Practice information & services

Street Lane Practice was established more than 100 years ago. The Practice provides General Medical NHS services to patients who live within our catchment area and who choose to register with us. Street Lane Practice is a Partnership (not a Limited Company).

The practice offers the following additional services:

Contraception

Contraception services are offered by the Practice including emergency contraception, IUDs and the fitting and removing of contraceptive implants. Please see your Doctor for first appointments and the Nurse for check-ups. We can also advise and refer for termination of pregnancy.

Well person checks

These checks are offered every 3 years to those patients aged 16 to 75 who have not consulted a Doctor in that time. They are available every year to those over 75 who have not consulted a Doctor in that time.

Practice nurse appointments

Our nurse provide a range of services, such as dressings, cervical smears and immunisations.

Foreign travel

Please leave a message at reception, and a nurse will return your call. We recommend you access www.fitfortravel.scot.nhs.uk prior to a travel appointment.

Health Care Assistants

Your appointment may be with a health care assistant. They are trained to perform blood tests, ECGs etc.

Health Visitors

Leafield Team, Reginald Centre, Reginald Terrace, Chapeltown, LS7 3EX. Telephone 0113 843 4400.

Maternity Care

The Midwifery team can be contacted on 0113 206 5329. A comprehensive service is run from the practice.

District Nurses

The team are based at Meanwood Health Centre, and can be contacted Mon-Fri between 9 - 9.30am, 2 - 2.30pm and 4 - 4.30pm on 0113 843 3350.

Physiotherapy

Simon Miller, a physiotherapist from Chapel Allerton Hospital, attends Street Lane Practice during the working week. He sees patients booked in from Street Lane Practice or any other surgeries whose patients choose to see him via Choose and Book.

Chronic disease clinics

These are nurse led, offering advice, follow ups and annual review. Appointments can be booked at reception.

Enhanced services

Influenza immunisations for 65+ or at risk, minor surgery, IUD (coil) contraceptive fittings, smears and near patient testing.

Additional services

Cervical screening, contraceptive services (book a nurse appointment), vaccinations and immunisations, child health surveillance, maternity services, minor surgery procedures.

Counselling services

These are accessed through your GP. Young patients (<24 years old) can self refer to Mindmate and older patients (>24 years old) can refer to Mindwell. Both are online resources.

Patients can also self refer to IAPT 0113 8434388 for counselling.

Non NHS Services

The NHS does not provide certain services such as private sick notes, insurance claim forms, medical examination to establish insurance risks or fitness for activities, and some travel vaccinations. An up-to-date list of fees for those services not covered by NHS is displayed in reception.

Test results

Results are usually available in 5 working days though some take longer. It is the responsibility of all patients to follow up their own results, however in the event that a prescription or more tests are required you will be contacted directly by the Practice team. Please phone or call in at reception between 10.00 am to 4.00 pm. Test results can only be given to the patient that the test was performed on.

If you have registered for online access to your medical records then it is possible to view your test results by looking at your medical records. It will be apparent from the report that the authorising GP provides what action is required based on the results.

Chaperone policy

For intimate examinations the Doctor or patient may prefer that a chaperone is present. If a suitable chaperone is not available an alternative appointment will be offered.

Ethnic minority languages

If your first language is not English we are happy to accommodate by having a third party present or by using telephone interpretation services.

Confidentiality

All medical information at the Practice is treated as confidential and is not disclosed without the consent of the patient.
The Practice does share anonymous data concerning our disease registers with the Primary Health Care Trust for research and service planning purposes.

Patient records

We would encourage patients to regiter for online acces to their medical records. That way you can read your own records from your own computer, book appointments and request medication.

You may have access to view your medical records at Street Lane Practice for 30 minutes free of charge by making an appointment. If you require copies of your records there is a fee. If your GP refers you for further treatment you may request a copy of the referral letter. Ask your GP and a copy will be left at reception for you to collect. Allow 5 working days.

Teaching and training

The Practice hosts fully qualified Doctors training to become independent practitioners. If you agree, Doctors in training may observe your consultation with another Doctor or video their own consultation with you. Your wish to decline the above is respected.

The Practice closes for one Thursday afternoon every month for training purposes. Please speak to reception for more information on the dates.

Leeds North CCG

The practice is part of Leeds North Clinical Commissioning Group.

 Street Lane Practice policies

Epipens

Following advice from Allergy Nurse Specialist – Brenda Dewitt 

Primary School Age children can be prescribed upto 4 epipens to allow for 2 at nursery/school and 2 at home.

High School children can be prescribed upto 2 epipens.

Adults can be prescribed upto 2 epipens as we would expect them to carry the pens with them even when going out.

Recommended doses are 150mcg (0-6 years old~), 300mcg (6-12years old) and 500mcg (12 years or older).

Glucose testing strips in type 2 diabetes

The practice follows guidance set out by NICE with regard to the prescription of test strips for patients with diabetes.

Test strips should be available to:

Those on insulin treatment

Those on oral glucose lowering medications to provide information on hypoglycaemia - this wouldn't include metformin

To assess changes in glucose control resulting from medication and lifestyle changes

To monitor changes during intercurrent illness

To ensure safety during activities including driving.

There is no reason for those with type 2 diabetes on oral medication to routinely test their own blood sugar except in the circumstances highlighted above.

There is a document from diabetes.org.uk which gives further patient information:

http://www.diabetes.org.uk/Documents/How%20we%20help%20other/Test%20strips%202011.pdf

 

Vitamin D Supplements

It is recommended that in cases of vitamin D deficiency patients take 800-1000units of vitamin D once or twice per day for 12 weeks. These medicines can be bought over the counter:

Pro D3 1000 unit capsules

Vitabiotics ultra D3 1000unit capsules

Holland and Barratt Sunvit 1000 capsules

In addition it is important to have sunlight exposure for 20 minutes 2-3 times per week during the summer months. Areas exposed should be face and arms at the least without sunscreen and not behind glass.

Certain foods such as oily fish (mackeral, sardines) also contain vitamin D.

We would usually recheck your levels 3 months after therapy commences.

 

HAY FEVER GUIDELINES 2014

Treatment Options

$        Intermittent mild symptoms – Intermittent or regular oral antihistamines

$       Persistent moderate to severe symptoms – Nasal steroid spray is the first choice treatment.  If symptoms remain uncontrolled increase the dose.  Antihistamine should be used if itching and sneezing troublesome.

Antihistamines – Relieve eye symptoms, runny nose, sneezing and nasal irritation but have little effect on nasal congestion.  Loratadine and Cetirizine are recommended as first line agents as they are considered to be non-sedating and have a well-established safety profile.  The newer more expensive antihistamines have not been shown to be more effective.

Nasal Steroid Sprays – The treatment of choice in patients with moderate to severe hay fever as they can relieve all symptoms including nasal congestion.  These preparations need to be used regularly to be effective and maximum efficiency occurs after several days or weeks.  Ideally they should be started two weeks before the patients are likely to become symptomatic.

Eye Treatment – Antihistamines and nasal steroid sprays will also relieve eye symptoms.  Specific eye treatments have a limited role in the management of hay fever symptoms.

Decongestants – Have a limited role and should only be used short term (1 week).  Xylometazoline 0.1% spray recommended.

Products can be purchased from pharmacies and supermarkets

at less than the cost of a prescription charge.

Nasal

Beclometasone 50 micrograms/nasal spray

Eyes

Sodium Cromoglycate 2%. Pack size 10ml

Antihistamines

Loratidine – tablets & 5mg/5ml syrup available

Cetirizine – tablets & 5mg/5ml syrup available

Chlorpheniramine – if sedation is required.  Tablets & 2mg/5ml oral solution available.

 

The doctors and nurses will adhere to these guidelines.  To avoid waste only 1 month prescription of tablets and/or 1 nasal steroid spray and/or 1 eye drop will be given.

  

Privacy Notice - How we collect, look after and use your data.

This notice explains how The Street Lane Practice will collect, look after, use or otherwise process your personal data. “Personal data” is information relating to you as a living, identifiable individual.

How Is My Information Collected And Looked After?

Who is responsible for my information?

The Street Lane Practice is the data controller for your information and is responsible for looking after your record while you are a registered patient. The Data Protection Officer for The Street Lane Practice is Dr Jonny Hobman. Any queries or concerns should be raised with the practice first.

Why Do We Collect Information About You?

As health professionals, we maintain records about you in order to support your care. By registering with the practice, your existing records will be transferred to us from your previous practice so that we can keep them up to date while you are our patient. If you do not have a previous medical record (a new-born child or coming from overseas, for example) we will create a medical record for you. We take great care to ensure that your information is kept securely, that it is up to date, accurate and used appropriately. All of our staff are trained to understand their legal and professional obligations to protect your information and will only look at your information if they need to.

What information do we hold about you?

- Details about you, such as your name, address, carers, ethnic origin, date of birth, legal representatives and emergency contact details

- Any contact the surgery has had with you, such as appointments, clinic visits, emergency appointments, etc.

- Notes and reports about your health

- Details about your treatment and care

- Results of investigations such as laboratory tests, x-rays, etc.

- Relevant information from other health professionals, relatives or those who care for you

How is my information stored?

Our practice uses a clinical records programme called SystmOne which is where any electronic information about you will be stored. We also convert older paper records to an electronic format using CCube Solutions. Any information we do hold on paper is stored securely at the practice. We use a combination of working practices and technology to ensure that your information is kept confidential and secure. We also use a secure NHS server to temporarily store eReception data.

What is the legal basis that we use to process your information?

We are required to tell you the legal basis that is used for the various ways we process and use your data. The following table sets the main ways your personal data may be used and the corresponding legal basis and category of data. Each purpose is covered in more detail within this notice to explain what these mean in more practical terms.

 

Purpose of using personal data Legal basis of processing Special category of data

Provision of direct care and related administrative purposes

e.g., e-referrals to hospitals or other care providers

GDPR Article 6(1)(e) – the performance of a task carried out in the public interest GDPR Article 9(2)(h) – medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems.

For commissioning and healthcare planning purposes

e.g., collection of mental health data set via NHS Digital or local

 

GDPR Article 6(1)(c) – compliance with a legal obligation

 

GDPR Article 9(2)(h) – medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems.

Special category 9(2)(i) – public interest in the area of public health

For planning and running the NHS

e.g., CQC powers to require information and records

GDPR Article 6(1)(c) – compliance with a legal obligation (the GP practice)

Regulation 6(1)(e) – the performance of a task carried out in the public interest (CQC)

GDPR Article 9(2)(h) – medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems.

Special category 9(2)(i) – public interest in the area of public health

For planning & running the NHS – national clinical audits GDPR Article 6(1)(e) – the performance of a task carried out in the public interest

GDPR Article 9(2)(h) – medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems.

Special category 9(2)(i) – public interest in the area of public health

For research

GDPR Article 6(1)(f) – legitimate interests…except where such interests are overridden by the interest or fundamental rights and freedoms of the data subject.

GDPR Article 6(1)(e) – the performance of a task carried out in the public interest

GDPR Article 6(1)(a) – explicit consent

GDPR Article 9(2)(j) – scientific or historical research purposes or statistical purposes
For safeguarding or other legal duties

GDPR Article 6(1)(e) – the performance of a task carried out in the public interest

Regulation 6(1)(c) – compliance with a legal obligation

GDPR Article 9(2)(b) – purposes of carrying out the obligations of ..social protection law.
When you request us to share your information e.g., subject access requests GDPR Article 6(1)(a) – explicit consent GDPR Article 9(1)(a) – explicit consent

 

When is my information shared?

We are committed to protecting your privacy and will only use information collected lawfully in accordance with:

- Data Protection legislation

- Human Rights Act 1998

- Common Law Duty of Confidentiality

- Health and Social Care Act 2012

- NHS Codes of Confidentiality, Information Security and Records Management

- Information: To Share or Not to Share Review

How long does the practice hold my information?

As long as you are registered as a patient with The Street Lane Practice your paper records are held at the practice along with your GP electronic record. If you register with a new practice, they will initiate the process to transfer your records. The electronic record is transferred to the new practice across a secure NHS data-sharing network and all practices aim to process such transfers within a maximum of 8 working days. The paper records are then transferred via Primary Care Services England (operated on behalf of NHS England by Capita) which can take longer. Primary Care Services England also look after the records of any patient not currently registered with a practice and the records of anyone who has died.

Once your records have been forwarded to your new practice (or after your death forwarded to Primary Care Services England), a cached version of your electronic record is retained in the practice and classified as “inactive”. If anyone has a reason to access an inactive record, they are required to formally record that reason and this action is audited regularly to ensure that all access to inactive records is valid and appropriate. We may access this for clinical audit (measuring performance), serious incident reviews, or statutory report completion (e.g., for HM Coroner).

Change of Details

It is important that you tell the person treating you if any of your details such as your name or address have changed or if any of your details such as date of birth phone and email is incorrect in order for this to be amended. You have a responsibility to inform us of any changes so our records are accurate and up to date for you.

How can I see what information you hold about me?

You have a right under data protection legislation to request to see what information the practice holds about you. You also have the right to ask for inaccuracies to be corrected and in some circumstances you have the right to request that we stop processing your data.

Some of these rights are not automatic and we reserve the right to discuss with you why we might not comply with a request from you to exercise them.

If you make a Subject Access Request, we will:

- Describe the information we hold about you

- Tell you why we are holding that informationTell you who it might be shared withAt your request, provide a copy of the information in an easy to read form.

In order to request this, you need to do the following:

- Your request must be made in writing – for information from the hospital you should write direct to them

- We will provide electronic copies (via online access, by email or on CDROM) free of charge.

- We are required to respond to you within 1 month.

You will need to give enough information (for example full name, address, date of birth, NHS number and details of your request) so that your identity can be verified and your records located.

In some circumstances there may be a charge to have a printed copy of the information held about you. If this is the case, this will be discussed with you before any charge is made.

If you would like to make a Subject Access Request or have any further questions, please contact the practice.

How Is My Information Used?

For provision of direct care:

In the practice, individual staff will only look at what they need in order to carry out such tasks as booking appointments, making referrals, giving health advice or provide you with care.

Sometimes your information may be used to run automated calculations. These can be as simple as calculating your Body Mass Index but they can be more complex and used to calculate some risks to your health that we should consider with you. The ones we use in practice include Qrisk (cardiovascular risk assessment – usually following an NHS Health check), Qdiabetes (diabetes risk assessment) and eFI (electronic frailty index). Whenever we use these profiling tools, we assess the outcome on a case-by-case basis. No decisions about individual care are made solely on the outcomes of these tools but they are used to help us assess and discuss your possible future health and care needs with you.

We share information about you with other health professionals where they have a genuine need for it to support your care, as follows.

 

Recipient of data Reason
Leeds Hospital Foundation Trust Secondary or emergency care
  • Other national providers of health care who you choose to be referred to, in consultation with your healthcare professional
Secondary or specialist care
Leeds & York Partnership Foundation Trust Mental health & learning disability services
Mid-Yorkshire Hospitals Trust Diabetic eye-screening services
Leeds Community Healthcare Trust District Nursing services
NHS National Diabetes Prevention Programme Information and lifestyle education
Local Care Direct Out of Hours primary care provider
Leeds City Council Social Care services
Connect Well Social prescribing
Reed Momenta Provider of One You Leeds services
Forward Leeds partnership Provider of Forward Leeds drug & alcohol services
Calibre Care Partners Ltd Provider of extended access appointments over the telephone and at local hubs.

 

For commissioning and healthcare planning purposes:

In some cases, for example when looking at population healthcare needs, some of your data may be shared (usually in such a way that you cannot be identified from it). The following organisations may use data in this way to inform policy or make decisions about general provision of healthcare, either locally or nationally.

- Leeds City Council: Public Health, Adult or Child Social Care Services

- Embed Health Consortium (NHS commissioning support unit)

- Leeds Clinical Commissioning Group

- NHS Digital (Formerly known as (HSCIC)

- ResearchOne Database (SystmOne practices).

- Other data processors which you will be informed of as appropriate.

In order to comply with its legal obligations we may send data to NHS Digital when directed by the Secretary of State for Health under the Health and Social Care Act 2012.

This practice contributes to national clinical audits and will send the data which are required by NHS Digital when the law allows. This may include demographic data, such as date of birth, and information about your health which is recorded in coded form, for example, the clinical code for diabetes or high blood pressure.

For research purposes:

Research data is usually shared in a way that individual patients are non-identifiable. Occasionally where research requires identifiable information you may be asked for your explicit consent to participate in specific research projects. The surgery will always gain your consent before releasing any information for this purpose.

 Where specific information is asked for, such as under the National Diabetes audit, you have the choice to opt of the audit.

For safeguarding purposes, life or death situations or other circumstances when we are required to share information:

We may also disclose your information to others in exceptional circumstances (i.e. life or death situations) or in accordance with Dame Fiona Caldicott’s information sharing review (Information to share or not to share).

For example, your information may be shared in the following circumstances:

-  When we have a duty to others e.g. in child protection cases

- Where we are required by law to share certain information such as the birth of a new baby, infectious diseases that may put you or others at risk or where a Court has decided we must.

When you request to see your information or ask us to share it with someone else:

If you ask us to share your data, often with an insurance company, solicitor, employer or similar third party, we will only do so with your explicit consent. Usually the requesting organisation will ask you to confirm your consent, often in writing or electronically. We check that consent before releasing any data and you can choose to see the information before we send it.

Please see the section ‘Sharing your Information’ for more details of how your personal data is shared electronically within the NHS locally & nationally and your choices about being included in these sharing agreements.

Objections/Concerns/Complaints

If you are happy for your data to be extracted and used for the purposes described in this notice then you do not need to do anything.

Should you have any concerns about how your information is managed at the practice, please contact Carli Dobson or Helen Dickinson. If you are still unhappy following a review by the GP practice, you can then complain to the Information Commissioners Office (ICO) via their website www.ico.org.uk, This email address is being protected from spambots. You need JavaScript enabled to view it., telephone: 0303 123 1113 (local rate) or 01625 545 745

Sharing Your Information

How can my information be viewed outside of The Street Lane Practice?

Your health information can be shared both locally and nationally at differing levels of detail. You can opt in and out of these sharing agreements whenever you choose. Details of these schemes are as follows:

For direct care locally in Leeds: Leeds Care Record

Patients in Leeds are able to benefit from the sharing of information via the Leeds Care Record. This shares contact details, diagnosis list, medications, allergies, test results, referrals & letters and care plans between health professionals in Leeds. Information is shared by GP practices, the Hospital trusts, Community and Mental Health services, and Social Care.

You have the right to object to your Leeds Care Record being shared by contacting them directly. Further details including privacy notice and patient leaflets are available to download via their website https://www.leedscarerecord.org/

Nationally for direct care: Summary Care Record – sharing your information for your care across the NHS.

Your core Summary Care Record is created when you register at a GP practice (although you should be given the option to opt in/out during your registration). If you do not express a preference, it is currently assumed that your consent is implied.

The Summary Care Record shares only your contact details, medications and allergies with other healthcare professionals involved in your care.

You can also choose to share a Summary Care Record with Additional Information. This shares contact details, medications, allergies, diagnosis list, care plans, end of life care and immunisations with other healthcare professionals. Sensitive data is excluded. A Summary Care Record with Additional Information will only be created for you if you explicitly choose this option. All current and past information is shared for each category (SystmOne).

Choosing to share a summary care record with additional information is thought to be of great benefit if you are admitted to hospital locally or elsewhere in the UK.

You can opt out of sharing any of your information in a Summary Care Record. If you decide not to share this will not affect your entitlement to care, however, it could result in the delivery of your care being less efficient as other health professionals will not have access to these parts of your medical history.

Further details are available at https://digital.nhs.uk/about-nhs-digital/our-work/keeping-patient-data-safe/gdpr/gdpr-register/summary-care-record-scr

You can change your mind about your Summary Care Record at any time.

To register or change your Summary Care Record preferences, please complete the OPT OUT form (available on our website or at the practice) and return it to us.

Nationally: The national data-opt-out. For purposes beyond direct care

NHS Digital is developing a new system to support the national data opt-out which will give patients more control over how identifiable health and care information is used for reasons other than your individual care and treatment. The system will offer patients and the public the opportunity to make an informed choice about whether they wish their personally identifiable data to be used for purposes beyond their direct care such as research and planning purposes.

In the past, you may have already chosen to prevent your identifiable data leaving NHS Digital, known as a Type 2 opt-out. All existing Type 2 opt-outs will be converted to the new national data opt-out and this will be confirmed by a letter to all individuals aged 13 or over with an existing Type 2 in place. Once the national data opt-out is launched, it will no longer be possible to change preferences via local GP practices.

The national data opt-out is due to be launched on 25 May 2018.

More information is available via https://digital.nhs.uk/national-data-opt-out

More information about health and care records in general can be found on the NHS website here: https://www.nhs.uk/pages/home.aspx

If you have any queries or concerns about how your information is handled, please do not hesitate to contact the practice for further information.

 

Additional information