There is good access for the disabled to all of our consultation rooms at Front Street Surgery which are on the ground floor.
Disabled patients are welcome to use any of the available spaces in the surgery car park.
The surgery has wide doors to allow for wheelchair access.
There is good access for the disabled to all of our consultation rooms at Front Street Surgery which are on the ground floor.
Disabled patients are welcome to use any of the available spaces in the surgery car park.
The surgery has wide doors to allow for wheelchair access.
Your Data Matters to the NHS
Information about your health and care helps us to improve your individual care, speed up diagnosis, plan your local services and research new treatments. The NHS is committed to keeping patient information safe and always being clear about how it is used.
How your data is used
Information about your individual care such as treatment and diagnoses is collected about you whenever you use health and care services. It is also used to help us and other organisations for research and planning such as research into new treatments, deciding where to put GP clinics and planning for the number of doctors and nurses in your local hospital. It is only used in this way when there is a clear legal basis to use the information to help improve health and care for you, your family and future generations.
Wherever possible we try to use data that does not identify you, but sometimes it is necessary to use your confidential patient information.
You have a choice
You do not need to do anything if you are happy about how your information is used. If you do not want your confidential patient 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 mind about your choice at any time.
Will choosing this opt-out affect your care and treatment?
No, choosing to opt out will not affect how information is used to support your care and treatment. You will still be invited for screening services, such as screenings for bowel cancer.
What do you need to do?
If you are happy for your confidential patient information to be used for research and planning, you do not need to do anything.
To find out more about the benefits of data sharing, how data is protected, or to make/change your opt-out choice visit www.nhs.uk/your-nhs-data-matters
Please note that NHS guidance relating to the Coronavirus has advised practices to restrict the appointments which are bookable online to telephone triage appointments only.
We apologise for any inconvenience this may cause you and appreciate your understanding at this time.
Front Street Surgery offers patients the facility to book appointments, order repeat prescriptions and view summary medical records online.
Please ask reception for details about how to register for online services.
Patients registered for online access will also be able to view online, export and print any summary information from their records relating to medications, allergies and adverse reactions.
You can also request access to see your detailed coded medical records.
In order to access online services, you will need to click onto the following link.
The more you know about your pregnancy and your options, the more you are likely to feel in control. The information given here is based on The Pregnancy Book, which your midwife should give you at your first appointment.
Before you are pregnant
Your pregnancy and labour
- 37-40 weeks pregnantHow the baby develops
- 0-8 weeks pregnant
- 9-12 weeks pregnant
- 13-16 weeks pregnant
- 17-20 weeks pregnant
- 21-24 weeks pregnant
- 25-28 weeks pregnant
- 29-32 weeks pregnant
- 33-36 weeks pregnant
- 40+ weeks pregnant
- Your health in pregnancy
- Common health problems
- Antenatal care and classes
- Choosing where to have your baby
- Labour and birth
- When pregnancy goes wrong
You and your baby
- What you will need for your baby?
- Your life after the birth
- The first days with your baby
- The first weeks with your baby
- Feeding your baby
General pregnancy topics
Private Fees for non-NHS work from April 2018
Private blood test – venepuncture only £15
(Laboratory fees to be advised in addition to this fee)
Fitness to travel certificate £25
Holiday cancellation claim form £25- £40
Private prescription £25
Private sick note £25
Provision of vaccination information £25
To Whom It May Concern letter £25-£50
OFSTED Health Declaration Form £50
Employment examination £120
HGV/PSV/Taxi Medical £120
Travel Vaccines
Cholera – course of 2 £70
Hepatitis B – course of 3 £120
Japanese Encephalitis – course of 2 £200
Meningitis ACWY £60
Rabies – course of 3 £180
Please allow up to 15 working days for completion of a doctor’s report/certificate.
The practice provides services under the following areas of the Quality and Outcomes Framework
- Coronary Heart Disease
- Heart Failure
- Stroke
- Hypertension
- Diabetes
- COPD
- Cancer
- Palliative Care
- Mental Health
- Asthma
- Depression
- Atrial Fibrillation
- Obesity
- Learning Disability
- Smoking
- Primary Prevention
- Osteoporosis
- Peripheral Arterial Disease
The practice also provides the following additional services as part of the Quality and Outcomes Framework.
- Cervical Screening
- Child Health Surveillance
- Maternity Services
- Contraception
If you have an appointment at the surgery, we would kindly ask that you wear a face covering or mask whilst in the surgery.
Although some restrictions are now being lifted, due to social distancing still being in place, we are making every effort to respond to patient requests, but please be considerate to the pressures that practices are under, including current demand and "catch up" from the months of lock down and shielding.
When you speak to a member of the reception team, they will ask you a few questions to help best navigate your care within the surgery or to the most appropriate clinician.
The benefits of this improved system are to:
. Ensure you receive the right service the first time
. Maximise appointment capacity for our clinical team's appointments
. Give you more choice
. Provide you with an improved service.
Please note:- Routine GP appointments are booked at 10 minute intervals.
Are You a Carer?
If you are please let us know - we may be able to help you
There is a wealth of information on the NHS website about carers and caring. Below are some links into the site that we hope you will find useful.
- A guide to care and support
Information for carers and people who have care & support needs.
- Caring for someone
Advice on providing care, medicines etc.
- Care after hospital
Providing care for people who have been recently discharged from hospital.
- Taking a break
Caring for someone can be a full-time job - find out about accessing breaks and respite care.
- Support and benefits for carers
Caring for someone can be a full-time job - find out about accessing breaks and respite care.
-
Guidance, support and help with employment issues.
Advice for carers 18 or under and their entitlement to support
Contact Carers Direct
- Telephone
- 0808 802 0202
- Helpline Information
- http://www.nhs.uk/carersdirect/carerslives/updates/pages/carersdirecthelpline.aspx
- CarersDirect@nhschoices.nhs.uk
- Office Hours
- Lines are open 8am to 9pm Monday to Friday, 11am to 4pm at weekends. Calls are free from UK landlines.
Finance and Law
Help claiming benefits, looking after your bank balance and understanding the legal issues of caring.
- Benefits for carers
Directing carers to the benefits that can help them in their caring role
- Benefits for the under-65s
Advice and information on helping the person you look after get the benefits that they are entitled to.
Advice and information on financial support for older people with a disability or illness.
- Carer's Assement
How your benefits maybe affected after the death of the person you look after and what happens to their benefits
- Other benefits
Advice for carers and the people they are looking after on claiming a whole host of other benefits unrelated to their disability or caring
Please use the link below for a guide from City of York Council on how to dispose of Clinical and Medical waste:
The NHS in England and Public Health England (PHE) are extremely well prepared for outbreaks of new infectious diseases. The NHS has put in place measures to ensure the safety of all patients and NHS staff while also ensuring services are available to the public as normal.
What to do if you have symptoms
Stay at home for 7 days if you have either:
- a high temperature
- a new continuous cough
Do not go to a GP surgery, pharmacy or hospital.
You do not need to contact NHS 111 to tell them you're staying at home.
Read the advice about staying at home.
Use the NHS 111 online coronavirus service if:
- you feel you cannot cope with your symptoms at home
- your condition gets worse
- your symptoms do not get better after 7 days
Use the 111 coronavirus service
Like the common cold, coronavirus infection usually occurs through close contact with a person with novel coronavirus via cough and sneezes or hand contact. A person can also be infected by touching contaminated surfaces if they do not wash their hands.
Any equipment that comes into contact with suspected cases is thoroughly cleaned as appropriate. Specific guidance has also been shared with NHS staff to help safeguard them and others. Patients can be reassured that their safety is a top priority.
Everyone is being reminded to follow Public Health England advice to:
- • Always carry tissues with you and use them to catch your cough or sneeze. Then bin the tissue, and wash your hands, or use a sanitiser gel.
- • Wash your hands often with soap and water, especially after using public transport. Use a sanitiser gel if soap and water are not available.
- • Avoid touching your eyes, nose and mouth with unwashed hands.
- • Avoid close contact with people who are unwell.
You can find the latest information and advice from Public Health England
Further information is available on nhs.uk.
The Electronic Prescription Service allows your prescription to be sent electronically to a pharmacy of your choice.
To sign up, you need to speak to your preferred pharmacy and complete a form to confirm that they can receive your prescription directly.
Once you have signed up, your chosen pharmacy will receive your prescription electronically and you will not have to pick up your paper prescription from us.
If you have already nominated a pharmacy, your prescription will be sent to them electronically unless you tell us otherwise. If you need to obtain a paper prescription for any reason, just let us know at the time of ordering.
This service is optional and you can continue to collect paper prescriptions as you do now, if you prefer.
Electronic Prescription Service (EPS)
The next phase of the Electronic Prescription Service will be enabled at Front Street Surgery on 21 January 2020.
- 2 out of 3 patients on repeat medicines now receive electronic prescriptions. If you haven't already done so, nominate the pharmacy of your choice to receive your prescriptions electronically.
- Your GP will send a series of repeat prescriptions to your pharmacy in one go, so there is no need for you to order them each time.
- Collecting prescriptions from your pharmacy without having to order them from your GP saves time for you.
- Time saved in practices means more appointments available for patients.
- Electronic prescribing is easier for the NHS to manage so that medicine use stays safe, effective and efficient.
- Processing fewer paper prescriptions helps save NHS funds and helps the environment.
- This is a reliable, secure and confidential NHS service. Unlike paper prescriptions, electronic prescriptions can't get lost between the doctor and the pharmacy.
Why do GPs sometimes charge fees?
The NHS provides health care free of charge, but there are exceptions: prescription charges have existed since 1951, and there are a number of other services for which fees are charged, for example, medical reports for insurance companies.
It is important to understand that GPs are self-employed and offer their services to the NHS, and they have to cover their costs – staff, buildings, heating, lighting, etc – in the same way as any small business. The NHS covers these costs for NHS work, but for non-NHS work the fee has to cover the doctor’s costs.
Examples of non-NHS services for which GPs can charge their NHS patients include:
- Accident/sickness insurance certificates.
- Certain travel vaccinations
- Private medical insurance reports.
Examples of non-NHS services for which GPs can charge other institutions include:
- Medical reports for an insurance company.
- Some reports for the DSS/Benefits Agency.
- Examinations of local authority employees
- Reports regarding joining the Army.
Where do fees comes from?
The British Medical Association (BMA) suggests fees for non-NHS work which is not covered under a GP’s NHS contract, to help GPs set their own professional fees. However, these fees are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested.
Why can it take a long time to get a form completed?
Time spent completing forms and preparing reports takes the GP away from the medical care of his or her patients. Most GPs have a very heavy NHS workload and this paperwork is done at times set aside for it.
I only need the doctor’s signature – why do I need to wait?
When a doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true. In order to complete even the simplest of forms, therefore, the doctor might have to check the patient’s entire medical record. Carelessness or an inaccurate report can have serious consequences for the doctor.
What is going to be the charge?
The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up to the individual doctor to decide how much to charge, but the BMA produces lists of suggested fees which many doctors use.
How can I keep costs down?
- Not all documents need signature by a doctor, for example passport applications. You can ask another person in a position of trust to sign such documents free of charge.
- If you have several forms requiring completion, present them all at once and ask your GP if he or she is prepared to complete them all at once as a ‘job lot’ at a reduced price.
- Plan in advance. Do not expect your GP to process forms overnight. You should expect the form(s) to take up to 4 weeks to be processed.
Please click the link for a price list for the Non-NHS Services: Non-NHS Fees
You can now make a self-referral to the service by visiting www.yorkandselbyiapt.co.uk. Alternatively you can make an appointment with your GP who will be able to discuss with you how you are feeling and if necessary refer you to the service or a suitable alternative.
In the unfortunate event that a person has passed away, there are three things that must be done in the first few days;
- Get a medical certificate from your GP or hospital doctor (this is necessary to register the death)
- Register the death within 5 days (8 days in Scotland). You will then receive the necessary documents for the funeral.
- Make the necessary funeral arrangements.
Register the death
If the death has been reported to the coroner (or Procurator Fiscal in Scotland) they must give permission before registering the death.
You can register the death if you are a relative, a witness to the death, a hospital administrator or the person making the arrangements with the funeral directors.
You can use the ‘Register a Death’ page on the gov.uk website that will guide you through the process. This will also explain the registration process for Scotland and Northern Ireland.
Arrange the funeral
The funeral can usually only take place after the death is registered. Most people use a funeral director, though you can arrange a funeral yourself.
Funeral directors
Choose a funeral director who’s a member of one of the following:
These organisations have codes of practice - they must give you a price list when asked.
Some local councils run their own funeral services, for example for non-religious burials. The British Humanist Association can also help with non-religious funerals.
Arranging the funeral yourself
Contact the Cemeteries and Crematorium Department of your local council to arrange a funeral yourself.
Funeral costs
Funeral costs can include:
- funeral director fees
- things the funeral director pays for on your behalf (called ‘disbursements’ or ‘third-party costs’), for example, crematorium or cemetery fees, or a newspaper announcement about the death
- local authority burial or cremation fees
Funeral directors may list all these costs in their quotes.
IT/ELECTRONIC PATIENT RECORDS
New contractual requirements came into force from 1st April 2014 requiring that GP practices should make available a statement of intent in relation to the following IT developments:-
- Referral Management
- Electronic Appointment Booking
- Online requesting of repeat prescriptions
- Summary Care Record
- GP2GP transfers
- Patient Access to records.
- Referral Management
All practices must include the NHS Number as the primary identifier in all NHS clinical correspondence issued by the practice.
- Electronic Appointment Booking
Practices are required to promote and offer the facility for all patients, who wish to, to book, view, amend, cancel and print appointments online. We currently offer the facility for booking and cancelling appointments online.
- Online Booking of Repeat Prescriptions
Practices are required to promote and offer the facility for all patients, who wish to, to order online, view and print a list of their repeat prescriptions for necessary drugs, medicines or appliances. We currently offer the facility for ordering repeat prescriptions online.
- Interoperable Records/Summary Care Record .
Practices are required to enable successful automated uploads of any changes to a patient’s summary information, at least on a daily basis to the Summary Care record. Having your Summary Care Record available will help anyone treating you without your full medical record. They will have access to information about any medication you may be taking and any drugs that you have a recorded allergy or sensitivity to.
Front Street Surgery is already live with SCR. However, if you do not want your medical records to be available in this way then you will need to let us know so that we can update your record. Please see the receptionist for an ‘opt out form’.
- GP2GP Record Transfers
There is a contractual requirement to utilise the GP2GP facility for the transfer of patient records between practices, when a patient registers or de-registers. It is very important that you are registered with a doctor at all times. If you leave your GP and register with a new GP, your medical records will be removed from your previous doctor and forwarded on to your new GP via NHS England. It can take several weeks for your paper records to reach your new surgery. With GP to GP record transfers, your electronic record is transferred to your new practice much sooner.
Front Street Surgery confirms that GP2GP transfers are active and we send and receive patient records via this system.
- Patient Access to their GP Record
Practices are required to promote and offer the facility for patients to view online, export or print any summary of information from their records relating to medications, allergies, adverse reactions and any other items/date such as ‘additional’ record elements which have been agreed between the contractor and the patient.
Front Street Surgery can confirm that patient’s summary of information will soon become available for patients who have registered for on line access.
Confidentiality & Medical Records
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.
Freedom of Information
Information about the General Practioners and the practice required for disclosure under this act can be made available to the public. All requests for such information should be made to the practice manager.
Access to Records
In accordance with the Data Protection Act 1998 and Access to Health Records Act, patients may request to see their medical records. Such requests should be made through the practice manager and may be subject to an administration charge. No information will be released without the patient consent unless we are legally obliged to do so.
Complaints
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.
To pursue a complaint please contact the practice manager who will deal with your concerns appropriately. Further written information is available regarding the complaints procedure from reception.
If you are registered with a GP practice in England you will have a Summary Care Record (SCR), unless you have previously chosen not to have one and opted out. It is a copy of key information held in your GP record and includes important information about your health, such as:
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- Medicines you are taking
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- Allergies you suffer from
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- Any bad reactions to medicines
You may need to be treated by health and care professionals that do not know your medical history. Essential details about your healthcare can be difficult to remember, particularly when you are unwell or have complex care needs. Having an SCR means that when you need healthcare you can be helped to recall vital information.
SCRs can help the staff involved in your care make better and safer decisions about how best to treat you.
You can choose to have additional information included in your SCR, which can enhance the care you receive. This information includes:
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- Your illnesses and health problems
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- Operations and vaccinations you have had in the past
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- How you would like to be treated - such as where you would prefer to receive care
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- What support you might need
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- Who should be contacted for more information about you
In order for the additional information in your SCR to be available to providers such as hospitals, A&E departments, the Out of Hours Services, 111 and the Ambulance Service, you will need to fill out a consent form (which can be downloaded here) and return it to your GP surgery to enable them to update your records and allow it to be shared with health and care staff when appropriate.
For more information on Summary Care Records and additional information visit: https://digital.nhs.uk/services/summary-care-records-scr or ask at reception.
Resources for patients
Information leaflet for patients is available here
Easy ready leaflet for patients on additional information in SCR is available here
Consent form for existing patients is available here
Consent form for new patients is available here
Summary Care record with additional information video is available here
You can now register to receive information by text message on your phone regarding appointments and health care.
If you wish to register for this messaging service please fill out the consent form.
Please also remember to make a note of the date and time of your appointment on your phone, calendar or diary.
New Data Protection Regulations from May 2018 (GDPR)
Under the new data protection regulations introduced from 25th May 2018, we will continue to contact patients via text messages regarding the delivery of care if they have provided consent to do so.
If practices are sending messages about recommended treatment for the management of a specific health issue, then this is defined as providing appropriate care for patients, not marketing purposes.
If you would like ot opt out of any future contact via text messaging, then please complete the form and indicate in the marked section.
NHS 111 is a telephone service for people in Yorkshire and the Humber to call if they need medical help fast, but are not in a life threatening situation.
The easy to remember, free-to-call number has been introduced across England to help reduce the pressure on A&E departments and the 999 service.
Available for 24 hours a day, 365 days a year, the service is for people who aren't sure if they need to go to A&E, don't have a GP to call or generally need reassurance and advice.
On dialling 111, a team of fully trained advisers and experienced nurses will assess your condition and direct you to the local service that can help you best when you need it.
Out-of-hours services are generally busy so please think carefully before asking to see a doctor and only do so if you genuinely cannot wait until the surgery re-opens.
In a genuine emergency you should call 999. Chest pains and / or shortness of breath constitute an emergency.
YorSexualHealth are providing integrated sexual health and contraception services across North Yorkshire and York.
Full details of all their services can be found on their website https://www.yorsexualhealth.org.uk
You can access advice and book appointments at Front Street Surgery by phoning 01904 721111.