Practice Policies & Patient Information
Chaperones
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 appointments page.
Confidentiality and Shared Care
Your health care records
We use a common record with community NHS teams (children’s services, podiatry, community nursing and therapy etc) involved in your care so that those treating you can give you the best possible advice and care.
You will not have to repeat information about yourself or your history with different clinicians as they will see this information when you are referred to their service.
All professionals involved in your care will have the full, accurate and up-to-date information immediately.
We respect your right to privacy and keep all your health information confidential and secure. Anyone wanting to look at your healthcare record must:
- Be involved in caring for you
- Have a security NHS smartcard with a chip and PIN access
Any access to your record is logged within the system and is fully auditable.
Anyone who has access to your record is trained in confidentiality and is governed by both legal and contractual duties to keep details private.
If you have a sensitive consultation which you do not want to be seen by other units, please ask your GP or nurse to mark it as high privacy.
Data Subject Access Request
If you wish to make a Data Subject Access Request, please download and complete the application form for access to health records in accordance with the General Data Protection Regulation (GDPR).
Please contact reception if you have any queries.
Enhanced Data Sharing Model
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.
For some time we have shared information for children for child protection reasons and also for patients under the care of the district nursing team. 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’.
If I agree, who can see my records?
EDSM 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 EDSM.
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.
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 patients as 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.
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, and the clinician treating you feels it is important to be able to see your medical records he is able to override any consents set.
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.
Any questions?
If you have any questions or wish to opt out, contact the receptionist.
You are free to change your mind at any time. Information about you and the care you receive is shared, in a secure system, by healthcare staff to support your treatment and care.
Feedback
We are continually looking to turn patient feedback into real improvements in the services we provide. We use it to focus on the things that matter most to our patients, carers and their families.
Giving feedback
To provide feedback:
- fill out a feedback form
- take part in the Friends and Family Test
- phone us on 01603 437 559
Complaints
Most problems can be sorted out quickly and easily, often at the time they arise with the person concerned and this may be the approach you try first.
Where you are not able to resolve your complaint in this way and wish to make a formal complaint you should do so, preferably in writing as soon as possible after the event and ideally within a few days, as this helps us to establish what happened more easily.
In any event, this should be:
- Within 12 months of the incident.
- Within 12 months of you discovering the incident, giving as much detail as you can.
If you are a registered patient you can complain about your own care. You are unable to complain about someone else’s treatment without their written authority.
We are able to provide you with a separate complaints form to register your complaint and this includes a third party authority form to enable a complaint to be made by someone else. Please ask at reception for this. You can provide this in your own format providing it covers all of the necessary aspects.
Send your written complaint to:
Patient liaison & secretarial lead,
Lionwood Medical Practice,
30A Wellesley Avenue North,
Norwich,
NR1 4NU
You may also make your complaint directly to NHS England, who commissions our service:
NHS England,
PO BOX 16738,
REDDITCH,
B97 9PT
Phone
0300 311 2233
Email
england.contactus@nhs.net
What we do next
We aim to settle complaints as soon as possible.
We will acknowledge receipt within 3 working days, and aim to resolve the matter as soon as possible but will give you some idea of how long that make take at the outset. You may then receive a formal reply in writing, or you may be invited to meet with the person(s) concerned to attempt to resolve the issue. If the matter is likely to take longer than this we will let you know, and keep you informed as the investigation progresses.
When looking into a complaint we attempt to see what happened and why, to see if there is something we can learn from this, and make it possible for you to discuss the issue with those involved if you would like to do so.
When the investigations are complete your complaint will be determined and a final response sent to you.
Where your complaint involves more than one organisation (e.g. social services) we will liaise with that organisation so that you receive one coordinated reply. We may need your consent to do this. Where your complaint has been sent initially to an incorrect organisation, we may seek your consent to forward this to the correct person to deal with.
The final response letter will include details of the result of your complaint and also your right to escalate the matter further if you remain dissatisfied with the response.
Complaining on behalf of someone else
We keep to the strict rules of medical and personal confidentiality. If you wish to make a complaint and are not the patient involved, we will require the written consent of the patient to confirm that they are unhappy with their treatment and that we can deal with someone else about it.
Please ask at reception for a complaints form which contains a suitable authority for the patient to sign to enable the complaint to proceed.
Where the patient is incapable of providing consent due to illness or accident it may still be possible to deal with the complaint. Please provide the precise details of the circumstances which prevent this in your covering letter.
Please note that we are unable to discuss any issue relating to someone else without their express permission, which must be in writing, unless the circumstances above apply.
We may still need to correspond direct with the patient, or may be able to deal direct with the third party, and this depends on the wording of the authority provided.
If you are dissatisfied with the outcome
You have the right to approach the Health Service Ombudsman. The contact details are:
The Parliamentary and Health Service Ombudsman,
Millbank Tower,
Millbank,
London,
SW1P 4QP
Phone
0345 0154033
Website
www.ombudsman.org.uk
You may also approach PALS, Healthwatch or the Independent Health Complaints Advocacy for help or advice.
The local Healthwatch can be found at: www.healthwatch.co.uk
The IHCA is able to be contacted at: www.theadvocacypeople.org.uk
The Patient Advice and Liaison Service (PALS) can be contact by:
PALS Office,
Hellesdon Hospital,
Drayton High Road,
Norwich,
NR6 5BE
Telephone: PALS Office on 01603 421191 or BT freephone on 0800 279 7257 (calls from mobiles and other providers may be charged).
Email
pals@nsft.nhs.uk
Open 9am to 5pm, Monday to Friday. Outside these hours you can leave a message on the PALS voicemail which we aim to respond to the next working day.
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.
For more information, please review the Information Commissioner’s Office guide on the Freedom of Information Act 2000.
GP Earnings
All GP Practices are required to declare the mean earnings (e.g. average pay) for GPs working to deliver GP services to patients at each practice.
The average pay for GPs working at Lionwood Medical Practice in the last financial year was £135,890 before tax and National Insurance. This is for 3 full time GPs, 1 part time GP and 1 locum GP 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.
Modern Slavery & Human Trafficking
Modern slavery is a crime and a violation of fundamental human rights. It takes various forms, such as slavery, servitude, forced and compulsory labour, and human trafficking, all of which include the deprivation of a person’s liberty by another in order to exploit them for personal or commercial gain.
Lionwood Medical Practice has a zero-tolerance approach to modern slavery within the business and supply chains and we are committed to acting ethically and with integrity in all our dealings and relationships. We will implement and enforce effective systems and controls to ensure that modern slavery is not taking place anywhere in Lionwood Medical Practice or within any third parties (agencies) that we are associated with.
All staff will be made aware of the issues surrounding slavery and human trafficking, whilst being encouraged and supported to report any concerns to Lionwood Medical Practice management. Lionwood Medical Practice will also support any staff that may be subject to slavery or human trafficking.
Where modern slavery or human trafficking is identified, Lionwood Medical Practice will share information with the Safeguarding Team to safeguard the individual from harm and with the objective of preventing future situations arising, to promote the elimination of routes and sources of slavery or human trafficking.
All line managers are responsible for ensuring that those reporting directly to them comply with the provisions of our practice policy in the day to day performance of their roles.
All employees who suspect any members of the workplace being victim of modern slavery must notify their line manager.
Lionwood Medical Practice will take steps to ensure that sufficient communication and employee awareness training is undertaken with regards to Modern Slavery.
All employees will be made aware of the Raising Concerns, Freedom to Speak Up and Raising Concerns, Freedom to Speak Up and Whistleblowing Policy and Procedure at Lionwood Medical Practice. The purpose of this policy and associated procedure is to enable Lionwood Medical Practice to thoroughly investigate allegations of any wrongdoing raised by employees within Lionwood Medical Practice without fear of reprisal.
Lionwood Medical Practice will use the policy to underpin and inform any statement on slavery and human trafficking that we may be required to produce to meet the requirements of Section 54 of the Modern Slavery Act 2015 (MSA).
Named GP
We assign all new and existing patients with a named accountable GP to oversee their care.
For patients aged 75 and over, the named accountable GP is responsible for:
- working with health and social care professionals to deliver a care package that meets the needs of the patient
- ensuring that these patients have access to a health check
Patients can still choose to see any GP in the surgery. We will make reasonable efforts to accommodate their preference.
If you have a preference or want to know who your named GP is, you can contact us for more information.
Statement of Purpose
This is a statement of purpose for the Lionwood Medical Practice which sets out the following information:
- The full name of the service provider and of any registered manager together with their business address, telephone number, and where available electronic mail addresses.
- The legal status of the service provider.
- Details of the locations at which the services provided for the purposes of the regulated activity carried on.
- Our aims and objectives in carrying on the regulated activity.
- The kinds of services provided for the purpose of carrying on of the regulated activity.
- The range of service user needs which those services are intended to meet.
The Lionwood Medical Practice is a general practice partnership open to all patients living within our practice boundary in Norwich and the surrounding areas. We work in partnership with our patients and our patient forum to provide medical care for our patients
We are a general medical services (GMS) practice offering primary care services for the diagnosis and prevention of disease. We help patients to manage their health and prevent illness.
Our GPs:
- Assess, diagnose, treat and manage illnesses.
- Carry out screening for some diseases and promote general health and wellbeing.
- Act as a patient’s advocate, supporting and representing a patient’s best interests to ensure they receive the best and most appropriate health and/or social care.
- Provide the link to further health services and work closely with other healthcare colleagues.
- Arrange hospital admissions and referrals to other services and specialists and they link with secondary and community services about patient care, taking advice and sharing information where needed.
- Collect and record important information from other healthcare professionals involved in the treatment of our patients.
Location
Lionwood Medical Practice, 30A Wellesley Avenue North, Norwich, NR1 4NU.
Our mission statement
To improve the health, wellbeing and lives of those we care for.
Vision
To work in partnership with our patients and staff to provide the best primary care services possible working within local and national governance, guidance and regulations.
Our aims and objectives
- To provide high quality, safe, professional primary health care general practice services to our patients.
- To focus on prevention of disease by promoting health and wellbeing and offering care and advice to our patients.
- To work in partnership with our patients, their families and carers towards a positive experience and understanding, involving them in decision making about their treatment and care. Involving allied healthcare professionals where it is in their best interests.
- To be a learning organisation that continually improves what we are able to offer patients.
- To treat patients as individuals and with the same respect we would want for ourselves or a member of our families, listening and supporting people to express their needs and wants enabling people to maintain the maximum possible level of independence and choice.
- To encourage our patients to get involved in the practice through an annual survey and encouragement to comment on the care they receive.
- To ensure all staff have the competency and motivation to deliver the required standards of care by ensuring that all members of the team have the right skills and training to carry out their duties competently.
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
- Immunisations
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 use our contact the practice form.
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.
More information
For further information, please visit the HSCIC Website.
Zero Tolerance
The NHS operates 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.