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Serious Mental Illness (SMI) Register

Aiming to Improve physical healthcare for people living with severe mental illness (SMI) by ensuring that by 2020/21, 280,000 people living with severe mental illness (SMI) have their physical health needs met by increasing early detection and expanding access to evidence-based physical care assessment and intervention each year.

Your practice is involved by sharing information with mental health services in the community about patients with SMI. A register is maintained that allows your practice and the mental health teams to monitor the health checks provided to patients with SMI.

NHS health check recall programme

The NHS Health Check is a prevention programme which aims to reduce the chance of a heart attack, stroke or developing some forms of dementia in people aged 40-74. It achieves this by assessing the top seven risk factors for certain diseases in England, and by providing individuals with behavioural support and, where appropriate, medication.

Your practice will share patient information with Anglian Community Enterprise CIC (ACE) so that ACE can invite patients that meet the criteria to attend a Health Check Appointment. ACE staff are bound by confidentiality in the same way that practice staff are and there is an Information Sharing Agreement in place to ensure that personal data is used in a lawful and appropriate way.

Integrated OOH urgent care services

As part of the introduction of an Integrated Urgent Care Service, Suffolk GP Federation (SGPF) have partnered with Care UK. Together they will provide a service that allows patients to access urgent care outside of GP practice hours.

Patients can call the 111 service, have a telephone appointment or organise a home visit or an appointment at a clinic in the community.

Suffolk GP Federation or Care UK will have access to all or part of the patient GP record to allow them to provide urgent care. A summary of the appointment will be provided to your GP practice after the appointment.

Suffolk GP Federation and Care UK staff are bound by confidentiality in the same way that practice staff are and there is an Information Sharing Agreement in place to ensure that personal data is used in a lawful and appropriate way.

Diabetic eye screening

Diabetic eye screening is a key part of diabetes care. People with diabetes are at risk of damage from diabetic retinopathy, a condition that can lead to sight loss if it’s not treated. The practice regularly identifies patients within their clinical system that are eligible for eye screening and sends their details to a partner called Health Intelligence who will invite them to be screened by the eye screening service. Health Intelligence staff are committed to confidentiality and there is an Information Sharing Agreement in place to ensure that personal data is used in a lawful and appropriate way.

Summary care record consent project

As a patient, you currently have a Summary Care Record (SCR) containing key information about the medicines you are taking, allergies you suffer from and any reactions to medicines you have had in the past. Should an illness or injury occur this information is used, with your consent, to assist healthcare staff such as hospital doctors, district nurses or pharmacy staff that may be unfamiliar with your medical history to make better and safer decisions about how best to treat you. Patients have been given the option to include “additional information” into the Summary Care Record, this will add information relating to illnesses and any health problems, vaccinations, operations, and how patients would like to be treated.

Child health immunisations – Provide

Provide deliver the Child Health Information Service (CHIS) across Essex and East Anglia, one of the key responsibilities is producing immunisation reminders and appointments on behalf of GP Practices. The practice allows Provide to extract immunisation history from their clinical systems for each child under the age of six years of age registered with the Practice. Provide will then invite the patient to attend immunisation appointments. Provide staff are bound by confidentiality in the same way that practice staff are and there is a Data Processing Contract in place to ensure that personal data is used in a lawful and appropriate way.

GP Connect (IC24)

The GP Connect programme uses technology to allow different clinical systems to communicate so that health and social care staff in different teams and locations can;

  • View a patient’s GP practice record
  • Manage GP appointments
  • Import or download data on a patient’s medicines and allergies

This will save time for clinicians, and provide better, more convenient care for patients and allows more information for appointments made outside of usual hours.

Extended hours

As a practice, we have worked hard to make extended hours a reality for our patients. We work with other GP practices and NHS organisations to provide these services when our practice is closed. The name of our provider can be found on our main practice privacy notice under “GP Support Organisation”.

These providers will be able to access your health record during these consultations so that they can deliver safe and effective care.

The organisations providing extended hours appointments are bound by confidentiality in the same way that practice staff are and there is a Data Sharing Agreement in place to ensure that personal data is used in a lawful and appropriate way.

Norwich CCG, West Norfolk CCG, North Norfolk CCG Medicines Management

The Medicines Management Teams within Norfolk CCG support the GP practices in those areas to use medicines in the best way and to ensure good treatment choices are made; they provide information and guidance on prescribing to ensure that our patients receive medicines that are safe, evidence-based, and cost-effective.

This means that the GP practice will allow them to have access to clinical systems and patient personal data so that they can see what medications are being prescribed for our patients and produce reports so that the practice can prescribe medications safely and effectively.

Medicines Management staff are bound by confidentiality in the same way that practice staff are and there is a Data Processing Contract in place to ensure that personal data is used in a lawful and appropriate way.

Enhanced care in care homes

The enhanced health in care homes hopes to improve the care of residents of care homes by coordinating with other services such as the GP practice and social care teams. Your practice is involved with this service. Here is some information about how your information is used.

Your GP uses technology to highlight the records of patients who live in the care home and who might benefit from a visit from their GP.

Your GP will ask a doctor from North Norfolk Primary Care to visit you / your loved one on their behalf.

Whilst the doctors or nurses from North Norfolk Primary Care are onsite visiting other residents, they may also find out that you / your loved one needs some support and will arrange this for you / your loved one.

In order to provide you with safe and effective care, we will usually need to share information with each other – like the care plan that is created by your care home and the health record that is held by your GP.

The North Norfolk Primary Care doctors and nurses will only visit with patients that have agreed to meet with us when we need to access their health or care information – we will let you / your loved one know.

We are permitted to share information in this way by data protection law but we will give you / your loved one an opportunity to object.

Once we have visited with you / your loved one, we will share information about the visit with the care home and your / your loved one’s GP and it will form part of your health record and kept in line with NHS guidelines.

You / your loved one have / has a number of rights when it comes to information.

Please ask your / your loved one’s GP if you / your loved one want(s) to have a copy or change information or to make a complaint.

Our data protection officers would be happy to answer any questions you have.

More information about information sharing for the project and about how we keep your information secure – please visit the NNPC website.

North Norfolk Primary Care staff are bound by confidentiality in the same way that practice staff are and there is a Data Processing Contract in place to ensure that personal data is used in a lawful and appropriate way.

Social prescribing (Norfolk)

Social prescribing enables GPs, nurses and other primary care professionals to refer
people to a range of local, non-clinical services.

Social prescribing enables patients to find non-clinical solutions to improve their own health and wellbeing by supporting them to connect with their local community. This can include advice and information on local services and connecting individuals to social activities, clubs, groups, and like-minded individuals in their community. The practice will do this by employing someone to act as a ‘link’ between the practice, the patient and non-clinical services within the community.

Current providers in the Norfolk and Waveney area include:

Depending on where they are in the county, the GP practice will refer patients to one of these providers and will send basic information such as name, NHS No, address, date of birth and background to their health and wellbeing needs.

The providers are bound by confidentiality in the same way that practice staff are and there is a Data Sharing Agreement in place to ensure that personal data is used in a lawful and appropriate way.

North Norfolk Risk Stratification (Gemima)

Risk stratification is a process that is used across the NHS. The process uses technology to search the records in clinical systems and find information that tells your GP practice who might need extra care or support.

This might be because they have complicated health conditions or because they are at risk of developing conditions.

The information from your GP record will be combined with other information about when you hae been to hospital or used other community services and will be used by the local NHS Clinical Commissioning Group (CCG) to plan and buy healthcare services for the local area.

The CCG will not have access to any information that identifies individual patients and instead, will use a code so they will not be able to see particular patients directly.

More Information about Risk Stratification.

DIAL

To improve the quality of life for people in the Borough of Great Yarmouth and surrounding areas through the provision of financial and personal advice and guidance with expertise in disability matters.

Website: www.dial-greatyarmouth.org.uk/

Mind

The mental health charity that believes no one should have to face a mental health problem alone.

They work to reduce the stigma associated with mental health, support people in their recovery and champion better services for all.

They believe that with the right support and resources everybody can create a life that feels meaningful irrespective of the presence of symptoms.

To do this they share their own stories, insights and expertise.

Website: www.norfolkandwaveneymind.org.uk/

Herring House Trust

Herring House Trust is a registered charitable Housing Association working for single homeless people in the Borough of Great Yarmouth.

Website: www.herringhousetrust.org.uk/

Pure Physiotherapy

Pure Physiotherapy offers the highest quality assessment, diagnosis and treatment of musculoskeletal conditions.

Website: www.purephysiotherapy.co.uk/