Policies
Complaints
Thornaby & Barwick Medical Group is committed to providing a high standard of care and service to all patients who attend the practice. We recognise, however, that there may be occasions when patients feel that our service has not met their expectations.
If you have a complaint or concern, we encourage you to let us know as soon as possible. Our aim is to address complaints promptly, fairly, and courteously, and to resolve matters as quickly and amicably as we can.
How to Make a Complaint
Complaints should be made in writing and addressed to the Practice Manager, who is responsible for managing the practice complaints procedure and ensuring that concerns are reviewed appropriately and confidentially.
Please send your written complaint by letter to the practice. Full postal addresses for our surgeries are available on our Contact Us page:
All complaints are taken seriously and will be handled in line with NHS complaints guidance. Making a complaint will not affect your ongoing care or treatment in any way.
If you require support with making a complaint or need information in an alternative format, please contact the practice and we will be happy to help.
Chaperones
We are committed to ensuring that all patients are treated with respect, dignity, and consideration at all times, in line with NHS guidance. We recognise that some consultations, examinations, or procedures may feel personal or sensitive.
When an intimate examination is required, the clinician will:
- Clearly explain why the examination is necessary
- Give you the opportunity to ask questions
- Obtain your explicit consent before proceeding
An intimate examination will only be carried out with your agreement.
Chaperones
In accordance with NHS England and professional guidance, all patients are routinely offered a chaperone for any consultation, examination, or procedure where they may feel uncomfortable or vulnerable, including intimate examinations. The purpose of a chaperone is to support the patient, safeguard dignity and privacy, and provide reassurance for both patient and clinician.
A chaperone will be an appropriately trained member of the practice team. A family member or friend may attend the consultation at your request, but they do not fulfil the role of a formal chaperone.
You may request a chaperone:
- When booking your appointment
- On arrival at the surgery (please inform the receptionist), or
- At any point during the consultation
You are also entitled to decline the offer of a chaperone. If a chaperone is offered and declined, this will be recorded in your medical record in line with NHS guidance.
If you request a chaperone and one is not immediately available, we will discuss the available options with you, including rearranging the appointment if clinically appropriate.
Your religious, cultural, and personal beliefs will always be respected.
Confidentiality
We are committed to protecting your privacy and confidentiality. All discussions with any member of the practice team — including doctors, nurses, receptionists, and any other staff are treated as strictly confidential.
This duty of confidentiality applies to all patients, including those under the age of 16. If you are under 16, information about your care will not be shared with parents, family members, carers, teachers, or anyone else without your permission, provided you are able to understand and make decisions about your care.
When Information May Be Shared
There are limited circumstances in which confidential information may need to be shared without consent. This would only occur where it is necessary to:
- Protect your safety, or
- Protect another person from serious harm
In such situations, we would always aim to discuss this with you first, unless doing so would increase the risk of harm.
Privacy When Speaking to Staff
If you wish to discuss matters of a confidential or sensitive nature with our team, please let us know. A private room is available to ensure your conversation can take place discreetly.
If you have any questions or concerns about confidentiality, please speak to a member of the practice team who will be happy to help.
Data Protection
In order to provide the right level of care, we are required to hold personal information about you on our computer systems and in paper records to help us to look after your health needs, and your doctor is responsible for their accuracy and safe-keeping. Please help to keep your record up to date by informing us of any changes to your circumstances.
Confidentiality and Personal Information
Doctors and staff in the practice have access to your medical records to enable them to do their jobs. From time to time information may be shared with others involved in your care if it is necessary. Anyone with access to your record is properly trained in confidentiality issues and is governed by both legal and contractual duty to keep your details private.
All information about you is held securely and appropriate safeguards are in place to prevent accidental loss.
In some circumstances we may be required by law to release your details to statutory or other official bodies, for example if a court order is presented, or in the case of public health issues. In other circumstance you may be required to give written consent before information is released – such as for medical reports for insurance, solicitors etc.
To ensure your privacy, we will not disclose information over the telephone or fax unless we are sure that we are talking to you. Information will not be disclosed to family, friends or spouses unless we have prior written consent, and we do not, leave messages with others.
You have a right to see your records if you wish. Please ask at reception if you would like further details about our patient information leaflet. An appointment may be required. In some circumstances a fee may be payable.
Accessibility and Support for Disabled Patients
We are committed to ensuring that our surgery is accessible to all patients, including those with disabilities.
Access to the building is available via the main entrance, and a wheelchair is available for use within the surgery if required. If you require any additional assistance when attending an appointment, please let a member of the practice team know and we will do our best to support you.
Support for Patients with Hearing Difficulties
If you have a hearing impairment and may experience difficulty hearing when being called from the waiting area, please inform us. With your consent, we can add an alert to your medical record so that a member of staff can personally collect you from the waiting room.
We also have a portable induction loop system available to support patients who use hearing aids. If you would like to use this facility, please ask for assistance at reception.
If you have specific accessibility needs or require reasonable adjustments, please contact the practice in advance where possible so appropriate arrangements can be made.
IT Policy
This practice is committed to preserving, as far as is practical, the security of data used by our information systems. This means that we will take all reasonable actions to;
Maintain the Confidentiality of all data within the practice by:
- Ensuring that only authorised persons can gain access to our systems
- Not disclosing information to anyone who has no right to see it
Maintain the integrity of all data within the practice by:
- Taking care over input
- Ensuring that all changes are reported and monitored
- Checking that the correct record is on the screen before updating
- Reporting all apparent errors and ensuring that they are resolved
Maintain the availability of all data by:
- Ensuring that all equipment is protected from intruders
- Ensuring that backups are taken at regular, predetermined intervals
- Ensuring that contingency is provided for possible failure or equipment theft and that any such contingency plans are tested and kept up to date
Additionally we will take all reasonable measures to comply with our legal responsibilities under:
Named Accountable GP
From 1 April 2015, NHS England requires all GP practices to allocate a named accountable GP to every registered patient, including children.
Your named accountable GP is the doctor who has overall responsibility for the coordination of your care and services, where this is clinically appropriate. The role includes:
- Coordinating care across services, where required
- Reviewing and managing correspondence from hospitals and other healthcare providers relating to your care
- Overseeing the review of your repeat medication
The named accountable GP role is based on clinical oversight and coordination. Having a named GP does not mean that you will only be able to see that doctor. You may be offered an appointment with any appropriate clinician within the practice, particularly if you require urgent care.
Checking or Requesting a Named GP
If you would like to confirm who your named accountable GP is, please ask a member of our reception team, who will be happy to assist you.
If you have a preference for a particular doctor to be your named GP, please let us know. We will make every effort to accommodate your request, although this may not always be possible.
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Personal Data
The practice uses a range of secure NHS‑approved IT systems to support the safe, effective, and efficient delivery of patient care.
These include:
- Referral Management – using NHS numbers to manage and track referrals securely
- Electronic Appointment Booking – allowing patients to book and cancel routine appointments online
- Online Repeat Prescriptions – enabling repeat medication requests to be made electronically
- Summary Care Record (SCR) – sharing key information such as current medications and allergies with authorised healthcare professionals via the NHS national “Spine” to support your care in other settings
- GP‑to‑GP Record Transfers – enabling the secure electronic transfer of your medical record when you register with a new GP practice
- Online Access to Medical Records – allowing patients to view parts of their medical record online
Registering for Online Access
If you are not already registered for online services and would like to be, please complete our online registration form. This will allow you to access available services such as appointment booking, repeat prescriptions, and medical records.
Access to Records and Opt‑Out Choices
If you would like:
- Online access to your medical records enabled, or
- To opt out of the local or national Summary Care Record
please contact the reception team, who will be happy to provide advice and assistance.
Physical Accessibility Statement
Our practices are accessible to patients with different access needs as follows:
- Wheelchair accessible
- Reception desk has wheelchair access
- Portable induction loop system to aid the deaf and hearing impaired
- Translation services available including British Sign Language
- Accessible toilet facilities
Please let us know if you require any other adjustments to assist with your visit.
Privacy Policy
This privacy notice lets you know what happens to any personal data that you give to us, or any that we may collect from or about you.
This privacy notice applies to personal information processed by or on behalf of the practice.
This Notice explains
- Who we are, how we use your information and our Data Protection Officer
- What kinds of personal information about you do we process?
- What are the legal grounds for our processing of your personal information (including when we share it with others)?
- What should you do if your personal information changes?
- For how long your personal information is retained by us?
- What are your rights under data protection laws?
The General Data Protection Regulation (GDPR) was incorporated into the UK's Data Protection Act on 25th May 2018. This is a single EU-wide regulation on the protection of confidential and sensitive information.
For the purpose of applicable data protection legislation (including but not limited to the General Data Protection Regulation (Regulation (EU) 2016/679) (the "GDPR"), and the Data Protection Act 2018 (currently in Bill format before Parliament) the practice responsible for your personal data.
This Notice describes how we collect, use and process your personal data, and how, in doing so, we comply with our legal obligations to you. Your privacy is important to us, and we are committed to protecting and safeguarding your data privacy rights
How we use your information and the law.
The practice will be what’s known as the ‘Controller’ of the personal data you provide to us.
We collect basic personal data about you which does not include any special types of information or location-based information. This does however include name, address, contact details such as email and mobile number etc.
We will also collect sensitive confidential data known as “special category personal data”, in the form of health information, religious belief (if required in a healthcare setting) ethnicity, and sex during the services we provide to you and or linked to your healthcare through other health providers or third parties.
Why do we need your information?
The health care professionals who provide you with care maintain records about your health and any treatment or care you have received previously (e.g. NHS Trust, GP Surgery, Walk-in clinic, etc.). These records help to provide you with the best possible healthcare.
NHS health records may be electronic, on paper or a mixture of both, and we use a combination of working practices and technology to ensure that your information is kept confidential and secure. 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 surgery has had with you, such as appointments, clinic visits, emergency appointments, etc.
- Notes and reports about your health
- Details about your treatment and care
- Results of investigations such as laboratory tests, x-rays etc
- Relevant information from other health professionals, relatives or those who care for you
To ensure you receive the best possible care, your records are used to facilitate the care you receive. Information held about you may be used to help protect the health of the public and to help us manage the NHS. Information may be used within the GP practice for clinical audit to monitor the quality of the service provided.
How do we lawfully use your data?
We need to know your personal, sensitive and confidential data in order to provide you with Healthcare services as a General Practice, 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 Privacy Notice 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 increasingly being used in the NHS to help determine a person’s risk of suffering a condition, preventing an unplanned or (re)admission and identifying a need for preventive intervention. Information about you is collected from a number of sources including NHS Trusts and from this GP Practice. A risk score is then arrived at through an analysis of your de-identified information is only provided back to your GP as data controller in an identifiable form. Risk stratification enables your GP to focus on preventing ill health and not just the treatment of sickness. If necessary, your GP may be able to offer you additional services. Please note that you have the right to opt out of your data being used in this way.
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Medicines Management
The Practice may conduct Medicines Management Reviews of medications prescribed to its patients. This service performs a review of prescribed medications to ensure patients receive the most appropriate, up to date and cost-effective treatments.
How do we maintain the confidentiality of your records?
We 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
Every member of staff who works for an NHS organisation has a legal obligation to keep information about you confidential.
We 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 means that health and social care 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 and 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 protected.
All employees and sub-contractors engaged by our practice are asked to sign a confidentiality agreement. The practice will, if required, sign a separate confidentiality agreement if the client deems it necessary. If a sub-contractor acts as a data processor for the practice an appropriate contract (art 24-28) will be established for the processing of your information.
In certain circumstances you may have the right to withdraw your consent to the processing of data. Please contact the Data Protection Officer in writing if you wish to withdraw your consent. If some circumstances we may need to store your data after your consent has been withdrawn to comply with a legislative requirement.
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 always 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 your consent we would also like to use your information to
We would however like to use your name, contact details and email address to inform you of services that may benefit you, with your consent only. There may be occasions were authorised research facilities would like you to take part on innovations, research, improving services or identifying trends.
At any stage where we would like to use your data for anything other than the specified purposes and where there is no lawful requirement for us to share or process your data, we will ensure that you have the ability 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 and you can unsubscribe at any time via phone, email or by informing the practice DPO as below.
Where do we store your information Electronically?
All the personal data we process is processed by our 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
- eMBED Health
- 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)
- 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 informed who your data will be shared with and in some cases asked for consent for this to happen when this is required.
We may also use external companies to process personal information, such as for archiving purposes. These companies are bound by contractual agreements to ensure information is kept confidential and secure. All employees and sub-contractors engaged by our practice are asked to sign a confidentiality agreement. If a sub-contractor acts as a data processor for the practice an appropriate contract (art 24-28) will be established for the processing of your information.
How long will we store your information?
We are 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 at (https://digital.nhs.uk/article/1202/Records-Management-Code-of-Practice-for-Health-and-Social-Care-2016)
How can you access, amend move the personal data that you have given to us?
Even if we already hold your personal data, you still have various rights in relation to it. To get in touch about these, please contact us. We will seek to deal with your request without undue delay, and in any event in accordance with the requirements of any applicable laws. Please note that we may keep a record of your communications to help us resolve any issues which you 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. We will respond to your request within 30 days (although we may be allowed to extend this period in certain cases). Generally, we will only disagree with you if certain limited conditions apply.
Right to withdraw consent: Where we have obtained your consent to process your personal 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, where we have processed your data unlawfully), you have the right to request us to "erase" your personal data. We will respond to your request within 30 days (although we may be allowed to extend this period in certain cases) and will only disagree with you if certain limited conditions apply. If we do agree to your request, we will Delete your data but will generally 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 are collected in unconnected circumstances. If you would prefer us not to do this, you are free to say so.
Right of data portability: If you wish, you have the right to transfer your data from us to another data controller. We will help with this with a GP to GP data transfer and 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 be inaccurate. To request this, you need to do the following:
- Your request should be made to the Practice – for information from the hospital you should write direct to them
- There is no 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 information we hold about you at any time.
What should you do if your personal information changes?
You should tell us so that we can update our records please contact the Practice Manager as soon as any of your details change, this is especially important for changes of address or contact details (such as your mobile phone number), the practice will from time to time ask you to confirm that the information we currently hold is accurate and up-to-date.
Reasonable Adjustments
Click here to download a copy of our Reasonable Adjustments Policy.
Summary Care Record
Your patient record is held securely and confidentially on the electronic system at your GP practice. If you require treatment in another NHS healthcare setting such as an Emergency Department or Minor Injury Unit, those treating you would be better able to give you appropriate care if some of the information from the GP practice were available to them.
This information can now be shared electronically via: The Summary Care Record, used nationally across England
The information will be used only by authorised health care professionals directly involved in your care. Your permission will be asked before the information is accessed, unless the clinician is unable to ask you and there is a clinical reason for access.
If you would like to opt out, please ask reception for our opt out form.
A parent or guardian can request to opt out children under 16 but ultimately it is the GP’s decision whether to create the records or not, because of their duty of care to the child. If you are the parent or guardian of a child under 16 and feel that they are able to understand, then you should make this information available to them.
Who Has Access?
Across all health care settings, including urgent care, community care and outpatient departments in England.
Information Source
GP record
Content
- Your current medications
- Any allergies you have
- Any bad reactions you have had to medicines
- Additional information (upon request to your GP)
For more information visit:
www.digital.nhs.uk
Secure Data Environment
Use of Patient Information for Research and Planning
Our GP practice is taking part in a project designed to improve safe access to patient information for approved healthcare researchers and NHS planners.
Allowing researchers and planners to use patient information helps to:
- Improve understanding of diseases
- Develop new treatments
- Plan and improve health and care services for the benefit of everyone
How Your Information Is Protected
Researchers and planners will only be able to access coded or anonymised information, such as:
- Medicines you are prescribed
- Health conditions recorded in your medical record
Your name, address, date of birth, and other personal identifiers are removed or replaced with a unique code before any data is accessed. This means individuals cannot be directly identified.
Access to information is only permitted where:
- Strict security and ethical standards are met
- The activity is approved and in the public interest
Your health records will remain within the NHS, and researchers will only be able to view the specific parts of the record they are authorised to use.
Finding Out More
To learn more about the Secure Data Environment, you can download either a brief version of this leaflet, or a more detailed leaflet.
Training Practice
Our practice is approved to train qualified doctors who are undertaking specialist training in general practice.
Doctors training to be GPs are known as GP Registrars. They are fully qualified doctors who typically have 2–4 years’ experience working in hospital specialties before entering general practice training. GP Registrars see patients independently and are supported and supervised by an experienced GP Trainer.
Video Recording of Consultations
Occasionally, we may ask for your permission to video record a consultation for training and educational purposes. This is always optional.
- You will be asked for your consent in advance
- You are free to decline without providing a reason
- Your decision will not affect your care in any way
- No recording will be made without your explicit consent
- You can ask for the recording to be stopped at any time
Recordings are used solely for educational review between the GP Registrar and their trainer and are securely deleted after use.
Medical Students
Medical students may be attached to the practice for short placements (usually 2–3 weeks) as part of their university training.
They may observe consultations or occasionally take part under supervision. If you would prefer not to have a medical student present during your consultation, please inform the reception team or the clinician. Your preference will always be respected and will not affect your care.
Violence and Behaviour
Zero Tolerance Policy – Respect and Behaviour
All members of the practice team are committed to treating patients, their families, carers, and representatives with courtesy, respect, and professionalism at all times. We respectfully expect the same standard of behaviour in return.
The NHS operates a Zero Tolerance policy towards violence, aggression, and abuse. This practice has a duty of care to safeguard the wellbeing and safety of its staff, patients, and visitors.
Unacceptable Behaviour
The practice will not tolerate any form of aggressive, threatening, or abusive behaviour towards staff or others. This includes, but is not limited to:
- Verbal abuse, including shouting, swearing, offensive language, or threatening remarks
- Actual or threatened physical violence
- Behaviour that causes fear, distress, or concern for personal safety
Aggression may be directed at staff in person, over the telephone, or in written communication.
Consequences of Aggressive or Violent Behaviour
Any incident of aggression or violence occurring on practice premises, or in contact with practice staff, may result in:
- The incident being reported to the Police
- The patient being removed immediately from the practice list of registered patients, in line with NHS regulations
Where removal from the practice list occurs, the patient will be:
- Notified in writing of the removal
- Informed of the reason for removal
- Have the incident and circumstances recorded in their medical record
Removal will take place to protect practice staff, other patients, and members of the public.
Our Commitment
This policy is not intended to prevent patients from raising concerns or complaints in an appropriate and respectful manner. The practice encourages open communication and will always listen to concerns expressed courteously.
Thank you for helping us maintain a safe, respectful, and supportive environment for everyone.
Page created: 03 April 2023