Welcome to Castlefields Surgery
It is likely that in the coming weeks our service will be under huge pressure due to workload and our own staff self isolation measures. It is important to us that if you feel you might have a significant illness or need help with managing a chronic significant condition that you book a telephone or video consult appointment with us in the usual manner. Please use the NHS website for advice on how to manage minor problems and when to seek advice.
Please consider (if possible) buying a thermometer and blood pressure machine for use at home. If you have asthma a peak flow meter and if you usually suffer from breathing difficulties a pulse oximeter. Also consider practicing how to take a pulse and count a relatives breathing rate in breaths per minute. This information would be extremely helpful in a phone consulation with a nurse or doctor. Our dedicated staff are still coming into work and are putting themselves at great risk to continue to provide care and treatment for you, so please be kind, considerate and understanding during these very difficult times ahead.
THE PUBLIC HAS A CRUCIAL ROLE TO PLAY IN CONTAINING THE SPREAD OF THE VIRUS. WASH YOUR HANDS MORE OFTEN FOR 20 SECONDS. USE SOAP AND WATER OR A HAND SANITIZER WHEN YOU: GET HOME OR INTO WORK, BLOW YOUR NOSE, SNEEZE OR COUGH, EAST OR HANDLE FOOD. PROTECT YOURSELF AND OTHERS AND ADHERE TO THE SOCIAL DISTANCING ADVICE AND GUIDANCE FROM THE GOVERNMENT. THANK YOU.
- ADVICE FOR THOSE WHO ARE SUFFERING FROM SYMPTOMS THAT MAY BE CAUSED BY COVID 19
If you have arrived back to the UK from an affected area, kindly follow the specific advice for returning travellers. Public Health England's information regarding affected areas and health care guidance changes daily and can be viewed at https://www.gov.uk/guidance/coronavirus-covid19-information-for-the-public#returning-traveller
If you have visited an affected area in the past 14 days or have been in contact with someone infected with Coronavirus or you think you may have Coronavirus, or if you have a fever, cough, sore throat or breathing problems:
DO NOT GO TO YOUR PRACTICE OR, COMMUNITY PHARMACY OR HOSPITAL
DO STAY INDOORS AND AVOID CLOSE CONTACT WITH PEOPLE
DO SEEK MEDICAL HELP AND ADVICE BY VISITING https://www.nhs.uk/conditions/coronavirus-covid-19/or
DO CALL NHS 111 BY SIMPLY DIALLING 111 OR VISITING https://111.nhs.uk/covid-19 if YOU NEED FURTHER MEDICAL HELP AND ADVICE
Symptoms and what to do
Do not leave your home if you have either:
- a high temperature – this means you feel hot to touch on your chest or back (you do not need to measure your temperature)
- a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)
To protect others, do not go to places like a GP surgery, pharmacy or hospital. Stay at home.
Use the 111 online coronavirus service to find out what to do.
Only call 111 if you cannot get help online.
Read general information such as:
CQC RATING : OVERALL - INADEQUATE. link to the CQC report https://www.cqc.org.uk/location/1-2897162123
Guidance for the public on the phased return of outdoor sport and
recreation in England
From 1 June, you can now exercise alone, with members of your
household, or with up to, but no more than 5 other people from outside
your household while keeping 2 metres apart at all times.
Gatherings of more than 6 people are not permitted (unless an exemption
applies, for example, if you are from one household or if it’s essential for
Social distancing of 2 metres applies to people outside of your household.
If you are playing sport or exercising with people from your own
household, the 2 metre rule does not apply.
To read the full guidance please click here and the news story is available here.
Coronavirus (COVID-19): advice on accessing green spaces safely
The risk of the coronavirus being passed on to others outdoors is
considered to be low as long as people maintain social distancing.
In England, you can leave your home to exercise and spend time outdoors
for recreation with your household or in groups of up to six people from
outside your household.
There are no restrictions on how far you can travel to get to the
countryside with England. However you cannot stay overnight.
It is important that people respect the rules in Scotland, Wales and
Northern Ireland. Do not travel to different parts of the UK where it would
be inconsistent with guidance or regulations issued by the relevant
When in the countryside, follow the Countryside Code, for example by
leaving no trace of your visit and taking all of your litter home.
There are some countries and areas where there's a higher chance of coming into contact with someone with coronavirus.
If you're planning to travel abroad and are concerned about coronavirus, see advice for travellers on GOV.UK.
Treatment for coronavirus
There is currently no specific treatment for coronavirus.
Antibiotics do not help, as they do not work against viruses.
Treatment aims to relieve the symptoms while your body fights the illness.
You'll need to stay in isolation, away from other people, until you have recovered.
CASTLEFIELDS SURGERY would like to invite you to join DoctorLink.
We have been looking at how we can improve access to Practice services; DoctorLink is our new online service where you can access advice and appointments on line.
Registration is simple and you can register here:
For all urgent appointments, we ask that you undertake a symptom assessment through DoctorLink.
The symptom checker will ask you a number of questions to help to identify your problem.
The outcome of your assessment will direct you to the right treatment, whether emergency care, your GP, nurse or self-care.
If your outcome indicates that an appointment is required, you simply click on the request appointment link.
Once the request has been submitted, you will then be contacted by the Practice Team, to arrange an appointment within the identified timeframe (as outlined in the outcome of your symptom checker).
The information you provide will be shared with our clinical team (where appropriate) and will assist in providing robust information of your problem to the required clinical team member prior to your appointment.
You can even download the App on the Iphone App Store or on Android Googleplay
NO DEAL BREXIT MEDICINES CONTINGENCY
PLEASE VISIT NHS.UK FOR INFORMATION AROUND THE CONTINGENCY FOR MEDICINES SHOULD THERE BE A NO-DEAL EU EXIT. THESE UPDATES EXPLAIN THE GOVERNMENT'S MULTI LAYERED APPROACH TO ENSURE THAT MEDICINES CONTINUE TO BE AVAILABLE SHOULD THERE BE A NO DEAL EU EXIT.
YOUR DATA, PRIVACY AND THE LAW.
HOW WE USE YOUR MEDICAL RECORDS
CASTLEFIELDS SURGERY IS ONE OF MANY ORGANISATIONS WORKING IN THE HEALTH AND CARE SYSTEM TO IMPROVE CARE FOR PATIENTS AND THE PUBLIC.
- This practice handles medical records according to the laws on data protection and confidentiality.
- We share medical records with health professionals who are involved in providing your with care and treatment. This is on a need to know basis and event by event.
- Some of your data is automatically copied to the Shared Care Summary Record.
- We may share some of your data with local out of hours/urgent or emergency care services.
- Data about you is used to manage national screening campaigns such as Flu, Cervical Cytology and Diabetes Prevention.
- Data about you, usually de-identified, is used to manage the NHS and make payments.
- We share information when the law requires us to, for instanace when we are inspected or are reporting certain illnesses or safeguarding vulnerable people.
- Your data is used to check the quality of care provided by the NHS.
- We may also share medical records for medical research.
The information collected about you when you use these services can also be provided to other approved organisations, where there is a legal basis, to help with planning services, improving care provided, research into developing new treatments and preventing illness. All of these help to provide better health and care for you, your family and future generations. Confidential personal information about your health and care is only used in a way where allowed by law and would never be used for insurance or marketing purposes without your explicit consent.
You have a choice about whether you want your confidential patient information to be used in this way.
To find out more about the wider use of confidential personal information and to register your choice to opt out if you do not want your data to be used in this way, visit www.nhs.uk/my-data-choice. If you choose to opt out you can still consent to your data being used for specific purposes.
If you are happy with this use of information you do not need to do anything. You can change your choice at any time.
(This Privacy Notice is to run alongside our standard Practice Privacy Notice)
Due to the unprecedented challenges that the NHS and we, CASTLEFIELDS SURGERY face due to the worldwide COVID-19 pandemic, there is a greater need for public bodies to require additional collection and sharing of personal data to protect against serious threats to public health.
In order to look after your healthcare needs in the most efficient way we, CASTLEFIELDS SURGERY may therefore need to share your personal information, including medical records, with staff from other GP Practices including Practices within our Primary Care Network, as well as other health organisations (i.e. Clinical Commissioning Groups, Commissioning Support Units, Local authorities etc.) and bodies engaged in disease surveillance for the purposes of research, protecting public health, providing healthcare services to the public and monitoring and managing the Covid-19 outbreak and incidents of exposure.
The Secretary of State has served notice under Regulation 3(4) of the Health Service (Control of Patient Information) Regulations 2002 (COPI) to require organisations to process confidential patient information in the manner set out below for purposes set out in Regulation 3(1) of COPI.
Purpose of this Notice
The purpose of this Notice is to require organisations such as CASTLEFIELDS SURGERY to process confidential patient information for the purposes set out in Regulation 3(1) of COPI to support the Secretary of State’s response to Covid-19 (Covid-19 Purpose). “Processing” for these purposes is defined in Regulation 3(2) and includes dissemination of confidential patient information to persons and organisations permitted to process confidential patient information under Regulation 3(3) of COPI. This Notice is necessary to require organisations such as CASTLEFIELDS SURGERY to lawfully and efficiently process confidential patient information as set out in Regulation 3(2) of COPI for purposes defined in regulation 3(1), for the purposes of research, protecting public health, providing healthcare services to the public and monitoring and managing the Covid-19 outbreak and incidents of exposure.
Requirement to Process Confidential Patient Information
The Secretary of State has served notice to recipients under Regulation 3(4) that requires CASTLEFIELDS SURGERY to process confidential patient information, including disseminating to a person or organisation permitted to process confidential patient information under Regulation 3(3) of COPI.
CASTLEFIELDS SURGERY is only required to process such confidential patient information:
- where the confidential patient information to be processed is required for a Covid-19 Purpose and will be processed solely for that Covid-19 Purpose in accordance with Regulation 7 of COPI
- from 20th March 2020 until 30th September 2020.
A Covid-19 Purpose includes but is not limited to the following:
- understanding Covid-19 and risks to public health, trends in Covid-19 and such risks, and controlling and preventing the spread of Covid-19 and such risks
- identifying and understanding information about patients or potential patients with or at risk of Covid-19, information about incidents of patient exposure to Covid-19 and the management of patients with or at risk of Covid-19 including: locating, contacting, screening, flagging and monitoring such patients and collecting information about and providing services in relation to testing, diagnosis, self-isolation, fitness to work, treatment, medical and social interventions and recovery from Covid-19
- understanding information about patient access to health services and adult social care services and the need for wider care of patients and vulnerable groups as a direct or indirect result of Covid-19 and the availability and capacity of those services or that care
- monitoring and managing the response to Covid-19 by health and social care bodies and the Government including providing information to the public about Covid-19 and its effectiveness and information about capacity, medicines, equipment, supplies, services and the workforce within the health services and adult social care services
- delivering services to patients, clinicians, the health services and adult social care services workforce and the public about and in connection with Covid-19, including the provision of information, fit notes and the provision of health care and adult social care services
- research and planning in relation to Covid-19.
Recording of processing
A record will be kept by CASTLEFIELDS SURGERY of all data processed under this Notice.
Sending Public Health Messages
Data protection and electronic communication laws will not stop CASTLEFIELDS SURGERY from sending public health messages to you, either by phone, text or email as these messages are not direct marketing.
It may also be necessary, where the latest technology allows CASTLELFIELDS SURGERY to do so, to use your information and health data to facilitate digital consultations and diagnoses and we will always do this with your security in mind.
Research and Pandemic Planning
The Secretary of State has directed NHS Digital to collect, process and analyse data in connection with COVID-19 to support the Secretary of State’s response to COVID-19 and support various COVID-19 purposes set out in the COVID-19 Public Health Directions 2020, 17 March 2020 (as amended) (COVID-19 Direction) and below. This enables NHS Digital to collect data and analyse and link the data for COVID-19 purposes with other data held by NHS Digital.
The purpose of the data collection is also to respond to the intense demand for General Practice data to be shared in support of vital planning and research for COVID-19 purposes, including under the general legal notice issued by the Secretary of State under Regulation 3(4) of the Health Service (Control of Patient Information) Regulations 2002 (COPI).
NHS Digital has therefore been requested by the joint co-chairs of the Joint GP IT Committee (JGPITC) (the BMA and RCGP) to provide a tactical solution during the period of the COVID-19 pandemic to meet this demand and to relieve the growing burden and responsibility on General Practices. On 15 April 2020 the BMA and RCGP therefore gave their support via JGPITC to NHS Digital’s proposal to use the General Practice Extraction Service (GPES) to deliver a data collection from General Practices, at scale and pace, as a tactical solution to support the COVID-19 response in the pandemic emergency period.
It is a requirement of the JGPITC that all requests by organisations to access and use this data will need to be made via the NHSX SPOC COVID-19 request process, that will triage and prioritise these requests and refer appropriate requests on to the NHS Digital Data Access Request Service (DARS). NHS Digital will consult with representatives of the BMA and the RCGP on all requests for access to the data. An outline of the process for this agreed with the BMA and the RCGP is published here. Requests by organisations to access record level data from this collection will also be subject to Independent Group Advising on the Release of Data (IGARD) consideration. Data applicants will need to demonstrate they have a lawful basis to access the data for COVID-19 purposes.
Benefits of this sharing
Organisations, including the Government, health and social care organisations and researchers need access to this vital data for a range of COVID-19 purposes, to help plan, monitor and manage the national response to the COVID-19 pandemic, which will help save lives. COVID-19 purposes for which this data may be analysed and used may include:
- understanding COVID-19 and risks to public health, trends in COVID-19 and such risks, and controlling and preventing the spread of COVID-19 and such risks
- identifying and understanding information about patients or potential patients with, or at risk of COVID-19, information about incidents of patient exposure to COVID-19 and the management of patients with or at risk of COVID-19 including: locating, contacting, screening, flagging and monitoring such patients and collecting information about and providing services in relation to testing, diagnosis, self-isolation, fitness to work, treatment, medical and social interventions and recovery from COVID19
- understanding information about patient access to health services and adult social care services as a direct or indirect result of COVID-19, and the availability and capacity of those services • monitoring and managing the response to COVID-19 by health and social care bodies and the Government including providing information to the public about COVID-19 and its effectiveness and information about capacity, medicines, equipment, supplies, services and the workforce within the health services and adult social care services
- delivering services to patients, clinicians, the health services and adult social care services workforce and the public about and in connection with COVID-19, including the provision of information, fit notes and the provision of health care and adult social care services; and
- research and planning in relation to COVID-19.
Data may be analysed and linked to other data held by NHS Digital or held by other organisations to which access to the data is granted for COVID-19 purposes, through the process described above.
Data will be collected nationally from all GP Practices by NHS Digital every fortnight. All requests to access this data will be triaged through the NHSX SPOC COVID-19 request process and assessed and fulfilled by NHS Digital through DARS. This will significantly reduce the burden on General Practice at a time when demand on resources is high, enabling General Practice to focus on delivering health care and support to patients. It will also reduce compliance burden and risk for General Practice associated with sharing data and complying with the terms of the general legal notice issued under COPI, which applies to General Practices.
Legal Basis for this collection
NHS Digital has been directed by the Secretary of State under section 254 of the 2012 Act under the COVID-19 Direction to establish and operate a system for the collection and analysis of the information specified for this service: GPES Data for Pandemic Planning and Research (COVID-19). A copy of the COVID-19 Direction is published here: https://digital.nhs.uk//about-nhs-digital/corporate-information-and-documents/directions-anddata-provision-notices/secretary-of-state-directions/covid-19-public-health-directions-2020.
Details of the information to be collected can be found on the NHS Digital website – Specification of this DPN. Type 1 objections will be upheld in collecting this data from General Practices and therefore the data for those patients who have registered a Type 1 objection with their GP will not be collected. The Type 1 objection prevents an individual’s personal identifiable confidential information from being shared outside of their GP Practice except when it is being used for the purposes of their direct care. The National Data Opt-Out will not apply to the collection of the data, as this is a collection which is required by law.
This information is required by NHS Digital under section 259(1)(a) of the 2012 Act to comply with the COVID-19 Direction. In line with section 259(5) of the 2012 Act, all organisations in England that are within the scope of this Notice, as identified below under Health and Social Care Bodies within the scope of the collection, must comply with the requirement and provide information to NHS Digital in the form, manner and for the period specified in this Notice. This Notice is issued in accordance with the procedure published as part of NHS Digital’s duty under section 259(8) of the 2012 Act.
Visitors to The Practice
We have an obligation to protect our staff and employees’ health, so it is reasonable for staff at CASTLEFIELDS SURGERY to ask any visitors to our practice to tell us if they have visited a particular country, or are experiencing COVID-19 symptoms. This must only be in pre-approved circumstances and we would also ask all patients to consider government advice on the NHS 111 website and not attend the practice.
Where it is necessary for us to collect information and specific health data about visitors to our practice, we will not collect more information than we need, and we will ensure that any information collected is treated with the appropriate safeguards.
Review and Expiry of this Notice
This Notice will be reviewed on or before 30 September 2020 and may be extended by The Secretary of State. If no further notice is sent to CASTLEFIELDS SURGERY by The Secretary of State this Notice will expire on 30 September 2020.
GDPR AND PATIENT CONFIDENTIALITY
DUE TO THE CHANGE IN GENERAL DATA PROTECTION REGULATIONS AND IN THE INTEREST OF PROTECTING PATIENT CONFIDENTIALITY, WE ARE UNABLE TO SPEAK TO FAMILY MEMBERS, RELATIVES OR FRIENDS REGARDING APPOINTMENTS OR ANY PART OF THEIR MEDICAL RECORD WITHOUT WRITTEN CONSENT FROM THE PATIENT. THIS ALSO INCLUDES COLLECTING/REQUESTING PRESCRIPTIONS FOR FRIENDS AND FAMILY
THANK YOU FOR YOUR CONTINUED SUPPORT
SURGERY CLOSURE DAYS FROM 12.30 AND RE-OPENING AT 08.00 THE NEXT DAY
12 AUGUST 2020
16 SEPTEMBER 2020
14 OCTOBER 2020
11 NOVEMBER 2020
9 DECEMBER 2020
THE NEW NHS APP HAS BEEN LAUNCHED - PLEASE SEE INSTRUCTIONS ON HOW TO REGISTER ON THE APP UNDER ONLINE SERVICES
YOU CAN NOW ACCESS YOUR MEDICAL RECORDS, ORDER REPEAT PRESCRIPTIONS ON THE NEW NHS APP ONCE YOU HAVE REGISTERED.
With patients' needs at the heart of everything we do, our website has been designed to make it easy for you to gain instant access to the information you need. As well as specific practice details such as opening hours and how to register, you’ll find a wealth of useful pages covering a wide range of health issues along with links to other relevant medical organisations.
Get Well, Keep Well
Of course we’re not just here for when you are unwell. Our team of healthcare professionals and back-up staff offer a number of clinics and services to promote good health and wellbeing whatever your medical condition.
We hope you enjoy having a look around the site and familiarising yourself with some of the online features such as ordering a repeat prescription. Whatever your thoughts, be sure to let us know via our feedback function. Comments and suggestions are always a great way of helping us continue to enhance the way we look after you.
We have a disabled access to the front of the building and a lift inside the building and a wheelchair on the premises for those who require it. There are also patient toilets located on the first and second floor, which is accessible by wheelchair.
If access should prove difficult or assistance is required, please consult a member of staff. As we continually strive to improve patient services, please let us know of any suggestions you may have for us to consider.
Castlefields Surgery is a non-dispensing, non-teaching Practice.
(Site updated 26/06/2020)