Slade HillHampton MagnaBudbrookeWarwick, CV35 8SATel: 01926 403800
Change of name/address formHealth status form
Temporary Services form (GMS3) This needs to be handed into the reception desk fully completed before any appointment.
PHQ-9 Depression Assessment QuestionnaireThis easy to use patient questionnaire has been validated for use in Primary Care.It is used by your doctor to monitor the severity of depression and response to treatment.It can also be used to make a tentative diagnosis of depression.
Alcohol Consumption QuestionnairePlease answer the questions in the short questionnaire to enable us to assess your alcohol consumption rate and offer advice if necessary.
Open the Asthma Annual Review FormPlease would you answer the questions on the form below and submit it to us (if you are due an asthma review).If your symptoms are deteriorating or you have any concerns, please make an appointment to the respiratory nurse or a doctor as well.
Fair Processing Notice
This fair processing notice explains why our practice collects information about you and how that information may be used and shared.
Data Provision Notice
This ‘Individual GP Level Data’ collection was previously referred to as the ‘GP Insight Data’, ‘GP metrics’ and ‘individual GP metrics’ collection.
The Accessible Information Standard (AIS) is a new NHS England information standard which must be implemented by all organisations that provide NHS or adult social care.
The AIS aims to ensure that people who have a disability, impairment or sensor loss receive information that they can access and understand, for example in large print, braille, professional communication support if they need it such as British Sign Language interpreter.
We want to get better at communicating with our patients. We want to make sure you can read and understand the information we send you. If you find it hard to read our letters or if you need someone to support you at appointments, please let us know.
We want to know if you need information in braille, large print or easy read.
We want to know if you need a British Sign Language interpreter or advocate.
We want to know if we can support you to lipread or use a hearing aid or communication tool.
Please tell the receptionist when you arrive for your next appointment, or call us on 01926 400010 between 8.00am – 5.00pm.
This information will be recorded on your medical record in a standardised way and highlighted to ensure we have information on your communication needs.
This information could be shared with other NHS and adult social care providers if they need it.
Click here to download an information leaflet about the Accessible Information Standard.Click the below you tube click for an overview of the updated 2016 information on Accessible Information.
Young Persons Budbrooke Handbook Outside Agencies Handbook
Please click on any of the below icons for helplines and advice
West Midlands Paediatric Sexual Assault Service (PASS)
Please click here for the 'Child friendly' leaflet that informs you about your visit.
Please click here for information for your people.
If you are please let us know - we may be able to help you
Guideposts is a registered charity service who support carers. Please read the below flyer for more information or visit
There is a wealth of information on NHS Choices about carers and caring. Below are some links into the site that we hope you will find useful.
Watch this video on: caring for a parent at home
Caring responsibilities can make it difficult to maintain friendships or develop new ones. Telling your friends you're a carer is important so they understand and can support you.
Caring for someone can be a full-time job, but it's essential that you take time out for yourself too. Read our guide to accessing breaks and respite.
Do you know your tenancy rights as a carer? Are you aware of all your care at home options? Do you need tips on moving someone around the home?
Help claiming benefits, looking after your bank balance and understanding the legal issues of caring.
Directing carers to the benefits that can help them in their caring role
Advice and information on helping the person you look after get the benefits that they are entitled to
How your benefits maybe affected after the death of the person you look after and what happens to their benefits
Advice for when carers find they have to take over the legal affairs of the person they are looking after
Advice for carers and the people they are looking after on claiming a whole host of other benefits unrelated to their disability or caring
Advice on keeping a tight rein on household and personal finance for carers
Information on claiming tax credits and whether you might be eligible
We make every effort to give the best service possible to everyone who attends our practice.
However, we are aware that things can go wrong resulting in a patient feeling that they have a genuine cause for complaint. If this is so, we would wish for the matter to be settled as quickly, and as amicably, as possible.
To pursue a complaint please contact the practice manager who will deal with your concerns appropriately. Further written information is available regarding the complaints procedure from reception.
Budbrooke Complaints Policy
The practice complies with data protection and access to medical records legislation. Identifiable information about you will be shared with others in the following circumstances:
If you do not wish anonymous information about you to be used in such a way, please let us know.
Reception and administration staff require access to your medical records in order to do their jobs. These members of staff are bound by the same rules of confidentiality as the medical staff.
Information about the General Practioners and the practice required for disclosure under this act can be made available to the public. All requests for such information should be made to the practice manager.
In accordance with the Data Protection Act 1998 and Access to Health Records Act, patients may request to see their medical records. Such requests should be made through the practice manager and may be subject to an administration charge. No information will be released without the patient consent unless we are legally obliged to do so.
NHS England provides a patient support service called "Patient Advice and Liaison Service" (PALS)
PALS will provide "on the spot" advice, support and information. It is confidential for patients, their carers, families and friends
Telephone 0845 423 8903
POhWER offers advice and advocacy to patients who wish to raise concerns about their care and treatment they have received from tah NHS. Offering support, guidance on their options, ensuring their views are heard and their complaints receive due consideration.
POhWER, Birmingham, B6 9BL
Telephone number: 0300 456 2370
Fax: 0300 456 2365
The NHS operate a zero tolerance policy with regard to violence and abuse and the practice has the right to remove violent patients from the list with immediate effect in order to safeguard practice staff, patients and other persons. Violence in this context includes actual or threatened physical violence or verbal abuse which leads to fear for a person’s safety. In this situation we will notify the patient in writing of their removal from the list and record in the patient’s medical records the fact of the removal and the circumstances leading to it.
StandardsWe are constantly striving to improve the health care we provide for our patients. We are committed to giving you a good service and we feel this is best achieved by working together. Please help us to help you.
Budbrooke Medical Centre is committed to protecting your privacy. We comply with the principles of GDPR and aim to maintain best-practice standards in our processing of personal and/or sensitive personal data.
How We Use Your Data
We use the information we receive from you, together with information we have obtained from our dealings with you (including in relation to services we provide to you) to continue to allow us to provide services that you request, to communicate with you, and to personalise information sent to us regarding your health from other Health Care Providers. Examples of how we may personalise information include using your information in generating referrals for you, looking at treatment options for you and deciding on further healthcare needs you may have in the future.
We are also a Research Practice and may contact you in regards to research trials that the surgery have been invited to take part in. We may invite you to take part in a study, your information will not be divulged to any research trial without your explicit consent.
Information to be provided where personal data is collected from the data subject
Where personal data relating to a data subject is collected from the data subject, the controller shall, at the time when personal data is obtained, provide the data subject with all of the following information:
The identity and the contact details of the controller and, where applicable, of the controller’s representative
The contact details of the data protection officer, where applicable
The purposes of the processing for which the personal data are intended as well as the legal basis for the processing
The recipients or categories of recipients of the personal data, if any;
We do not sell, trade, or rent your personal information to others.
We store all the information you provide us, including information provided via forms you complete on our secure server. Our server is secured in line with GDPR regulations and is fully risk assessed annually. Any new information you provide us may be used to update an existing record we hold for you. If you provide a work or home email address we will not be responsible for third parties having access to any communications we send.
Third parties, for instance pharmacies may deliver some of our products to you, or provide all or part of the service requested by you. In these instances, while the information you provide will be disclosed to them, it will only be used for the administration of the service provided (for instance prescriptions).
We ask for your home, mobile phone number, and email address to enable us to contact you in regards to your healthcare.
We make outbound phone calls for a number of reasons including changing of appointments or other administrative tasks. We will only call the number that is contained within your medical record. We cannot call you back to a number that is not contained within the registration portal on your medical record.
We may invite you in for an appointment based on your healthcare needs. We will only ever write to the address that is contained within your medical record.
If we provide information to a third party it is for healthcare purposes if the party we are sending to process data we will exercise the strictest control over the third party contractually, requiring it and any of its agents and/or suppliers to:
In addition, we will restrict the information disclosed to the absolute minimum necessary, for example, to provide the product or service.
Our own security procedures mean that we may occasionally have to request proof of identity.
In the event of phone calls from you, we also reserve the right to ask security questions (which we in our sole discretion deem appropriate) in order to satisfy ourselves that you are who you say you are.
As a primary care provider and part of the National Health Service we do participate in medical research projects. Please rest assured that your data is not shared with any research provider without your express consent. All research projects are undertaken with NIHR Clinical Research Network or providers that are ISO2700 and ICH-GCP certified and also NHS IG compliant. We also ensure that all research providers adhere fully with the DPA 1988 and GDPR legislation.
Before you provide any data to us we will endeavor to make it clear why we need it. As a Health Care Provider we need to use what is called sensitive personal data (this is your medical history). When this is required we will obtain your consent first. Consent is required for each instance of access when the request comes from another data controller or provider that does not process their data in line with that of GDPR Article 9:
processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional and subject to the conditions and safeguards referred to in paragraph 3;
Certain exceptions may be made in regards to the collection of medications by your spouse or nominated person. These exceptions have been fully risk assessed and a copy of this assessment is available upon request. The nominated person must detail on the patient record when picking up a controlled drug.
Links to other sites on our Website
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If you would like to know more about cookies you can visit www.allaboutcookies.org which explains in detail how they can work and can be managed.
Disclosure of information to third parties
As previously mentioned, we do not sell, trade or rent your information, and will never disclose information about you (including information obtained from our dealings with you) to third parties, except:
We may of course be obliged at law to pass on your information to the police or any other statutory or regulatory authority and in some cases, exemptions may apply under the GDPR Act, whereby we can legitimately release personal data as required to by law.
Subject access requests
You have a statutory right of access to accessible personal and/or sensitive personal data that we hold about you. In order to exercise this right, your application must be in writing for security reasons.
Subject Access Requests will be provided free of charge except:
Where requests from a data subject are manifestly unfounded or excessive, in particular because of their repetitive character, the controller may either:
Charge a reasonable fee taking into account the administrative costs of providing the information or communication or taking the action requested; or
Refuse to act on the request.
The controller shall bear the burden of demonstrating the manifestly unfounded or excessive character of the request.
Without prejudice to Article 11 of the Act, where the controller has reasonable doubts concerning the identity of the natural person making the request referred to in Articles 15 to 21, the controller may request the provision of additional information necessary to confirm the identity of the data subject.
Union or Member State law to which the data controller or processor is subject may restrict by way of a legislative measure the scope of the obligations and rights provided for in Articles 12 to 22 and Article 34, as well as Article 5 of GDPR in so far as its provisions correspond to the rights and obligations provided for in Articles 12 to 22, when such a restriction respects the essence of the fundamental rights and freedoms and is a necessary and proportionate measure in a democratic society to safeguard:
The prevention, investigation, detection or prosecution of criminal offences or the execution of criminal penalties, including the safeguarding against and the prevention of threats to public security
Other important objectives of general public interest of the Union or of a Member State, in particular an important economic or financial interest of the Union or of a Member State, including monetary, budgetary and taxation a matters, public health and social security
The protection of judicial independence and judicial proceedings;
The prevention, investigation, detection and prosecution of breaches of ethics for regulated professions;
A monitoring, inspection or regulatory function connected, even occasionally, to the exercise of official authority in the cases referred to in points (a) to (e) and (g);
The protection of the data subject or the rights and freedoms of others;
The enforcement of civil law claims.
In particular, any legislative measure referred to in the paragraph above shall contain specific provisions at least, where relevant, as to:
The purposes of the processing or categories of processing
The categories of personal data
The scope of the restrictions introduced
The safeguards to prevent abuse or unlawful access or transfer
The specification of the controller or categories of controllers
The storage periods and the applicable safeguards taking into account the nature, scope and purposes of the processing or categories of processing
The risks to the rights and freedoms of data subjects
The right of data subjects to be informed about the restriction, unless that may be prejudicial to the purpose of the restriction
Security of Processing
Taking into account the state of the art, the costs of implementation and the nature, scope, context and purposes of processing as well as the risk of varying likelihood and severity for the rights and freedoms of natural persons, as the controller we shall implement appropriate technical and organisational measures to ensure a level of security appropriate to the risk, including inter alia as appropriate:
The pseudonymisation and encryption of personal data;
The ability to ensure the ongoing confidentiality, integrity, availability and resilience of processing systems and services
The ability to restore the availability and access to personal data in a timely manner in the event of a physical or technical incident;
A process for regularly testing, assessing and evaluating the effectiveness of technical and organisational measures for ensuring the security of the processing.
In assessing the appropriate level of security account shall be taken in particular of the risks that are presented by processing, in particular from accidental or unlawful destruction, loss, alteration, un-authorised disclosure of, or access to personal data transmitted, stored or otherwise processed.
As the controller we shall take steps to ensure that any natural person acting under the authority of us as the controller who has access to personal data does not process them except on instructions from the controller, unless he or she is required to do so by Union or Member State law.
IP addresses and log file data Budbrooke Medical Centre site, does not automatically capture or store personal information, other than logging the user’s IP Address or the location of your computer or network on the Internet, for systems administration and troubleshooting purposes. (If you are connected to the Internet you have an IP address, for example, an IP address might read “18.104.22.168”). We do not use IP addresses in the aggregate to track which pages people visit in order to improve the quality of the site.
Data collection and use You may be asked for personal information if you complete one of the forms on this site. We will only use the information about you for the purpose for which you provide it. Personal information to our website is stored on secure servers. We will never sell or share your personal information with other organisations for their direct marketing purposes without your explicit consent. We do not hold any personal information about you on our website. If you would like further information our data protection officer will be happy to assist you.
Online Registration When you register with the practice on our site or subscribe to our emails, we ask you for information such as name address telephone number previous GP etc. This is used only to register you as a patient on our clinical system this information is not kept in any other format or file.
How we protect your information Our website has security measures in place to protect against the loss, misuse or alteration of the information under our control. When you contribute online, we use a secure server to protect your personal information during transmission.
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