A doctor will usually suggest a chaperone for these examinations, although you may choose to decline. At any time, if you wish a chaperone to be present, please do not hesitate to ask the doctor or nurse. It may not be possible for a chaperone to be provided immediately and if this is the case you may have to return for the examination to be carried out at a mutually convenient time.
All our Reception staff are trained Chaperones. If you would like a Chaperone one will be arranged for you.
Comments and Complaints
We appreciate that there is a long wait for appointments and also to get through on the phone lines. A lot of the current pressure on our GP practice relates to the chronic underfunding to Primary Care services, and that situation is now coming to a head with GP practices nationally at breaking point.
Any feedback about how the Primary Care service funding crisis is affecting you, would be gratefully received by Cuckfield MP Mims Davies. Mims Davies is the Conservative MP for Mid Sussex and has been an MP continuously since 7 May 2015. She currently holds the Government post of Parliamentary Under-Secretary (Department for Work and Pensions).
GDPR (General Data Protection Regulation and Privacy)
General Practice Extraction Service (GPES) – At risk patients data collection Version 3, Covid-19 Planning and Research data, CVDPREVENT Audit, Physical Health Checks for people with Severe Mental Illness.
Anti Coagulation Data Base Migration – LumiraDx Care Solutions are planning to migrate INRstar from its current location to a new CloudFirst Technology. During this move, the data residency will remain in England in a UK Government approved data centre. The data will not be modified in any way, and the way it is processed will remain the same following the migration.
The average pay for GPs working in Cuckfield Medical Practice in the last financial year was £61,676 before tax and National Insurance. This is for no full time GPs, 8 part time GPs, and no locum GPs who worked in the practice for more than six months.
GP Training Practice
We are a training Practice and as such we have GP Registrars and FY2 Doctors regularly in practice and you will be offered appointments with them. They are all qualified doctors and are all given supervision throughout their time at the practice.
Dr Ferrier and Dr Cotter are our current specialist GP trainers and Dr Bucher and Dr Whitehouse are both FY2 supervisors. At all times all of the trainer doctors will have a nominated supervisor throughout their placement.
Health Records, Summary Care Records & Online Access Information
Your health record contains all the clinical information about the care you receive. When you need medical assistance it is essential that clinicians can securely access your health record. This allows them to have the necessary information about your medical background to help them identify the best way to help you. This information may include your medical history, medications and allergies.
Why is sharing important?
Health records about you can be held in various places, including your GP practice and any hospital where you have had treatment. Sharing your health record will ensure you receive the best possible care and treatment wherever you are and whenever you need it. Choosing not to share your health record could have an impact on the future care and treatment you receive. Below are some examples of how sharing your health record can benefit you:
- Sharing your contact details. This will ensure you receive any medical appointments without delay
- Sharing your medical history. This will ensure emergency services accurately assess you if needed
- Sharing your medication list. This will ensure that you receive the most appropriate medication
- Sharing your allergies. This will prevent you being given something to which you are allergic.
- Sharing your test results. This will prevent further unnecessary tests being required
Is my health record secure?
Yes. There are safeguards in place to make sure only organisations you have authorised to view your records can do so. You can also request information regarding who has accessed your information from both within and outside of your surgery.
Can I decide who I share my health record with?
Yes. You decide who has access to your health record. For your health record to be shared between organisations that provide care to you, your consent must be gained.
Can I change my mind?
Yes. You can change your mind at any time about sharing your health record, please just let us know.
Can someone else consent on my behalf?
If you do not have capacity to consent and have a Lasting Power of Attorney, they may consent on your behalf. If you do not have a Lasting Power of Attorney, then a decision in best interests can be made by those caring for you.
What about parental responsibility?
If you have parental responsibility and your child is not able to make an informed decision for themselves, then you can make a decision about information sharing on behalf of your child. If your child is competent then this must be their decision.
What is your Summary Care Record?
Your Summary Care Record contains basic information including your contact details, NHS number, medications and allergies. This can be viewed by GP practices, Hospitals and the Emergency Services. If you do not want a Summary Care Record, please ask your GP practice for the appropriate opt out form. With your consent, additional information can be added to create an Enhanced Summary Care Record. This could include your care plans which will help ensure that you receive the appropriate care in the future.
How is my personal information protected?
Cuckfield Medical Practice will always protect your personal information. For further information about this, please see our Privacy Notice on our website or please speak to a member of our team.
For further information about your health records, please see: www.nhs.uk/NHSEngland/thenhs/records
For further information about how the NHS uses your data for research & planning and to opt-out, please see: www.nhs.uk/your-nhs-data-matters
If you wish to, you can now use the internet (via computer or mobile app) to book appointments with a GP, request repeat prescriptions for any medications you take regularly and look at your medical record online. You can also still use the telephone or call in to the surgery for any of these services as well. It’s your choice.
It will be your responsibility to keep your login details and password safe and secure. If you know or suspect that your record has been accessed by someone that you have not agreed should see it, then you should change your password immediately. If you are unable to do this for some reason, we recommend that you contact the practice so that they can remove online access until you are able to reset your password.
If you print out any information from your record, it is also your responsibility to keep this secure. If you are at all worried about keeping printed copies safe, we recommend that you do not make copies at all.
During the working day it is sometimes necessary for practice staff to input into your record, for example, to attach a document that has been received, or update your information. Therefore you will notice admin/reception staff names alongside some of your medical information – this is quite normal.
The definition of a full medical record is all the information that is held in a patient’s record; this includes letters, documents, and any free text which has been added by practice staff, usually the GP. The coded record is all the information that is in the record in coded form, such as diagnoses, signs and symptoms (such as coughing, headache etc.) but excludes letters, documents and free text.
Before you apply for online access to your record, there are some other things to consider. Although the chances of any of these things happening are very small, you will be asked that you have read and understood the following before you are given login details.
|Forgotten historyThere may be something you have forgotten about in your record that you might find upsetting.
|Abnormal results or bad news If your GP has given you access to test results or letters, you may see something that you find upsetting to you. This may occur before you have spoken to your doctor or while the surgery is closed and you cannot contact them.
|Choosing to share your information with someoneIt’s up to you whether or not you share your information with others – perhaps family members or carers. It’s your choice, but also your responsibility to keep the information safe and secure.
|CoercionIf you think you may be pressured into revealing details from your patient record to someone else against your will, it is best that you do not register for access at this time.
|Misunderstood informationYour medical record is designed to be used by clinical professionals to ensure that you receive the best possible care. Some of the information within your medical record may be highly technical, written by specialists and not easily understood. If you require further clarification, please contact the surgery for a clearer explanation.
|Information about someone elseIf you spot something in the record that is not about you or notice any other errors, please log out of the system immediately and contact the practice as soon as possible.
For further information, please see:www.nhs.uk/NHSEngland/AboutNHSservices/doctors/Pages/gp-online-services.aspx
If you wish to sign up for online services or amend your preferences – please complete the form below: Consent Form
*You are required to bring the completed form into the practice with one form of photographic ID.
Named Accountable GP
From 1st April 2015 we are required by the Government, under the terms of the latest GP Contract, to allocate all patients a named accountable GP. This is purely an administrative exercise in order that patients can have a named responsible GP. This does not mean that they will be the only GP who will provide care to the patient. Patients are free to choose to see any GP in the Practice in line with current arrangements. If their preferred choice of GP is not available, an alternative will be offered.
The new contract requires the named accountable GP to be responsible for the co-ordination of all appropriate services required under the contract and ensure they are delivered to each patient where required. However, this does not mean that they will be the only GP or clinician who will provide care to that patient. These responsibilities will be carried out within the opening hours of the Practice and do not change the way you currently access care outside these hours. The allocation has been done for all existing patients, and all newly registered patients will be given a named accountable GP on registration.
Please be aware that you may still see any GP of your choice at the surgery and do not have to see your named accountable GP, nor does this mean that you will only be offered appointments with your named GP.
If you have not already been informed of the name of your accountable GP, please ask the receptionist when you are next in the surgery.
National Patient Opt out
- Improving the quality and standards of care provided
- Research into the development of new treatments
- Preventing illness and diseases
- Monitoring safety
- Planning services
This may only take place when there is a clear legal basis to use this information. All these uses help to provide better health and care for you, your family and future generations. Confidential patient information about your health and care is only used like this where allowed by law.
You have a choice about whether you want your confidential patient information to be used in this way. If you are happy with this use of information you do not need to do anything. If you do choose to opt-out your confidential patient information will still be used to support your individual care.
To find out more or to register your choice to opt out, please visit www.nhs.uk/your-nhs-data-matters
Patient Prospective Access to Notes
Part of the NHS England Future Vision was for all patients to have immediate access to their notes from 1st November 2023. We agree that this aim is ultimately a positive step in patient autonomy and engagement in their own care, however there are significant risks associated with a blanket policy where all patients over 18 have immediate access to their future notes.
As of yet, we feel that these risks have not been resolved and after advice from our governing bodies and discussion with our fellow PCN practices we have therefore made the decision that the safest way forward is to adopt an Opt In model of access.
The aim of this is to allow patients access in a systematic manner which allows us to review notes before release and protect potentially vulnerable patients. Access to prospective notes can be granted by written request to the practice.
We are sure that you all understand that clinical care will take priority over notes review and this process may therefore take up to 6 months for access to be granted after request. This process does not fall under the Subject Access Request for retrospective information access which has its own time frames for completion.
Not all requests for access may be considered safe and can be refused if it is felt access could be harmful. A routine appointment can be made to discuss these decisions.
To request access to your notes please complete the following form and bring it into the surgery with photo ID so we can confirm the identity of anyone making a request.
Medical records for children under the age of 16 years can be made available to their parents or legal guardians by proxy access.
Children age 16-18 years will need to request access to their own records.
We are aware that many patients already have real time access to their investigation results via the NHS App.
We would like to remind all patients that they may subsequently receive their results BEFORE they have been reviewed by the requesting clinician. This is completely outside of our control and is a system that has been set up by NHS England without consultation with us.
Whilst we endeavour to ensure all abnormal results are reviewed as quickly as possible, there may occasionally be an unavoidable delay in this.
Furthermore, some results may be marked as abnormal by the lab as they fall outside the reference ranges but this does not mean that they automatically require any action and it is up to the clinician to decide if these abnormalities are significant or not.
Please do not call the practice to discuss blood results as soon as you receive them as these calls block the phone lines and take up unnecessary receptionist and clinician time and takes us away from acute patient care.
If you have further queries after you have received the results AND they have been reviewed by a clinician, please complete an e-consult or send an email via reception with your questions which will be reviewed by clinicians based on clinical priority.
Patients going on holiday does NOT increase the clinical urgency and whilst we try take into account social & medical commitments affecting patients, we cannot guarantee that queries will be dealt with quicker because you have other commitments or are anxious about the results.
We ask that you do not call the surgery to discuss prospective online access as we need to keep the lines clear for clinical queries.
- Any requests for access need to be via the forms above which will need to be brought into the surgery along with photo ID.
- If you have other questions about access, please send these via email or letter.
- If you wish access to remain blocked (Opting Out), please email or write to us.
Proxy Access Statement
There are a number of patients who book their appointments, request repeat medication and can view certain parts of their medical records online.
Patient Access have now improved their system to allow parents and Carers to be authorised to all of the above-mentioned functions for children or the people they care for.
Any patient or Carer wishing to have proxy access will need to sign up to this service by completing a form available at the practice Reception.
Third Party Access to Medical Records
Insurance Companies and Solicitors will ask for access to your medical records in certain circumstances e.g. mortgage application and accidents. We will only release this information if you have signed the required consent form.
You have a right to see your medical records, subject to certain legal limitations. If you wish to have access to your records you should speak to the Practice Manager, who will advise you of your rights under the Access to Medical Records Act 1990.
Violent or Abusive Patients
Staff have the right to work in a safe and secure environment and we as employers have the legal responsibility of providing that environment. The Practice will not tolerate:
- Verbal abuse to staff which prevents them from doing their job or makes them feel intimidated or unsafe
- Threats of violence or actual violence to any member of the Practice
The GPs have the right to remove with immediate effect any patient who behaves in the above manner.
Zero Tolerance Practice Policy
The Practice takes it very seriously if a member of staff is treated in an abusive or violent way.
The Practice supports the government’s ‘Zero Tolerance’ campaign for Health Service Staff. This states that GPs and their staff have a right to care for others without fear of being attacked or abused. To successfully provide these services a mutual respect between all the staff and patients has to be in place.
Our Practice staff aim to be polite, helpful, and sensitive to all patients’ individual needs and circumstances. They would respectfully remind patients that very often staff could be confronted with a multitude of varying and sometimes difficult tasks and situations, all at the same time. The staff understand that ill patients do not always act in a reasonable manner and will take this into consideration when trying to deal with a misunderstanding or complaint.
However, aggressive behaviour, be it violent or abusive, will not be tolerated and may result in you being removed from the Practice list and, in extreme cases, the Police being contacted.
In order for the practice to maintain good relations with their patients the practice would like to ask all its patients to read and take note of the occasional types of behaviour that would be found unacceptable:
- Using bad language or swearing at practice staff
- Any physical violence towards any member of the Primary Health Care Team or other patients, such as pushing or shoving
- Verbal abuse towards the staff in any form including verbally insulting the staff
- Racial abuse and sexual harassment will not be tolerated within this practice
- Persistent or unrealistic demands that cause stress to staff will not be accepted. Requests will be met wherever possible and explanations given when they cannot
- Causing damage/stealing from the Practice’s premises, staff or patients
- Obtaining drugs and/or medical services fraudulently
- We ask you to treat your GPs and their staff courteously at all times.
The Legal Position
As a responsible employer, the Practice has a duty as a provider of NHS healthcare to protect the health, safety and welfare of staff under the Health & Safety at Work Act. This includes a risk assessment of violence towards staff and taking steps to mitigate this under the Management of Health and Safety at Work Regulations 1999.
Staff members who are victims of violent conduct or assault have the right to sue their employers for compensation if the risk of violence could have been reduced or removed completely, but the employers did not act upon this information.
Examples of security issues:
- Security of grounds and car parking
- Security of premises – incl. storage, “out of hours”
- Cash and staff – storing, handling and transferring
- Security Systems
- Security of equipment – medical devices, computers
- Communication of national security alerts
- Information records
- Contingency planning.
- Security of employees
- Staff working on their own
- (Staff can be lone workers when making domiciliary visits or within a hospital department e.g. out of hours)
This list is not exhaustive.
For example a lone working risk assessment must provide the lone worker full knowledge of the hazards and risks to which he or she is being exposed and what they must need to do will something go wrong. Other responsible persons must know the whereabouts of lone workers and what they are doing;
Violence at Work
The practice acknowledges that there may be instances where violence and / or aggression forms part of a patient’s illness. In these circumstances, the issue will be discussed with the patient and form part of their care planning.
This information will be recorded in the patient’s medical record and flagged to ensure that members of staff are aware. In addition, where deemed necessary, appropriate support will be put in place, e.g. staff members do not see the patient alone.
Definition of Physical and Verbal Abuse and Violence:
Physical and verbal abuse includes:
- Unreasonable and / or offensive remarks or behaviour / rude gestures / innuendoes
- Sexual and racial harassment
- Threatening behaviour (with or without a weapon)
- Actual physical assault (whether or not it results in actual injury) includes being pushed or shoved as well as being hit, punched or attacked with a weapon, or being intentionally struck with bodily fluids or excrement.
- Attacks on partners, members of staff or the public
- Discrimination of any kind
- Damage to an employee’s or employer’s property
The Practice supports the Zero Tolerance stance adopted by the NHS.
The HSE (Health and Safety Executive) defines work-related violence as:
“Any incident, in which a person is abused, threatened or assaulted in circumstances relating to their work”.
Violence and aggression towards a person may also be defined as:
“A physical contact with another person which may or may not result in pain or injury. The contact is uninvited and is an attempt to cause harm, injury or to intimidate. Non-physical aggression includes the use of language which causes offence or threatens the safety of a member of staff”.
Under the Health and Safety at Work Act 1974, the practice will also undertake the following measures to ensure a safe work environment:
- Carry our risk assessments to assess and review the duties of employees, identifying any “at risk” situations and taking appropriate steps to reduce or remove the risk to employees, particularly if they are working alone.
- Assess and review the layout of the premises to reduce the risk to employees where physically possible.
- Assess and review the provision of personal safety equipment, such as alarms.
- Develop surgery policies, procedures and guidelines for dealing with physical and verbal abuse.
- Provide support and counselling for victims, or refer to suitably qualified health professionals.
- Make employees aware of risks and ensure employee involvement in suitable training courses.
- Record any incidents on a Significant Event form and take any remedial action to ensure similar incidents are prevented in future.
REMOVAL FROM THE PRACTICE LIST
The removal of patients from our list is an exceptional and rare event and is a last resort in an impaired patient-practice relationship. We value and respect good patient-doctor relationships based on mutual respect and trust. When trust has irretrievably broken down, the practice will consider all factors before removing a patient from their list, and communicate to them that it is in the patient’s best interest that they should find a new practice. An exception to this is in the case of immediate removal on the grounds of violence e.g. when the Police are involved.
Removing other members of the household
Because of the possible need to visit patients at home, it may be necessary to terminate responsibility for other members of the family or the entire household to ensure the safety of practice staff.
The prospect of visiting patients that is the residence of a relative who is no longer a patient of the practice, or the risk of being regularly confronted by the removed patient, may make it difficult for the practice to continue to look after the whole family. This is more likely where the removed patient has been violent or displayed threatening behaviour, and keeping the other family members could put doctors or their staff at risk.