rasmartcards/strategy/nhscrg

Care.data programme: http://www.england.nhs.uk/ourwork/tsd/care-data/gp-guidance/

The HSCIC Guide to Confidentiality has more information on the rules around information sharing : http://www.hscic.gov.uk/confguideorg

An independent review of information about patient data across the health and social care system was led by Dame Fiona Caldicott and conducted in 2013. The report, Information: To share or not to share? The Information Governance Review, can be found at:

https://www.gov.uk/government/publications/the-information-governance-review

The NHS Commissioning Board – 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 and can be found at:

http://www.england.nhs.uk/resources/resources-for-ccgs/good-data-strat/

Please visit the Health and Social Care Information Centre’s 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 at: http://www.hscic.gov.uk/collectingdata

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 Information Commissioner’s Office web site: http://www.ico.gov.uk

Changes to this Fair Processing Notice

We keep our Fair Processing Notice under regular review. This Fair Processing Notice was last updated on 18/01/2017

Your Neighbourhood Professionals. Just a Click Away! Need care but want to stay in your own home? Sunbury Nursing Home Ltd Robins & Day
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Your Neighbourhood Professionals. Just a Click Away! Need care but want to stay in your own home? Sunbury Nursing Home Ltd Robins & Day
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