St Thomas Medical Group

Privacy Notice 

1. INTRODUCTION

This privacy notice provides you with details of how we collect and process your personal data within St Thomas Medical Group, including any information you may provide through our website, in person or via our registration form.

By providing us with your data, you confirm to us that you are over 13 years of age.

St Thomas Medical Group is the data controller and we are responsible for your personal data

We have appointed a Data Protection Officer who is in charge of privacy related matters for us. If you have any questions about this privacy notice, please contact the Data Protection Officer using the details set out below.

Contact Details

Our full details are:

Full name of Data Controller: St Thomas Medical Group

Name or title of Data Protection Officer: Nina Smith

Email address: d-ccg.stthomasm@nhs.net

Postal address: St Thomas Health Centre, Cowick Street, St Thomas, Exeter, EX4 1HJ

If you are not happy with any aspect of how we collect and use your data, you have the right to complain to the Information Commissioner’s Office (ICO), the UK supervisory authority for data protection issues (www.ico.org.uk). We should be grateful if you would contact us first if you do have a complaint so that we can try to resolve it for you.

It is very important that the information we hold about you is accurate and up to date. Please let us know if at any time your personal information changes by emailing us at Stthomas@nhs.net OR by attending the surgery and completing our change of details form.

2. WHAT DATA DO WE COLLECT ABOUT YOU?

Personal data means any information capable of identifying an individual. It does not include anonymised data.

We may process certain types of personal data (including Special Category Data) about you as follows:

• Details about you, such as your name, address, carers, biological gender, gender identity, ethnic origins, 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. 

3. HOW IS MY DATA STORED?

Our practice uses a clinical records programme called EMIS, which is where electronic information about you will be stored. Any information help in paper records is stored securely at a monitored off-site facility. We use a combination of working practices and technology to ensure that your information is kept confidential and secure.

4. WHAT IS THE LEGAL BASIS THAT WE USE TO PROCESS YOUR INFORMATION?

Generally, we do not rely on consent as a legal ground for processing your personal data, other than in relation to sending marketing communications to you via email or text message. You have the right to withdraw consent to marketing at any time by emailing us at Stthomas@nhs.net

 Purposes for processing your personal data

Set out below is a description of the ways we intend to use your personal data and the legal basis on which we will process such data. We have also explained what our legitimate interests are where relevant.

We may process your personal data for more than one lawful ground, depending on the specific purpose for which we are using your data.

 

Purpose/Activity	Legal basis for processing	Special category of data
Provision of direct care and related administrative purposes. e.g. Referrals to hospitals or other care providers	GDPR Article 6 (1)(e) – the performance of a task is 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 on 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. GDPR Article 9 (2)(i) – public interest in the area of public health.
For planning and running the NHS (other mandatory flow) e.g. CQC powers to require information and records	GDPR Article 6 (1)(c) – compliance with a legal obligation (the GP practice) GDPR Article 6 (1)(e) – the performance of a task is 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. GDPR Article 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 is 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. GDPR Article 9 (2)(i) – public interest in the area of public health.
For research * *You can opt-out of your data being used for research by visiting – www.nhs.uk/your-nhs-data-matters	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 is 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 is carried out in the public interest. GDPR Article 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.

 

5. HOW LONG DOES THE PRACTICE HOLD MY INFORMATION?

As long as you are registered as a patient with St Thomas Medical Group, 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 looks after the records of any patient not currently registered and the records of deceased patients.

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 trained 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 an appropriate. We may access this for clinical audit (measuring performance), serious incident reviews, or statutory report completion (e.g. for HM Coroner)

6. 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 are incorrect, so that this can be amended. You have a responsibility to inform us of any changes so our records are accurate and up to date for you.

7. 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 (SAR), we will:

• Describe the information we hold about you.
• Tell you why we are holding that information.
• Tell you who it might be shared with.
• At 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 (a form can be collected from the surgery, emailed to you or downloaded from https://www.stthomasmedicalgroup.co.uk/practice/access-to-medical-records/
• We will provide printed or electronic copies (by online access, by email or if you wish you can bring in a USB memory stick)
• We are required to respond to your request within 1 month.
• We require that you show provide valid ID before the copies can be provided to you.

You will need to give as much information as you can so that your identity can be verified and your records located.

In some circumstances (where the request is unfounded, repeated or excessive), 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.

8. HOW IS MY INFORMATION USED?

For the provision of direct care:

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

Sometimes your information may be used to run automatic 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 at St Thomas Medical Group include Qrisk (cardiovascular risk assessment – usually following a NHS Healthcheck), Qdiabetes 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 care professionals, where they have a genuine need for it or to support your care, as follows.

 

Royal Devon & Exeter NHS Foundation Trust	Secondary or Emergency Care
Devon Partnership Trust	Secondary or Emergency Care
Other national providers of health care who you choose to be referred to , in consultation with your health care professional	Secondary or Specialist Care
NHS National Diabetes Prevention Programme	Information and lifestyle education
NHS Screening Programmes	Information and Specialist Care
Devon Doctors/111	Out of hours Primary Care
Exeter City Council	Social Care Services

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.

• Exeter City Council: Public Health, Adult or Child Social Care Services.
• Northern, Eastern and Western Devon Clinical Commissioning Group
• NHS Digital
• 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.

The practice contributes to national clinical audits and will send the data which is 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 out of the audit.

For safeguarding purposes, life or death situations or other circumstances where 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 that 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 or you can choose to see the information before we send it.

 

NHS National Data Opt-Out Scheme

Whenever you use a health or care service, such as attending Accident & Emergency or using Community Care services, important information about you is collected to help ensure you get the best possible care and treatment.

The information collected about you when you use these services can also be provided to other approved organisations, where there is a legal basis, to help with planning services, improving care provided, research into developing new treatments and preventing illness. All of these help to provide better health care for you, your family and future generations. Confidential personal information about your health and care is only used in this way where allowed by law and would never be used for insurance or marketing purposes without your explicit consent.

You have a choice about whether you want your confidential patient information to be used in this way.

To find out more about the wider use of confidential personal information and to register your choice to opt-out if you do not want your data used in this way, visit www.nhs.uk/my-data-choice. If you do choose to opt-out you can still consent to your data being used for specific purposes.