Accountable GP

All patients at The Arch Medical Practice have an accountable GP. If you wish to know which GP is responsible for your care please contact the practice and this information will be provided, if you have a preference please inform the receptionist who will enter this information onto your medical record.

An accountable GP will oversee your care and work with other relevant healthcare professionals to ensure that your individual needs are met. This does not prevent you from seeing any GP in the practice as you currently do.

You do not need to take any action when registering, but if you have any questions, or wish to discuss this further, please contact us on 0161 226 0606.

Hospital Letters

If you are seen in secondary care please note sometimes letters sent from hospital are often addressed to the Senior Partner. Please feel reassured that your hospital letters are sent to your usual GP for review or the GP who you have a continuing care with to ensure continuity of care.

 

Practice Data Protection Policies

How we use your medical records

We ask you for information so that you can receive proper care and treatment.

We keep this information, together with details of your care, because it may be needed if we see you again.

We may use some of this information for other reasons: for example to help us protect the health of the public generally and to see that the NHS runs efficiently, plans for the future, trains its staff, pays its bills and can account for its actions. Information may also be needed to help educate tomorrow’s clinical staff and to carry out medical and other health research for the benefit of everyone.

Sometimes the law requires us to pass on information: for example, to notify a birth.

You have a right of access to your health records. All requests for access must be in writing using the form provided by the practice.

Please see below details of our privacy policies

Confidentiality

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

You may be receiving care from other people as well as the NHS. So that we can all work together for your benefit we may need to share some information about you.

We only ever use or pass on information about you if people have a genuine need for it in your and everyone’s interests. Whenever we can we shall remove details that identify you.

The sharing of some types of very sensitive personal information is strictly controlled by law.
Anyone who receives information from us is under a legal duty to keep it confidential.

Under 16s

The duty of confidentiality owed to a person under 16 is as great as the duty owed to any other person. Young people aged under 16 years can choose to see health professionals, without informing their parents or carers. If a GP considers that the young person is competent to make decisions about their health, then the GP can give advice, prescribe and treat the young person without seeking further consent.

However, in terms of good practice, health professionals will encourage young people to discuss issues with a parent or carer. As with older people, sometimes the law requires us to report information to appropriate authorities in order to protect young people or members of the public.

How we share your data – Local & National Schemes

Provision of Information to Third Parties

The practice may share your personal information with other NHS organisations where this is appropriate for your healthcare.

In other circumstances we may approach you for specific consent to release personal information to third parties.

In some circumstances there are statutory or ethical obligations to disclose information to others (such as public health issues) which may not require your consent. However you will be consulted about these in advance unless there is an over-riding public interest in not doing so.

Summary Care Record

What is a Summary Care Record (SCR)?

Your Summary Care Record is an electronic summary of key information from your GP medical record. If you need healthcare away from your usual doctor’s surgery, your SCR will provide those looking after you with this information to help them give you better and quicker care.

This can be especially useful:

  • in an emergency
  • when you are on holiday
  • when your surgery is closed
  • at out-patient clinics
  • when you visit a pharmacy

Summary Care Record – your 3 options:

You can choose how much information is shared through your Summary Care Record. You are much more likely to reap the benefits of SCR if you choose the enhanced version (option 2).

You can choose to have a ‘core’ Summary Care Record

All patients, unless they have opted out, have a ‘core’ Summary Care Record including basic information about their current medications, allergies, and bad reactions they have had to medicines.

You can choose to have an ‘enhanced’ Summary Care Record

This means your record will contain the ‘core’ information plus extra information that you think would be helpful for the healthcare staff who treat you. You must give your explicit consent for this.

That extra information could include:

  • Information about your long term health conditions – such as asthma, diabetes, heart problems or rare medical conditions.
  • Your relevant medical history – clinical procedures that you have had, why you need a particular medicine, the care you are currently receiving and clinical advice to support your future care.
  • Your healthcare needs and personal preferences – you may have particular communication needs, a long term condition that needs to be managed in a particular way, or you may have made legal decisions or have preferences about your care that you would like to be known.
  • Immunisation information – details of previous vaccinations, such as tetanus and routine childhood jabs.

You can choose not to have a Summary Care Record.

Information from your GP record concerning your current medications, allergies and bad reactions to medicines will not be readily available to other services treating you. Fewer than 5% of patients have chosen to opt out.

For more information, or to request an enhanced Summary Care Record, please talk to the staff at your GP practice. You can change your mind about what information you share at any time.

How will having a Summary Care Record help me?

Essential details about your healthcare can be very difficult to remember, particularly when you are unwell. Having an enhanced Summary Care Record means that healthcare professionals treating you will be better informed about you, which will increase the quality of your care.

You may already have seen the benefits of having a core Summary Care Record. One common benefit is when a patient is admitted to hospital and the Clinician treating them is able to see they are allergic to a particular medication and so prescribe an alternative.

How will my information be kept safe?

Your Summary Care Record can only be viewed by authorised staff who have an NHS smartcard with a chip and PIN. They must also ask for your consent to view your Summary Care Record, unless you are unconscious or otherwise unable to communicate and they believe that accessing your record is in your best interest. All access to your Summary Care record is documented and audited by the Privacy Officer of the organisation to ensure it is appropriate.

An enhanced Summary Care Record is not a copy of your whole record. Sensitive informationsuch as fertility treatments, sexually transmitted infections, pregnancy terminations or gender reassignment will not be included, unless you specifically ask for it to be.

Risk Stratification

What is risk stratification?

There are two kinds of risk stratification:

The first kind is a process for identifying some patients within a Practice who might benefit from extra assessment or support with self-care because of the nature of their health problems. The process is a mixture of analysis of information by computer followed by review of the results by a clinical team at the Practice.

The analysis can, for example, help predict the risk of an unplanned hospital Admission so that preventative measures can be taken as early as possible to try and avoid it. In the end, it is the clinical team of the GP Practice that will decide how your care is best managed.

The second kind is a process for identifying patterns of ill health and needs across our local population. This will be done by pulling together all the information in an anonymised file (where your identity has been removed) to look at patterns and trends of illness across Manchester as a whole. This will help our Public Health Department and those in the NHS who are responsible for planning and arranging health services across Manchester (known as commissioners) better understand the current and possible future health needs of the local population. This will help them make provision for the most appropriate health services for the people of this area. This group of staff will not be able to identify you as an individual under any circumstances.

In both cases secure NHS systems and processes will protect your health information and patient confidentiality at all times

What information about me will be analysed?

The minimum amount of information about you will be used. The information included is:

  • Age
  • Gender
  • GP Practice and Hospital attendances and admissions
  • Medications prescribed
  • Medical conditions (in code form) and other things that may affect your health such as height, weight for example.

How will my information be kept secure and confidential?

Information from your GP record will be sent via a secure computer connection to a special location called a ‘safe haven’ at NHS Greater Manchester Integrated Care Board. It is designed to protect the confidentiality of your information. There are strict controls in place. It enables information to be used in a way that does not identify you. The GP Practice remains in control your information at all times.

Before any analysis starts, any information that could identify you will be removed and replaced by a number. The analysis is done by computer. The results are returned to the GP Practice. Only your GP Practice can see the results in a way that identifies you.

What will my GP Practice do with the analysis?

The results can help the clinical team decide on some aspects of your future care. For example, if the clinical team at the Practice think that you might benefit from a review of your care, they can arrange this. You may then be invited in for an appointment to discuss your health and treatment. If the Practice thinks you might benefit from referral to a new service, this will be discussed with you firstly.

What if I want to opt out?

If you do not wish this to happen then it is important that you let us know.

Infection Control Statement

At The Arch Medical Practice, we take Infection Control very seriously. An infection control statement is crucial for several reasons:

  1. Protecting Public Health: Infection control statements outline measures to prevent the spread of infectious diseases within a particular setting, whether it’s a healthcare facility, workplace, school, or public event. By implementing these measures, we protect the health and well-being of individuals and communities.
  2. Preventing Outbreaks: Infection control statements establish protocols and procedures to minimize the risk of outbreaks. By identifying potential sources of infection, implementing preventive measures, and responding promptly to any suspected cases, we can prevent the spread of infectious diseases and mitigate the impact of outbreaks.
  3. Ensuring Compliance: In many jurisdictions, there are regulations and guidelines mandating infection control practices in various settings, particularly in healthcare. Having a clear infection control statement helps ensure compliance with these regulations, reducing the risk of legal and regulatory issues.
  4. Maintaining Trust and Confidence: Demonstrating a commitment to infection control reassures employees, patients, customers, and the general public that their health and safety are a top priority. This fosters trust and confidence in the organization or establishment, enhancing its reputation and credibility.
  5. Reducing Healthcare Costs: Infections can lead to increased healthcare utilization, including hospitalizations, medication costs, and lost productivity. By effectively controlling infections, we can reduce the economic burden associated with healthcare-associated infections and other communicable diseases.
  6. Protecting Vulnerable Populations: Certain individuals, such as the elderly, immunocompromised individuals, and those with chronic illnesses, are more susceptible to infections and their complications. Implementing infection control measures helps protect these vulnerable populations from potential harm.
  7. Contributing to Global Health Security: In an interconnected world, infectious diseases can quickly spread across borders. By implementing robust infection control measures, we not only protect local populations but also contribute to global efforts to prevent the spread of infectious diseases and promote global health security.

GP Earnings

THE ARCH MEDICAL PRACTICE

 

NHS England require that the earnings of doctors engaged in the practice is published and the required disclosure is shown below. 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 comparisons with any other practice.

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 The Arch Medical Practice was £83k before Tax and National Insurance.

 

Failure to Attend Appointments Policy

Patients who do not attend their appointments are a drain on surgery resources and create problems for us all. We therefore have a policy to deal with this problem.

First appointment missed you will receive a letter or a text from the practice.
Second appointment missed you will be informed that persistent failed attendance may result in your removal from the practice list.
Further missed appointments may result in your removal from the list.
If you are unable to keep your appointment please notify the surgery as soon as possible.

TAMP74 – Appointment Punctuality Policy

Equality Statement

There will be no discrimination by this practice related to sexual orientation, race, colour or creed of patients. Confidentiality will be maintained at all times.

Under the Equality Act 2010, it is against the law for a company to discriminate against anyone on the grounds of colour, age, sex, race / nationality – including citizenship – ethnic or national origins, marital status, civil partnership, disability, sexual orientation, any religion, or religious or philosophical belief.

It is also possible for employees to claim for discrimination on a combination of two of these grounds. Similarly if employees discriminate against a colleague or patient, the Practice could be held vicariously liable for their acts, and be responsible for paying the compensation or damages to the victim of the discrimination.

If the Practice can prove that it has done all that was reasonable to prevent the discriminatory acts from occurring then its liability can be reduced or entirely eliminated. Having an equal opportunities policy, and apprising all staff of its existence is one of the things that a reasonable employer should do.

The Practice has the following policies in place which need to be read along with this Equality and Diversity policy:

  • Equality Act: Operational Procedures & Policy
  • Culture & Religious policy
  • Grievance Procedures
  • Bullying and Harassment
  • Age Discrimination
  • Equal Opportunities policy
  • Recruitment and Selection Policy
  • Training and Development policy
  • Dignity at work
  • Being Open Policy
  • Information Governance Policy i.e. confidentiality / consent

Zero Tolerance

The Arch Medical Practice aims to provide high quality healthcare and we will treat all patients with respect and dignity.

Unfortunately, there has been an increase in verbal and physical attacks on staff and this is unacceptable.

The Arch Medical Practice and Manchester Health and Care Commissioning support The NHS Zero Tolerance Policy. This policy recognises the increasing problem of violence against staff working in the NHS and ensures that doctors and healthcare staff have a right to care for others without fear of being attacked or abused.

Patients also have a right to access services without fear of violence at their practice. In line with this policy, we have a zero tolerance approach to aggression, abuse, violence or anti-social behaviour.

What do we mean by zero tolerance?

We understand that when patients feel ill, they do not always act in a reasonable manner and will take this into consideration when trying to deal with a misunderstanding or complaint. We ask you to treat healthcare professionals and practice staff courteously and act reasonably.

Whilst it is not possible to list all types of incidents, some examples of unacceptable behaviour are provided below:

  • offensive language, verbal abuse and swearing
  • racist and hate comments
  • loud and intrusive conversation
  • unwanted or abusive remarks
  • negative, malicious or stereotypical comments
  • carrying weapons or using objects as weapons
  • damage, defacing or vandalism of NHS property
  • threats or risk of injury to NHS staff
  • intimidation
  • stalking
  • unreasonable behaviour and non-cooperation

This relates to any form of abuse from patients or staff which includes (but is not limited to) sexism, racism homophobia, biphobia, transphobia and ageism, or harassment or abuse on basis of disability, marriage or civil partnership, pregnancy or maternity, religion or belief.

Such behaviour or verbal abuse causing distress and or constituting harassment will not be tolerated and could lead to the person being removed from the practice list. In extreme cases the police will be contacted if the patient is posing a threat to staff or others.

If you wish to provide feedback or make a complaint, https://www.thearchmedicalpractice.co.uk/practice-information/patient-opinion/

Removal from the practice list

A good patient-doctor relationship, based on mutual respect and trust, is the cornerstone of good patient care. The removal of patients from our list is an exceptional and rare event and is a last resort in an impaired patient-practice relationship.

When trust has irretrievably broken down, it is in the patient’s interest, just as much as that of the practice, that they should find a new practice. An exception to this is on immediate removal on the grounds of violence e.g. when the Police are involved.

Removing other members of the household

In rare cases if there is a possible need to visit patients at home, it may be necessary to terminate responsibility for other members of the family or the entire household.

The prospect of visiting patients where a relative who is no longer a patient of the practice by virtue of their unacceptable behaviour resides, or being regularly confronted by the removed patient, may make it too difficult for the practice to continue to look after the whole family.

This is particularly likely where the patient has been removed because of violence or threatening behaviour and keeping the other family members could put doctors or their staff at risk.

For more information and the latest news, please visit our home page https://www.thearchmedicalpractice.co.uk/

Practice Policies

We ask you for personal information so that you can receive appropriate care and treatment. This information is recorded on computer and we are registered under the Data Protection Act.

The practice will ensure that patient confidentiality is maintained at all times by all members of the practice team. We also understand that the duty of confidentiality owed to a person less than 16 years of age is as great as the duty owed to any other person. However, for the effective functioning of a multi-disciplinary team it is sometimes necessary that medical information about you is shared between members of the team. If you have a specific objection to this, please inform the Health Care Professional dealing with you at the time, or the Practice Manager.

Information Sharing Over COVID-19

Sharing your patient information is critical in supporting your care and treatment, especially in situations such as the COVID-19 pandemic. This is where the GM Care Record comes in.

Health and care organisations across Greater Manchester have accelerated the deployment of the GM Care Record for all 2.8m citizens to provide frontline professionals with vital information in the fight against COVID-19.

The GM Care Record allows workers in health or social care, easy access to patient information that is critical to support decision-making about patient care and treatment.

It shares important information about your health and care including:

  • Any current health or care issues
  • Your medications
  • Allergies you may have
  • Results of any recent tests that you may have had
  • Details on any plans created for your care or treatment
  • Information on any social care or carer support you my recieve

The GM Care Record pulls patient information from several important areas of health and care including:

  • primary care e.g. GP practices
  • community services
  • mental health services
  • social care
  • secondary care e.g. hospitals
  • specialist services e.g. NWAS

It’s an extension of integrated care records already live in each locality of Greater Manchester (e.g. Manchester Care Record, Bolton Care Record etc). However, it collates patient information from across Greater Manchester into one place, making it easily accessible for health and care workers to inform direct care from across geographies and organisations.

It means that patients won’t have to keep repeating their medical history to each professional in different organisations, care plans will be followed consistently and clinicians will be better equipped to identify patterns and plan care more effectively to meet the patients’ needs.

The amount of data that the GM Care Record holds is increasing all the time. Data is constantly being added, so that a combined record can be developed for all our citizens to help better decision making and more informed care and treatment.

In response to the pandemic, the GM Care Record also includes information about when a patient has been diagnosed with COVID-19 and whether they are self-isolating at home or have been hospitalised. This ensures continuity of care across different care settings and alternatives such as digital support can be put in place.

The project has been overseen by Health Innovation Manchester and the GM Health and Social Care Partnership, working on behalf of GM’s devolved health and care partners. Rapid progress has been made in weeks rather than months as part of the city region’s digital response plan and collaborative effort.

Accessible Information Standard

The Accessible Information Standard tells us how we should make sure that disabled patients receive information in formats that they can understand and receive appropriate support to help them to communicate.  We must follow the Accessible Information Standard by law. These standards include ensuring that people get information in different formats if they need it, such as: large print, braille, easy read, email etc.

Further information can be found on NHS England’s website at: www.england.nhs.uk/ourwork/patients/accessibleinfo/

Please let the receptionists know if you require any communication or information support needs.