Fair Processing Notice
How we use your personal information
This fair processing notice explains why the practice collects information 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. Hospital, GP Surgery, Walk-in clinic, etc.).These records help to provide you with the best possible healthcare.
NHS health records may be electronic, on paper or a mixture of both, and we use a combination of working practices and technology to ensure that your information is kept confidential and secure. Records which this GP Practice hold about you may include the following information;
- Details about you, such as your address, legal representative, emergency contact details
- Any contact the surgery has 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
Your records will be retained in accordance with the NHS Code of Practice for Records Management
To ensure you receive the best possible care, your records are used to facilitate the care you receive. Information held about you may be used to help protect the health of the public and to help us manage the NHS. Information may be used within the GP practice for clinical audit to monitor the quality of the service provided.
Some of this information will be held centrally and used for statistical purposes. Where we do this, we take strict measures to ensure that individual patients cannot be identified.
Sometimes your information may be requested to be used for research purposes – the surgery will always gain your consent before releasing the information for this purpose.
How do we maintain the confidentiality of your records?
We are committed to protecting your privacy and will only use information collected lawfully in accordance with:
- Data Protection Act 1998
- Human Rights Act 1998
- Common Law Duty of Confidentiality
- Health and Social Care Act 2012
- NHS Codes of Confidentiality and Information Security
- Information: To Share or Not to Share Review (click here to read further information about this)
Every member of staff who works for the Practice or another NHS organisation has a legal obligation to keep information about you confidential.
We will only ever use or pass on information about you if others involved in your care have a genuine need for it. We will not disclose your information to any 3rd party without your permission unless there are exceptional circumstances (i.e. life or death situations), where the law requires information to be passed on for example Child/Adult Protection and Serious Criminal Activity.
Who are our partner organisations?
We may also have to share your information, subject to strict agreements on how it will be used, with the following organisations or receive information from the following organisations:-
- NHS Trusts / Foundation Trusts
- NHS Commissioning Support Units
- Independent Contractors such as dentists, opticians, pharmacists
- Private Sector Providers
- Voluntary Sector Providers
- Ambulance Trusts
- Clinical Commissioning Groups
- Social Care Services
- NHS Digital
- Local Authorities
- Education Services
- Fire and Rescue Services
- Police & Judicial Services
- Other ‘data processors’ which you will be informed of
You will be informed who your data will be shared with and in some cases asked for explicit consent for this happen when this is required.
We may also use external companies to process personal information, such as for archiving purposes. These companies are bound by contractual agreements to ensure information is kept confidential and secure.
Access to personal information
You have a right under the Data Protection Act to request access to view or to obtain copies of what information the surgery holds about you and to have it amended should it be inaccurate. In order to request this, you need to do the following:
- Your request must be made in writing to the GP - for information from the hospital you should write direct to them
- There may be a charge to have a printed copy of the information held about you
- We are required to respond to you within 40 days
- You will need to give adequate information (for example full name, address, date of birth, NHS number and details of your request) so that your identity can be verified and your records located
Objections / Complaints
Should you have any concerns about how your information is managed at the GP, please contact the Practice Manager. If you are still unhappy following a review by the GP practice, you can then complain to the Information Commissioners Office (ICO) via their website (www.ico.org.uk).
Change of Details
It is important that you tell the person treating you if any of your details such as your name or address have changed or if any of your details such as date of birth is incorrect in order for this to be amended. You have a responsibility to inform us of any changes so our records are accurate and up to date for you.
The Data Protection Act 1998 requires organisations to register a notification with the Information Commissioner to describe the purposes for which they process personal and sensitive information.
This information is publicly available on the Information Commissioners Office website www.ico.org.uk
The practice is registered with the Information Commissioners Office (ICO).
Who is the Data Controller?
The Data Controller, responsible for keeping your information secure and confidential is:
WORSLEY MESNES HEALTH CENTRE
Average (mean) earnings per GP in 2015/16= £41,498 per annum
Number of GPs in practice in 2015/16 = 4
This includes: 3 part time partners
1 part time salaried GP
These numbers probably don’t mean that much to most people but these are the figures we have to publish.
Another possibly more meaningful figure is how much the surgery gets paid to provide a year of care to a patient.
For Shakespeare Surgery we receive £122.63 per patient per year from the NHS. This works out at just over 47 pence per day per patient for services during a typical 5 day working week, or £2.35 per week
If you were spending your money on other things in life what else might you buy?
· £122 is the cost of GP medical care for you for one whole year
· £120 is the price of the cheapest Sim only phone contract
· £190 is the cheapest season ticket to Wigan Warriors
· £221 is the cost of getting the Daily Mail† Monday to Saturday
· £156 is the cost of a pint of beer once a week
· £264 is the cost of a basic Sky TV package
· £348 is the average cost to insure your dog
· £513.80 is the equivalent cost of private GP cover from BUPA at £70 per consultation
£122.63 is for all the care we give to one of our patients for one year. It includes paying for all our doctors, our nurse, our health care assistant, our manager, our receptionists, the administration costs of running our surgery building, buying and maintaining our equipment, training our staff including medical students and registrars as well as paying for some of the drugs that we use in surgery such as some vaccinations. For this patients can attend the Surgery any day Monday to Friday as often as is clinically needed.
Each year as a surgery we offer over 17,000 GP appointments, over 4,300 nurse appointments and over 750 health care assistant appointments.
On average each patient will need over 7 appointments per year. Many more poorly or vulnerable people see us considerably more than seven times per year. However even at the average number this means the NHS pays the surgery £16.68 for each appointment.
Our feedback from patients remains very high and in the latest national Patient Survey, as reported in the Wigan Observer, we were the 4th best practice (http://www.wigantoday.net/news/revealed-wigan-s-best-and-worst-gp-surgeries-as-rated-by-you-1-7803254) in Wigan with 90.7% of patients rating us as good or better. Last year we were also rated as “good” by the CQC for the services we offer.
We hope this shows in a slightly more meaningful manner what the average income figures for GPs mean and what you receive for this money.
We are grateful for your ongoing support and trust in what are difficult times in the NHS over the last year. We look forwards to the coming year where we will continue to work with all our patients and help them get the best possible care.
Please follow the link to our CQC inspection report:
Concerns About Inaccurate Software And Statins Use
Possibly you have read in local and national papers about a concern related to prescribing of medications called statins by GPs due to an IT hitch and wondered does it affect you?
There is a programme called QRISK. Drs and Nurses use this in low risk people who have never had a heart attack or stroke but who may have “high cholesterol” or “blood pressure” to calculate the risk of a stroke in the next ten years. It uses a number of factors including the patients age, sex, blood pressure, smoking history and, cholesterol. This aids the clinicians to have an informed consultation with patients about the risks and significance of tests. It helps us all to then decide should we treat cholesterol with medications called Statins (Simvastatin, rosuvastatin and atorvasatatin are the main ones used locally). As a practice we have used this programme since we moved to a new computer system in around 2014; prior we used a slightly older programme called JBS2.
When the new computer system suppliers wrote their software in 2009 they made an error with setting up how QRISK calculates the risk. This means when the clinicians used the inbuilt systmOne version of the tool, someone may have a risk under calculated, correctly calculated or over calculated compared to the real risk. This potentially means people have been reassured when they should not have been, been reassured/treated correctly or treated when the benefits may not have been there from treatment.
SystmOne have now recognised this problem in recent weeks. They have run the tool again on every patient we have used it on since October 2015. They have written to us with the patients where the score was inaccurate and we have checked the notes.
For these patients we have written to them to invite them in for a review and to discuss the implications of any changes of these scores. To provide some reassurance in total the tool was used around by us 93 times since 1st October and the affected numbers where the score was wrong is very low (less than 10 for us as a practice).
There are around a further 90 patients who used the tool prior to 1st October 2015 since the time we moved to the new system in around 2014 which SystmOne will do a similar calculation about in the coming days. There is no easy means for us to do this calculation as SystmOne has now suspended the tool. When we get their new scores we will do a similar review of the information and directly contact those affected patients.
What do I do now?
In the short term there is no cause for concerns and if you are taking these medications, please keep taking them. The most recently affected group of patients now should have a letter and we look forward to seeing you soon to explain in more detail. For anyone else who is worried we hope this information is of help. If you need more information please book a routine appointment with one of the doctors or nurses and we will see if we can answer any remaining queries.