Practice Policies

A chaperone is an impartial observer who is present during a physical examination of a patient. A chaperone is there to:

• Reassure the patient if they experience distress
• Protect the patient’s dignity and confidentiality at all times
• Offer emotional support at an embarrassing or uncomfortable time
• Facilitate communication, especially if there is a language barrier.

We have a number of trained chaperones. If you wish to have a chaperone present during your consultation, please let the reception team know when you book your appointment or upon your arrival. You can also speak to the doctor or nurse at the start of your consultation.

If you request a chaperone and a suitably qualified person is not available at the time and if clinically advisable, we will reschedule your appointment with the least possible delay.

At times, a clinician at the surgery may offer you a chaperone, but you have the right to decline.

Eastgate Surgery is committed to providing you with the best possible service. Our patients will be treated with courtesy, respect and dignity at all times.

Guidelines

• The clinician should always provide patient with a clear explanation of what the examination will involve.
• The clinician must always adopt a professional and considerate manner. Humour as a way of relaxing a nervous situation should be used with caution as it can be misinterpreted.
• Ensure that the patient is provided with adequate space and privacy to undress and dress.
• Ensure that a suitable sign is clearly on display in each consulting or treatment room offering the chaperone service.

By following the above guidelines, the potential for misunderstanding is minimised. However, there will still be occasions when either the clinician, or the patient, feels uncomfortable and it would be appropriate to consider using a trained chaperone. If a patient requests a chaperone, their preference must be respected and they should not be examined without a chaperone being present. If an occasion arises where a trained chaperone is not available, the consultation/examination should be rearranged for a mutually convenient time when a chaperone can be present.

Who can act as a Chaperone?

A variation of people can act as a chaperone at Eastgate Surgery, but staff undertaking a formal chaperone role must have been trained in the competencies required. Where possible, it is strongly recommended that chaperones should be clinical staff that are familiar with procedural aspects of personal examination. Where suitable clinical staff members are not available, the examination should be deferred. Where the practice determines that non-clinical staff will act in this capacity, the patient must agree to the presence of a non-clinician in the examination and be comfortable with this. The staff member must be trained in the procedural aspects of personal examinations, be comfortable in acting in the role of chaperone and be confident in the scope and extent of their role. They will have received instruction on where to stand and what to watch and instructions documenting this will be made available by the practice. All staff who are Chaperone trained will have also undergone a thorough DBS check.

Confidentiality

• The chaperone should only be present for the examination itself. The discussion with the patient should take place while the chaperone is not present.
• Patients should be informed that all practice staff understand their responsibility not to divulge confidential information.

Procedure

• If a patient has not requested a Chaperone at reception, the clinician will contact reception to request a fully trained chaperone.
• Where no chaperone is available, a clinician may offer to delay the examination to a date when one will be available as long as the delay would not have an adverse effect on the patient’s health.
• If a clinician wishes to conduct an examination with a chaperone present but the patient does not consent to this, the clinician must clearly explain why they want a chaperone to be present.
• The clinician may choose to consider referring the patient to a colleague who would be willing to examine them without a chaperone as long as the delay would not have an adverse effect on the patient’s health.
• The clinician must record in the notes that a chaperone is present and provide the identity of the chaperone.
• The chaperone will enter the room discreetly and remain in the room until the clinician has finished the examination.
• The chaperone will attend inside the curtain/screened-off area at the head of the examination couch and observe the procedure.
• To prevent embarrassment, the chaperone should not engage in conversation with the patient or GP unless requested to do so or make any mention of the consultation afterwards.
• The chaperone will make a record in the patient’s notes after examination. The record will state that there were no issues or give details of any concerns or incidents that occurred. The chaperone must be aware of the procedure to follow if they wish to raise any concerns.
• The patient can refuse a chaperone, and if so, this must be recorded in the patient’s medical record.

We respect your right to privacy and keep all your health information confidential and secure. It is important that the NHS keeps accurate and up-to-date records about your health and treatment so that those treating you can give you the best possible care.

This information may be used for management and audit purposes. However, it is usually only available to, and used by, those involved in your care. You have the right to know what information we hold about you. If you would like to see your records please contact the practice.

KC Data Protection Privacy Notice

A significant number of appointments per week are classified as ‘Did Not Attend’ (DNA). DNA means that the patient does not turn up for the appointment and does not contact the surgery in advance to cancel or change the appointment. The effect of patient DNAs are:

• An increase in the waiting time for appointments.
• Frustration for both staff and patients.
• A waste of NHS resources.

By reducing the number of DNAs, the practice should be able to:

• Reduce costs.
• Increase productivity.
• Enable more effective booking.
• Allow efficient running of clinic.
• Enhance patient access.

Please help the practice reduce DNA’s by cancelling your appointment in good time,  preferably 24 hours ahead, so that we may offer your appointment to another patient who needs it.

You can cancel your appointment in the following ways:

• Online via the NHS app.
• By telephoning us on 01582 663218
• Via our on-line service, SystmConnect.

We understand mistakes happen, and emergency situations can arise. Therefore, the practice will remain understanding when an explanation is provided as to the reason for the DNA. However, patients not attending their appointments has negative implications on the healthcare system and on those who genuinely need appointments. We have a very strict policy for those who do not attend their pre-booked appointment and do not bother to cancel or inform the practice of their non attendance.

In the event that a patient does not attend (DNA) an appointment, the appointment will then be recorded as a DNA on our database and on the patient medical record. On each occasion that the patient does not attend for their appointment, a text will be sent to the patient informing them of their DNA.

Patients who do not attend will also receive a letter from the practice detailing the DNA as well as our practice policy.

This will be a formal warning letter reminding the patient that should they miss further appointments, they may be removed from the practice list.

To avoid all of this you must ensure that you cancel your appointment in good time.

Kingsbury Court Surgery believe in fairness, equality and diversity. We are committed to actively recognising and championing equality and diversity within our team and the local community, and believe that the patients who use our services, their carers/ representatives as well as our staff should be treated with respect and dignity.

The Partners and wider team are committed to abolishing discrimination on the basis of gender, age, disability, race, religion, sexuality or social class. We endeavour to provide accessible services that are consistently delivered in a way that respects the needs of each individual and does not exclude anyone. We have a zero tolerance towards any level of discrimination towards our patients, visitors or staff.

The practice will embed its equality and diversity values into everyday practice, policies and procedures so that equality and diversity becomes the norm for all. We have a comprehensive Equality and Diversity policy that all members of staff are required to adhere. The Partners also ensure all members of the practice staff undergo regular Equality and Diversity training to ensure we remain aware of current guidelines, legislations, and principles.

What is Equality?

Equality is not about treating everyone the same, it is about ensuring that access to opportunities are available to all by taking account of people’s differing needs and capabilities.

What is Diversity?

Diversity is about recognising and valuing differences through inclusion, regardless of age, disability, gender, racial origin, religion, belief, sexual orientation, commitments outside work, part-time or shift work, language, union activity, HIV status, perspectives, opinions and person values etc. Eastgate Surgery are committed to working towards developing a workforce that is representative of the community it serves.

The Freedom of Information Act creates a right of access to recorded information and obliges a public authority to:

• Have a publication scheme in place.
• Allow public access to information held by public authorities.

The act covers any recorded organisational information such as reports, policies or strategies, that is held by a public authority in England, Wales and Northern Ireland, and by UK-wide public authorities based in Scotland, however it does not cover personal information such as patient records which are covered by the Data Protection Act.

Public authorities include government departments, local authorities, the NHS, state schools and police forces.

The act is enforced by the Information Commissioner who regulates both the Freedom of Information Act and the Data Protection Act.

The surgery publication scheme

A publication scheme requires an authority to make information available to the public as part of its normal business activities. The scheme lists information under seven broad classes, which are:

• Who we are and what we do.
• What we spend and how we spend it.
• What our priorities are and how we are doing it.
• How we make decisions.
• Our policies and procedures.
• Lists and registers.
• The services we offer.

Who can request information?

Under the act, any individual, anywhere in the world, is able to make a request to a practice for information. An applicant is entitled to be informed in writing, by the practice, whether the practice holds information of the description specified in the request and if that is the case, have the information communicated to him. An individual can request information, regardless of whether he/she is the subject of the information or affected by its use. 

How should requests be made?

Requests must:

• Be made in writing (this can be electronically e.g. email).
• State the name of the applicant and an address for correspondence.
• Describe the information requested.

What cannot be requested?

Personal data about staff and patients covered under Data Protection Act.

For more information see these websites:

• Legislation GOV.UK
• Information Commissioners Office

Kingsbury Court Surgery conforms with the legal obligations set out in the Data Protection Act (2018) and the EU General Data Protection Regulation (GDPR). The Practice collects and utilises data about workers, employees, and consultants, both to manage our relationships with these individuals and in the course of conducting our business. Following the United Kingdom (UK) leaving the EU, during the transition period the GDPR will still apply to the UK. After the transition period, the GDPR will be implemented officially into British Law and referred to as the “UK GDPR”.

How we use your information and the law.

Kingsbury Court Surgery will be what’s known as the “Controller” of the personal data that you provide to us.

We collect personal data about you, which does not include any special types of information or location-based information. This does include name, address and contact details (such as email and mobile number/ house number etc).

We also collect sensitive confidential data known as “special category personal data”, in the form of health information, religious belief, ethnicity, and sex during the services we provide to you and or linked to your healthcare through other health providers or third party organisations.

Why does the practice need this information?

The surgery maintains records about your health and any treatment or care you have received previously (at an NHS Trust, other GP Surgery, Walk-in clinic, etc.) as these records help to provide you with the best healthcare possible.

NHS health records can come in a variety of forms, including:

• Electronic
• On paper
• A mixture of both

The surgery utilises a combination of working practices and technology to ensure that your information is kept confidential and secure at all times.

Detailed records which the Practice hold about you may include the following information:

• Details about you, such as your address, carer, legal representative, emergency contact details
• Any contact the practice has had with you, such as appointments, clinic visits, emergency appointments, etc.
• Notes and reports about your health
• Details about your treatment and care, both past and pending
• Results of past investigations such as laboratory tests, x-rays etc
• Relevant information from other health professionals, relatives, or those who care for you
• Contact details (including email address, mobile telephone number and home telephone number)

To ensure you receive only the best healthcare, your records are used to facilitate the care you receive, including contacting you. Information held about you may also be used to help protect the health of the public and to help us contribute towards managing the NHS. Information may be used within the surgery for clinical audit to monitor the quality of the service provided.

How does the practice lawfully use your data?

The practice needs to know your personal, sensitive and confidential data in order to provide you with Healthcare services as a General Practice (GP). Under the General Data Protection Regulation, we will be lawfully using your information in accordance with: –

Article 6, (e) processing is necessary for the performance of a task carried out in the public interest or in the exercise of official authority vested in the controller;”

Article 9, (h) processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems

This document applies to the personal data of our patients and the data you have given us about your carers/family members.

Risk Stratification

Risk stratification data tools are being used in the NHS more than ever to help determine a person’s risk of suffering from a certain condition, preventing an unplanned or (re)admission to hospital, and identifying a need for preventive intervention.

Information about you is collected from a variety of sources, including NHS Trusts and from Kingsbury Court Surgery. A risk score is then determined from an analysis of your de-identified information and is only provided back to your GP as data controller in an identifiable form. Risk stratification helps your GP to focus on preventing ill health, not just the treatment of sickness. If necessary, your GP may be able to offer you additional services.

You have the right to opt out of your data being used in this way.

Patient Communication

Kingsbury Court Surgery will use your name and contact details to inform you of NHS services, provide information about your health, or information about the management of the NHS service.

There may be occasions where authorised research facilities would like you to partake in research (should you have a specific condition) in order to try improve health outcomes. Contact details may be utilised by the practice to ensure you receive further information about such research opportunities.

Safeguarding

Kingsbury Court Surgery is dedicated to ensuring that the principles and duties of safeguarding adults and children are holistically, consistently and conscientiously applied, as patient welfare is at the centre of what we do.

Our legal basis for processing for the General Data Protection Regulation (GDPR) purposes is:

Article 6(1)(e) ‘…exercise of official authority…’.

For the processing of special categories data, the basis is:

Article 9(2)(b) – ‘processing is necessary for the purposes of carrying out the obligations and exercising specific rights of the controller or of the data subject in the field of employment and social security and social protection law…’

Categories of personal data

The data collected by Practice staff in the event of a safeguarding situation will be as much personal information as is necessary or possible to obtain in order to handle the situation. In addition to some basic demographic and contact details, we will also process details of what the safeguarding concern is. This is likely to be special category information (such as health information).

Sources of the data

Kingsbury Court Surgery will either receive or collect information when someone contacts the organisation with safeguarding concerns, or we believe there may be safeguarding concerns, and make enquiries to relevant providers.

Recipients of personal data

The information is used by Kingsbury Court Surgery when handling a safeguarding incident or concern. We may share information accordingly to ensure duty of care and investigation as required with other partners, such as local authorities, the police or healthcare professionals (i.e. GP or mental health team).

How do we uphold the confidentiality of your records?

Kingsbury Court Surgery are committed to protecting your privacy and will only use information collected lawfully in accordance with:

• Data Protection Act 2018
• The General Data Protection Regulations 2016
• Human Rights Act 1998
• Common Law Duty of Confidentiality
• Health and Social Care Act 2012
• NHS Codes of Confidentiality, Information Security and Records Management
• Information: To Share or Not to Share Review

All members of staff who work for an NHS organisation, including those at the practice, has a legal obligation to keep information about a patient confidential.

Kingsbury Court Surgery 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 third party without your permission unless there are exceptional circumstances (i.e. life or death situations), where the law requires information to be passed on and/ or in accordance with the information sharing principle following Dame Fiona Caldicott’s information sharing review (Information to share or not to share) where:

“The duty to share information can be as important as the duty to protect patient confidentiality.”

This statement means that health professionals should have the confidence to share information in the best interests of their patients within the framework set out by the Caldicott principles.

Our practice policy is to respect the privacy of our patients, their families, our staff and to maintain compliance with the General Data Protection Regulations (GDPR) and all UK specific Data Protection Requirements. Our policy is to ensure all personal data related to our patients will be securely protected.

All employees and sub-contractors engaged by Kingsbury Court Surgery are asked to sign a confidentiality agreement. The surgery will, if required, sign a separate confidentiality agreement if the client deems it necessary. If a sub-contractor acts as a data processor for Kingsbury Court Surgery, an appropriate contract (art 24-28) will be established for the processing of your information.

In specific circumstances, you may have the right to withdraw your consent to the processing of data.

Please contact the Managing Partner in writing if you wish to withdraw your consent. In some circumstances, we may need to store your data after your consent has been withdrawn in order to comply with legislation.

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 gain your consent before releasing the information for this purpose in an identifiable format. In some circumstances, you can Opt-out of the surgery sharing any of your information for research purposes.

With consent, we would also like to utilise your information to…

Kingsbury Court Surgery would like to use your name and contact details to inform you of other services that may benefit you, with your consent only.

There may be occasions where authorised research facilities would like you to take part in innovations, research, improving services or identifying trends.

At any stage where we would like to utilise your data for anything other than the specified purposes, and where there is no lawful requirement for us to share/ process your personal data, we will ensure that you have the opportunity to consent and opt out prior to any data processing taking place.

This information is not shared with third parties or used for any marketing purposes, and you can unsubscribe at any time via phone, email or by informing the practice DPO as below

National Opt-Out Facility

You can choose whether your confidential patient information is used for research and planning.

Who can use your confidential patient information for research and planning?

It is used by the NHS, local authorities, university and hospital researchers, medical colleges and pharmaceutical companies researching new treatments.

Making your data opt-out choice

At any time, you can decide to opt out of sharing your confidential information for research and planning.

There may still be times when your information is used: for example, during an epidemic where there might be a risk to you or to other individuals’ health.

You can also still provide consent to partake in a specific research project.

Will opting-out affect your care and treatment?

No, your confidential information will still be used for your individual care. Choosing to opt out will in no way affect your care and treatment. You will still be invited for all screening services applicable to you.

What should you do next?

You do not need to do anything if you are happy about how your information is used.

If you do not want your information to be used for research and planning, you can choose to opt out securely online or through a telephone service.

You can change your decision at any time. To find out more, or to make your choice visit NHS: Your Data Matters or call 0300 303 5678

Where do we store your information electronically?

All the personal data we process is processed by staff in the UK, however for the purposes of IT hosting and maintenance, this information may be located on servers within the European Union.

No 3rd parties have access to your personal data unless the law allows them to do so and appropriate safeguards have been put in place. We have a Data Protection regime in place to oversee the effective and secure processing of your personal and or special category (sensitive, confidential) data.

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;

• NHS Trusts / Foundation Trusts
• GP’s
• 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 England (NHSE) and NHS Digital (NHSD)
• Multi Agency Safeguarding Hub (MASH)
• Local Authorities
• Education Services
• Fire and Rescue Services
• Police & Judicial Services
• Voluntary Sector Providers
• Private Sector Providers
• Other ‘data processors’ which you will be informed of

You will be notified who your data will be shared with.

This practice operates a Clinical Computer System on which NHS Staff record information securely. This information can then be securely shared with other clinicians, so that all clinicians involved in your care are fully informed about your medical history, this includes details about any allergies you have.

To provide high quality continuous care, unless you have asked us not to, we will make your information available to trusted organisations. Such organisations will ask your consent before your information is viewed.

Shared Care Records

To further support your care and improve the sharing of relevant information to our partner organisations, we will share information to other systems. The general principle is that information is passed to these systems unless you request this does not happen, but that system users should ask for your consent before viewing your record.

Kingsbury Court Surgery may also use external companies to process information, such as for archiving purposes. These companies are bound by contractual agreements to ensure information is kept confidential and secure at all times. We request that all employees and sub-contractors employed by our surgery sign a confidentiality agreement. If a sub-contractor acts as a data processor for Kingsbury Court Surgery, an appropriate contract (art 24-28) will be established for the processing of information.

Sharing your information without consent

In normal circumstances, we will seek your consent, but there are times when we may be required in order to comply with the law to share your information without your consent, for example:

• Where there is a serious risk of harm or abuse to you or another individual
• Where a serious crime, such as assault, is being investigated or where it could be prevented
• Notification of new births
• Where we encounter infectious diseases that may endanger the safety of others, such as meningitis or measles (but not HIV/AIDS)
• Where a formal court order has been issued to the practice
• Where there is a legal requirement, such as being involved in a Road Traffic Offence.

How long will Kingsbury Court Surgery store your information?

The practice is required under UK law to keep your information and data for the full retention periods as specified by the NHS Records management code of practice for health and social care and national archives requirements.

More information on records retention can be found online via the NHS Digital Website

How can you access, amend or move the confidential data that you have provided to the surgery?

Even if the organisation already holds your personal data, you still have rights in relation to it. To get in touch about these, please contact us via email. The administration staff will seek to deal with your request without delay, and in any event in accordance with the requirements of any applicable laws. The surgery will keep a record of your communications to help us resolve any issues which you may raise.

Right to object: If we are using your data because we deem it necessary for our legitimate interests to do so, and you do not agree, you have the right to object. The practice will respond to your request within 30 days (although we may be permitted to extend this period, in which case you will be notified).

Generally, we will only disagree with you if certain limited conditions apply.

Right to withdraw consent: where we have obtained your full consent to process your data for certain activities (for example for a research project), or consent to market to you, you may withdraw your consent at any time.

Right to erasure: in certain situations (for example, if we have processed your data unlawfully), you have the right to request us to “erase” your data. The surgery will respond to your request within 30 days (although we may be permitted to extend this period) and will only disagree with you if certain limited conditions apply.

If we do agree to your request, we will remove your data but will assume that you would prefer us to keep a note of your name on our register of individuals who would prefer not to be contacted. That way, we will minimise the chances of you being contacted in the future where your data is collected in unconnected circumstances. If you would prefer us not to do this, you are within your right to inform us of this.

Right of data portability: you have the right to transfer your data from us to another data controller. We will help with this via a GP to GP data transfer as well as a transfer of your hard copy notes.

Access to your personal information

Data Subject Access Requests (DSAR): you have a right under the Data Protection legislation to request access to view or to obtain copies of what information the surgery holds about you and to have it amended should it prove to be inaccurate. To request this, you need to do the following:

Your request should be made to Kingsbury Court Surgery– for information from the hospital you should write direct to them

There is no monetary charge to have a copy of the information held about you

We are required to respond to you within one month

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

What should you do if your personal information changes?

You should tell us at the next available opportunity so that we can update our records to reflect this. You can do this by contacting the Surgery or from filling out our online form.

Kingsbury Court Surgery will occasionally ask you to confirm that the information we currently hold is accurate.

Objections / Complaints

Should you have any concerns about how your information is managed at the GP, please contact the GP Practice Manager or the Data Protection Officer as above. If you are still unhappy following a review by the GP practice, you have a right to lodge a complaint with a supervisory authority:

Information Commissioner:
Wycliffe house
Water Lane
Wilmslow
Cheshire
SK9 5AF

Tel: 01625 545745
Visit the website

If you are happy for your data to be extracted and used for the purposes described in this policy, then you do not need to do anything. If you have any concerns about how your data is shared, then please contact the Practice Data Protection Officer.

If you would like to know more about your rights in respect of the personal data we hold about you, please contact the Data Protection Officer as below.

Data Protection Officer:

The Practice Data Protection Officer is Paul Couldrey of PCIG Consulting Limited. Any queries regarding Data Protection issues should be addressed to him at:

Email: Couldrey@me.com
Postal: PCIG Consulting Limited
7 Westacre Drive
Quarry Bank
Dudley
West Midlands
DY5 2EE

Changes:

It is important to point out that we may amend this document from time to time. If you are dissatisfied with any aspect of our Privacy Notice, please contact the Practice Data Protection Officer.

Kingsbury Court Surgery aims to keep our building clean, tidy and offer a safe environment to both patients and staff. We pride ourselves on our building and endeavour to keep it clean and tidy at all times.

All clinical members of staff adhere to our infection control policy to ensure the care we deliver and the equipment we utilise on a regular basis is safe.

The practice takes additional measures to ensure we maintain the highest standards:

• We actively encourage staff and patients to raise any issues or report any incidents relating to cleanliness and infection control. We will discuss all matters raised to us and identify improvements we can make to ensure these issues do not happen again.
• Our Head Nurse carries out an annual infection control audit to ensure our infection control procedures are effective.
• The Management Team provide annual staff updates and training on cleanliness, infection control and their importance.
• The Management Team reviews our policies and procedures annually to make sure they are adequate and follow national guidance.
• We maintain our internal and external premises as well as the equipment included to a high standard, ensuring that all reasonable steps are taken to reduce or remove all infection risk.
• Use washable or disposable materials for items such as couch rolls, modesty curtains, floor coverings, towels etc and ensure that these are laundered, cleaned or changed on a regular basis to minimise risk of infection.
• Provide alcohol hand gel throughout the building.

If you have any concerns about cleanliness or infection control, please report this to our reception, or contact the Managing Partner on: kingsburycourt.admin@nhs.net

Smoking in all enclosed/ indoor public places and workplaces in the United Kingdom (UK) is illegal. Therefore, Kingsbury Court Surgery has a ‘No Smoking’ policy in place in all areas of the building as well as the external premises.

Patients found smoking will be requested to leave. Where difficulties arise, the police will be called without delay and without challenging the offender further.

Patients repeating the offence will be removed from the practice list.

Electronic cigarettes must not be used on practice premises, as they emit a nicotine vapour.

Kingsbury Court Surgery is a teaching practice.

We strongly believe in furthering the knowledge and skills of future doctors, nurses and clinical staff. This builds better clinicians and protects the future of our NHS.

Therefore, when you visit our practice a medical student may be present in the consultation. If you would prefer for a medical student not to be present, please let our receptionists know.

Kingsbury Court Surgery have a zero tolerance policy against abusive behaviour.

We take seriously any threatening, abusive or violent behaviour against any of our staff or patients.

If a patient is violent or abusive, they will be warned to stop their behaviour. If they persist, we may exercise our right to take action to have them removed, immediately if necessary, from our list of patients.

This will also result in a referral to the NHS Safe Treatment Scheme.