Speaking personally my objection would be my private letters that I have paid for being scanned into my medical records and used for schemes such as "care data" which will reappear under another guise. They are not NHS property.
What happens if a patient refuses consent for their clinical details to be sent to the RMC? Is there a patient opt out?
@Anon Sorry ex Practice Manager here I can see how this would lead to bankruptcy especially if the Practice had long term staff.
Will NHSE be providing funding for list reconciliation? With my Practice Manager hat on they are time consuming
No @Lindsey! I am not registered with an NHS GP and one of the reasons I am not registered is I am sick to the back of teeth of being harassed by the NHS re screening/preventative medicine. I was even pressurised for an NHS Health Check at the till in Tescos, outside my bank and in a shopping centre in High Wycombe. I will seek medical advice when I am ill.In the mean time I will not tolerate being harassed for uninvited, unwanted screening/preventative medicine by the NHS. There is zero consent for any of these activities on the GMS1 when a patient registers with a GP. Your bank allows you to say no to banking junk mail but the NHS does not allow you too. For screening you are harassed at least three times and there is no easy "just once" opt out. I am an ex HCP and Practice Manager.
The plastic bags charge has not changed my behaviour I still buy them and then recycle them as dog poo and cat litter bags! I still see lots of people buying them.
Public Health England has hand a in reducing the sizes of ice creams my plan to this is to buy 3 when they are on offer and eat them all! I am not normal BMI!
We really are turning into a nanny state.
What if the patient is happy being over weight and does not consent to or want appropriate advice? An excellent way to alienate patients.
@otherphealthprofessional NO this no obligation to register. I am not registered either for the same reasons plus ethical objections to the GP Contract. I would be interested to chat to you.
@LocumGP No not at all annoyed just raising the question. I am going to FOIA DWP! There is generally assumption that everyone has an NHS GP someone asked on Mumsnet the other week if was the law!!! I think DWP work to this assumption!
@LocumGP 12.33 There is NO law to say you legally have to register with an NHS GP so how does DWP process SSP claims for patients with a private GP and NOT an NHS of which there are number especially in London?
I am not and would not consent to be an NHS patient due to these privacy issues and ethically objections to the GP Contract.
There is a Practice somewhere in the home counties that says on its web site if you want to protect your privacy we offer a private GP service too! Yes seriously. I have bookmarked it in case I ever need a GP urgently.
Could patients pay for a private certificate to protect their privacy if it is for a private employer occy health scheme?
@7.02 then I hope a patient challenges you. I have just got caught up in the TalkTalk issues and have had a fraud on my current account. I will not be handing over my ID details to the NHS any time soon!
There is some research on fraud re drug addicts etc I do not have the figures to hand but it is something like 0.3%. That is the figure I have at the back of mind. Anyone old enough, like me, to remember the letters from the FPC warning of people abusing the system with a description. We had them on the wall in staff area of reception at the central London Practice I use to manage. System seemed to work then
Some people live permanently but have no bills in their name. Also I believe registering as a Temporary Resident limits referrals? If they use one of those Pay As Go type visa cards which you top up or have wages paid into they may not even have a bank account to prove address.
DO NOT forget there is no legislation which requires patients to provide ID to register with a GP so a patient is well within their rights to refuse. The NHS is free at point of contact to UK citizens so you cannot delay arguing about ID. You COULD get into hot water by insisting on ID as if you register them as a Temporary Resident and they cannot get the referral they need it may impact on their medical care.
Paul C Going back to early 90's I listed cleaned a couple of Surgerys when I worked at what was then EHH. You did not ID then to register with a Surgery. No response they are removed from the list.
I FOIAed the DH a couple of years ago there is NO legalreason why patients have to prove address. So it could be argued that Practices are collecting ID documents unlawfully, some Practices photocopy them, in these days of identity fraud I hope the Surgerys are insured as if could be traced back to the Surgery you could be potentially sued.
Which A&E is this Emis terminal in?
Can someone tell where on the GMS1 patients are signing up to say they agree to be treated under the GP Contract and QOF? Additionally where is the fair processing literature under the DPA that is required from NHSE/HSCIC/DH to inform patients their data will be used under the GP Contract and QOF and analysed by NHSE and Hunt etc?
In Tecos in the Eden Centre High Wycombe Bucks I was accosted at the till with would I like an NHS Check and we can help with healthy eating. I had bought 7 packets of Value Rich Tea biscuits to bribe my German Shepherd and Doberman with! Plus I am no longer an NHS patient Patsy Hewitt even removed my NHS number.
I still cannot escape NHS nagging!
I must FOIA to find out how much they paid to stand by Tesco's tills? One has to ask if this haranguing people is a good use of NHS money? Also is why Tim Kelsey refused to release under FOIA details of his meetings with Tescos.
My perspective I am not having details of my **** and **** recorded. monitored on some DH government database ie the NHAIS Exeter System and sent to Jeremy H.
Patients consent is not obtained prior to screening to their intimate details being held on a DH central government database NHAIS Exeter System with details potentially available to Jeremy H so no fair processing under the DPA.
Juliette Patnick Director of UK Cancer Screening got very twitchy a while back when I challenged her on this. I asked her where was the fair processing under the DPA wehich is still needed even though screening is covered by Sec 251.
There is nothing on the GMS1 when patients register where they can give their consent to the secondary uses of data for these purposes and the GP Contract/QOF.
Personally its easier to go without a GP it gives me hypertension thinking of this nonsense. The Public Health agenda needs reining in. I know of patients not registering with a GP due to these issues .