аЯрЁБс>ўџ ?Aўџџџ>џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС @ јПYbjbjŠцŠц $.шŒшŒ2 џџџџџџˆЂЂЂ Ќ ИИИЬДДД8ь$$ЬШ@V"xxxxxx‘““““““$кR,ЮЗИxxЗИИxxЬ!!!ИxИx‘!‘!!ИИ!x4 РЇѕ3hЉЩДL!‘т0!њiœњ!ЬЬИИИИњИ!pиЎ†|!df›xLФ аЗЗЬЬф А ЬЬА Appendix 1 Referral letters from acute trusts to GP practices in England The GPC has received a series of complaints in recent months from GPs and LMCs concerning the procedures adopted by acute trusts when dealing with referrals letters from GPs. The most common complaint is that trusts address all referral correspondence to the senior partner of a practice, rather then the referring GP. This policy impedes administration within practices and can, potentially, compromise clinical safety. In addition, it would appear to run counter to the government’s policy of improving services and putting patients first. The Department of Health’s guidance below is explicit: Hospital letters to referring clinicians. This is to remind relevant provider trusts and agencies of recommendations endorsed by the Department of Health, NHS Connecting for Health and the General Medical Council in respect of addressing return letters to GP Practices and referring Clinicians. It is currently viewed as 'best practice' for hospital and provider organisations to ensure that internal systems address return correspondence to the referring clinician. This will ensure patient safety, patient choice and continuity of care, together with the recognition of custom and practice in Primary Care to appropriately process incoming communications with maximum efficiency and safety. Further information can be found in the Data Set Change Notice DSC 3/2008, issued by the Information Standards Board for Health & Social Care, at the URL below. Please see the annex to this guidance for specific details.  HYPERLINK "http://www.connectingforhealth.nhs.uk/dscn/dscn-2008/data-set-change-1/dscn03-2008.pdf" www.connectingforhealth.nhs.uk/dscn/dscn-2008/data-set-change-1/dscn03-2008.pdf In addition, legal advice received by the GPC indicates that if a hospital deliberately writes only to a senior partner who may not be involved in a patient's care, this will result in making the patient's personal data available to someone who is not entitled to see it in a manner that the patient will not have expected, or consented to. This would constitute unfair processing under the terms of the Data Protection Act. In the event that a trust does not comply with requests to address letters to the referring GP, practices should formally complain in writing to the trust’s CEO and Medical Director with copies to the CEO of their PCO. If there is still no appropriate response, practices should consider making a complaint to the Information Commissioner. Annex DSC 3/2008, General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract. Page 18, Paragraph 2.1 General Medical Practitioner (Specified) It is a mandatory requirement that this data item is available to be recorded, if required, so as to maintain the above GMC position and continuity of patient care. By definition, General Medical Practitioner (Specified) is restricted to a member of the General Medical Practice Code (Patient Registration). The guidance for completion of the data item “General Medical Practitioner (Specified)”, if required to be completed for local processing, is as follows: 4. Where a patient is referred to secondary services by an identifiable GMP from within the Registered GP Practice then that GMP should be recorded as General Medical Practitioner (Specified) appropriate for the current patient contact event 5. Otherwise, if the patient - or the patient's representative – offers the name of an identifiable GMP then that GMP should be recorded as the General Medical Practitioner (Specified) appropriate for the current patient contact event 6. If neither of the above points applies, and a named GMP is required (ie for downstream systems), then the General Medical Practitioner (Specified) can be derived by a standardised algorithm until such time as the patient can offer a named GMP. A suggested standardised algorithm is as follows: I. The referring GP (as above). II. The GP nominated by the patient (as above). III. The GP previously nominated as “Registered” in a local system, provided that the GP is still at the General Medical Practice Code (Patient Registration). IV. The GP nominated as the pooled list holder, if applicable, and recorded by local agreement between primary and secondary care. V. The lead GP in the Practice (available from NACS). VI. Any GP in the Practice (available from NACS and SDS) The above algorithm is provided for guidance only and system suppliers should agree with their system users the best way to implement this to fit with local business needs. Please note that, as stated in the exclusions section, the use of this data item does not affect in any way the data elements, definitions and requirements currently in place to record GMP Referrer. 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