Access to Records
In accordance with the Data Protection Act, Access to Health Records Act and GDPR, patients may request to see their medical records.
Such requests should be made through the practice manager. No information will be released without the patient consent unless we are legally obliged to do so. We must reply within 30 day to any subject access requests.
All patients are entitled to have a chaperone present for any consultation.
Please let us know at the time of requesting an appointment or speak to your GP. If you would like to request an appointment, please visit our Consulting Room.
Confidentiality and Medical Records
The practice complies with data protection, GDPR and access to medical records legislation. Identifiable information about you will be shared with others in the following circumstances:
- To provide further medical treatment for you e.g. from district nurses and hospital services.
- To help you get other services e.g. from the social work department. This requires your consent.
- When we have a duty to others e.g. in child protection cases anonymised patient information will also be used at local and national level to help the health board and government plan services e.g. for diabetic care.
If you do not wish information about you to be used in such a way, please contact the practice.
Reception and administration staff require access to your medical records in order to do their jobs. These members of staff are bound by the same rules of confidentiality as the medical staff.
Your data matters to the NHS
Information about your health and care helps us to improve your individual care, speed up diagnosis, plan your local services and research new treatments. The NHS is committed to keeping patient information safe and always being clear about how it is used.
How your data is used
Information about your individual care such as treatment and diagnoses is collected about you whenever you use health and care services. It is also used to help us and other organisations for research and planning such as research into new treatments, deciding where to put GP clinics and planning for the number of doctors and nurses in your local hospital. It is only used in this way when there is a clear legal basis to use the information to help improve health and care for you, your family and future generations.
Wherever possible we try to use data that does not identify you, but sometimes it is necessary to use your confidential patient information.
You have a choice
You do not need to do anything if you are happy about how your information is used. If you do not want your confidential patient information to be used for research and planning, you can choose to opt out securely online or through a telephone service. You can change your mind about your choice at any time.
Will choosing this opt out affect your care and treatment?
No, choosing to opt out will not affect how information is used to support your care and treatment. You will still be invited for screening services, such as screenings for bowel cancer.
What do you need to do?
If you are happy for your confidential patient information to be used for research and planning, you do not need to do anything.
To find out more about the benefits of data sharing, how data is protected, or to make or change your opt out choice, please visit the NHS website.
Electronic Record Sharing
For a number of years, work has been ongoing to improve the way that medical records are made available to treating clinicians. Our main computer system is called SystmOne which has the advantage of enabling information to be shared between certain health professionals, and where necessary their support staff.
Enhanced data sharing model (EDSM) enables us, with your consent, to share your medical records with those in the NHS who are involved in your care. NHS staff can only access shared information if they are involved in your care and records are kept showing who has accessed your medical records.
As the scheme has been designed to enhance patient care you have been automatically opted in.
This has helped clinicians to make decisions based upon a wider knowledge of the patient and also helps to reduce the number of times that patients or family members are asked the same question. In short it assists clinicians to provide more ‘joined up care’.
Who can see my records?
ES allows clinicians treating you, who have access to SystmOne to view and in some cases update your medical records. Locally this includes the walk-in centre, many departments at local hospitals (including A&E) and community services, such as the district nursing team. It is anticipated that over time more health services will be able to benefit from ES.
Clinicians outside of the surgery who wish to access your medical records will ask for your consent to do so and will need to have been issued with a NHS smartcard. This is a chip and pin card – similar to a bank card.
Can I opt out or pick and choose who sees my record?
Yes, you can. Under EDSM there are two levels of consent. The first is to agree to sharing your medical records out. This is your agreement that records maintained by your GP can be seen, subject to your authority at the time, by clinicians working outside of the surgery. The second is agreeing to share your records in. This means that your GP can see the records made by other health professionals who have access to EDSM.
However, as the treating clinician needs to ask your permission to see your records at the beginning of each period of care you are in control of who can see your medical information.
If you wish to opt out, please ask reception.
I can see the benefits of the other people treating me seeing my notes, but what if there is a matter that I want to stay just between me and my doctor?
You can ask for any consultation to be marked as private, this means that viewing is restricted to the surgery, but allows the rest of the record to be viewed by whoever else is treating you. It is your responsibility to ask for a consultation to be marked as private.
Haven’t I agreed/disagreed to do this before?
EDSM may seem very similar to the summary care record which went live some years ago. The summary care record contains only a very small part of your record that is available to be seen by clinicians who might be treating you in A&E departments, walk-in centres or if you register temporarily somewhere else within the UK.
The summary care record allows other NHS services to see your current medications and the drugs that you are allergic or sensitive to. Your summary care record can be enriched by your GP to include information that it is important to pass on in the case of an emergency.
Can I change my mind?
Yes, you can always change your mind and amend who you consent to see your records. For instance you can decline to share your records out from the surgery, but if you build up a relationship with the physiotherapist who is treating you and they asked you if they could look at an x-ray report, you could give your consent at that point for them to view your records. You will be referred back to us to change your preference, so the physio treating won’t be able to see your records instantly, but should be able to by, the next time of your next appointment.
If I decline what happens in an emergency?
In the event of a medical emergency, for instance if you were taken unconscious to A&E, the clinician treating you can override consent if they feel it is important to be able to see your medical records.
However, the doctor has to give a written reason for doing so. Where this happens an audit is undertaken by the local Caldicott Guardian (the person with overall responsibility for Data Protection compliance).
Can anyone else see my medical records?
On a daily basis, we get requests from insurance companies to either have copies of medical records or excerpts from patients’ medical records. This requires your signed consent.
Occasionally we are asked for information from the medical records for legal reasons and we will only provide information when legally required to do so.
If you have any questions, please contact reception. If necessary the receptionist will arrange for someone to give you a call.
Please read our electronic record sharing privacy notice.
Freedom of Information
Information about the GPs and the practice required for disclosure under this act can be made available to the public. All requests for such information should be made to the practice manager.
There are seven classes of information:
- Who we are and what we do
- What we spend and how we spend it
- What our priorities are and how we are doing
- How we make decisions
- Our policies and procedures
- Lists and registers
- Services the practice offers
For more information, please review the Information Commissioner’s Office guide on the Freedom of Information Act.
Wells Health Centre takes privacy seriously and we want to provide you with information about your rights, who we share your information with and how we keep it secure.
Please use the links below to find more information about the practice and data protection.
All GP practices are required to declare the mean earnings (e.g. average pay) for GPs working to deliver NHS services to patients at each practice.
The average pay for GPs working in Wells Health Centre in the last financial year (ended 31st March 2020-2021) was £61,905 before tax and National Insurance. This is for 1 full time GP and 1 part time GP and 0 locums who worked in the practice for more than six months.
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.”
Infection Control Statement
We aim to keep our surgery clean and tidy and offer a safe environment to our patients and staff. We are proud of our practice and endeavour to keep it clean and well maintained at all times.
If you have any concerns about cleanliness or infection control, please report these to our reception staff.
Our GPs and nursing staff follow our infection control policy to ensure the care we deliver and the equipment we use is safe.
We take additional measures to ensure we maintain the highest standards:
- Encourage staff and patients to raise any issues or report any incidents relating to cleanliness and infection control. We can discuss these and identify improvements we can make to avoid any future problems.
- Carry out an annual infection control audit to make sure our infection control procedures are working.
- Provide annual staff updates and training on cleanliness and infection control.
- Review our policies and procedures to make sure they are adequate and meet national guidance.
- Maintain the premises and equipment to a high standard within the available. financial resources and ensure that all reasonable steps are taken to reduce or remove all infection risk.
- Use disposable materials for items such as couch rolls, modesty curtains, floor coverings, ensuring these are changed frequently to minimise risk of infection.
- Make alcohol hand rub gel available throughout the building.
Your named GP will be Dr D Ince but you can request an appointment to see any doctor. For appointments, please visit our Consulting Room.
Wells Health Centre use the following organisations to process data on our behalf. They are contractually bound to manage your information securely.
Summary Care Records
There is a central NHS computer system called the summary care record (SCR). It is an electronic record which contains information about the medicines you take, allergies you suffer from and any bad reactions to medicines you have had. Over time it will build to include information about other health issues considered important to your wellbeing.
Why do I need a summary care record?
Storing information in one place makes it easier for healthcare staff to treat you in an emergency, or when your GP practice is closed.
This information could make a difference to how a doctor decides to care for you, for example which medicines they choose to prescribe for you.
Who can see it?
Only healthcare staff involved in your care can see your summary care record.
How do I know if I have one?
Over half of the population of England now have a summary care record. You can find out whether summary care records have come to your area by asking the surgery directly.
Enhanced summary care record
If you wanted to ‘enhance’ your record it would include the following information:
- Significant medical history (past and present)
- Reason for medication
- Anticipatory care information (important in the management of long term conditions)
- Communication preferences
- End of life care information
You can opt in for an enhanced summary care record at any time.
Children under the age of 16
Patients under 16 years will have an enhanced summary care record created for them unless their GP surgery is advised otherwise. If you are the parent or guardian of a child under 16 then you should make this information available to them if they are old enough to decide for themselves if they want a summary care record.
Whatever you decide, you can change your mind at any time.
If you are a family member or carer of a person and you have concerns that they may not have the mental capability to make this decision, please contact the practice.
Do I have to have one?
No, it is not compulsory. If you choose to opt out of the scheme, then you will need to complete the Summary Care Record Opt Out form.
For further information please visit the HSCIC Website.
Wells Health Centre – Processing Activities Log
The NHS operate a zero tolerance policy with regard to violence and abuse and the practice has the right to remove violent patients from the list with immediate effect in order to safeguard practice staff, patients and other persons.
Violence in this context includes actual or threatened physical violence or verbal abuse which leads to fear for a person’s safety. In this situation, we will notify the patient in writing of their removal from the list and record in the patient’s medical records the fact of the removal and the circumstances leading to it.
Please see the Adverse Communications with Patients Policy for more information.