Urgent Prescription Request Policy

We experience a large volume of requests for prescriptions every day. In order to safely and efficiently carry this out we have a policy for issuing acute prescriptions. The full policy is detailed below the list of medication.

Medications other than the ones in this list will not be routinely issued on an urgent basis. Requests for routine prescription renewal require 5 working days for the script to be processed for collection. If you request prescriptions through a pharmacy or other 3rd party this may take longer as the service level agreement commences when the practice receives the prescription NOT when you make the request via a 3rd party.

URGENT PRESCRIPTION LIST

PLEASE ALSO NOTE THAT IF YOU ARE REQUESTING A MEDICATION THAT HAS NOT BEEN PRESCRIBED IN THE LAST 3 MONTHS YOU WILL NOT BE PROVIDED WITH AN URGENT PRESCRIPTION AND WILL BE ASKED TO MAKE A GP APPOINTMENT.

URGENT PRESCRIPTIONS REQUEST POLICY

Purpose

We receive a large volume of requests for prescriptions every day. In order to safely and efficiently undertake this function we have made a standard policy framework outlining the process and what drugs constitute and acute and urgent prescriptions. The management of urgent prescriptions support patients safely through less surgery interruptions and enabling the GPs to work uninterrupted.

Protocol

  • When urgent medication is requested practices must establish whether it is the fault of the practice and the script was not produced as requested or the patient has left the request too late.
  • If the practice establishes that this is not an error on the practices part, check against the provided list of medications classed by the Practice as urgent.
  • If the prescription is deemed to be urgent, explain to the patient that it will be ready by 6pm that day, if the request is deemed not to be urgent the patient will be informed the request will be ready within 5 working days and that this will have no detriment to their health.
  • There may be occasions where you will be asked to obtain an emergency supply from your preferred pharmacy who know you and will be able to accommodate the request in line with NICE Guidance
  • Patients who repeatedly request their prescriptions on an urgent basis will receive a letter warning them that they must comply with the Practice’s Policy or potentially face removal from the Practice.
  • Patients should be reminded that requests for routine prescriptions should be made well in advance to avoid medical lapses.
  • Patients who do not comply with the policy will on the first occasion receive a confirmation via text or letter reminding them of the process and on any subsequent occasion will receive a letter from the practice clearly stating the process and consequences of ignoring the policy.
  • In line with our standard prescription request policy no more than 2 month’s worth of medication will be provided unless it is under repeat dispensing or a contraceptive pill. This also aligns to and NHSE recommendations to reduce medication wastage and ensure patient safety.

Face Coverings Policy

Thank you for your patience and support during the pandemic.

Guidance on the wearing of face coverings changes regularly and when there is a change in local health issues, this may vary from National guidance as healthcare settings undertake risk assessments and determine differing local policies.

Our current guidance is as follows :

Patients

• Patients with respiratory symptoms who are required to attend for emergency treatment should wear a facemask/covering, if tolerated, or offered one on arrival.
• All other patients are not required to wear a facemask unless this is a personal preference

For the consideration of other more vulnerable users of the health centre, patients may choose to wear a facemask to support them.

Health & Care Staff:
• Health and care staff should continue to wear facemasks as part of personal protective equipment required for transmission-based precautions when working in COVID-19/respiratory care pathways, and when clinically caring for suspected/confirmed COVID-19 patients. This is likely to include settings where untriaged patients may present such as emergency departments or primary care, depending on local risk assessment. In all other clinical care areas, universal masking should be applied when there is known or suspected cluster transmission of SARS-CoV-2, eg during an outbreak, and/or if new SARS-CoV-2 VOC emerge.

• Health and care staff are in general not required to wear facemasks in nonclinical areas eg offices, social settings, unless this is their personal preference or there are specific issues raised by a risk assessment. This should also be considered in community settings.

 

 

Please refer to C1657_next-steps-on-infection-prevention-and-control-letter_010622.pdf (england.nhs.uk) for further detail as needed.

Patient Consent Form

There may be occasions where you would like our staff to speak to a member of your family or an advocate regarding your health care.

Your medical records are confidential so for us to do this we would require your signed consent.

Please click here for a consent form that you can download, print, sign and return to the practice should you need to do this.

Complaints Policy & Procedure

Patient Information

Introduction
At Birchwood Medical Practice 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 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.

We are continually striving to improve our service. We appreciate that people often do not like to complain, but assure you we do want to know if you are not satisfied. If you have a comment, complaint or suggestion, please tell any member of staff who will assist you. We have a campaign that we believe in called “You Said, We Listened, We Took Action” which is committed to ongoing service improvement.

 

Receiving of complaints
Who can complain? The Practice may receive a complaint made by, or (with his/her consent) on behalf of a patient, or former patient, who is receiving or has received treatment at the Practice, or:

(a) Where the patient is a child:

  • by either parent, or in the absence of both parents, the guardian or other adult who has care of the child;
  • by a person duly authorised by a local authority to whose care the child has been committed under the provisions of the Children Act 1989;

(b) Where the patient is incapable of making a complaint; by a relative or other adult who has an interest in his/her welfare.

We must observe the rules of medical confidentiality. This means that we can only accept a complaint on behalf of someone else if we have written authority of the person concerned, that is, unless the person is incapable, through illness, of providing this as indicated in (b) above.

Should you wish for someone to complain on your behalf, please complete our consent form and in section 3 indicate how you wish the access to your sensitive medical and non-medical information to be limited e.g. for the purposes of responding to a complaint about my medical record care.

Your complaint does not have to be in writing. Access to being able to make a complaint is important and ensures that we are receiving feedback as easily as possible.

Please ask our staff member to take the details of your complaint if you are making it verbally.

 

What is the time limit for making a complaint?
The period for making a complaint is normally:

(a) 12 months from the date on which the event which is the subject of the complaint occurred; or

(b) 12 months from the date on which the event which is the subject of the complaint comes to the complainant’s notice.

 

To whom should I complain initially?
If you are unhappy with our services please tell a member of our staff.  Often the problem can be sorted out straight away.  We aim to resolve informal complaints within 48 hours.

If you prefer not to talk to the member of staff involved in your care, you can contact the management team. You can make a complaint digitally through our website – Please click here to ensure our Management Team receives your complaint.

Our Procedure

We aim to acknowledge your verbal or written complaint within three working days. In most cases, we will offer you the opportunity to meet face-to-face to discuss your concern.

We will also ask you what you would like to happen as a result of your complaint, such as an apology, a new appointment, or an explanation. Whenever possible, we try to speak to you directly about your concerns and may arrange to meet with you to hear your experience firsthand.

We will then agree on a plan of action and assess and agree on the timescales in which we will respond to your complaint. We will communicate this to you in our acknowledgement of the complaint.

Your complaint will be fully investigated. This involves finding out what has happened by talking to the staff involved, reviewing medical records, available video and telephone call recordings, and taking any necessary action and learning to prevent it from happening again.

If it is not possible to deal with your complaint within the agreed period, we will write to you explaining the reason for the delay. The sooner you make a complaint, the easier it is to investigate and the more likely it is that the complaint can be resolved.

Alternatively, if you’d rather not raise the issue directly with the practice, you can direct your concerns to:

Bristol, North Somerset and South Gloucestershire Integrated Care Board (ICB)
Tel: 0300 311 22 33
Email: bnssg.customerservice@nhs.net
BNSSG ICB Floor 2, North Wing, 100 Temple Street, Bristol BS1 6AG

If you are not satisfied with our response
If you remain unhappy following the response, you can complain to the Health Service Ombudsman. The Ombudsman is completely independent of the NHS and Government. You can:

Email: phso.enquiries@ombudsman.org.uk
Write: City Gate, 51 Mosley St, Manchester M2 3HQ

Keeping your complaint confidential
Any personal data and information collected in relation to your concern or complaint is treated as strictly confidential and only made available to people who are involved in the investigation.

Information about the nature of the complaint is used to monitor the quality of care and may be followed up with the professionals concerned where problems are identified.

The fact that you have complained will not be recorded on your medical records.

 

ADVOCACY

Some patient’s may find it difficult to make a complaint directly to the Practice or to the NHS.  They can seek advice or get support from the following:

Healthwatch

Healthwatch is the local champion for patients and the public. They are there to listen to your feedback, and to make sure that local services know what people expect from them. They also want to hear about times when you have experienced excellent care.

Telephone : 0117 2690400
www.healthwatchbristol.co.uk
Or you can text them (use ‘Bris’ followed by your message) to: 07860021603

POhWER Bristol

Email: pohwer@pohwer.net

Website : Bristol | Home | POhWER

Telephone: 0300 456 2370 (charged at your standard network rate)

They welcome calls via Relay UK (the national speech to text telephone relay service for people who are deaf, have hearing loss or speech impairment.)

Text: send the word ’pohwer’ with your name and number to 81025

Post: PO Box 17943, Birmingham, B9 9PB

 

Your Confidential Records

Your Confidential Records

Your data matters to us at Birchwood Medical Practice. You can be assured that your medical records are safe with Birchwood Medical Practice. We will only share data that identifies you under the following circumstances:

  • With other health care professionals e.g. locum clinicians either in the practice or working remotely, hospital or community staff as part of an agreed plan of treatment
  • With your explicit consent, e.g. for participation in research studies
  • In circumstances where it is in the interests of your health and you are not able to give consent, e.g. if you are unconscious
  • Where we are obliged to divulge information under the Health & Social Care Act 2012, e.g. in the case of a national emergency or pandemic
  • Where we are required to do so for health service planning purposes and you have not explicitly opted out of having your data shared
  • Please see our privacy notices for detailed information

Our strict rules about confidentiality mean that we will not discuss your medical affairs even with your close family unless you give us permission to do so. This includes details of appointments you have made. If you would like your partner, parent, son/daughter or carer to be able to speak to us on your behalf, you must tell us beforehand. Please ask our Reception Team for a consent form or download one here if you require an ongoing arrangement for sharing consent. You can withdraw your consent at any time.

Information about your health and care helps the NHS to improve your individual care, speed up diagnosis, plan your local services and research new treatments.

Here is a video to show you how your data is shared from NHS Digital

Standard Privacy Notice – Data Protection & Confidentiality

Privacy Notice

Birchwood Medical Practice (the Surgery)

We understand how important it is to keep your personal information safe and secure and we take this very seriously. We have taken steps to make sure your personal information is looked after in the best possible way and we review this regularly.

Please read this privacy notice (‘Privacy Notice’) carefully, as it contains important information about how we use the personal and healthcare information we collect on your behalf.

202306 PATIENT PRIVACY NOTICE

We regularly review and update our Privacy Notice. This Privacy Notice was last updated on 29/06/2023

Privacy Notice For Patients Aged 13 to 16 yrs

Birchwood Medical Practice (the Surgery)

We understand how important it is to keep your personal information safe and secure and we take this very seriously. We have taken steps to make sure your personal information is looked after in the best possible way and we review this regularly.

Please read this privacy notice (‘Privacy Notice’) carefully, as it contains important information about how we use the personal and healthcare information we collect on your behalf.

202306 Privacy Notice for patients aged between 13-16

We regularly review and update our Privacy Notice. This Privacy Notice was last updated on 29/06/2023

Prescribing Policy For Patients Travelling Abroad

This policy outlines the procedure for patients travelling abroad for short and long periods of time.

NHS Policy

By law, the NHS ceases to have responsibility for the medical care of patients when they leave the UK.  In addition GPs are not required by their terms of service to provide prescriptions for the treatment of a condition that is not present and may arise while the patient is abroad.

The NHS does accept responsibility for supplying ongoing medication for temporary periods abroad of up to 3 months. However, if a person is going to be abroad for more than 3 months, then they are only entitled (at NHS expense) to a sufficient supply of regular medication in order to get to their destination, where they should the find an alternative supply of that medication.

Patients residing abroad for a period of more than 3 months should be removed from the registered patient list.

Birchwood Medical Practice Policy

Travelling out of the country for LESS than 3 months
For patients who inform us they will be out of the country for less than 3 months, we will provide sufficient medicines for an existing condition (e.g. asthma, diabetes…) for the period while the patient is away where it is safe to do so.  Drugs that require frequent monitoring may not be prescribed where there are safety concerns.  1 months supply only will be issued for drugs normally available over the counter, such as paracetamol.

Travelling out of the country for MORE than 3 months
Patients who inform the NHS they will be leaving the country for more than 3 months will be prescribed sufficient medication to enable them to make alternative arrangements at their destination (up to 3 months supply where safe to do so).

They will also be removed from our patient list. We will be pleased to re-register patients on their return to residence in the UK and can reassure patient that their electronic notes are kept on file for reference on your return.

Patients and relatives should not seek medication for themselves while they are abroad as this constitutes NHS fraud.

Prescriptions for medicines in case of illness while abroad

GPs may provide private prescriptions if it is clinically appropriate and they can be self-administered safely without medical assessment while abroad. These prescriptions are not free and it is at the discretion of the doctor as to whether they undertake this private work.

Patients should be aware that some drugs commonly prescribed in the UK may be illegal in certain countries and you should check with that countries embassy before you travel.

See NHS facts of travel abroad

http://www.nhs.uk/chq/Pages/1755.aspx?CategoryID=73&SubCategoryID=105

https://www.wessexlmcs.com/patientstravellingabroadprescriptionsadvice

https://www.gov.uk/travelling-controlled-drugs