zilongwang/ReadingBank huggingface dataset:
You will need to understand what your responsibilities are and how to keep your data safe. Viewing your medical Record. Go to patient.emisaccess.co.uk or download the Patient Access app. Assuming that you have already created your account for online booking, click on the link ‘view medical record’. Where is my confidential medical information held whilst I am viewing my online record and who has access to it? The information you view on the online system comes from the computer system in your GP practice. Portions of this information are encrypted, this means it is very difficult to intercept and read the information. None of the medical information on the online system is held permanently on any computer except the computer which holds the original information at the GP practice. When you log off from the online system or if a problem occurs with your computer /tablet, for instance a power failure, all your confidential medical information is cleared from the online system. Will other people be prohibited from seeing my record? Your online record is only accessible using the passwords and PINs that only you know. As with online banking, unless you reveal these to someone else, you will be the only person ableto access your medical record via the online system. What if I find an error in my medical record or I see someone else’s medical information? Your Doctors make every effort to ensure that the information in your medical record is accurate, however if you find any errors or missing information, please contact the practice. Your query will be referred to the GP for amendment. In the unlikely event that you see someone else’s medical information, you should exit the system immediately and inform the practice staff. Can I alter the record? No. This is a ‘read only’ facility. You can print off details to take abroad or to a hospital appointment, however we would encourage patients to keep this information securely. Can I access my children’s or someone else’s records? The practice is only offering online access to patients who are 18 and over and can request access to their own records. In some cases, the patient may agree to share their record with the person who cares for them and this will be their individual decision. There may be occasions where a patient is not capable of giving consent eg in the case of patients suffering from dementia. In these cases, the practice will make an individual decision based on the knowledge and judgement of the clinicians involved with their care, in collaboration with the patient’s carer.
Key considerations: Forgotten history There may be something you have forgotten about in your record that you might find upsetting. Abnormal results or bad news If your GP has you access to test results or letters, you may see something that you find upsetting to you. This may occur before you have spoken to your doctor or while the surgery is closed and you cannot contact them. Choosing to your information with someone It’s up to you whether or not you share your information with others – perhaps family members or carers. It’s your choice, but also your responsibility to keep the information safe and secure. Coercion If you think you may be pressured into revealing details from your patient record to someone else against your will, it is best that you do not register for access at this time. Misunderstood information Your medical record is designed to be used by clinical professionals to ensure that you receive the best possible care. Some of the information within your medical record may be highly technical, written by specialists and not easily understood. If you require further clarification, please contact the surgery for a clearer explanation. Information about someone else If you spot something in the record that is not about you or notice any other errors, please log out of the system immediately and contact the practice as soon as possible. More information For more information keeping your healthcare records safe and secure, you will find a helpful leaflet produced by the NHS in conjunction with the British Computer Society: Keeping your online health and social care records safe and secure
Patient Participation Group Objectives Tudor House Medical Practice 1st April 2017 – 31st March 2018 The PPG for House Medical Practice was established in 2014. The group membership is still fairly low (currently 6 patient members) and meets quarterly. Tudor House Medical Practice has recently taken on Southglade Medical Centre and so there is an opportunity to increase membership and the focus of the PGG for both practices. Although Tudor House PPG will help recruit members for Southglade, the aim is to have a separate PPG for both sites. Objective Actions Lead Date to be completed Update 1 Terms of Reference Review and agree the terms of reference for the group Review Tof R Nigel Stevenson 30th June 2017 Completed 2 PPG Membership Review the patient demographic data for House and Southglade Medical Centre against the current membership and seek to increase membership proportionately. Once the data has been reviewed the target groups will be agreed at the PPG Practice to provide demographic data Practice – Kelly Gillingham 27th July 2017 Completed and information analysed to inform future objectives. PPG to agree target groups Catherine Moore 27th July 2017 Some data has been gathered. represented groups to be confirmed. PPG to revise the PPG displays in both practices and update website information Melanie Hopkinson 27th July 2017 Completed Take part in events during year – see O3 All Macmillan coffee morning at practice and Park life event attended. Update practice website PPG section to reflect notice boards Melanie Hopkinson / Kelly Gillingham 30th September 2017 Completed 3 Promote the PPG Members to attend at least 2 events to promote the PPG with other patients -Hold a stall with the practice at Park Life event 27th July, providing information Mel Hopkinson to lead (others to help) 27th July 2017 Park Life event attended by all PPG members. 3 new patients registered for Southglade
To Register Click new user. Enter last name , firstname , last 4 digit ssn, DOB , Phone and email address. Please make sure the information matches the data on file . If you are not able to register please call office to verify the information on file After you register, you should receive a confirmation email from Dear Lastname, Firstname, Thank you for registering with our Patient Portal, your medical access point. Our Patient Portal allows you to view and update your contact and insurance information, schedule and cancel appointments, renew prescriptions and more! Patient Portal Access : USERNAME : email address PASSWORD(Case Sensitive):pwd To change your password simply login to PATIENT PORTAL and click Change Password. on the link . “ “ Enter the user/pwd and click on sign in.. The home page has a summary of your profile. Click on Medical Profile. Review your demographics and if it is incorrect . click on No and enter the information.
• Local Authorities • Education Services • Fire and Rescue Services • Police & Judicial Services • Other ‘data processors’ which you will be informed of. Your information will only be shared if it is appropriate for the provision of your care or required to satisfy our statutory function and legal obligations. Your information will not be transferred outside of the European Union. Who do we receive information from? Whilst we might share your information with the above organisations, we may also receive information from them to ensure that your medical records are kept up to date and so that your GP can provide the appropriate care. In addition we received data from NHS Digital (as directed by the Department of Health) such as the uptake of flu vaccinations and disease prevalence in order to assist us to improve “out of hospital care”. How do we maintain the confidentiality of your records? We are committed to protecting your privacy and will only use information that has been collected lawfully. member of staff who works for an NHS organisation has a legal obligation to keep information about you confidential. We maintain our duty of confidentiality by conducting annual training and awareness, ensuring access to personal data is limited to the appropriate staff and information is only shared with organisations and individuals that have a legitimate and legal basis for access. Information is not held for longer than is necessary. We will hold your information in accordance with the Records Management Code of Practice for Health and Social Care 2016. Do I need to give my consent? The GDPR sets a high standard for consent. Consent means offering people genuine choice and control over how their data is used. When consent is used properly, it helps you build trust and enhance your reputation. However, consent is only one potential lawful basis for processing information. Therefore, your GP practice may not need to seek your explicit consent for every instance of processing and sharing your information, on the condition that the processing is carried out in accordance with this notice. Your GP Practice will contact you if they are required to share your information for any other purpose which is not mentioned within this notice. Your consent will be documented within your electronic patient record. What will happen if I withhold my consent or raise an objection?
PLEASE RATE EACH OF THE FOLLOWING BY TICKING ONCE ON EACH LINE: No Experience Poor Fair Good Very Good Excellent Access to a Doctor or Nurse Speed at which the telephone was answered initially 4% 4% 15% 29% 24% 24% Convenience of day and time of your appointment 0% 2% 13% 30% 35% 20% Seeing the Doctor of your choice 17.5% 12.5% 10% 20% 30% 10% Length of time waiting to in with Reception 2% 2% 2% 31% 21% 42% Length of time waiting to see the Doctor or Nurse 3% 0% 23% 33% 23% 18% Opportunity of speaking to a Doctor or Nurse on the telephone when necessary 18% 2% 12% 19% 23% 26% Level of satisfaction with the Out of Hours service 62% 0% 5% 16% 11% 6% Obtaining a repeat prescription Prescription ready on time 9% 9% 13% 20% 22% 27% Prescription correctly issued 5% 7% 10% 21% 21% 36% Handling of any queries 17% 5% 5% 21.5% 14.5% 37%
Bishop Auckland for a scan – excellent experience. Darlington and Bishop Auckland Staff were excellent; some staff at Durham were dismissive & unhelpful. Always happy with procedures. ENT Department very good. Have always been satisfied with staff and treatment at Surgery. The Nurse Practitioner is very good. Donna is excellent too. Choose & Book appointments are really good. Nothing gets lost in the post and you feel like you have some say in the process. I am always happy with any visits I have with the clinical staff. Many thanks to you all. Very good service at the Hospital. Reassuring, friendly, quick and efficient at the Hospital. Dr Woods & Dr Bhati fantastic GP’s, always seem very busy and over booked, but make time of each patient. Clear medical advice & quick diagnosis. Nurse Susan and Clare very friendly and quick to treat. Receptionist all very friendly, professional and very helpful. Good experience at Sedgefield Hospital. Breast Clinic Consultant and Nurses were very caring. Negative Feedback: Chiropody Services being cut back on who can attend. Waiting time at Hospital. Ringing at 8.30am or standing outside until the surgery opens, to see the Doctor of my choice is totally unsatisfactory, especially for older people. Durham University Hospital very poor. Parking at Surgery is a nightmare with no appointed parking area. Durham Hospitals not great. Food not good. Cryotherapy clinic being stopped. Access to surgery not good.
Very good, but the Doctors & Nurses seem to have a lot to do in caring for everyone’s needs. I would say they are very hard worked. I was happy in way I was attended to Excellent, efficient and on time Terrible experience Good outcome but food at Sunderland was inedible COXHOE MEDICAL PRACTICE QUESTIONNAIRE 2015/16 & FAMILY & FRIENDS TEST ACTION PLAN (following discussion with PRG) Area of Work to Be Examined Tasks to be Undertaken Lead Person Access to Appointments On Practice Website and Newsletter available in waiting room to advertise and promote the following: Promote Minor Ailments Scheme at Local Pharmacy Promote late surgery access Promote Telephone Consultants Promote Online Appointment bookings & Cancellations, Ordering Repeat Prescriptions The Partners will be also advertising for a further GP to join the Practice. BJ/SM Partners/BJ Lack of Information within Practice Information is available on Practice website and in practice leaflet, however, Information will be available in the waiting room by: Folders in the waiting room with service information and copies of minor ailments leaflets. BJ/SM
Description of priority area: Healthy Hearts Scheme What actions were taken to address the priority? The PPG held an interactive health promotion event in the surgery waiting room. BP, height, weight were checked by clinical staff. Information leaflets were available. The PPG encouraged patients to take part and also took the opportunity to introduce themselves as members of the PPG. Result of actions and impact on patients and carers (including how publicised): Raising awareness of cardiac conditions. Banners, leaflets and posters were all produced to advertise the event. Priority area 3 Description of priority area: Working closer with patients with learning difficulties and carers What actions were taken to address the priority?
Friday, 6/9/17 – QSEN Center – Patient Safety Agenda 8:00 a.m. – 8:30 a.m. Registration, Breakfast, and Exhibits 8:30 a.m. – 8:45 a.m. Welcome and Introductions 8:45 a.m. – 9:45 a.m. Dr. Wears – presentation: The Evolution of Patient Safety 9:45 a.m. – 9:55 a.m. Break – Refreshments and Exhibits 9:55 a.m. – 10:55 a.m. Dr. James – presentation: The Heart and Mind of Patient Safety 10:55 a.m. – 11:05 a.m. Break – Refreshments and Exhibits 11:05 a.m. – 12:05 p.m. Dr. Dolansky – presentation: The QSEN Journey – Past, Present, and Future 12:05 p.m. – 12:15 p.m. Wrap-up, Evaluations/Certificates, Adjourn 12:15 p.m. – 1:00 p.m. Optional: Simulation Training and Applied Research (STAR) Tours and Exhibits
Wessex Patient Safety Collaborative (PSC) Patient Safety Support Fund (PSSF) – Summary Project Report [SPR] Section Details required Applicant response 1 Name and job title of person completing SPR. Name: Job title: 2 Email and phone number of person completing SPR. Phone number: 3 Applicant organisation. 4 Name and job title of project Executive Sponsor. Name: Job title: 5 Title of your PSSF project. 6 Aim of your project. This may include: Your previous position Your drivers for change What you wanted to achieve (50 words maximum) 7 Project details – describe how you used the funding. This may include: What you did The timeframe Description of the target group Staff involvement and engagement Project barriers Project challenges Project successes (250 words maximum) 8 Describe how you measured the project improvement impact (e.g. what, how, how many and when). (50 words maximum) 9 Describe how the project improved patient safety. This is where you describe the project outcome on patient safety i.e. the “so what”. (100 words maximum)
About the Doctor or Nurse Poor Fair Good Very Good Excellent Overall how satisfied with this visit to the Doctor/Nurse were you? 1 25 47 88 The warmth of the Doctor/Nurses greeting to me was? 3 15 20 123 Did the Doctor/Nurse explain things fully? 2 8 27 124 Was I given an appropriate amount of time for this visit? 1 16 35 109 Did I feel listened to on this visit? 3 10 34 114 General Questions Poor Fair Good Very Good Excellent Respect for your privacy and confidentiality 17 46 95 Information provided by the practice about its service e.g. repeat prescriptions, test results, cost of private certificates etc. 3 24 18 116 Do you feel you are appropriately communicated with, for example your annual check-up invitations? 2 36 29 94
CONSENT PROCESS Completed by (initials) Date/time completed Date entered into GWTG Sent to Iszet Saved in MaRISS file ICF signed N/A N/A ICF Copy to patient N/A N/A N/A ICF Copy to chart N/A N/A N/A ICF Original N/A N/A Baseline contact information form N/A N/A Baseline visit NIH Baseline criteria to code RISS Baseline Prehospital fluctuation form 30 day follow up call appointment made at time of consent N/A N/A ICF and MaRISS documentation in McKesson computer discharge instruction tab N/A N/A N/A Other task to be completed:_____________ 30-day appointment date/time: ______________ 30-day appointment documented in DC instructions: YES NO If no, why not? ____________________________________ 24 hours to DAY 3 or DISCHARGE Date/Time Due Completed by (initials) Date/time completed Date entered into GWTG Sent to Iszet Saved in MaRISS file 24-hour visit NIHSS Day 3 or DC NIHSS Day 3 TOAST Day 3 post-hospital fluctuation form Reinforce 30 day appointment call N/A N/A N/A ICF and MaRISS documentation in McKesson computer discharge instruction tab N/A N/A N/A POST- DISCHARGE 30 DAY call Date/Time Due Completed by (initials) Date/time completed Date entered into GWTG Sent to Iszet Saved in MaRISS file 30 day follow up call completed mRS only 90 day follow up call appointment made at time of 30 day call N/A N/A 90-day appointment date/time: ______________ POST- DISCHARGE 90 DAY call Date/Time Due Completed by (initials) Date/time completed Date entered into GWTG Sent to Iszet Saved in MaRISS file 90 day follow up call completed mRS Barthel Index
Implement queueing system, with information regarding number in line Recognise the need to ensure all reception staff introduce themselves when answering the phone Establish a set welcome on the phone, including introducing yourself Re-train staff to answer the phone with “Good morning/afternoon or hello, Sunny Meed Surgery, Name speaking” 1m (DONE) CLINICS: Long waiting times in surgery Service redesign: ensure that patients are being seen by the most appropriate member of the clinical team / support service enables longer (15mins) appointments to be offered by GPs to patients over 75years or those with multiple comorbidities Improved advertising of e-mail access for enquiries and phone consultations Explore skill mix of practice team to include eg. paramedics / nurse practitioners Improve quality of patient information (website and surgery notices) to facilitate self-care and appropriate use of other community based primary care resources (including pharmacy, WIC) Try to enlarge the email contact on the website homepage to make it more obvious and encourage phone consultations to be offered by the reception team when patients request an appointment Increase the number of phone consultations available for each GP 6m (PARTNERS) 1m (DONE) 1m (DONE) GENERAL FEEDBACK: Recognise that email receipt confirmation is required for all incoming contacts Default receipt email to be sent on reading all incoming messages Explore possible options using NHS net e-mail and bed in practice policy Arrange for all emails to be scanned onto patient records and a diary entry added to the appropriate doctor so that actions can be 1m (DONE) 1m (DONE)
undertaken promptly. Ensure doctors replies are emailed back to patients Reminders to book appointments Implement a recall system for patient reminders about follow-up appointments (eg. bloods, BP) Create a new appointment system on EMIS web which can be accessed months in advance so that receptionists can actively call patients to remind them about need for review 1m (DONE) Privacy and layout of reception area Include videos and noise within the waiting area to mask patient voices at reception Play videos with sound to generate background noise Assess the most important posters and give prime positions, remove all others and place on waiting room screen in rotation 1m 1m (DONE) Meeting closures Ensure adequate advance warning for short periods of surgery closure required for essential staff training meetings Ensure advance notices to patients apologising for short periods of surgery closure to enable mandatory staff training are uploaded to the website and displayed prominently in the surgery and at exits Purchase new display units for the front entrance of Sunny Meed 1m (DONE) 1m (DONE)
MaRISS Patient ID # Day 30 (+/-7) Telephone call 1st Contact Attempt Date and initials Patient Contacted (Yes/No) Day 30 (+/-7) Telephone call 2nd Contact Attempt Date and initials Patient Contacted (Yes/No) Day 30 (+/-7) Telephone call 3rd Contact Attempt Date and initials Patient Contacted (Yes/No) Day 90 (+/-10) Telephone call 1st Contact Attempt Date and initials Patient Contacted (Yes/No) Day 90 (+/-10) Telephone call 2nd Contact Attempt Date and initials Patient Contacted (Yes/No) Day 90 (+/-10) Telephone call 3rd Contact Attempt Date and initials Patient Contacted (Yes/No)
MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS Minimum requirement to be monitored Lead Tool Frequency of Report of Compliance Reporting arrangements Lead(s) for acting on Recommendations Transport issues to be raised by Josh Tonks Quarterly Policy audit report to: NMAC PHT Lead for Discharge Services Policy audit report to: Policy audit report to: This document will be monitored to ensure it is effective and to assure compliance.
Under Section 1 of the FOI Act, Information not held, we are unable to answer this question What is the Number of Aborted journeys per Under Section 1 of the FOI Act, Information not held, we are unable to answer this question What is the Number of complaints received per month or per annum? Waiting for Sue Blackmore to finalise data What is the total carbon footprint of the patient transport fleet over the last 12 months? Under Section 1 of the FOI Act, Information not held, we are unable to answer this question I that your request has been satisfactorily answered, but I should advise you that you have the right to complain about this response by reference to the complaints procedure of the Weston Area Health NHS Trust, in which case you should write to me at this email address. If you remain dissatisfied with the decision of the Trust following your complaint, you may write to the Information Commissioner, whose address is: Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF. sincerely, Jo Ward on behalf of Gillian Hoskins Associate Director of Governance and Patient Experience Weston Area Health NHS Trust Enquiry 2 Here is the response to your recent Freedom of Information enquiry from Weston Area Health NHS Trust. In the 2013/14 financial year how much money did you spend on providing patient transport? £148,831.08 How much of this was with private companies? £148,688.68 Please provide me with the name of the largest private provider of patient transport to your trust in the last financial year, and how much you spent with them? Under the terms of the Freedom of Information Act 2000 – Information exempt under Part 2 (Section 43 – Commercial Interests) we are unable to provide you with this information. I trust that your request has been satisfactorily answered, but I should advise you that you have the right to complain about this response by reference to the complaints procedure of
Back Pain Neck Pain ‘Circle’ Leg Pain Arm Pain All That Apply Both Both If you have BOTH - Back + Leg Pain (and/or) Neck + Arm Pain What % Percentage (of 100%) is: BACK v. LEG OR NECK v. ARM (e.g. 30% Back Pain & 70% Leg & Buttock Pain – with the “Total Adding up to 100%” (e.g. 60% Neck Pain & 40% Arm & Shoulder Pain – with the “Total Adding up to 100%” _______ % BACK Pain vs. _______ % LEG → Right or Left or Both _______ % NECK Pain vs. _______ % ARM → Right or Left or Both
Volunteer E & D monitoring information – September 2014 The Trust currently has 212 volunteers. The following is the equality monitoring data provided by those wishing to do so. Age of volunteers 16 – 19 20 20 – 29 24 30 – 39 51 40 – 49 32 50 – 59 13 60 – 69 30 70 – 79 14 80 – 89 3 90 – 99 1 No of volunteers who provided information 187 Gender Male 45 Female 113 No of volunteers who provided information 158 Ethnicity Asian or Asian British Bangladeshi Indian Pakistani 4 1 7 12 Black or Black British African Caribbean 7 1 8 Mixed Asian and white Black Caribbean 2 1 3 White British 122 122 Other 1 1 No of volunteers who provided information 146 Religion Atheist 13 Christian 35 Hindu 1 Muslim 9 Jewish 2 No of volunteers who provided information 60
University Physicians of Brooklyn Correspondence Unit Box# 80 450 Clarkson Ave. Brooklyn, NY 11203 If you do not submit a statement of disagreement, we will include only your amendment request and this denial notice in any future disclosures of the information which you think should have been amended. We hope that you will understand the reason that we have denied the amendment you requested. However, if you believe that we have improperly handled your request, you may file a complaint with us or with the Secretary of the United States Department of Health and Human Services. To file a complaint with us, please contact the Department of Patient Relations at (718) 270-8105. No one will retaliate or take action against you for filing a complaint. Sincerely, ______________________ Department
Ambulance Familiarisation (to include Ambulance Equipment and Lifting Assessments)** Safer Patient Movement (SPM) Safeguarding Ambulance Driving Qualification Medical (Oxygen Therapy) **Ambulance Familiarisation must be preceded by Manual Handling of inanimate loads (A&B All Wales passport) Requirements: Essential: Desirable: Method Supporting Assessment: Educated GSCE level/equivalent (Grade C) √ Application Form Current driving licence √ Application Form Safeguarding √ Application Form Infection Control √ Application Form Conflict Resolution √ Application Form Skills, knowledge and abilities Excellent communication skills and able to communicate with variety of people. √ Application Form & Interview Demonstrated ability to work in a non- Emergency ambulance environment. √ Application Form & Interview Ability to accurately complete paperwork to exacting standards. √ Application Form Ability to deliver a high quality patient experience and ensure customer satisfaction at all √ Interview Ability to work as a team and also to use own initiative when necessary. √ Interview
Neovascularization of the Retina Evidence: Right - {test.19073.[NVE Y/N OD]}; Left - {test.19073.[NVE Y/N OS]} Neovascularization of the Optic Disc Evidence: Right - {test.19075.[NVD Y/N OD]}; Left - {test.19075.[NVD Y/N OS]} Today's examination showed: {assess.comments} Again, thank you for choosing us for your eye care. Please call any time with questions. We look forward to seeing you next on or about {recall.date} for an {recall.reason}. Look for an appointment card in the mail with the specific day and time closer to your appointment. you! {prov.firstName} {prov.lastName}, {prov.credentials} Electronically signed at {gen.currTime} on {gen.currDate}
Questions Patient feedback Do you feel that the therapy session of benefit to you? If so, how? You can make friends and see how they compare to yourself and stops you feeling embarrassed It brings everyone together and stimulates you to work hard Yes – keeps me on the move and improving movements. Becomes easier throughout with using UL To get back in the kitchen, you dream about after the kind of stroke I had, it gives encouragement Yes, better than taking a tablet Yes, helping to get my left side Yes, helping with co-ordination and walking to/from session Are any particular aspects of the group sessions that you enjoy? I like all of it, seeing new things All of it All of it, I enjoy the therapy Likes that it’s a one-on-one basis, however would happy to complete tasks independently Pleasant company I enjoy making friends with other people Having different faces Enjoyed the whole group - a variety of activities and that others are present Are there any particular aspects of the group session that you dislike? More things to do More space to work at I can’t think of anything negative Repetition in tasks More things to do Not in the circumstances Do you feel your function has improved? If so, how? I feel that my hand function has improved after all and the walking after class has also helped improved my confidence 100% yes. Stimulates my brain Yes. Able to do things for myself a little more Yes, strength is improving but need to work on co-ordination Yes. I feel the various adjuncts altogether make the difference to my arm and my walking Not at the moment but also expect it to take a long time Using a hand you thought was utterly useless Not enough time to pass comment Are there any changes you would make to the group? No, just not during visiting hours Having a reward system to highlight achievements Happy as the group is There should be more A more regular task to help improve the wellbeing of the group. More interesting games, more variety, the games are a bit easy.
Q10. Are you? Q11. Do you identify as being of Aboriginal and/or Torres Strait Islander descent? 1 Male 2 Female 1 Yes 2 No Q12. Have you been to another general practice in the last year? Q13. Which languages do you speak at home? Tick all spoken 1 Yes 2 No 1 English Q14. What is your age? 2 Arabic 1 15 – 24 years 3 Cantonese 2 25 – 44 years 4 Mandarin 3 45 – 64 years 5 Vietnamese 4 65 years or over 6 5 Don’t wish to say 7 Q15. How long have you been coming to this practice? 8 1 Less than 1 year Q16. Do you have any of concession cards? 2 1 – 2 years 1 Health Care Card 2 Pensioner Concession Card 3 3 years or more
4 Not sure 3 Any Veterans' Affairs treatment entitlement card Q17. How many times have you visited this practice over the past 12 months? 4 Not covered by any concession card 1 Only this visit Q18. What is the highest level of education you have reached? 2 2 – 5 1 Some high school 3 6 – 10 2 Completed high school 4 11 or more 3 Currently studying for a degree or diploma 5 Not sure 4 Completed a or technical qualification 5 Completed a degree or diploma Q19. Was this visit for yourself or someone you are caring for? 6 Postgraduate degree 1 Self 2 Someone else Q20. Are you aware that this practice specialises in <speciality>? (Optional) Speciality 1 Yes 2 No 3 Not sure Q21. Have you ever received treatment at this practice for <speciality>? (Optional)
Include the period of time you want the participant to consider Specify in the question or statement the period of time you want patients to refer to (e.g. their last visit, the previous three months, the previous 12 months). How to develop your own questionnaire the RACGP’s questionnaire 1: Download the RACGP’s questionnaire from Enter your practice’s information in the header. Choose which of the questions you wish to ask under each theme. You must as a minimum of three questions under each theme. Make any changes to the questions that you wish to make such as adding questions, changing wording of questions. Ensure that you still ask the demographic questions If you want to use the RACGP’s Questionnaire Spread Sheet you cannot change the rating scale of the questions because they have been used in the spread sheet to analyse responses you may need to renumber questions. Save. Stage 2: Apply for approval Submit your questionnaire to the RACGP for approval. See .
Step 3: What is the Registration Number? Between 0-199999 Between 200000-499999 Between 500000-599999 Between 600000-699999 Between Remove the “0” or “00” at the start of the Registration Number. or view A2 in the Births Binder to identify the microfilm reel matching the Registration Year and Registration Number. Look up the Registration number on the microfilm. Remove the “2” or “3” or “4” at the start of the Registration Number. or view A2 in the Births Binder to identify the microfilm reel matching the Registration Year and Registration Number. Look up the Registration number on the microfilm. or view A3 in the Births Binder to identify the microfilm reel matching the Birth Year and Registration Number. Look up the Registration number on the microfilm. For the years use the Corrections Book found on MS 931, reel 11 to get a revised registration number. For 1900 and later, contact the Office of the Registrar General. 189 Red River Road P.O. Box 4600 Thunder Bay, Ontario P7B 6L8 Phone: 416-325-8305 Toll-free in Ontario: Website: www.serviceontario.ca or view A15 in the Births Binder to identify the microfilm reel matching the Year and Registration Number. Look up the Registration number on the microfilm.
Patient Health Questionnaire—PHQ-9 Initials: _________ Date of Birth :________ Today’s Date:____________ Over the last 2 weeks, how often have you been bothered by any of the following problems? (Use “✔” to indicate your answer) Not at all Several days More than half the days Nearly every day 1. Little interest or pleasure in doing things. 0 1 2 3 2. Feeling down, depressed, or hopeless. 0 1 2 3 3. Trouble falling or staying asleep, or sleeping too much. 0 1 2 3 4. Feeling tired or having little energy. 0 1 2 3 5. Poor appetite or overeating. 0 1 2 3 6. Feeling bad about yourself — or that you are a failure or have let yourself or your family down. 0 1 2 3 7. Trouble concentrating on things, such as reading the newspaper or watching television. 0 1 2 3 8. Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual. 0 1 2 3 9. Thoughts that you would be better off dead or of hurting yourself in some way. 0 1 2 3 0 + ______ + ______ + ______ =Total Score: ______ Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.
Remove the “0” or “00” at the of the Registration Number. or view A7 in the Deaths Binder to identify the microfilm reel matching the Registration Year and Registration Number. Look up the Registration number on the microfilm. Remove the “2” or “3” or “4” at the start of the Registration Number. or view A7 in the Deaths Binder to identify the microfilm reel matching the Registration Year and Registration Number. Look up the Registration number on the microfilm. records are at the Office of the Registrar General P7B 6L8 Phone: 416-325-8305 Toll-free in Ontario:
Checklist  Make sure staff can recognise a subject access request by providing awareness training. Remember that in most instances you cannot charge for such requests and a request can be made verbally or in writing.  Have a procedure and policy in place which is transparent and available to the requestor e.g. posters, website. This procedure and policy should also assist staff in acknowledging the request and making sure that two forms of valid ID are provided such as a passport, birth certificate.  The procedure should include a set of standard letter templates to acknowledge and process the request. Each request should have its own unique reference number. This request should also be recorded in the individual’s health record.  Ensuring that the request its appropriately fulfilled so that only information provided is what the person is entitled to.  Provide the requestor with their information in electronic or paper format within one month unless you can justify an extension which must be explained to the requestor. The right to rectification. An individual has a right for information to be changed if it’s not accurate (where a note would be added) or if their personal record is incomplete. Checklist  Have in place a clear procedure detailing how you would handle and acknowledge such a request and complete within one month.  Ask for valid ID if you have any doubts about where this request has come from.  Consider the request and make a note to that record which states clearly if you agree to the change and why. Add to that record a note with those changes.  If the record is incomplete and you agree the additional personal data should be added to that record, then add to that record and make a note of those changes made.  If the changes cannot be made for technical or non- technical reasons then a note should be made and added to that clients electronic file.  You should inform the requestor what actions you have undertaken and justify your decisions. For example, why something hasn’t been rectified.  You must inform the requestor that they do have a right to go to the Information Commissioners Office. (ICO) if they are dissatisfied with your response. The right to restrict processing.
Who provides the service? The BCCC is delivered by Bristol Community Health. How do we help? The BCCC works with you, your family, carers and healthcare professionals to ensure that your end of life wishes are met. We will coordinate your care and offer a range of support and resources needed to help you and your family cope at this difficult and challenging time. Our service is for patients aged over 18, who are registered with a Bristol GP. What help is available? Care and support is available from a range of teams and services which are designed to help you and your family. The BCCC will work with you, your family, carers and healthcare professionals to coordinate this care and support in accordance with your wishes. team is comprised of experienced nurses and administrative staff who link with your GP, Consultants, Hospice and Community Nurses to coordinate your healthcare and any equipment you may need. What do we do? The BCCC: works with your healthcare professional to coordinate care and support is available 24 hours a day, 7 days a week is one number for you, your family and carers to ring for care and advice. Urgent referrals and requests must be rung in. We also work with a range of local organisations which can help with other issues, such as: providing financial advice psychological support, and bereavement support.
Patient Name: ___________________ Date of birth: / / Patient Intake Information GENERAL MEDICAL HISTORY/FAMILY HISTORY (P=Patient, F=Family Member) Please check if you or your family has a history of: P F P F P F Alcoholism Depression Joint Pain Allergies/Hayfever Diabetes --on insulin Kidney Infections Anemia Diabetes-- not on insulin Kidney stone Anxiety Epilepsy or seizures Migraine Asthma Fracture Multiple Sclerosis Irregular Heart Rhythm Stomach ulcer Obesity Blood Transfusions Gastrointestinal Disease Heart Attack Blocked blood vessels GERD/Reflux Arthritis Cancer Gestational (pregnancy) Diabetes Osteoporosis Heart Disease Glaucoma Pneumonia Congestive Heart Failure Heart Murmur Lung Disease Cirrhosis or liver disease Hepatitis Rheumatic Fever Colitis High Cholesterol Rheumatoid Arthritis COPD or emphysema Hyperlipidemia Sexually Transmitted Disease Chronic kidney disease/dialysis High Blood Pressure Thyroid Disease Crohn’s Disease Hyperthyroidism Suicide Attempt Stroke Hypothyroidism Tuberculosis OTHER MEDICAL HISTORY HOSPITALIZATIONS MEDICATIONS DRUG ALLERGIES REACTION: TOBACCO ASSESSMENT Do you smoke? Have you ever smoked? Date you quit: _________ Have you ever tried to stop? Yes No Yes No Yes No How many packs per day? How many years? SOCIAL HISTORY Complete the following: If Yes: Complete the following: Do you use Alcohol? No Yes __drinks per __ Educational Level Do you use caffeine? No Yes __ drinks per __ Marital Status (circle) Single Married Separated Divorced Widowed Drug Use at any time? No Yes Describe: Exercise Habits IV Drug Use at any time? No Yes Describe: Do you always wear Seatbelts? No Yes Do you use sun protection (sunscreen)? No Yes Do you have Body piercings? No Yes Do you have Tattoos? No Yes Birth Control Methods Are you Sexually active? No Yes Language spoken Religion Occupation
Remove the “0” or “00” at the start of the Registration Number. or view A5 in the Marriages Binder to identify the microfilm reel matching the Registration Year and Registration Number. Look up the Registration number on the microfilm. Remove the “2” or “3” at the of the Registration Number. or view A5 in the Marriages Binder to identify the microfilm reel matching the Registration Year and Registration Number. Look up the Registration number on the microfilm. or view A22 in the Marriages Binder to identify the microfilm reel matching the Marriage Year and Registration Number. Look up the Registration number on the microfilm. These records are at the Office of the Registrar General 189 Red River Road P.O. Box 4600 Thunder Bay, Ontario P7B 6L8 Phone: Toll-free in Ontario: 1-800-461-2156
Fair Patient Billing Act concerning Out-of-Network Providers Huntsville Memorial Hospital, in compliance with the “Fair Patient Billing Act” concerning out-of-network providers, would like to notify the patients of the following: You may receive separate bills for services provided by healthcare professionals affiliated with HMH. Some healthcare professionals may not be participating providers in the same insurance plans and networks as HMH You may have greater financial responsibility for services provided by healthcare professionals at HMH who are not under contract with your healthcare plan You should direct questions about coverage or benefit levels to your healthcare plan and certificate of coverage. Itemized bills are available upon request. If you are uninsured, you may be eligible for financial assistance under the terms and conditions the hospital offers to qualified patients. If you would like to ask questions, dispute your account, request an itemized statement, need assistance in making arrangements or need to speak with a patient financial services representative, please call With my signature, I understand that I am responsible for any charges that may be incurred, that are applied toward my deductibles or are considered out-of-pocket expenses, such as out-of-network bills or co-pays. SIGNATURE DATE/TIME
Patient Participation Group Meeting 15.09.2017 Attendance Dr A K Tangri Jackie Pates Ann Abrey Len Willis Christine Rush Geoffrey Jebbett Jannett Dean - New PPG member Actions 1. Welcome & Introductions Dr A K Tangri welcomed everyone to the meeting. Apologies for absence Nicky Stevenson Colin Walls Lisa Carlisle Trevor Abrey 3. & 4. Minutes of Last Meeting and Matters Arising The minutes of the last meeting held on the 26th May 2017 were read and agreed. 5. Lung Health Checks – 122 patients aged between 60 and 75 years of age who have had a smoking history were invited to attend the lung MOT health checks. 38 attended 7 patients DNA’d. One patient has been diagnosed with cancer their CT scan and other illnesses have been found in other patients who attended their scan appointments. Uptake for the practice was poor, a total of 45 patients out of the 122 who were invited booked to see the respiratory team but 7 of them DNA’d. C Rush told the meeting that she had a problem getting through to the respiratory team to book an appointment for her husband, he eventually got one after numerous phone calls but she thought if other patients had had the same experience then they probably would have given up trying to get one. Jackie to pick 10 patients at random and contact them to see if they had a problem getting an appointment.
Bagshahi Bariatric and General Surgery Welcome! Thank you for choosing Bagshahi Bariatric and General Surgery for your surgical treatment. Enclosed you will find the new patient paperwork which we ask that you bring with you to your initial visit. We also ask that you please arrive 15 minutes early to allow adequate time to process your paperwork. You will also need to bring: Photo ID Health insurance information, including a referral from your primary care provider (if required by your insurance carrier) Medical records, including your previous diet history (if available) All medications you are taking or a detailed list including over the counter medications, herbal products, and vitamins. Any operative (surgical) reports or pertinent imaging studies (UGI, EGD, CT) Method of payment for services rendered (i.e. copay, coinsurance, deductible), and/or payment in full for non-covered services. If you have any questions or require additional information, please call 817-250-6210 Sincerely, Dr. Hossein Bagshahi and Confidential Proprietary Information Patient Registration/Policies 06/15/2015 Bagshahi Bariatric and General Surgery
Castle Quay Medical Practice Patient Registration Form: SECONDARY/VISITOR Please complete clearly all relevant sections of this registration form. 1. Patient Information Title: Miss / Master / Mr / Mrs / Ms / Gender Identity: Female Male Trans Other Family Name: Marital Status: Single Married Civil Partnership Separated Divorced Other Given Name(s): Ethnicity: Select A and B A: White Black Asian Mixed Other B: British European Other Known As: First Language: If not English Previous Family Name: Resident Since: Month/Year / Date of Birth: Reason For Registering with the Practice: Visitor / On Business / Non-Resident Contractor Secondary / Specialist Service Second Opinion SSD Health Insurance Number: Seen By: Jersey SSD HIF Status: (For Practice to complete) HIO HMA Private Proof of ID Confirmed: (e.g. Passport / Driving Licence) Yes No Seen By: 2. Home Address and Contact Information Current Home Address & Post-Code: Home Telephone: Work Telephone: Mobile Telephone: Email Address: 3. Visitor Information (To be completed by visitors only) Address & Post-Code: Telephone Number: Visitor Status: Leisure Business Work Other Date of Arrival: Date of Departure: 4. Emergency Contact Information Title: Miss / Mr / Mrs / Ms / Home Address & Post-Code: Same as Section 2 Family Name: Given Name(s): Date of Birth: Home Telephone: Relationship to Patient: Work Telephone: Next of Kin: Yes No Mobile Telephone: Can Discuss Record: Yes No Main Carer of Patient: Yes No 5. Existing GP Information (Must be completed) GP Name: Telephone Number: Address:
The Accessible Information Standard aims to ensure patients, or their carers, easily receive, access and understand information. If you have any communication needs relating to a disability, impairment or sensory loss, or anything else you feel may be relevant to your needs, please let us know below. You may also ask at Reception for a form to complete, which will help you give this information. CARERS Are you a Carer? No Yes A carer is someone who looks after a relative, friend or neighbour who could not manage without their help. If you are a carer then please specify the relationship of the person you care for eg parent, child, neighbour, friend ………………………………… HEALTH PROFILE: How often do you have a drink containing alcohol? Please tick the reply which best fits your usual habits.  Never  Monthly or less  2-4 times a month  2-3 times a week  4 or more times a week How many units of alcohol do you drink on a typical day? 1 unit = 0.5 pint of beer or lager of 4% strength or 25 ml spirits or 125 ml of wine 10% strength (note: most wines contain 9 units per bottle) ………………….. Units /Week How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year ? Weight Height Do you ups? Smoker (average number smoked/day) Ex-Smoker (Date stopped smoking) Never Smoked MEDICAL HISTORY: Have you ever had any of these problems? No Yes High Blood Pressure Heart Disease Stroke or mini stroke Diabetes
Bleeding Disorder  Yes No (Relation/Type): Cancer:  Yes  No (Relation/Type): Diabetes  Yes  No (Relation/Type): Developmental Disorder  Yes  No (Relation/Type): Heart Disease  Yes  No (Relation/Type): High Blood Pressure  Yes  No (Relation/Type): Thyroid Problems  Yes  No (Relation/Type): Other:  Yes  No (Relation/Type): MEDICATIONS Are you currently on ANY medication:  Yes  No (This includes prescription, over the counter, & vitamins)- please list ALL current Medications NAME OF MEDICATION(S) Dose How Often & When              OVER THE COUNTER MEDICATIONS, HERBAL REMEDIES & VITAMINS DOSE How Often & When      PLEASE BRING CURRENT MEDICATION LIST WITH YOU TO EVERY VISIT! Signature of Patient or Guarantor: ________________________________________________ Date: _______/_____/______