Parliament Hill Medical Centre

113-117 Highgate Road London NW5 1TR

Policies

List of charges

Please click here for full details

Feedback Box

We would also encourage any patients with constructive criticism about our services to leave their thoughts with us via our feedback box.

Complaints

Please address any complaints either in person or in writing to the Practice Manager.

Confidentiality

You can be sure that anything you discuss with any member of this practice – family doctor, nurse or receptionist – will remain confidential. However, for the effective functioning of a multi-disciplinary team it is sometimes necessary for your medical information to be shared between members of the practice team. Everyone working in the NHS has a legal duty to maintain the highest level of confidentiality regarding patient information.

Data Protection

We are registered with the Data Protection Agency and are bound by the rules governing the collection and storage of personal data. Patients are entitled to see their medical records and to have copies for a small fee. We recommend that if you wish to see your records, a time is arranged to do this with your registered GP as there may be medical terminology that requires explanation.

When you register with the practice you are implicitly agreeing to having a Summary Care Record (SCR) created on your behalf and also to the supply of your personal and confidential medical information to the Health and Social Care Information Centre (HSCIC). You will also be registered on the Camden Integrated Digital Record (CIDR) system that, with your permission, allows your information to be seen by other local care providers such as the district nurses, social workers and mental health team and local hospitals including the Royal Free and UCLH.

IF YOU DO NOT WISH TO PARTAKE IN ANY OF THESE INITIATIVES, PLEASE COMPLETE AND RETURN AN OPT OUT FORM TO RECEPTION:

Responsibilities

We aim to provide excellent healthcare. This is only possible if patients co-operate with the practice. In particular, we expect patients to provide the necessary information and co-operate with procedures to allow us to meet public health requirements.

GP Net Earnings

NHS England requires the publication of GP Net Earnings for 2014/15.  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 for six months or more at Parliament Hill Surgery in the last financial year was £51,476 before Tax and National insurance. This is for 2 full time GPs, 2 part time GPs and 1 locum GP.

Patient Participation Enhanced Service Report 2014/15

Patient Participation Enhanced Service Report 2014-15

How we use your data

This privacy notice explains why and what information Parliament Hill collects about you, and how that information may be used.

The health care professionals who provide you with care maintain records about your health and any treatment or care you have received previously (e.g. NHS Trusts, GP Surgery, Walk-in clinic, etc.).These records help to provide you with high quality healthcare.

NHS health records may be electronic, on paper or a mixture of both. We use a combination of working practices and technology to ensure that your information is kept confidential and secure. Records which this GP Practice may hold about you may include the following information;

  • Details about you, such as address and next of kin
  • Any contact this or your previous practices have had with you, such as appointments, clinic visits, emergency appointments, etc.
  • Notes and reports about your health
  • Details about your treatment and care
  • Results of investigations, such as laboratory tests, x-rays, etc.
  • Relevant information from other health professionals, relatives or those who care for you and know you well

Your records are primarily used to facilitate the care you receive. However there are a number of crucial other uses for clinical data these include the ability to properly

  • Check the quality of care we provide to everyone (ie clinical audit, responding to complaints)
  • Protect the health of the general public
  • Monitor how we spend public money
  • Train healthcare workers
  • Carry out research
  • Help the NHS plan for the future.
  • Risk stratification

HOW WE SHARE YOUR DATA

Parliament Hill is mindful of both the Data sharing laws and Caldicott principles that underpin Information Governance. We only share your data within these frameworks and Laws.

There are currently only one key national data sharing initiative– The Summary Care Record. There is one other local data sharing initiative – The Camden Digital Integrated Record.

When you register with the practice you are implicitly agreeing to having a Summary Care Record (SCR) created on your behalf and also to the supply of your personal and confidential medical information to the Health and Social Care Information Centre (HSCIC). You will also be registered on the Camden Integrated Digital Record (CIDR) system that, with your permission, allows your information to be seen by other local care providers such as the district nurses, social workers and mental health team and local hospitals including the Royal Free and UCLH.

NATIONAL DATA SHARING INITIATIVES

Summary Care Record

The NHS in England uses an electronic record called the Summary Care Record (SCR) to support patient care.

It’s a copy of key information ie allergies and medication from your GP record and provides authorised healthcare staff faster, secure access to your essential information when it’s needed.

For further information visit www.nhscarerecords.nhs.uk, email scr.comms@hscic.gov.uk or call the information line on 0300 303 5678 option 2.

What if I don’t want a summary care record?

You can opt out at any time by completing and returning this form to Reception.

LOCAL DATA SHARING INITIAVIES

Camden Integrated Digital Record (CIDR)

Camden is linking together your health and social care information. This is so that your care providers in Camden can view the information needed in one place, to provide you with better more informed care.

This is a local initiative for Camden residents registered at a Camden GP practice. It has no relation to the Summary Care Record. No data will be shared with these or other third parties.

You can find more information about CIDR here.

What if I don’t want an integrated record?

You can opt out at any time by completing and returning this form to Reception.

Introduction

The purpose of this protocol is to set out the Practice’s approach to consent and the way in which the principles of consent will be put into practise. It is not a detailed legal or procedural resource due to the complexity and nature of the issues surrounding consent.

Where possible, a clinician must be satisfied that a patient understands and consents to a proposed treatment, immunisation or investigation. This will include the nature, purpose, and risks of the procedure, if necessary by the use of drawings, interpreters, videos or other means to ensure that the patient understands, and has enough information to give ‘Informed Consent’.

Implied consent will be assumed for many routine physical contacts with patients. Where implied consent is to be assumed by the clinician, in all cases, the following will apply:

  • An explanation will be given to the patient what he / she is about to do, and why.
  • The explanation will be sufficient for the patient to understand the procedure.
  • In all cases where the patient is under 18 years of age a verbal confirmation of consent will be obtained and briefly entered into the medical record.
  • Where there is a significant risk to the patient an “Expressed Consent” will be obtained in all cases (see below).

Expressed consent (written or verbal) will be obtained for any procedure which carries a risk that the patient is likely to consider as being substantial. A note will be made in the medical record detailing the discussion about the consent and the risks.

  • Consent (Implied or Expressed) will be obtained prior to the procedure, and prior to any form of sedation.
  • The clinician will ensure that the patient is competent to provide a consent (16 years or over) or has “Gillick Competence” if under 16 years. Further information about Gillick Competence and obtaining consent for children is set out below.
  • Consent will include the provision of all information relevant to the treatment.
  • Questions posed by the patient will be answered honestly, and information necessary for the informed decision will not be withheld unless there is a specific reason to withhold. In all cases where information is withheld then the decision will be recorded in the clinical record.
  • The person who obtains the consent will be the person who carries out the procedure (i.e. a nurse carrying out a procedure will not rely on a consent obtained by a doctor unless the nurse was present at the time of the consent).
  • The person obtaining consent will be fully qualified and will be knowledgeable about the procedure and the associated risks.
  • The scope of the authority provided by the patient will not be exceeded unless in an emergency.
  • The practice acknowledges the right of the patient to refuse consent, delay the consent, seek further information, limit the consent, or ask for a chaperone.
  • Clinicians will use a Consent Form where procedures carry a degree of risk or where, for other reasons, they consider it appropriate to do so (e.g. malicious patients).
  • No alterations will be made to a Consent Form once it has been signed by a patient.
  • Clinicians will ensure that consents are freely given and not under duress (e.g. under pressure from other present family members etc.).
  • If a patient is mentally competent to give consent but is physically unable to sign the Consent Form, the clinician should complete the Form as usual, and ask an independent witness to confirm that the patient has given consent orally or non-verbally.

Other aspects which may be explained by the clinician include:

  • Details of the diagnosis, prognosis, and implications if the condition is left untreated
  • Options for treatment, including the option not to treat.
  • Details of any subsidiary treatments (e.g. pain relief)
  • Patient experiences during and after the treatment, including common or potential side effects and the recovery process.
  • Probability of success and the possibility of further treatments.
  • The option of a second opinion

Immunisations

Informed consent must be obtained prior to giving an immunisation. There is no legal requirement for consent to immunisation to be in writing and a signature on a consent form is not conclusive proof that consent has been given, but serves to record the decision and discussions that have taken place with the patient, or the person giving consent on a child’s behalf.

Everyone aged 16 or more is presumed to be competent to give consent for themselves, unless the opposite is demonstrated. If a child under the age of 16 has “sufficient understanding and intelligence to enable him/her to understand fully what is proposed” (known as Gillick Competence), then he/she will be competent to give consent for him/herself. Young people aged 16 and 17, and legally ‘competent’ younger children, may therefore sign a Consent Form for themselves, but may like a parent to countersign as well.

For children under 16 (except for those who have Gillick Competence as noted above), someone with parental responsibility should give consent on the child’s behalf by signing accordingly on the Consent Form.

Camden has two NHS data sharing initiatives, explained here. The services are these:

  • Camden Integrated Digital Record – a local initiative to improve the direct care Camden residents receive
  • The Summary Care Record – national initiative  to improve the direct care patients receive in an emergency

Consent for each of these services above is implied, and you are considered as ‘opted in’ unless otherwise stated. To state your wishes you can implicitly provide consent as either ‘opted in’ or ‘opted out’ for any of the above services, though the only changes to provision are if you choose to ‘opt out’. Each of the services above requires us to opt patients in on an implied consent basis; as such we are unable to require all patients to provide an explicit opt in or out to participate in the service.

To opt out of these services you need to complete and return these forms and hand them to Reception: