Tollgate Medical Centre
Patient Privacy Notice
Your information and what you need to know:
This privacy notice explains why we collect information about you, how that information may be used and how we keep it safe and confidential.
Why we collect information about you:
Healthcare professionals that provide you with care are required by law to maintain records about your health and any treatment or care you have received within any NHS organisation. These records help to provide you with the best possible healthcare.
We collect and hold data for the sole purpose of providing healthcare services to our patients. In carrying out this role we may collect information about you which helps us respond to your queries or secure specialist services. We may keep your information in written form and/or in digital form. The records may include basic details about you, such as your name and address. They may also contain more sensitive information about your health and also information such as outcomes of needs assessments.
Details we collect about you:
Tollgate Medical Centre provides Primary Care General Practitioner Services. We have broken down this privacy notice so that you can see the specific details we hold.
Whilst you are registered we will keep records of any healthcare and treatment you have received either from ourselves or other clinicians previously (including GPs, NHS Trusts, Walk-in centres etc). These records help to provide you with the best possible healthcare.
Records we may hold about you include:
- Your age, contact details and next of kin
- Details of your appointments, clinic visits etc
- Records about your health, illness, treatment and care
- Results of investigations, like laboratory tests, x-rays, etc
- Information from other health professionals.
How we keep your information confidential and safe
Everyone working for the NHS is subject to the Common Law Duty of Confidence. Information provided in confidence will only be used for the purposes advised with consent given by the patient, unless there are other circumstances covered by the law. Tollgate Medical Centre complies with the NHS Confidentiality Code of Conduct. All our staff are required to protect your information, inform you of how your information will be used and allow you to decide if and how your information can be shared. We hold information in accordance with the Data Protection Act 1998 and the General Data Protection Act. We maintain our duty of confidentiality to you at all times. 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), or where the law requires information to be passed on.
How we use your information
We primarily use information to enable our clinicians to better treat you and provide your healthcare. However, we also use your information to improve our services by:
- Reviewing the care we provide through clinical audit
- Investigating patient queries, complaints and legal claims
- Ensuring we receive payment for the care you receive
- Preparing statistics on NHS performance
- Auditing NHS accounts and services
- Undertaking health research and development (with your consent – you may choose whether or not to be involved)
- Training and educating healthcare professionals.
Sharing your information
We share your personal information with other NHS organisations. For example, we may share your information for healthcare purposes with NHS trusts, Hospitals and Ambulance Services where they are directly involved in your care. We may need to share information from your health records with other non-NHS organisations, including Social Services. However, we will not disclose any health information to third parties without your explicit consent to do so, unless there are exceptional circumstances, such as when the health and safety of others is at risk or where the law requires it.
We may also be asked by other statutory bodies to share basic information about you, such as your name and address, but not sensitive information from your health records. This would normally be to assist them to carry out their statutory duties. In these circumstances, where it is not practical to obtain your explicit consent, we are informing you through this notice, which is referred to as a Fair Processing Notice, under the Data Protection Act that we may share that data.
These non-NHS organisations may include, but are not restricted to:
- Social Services
- Education Services
- Local Authorities
- Voluntary Sector Providers
- Private Sector Providers
The GP Practice is specifically required to share information for the following purposes:
Risk stratification is a process for proactively identifying and managing patients who are statistically at-risk of unplanned admission to hospital or likely to require additional healthcare input.
Information about you is collected from a number of sources including NHS Trusts and GP Practices. A risk score is then arrived at through an analysis of your de-identified information using software managed by an agreed third party provider and is then provided back to us. If necessary we may be able to offer you additional services, following this risk stratification process.
Risk stratification is commissioned by the NHS Newham Clinical Commissioning Group (CCG). Section 251 of the NHS Act 2006 provides a statutory legal basis to process data for risk stratification purposes. Further information about risk stratification is available from:
If you are registered with us and do not wish information about you to be included in the risk stratification programme, please let us know. We can add a code to your records that will stop your information from being used for this purpose. Our other services are not subject to Risk Stratification purposes.
Individual Funding Request
An Individual Funding Request is a request made on your behalf and with your consent by a clinician, for funding of specialised healthcare which falls outside the range of services and treatments that CCG has agreed to commission for the local population. An Individual Funding Request is considered when a case can be set out by a patient’s clinician that there are exceptional clinical circumstances which make the patient’s case different from other patients with the same condition who are at the same stage of their disease, or when the request is for a treatment that is regarded as new or experimental and where there are no other similar patients who would benefit from this treatment. A detailed response including the criteria considered in arriving at the decision, will be provided to the patient’s clinician.
Supporting Medicines Management
CCGs support local GP practices with prescribing queries which generally don’t require identifiable information. CCG pharmacists work with all Newham practices to provide advice on medicines and prescribing queries, and review prescribing of medicines to ensure that it is safe and cost-effective. Where specialist support is required e.g. to order a drug that comes in solid form, in gas or liquid, the CCG medicines management team will order this on behalf of the practice to support your care.
Summary Care Record (SCR)
The NHS in England uses a national electronic record called the Summary Care Record (SCR) to support patient care. It contains key information from your GP record. Your SCR provides authorised healthcare staff with faster, secure access to essential information about you in an emergency or when you need unplanned care, where such information would otherwise be unavailable.
Summary Care Records are there to improve the safety and quality of your care. SCR core information comprises your allergies, adverse reactions and medications. An SCR with additional information can also include reason for medication, vaccinations, significant diagnoses / problems, significant procedures, anticipatory care information and end of life care information. Additional information can only be added to your SCR with your agreement.
Please be aware that if you choose to opt-out of SCR, NHS healthcare staff caring for you outside of this surgery may not be aware of your current medications, allergies you suffer from and any bad reactions to medicines you have had, in order to treat you safely in an emergency. Your records will stay as they are now with information being shared by letter, email, fax or phone. If you wish to opt-out of having an SCR then please let us know.
Invoice validation is an important process. It involves using your NHS number to check that the CCG is responsible for paying for your treatment. We can also use your NHS number to check whether your care has been funded through specialist commissioning, which NHS England will pay for. The process makes sure that the organisations providing your care are paid correctly.
The legal basis to use information for invoice validation is provided under Regulations made under section 251 of the NHS Act 2006 and is based on the advice of the Health Research Authority’s Confidentiality and Advisory Group (reference CAG 7-07(a) and (b)/2013).
We are required by law to protect the public funds we administer. Tollgate Medical Centre may share information provided to it with other bodies responsible for auditing or administering public funds, in order to prevent and detect fraud.
Information may be used for clinical audit to monitor the quality of the service provided. Some of this information may be held centrally and used for statistical purposes e.g. the National Diabetes Audit. 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. Tollgate Medical Centre will always gain your consent before releasing the information for this purpose.
The use of data by the Cabinet Office for data matching is carried out with statutory authority under Part 6 of the Local Audit and Accountability Act 2014. It does not require the consent of the individuals concerned under the Data Protection Act 1998.
Data matching by the Cabinet Office is subject to a Code of Practice. You can view further information on the Cabinet Office’s legal powers and the reasons why it matches particular information.
To ensure that adult and children’s safeguarding matters are managed appropriately, access to identifiable information will be shared in some limited circumstances where it is required for the safety of the individuals concerned.
The NHS Care Record Guarantee
The NHS Care Record Guarantee for England sets out the rules that govern how patient information is used in the NHS, what control the patient can have over this, the rights individuals have to request copies of their data and how data is protected under the Data Protection Act 1998.
The NHS Constitution
The NHS Constitution establishes the principles and values of the NHS in England. It sets out the rights patients, the public and staff are entitled to. These rights cover how patients access health services, the quality of care you’ll receive, the treatments and programmes available to you, confidentiality, information and your right to complain if things go wrong.
NHS Digital collects health information from the records health and social care providers keep about the care and treatment they give, to promote health or support improvements in the delivery of care services in England.
The practice may be asked to share your details with other organisations in the form of private medical reports, or extracts from your medical records – perhaps to assist you with a mortgage of life insurance/assurance application. We will only do this once we are in possession of your explicit consent and you are entitled to have site of any report that we make about you.
We will approach the management of patient records in line with the Records Management NHS Code of Practice for Health and Social Care. This sets the required standards for managing records for those who work within or under contract to NHS organisations in England, based on current legal requirements and professional best practice. Any specific details of data retention by service are detailed in subsequent pages.
Access to your information
Under the General Data Protection Regulation everybody has the right to see, or have a copy of data we hold that can identify you, with some exceptions. You do not need to give a reason to see your data. If you want to access your data you must make the request in writing. Under special circumstances, some information may be withheld. If you wish to have a copy of the information we hold about you, please contact us in writing at:
Subject Access Requests
Tollgate Medical Centre
220 Tollgate Road
Your right to withdraw consent for us to share your personal information
At any time you have the right to refuse/withdraw consent to information sharing. The possible consequences will be fully explained to you and may mean that we are unable to fulfil our requirements in providing care and result in you needing to register with an alternative General Practitioner. If you wish to discuss this, please contact either the reception or by emailing us on firstname.lastname@example.org detailing the best way for us to contact you to discuss the consent withdrawal.
Mobile telephone number
If you provide us with your mobile phone number we may use this to send you reminders about your appointments or other health screening information. Please let us know if you do not wish to receive reminders on your mobile.
This practice is supporting vital coronavirus (COVID-19) planning and research by sharing your data with NHS Digital. This transparency notice supplements our main practice privacy notice: https://digital.nhs.uk/coronavirus/gpes-data-for-pandemic-planning-and-research/general-practice-transparency-notice
The General Data Protection Regulation requires organisations to register a notification with the Information Commissioner to describe the purposes for which they process personal and sensitive information. We are registered as a data controller and our registration can be viewed online in the public register at: http://ico.org.uk/what_we_cover/register_of_data_controllers
Any changes to this notice will be published on our website and in a prominent area at the Practice.
Complaints & Compliments
If you have concerns or are unhappy about any of our services, or should you wish to pass on compliments please contact us using the details below:
Tollgate Medical Centre
220 Tollgate Road
For independent advice about data protection, privacy and data-sharing issues, you can contact:
The Information Commissioner
0303 123 1113
The following individuals are our named leads for information handling within Tollgate Medical Centre :
- Data Protection Officer: Martin Street (Business Manager)
- Caldicott Guardian and Information Governance Lead: Dr Mallik Koneru