Practice Policies

Chaperone Policy

We will always respect your privacy, dignity and your religious and cultural beliefs particularly when intimate examinations are advisable – these will only be carried out with your express agreement and you will be offered a chaperone to attend the examination if you so wish.

You may also request a chaperone when making the appointment or on arrival at the surgery (please let the receptionist know) or at any time during the consultation.

All chaperones are DBS checked.

Confidentiality

You can be assured that anything you discuss with any member of the surgery staff, whether doctor, nurse or receptionist, will remain confidential. Even if you are under 16, nothing will be said to anyone, including parents, other family members, care workers or teachers, without your permission. The only reason why we might want to consider passing on confidential information without your permission would be to protect either you or someone else from serious harm. In this situation, we would always try to discuss this with you first.

If you have any worries or queries about confidentiality, please ask a member of staff.

If you would like to discuss matters of a confidential nature, either with our receptionists or a member of the dispensary team, we have a side room available in reception for this purpose.

Data Protection

We need 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.

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.

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:

Personal Data

The following IT systems are in use at the practice:

Referral Management (using NHS numbers in referrals)
Electronic Appointment Booking (the facility to book routine appointments online and, similarly, to cancel appointments
Online booking of repeat prescriptions
Summary Care Record (uploading details of your current medication and allergies to the national “spine” so that these are available for doctors involved in your care elsewhere)
GP to GP transfers (the electronic transfer of records from practice to practice when you re-register
Patient Access to records (the facility to view your medical records online).

If you are not already registered for online access and would like to be please complete our online form.

If you would like access to your medical records enabled or would like to opt out of the local or national summary care record, please contact reception.

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.

Safeguarding Policy

Sedative Prescribing for Fear of Flying

This policy applies to surgeries within the Drake Medical Alliance PCN:

Knowle House
Lisson Grove & Woolwell
North Road West
Roborough
Wycliffe

The above surgeries do NOT prescribe sedatives for fear of flying. All prescribers working in the PCN adhere to this policy. The reasons for this can be found below:

Diazepam is a sedative, which means it makes you sleepy and more relaxed. If there is an emergency during the flight it may impair your ability to concentrate, follow instructions and react to the situation. This could have serious safety consequences for you and those around you.
Sedative drugs can make you fall asleep, however when you do sleep it is an unnatural non REM sleep. This means you won’t move around as much as during natural sleep. This can cause you to be at increased risk of developing a blood clot (DVT) in the leg or even the lung. Blood clots are very dangerous and can even prove fatal. This risk is even greater if your flight is greater than four hours.
Whilst most people find benzodiazepines like diazepam sedating, a small number have paradoxical agitation and aggression. They can also cause disinhibition and lead you to behave in a way that you would not normally. This could impact on your safety as well as that of other passengers and could also get you into trouble with the law.
NICE guidelines suggest that medication should not be used for mild and self-limiting mental health disorders. (1) In more significant anxiety related states, benzodiazepines, sedating antihistamines or antipsychotics should not be prescribed. Benzodiazepines are only advised for the short-term use for a crisis in generalised anxiety disorder. Fear of flying in isolation is not a generalised anxiety disorder.
According to the prescribing guidelines doctors follow diazepam (2) is contraindicated (not allowed) in treating phobic states. It also states “the use of benzodiazepines to treat short-term ‘mild’ anxiety is inappropriate.” (3) Your doctor would be taking a significant legal risk by prescribing against these guidelines. They are only licensed short term for a crisis in generalised anxiety. If this is the case, you should be getting proper care and support for your mental health and not going on a flight.
Diazepam and similar drugs are illegal in a number of countries. (4) They may be confiscated or you may find yourself in trouble with the police.
Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing you may fail this having taken diazepam.
8. We appreciate that fear of flying is very real and very frightening. A much better approach is to tackle this properly with a Fear of Flying course run by the airlines. Please contact your airline for more details.

References

NICE. www.nice.org.uk. [Online].; 2020 [cited 2022 12 4. Available from: https://www.nice.org.uk/guidance/cg113
British National Formulary. bnf.nice.org.uk. [Online].; 2022 [cited 2022 12 4. Available from: https://bnf.nice.org.uk/drugs/diazepam/
British National Formulary. bnf.nice.org.uk. [Online].; 2022 [cited 2022 12 4. Available from: https://bnf.nice.org.uk/treatment-summaries/hypnotics-and-anxiolytics/
National Travel Health Network and Centre. travelhealthpro.org.uk/. [Online].; 2019 [cited 2022 12 4. Available from: https://travelhealthpro.org.uk/factsheet/43/medicines-abroad