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 Practitioners 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 medical 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. You can download our policy below.
We make every effort to give the best service possible to everyone who attends our practice.
If you have a complaint or concern about the service you have had from the doctors or any of the staff please let us know. You can ask to speak to the Practice Manager or write a letter addressed to the Practice Manager or arrange to see her. We operate a complaints procedure as part of an NHS system for dealing with complaints.
There is also a service called the NHS complaints advocacy that offers to assist people who want to make a complaint. It is free, confidential and independent of the NHS.
You can download a full copy of our Practice Complaints Procedure.
We 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 the fact of the removal and the circumstances leading to it in the patient’s medical records. This means the patient will not be able to register or re-register in any of the surgeries within the Lawrence House Group.
Patient participation group
The practice is keen to have patients supporting us to improve our services. We already have an established Patient Participation Group who meet at the surgery once every 6 weeks. If you are interested in joining this group please ask to have your name included to our mailing list at reception.
All GP Practices are required to declare mean earnings (i.e. average pay) for GPs working to deliver NHS services to patients at each practice.
The average pay for GPs working in Lawrence House Surgery in the last financial year (2015/16) was £63,463 before tax and National Insurance.
This is for 5 full-time GPs, 8 part-time GPs and 2 locum GPs who worked in the practice for more than six months.
Are you a carer?
Please let us know if you are a carer, have a carer or care for someone on an informal basis, as you are entitled to an annual health check and free flu vaccinations. There is a wealth of information on the Haringey social care & health about carers and caring.
Text message reminders
You can now register to receive text notifications to remind you of forthcoming appointments, questionnaires and other important surgery updates. So make sure that we have your current mobile numbers.
We are an accredited training practice for GP registrars, trainee doctors, medical students and both undergraduate and postgraduate nurses.
Drs John Rohan, Beth Macmillan and Devrim Beyzade are certified trainers for GP registrars. Registrars are fully qualified doctors, with extensive hospital experience and they normally spend up to a year in training with us.
Sometimes you may be given an appointment to see a registrar and your permission sought for the consultation to be recorded on video for teaching purposes. Declining to give your permission will not affect your treatment in any way.
Our nurses are qualified to provide training and work experience for both undergraduate and postgraduate nurses.
In the UK the Royal College of General Practitioners is the academic organisation for general practitioners or family doctors. Other useful web resources are the Londonwide LMCs, Drug and Therapeutics Bulletin and the British National Formulary
The Lawrence House Group of Surgeries are Collaborative Research Ready surgeries. This means, that the surgeries have been endorsed to provide support to external researchers. Your information may be used anonymously, but if you have any objections to your records being used, please write to our practice manager. Participation is voluntary and refusing to take part will not affect your care in any way.
Here are some links that you might find useful.
For systematic reviews, The Cochrane Library provides high-quality evidence-based information. MEDLINE is the best biomedical database of published papers in peer reviewed journals and it can be accessed through the Pubmed Entrez search interface.
Only links to journals relevant to Primary care health issues are listed.
- Annals of Internal Medicine
- BJGP - British Journal of General Practice
- BMJ - British Medical Journal
- JAMA - Journal of the American Medical Association
- JAN - Journal of Advanced Nursing
- NEJM - The New England Journal of Medicine
- The Lancet
Nice guidelines & WHO
In the UK, The National Institute for Health and Clinical Excellence (NICE) is the independent organisation for the NHS and is responsible for providing guidance on the promotion of good health and the prevention and treatment of ill health.
WHO - World Health Organisation is the directing and co-ordinating authority for health within the United Nations system.
CQC - Care Quality Commission
The Care quality Commission checks whether hospitals, care homes and care services (including GP practices) are meeting national standards.
Information about you and the care you receive is shared, in a secure system, by healthcare staff to support your treatment and care.
It is important that we, the NHS, can use this information to plan and improve services for all patients. We would like to link information from all the different places where you receive care, such as your GP, hospital and community service, to help us provide a full picture. This will allow us to compare the care you received in one area against the care you received in another, so we can see what has worked best.
Information such as your postcode and NHS number, but not your name, will be used to link your records in a secure system, so your identity is protected. Information which does not reveal your identity can then be used by others, such as researchers and those planning health services, to make sure we provide the best care possible for everyone.
You have a choice
We need to make sure that you know this is happening and the choices you have. The leaflet 'How information about you help us to provide better care' and frequently asked questions downloads below may be helpful.
If you are happy for your information to be used in this way you do not have to do anything. If you have any concerns or wish to prevent this from happening, please speak to practice staff or download the opt out form below and return it to the practice.
You can find out more on the NHS England Care.Data website
- How information about you helps us to provide better care [pdf]
- Care.Data - FAQs [pdf]
- Care.Data opt out form [pdf]
Summary care record
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.
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.
In times of bereavement
In the unfortunate event that a person has passed away, there are three things that must be done in the first few days;
- Get a medical certificate from your GP or hospital doctor (this is necessary to register the death)
- Register the death within 5 days (8 days in Scotland). You will then receive the necessary documents for the funeral.
- Make the necessary funeral arrangements.
Register the death
If the death has been reported to the coroner (or Procurator Fiscal in Scotland) they must give permission before registering the death.
You can register the death if you are a relative, a witness to the death, a hospital administrator or the person making the arrangements with the funeral directors.
You can use the ‘Register a Death’ page on the gov.uk website that will guide you through the process. This will also explain the registration process for Scotland and Northern Ireland.
Arrange the funeral
The funeral can usually only take place after the death is registered. Most people use a funeral director, though you can arrange a funeral yourself.
Choose a funeral director who’s a member of one of the following:
These organisations have codes of practice - they must give you a price list when asked.
Arranging the funeral yourself
Contact the Cemeteries and Crematorium Department of your local council to arrange a funeral yourself.
Funeral costs can include:
- funeral director fees
- things the funeral director pays for on your behalf (called ‘disbursements’ or ‘third-party costs’), for example, crematorium or cemetery fees, or a newspaper announcement about the death
- local authority burial or cremation fees
Funeral directors may list all these costs in their quotes.
For free independent advice on bereavement issues, you can find more information at lastingpost.com
Haringey Clinical Commissioning Group
Haringey Clinical Commissioning Group (CCG) is an NHS organisation. We are responsible for planning and buying healthcare services for Haringey residents (commissioning). CCGs were established by the government’s Health and Social Care Act 2012 and have replaced primary care trusts (PCTs). Haringey CCG is made up of all the GP practices in Haringey and is led by a Governing Body.
What we do
We commission (buy) the local health services that you might need and use. We commission lots of different types of healthcare services from hospitals and community-based providers, like blood testing and physiotherapy. We also work closely with Haringey Council who buy and provide some services which are part of both health and social care, such as nursing homes.
Along with commissioning services, we are responsible for monitoring how well these services are provided and delivered. We know that we can only do this if we hear and understand what people think of health services in Haringey, and we are committed to getting your feedback.
Our two main acute (hospital) providers in Haringey are the North Middlesex University Hospital and Whittington Health. Whittington Health is also the main community services provider in Haringey. Our main mental health service provider is Barnet, Enfield and Haringey Mental Health Trust.
Primary care services in Haringey – GPs, dentists, optometrists and pharmacists – are not commissioned by the CCG, but by NHS England - www.england.nhs.uk - although from April 2017, Haringey CCG now has joint responsibility with NHS England for commissioning GP services in Haringey. Decisions about GP services are made by a Primary Care Joint Co-Commissioning Committee who meet in public. Meeting dates and papers are available on our website.
What we want to achieve
Our vision is to enable the people of Haringey to live long and healthy lives with access to safe, well co-ordinated and high quality services. We want to:
- Commission high quality, valued and responsive services, working in partnership with the public to make the best use of available resources
- Promote wellbeing, reduce health inequalities and improve health outcomes for local people
- Improve the health and quality of life for people by commissioning integrated health and social care delivered closer to home.
- Haringey Clinical Commissioning Group was established to commission health services for the population of Haringey and is accountable to NHS England.
- We are required to make decisions about what health services the local population needs (commissioning).
- The CCG is made up of all the GP practices in Haringey.
- The GP practices have decided how the CCG operates by developing a constitution.
- The CCG has a governing body made up of clinicians, lay members and NHS managers. Read about our governing body members.
- We work jointly with Haringey Council and the Health and Wellbeing Board to help improve health and wellbeing and ensure integrated health and social care for Haringey residents.
- We would like to hear what you think about health services in Haringey. Here are our contact details.
The General Data Protection Regulation (GDPR)
The General Data Protection Regulation (GDPR), becoming enforceable on the 25th May 2018, is a new guideline for the way organisations protect and manage data. The change will introduce a new era of data protection and privacy in a modern world. With its core idea of privacy being a fundamental right, the GDPR will radically change the way organisations are required to collect and manage their data. Our revised privacy notice is available here and will take effect on the 25th of May 2018. The new regulations aim to empower people to take control of their own data, provide individuals with new rights regarding their personal data and require organisations to demonstrate that they comply with the new law.