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Latest News

Out break of Measles in Hackney Extra immunisation clinics

Measles outbreak childhood immunisation clinics

General Data Protection Regulation 2018 (GDPR) 

GDPR is a Europe-wide regulation covering data protection and privacy for all individuals within the European Union. The practice has published its Privacy Notice which allows patients to see how the practice looks after the medical information we have about our patients.

Please click on the link below to view the notice – copies are available in the practice.

Privacy Notice for General Practice

GDPR Patient Information Leaflet

If you have any questions, please email the practice at CAHCCG.nightingalepractice@nhs.net

GP at Hand – a threat to the funding for your surgery?

How General Practice is funded:

The core funding for GP services is on a ‘per patient’ basis for the number of patients signed up with a GP surgery.  At present this core funding is £85.35 per patient per year plus £2.18 per patient London weighting.  This funding is the same regardless of how many appointments a patient books with a surgery, how many home visits they need, how much of a GP’s time they need.

As you can imagine £87.53 per patient per year doesn’t go very far.  Particularly when you realise that many patients will need to see their GP multiple times per year, in some cases several times per month.  It can only work if a practice also has patients on their list (usually young, healthy adults) who rarely visit their GP.

It has always been a fundamental principle of General Practice that a patient is not prevented from registering with a surgery on the grounds that they are too complex / too ill / too disadvantaged / too needy (ie too expensive) for the surgery to look after.  All patients who live within the catchment area should be welcome to register at a surgery.

However, GP at Hand are being allowed to exclude complex patients from registering.  From their own website this is a list of the patients they suggest don’t register with them:

  •    Women who are or may be pregnant (If you are pregnant, NHS England advises that you register with a GP practice close to where you live)
  •    Adults with a safeguarding need
  •    People living with complex mental health conditions
  •    People with complex physical, psychological and social needs
  •    People living with dementia
  •    Older people with conditions related to frailty
  •    People requiring end of life care
  •    Parents of children who are on the ‘Child at risk’ protection register
  •    People with learning difficulties
  •    People with drug dependence

Between 1st November and 1st February this year 14,134 new patients have registered with GP at Hand (the Lillie Road Medical Centre in Fulham), of these 11,970 have been aged 20-39. For each of these new patients GP at Hand will receive the annual fee to look after them.  This is money that will come out of the budgets of the practices that these patients were previously registered with.

GP at Hand largely provide video consultations.  They will see a patient face to face if it is considered necessary – for which the patient will need to travel to their nearest base (currently Kings Cross or Poplar for patients in North London).  Patients needing urgent appointments or home visits may be directed to ring 111 and are sometimes directed to A/E as they no longer have a local surgery to look after them.  Increased A/E attendances place increased pressure on local emergency services.

We ask you to consider these factors if you are thinking of leaving your GP surgery to register with GP at Hand.  In our opinion this system could create a second class low budget service for the most needy members of our community by diverting funding into a service which cherry picks young healthy patients. 

Did you know that we offer evening, early morning and Saturday appointments, and that if being available by phone is difficult we have an eConsult system where you can email queries or request GP call back?  We believe that registering with a local NHS Primary Care GP will give the best service for all patients and we would encourage all patients to remain registered locally with their NHS GP.

 

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