Proxy Access Statement

There are a number of patients who book their appointments, request repeat medication and can view certain parts of their medical records online.

Patient Access have now improved their system to allow parents and Carers to be authorised to all of the above-mentioned functions for children or the people they care for.

Any patient or Carer wishing to have proxy access will need to sign up to this service by completing a form available at the practice Reception.

Suggestions & Complaints

Want to make a suggestion to the practice?

Your comments and suggestions are important to us, receiving them helps us to look at how we are working and at areas that may need more clarity or improvements.  please send them to us by email to sxicb-wsx.mshc-patient@nhs.net

Medical matters cannot be dealt with via the website. If you have a query regarding a medical matter please telephone reception to make an appointment to speak to the appropriate person or complete an eConsult form which is accessible via a link on the home page.

Want to make a complaint?

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.

If  you have a complaint or concern about the Practice, please let us know.  We are always looking for ways to improve so please do tell us when we are not meeting your expectation and give us your ideas on what we should change.  To pursue a complaint please see our Complaint Information Leaflet below which will give you information on

  • how to complain
  • how we handle your complaint
  • complaining for someone else
  • complaining to others

Please find below the Practice’s official complaint form.  Receiving a complaint in this way helps with the administration and processing of your complaint however, this does not mean you have to put your complaint in writing.  Should you prefer to talk to the Practice Manager, she is happy to take your call.

Electronic Prescribing Service

The Electronic Prescription Service (EPS) is an NHS service. It gives you the chance to change how your GP sends your prescription to the place you choose to get your medicines or appliances from.

What does this mean for you?

If you collect your repeat prescriptions from your GP you will not have to visit your GP practice to pick up your paper prescription. Instead, your GP will send it electronically to the place you choose, saving you time.

You will have more choice about where to get your medicines from because they can be collected from a pharmacy near to where you live, work or shop.

You may not have to wait as long at the pharmacy as there will be time for your repeat prescriptions to be ready before you arrive.

Is this service right for you?

Yes, if you have a stable condition and you:

  • don’t want to go to your GP practice every time to collect your repeat prescription.
  • collect your medicines from the same place most of the time or use a prescription collection service now.

It may not be if you:

  • don’t get prescriptions very often.
  • pick up your medicines from different places.

How can you use EPS?

You need to choose a place for your GP practice to electronically send your prescription to. This is called nomination. You can choose:

  • a pharmacy. a dispensing appliance contractor (if you use one).
  • your dispensing GP practice (if you are eligible).

Ask any pharmacy or dispensing appliance contractor that offers EPS or your GP practice to add your nomination for you. You don’t need a computer to do this.

Can I change my nomination or cancel it and get a paper prescription?

Yes you can. If you don’t want your prescription to be sent electronically tell your GP. If you want to change or cancel your nomination speak to any pharmacist or dispensing appliance contractor that offers EPS, or your GP practice. Tell them before your next prescription is due or your prescription may be sent to the wrong place.

Is EPS reliable, secure and confidential?

Yes. Your electronic prescription will be seen by the same people in GP practices, pharmacies and NHS prescription payment and fraud agencies that see your paper prescription now. Sometimes dispensers may see that you have nominated another dispenser. For example, if you forget who you have nominated and ask them to check or, if you have nominated more than one dispenser. Dispensers will also see all the items on your reorder slip if you are on repeat prescriptions.

For more information please visit the NHS Choices website .

Sharing Your Medical Record

Increasingly, patient medical data is shared e.g. between GP surgeries and District Nursing, in order to give clinicians access to the most up to date information when attending patients.

The systems we operate require that any sharing of medical information is consented to by patients beforehand. Patients must consent to sharing of the data held by a health provider out to other health providers and must also consent to which of the other providers can access their data.

e.g. it may be necessary to share data held in GP practices with district nurses but the local podiatry department would not need to see it to undertake their work. In this case, patients would allow the surgery to share their data, they would allow the district nurses to access it but they would not allow access by the podiatry department. In this way access to patient data is under patients’ control and can be shared on a ‘need to know’ basis.

Emergency Care Summary

There is a Central NHS Computer System called the Emergency Care Summary (ECS). The Emergency Care Summary is meant to help emergency doctors and nurses help you when you contact them when the surgery is closed. It will contain information on your medications and allergies.

Your information will be extracted from practices such as ours and held securely on central NHS databases.

As with all systems there are pros and cons to think about. When you speak to an emergency doctor you might overlook something that is important and if they have access to your medical record it might avoid mistakes or problems, although even then, you should be asked to give your consent each time a member of NHS Staff wishes to access your record, unless you are medically unable to do so.

On the other hand, you may have strong views about sharing your personal information and wish to keep your information at the level of this practice. If you don’t want an Emergency Care Summary to be made for you, tell your GP surgery. Don’t forget that if you do have an Emergency Care Summary, you will be asked if staff can look at it every time they need to. You don’t have to agree to this.

Your Named Accountable GP

This practice has for many years assigned all of its patients, in all age groups, a named GP. We have listed below the responsibilities of your named GP and we consider that these are not new and do not represent any change to the status quo, but it may be helpful to read that your named GP will continue: To take the lead for ensuring that all appropriate services required under the contract with the practice are delivered to you.

Where required, and based on his/her professional judgement, to work with relevant associated health and social care professionals to deliver a multidisciplinary care package that meets your needs.

To ensure that your physical and psychological needs are recognised and responded to by all relevant clinicians.

To ensure that you have access to a health assessment when requested. We would like to emphasise that your named GP will not be the only GP or clinician to provide care to you from this practice, and that there is no obligation on your named GP to be personally available during the hours that we are open or out of core hours.

Your care can also be co-ordinated amongst our other GP’s and nurses. The main reason for giving you a named GP is purely so that you have a single point of contact that can co-ordinate your care. Our advice to all patients is that where you have a non-urgent medical need, you will receive better continuity of care if you book an appointment with your named GP, even when that might involve an appointment a few days later than is available with an alternative GP. In cases where you require same-day attention, however, and your named GP is not available, please do make it clear to our administrative team that you need to see a different GP.

Research

We are proud to be part of the The NIHR Clinical Research Network (CRN:KSS) the clinical research delivery arm of the NHS.  The NIHR Clinical Research Network: Kent, Surrey and Sussex is hosted by Royal Surrey County Hospital NHS Foundation Trust.

This is an NHS funded body with the central objective of developing the evidence base to inform the prevention, diagnosis, treatment and management of illness and disease in primary care. See their website:

http://www.crn.nihr.ac.uk/kent-surrey-and-sussex/

We are actively engaged in Research, mostly in the form of offering our patients the opportunity to be involved in projects run from larger Academic centres, but not involving travelling.

We will always ask for your express consent for involvement in Research, and will explain the full details of the Study prior to enrolling you.

Participation (or declining involvement) in a research project will not affect the standard of care you receive from the practice in any way.

GP Earnings

2023/24 GP Earnings report

All GP practices are required to declare the mean earnings (e.g. average pay) for GPs working to deliver NHS services to patients at each practice.

The average pay for GPs working in Mid-Sussex Health Care in the last financial year was £106,129 before tax and National Insurance. This is for 4 full time GPs and 9 part time GPs who worked in the practice for more than six months.

Violence Policy

The NHS operate a zero tolerance policy with regard to violence and abuse and the practice has the right to remove violent patients from the list with immediate effect in order to safeguard practice staff, patients and other persons. Violence in this context includes actual or threatened physical violence or verbal abuse which leads to fear for a person’s safety. In this situation we will notify the patient in writing of their removal from the list and record in the patient’s medical records the fact of the removal and the circumstances leading to it.

Training

Mid Sussex Healthcare: a GP Training Practice

For many years, Mid Sussex Healthcare has been involved in GP Training. We believe that training the GPs of the future brings a fresh perspective to our own practice and that we all learn through teaching. Training also benefits patients, by bringing a fresh outlook and increasing the number of daily appointments that we can offer. Training practices tend to retain high levels of patient satisfaction while creating organisations in which the resident GPs have been shown to improve their own knowledge and skills. Patient safety is paramount at all times and our GP trainees are supervised closely and undergo regular assessments both internally at the practice (reviewing video consultations with patient consent, real case-based discussions, direct observation of procedural skills), at their local weekly teaching program and through the Royal College of General Practitioners at the now mandatory MRCGP (membership) examination.

As a practice we are assessed by the Regional Educational Deanery (see  http://kssdeanery.org/) at regular intervals to ensure we maintain high educational standards.  The GP Trainers are assessed every 3 years according to stringent national criteria. The particular emphasis is on maintaining good medical standards, developing our teaching skills, patient safety and practice protocols. In addition, our teaching skills are peer reviewed by local GP trainers regularly. This of course impacts on our day to day availability but on balance we are able to offer more appointments through having GP Registrars on site.

We have two grades of junior doctors who work and receive training in the practice: Foundation Year 2 doctors and GP Speciality training Registrars.

FY2 doctors are in their second year of their Foundation programme following qualification as a doctor.  The foundation programme is aimed at giving junior doctors a wide experience of working in a variety of clinical settings at an early stage of their medical careers.  Not all FY2 doctors will go on to pursue a career in general practice.

GP Speciality Training Registrars are in specialist training before coming a General Practitioner.  They will have had experience of a variety of hospital posts, and have been qualified as a doctor for at least two years before coming into general practice.

Both grades are fully qualified doctors who are able to treat and advise patients in general practice.  Both are fully supervised by their trainer, who is a GP Partner at the practice.  You can expect to receive the same quality of services you would from your own GP, but if you have any concerns, please mention them to a member of staff.

Further details on Foundation Year 2 Doctors (FY2 Doctors)

What is a Foundation Programme Year 2 FY2 Doctor?

Junior Doctor Training has changed radically in the past 3 years, with a view to improving the quality of professional education. Following completion of a minimum of 5 years undergraduate training at Medical School, Doctors enter the 2 year Programme, split into FY1 which is mostly Hospital based and FY2. The purpose is to provide a far broader range of experience than the previous pre-registration year.

How is the Foundation Programme training different?

Over the 2 years there are 6 four month posts, which can include General Medicine, Surgery, Paediatrics, Anaesthetics, Psychiatry & Obstetrics for example. During the 2nd year, FY2 Doctors can elect to undertake one 4 month post in General Practice.

Are FY2 doctors qualified/registered?

FY2 doctors are fully qualified and GMC registered. They can see patients independently but they are under the supervision of the Clinical Supervisor GP who has to undertake further accredited training him or herself.

What are the benefits of this?

The Foundation programme exposes all doctors of the future to general practice: it is a unique opportunity to show what work we do: how much we do and what primary care has to offer patients and the workforce.

Further Details on GP Speciality Training Registrars

The GP Training program is 3 years in duration, with the first 2 years (ST1 & 2) in Hospital posts (a combination of General Medicine, A+E, Paediatrics, Obs & Gynae and Psychiatry, amongst others) but also incorporating two 4 month GP placements.

The final year (ST3) is spent entirely in General Practice. It is at this stage that our Training GPs complete the MRCGP examination to gain accreditation to practice independently as a GP.

All of us at Mid Sussex Healthcare are delighted to be engaged in Post Graduate Medical Education and hope that as patients of our practice you realize the beneficial effects of having enthusiastic GP Registrars in house. Please accept their services as an extension of our own. We are confident that, as we learn more about good general practice through teaching, our service to our patients will improve still further.

Video Consultations

There may be times when the Training Doctor will be videoing consultations for their learning. This is a powerful tool in developing effective communication skills when viewed by their trainer alongside the Training doctor and remains completely confidential. We will always ask you to sign your permission beforehand and then again after the consultation. You will be given the choice to decline this offer, and your decision will be fully respected and will in no way affect the care you are given.

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