Freedom of Information

The Freedom of Information Act creates a right of access to recorded information and obliges a public authority to:

  • Have a publication scheme in place
  • Allow public access to information held by public authorities.

The Act covers any recorded organisational information such as reports, policies or strategies, that is held by a public authority in England, Wales and Northern Ireland, and by UK-wide public authorities based in Scotland, however it does not cover personal information such as patient records which are covered by the Data Protection Act.

Public authorities include government departments, local authorities, the NHS, state schools and police forces.

The Act is enforced by the Information Commissioner who regulates both the Freedom of Information Act and the Data Protection Act.

The surgery publication scheme

A publication scheme requires an authority to make information available to the public as part of its normal business activities. The scheme lists information under seven broad classes, which are:

  • Who we are and what we do
  • What we spend and how we spend it
  • What our priorities are and how we are doing it
  • How we make decisions
  • Our policies and procedures
  • Lists and registers
  • The services we offer

You can request our publication scheme leaflet at the surgery.

Who can request information?

Under the Act, any individual, anywhere in the world, is able to make a request to a practice for information. An applicant is entitled to be informed in writing, by the practice, whether the practice holds information of the description specified in the request and if that is the case, have the information communicated to him. An individual can request information, regardless of whether he/she is the subject of the information or affected by its use.

How should requests be made?

Requests must:

  • Be made in writing (this can be electronically e.g. email/fax)
  • State the name of the applicant and an address for correspondence
  • Describe the information requested.

What cannot be requested?

Personal data about staff and patients covered under Data Protection Act.

For more information see these websites:

Disability Access

We wish to make The Market Surgery, Aylsham as accessible as possible. If you have hearing, visual or physical difficulties please let the receptionist know so that we can enable you to fully use our services.

All of our consulting rooms are on the ground floor and are wheelchair accessible.

Confidentiality

The practice complies with the Data Protection Act. All information about patients is confidential: from the most sensitive diagnosis, to the fact of having visited the surgery or being registered at the practice. All patients can expect that their personal information will not be disclosed without their permission except in the most exceptional of circumstances, when somebody is at grave risk of serious harm.

All members of the primary health care team (from reception to doctors) in the course of their duties will have access to your medical records. They all adhere to the highest standards of maintaining confidentiality.

As our reception area is a little public, if you wish to discuss something of a confidential nature please mention it to one of the receptionists who will make arrangements for you to have the necessary privacy.

What happens to my information?

We have a computer system called SystmOne which holds the medical records of all our patients. This is totally confidential and the only people who access the notes are those health professionals and administration staff who need to do so to assist with your care. If we need to refer you to the hospital for treatment then the information that is relevant to your care will be shared with those professionals who are being asked to help you.

What does it mean for you?

Any young person has the right to seek advice from a health professional; doctor or nurse on their own or with a friend without their parent or another adult knowing about it.

  • We do not have the right to tell anybody about what you have discussed with us, without your permission. However some decisions may be difficult and mean that the support of a trusted adult is important. For this reason we do try to encourage you to discuss things with a trusted adult or parent where possible.
  • When you are seen by a doctor or nurse, the decision to offer you treatment/medication without an adult being present depends on how happy we are that you fully understand a) what the treatment means and the advice given, b) the options that you have been given regarding different types of treatment c) whether or not you understand possible risks or side effects of the treatment and finally that you know to come back to us if you have any problems.
  • Being able to agree to treatment on your own is not dependent on your age it is dependent on your understanding of what is being offered.

Under 16s

Young people in the care system often have worries about what information is being given to different people about them. Your information would only be shared with those who really need to know and with your knowledge and permission so that you have control over your own information.

  • Limitations to confidentiality – this part is very important. We have what is called a ‘duty of care’ to you which means that we must be sure that you are safe and that decisions you are making or advice and treatment that we are giving is in the best interests of your health and wellbeing and that of other people.
  • If the doctor or nurse that you are seeing has a concern that you may be in danger or putting others in danger we have a duty to disclose that information without your consent to an appropriate person who will look into the situation.
  • People under the age of 13 years old are not legally capable of agreeing to have sex or be involved in sexual activity. This means that the nurse or doctor may feel that to protect you this information needs to be shared with an appropriate person. This would normally be done with your knowledge and the doctor or nurse would help support you through this time and fully explain the reasons why this is needed so that you understand.

Useful Websites

Chaperones

The surgery prides itself in maintaining professional standards. For certain examinations during consultations an impartial observer (a “chaperone”) may be required.

This impartial observer will be a trained member of staff and will be available to reassure and raise any concerns on your behalf.

You are free to decline any examination or choose an alternative examiner or chaperone. You may also request a chaperone for any examination or consultation if one is not offered to you. The GP may not undertake an examination if a chaperone is declined.

The role of a chaperone:

  • Maintains professional boundaries during intimate examinations.
  • Acknowledges a patient’s vulnerability.
  • Provides emotional comfort and reassurance.
  • Assists in the examination.
  • Assists with undressing patients, if required.