All organisations that provide NHS or adult social care must following the Accessible Information Standards (AIS) in full from 31st July 2016.
The AIS aims to make sure that disabled people have access to information that they can understand and any communication support they might need.

The standards tells organisations how to make information accessible to the following people:

• Patients
• Service users
• Their carers and parents

This includes making sure that people get information in different formats if they need it, such as:

• Large print
• Braille
• Easy read
• Via email

The AIS also tells organisations how to support people’s communication needs. As part of the AIS organisations must:

• Ask people if they have information or communication needs and find out how to meet their needs
• Record those needs in a set way
• Highlight a person’s file so it is clear that they have information or communication needs, and clearly explain how those needs should be met
• Share information about a person’s needs with other NHS and adult social care providers, when they have permission or consent to do so
• Make sure that people get information in an accessible way and communication support if they need it

We will always do our best to try and provide this information as soon as possible but in some cases this may not be an instant service and further enquiries may need to be made.

Additional information can be found by following the links below:

Accessible Information Patient Leaflet
Access Information Guidance – NHS England

A Caldicott Guardian is a senior person responsible for protecting the confidentiality of people’s health and care information and making sure it is used properly. All NHS organisations and local authorities who provide social care must have one.

They are guided by the Caldicott Principles which originated from the 1997 department of health review of Patient Identifiable Information and its use which was led by Dame Fiona Caldicott. These were updated in a further Information Governance review in 2013.

The Caldicott guardian at Nunwell Surgery is Dr Louise Mottram.  If you need to contact her please use [email protected] and put FAO Caldicott Guardian in the subject line.

GP Collective Action

Nunwell Surgery has decided to be a part of the Collective Action to support the British Medical Association in negotiating a fair uplift to our contract for services we provide.  This is NOT industrial action as GPs can neither legally take part in industrial action nor would we wish to.

Over the past decade 1000 GP surgeries have been forced to close resulting in 10,000 fewer GPs nationally.

As a surgery we are contracted to deliver NHS services – a contract that is offered but has little room for negotiation and is largely imposed upon us.  The funding that is provided falls short of what is required to be able to maintain a safe level of staffing and to be able to provide all the services we wish to.

We support the British Medical Association in their efforts to negotiate a fair contract for all General Practices.  As part of this Collective Action the British Medical Association has advised that when a deemed safe number of GP appointments has been reached patients should be directed to alternative providers.  The idea is that this focuses the minds of the government who then recognise that in order to be able to provide high quality care a fair contract needs to be offered.

As a result of this during Collective Action you may find that you are advised to seek alternatives to seeing your GP.  This will not apply to children under 5 or patients who are at the end stages of their lives.  We recognise this is far from ideal but we feel by supporting this action it gives us the best opportunity to safeguard the future of Nunwell Surgery and to ensure the services we offer is fit for purpose for this community.

If you would like further information on how you could support us please visit.

https://www.bma.org.uk/our-campaigns/gp-campaigns/patients/gps-are-on-your-side

We make every effort to give the best service possible to everyone who attends our practice.

However, we are aware that things can go wrong resulting in a patient feeling that they have a genuine cause for complaint. If this is so, we would wish for the matter to be settled as quickly, and as amicably, as possible.

Simply contact the Practice Manager who will set all the necessary wheels in motion. Further written information is available on the complaints procedure from reception or you can download a copy here.

We are continually striving to improve our service. Any helpful suggestions would be much appreciated and a suggestion box is located in the waiting area.

The practice complies with Data Protection and Access to Medical Records legislation. Identifiable information about you will be shared with others in the following circumstances:

To provide further medical treatment for you e.g. from district nurses and hospital services.

To help you get other services e.g. from the social work department. This requires your consent.

When we have a duty to others e.g. in child protection cases anonymised patient information will also be used at local and national level to help the Health Board and Government plan services e.g. for diabetic care.

If you do not wish anonymous information about you to be used in such a way, please let us know.

Reception and administration staff require access to your medical records in order to do their jobs. These members of staff are bound by the same rules of confidentiality as the medical staff.

New Shared Care Record delivering better, safer care for all our patients

We wanted to let you know that we have finally connected our systems to offer joined-up health and care records, which will enable better, safer care and treatment for all our patients.

As a GP, it is difficult to provide joined-up care with so many separate systems for handling patient information. These were not connected, meaning that you often had to repeat your story each time you received care at a different organisation, or with a different health professional. The Shared Care Record means up-to-date records will be immediately available to professionals caring for you as a patient, when you need direct care.

It will mean, for instance, a doctor in a hospital, or a paramedic who attends a 999 call will be able to confidentially access the same crucial information that we can at the Practice, such as details of any allergies and current medications, bringing potentially life-saving benefits.

Robust security measures are in place to protect your health information and all staff must follow the law on keeping your information confidential.

The Shared Care Record is not the same as the General Practice Data for Planning and Research Directions (GPDPR), which is a national NHS Digital initiative to use GP practice data for research and planning purposes.

The Shared Care Record is a local initiative to share information with organisations directly involved in your care to ensure that you receive prompt and appropriate treatment when you need it.

For more information, you can:

• go online to Herefordshire and Worcestershire ccg – Shared Care Record
• Call 0345 6461163
• Email [email protected]

Please do not contact the Surgery – we are unable to process these opt-out requests.

Shared Care Record Patient Leaflet.pdf

H&W Shared Care Record – Privacy Notice

General Data Protection Regulations

26th May, 2018

The General Data Protection Regulation (GDPR) is a new data privacy law that was introduced in the UK on 25th May 2018 requiring all public organisations to identify changes that need to be made to achieve GDPR compliance in their personal data processing activities. The regulation will put you in control of your personal data, allowing you to choose how (and whether) Practices can use your data. The new regulation will still apply to organisations once the UK leaves the EU in 2019.

As a result, we’ve published a new privacy policy to make it easier for you to find out how the NHS uses and protects your information. This is summarised in leaflets for adults and younger people below:

GDPR Privacy Notice v3.1 September 2023
GDPR Privacy Notice – Children v2 April 2022

Having read the information above you may decide that you would like to restrict some of the information we hold on your medical record from being shared. There are several options that we can add locally and these are detailed on the Data sharing opt-out form below. Should you wish to complete the National Opt-out there is also an information leaflet below.

Where a patient has previously opted-out from sharing their medical record this has been coded on your record and will remain, preventing this information being shared as per your wishes. The National Opt-out Team will write to you if this needs to be updated. If you chose to prevent any information leaving the practice, you have until 2020 to confirm this to the National Opt-out team – details of how to do this are on the leaflet below.

National Opt-out leaflet

More info and to opt out online

https://www.nhs.uk/your-nhs-data-matters/

All GP practices are required to declare the mean earnings (eg average pay) for GPs working to deliver NHS services to patients at each practice.

2015 – The average pay for GPs working in Nunwell Surgery in the last financial year was £57 000 before tax and National Insurance. This is for 4 full time GPs and 7 part time GPs who worked in the practice for more than six months.

2016 –  The average pay for GPs working in Nunwell Surgery in the last financial year was £45,489 before Tax and National Insurance. This is for 1 full time GPs and 11 part time GPs.

2017 – The average pay for GPs working in Nunwell Surgery in the last financial year was £40, 729 before Tax and National Insurance. This is for 1 full time GP, 10 part time GPs and one locum GP.

2018 – The average pay for GPs working in Nunwell Surgery in the last financial year was £45,878 before Tax and National Insurance. This is for no full time GPs, 11 part time GPs and no locum GPs who worked in the practice for more than six months.

2019 – The average pay for GPs working in Nunwell Surgery in the last financial year was £49,152 before tax and National Insurance. This is for no full time GPs, 10 part time GPs, and no locum GPs who worked in the practice for more than six months.

2020 – The average pay for GPs working in Nunwell Surgery in the last financial year was £61,278 before tax and National Insurance. This is for no full time GPs, 10 part time GPs, and no locum GPs who worked in the practice for more than six months.

2021 – The average pay for GPs working in Nunwell Surgery in the last financial year was £57,312 before tax and National Insurance. This is for one full time GP, 9 part time GPs, and no locum GPs who worked in the practice for more than six months.

2022 – The average pay for GPs working in Nunwell Surgery in the last financial year was £59,492 before tax and National Insurance. This is for no full time GPs, 10 part time GPs, and no locum GPs who worked in the practice for more than six months.

2023 – The average pay for GPs working in Nunwell Surgery in the last financial year was £64,137 before tax and National Insurance. This is for no full time GPs, 8 part time GPs, and 1 locum GP who worked in the practice for more than six months.

The area served by Nunwell Surgery is in the district covered by NHS Herefordshire and Worcestershire ICB, which is responsible for ensuring you receive all the services you need. For details of all primary care services in the area, go to their website at https://herefordshireandworcestershire.icb.nhs.uk/ or get the information you need at www.nhs.uk

Their contact details are as follows:

NHS Herefordshire and Worcestershire,
Kirkham House,
John Comyn Drive,
Perdiswell,
Worcester,
WR3 7NS

Telephone

0330 053 4356

Website

herefordshireandworcestershire.icb.nhs.uk

Email

• Media enquiries—[email protected]
• Freedom of Information request—[email protected]
• Complaints—[email protected]

At Nunwell Surgery, our ethos revolves around person-centered care and holistic wellbeing. We believe in fostering genuine partnerships with our patients, valuing their unique needs and preferences at every step. This commitment extends to our staff, ensuring their wellbeing and professional fulfilment. We aim to operate with pride, transparency, and a pursuit of excellence, utilising the latest advancements to deliver exceptional care. The health and wellbeing of our patients is our top priority and we aim to achieve this together in partnership with our community.

You will be treated with respect and as a partner in your care. We will:

• Ensure our patients have 24-hour access to medical advice.
• Aim for you to have access to a suitably qualified medical professional within 48 hours of your Initial contact during surgery hours, or in an urgent case, the same day.
• Work in partnership with you to achieve the best medical care possible.
• Involve you and listen to your opinions and views in all aspects of your medical care.

The prevention of disease, illness and injury is a primary concern. The medical staff will advise and inform you of the steps you can take to promote good health and a healthy lifestyle.

We respectfully ask that you:

• Let us know if you intend to cancel an appointment or are running late.
• Treat staff with courtesy and respect. Reception staff may have to ask some personal questions to help us provide you with the best service.
• Inform the practice staff of any alterations in your circumstances, such as change of surname, address or telephone number. Please ensure that we have your correct telephone number, even if it’s ex-directory.

As patients, you are responsible for your own health and that of any dependents. It is important that you follow information and advice given to you by health professionals and co-operate with the practice in endeavouring to keep you healthy.

There is a new Central NHS Computer System called the Summary Care Record (SCR). It is an electronic record which contains information about the medicines you take, allergies you suffer from and any bad reactions to medicines you have had.

Why do I need a Summary Care Record?

Storing information in one place makes it easier for healthcare staff to treat you in an emergency, or when your GP practice is closed.

This information could make a difference to how a doctor decides to care for you, for example which medicines they choose to prescribe for you.

Who can see it?

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

How do I know if I have one?

Over half of the population of England now have a Summary Care Record. You can find out whether Summary Care Records have come to your area by looking at our interactive map or by asking your GP

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. You can use the form at the foot of this page.

More Information

For further information visit the NHS Care records website

Download the opt out form >>>>

The practice considers aggressive behaviour to be any personal, abusive and/or aggressive comments, cursing and/or swearing, physical contact and/or aggressive gestures.

The practice will request the removal of any patient from the practice list who is aggressive or abusive towards a doctor, member of staff, other patient, or who damages property.

All instances of actual physical abuse on any doctor or member of staff, by a patient or their relatives will be reported to the police as an assault.