Subject Access Request (SAR)

Introduction

In accordance with the UK General Data Protection Regulation, patients (data subjects) have the right to access their data and any supplementary information held by this organisation. This is commonly known as a subject access request (SAR).

Data subjects have a right to receive:

  • Confirmation that their data is being processed
  • Access to their personal data
  • Access to any other supplementary information held about them

Options for access

As of April 2016, organisations have been obliged to allow patients access to their coded health record online. As of October 2023, this service now enables the patient to view their full medical record. Prior to accessing this information, you will have to visit the organisation and undertake an identity check before being granted access to your records.

In addition, you can make a request to be provided with copies of your health record. To do so, you must submit a SAR form. This can be submitted electronically and the SAR form is available on the organisation website. Alternatively, a paper copy of the SAR is available from reception. You will need to submit the form online or return the completed paper copy of the SAR to the organisation. Patients do not have to pay a fee for copies of their records.

Time frame

Once the SAR form is submitted, this organisation will aim to process the request within 28 days; however, this may not always be possible.

Exemptions

There may be occasions when the data controller will withhold information kept in the health record, particularly if the disclosure of such information is likely to cause undue stress or harm to you or any other person.

Data controller

At  Acorn Surgery the data controller is Victoria Pilkington and should you have any questions relating to accessing your medical records, please ask to discuss this with the named data controller.

Apply online for a SAR

Read our SAR information Letter

Telephone Recording Privacy Notice

In the course of its activities the Practice will collect, store and process personal data, including the recording of all telephone calls, and it recognises that the correct and lawful treatment of this data will maintain confidence in the organisation and will provide for successful business operations.

General Practice Data for Planning and Research

How the NHS and care services use your information.

From 1st July 2021, the NHS will change how it share shares your GP medical record. The General Practice Data for Planning and Research data extract by NHS Digital from GP practices across England will help the NHS to improve health and care services for everyone by collecting patient data and holding it in a central national database.

This is an upgrade to an existing similar process called GPES – General Practice Extract Service. The new data collection will be more efficient, effective and much more frequent.

For example, patient data held in this new data base can help the NHS to:

  • Monitor the long-term safety and effectiveness of treatments
  • Plan how to deliver better health and care services
  • Prevent the spread of infectious diseases
  • Identify new treatments and medicines through health research

The national data opt-out is a service that allows patients to opt out of their confidential patient information being used for research and planning. There is much more information about this process here.

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.   You can change your mind about your choice at any time.

Child Proxy Access & Information

What is Proxy Access?

Proxy access is a way for parents or guardians to view and manage their children’s online health records. It allows them to access important information about their child’s health, such as medical history, test results, appointments, and medications, through secure online platforms.

Benefits of Proxy Access:

  1. Better Communication: Proxy access helps parents and guardians stay informed about their child’s health, allowing them to have meaningful conversations and support their well-being.
  2. Coordination of Care: By accessing online health records, parents and guardians can coordinate appointments, medications, and treatments more effectively with healthcare professionals.
  3. Emergency Situations: In case of emergencies, proxy access allows parents or guardians to quickly access vital health information to ensure appropriate and timely care.

Risks and Considerations:

  1. Privacy Concerns: Sharing health information with parents or guardians may raise concerns about privacy. It’s important to discuss what information will be accessible and ensure that personal and sensitive data remains confidential.
  2. Confidentiality with Healthcare Providers: Some young people may feel more comfortable discussing personal health matters directly with healthcare providers. Proxy access might influence how open they are during consultations.
  3. Autonomy and Independence: Allowing proxy access means parents or guardians can monitor their child’s health more closely. Some young people may value their independence and prefer managing their health information themselves.

Making Informed Decisions:

  1. Open Dialogue: Talk to your parents or guardians about proxy access. Discuss your concerns, ask questions, and make sure you understand how it will affect your privacy and autonomy.
  2. Consent and Control: Remember that your consent is essential in deciding whether to allow proxy access. Ensure that you have control over the types of information your parents or guardians can access and set clear boundaries.
  3. Collaboration: Find a balance between involving your parents or guardians in your healthcare decisions and maintaining your autonomy. Consider involving them in discussions with healthcare providers to ensure everyone is on the same page.

Protecting Your Privacy:

  1. Secure Passwords: Use strong, unique passwords for your online health accounts and never share them with anyone, including your parents or guardians.
  2. Notification Settings: Check the notification settings on your online health platforms. You can receive alerts when your health information is accessed, helping you stay aware and in control.
  3. Ask for Help: If you have concerns about privacy, seek guidance from a trusted adult, teacher, or healthcare provider. They can provide advice and support in navigating this important decision.

Remember, the choice of allowing proxy access to your online health records is personal. By discussing the benefits and risks with your parents or guardians, you can make an informed decision that respects both your privacy and your well-being.

Allowing proxy access does not need to be a permanent agreement and you can change your decision at any time by contacting the practice in one of the following ways

  • Call 01480 483100 between 8.30am – 5:30pm
  • Email acornenquiries@nhs.net
  • In person at the Practice reception desk between 8am – 5.30pm

Proxy access to your records will stop at age 12, 16 & 18 and will need to be applied for again if required. Your consent will be needed, and you can decide again at that time if you wish for it to be granted.

Under 12 Proxy Access 12 and Over Parent Proxy Proxy Online Access to Medical Records
Online Form Online Form Online Form
Downloadable Form Downloadable Form Downloadable Form
Proxy Access Information Leaflet – Children Proxy Access Information Leaflet – Children

Sustainability and Environmental Statement

At Acorn Surgery we are committed to environmental sustainability and recognise our responsibility to minimize our carbon footprint. Our mission is to provide quality healthcare while actively contributing to the well-being of our community and the planet.

Environmental – Sustainability Statement

Infection Control Statement

This annual statement will be generated each year in December in accordance with the requirements of the Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and related guidance.

It summarises

  • Any infection transmission incidents and any action taken (these will have been reported in accordance with our significant event procedure)
  • Details of any infection control audits carried out, and actions undertaken
  • Details of any risk assessments undertaken for the prevention and control of infection
  • Details of staff training
  • Any review and update of policies, procedures, and guidelines

Acorn Surgery Infection Control Statement 2023

Acorn Surgery Infection Control Statement 2024

Patient Charter

Reviewed & revised Sept 2013, Dec 2014, Reviewed by MS Nov 2016, Reviewed and Revised Nov PPG/AF/VP2023

The following statements are the standards set within the Acorn Surgery for the benefit of our patients. It is our role to provide you with care, treatment and advice. You will be involved in discussions about the most appropriate care for you and it will be provided by appropriately qualified staff. No care or treatment will be given without your informed consent. In your best interests, it is important that you understand all the information given to you so please ask any of our staff members questions if you are unsure of anything.

Our Responsibilities to you:
We will endeavour to always treat you at all times with courtesy, respect and sensitivity. Patients will be treated as individuals irrespective of their age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, and sexual orientation. We strive to maintain the highest standards of medical practice and all doctors and health professionals maintain strict standards via appraisal, audit and professional development.

Access:
You will have access to a doctor or nurse rapidly in the case of an emergency. The clinician will arrange a home visit as appropriate for those who are too ill to be brought to the surgery or permanently housebound. We will try to offer all patients access to a doctor or nurses within 2 weeks for general, routine medical problems although it will not always be possible to offer an appointment with the doctor or nurse of your choice or to meet these waiting times for non urgent matters. You will be referred for appropriate investigations, specialist opinion and care at a hospital and will be offered choice of hospital, when both you and the doctor or nurse treating you agree it is necessary and would be of benefit.

Telephone:
We will try to answer the telephone promptly and ensure that there are sufficient staff members available to do this. Should the call volume be very high we advise callers to use the call back service. All calls are placed in a queue before being answered by the next available member of staff. With your consent we will send SMS text messages or emails to your mobile number or email, including appointment confirmation and reminders, alerts and messages regarding your healthcare. Where appropriate there is a function to respond to those messages

Waiting time:
We run an appointment system at this Practice. You will be given a time at which the doctor or nurse hopes to be able to see you though sometimes factors occur which causes the appointment system to run late. You should not wait more than 30 minutes in the waiting room if this happens, please ask at the Reception Desk and we will endeavour to ascertain a reason and estimated time until you will be called.

Test results:
If you have undergone blood tests, x-rays or other tests organised by the Practice, we will follow up any abnormal results as soon as appropriate and inform patients of any need for additional investigation or treatment. You can access your own results via the NHS App.

Health promotion:
The Practice will offer patients information and advice on steps they can take to promote good health and avoid illness. Guidance will be given on lifestyle changes with referral to an appropriate practitioner when required. Advice on self-help that can be undertaken by the patient without reference to a will be offered where applicable.

Information:
We will give you full information about the services we offer and those offered locally that you can access yourself. Every effort will be made to ensure that you receive the information which directly affects your health and the care being offered. We will provide this in a range of ways, including via our website, social media, text messages, emails, notices and advertising boards within the surgery waiting areas.

Complaints and Suggestions:
We will provide a full and prompt reply to any complaints you might make about our service and, if appropriate, will change our ways of working to improve care or standards. In the rare event of the need to complain, patients will have prompt access to the Practice’s Complaints Procedure and all complaints will be handled in a professional manner by the Practice Manager who has responsibility for managing complaints.

Medical records:
Information contained in your health records is only disclosed to others for purposes related to your health care (except when you have given permission to share your record with other health related organisations.) Everyone working in the NHS has a legal duty to keep information about you confidential. If you have any concerns or objections about your records being inspected for any purpose, please notify us and your wishes will be respected.

How your medical records are used to help you:
Your records are important to help ensure that you receive the best possible care and are used in the following ways to support this process;

  • to ensure that the clinician has accurate and up to date information to assess your health and decide what care you need when you visit in the future
  • to ensure that full information is available should you see another doctor, change doctors, or be referred to a specialist or another part of the NHS system
  • to ensure that there is a good basis for looking back and checking on the type and quality of care you have received

Whilst always preserving your confidentiality, your records can also help to:

  • assist with the teaching and training of health care professionals such as medical students attached to the Practice and GPs in training and you can choose whether to be involved personally
  • assist with health research if you are invited to take part in a study trial and decide to take part

Keeping your records confidential:
Our doctors and staff, and everyone else working for the NHS, have a legal duty to maintain the highest level of confidentiality about patient information. In some instances, you may receive care from other people outside of the NHS. We may need to share some information about you with them, so that we can all work together for your benefit. Anyone who receives confidential information from us about your care is also under legal obligation to maintain confidence. Unless there are exceptional circumstances, for example, when the health or safety of others is at risk, we will not disclose your information to third parties without your permission. We will only give your relatives and carers information if you give your explicit consent, and this is documented on your medical record.

In certain circumstances we are required by law to report information to the appropriate authorities. This information is only provided after formal authority has been given by a qualified health professional. For example:

  • notification of new births
  • where we encounter infectious diseases which may endanger the safety of others (e.g., meningitis or measles, but not HIV/AIDS)
  • where a formal court order has been issued
  • child safeguarding concerns

However, our guiding principle is that we are holding your records in strict confidence.

How you can arrange to see your own records:
Everyone has the right to see the information that is kept in their medical records. If you want to see these, you should make a request in writing by completing a form available on our website or from Reception. We are normally obliged to let you see the information and to explain any part of the record which you do not understand. You are also entitled to receive a copy of the information you have seen and that there will be a charge applied for accessing your record and for any copies printed from them. Should your doctor decide that seeing your records might put your health at risk, you may only be shown part of them. You can request access to your full prospective medical record online via the NHS app (and NHS website) access is granted following receipt of your informed consent and if you have a suitable NHS login.

Your responsibilities to us:

  • Please remember, you are responsible for your own health and the health of any of your children. We will give you our professional help and advice and would expect you to act on it as given in good faith.
  • We ask that you treat all our Practice staff with courtesy and respect. Abusive, threatening or inappropriate behaviour of any kind will not be tolerated under any circumstances and may well result in removal from our list.
  • Please let us know if you change your name, address, telephone number or other relevant details.
  • Please do everything you can to keep appointments. Tell us as soon as possible if you cannot; give at least 24 hours’ notice if possible, cancelling online via the NHS App or via our dedicated appointment cancellation line.
  • If you are referred for a hospital outpatient appointment, we would expect you to keep it or if you cannot, to inform the hospital department direct as soon as possible – not the surgery. It is also very important to tell the hospital of any change of contact details if you are on a waiting list for an operation.
  • Test results take time to reach us, and you will be given guidance how long this may be by the clinician. All results can be accessed via the NHS App. Calls enquiring about results should be made after 2pm.
  • Patients treated for drug addiction may will be required to sign a Contract Agreement.

Summary Care Record

Why do I need a Summary Care Record?

All patients registered with a GP have a Summary Care Record, unless they have chosen not to have one. The information held in your Summary Care Record gives health and care professionals, away from your usual GP practice, access to information to provide you with safer care, reduce the risk of prescribing errors and improve your patient experience.

Your Summary Care Record contains basic information about allergies and medications and any reactions that you have had to medication in the past.

Some patients, including many with long term health conditions, have previously agreed to have Additional Information shared as part of their Summary Care Record. This includes information about significant medical history (past and present), reasons for medications, care plan information and immunisations.

During the coronavirus pandemic period, your Summary Care Record will automatically have Additional Information included from your GP record unless you have previously told the NHS that you did not want this information to be shared.

There will also be a temporary change to include COVID-19 specific codes in relation to suspected, confirmed, Shielded Patient List and other COVID-19 related information within the Additional Information.

By including this Additional Information in your SCR, health and care staff can give you better care if you need health care away from your usual GP practice:

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

Who can see it?

Only healthcare staff involved in your care can see your Summary Care Record.

Do I have to have one?

No, it is not compulsory. If you choose to opt out of the scheme, then you will need to complete a form and bring it along to the surgery or email it to us. You can use the form below

SCR Opt out

For further information visit the NHS Digital website