--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Risk Assessments & Audits
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Risk register and action plan
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Access to medical records
iGPRIGPR enables third parties to securely request and receive patient medical reports electronically. The data is fully encrypted to AES256 standard and at rest and flows through a secure Health and Social Care Network (HCSN) accredited data centre
--------------------------------------------------------------------------------------------
Accessible Information Standard
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Appointment booking system
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Assessing demand on General Practice
Call volumes, calls abandoned, call times to answer, missed call volume, wait time before call abandoned, call back requested, call back made, average call length time
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Business continuity & incident management plan
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
See also under "Waste transfer"
--------------------------------------------------------------------------------------------
Closed circuit television (CCTV)
--------------------------------------------------------------------------------------------
Review of complaints A summary of any complaints received in the last 12 months, actions taken and how learning was implemented
--------------------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
COSHH -control of substances hazardous to health
--------------------------------------------------------------------------------------------
COVID-19 - Vaccine hesitancy
Woking Mosque vaccination service for BAME group
Evaluating the use of a local faith centre as COVID-19 community vaccination clinicVaccine hesitancy is known to be more common amongst ethnic minority compared to the general population, thus reinforcing the need to address low vaccine uptake for the roll-out of the COVID-19 vaccination programme. Convenience and accessibility of the faith centre were two key drivers influencing people's decision to get vaccinated at the mosque
--------------------------------------------------------------------------------------------
The CQC's new monitoring approach
CQC - correspondence - apr2022
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
DSPT (Data Security and Protection Toolkit)
The DSPT is an online self-assessment tool that
allows organisations that process health and care data to measure their
performance against the National Data Guardian’s 10 data security
standards. All organisations that have access to NHS patient data and systems must use this toolkit to provide assurance that they are practising good data security and that personal information is handled correctly.
Publication history
Sheerwater Health Centre - H81123
Training- Blue Stream Academy Staff complete the annual Data Security and Protection mandatory test - comprising modules on Information Governance & GDPR
Information asset register
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Emergency Drugs Monitoring
Risk assessment - Drugs not stocked
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
First aid needs assessment
--------------------------------------------------------------------------------------------
Privacy notices & ICO registration
--------------------------------------------------------------------------------------------
GP Electronic Self Declaration - eDEC
--------------------------------------------------------------------------------------------
Health & Safety Risk Assessment
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Hypertension management - successful achievement
--------------------------------------------------------------------------------------------
- Use a strong and different password for your email using 3 random words
- Turn on 2-step verification (2SV) for your email
--------------------------------------------------------------------------------------------
Infection Prevention & Control
--------------------------------------------------------------------------------------------
Information for practice managers
--------------------------------------------------------------------------------------------
Hypertension management - successful achievement
COVID-19 - Vaccine hesitancy
Woking Mosque vaccination service for BAME group
--------------------------------------------------------------------------------------------
The CCG commissioned interpretation
service is provided by thebigword. Please read this quick guide to
instantly connect to a language interpreter, there is no need to pre-book – it
is on demand. Please use your unique access code provided to you in
October when the service went live. If you cannot find your unique access
code, please email pc.contracts@nhs.net and we will send it to
you.
For patients who are deaf or hearing
impaired and require a face to face sign language interpreter, we are pleased
to announce British Sign Language Interpreters - Video on Demand
service has been launched on all current and all future GP practice
laptops (supplied by the CCG) with immediate effect. Please refer to
this BSL Video on Demand one page guide.
If you have any questions, please contact pc.contracts@nhs.net.
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Mental Capacity How to assess whether patients have the capacity to make a
decision?
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
National Data Opt-out Compliance with national data opt-out
National Data Opt-out service (NDOP) is nationally driven change from NHS Digital which requires compliance from health and care organisations. This allows patients to 'opt out' of their confidential patient information being used for purposes beyond their individual care and treatment. Patients can make their choice online
--------------------------------------------------------------------------------------------
National General Practice Profiles
--------------------------------------------------------------------------------------------
New and expectant mothers
Risk Assessment template only
--------------------------------------------------------------------------------------------
NHS website - Sheerwater Health Centre shown as Dr Munira Mohamed
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
North West Surrey Integrated Care Services (NICS)
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Patient Safety- Learn From Patient Safety Events
Primary care organisations are now encouraged to start recording patient safety events directly onto the new national Learn from patient safety events (LFPSE) service. This service has replaced the NRSL
--------------------------------------------------------------------------------------------
Patient Survey CQC would expect to see action plan following results / findings from any patient survey
--------------------------------------------------------------------------------------------
Patient participation group - PPG
Sheerwater Health Centre - petition
--------------------------------------------------------------------------------------------
Practice manager's handbook
--------------------------------------------------------------------------------------------
Security alarm maintenance
--------------------------------------------------------------------------------------------
Learn from patient safety events (LFPSE)
Reporting form for loss of prescriptions
Medicines incident reports
Medicines management matters
GP prescribing - a) medicines safety & b) antimicrobial stewarship
Prescribing scheme 2023/2024
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Quality improvement activity
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Reasonable adjustments protocol
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
---------------------------------
--------------------------------------------------------------------------------------------
Safe working in General Practice
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Serious incident reporting for general practice
CQC would expect to see a summary of any serious adverse events for the last 12 months, action taken and how learning was implemented
--------------------------------------------------------------------------------------------
Sending sensitive information to non-secure email addresses
All emails that Sheerwater Health
Centre send must meet the secure email standard so that everyone can be sure
that sensitive and confidential information is kept secure. Sending personal
data to a non-secure email address (such as Hotmail) is in breach of data
protection, unless it is encrypted. Password protecting a document does not
provide sufficient level of security for sending personal data.
When you receive an encrypted email
from us (our emails will always end @nhs.net), it will contain a link to access
the encrypted message. Please follow the instructions within the email. You
will need to register for an account with the NHSmail encryption provider,
Egress. You should only need to register once.
For further information
about how to access encrypted emails, please see the guide: Accessing encrypted emails guide for non NHS users
For more information about why we have
to send emails via a secured route, please see information at: www.digital.nhs.uk/services/nhsmail/guidance-for-sending-secure-email
--------------------------------------------------------------------------------------------
Sharps - needlestick injury protocol
--------------------------------------------------------------------------------------------
Review of significant events A summary of any significant events in the last 12 months, actions taken and how learning was implemented
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Staff Immunisation Records
--------------------------------------------------------------------------------------------
The BMA provides free and confidential 24/7 counselling and
peer support services for all doctors and medical students (regardless of BMA
membership), plus their partners and dependents, on 0330 123 1245.
The NHS’ Practitioner Health service is a free, confidential
service for doctors and dentists in England with mental illness and addiction
problems.
--------------------------------------------------------------------------------------------
Mandatory staff training progress
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Patient information
The Surrey Care
Record is a local, digital shared care record for health and care professionals
across Surrey Heartlands.
Benefits for your
Care Our shared care record will avoid the need for you to re-tell details of
your health and care journey with each care professional you meet.
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
Vaccine storage and fridges
--------------------------------------------------------------------------------------------
Violent and abusive patients
--------------------------------------------------------------------------------------------
Values & Vision statements
OUR VALUES
• Working together for patients we will put them at the heart of all
that we do
• Dedicated in striving to achieve a
high quality of care for our patients and
being
responsive to their needs both for the individual and the community.
We support and maintain professional
learning and follow guidelines where
appropriate to do so.
• We are caring and respect and
value patients and staff for their contribution. We provide equality of
opportunity without discrimination
• We are
fair and consistent in the way we deal with staff and patients, acting
considerately and showing compassion and understanding
• We continuously review our service to
improve it where possible. We utilise resources including technology to provide
the best service we can
• We
are accountable and ensure we take responsibility for our actions and are open
and transparent to the users of our service
OUR VISION
• We aim to provide the best
possible outcomes for our patients in a welcoming environment where our staff
are approachable, respectful and patient centred.
• We will treat our patients and
staff with courtesy, dignity and respect at all times
• We aim to provide a patient
centred approach listening to, and understanding, their needs and empowering
them to make decisions regarding their care
• We aim to promote health and
well-being for all patients with a focus on prevention of disease
• We aim to promote best practice
by utilising specialist expertise within the practice team and from external
sources
• We will continue to invest in our
staff in developing skills and knowledge to ensure a highly skilled, adaptable
and resilient workforce to meet the needs of our patients and community
•
We aim to use technology smartly to improve efficiency and effectiveness
of our administration, patient contact and clinical activity
We are committed to provide high quality, effective and accessible care in a responsive, considerate manner. We aspire to be an organisation that staff are proud of, building upon our existing team working relationships and levels of mutual support
--------------------------------------------------------------------------------------------
See also under "Clnical waste"
--------------------------------------------------------------------------------------------