Medical Interoperability Gateway (MIG)

The Medical Interoperability Gateway is a system which allows us to share the clinical information held on our computer systems with other healthcare professionals who may be treating you. Your information would only be shared with appropriate professional services that have undergone strict security assessments (e.g. ambulance and out-of-hours services, community health, social care) and are working with you to provide support. The MIG helps to ensure that your information is available when it is needed most.

Health and Social Care Professionals will always ask for your consent to view certain information when treating and supporting you, this means that you are always presented with an option to agree or disagree.

In certain circumstances a patient’s information may be viewed without their direct consent, but only if there is a “Duty of care” – for example, if there are safeguarding concerns about someone’s welfare, during a medical emergency, or if the patient is unable to respond at the time of treatment. Only authorised health and social care staff involved in your care would be able to access your information, and they can only access the specific information required to do their job.

All information shared via SCR or MIG is transferred in an encrypted format over highly secure NHS networks. Your information can only be access by Healthcare Professionals with “chip and pin” smartcard access, and the relevant access rights. Your information will never be transferred outside of the NHS without your direct consent.


Sharing Your Data

Chesterfield Medical Partnership will never disclose or share your personal information to anyone outside the practice except under the following circumstances:

  • You have provided us with written consent for your information to be shared with a specific third party (eg. with a relative or carer)
  • You have provided us with explicit consent for your information to be shared with another healthcare professional who is providing you with treatment / care.
  • When you are unable to provided us with explicit consent (eg. due to injury or illness), but failure to disclose your information to another healthcare professional could potentially harm your health or well-being
  • We are required by law, or have received a court order to release the information to assist in the investigation of a crime, or in the greater public interest

Summary Care Records (SCR)

The Summary Care Record is an electronic record of significant medical information which is created from your medical records. Your SCR can be accessed by other healthcare professionals when they are providing you with care (eg. if you are taken into hospital) and may provide them with important information to assist with your treatment.

There are 2 forms of SCR:

Standard SCR: Contains basic important information such as the medicines you are taking, allergies you may suffer from and any bad reactions you may have had medication in the past.

or

Enhanced SCR: If you choose to the practice can add other important information to your SCR.

This could include information such as your significant medical history, vaccination history, communication preferences, or end of life care information.

Specific sensitive information like fertility treatments, sexually transmitted infections, pregnancy terminations and gender reassignment therapy etc. are automatically excluded. If you would like this information to be included in your SCR you will need to provide further specific consent.

An SCR is entirely optional. You can choose to have just the standard SCR, the enhanced SCR or opt out completely. You are free to change your mind and opt in or out of SCR at any time.

Please contact the practice if you would like to discuss opting in or out of the SCR.

More information regarding the SCR can be found on the NHS Digital website


Children’s Blood Tests

If your child requires a blood test you will need to book a double appointment (14 min) with the Phlebotomist.

To prepare your child for their appointment, you should apply a topical anaesthetic cream called EMLA to the inside both arms 30min before their appointment.

You can request a prescription for EMLA cream for your child at any of our sites without a consultation with a doctor.

Please note, all prescription requests will take 2 working days to process.

If needed urgently, you may be able to purchase EMLA cream over the counter – please discuss this with your pharmacist.


Preparing for a Blood Test

Please drink at least a pint of water before attending the Surgery for a blood test as dehydration can make it difficult to take your blood. Drinking plenty of water will help the Phlebotomist obtain the blood samples required.

Phlebotomy appointment are very short, so in the colder months it would help the Phlebotomist if you remove any outer layers of clothing which cover your arms ready before your appointment.


Protecting Your Data

Everyone working in the NHS has a legal duty to keep information about you confidential and secure. All staff at Chesterfield Medical Partnership have signed a Confidentiality Agreement which confirms their commitment to ensuring the security and safe handling of all your personal information.

Data Protection Act (2018) & GDPR

The Practice fully complies with both the Data Protection Act [2018], the EU General Data Protection Regulations [2018] (GDPR) . These pieces of legislation outline the responsibilities of all organisations which hold individual’s personal data and the measures they must have in place to protect against unauthorised access to, or loss of this data.

More information regarding how the NHS protects your personal data can be found on the NHS Digital website.


What is a…?

General Practitioner (GP)

A GP is a fully qualified and experienced doctor who has undertaken specialist training to practice as a GP. GPs are trained to treat patients of any age and sex, and are experts in diagnosing, treating and managing a wide range of common illnesses and health problems. If a GP feels that a patient’s problem requires more specialist advice, they may refer them to hospital to see a specialist doctor or consultant.

While some of our GPs may have a particular interest in a certain area of medicine, you may see any of our doctors regarding any health complaint. Even if you regularly see a particular doctor all our GPs are able to instantly access your full medical history, and are fully equipped to discuss and treat both new and on-going illnesses. The practice holds regular clinical meetings which give our clinicians the opportunity to discuss and review individual patient’s care.


Locum GP

A locum GP is a fully qualified GP who is standing in temporarily for one of the GPs employed by the practice (usually due to annual leave or illness). Locum GPs can access your full medical history and have the same level of expertise and experience as our regular GPs. You can expect to receive the same quality of service from a Locum as you would from any GP employed by the practice.


GP Registrar

A GP Registrar is a qualified doctor who is currently training to become a GP through a period of working and training in a practice. GP Registrars are highly experienced doctors; they will usually have spent at least two years working in a hospital, and the GP registrar year is the final year of the 5-year GP training programme. All GP registrars are closely supervised by a senior GP or trainer, however if you have any concerns please speak to a member of staff.


Paramedic Practitioner

The Paramedic Practitioner is an exciting new role in primary care, and one which Chesterfield Medical Partnership is proud to be spearheading. Our Paramedic Practitioner comes to us with a wealth of emergency and acute care experience, and has undergone specialist training to treat a wide range of common health concerns.


Consulting Pharmacist

A Consulting Pharmacist performs medication reviews and provides patients with advice regarding the safety and continued efficacy of their medications. The Consulting Pharmacist will usually see patients with long term conditions to confirm they are receiving the best form of treatment for their condition and ensure that their medication continues to work effectively.


Advanced Nurse Practitioner

Many problems which traditionally required the attention of a GP can now been dealt with by one of our highly trained specialist nurse practitioners. Advanced Nurse Practitioners are experienced nurses, who have undergone additional specialist training. They are qualified to diagnose illnesses, make decisions regarding treatment, and issue prescriptions. Advanced Nurse Practitioners will usually help patients with new or acute illness, they will not routinely see patients to review or manage ongoing or long term problems.


Practice Nurse

Practice nurses are qualified and registered nurses. They can help with health issues such as annual reviews, cervical smears, family planning, healthy living advice, travel advice and vaccinations. Practice nurses will hold clinics for long term health conditions such as asthma or diabetes. Some nurses can prescribe medication and are called independent or supplementary practitioners.

Because all our Nurses have different skill sets, it is important that you are clear regarding why you need to see a nurse when booking your appointment


Community Nurse

Community Nurses are qualified nurses who have undergone further training which equips them to provide specialist care in the community. Community Nurses may care for people with long term health conditions which prevent them from leaving their home, or provide assistance to help patients to become independent as soon as possible after illness or surgery. Hospital staff may arrange for your referral to the team after discharge from a ward or outpatient clinic.

The Community Nursing team can be contacted Monday to Friday (9.00am – 4.30pm) on 01332 564 900


Healthcare Assistant

Healthcare Assistants provide support to our GPs and nurses by carrying out specific procedures and giving advice. Our healthcare assistants are trained to carry out a wide variety of procedures such as;

• Administering certain injections and vaccines
• Carrying out health checks
• Giving advice on a healthy lifestyle
• Measuring blood pressure
• Performing ECGs
• Performing spirometry tests
• Taking blood
• Testing urine


Opening Hours

Ashgate Medical Practice

Monday 8:00am – 18:30pm
Tuesday 8:00am – 20:30pm
Wednesday 8:00am – 18:30pm
Thursday 7:00am – 18:30pm
Friday 8:00am – 18:30pm

Holme Hall Surgery

Closed for lunch 12:30-1:30pm

Monday 8:00am – 17:30pm
Tuesday 8:00am – 17:30pm
Wednesday 8:00am – 12:30pm
Thursday 8:00am – 17:30pm
Friday 8:00am – 12:30pm

Whittington Medical Centre

Closed for lunch 12:30-1:30pm

Monday 8:00am – 17:30pm
Tuesday 8:00am – 17:30pm
Wednesday 8:00am – 12:30pm
Thursday 8:00am – 17:30pm
Friday 1:30pm – 17:30pm

Book Online With SystmOnline

You can book appointments, order your repeat prescriptions, and view your medical record online safely and securely with SystmOnline.

For more information regarding SystmOnline, or to register for Online Services, please call in to the surgery. Or download an Online Access Request Form here.

“Why Do You Need to Know That?!”

When booking an appointment, or accessing our services a receptionist may ask you to briefly describe your medical needs or ask for further details regarding the reason you are making an appointment.

If you feel you are unable to discuss your current problem you do not have to, but please respect that our receptionists are not being nosey; the practice employs a wide variety of clinical staff and any information you give the receptionist can help ensure you are seen as quickly as possible, by the most appropriate clinician.

Under no circumstances will a non-clinical member of staff make any decisions regarding your medical care.

Our receptionists will always handle your information in the strictest confidence.


Telephone Consultations

If you wish to talk to a clinician regarding your ongoing treatment or you have any have queries or questions regarding your medication or test results, a the receptionist can book you a Routine Telephone Consultation with an appropriate clinician.  Please be aware that we may not be able to nominate an exact time for your Telephone Consultation and calls will come from an unknown number.

If you need to speak to a clinician due to an urgent medical problem, a receptionist can arrange for a same-day call with the on-call GP.

If you need to speak to a clinician when the practice is closed, please call 111 and arrange to speak to an out-of-hours clinician.


Text Alerts

Please inform us of your mobile number to receive appointment confirmations and reminders, and text alerts regarding upcoming specialist clinics or changes to our services.


Our Receptionists

When making an appointment the receptionist may ask for further details regarding the nature of your current medical needs. This is to ensure you are booked with the correct Clinician. You have the right to refuse to answer, but this may mean you do not receive the most appropriate type of appointment.

When making an appointment in person, you are always welcome to ask to speak to a staff member in private.

We have the highest regard for our staff and ask that they be treated with due consideration and respect at all times.


SystmOnline

You can book appointments, order your repeat prescriptions, and view your medical record online safely and securely with SystmOnline.

For more information about the SystmOnline, or to register for the service please call in to the surgery.


 

Information for Carers

A carer is anyone, including children and adults, who looks after a family member, partner or friend who needs help because of their illness, frailty, disability, a mental health problem or an addiction and cannot cope without their support.

If you are a carer please inform the practice as we may be able to help you find additional help and support.
All carers registered with the practice are eligible to receive the annual flu jab to help ensure they stay well through the winter months.

The links below provide more information regarding help and support for carers:


Feedback Book at all our Sites

All of our sites have a feedback book available in reception should you wish to make any comments.

These books are regularly reviewed and comments are shared with the Patient Participation Group and staff as necessary. Any relevant actions are taken where possible. If you do not wish for others to see your comments please either put them in writing and give them to reception or speak to the receptionist.

Please remember, positive comments are always welcome and negative comments are used for training and learning purposes where appropriate.


GP Earnings for CMP

Publication of GP Earnings for Chesterfield Medical Partnership:

All GP practices are required to declare the average (mean) earnings for GPs working to deliver NHS services.

In the last fiscal year GPs working at Chesterfield Medical Partnership earned on average £55,480 before tax and national insurance. This relates to 7 full time GPs and 5 part time GPs who worked in the practice for more than six months.

Data Extraction

NHS bodies such NHS England, NHS Digital or the local CCG routinely extract anonymous and statistical data from our patient records. This type of data extraction is essential for the provision of NHS services and data may be extracted for a variety of reasons including contract payments, safety monitoring, medical research and the service planning.

The data extracted is completely anonymous and could not be used to identify an individual patient in any way.

Fit Note Data

The Health and Social Care Information Centre (HSCIC) extract anonymous data regarding the issuing of fit notes from our clinical system.

The data collected is fully anonymised and includes:

  • The number of computer generated fit notes issued
  • The number of patients recorded as “unfit” or “maybe unfit” for work
  • Fit note duration
  • Gender
  • Health condition type
  • Location including CCG area
  • Whether workplace adaptations were recommended

More information regarding the extraction of Fit Note data can be found on the HSCIC website.

Closures for Staff Training

QUEST Staff Training Dates

The practice will be closed for an essential staff training afternoon on the 2nd Wednesday of each month.

Holme Hall and Whittington Medical Centre will close from 12:30pm, and Ashgate Medical Practice will close from 1:00pm on the following Wednesdays:

2019

  • July 10th
  • August 14th
  • September 11th
  • October 9th
  • November 13th
  • December 11th

Please call 111 if you require medical advice or care when the practice is closed.

‘Fit Note’ – Statement of Fitness for Work

With your employer’s support, the note will help you return to work sooner by providing more information about the effects of your illness or injury. GP’s do not issue fit notes for the first seven days of absence caused by illness or injury and they do not issue return to work notes even if your employer asks you to get these.

Please note that an appointment for a fit note is not classed as urgent and you may have a routine wait to see a Doctor, however the fit note can be backdated.

Non NHS Fees and Charges

Please download our current Scale of Fees for Non NHS Work


Certain medical examination and report work may be done by any doctor (not only a patient’s own or registered GP).
There are no set or recommended fees for this work, therefore doctors may set their own fees.

Non NHS services include:

  • HGV, PSV and taxi medicals
  • Insurance company reports and medicals
  • Private certificates
  • Holiday cancellation
  • Medical insurance reports/forms
  • Pre-employment medicals
  • Vaccination certificates, etc
  • First consultation following a road traffic accident

This above list is not exhaustive.

Please contact the practice or enquire at reception if you are unsure of the cost of any private work.


Test Results

To obtain the results of any recent tests, please telephone the surgery after 2:00pm.

The Receptionist is able to give results only to the patient or carer and not any other friend or relative.

Foreign Travel

Our practice nurses will be pleased to offer immunisation along with other health and safety advice relating to foreign travel. This is done by appointment.

Some immunisations need to be started up to 12 weeks before your departure date so please plan ahead.

PALS

Patient And Liaison Service (PALS)

is committed to helping make people’s experience of using the NHS, as smooth as possible. As a patient, carer, relative or friend, you may need to turn to someone for support, advice or information.

North Derbyshire CCG

GPs in North Derbyshire have been working together to build the strong foundations required to take on new commissioning responsibilities as part of the NHS reforms and with patients being at the heart of decision making with ‘no decision about me without me’.
Their address is as follows:

North Derbyshire CCG
Scarsdale
Nightingale Close
Newbold Road
Chesterfield
S41 7PF

Telephone: 01246 231 255

Website: www.northderbyshireccg.nhs.uk