Information

Waiting room confidentiality- If you wish to speak to the receptionist in private , please let her know

Translation services for patients who do not speak English can be arranged by appointment.

NEW PATIENTS

Catchment area

Submitting new patient paper work:

New patients are requested to bring the following documents to the surgery and apply in person (unless housebound).

1. Fully completed  and signed GMS1 form  (Note: If you wish to join the NHS organ donor register, please fill in the appropriate section)

2. Fully completed and signed health questionnaire for adults .

Please fill in a separate health questionnaire for each child ( 0-15)

In order to speed up the submission process , we request you to make sure all sections are fully completed. We will retain both forms.

3. A photo ID (normally Passport or driving licence) .Please submit  NHS card ,if available.

4. Proof of address (Utility bill)

Please note- For children under 5 yrs, we will require the red book with fully completed form for children. The red books will be returned by the nurse during registration medical.

The duty receptionist will check all the documents and pass it on the the Principal GP for approval. You will be given a urine specimen pot and a Doctor’s visiting  card with a letter explaining what happens next.

Once an application is submitted, we aim to make the appointment to see nurse for registration medical check up within 2 weeks. Please tell receptionist, if there is a need to see the doctor sooner.

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CHANGE OF ADDRESS & PHONE NUMBER

Please inform us immediately if you move, your phone number changes or if you change your name. Please submit copies of marriage certificate or  deed poll at the reception to change your name. Please submit a signed and dated  letter to change your address and/or phone number.

Change of address form 

If you move out of the practice area, you are required to  register with another doctor closer to your new home.

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Your personal information:

Why do we collect information about you?

Your Doctor and the team of health professionals caring for you keep records about your health, any treatment and care you receive from the NHS.

These records help to ensure that you receive the best possible care. They may be written down in paper records or stored electronically on a computer. These records may include:

• Personal details such as name, address, date of birth and legal representative etc
• Contact we have with you such as outpatient clinic visits
• Notes and reports about your health
• Details and records about your treatment and care
• Results of x-rays, laboratory tests and any other tests
• Relevant information from people who care for you and know you well such as health professional and relatives

It is essential that we have your correct details to ensure the appropriate care and treatment is provided to you. Always check that your personal details are correct when you visit us.

Please inform us if any of your personal details change as soon as possible. Knowing your NHS number will also help us to identify you.

Your information will be held centrally to be used for statistical purposes. In these instances, we take strict confidential measures to ensure that individual patients cannot be identified.

For essential NHS purposes such as audit and teaching we use anonymous information when possible. This means using information without your name or any identifying features.

If you are involved with a research project or your information is used for non-medical purposes, you will be asked for consent before your information is used.

Under the Civil Contingencies Act 2004, the Practice may be asked to provide information to other agencies in order to assist with the management of major incidents.

How your personal Information is used?

Your records are used to guide and administer the care you receive to ensure that:

• Your Doctor, nurse or other health professional involved in your care have accurate and up-to-date information to assess the care that you need.
• There is a good information base for health professionals to assess the type and quality of care you have received.
• Your concerns can be properly investigated if a complaint is raised
• Appropriate information is available if you see another Doctor, are referred to a specialist or another part of the NHS.

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If we need to share your personal information

Everyone working for the NHS has a legal duty and obligation to keep information about you confidential and secure.

You may be receiving care from other people as well as the NHS (e.g. Social Services). We may need to share information about you with them so we can all work together for your benefit. We will only ever pass information about you if:

• They have a genuine need for it such as where there is a danger or harm to a child or vulnerable adult or to aid the prevention and detection of serious crime.
• There is a court order.
• We have your consent.

We will not disclose your information to a third party without your consent unless there are exceptional circumstances, such as when the health and safety of others is at risk or if the law requires us to pass on information.

Anyone who receives information from us has a legal duty to keep it confidential and secure at all times.

Who might we share personal information with?

We may share information with the following partner organisations:

• Department of Health and other NHS bodies such as NHS England
• Other NHS Trusts that are involved in your care such as other hospitals.
• General Practitioners
• Ambulance Services.

We may also share your information, subject to strict agreement about how it will be used and with your consent, with:

• Adult Services
• Children and Young People’s Services
• Social Care Services
• Local Authorities
• Voluntary Sector Providers working with the NHS
• Private Sector Providers working with the NHS
• National Patient Safety Agency (NPSA)

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How your personal information might be used to improve the NHS

• Your information may also be used to help us in the following ways:
• To help protect the health of the public
• To help us manage the NHS, by being used to:
• Make sure our services can meet patients’�� needs
• Book appointments for your ongoing care and treatment
• Review and audit the care we provide to ensure it is of    the highest standards.
• Prepare statistics on NHS performance
• Investigate complaints

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The following will be with your consent:

• To help in health research and development
• To help teach healthcare professionals

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Research

Research is undertaken to add to the existing scientific knowledge on a particular subject. It is possible that during the course of your treatment you may be asked to take part in a research study, however, you do have the right to refuse, and this will not affect the care that you receive.

Your NHS Number, Keep it Safe.

Every person registered with the NHS in England and Wales has their own unique NHS Number. It is made up of 10 digits for example 123 456 7890.

Everyone needs to use the NHS Number to identify you correctly. It is an important step towards improving the safety of your healthcare.

Always bring your NHS number with you to all appointments or quote it if you need to telephone the practice for any enquires. This will allow staff to check that they have the right patient details by checking this against your NHS number.

To improve safety always check your NHS Number on correspondence the NHS sends to you.

Ways of finding out your NHS Number

If you do not know your NHS number, contact your GP or local NHS England office . You may be asked for proof of identity, for example a passport or other form of identity this is to protect your privacy.

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Data Protection

The Practice will endeavour to ensure that your information remains secure and confidential at all times. The Data Protection Act 2018/GDPR  explains how personal information should be processed and this applies to all information whether held on paper or electronically on computer systems. We must ensure that all personal information is processed fairly, lawfully and as transparently as possible so you:

Understand reasons for us processing your personal information

Give your consent for the disclosure and use of information where necessary

Gain trust in the way we handle your information

Understand your rights regarding the right to request access about the information we hold about you.

The Caldicott Guardian  has the role to ensure we meet the highest standards for handling personal information at the Practice.

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Patient Relations

We will do our best to help you to resolve any concerns you may have about the care you received.

If you have a concern or there is a problem, the best way to get it resolved is usually to tell someone there and then. In Surgery, talk to the Doctor, nurse or receptionist on duty. If you want to talk to a senior manager or to someone who has not been directly involved in your care and treatment, we can usually arrange this during office hours.

If you wish to make a formal complaint you can telephone or write to:

Practice manager.

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CAR PARKING

The surgery car park has limited parking . You park at your own risk. There is pay and display parking available outside the surgery.

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DISABLED ACCESS

Disabled access is via the front  entrance. The clinical rooms are accommodated on the ground floor of the building.

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Hillingdon CCG

Hillingdon CCG is  the lead local health organisation responsible for NHS services in the local community. Their address is:

Boundary House
Cricket Field Road
Uxbridge
Middlesex
Tel: 01895 452 000

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REPEAT PRESCRIPTIONS

Patients on regular medication may require a prescription. You will find attached to your previous prescription a tear-off slip with your medication listed. Please tick the medication you require and bring or send it to the surgery. Your prescription should be ready in 2 clear working days from receipt of the request. If you wish your prescription to be sent to a particular chemist please advise us in writing or if you wish it to be posted to you please enclose a stamped address envelope.

Alternatively you can request your repeat medication by fax or email to admin@churchroadsurgery.london

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SICKNESS CERTIFICATES

You do not need an NHS sick certificate until you have been off work for one week. You will usually need to see your doctor to obtain one after this. Click here for more details

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TEST RESULTS

You may not always need to see your doctor for the results of your tests. If you are asked to phone, please phone 01895 233736 after 12pm and explain to the receptionist the nature of the test and the result you need. Please note-We never give pregnancy and sexually transmitted diseases(STD) screening results over the phone. You have to see the nurse to discuss those results.

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Housing Applications-If you are intending to apply for a council home for health reasons you do not need a doctor’��s letter prior to application. You may  apply stating your circumstances and the Council will write, in confidence, to the GP, if further information is required.

Parental Leave

Compassionate Leave

Paternity leave