Twyford Surgery will endeavour to publish links and guidance here to aid our patients recovery and answer questions you may have.
The Covid-19 recovery service web site is now live. It is a comprehensive on line resource for those who are recovering from covid-19 and is specifically helpful to people with ongoing problems.
Evidence shows that those who have recovered from COVID-19 are likely to have significant ongoing health problems. These could include breathing difficulties, tiredness and cough, reduced muscle function, reduced ability to undertake physical activity and psychological symptoms such as PTSD and changes in mood. (added 30.07.2020)
A report on meeting the psychological needs of children in shielding families gives guidance on the impact for both children who are themselves shielding and children who are living with a family member who is shielding. (added 30.07.2020)
We understand that when the Doctor runs late it can be very frustrating and inconvenient for you and we wanted to try to explain some of the reasons why this happens sometimes.
Why do Doctors sometimes run late?
There is no one single answer to why this happens. There can be lots of things that combine to make us run late and are rarely able to tell you why as we need to maintain the confidentiality of all our patients.
- Patients are booked at 10 minute intervals.
- This time includes discussing patient symptoms, possible solutions which may or may not include medication, checking past medical history and recording the consultation in your records. So you can see how easy it is to fall behind schedule as the appointment session goes on.
Below are a few of the more common reasons for doctors running late.
- Complexity or patients in distress
People come to the GPs for lots of different reasons and this can range from a simple problem which can be comfortably dealt with in 7-8 minutes or a much more complex issue such as has been diagnosed with cancer or serious illness, the loss of a loved one, or feeling that they can’t cope anymore to the extent they are contemplating taking their own life. These are all common occurrences.
- 2. Multiple problems
Some people come with a number of problems, or remember another problem halfway through the consultation which can make it difficult to keep to time. Please be realistic about which problems can be dealt with during the 10 minute appointment time.
- 3. Admissions to hospital
When someone is very unwell they may need admitting to a local hospital and the GP may have to do that there and then. This will involve the GP talking to the team at the hospital which can take some time and may require emergency treatment by the GP at the practice, before they are transferred to hospital.
- 4. Interruptions from other Health Care Providers
GPs are part of a larger health care team and are often contacted by A&E departments, hospital doctors, laboratories, midwives, health visitors, social services etc.
We try to arrange these conversations after booked surgeries, but in emergency/ urgent situations this cannot wait and so your GP may be dealing with one of these teams whilst you’re in the waiting room.
The average pay of GPs working in Twyford Surgery in the last financial year was £138,606 before tax and National Insurance. This is for 2 full time GPs and 4 part-time GPs who worked in the practice for six months or more.
NHS England require that the net earnings of doctors engaged in the practice is publicised by 31 March 2023 at the latest. However, it should be noted that the prescribed method of calculating earnings is potentially misleading because it takes no account of how much time doctors spend working in the practice and should not be used for any judgement about GP earnings, nor to make any comparisons with other practices.
Please see News Page for latest information on Sick Notes during Coronavirus.
You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.
Evidence that you are sick
If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).
Your employer can ask you to confirm that you've been ill.You can do this by filling in a form yourself when you return to work. This is called self-certification.
If you're sick and off work for more than seven days, your employer will probably ask for proof of your illness. Most employers ask for a fit note from your GP.
However, this will also depend on your employer's company policy on sick leave (or sickness absence). This policy should tell you how many days you can be off sick before you need to provide proof of illness or a fit note.
You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.
Statement of Fitness for Work - 'Fit Note'
Fit notes are issued to patients by doctors following an assessment of their fitness for work. With your employer's support, the note may help you return to work sooner by providing more information about the effects of your illness or injury. Further information about Fit Notes can be found here Fit for Work.
From January 2016 anonymised information about Fit Notes will be collected from GPs' systems for the DWP to inform on policy development. Further information is available here Patient Information Leaflet.
There is a new Central NHS Computer System called the Summary Care Record (SCR). It is an electronic record which contains information about the medicines you take, allergies you suffer from and any bad reactions to medicines you have had
Why do I need a Summary Care Record?
Storing information in one place makes it easier for healthcare staff to treat you in an emergency, or when your GP practice is closed.
This information could make a difference to how a doctor decides to care for you, for example which medicines they choose to prescribe for you.
Who can see it?
Only healthcare staff involved in your care can see your Summary Care Record.
How do I know if I have one?
Over half of the population of England now have a Summary Care Record. You can find out whether Summary Care Records have come to your area by looking at our interactive map or by asking your GP
Do I have to have one?
No, it is not compulsory. If you choose to opt out of the scheme, then you will need to complete a form and bring it along to the surgery. You can use the form at the foot of this page.
For further information visit the NHS Care records website
If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse (6 weeks in advance) to discuss which countries and areas within countries you are visiting to determine which vaccinations are required. Please also complete this travel questionnaire and return it to us well ahead of your appointment. It is important that you are aware of the immunisations you will need and that this will incur a cost. We will inform you of the cost at the time of your appointment and you will be expected to make a payment at each travel appointment. Please make sure you have the means to do so when you attend your travel appointments.
You can find country information with the following links:
|Europe and Russia
|South America & Antarctica
Travelling in Europe
If you are travelling to Europe the EU has published useful information for travellers on the European website.
Which travel vaccinations are free on the NHS?
Vaccinations for the following conditions are usually available free on the NHS:
- diphtheria, polio and tetanus booster
- hepatitis A some combined vaccines, such as combined hepatitis A and B
These vaccines protect against diseases which are considered to be the greatest risk to public health if they were brought into the country.
Regardless of whether you have the vaccinations at your GP surgery or at a private travel clinic, you are likely to have to pay for the following vaccinations for overseas travel:
- hepatitis B
- meningitis C and other meningitis vaccines
- Japanese encephalitis
- tick-borne encephalitis
- yellow fever (this can only be given at an approved yellow fever vaccination centre)
Please click here for a list of travel vaccination charges at Twyford Surgery. Payment will be required on the day.
If you are travelling to an area where malaria is a risk, you will need to take anti-malarial medication, which you can buy over the counter at a pharmacy. If you are pregnant, ideally you should avoid travelling to an area like this.
For more information click here: NHS Choices Travel Information
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We want to get better at communicating with our patients. We want to make sure you can read and understand the information we send you. If you find it hard to read our letters or if you need someone to support you at appointments, please let us know.
We want to know if you need information in braille, large print or easy read. We want to know if you need a British Sign Language interpreter or advocate.
We want to know if we can support you to lipread or use a hearing aid or communication tool.
Website Accessibility Information
Our website pages are designed so that you can change the style, size and colour of the font used, as well as the background colour. If you wish to do so, please see the guides below.
Customise settings in:
- Have problems seeing the screen
- Find it difficult to use the mouse or keyboard
- Need help with language or reading websites
then we recommend you visit the BBC website My Web My Way, which provides advice on how to make your computer easier to use, whether you are a Windows, Mac or Linux user.
NHS Digital will launch the National Data Opt Out on 25th May, to coincide with the EU GDPR.
NATIONAL DATA OPT OUT
NHS Digital has launched the National Data Opt Out on 25th May, to coincide with the EU GDPR.
What is the National Data Opt Out (NDOO)?
The NDOO is a mechanism by which individuals in England can control, to a limited degree, certain aspects of their confidential medical information and, in particular, what NHS Digital can do with it once in their possession.
The NDOO only applies to confidential information, that is medical information that can identify you, for example by containing your name, DOB, address, NHS number etc.
And the NDOO only applies to uses of your confidential medical information for secondary purposes, that is unrelated to, and beyond, the direct medical care that GP surgeries and other healthcare organisations provide you with when you are unwell, or to keep you well.
Secondary purposes include healthcare planning, audit, population analytics, “risk stratification”, research, “commissioning”,commercial and even political uses.
The NDOO is not limited to electronic data and so includes paper records. It simply replaces the Type 2 (9Nu4) opt-out that has been in force for some years, and which you were able to express via your GP surgery.
It is, therefore, nothing new.
If I set, or keep, my NDOO status at “do not share”, what will this mean?
Confidential medical information obtained by NHS Digital from GP surgeries, hospital trusts, mental health providers and social care, will not be released/disseminated/sold by them in a format that can identify you.
In due course, the NDOO will prohibit certain data extractions from your GP record, where this involves confidential medical information, sand where your permission or consent has not been sought before your data was released (so-called section 251 approval).
The NDOO will, eventually, prevent confidential medical information leaving the Cancer Registry, certain other disease registries, the Clinical Practice Research Datalink (CPRD); and
By 2020, hospitals and other healthcare providers.
What will the NDOO not do?
The NDOO will in no way affect the sharing of information for the purposes of an individual’s care and treatment, e.g. where information is shared between a GP surgery and a hospital.
It will not stop your GP using the Electronic Referral Service (eRS), the Electronic Prescription Service (EPS), or GP2GP transfers of medical records.
The NDOO will in no way affect the National Summary Care Record (SCR).
You can opt-out of the SCR via your GP surgery.
The NDOO will in no way affect any local shared care record project or scheme, such as the Hampshire Health Record, the Great North care Record, the Bolton Care Record etc. (except if such schemes additionally process your uploaded information for secondary purposes).
You can opt-out of your local shared care record scheme via your GP surgery.
The NDOO will in no way affect situations where your GP surgery, or other healthcare organisation, is legally required to share your information (such as a court order or when mandated under section 259 of the Health and Social Care Act – but see later).
The NDOO will in no way affect you being invited, when appropriate, for any of the National Screening Programmes, such as cervical/breast/bowel/abdominal aortic aneurysm/diabetic eye screening.
You can opt-out of these separately, if you wish.
The NDOO will in no way affect situations where your GP surgery, or any other healthcare organisation, shares data in an anonymised or aggregate (numbers only) format, in other words where that data cannot identify an individual.
The NDOO will not stop:
Lifelong linked medical histories being disseminated by NHS Digital
Onwards release of data by non-NHS bodies (once provided with your information by NHS Digital)
What about Research?
The NDOO will in no way prevent you from taking part in accredited medical research, at your GP surgery/local hospital/other health organisation, where you have given your explicit consent to be involved (i.e. you have been asked first).
The NDOO will in no way prevent you from:
Joining the NHS Organ Donor Register
Signing up to the Anthony Nolan register to donate your blood stem cells or bone marrow
Donating your DNA for medical research
Joining the 100K Genomes project
Taking part in clinical drug trials
Donating your body to medical science after your death
Giving money (in a tax-efficient way) to any medical charity of your choosing
Will the NDOO stop my confidential GP information being uploaded to NHS Digital in the first place?
NHS Digital does not rely upon section 251 approval (any more) for data gathering, preferring instead to make such data collections compulsory under section 259 of the Health and Social Care Act.
However, the existing secondary uses, Type 1 (9Nu0), opt-out that many people have in force on their GP record will prohibit data (confidential and, in some cases, de-identified) from being extracted and uploaded from your GP record to NHS Digital.
In addition, the Type 1 opt-out will also prohibit section 251 approved data extractions, for example for “risk stratification”, as well as the mandatory section 259 extractions.
So how do I maximally limit secondary uses of my medical records, beyond my direct medical care?
Set your NDOO status to “do not share”, see later for how to do this. Or make sure that you have a Type 2 objection in force on your GP record - – do this via your GP surgery; and
Make sure you have a secondary uses, Type 1 (9Nu0) objection in force on your GP record – do this via your GP surgery
Consider contacting your local hospital trust, mental health provider, or social care organisation (local council) that you use (or have used) and express “the right to object” to the dissemination of confidential information about you to NHS Digital, where it is not legally mandated.
For example, you have the right to object where your data might be processed in this way and the organisation concerned is relying on Article 6(1)(e) – Official Authority – as the legal basis under the GDPR.
What about preventing NHS Digital releasing, disseminating, or selling anonymised and pseudonymised data about me?
You cannot – directly. And you have no control over why they are doing this, for what purpose(s), and to which organisation they are giving or selling your information to.
But you can limit how much information NHS Digital gathers about you from healthcare organisations, by maximally limiting the secondary uses of your medical records, as described above.
So how do I set, check, or update my National Data Opt Out status?
If you had previously requested a Type 2 objection to be in force, via your GP surgery, then this will have automatically have set your NDOO status to “do not share”. You will receive a letter from NHS Digital, confirming this, in due course. Any children aged 13yrs or over will receive their own letter as well.
It is not possible to directly view, set or change your NDOO status at your GP surgery, although you set it indirectly by expressing a Type 2 objection to your GP surgery – but only until October 2018.
This will automatically set your NDOO status to “do not share”.
Anyone aged 13yrs or over can set their NDOO status via an online service at www.nhs.uk/your-nhs-data-matters
Anyone aged 12yrs or younger, or if you are acting on behalf of another individual (i.e. as a proxy, perhaps with lasting power of attorney authority) cannot do this online but will have to ring 0300 330 9412 instead (or via other so-called “non-digital” methods).
More information about NHS data sharing, opting-out and objecting, and the NHS databases can be found at www.nhsdatasharing.info
Twyford Surgery is rated amongst the best in Hampshire and as a Patient Participation Group we work with the surgery to help to keep it that way. We meet approximately every other month, and also hold events on subjects related to healthcare and well-being. If you are registered with the surgery, you are also members of the PPG, and if you wish to join the committee, just contact our Chair, Marilyn Taylor at firstname.lastname@example.org. We would particularly welcome younger patients and their views on how best to develop services and patient care.
As Dr Phil Hammond, a journalist and broadcaster as well as a GP, once wrote:
“Patients and carers are the smoke alarms for the frontline of the NHS. They are often first to spot poor care and also have great ideas about how to make care …..Patient Participation Groups are a crucial way of harnessing the voice of the patient in primary care…”
Our aims are:
- To represent the views of patients at the practice
- To increase patients’ awareness of health-related issues
- To increase PPG members’ awareness of patient issues needs and views in order for the PPG to effectively represent these.
- To support the surgery to bring about positive change to health services.
Our PPG committee is made up of:
- Chair: Marilyn Taylor (Colden Common)
- Vice-chair: Jean Miller
- Treasurer: Michael Cleary (Owslebury)
- Jade Cornwall (Colden Common)
- Hazel Crosthwaite (Colden Common)
- Angela Forder-Stent (Twyford)
- Catherine Fox (Owslebury)
- Bob Jordan (Colden Common)
- Annette Walker (Colden Common)
Confidentiality & Medical Records
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.
Freedom of Information
Information about the General Practioners and the practice required for disclosure under this act can be made available to the public. All requests for such information should be made to the practice manager.
Access to Records
In accordance with the Data Protection Act 1998 and Access to Health Records Act, patients may request to see their medical records. Such requests should be made through the practice manager and may be subject to an administration charge. No information will be released without the patient consent unless we are legally obliged to do so.
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. Our complaints procedure can be viewed and printed off here: Complaints Leaflet
To pursue a complaint please contact the practice manager who will deal with your concerns appropriately. Further written information is available regarding the complaints procedure from reception.
Alternatively, complaints can be directed to NHS England as follows:
Contact No: 0300 311 223
PO Box 16738
Redditch - B97 9PT
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.
The more you know about your pregnancy and your options, the more you are likely to feel in control. The information given here is based on The Pregnancy Book, which your midwife should give you at your first appointment.
Before you are pregnant
Your pregnancy and labour
- How the baby develops
- 0-8 weeks pregnant
- 9-12 weeks pregnant
- 13-16 weeks pregnant
- 17-20 weeks pregnant
- 21-24 weeks pregnant
- 25-28 weeks pregnant
- 29-32 weeks pregnant
- 33-36 weeks pregnant
- 37-40 weeks pregnant
- 40+ weeks pregnant
- Your health in pregnancy
- Common health problems
- Antenatal care and classes
- Choosing where to have your baby
- Labour and birth
- When pregnancy goes wrong
You and your baby
- What you will need for your baby?
- Your life after the birth
- The first days with your baby
- The first weeks with your baby
- Feeding your baby
General pregnancy topics
When a death occurs in the family, whether it be at home or in hospital, there are many unfamiliar tasks which must be carried out. Sooner or later most of us will be confronted with the need to arrange a funeral which, in the midst of grief, can be a daunting ordeal. The very personal nature of each bereavement dictates that circumstance will vary in most instances, but the following may be of some help in taking the initial steps towards arrangements for the funeral.
Firstly, you will need to obtain a Medical Certificate of Cause of Death from the doctor in attendance at the hospital, or your GP if the death took place at home. In some circumstances this will be issued by the Coroner. All deaths need to be registered by taking the doctor's certificate to the Registrar of Births and Deaths in the subdistrict in which the death occurred. The information required by the Registrar is listed on the accompanying form, under the heading 'Duties of the Informant'.
The Registrar issues a GREEN certificate for the burial or cremation which must be handed to the Funeral Director, who should also be contacted without delay if, for any reason, the death has been referred to the Coroner. In any case, it is wise to contact your Funeral Director at an early stage as preliminary enquiries and provisional arrangements, if so desired, may be made in advance of the registration of the death. Whilst he or she can advise on the local facilities and the technical and logistical problems involved, the initial choice as to whether your loved one is to be buried or cremated is a very personal one and must be made by the family. It is, of course, possible that the deceased may have expressed a wish or left such instruction in their Will. The Funeral Directors will be responsible for making all the arrangements for the funeral and offering advice on such matters as press announcements, charitable donations or flowers, printing, insurance claims and seeking assistance from the Social Fund, if required. He or she will act as professional advisor and confidant and will be responsible for the efficient administration throughout the funeral.
At Twyford, we want to make sure young adults are aware of how to contact the Surgery, be informed about helplines, be aware of their right to access a GP independently of their parents from the age of 13.
This page on our website will be updated with information we think you might find relevant.
From the age of 16, we would expect to have your mobile number and email address on your record, rather than your parents'. We would generally prefer to speak to you about your medical record/appointments/test results, unless you have given us permission to discuss these with your parents.
You have a right to confidentiality about your medical information. Please don't let concerns about us sharing information with your parents put you off coming to you your GP.
YPI Counselling is a registered charity offering confidential counselling to young people aged 11-25 in the Basingstoke and Deane area.
Talk to Frank for facts, support and advice on drugs and alcohol today.
This page is a work in progress, please bear with us.