ARCHIVE 
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For CQC preparation 
LMC CQC prep 4.06.25 Final.pptx LMC CQC prep 4.06.25 Final.pptx
Size : 289.245 Kb
Type : pptx
blank GP Evidence Tables_GP (4).docx blank GP Evidence Tables_GP (4).docx
Size : 59.182 Kb
Type : docx
DRAFT Characteristics of ratings.docx DRAFT Characteristics of ratings.docx
Size : 106.692 Kb
Type : docx
Learning from recent CQC Inspections 4.6.25.pdf Learning from recent CQC Inspections 4.6.25.pdf
Size : 2614.094 Kb
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Risk Assessments & Audits 
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Risk register and action plan 
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Access to medical records 

Links to NHSE Video

iGPR

IGPR 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

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Accessible Information Standard 

The Accessible Information Standard tells all organisations that provide NHS or adult social care how they should make sure that disabled patients receive information in formats that they can understand and receive appropriate support to help them to communicate. The organisations must follow the Standard by law. This standard includes making sure that people get information in different formats if they need it, such as: large print, braille, easy read, email etc.

Accessible information standard

Is your GP practice hearing friendly?

The Accessible information standard leaflet

GP mythbuster 20: Making information accessible

Practice website - Accessible Information Standard

Accessible information standard -v1.5

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Anaphylaxis 
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Appointment booking system 
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Asbestos 
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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
reporting summary-apr2024.docx reporting summary-apr2024.docx
Size : 456.993 Kb
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Assistance dogs 
Risk Assessment 
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Basic Life Support 

RCUK provide interactive training scenarios which are short films to explain how to perform CPR, defibrillation and what to do if someone is choking
Defibrillator 
Defibrillator monitoring 
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Business continuity & incident management plan 
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Cancer 
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Carers 
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Catchment area 
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Central Alerting System 
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Cervical Screening 
Raising awareness 
Audit 
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Chaperone 
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Childhood Vaccs & Imms 
Discussion 
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Cleaning 
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Clinical audits 
Reference 
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Clinical searches 
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Clinical waste 
See also under "Waste transfer"
Audit  
Risk Assessment 
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Closed circuit television (CCTV) 
Audit 
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Complaints 
Review of complaints 

A summary of any complaints received in the last 12 months, actions taken and how learning was implemented

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Confidentiality 
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

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Controlled Drugs 
Audit 
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COSHH -control of substances hazardous to health 
Risk assessment 
cosh.zip cosh.zip
Size : 2535.887 Kb
Type : zip
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COVID-19 - Vaccine hesitancy 
Woking Mosque vaccination service for BAME group 
Evaluating the use of a local faith centre as COVID-19 community vaccination clinic

Vaccine 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

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CQC 
The CQC's new monitoring approach 
CQC inspection feb 2016  
Statement of purpose 
CQC - correspondence - apr2022 
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Data breach 
Data breach report  
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DBS 
DBS policy -v1.7 -draft-marked copy.docx DBS policy -v1.7 -draft-marked copy.docx
Size : 230.17 Kb
Type : docx
Risk assessment 
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Display screen equipment 
Risk assessment 
on-risk-assessment-DSE.docx on-risk-assessment-DSE.docx
Size : 12.919 Kb
Type : docx
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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

Reference handbook 
Training- Blue Stream Academy 

Staff complete the annual Data Security and Protection mandatory test - comprising modules on Information Governance & GDPR

Incident report 
Information asset register  
Audit 
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Duty of candour 
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Emergency Drugs Monitoring 
Monitoring 
Risk assessment - Drugs not stocked 
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Equipment test log 
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Finance 
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Friends and family test 

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Fire  
Training  
Test Procedure 
Certificates 
Evacuation 
Risk Assessment 
Grab bag / folder  
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First aid 
First aid needs assessment 
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GDPR 
Privacy notices & ICO registration 
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GP Electronic Self Declaration - eDEC 
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Health & Safety Risk Assessment 
Risk assessment 
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Hepatitis B
Risk assessment 
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Hypertension management - successful achievement 
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IG & Cyber Security 
email security
- Use a strong and different password for your email using 3 random words
- Turn on 2-step verification (2SV) for your email
Training 

Data Day Hygiene - video by ICO

The Lights are on - video by ICO

How to lock computer screen         

CTRL + ALT + DEL      safer

Window Key + L      quicker way

Audit 
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Infection Prevention & Control 
Audit 
2023
2022
2021
2020
References 
Training 
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Information for practice managers 
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Innovative practice 
Hypertension management - successful achievement 
COVID-19 - Vaccine hesitancy 
Woking Mosque vaccination service for BAME group 
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Interpreting Service 

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.

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Legionnaires Disease 
Risk Assessment 
Reference 
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List size 
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Locums - gp 
References 
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Lone Working 
Risk Assessment 
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Manual handling 
Risk Assessment 
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Mental Capacity 

 How to assess whether patients have the capacity to make a decision?



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Mission statement 
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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

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National General Practice Profiles 
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New and expectant mothers 
Risk Assessment template only
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NHS website - Sheerwater Health Centre 

shown as Dr Munira Mohamed 

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NICE guidance 
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North West Surrey Integrated Care Services (NICS) 
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Oxygen 
Risk Assessment 
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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
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Patient Survey 

CQC would expect to see action plan following results / findings from any patient survey

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Patient participation group - PPG 
Sheerwater Health Centre - petition  
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Practice manager's handbook 
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Premises 
Risk Assessment 
Fire alarm inspection
Security alarm maintenance 
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Prescribing 
References 
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 audit 2023 
Prescribing scheme 2023/2024 
Risk Assessment 
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Privacy Notices 
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Quality improvement activity 
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Reasonable adjustments protocol 
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Records Management 
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Safeguarding 
Policy 
Audit 
References 
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Safe working in General Practice 
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Sepsis 

CQC _ Learning from safety incidents

Issue 19: Unsafe management of sepsis

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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

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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


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Sharps - needlestick injury protocol 
Risk assessment 
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Significant Events 
Review of significant events 

A summary of any significant events in the last 12 months, actions taken and how learning was implemented

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Slips and trips 
References 
Risk assessment 
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Staff Immunisation Records
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Staff Support 

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.

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Staff Training 
Mandatory staff training progress 
sheerwater training matrix draft format.xlsx sheerwater training matrix draft format.xlsx
Size : 18.095 Kb
Type : xlsx
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Statement of purpose 
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Surrey Care Record 

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.


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Symptoms & signposting 
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Telephone network 
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Travel health 
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Triage 
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Vaccine storage and fridges 
Audit 
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Violent and abusive patients 
Risk Assessment 
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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
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Waste Transfer 
See also under "Clnical waste"
Audit 
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the oak leaf group-may2023.xlsx the oak leaf group-may2023.xlsx
Size : 428.963 Kb
Type : xlsx

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