Policy on Home Visits
As health care providers our primary motivation is providing comprehensive care for all our patients equally. As our contract extends to providing care 24 hours a day, 365 days of the year, this can be challenging.
The HSE no longer provides funding for home visits for medical card holders with the exception of palliative care.
In most incidences it is most appropriate to see the GP in the health centre where tests can be carried out and the patient’s notes can be reviewed. However, occasionally in situations where patients are:
it may be nessessary for them to be reviewed at home.
Unfortunately we are NOT contracted nor are we able to provide emergency services. If the situation is an emergency you should contact an ambulance immediately and not delay access to care which might potentially be life saving.
For urgent cases where a patient is unable to attend for any of the aforementioned reasons we aim to provide a home visit within 24hrs of the request. It is not appropriate nor practical to ring requesting an immediate home visit during surgery hours. Should you require immediate or emergency care it is appropriate to call the ambulance service.
Often there is only one doctor covering the surgery for the day and this can be extremely busy. Many of the patients attending the surgery may be as sick or sicker than those requesting a home visit and it is for this reason that it is impossible to leave the surgery unattended at short notice.
Home visits take time – in general, home visits take in excess of an hour which would generally allow the GP to see 6 patient in the surgery in the same amount of time. While it may be appropriate for you or your relative to receive a home visit it does mean that other sick people will have their care delayed. Please be cognisant of this fact and attend the surgery where possible.
If possible all home visits should be requested before 10am. This allows us an opportunity to try to attend during our lunch hour or after the surgery closes in the evening.
The ability to plan your care allows us to provide the best health care for you and your family and ensures we can do the same for all our patients equally.
For all emergencies contact the ambulance service, Dial: 999
For urgent out of hours care contact NOWDOC: 1850 400 911
As health care providers our primary motivation is providing comprehensive care for all our patients equally. As our contract extends to providing care 24 hours a day, 365 days of the year, this can be challenging.
The HSE no longer provides funding for home visits for medical card holders with the exception of palliative care.
In most incidences it is most appropriate to see the GP in the health centre where tests can be carried out and the patient’s notes can be reviewed. However, occasionally in situations where patients are:
- very elderly and unable to walk,
- bed ridden,
- very unwell or palliative care
it may be nessessary for them to be reviewed at home.
Unfortunately we are NOT contracted nor are we able to provide emergency services. If the situation is an emergency you should contact an ambulance immediately and not delay access to care which might potentially be life saving.
For urgent cases where a patient is unable to attend for any of the aforementioned reasons we aim to provide a home visit within 24hrs of the request. It is not appropriate nor practical to ring requesting an immediate home visit during surgery hours. Should you require immediate or emergency care it is appropriate to call the ambulance service.
Often there is only one doctor covering the surgery for the day and this can be extremely busy. Many of the patients attending the surgery may be as sick or sicker than those requesting a home visit and it is for this reason that it is impossible to leave the surgery unattended at short notice.
Home visits take time – in general, home visits take in excess of an hour which would generally allow the GP to see 6 patient in the surgery in the same amount of time. While it may be appropriate for you or your relative to receive a home visit it does mean that other sick people will have their care delayed. Please be cognisant of this fact and attend the surgery where possible.
If possible all home visits should be requested before 10am. This allows us an opportunity to try to attend during our lunch hour or after the surgery closes in the evening.
The ability to plan your care allows us to provide the best health care for you and your family and ensures we can do the same for all our patients equally.
For all emergencies contact the ambulance service, Dial: 999
For urgent out of hours care contact NOWDOC: 1850 400 911
Practice Privacy and Confidentiality Statement
The staff of the Dunfanaghy & Creeslough Health Centres want to ensure the highest standard of medical care for our patients. We understand that confidentiality is a fundamental principle of medical ethics and is central to the trust between patients and doctors. The privacy practices we adopt in our practice are in line with the Medical Council guidelines, the privacy principles of the Data Protection Acts and the ICGP Guide to Data Protection Legislation for Irish General Practice. We see our patients’ consent as being the key factor in dealing with their health information. This statement is about making consent meaningful by advising you of our policies and practices on dealing with your medical information.
Managing your information
If a patient is capable of making their own decisions about their healthcare, we will get their consent before giving confidential information that identifies them to the patient’s relatives close friends, or for research or to disease registers.
If the patient does not consent to disclosure of identifiable information we will respect that decision except where failure to make the disclosure would put the patient or others at risk of serious harm or the disclosure is required by law or in the public interest as outline below.
Patients should understand and accept that their healthcare information must be shared within the healthcare team and with support staff to provide effective and safe care. If disclosure of a patient’s information within our practice or to other health care providers is necessary as part of a patient’s treatment and care, we will explain this to the patient and disclose the information to an appropriate person making sure they are aware of their duty of confidentiality. If a patient objects to the transfer of the information we deem necessary we will explain to the patient that we cannot arrange referral or treatment without disclosing the information.
We recognise that clinical audit, quality assurance, education and training are essential for providing safe and effective healthcare. If we are providing patient information pursuant to of any of these activities, we understand the information must be anonymised or coded before it is disclosed outside the healthcare team. If that is not possible we will make sure a patient is told about the disclosure in advance and given the opportunity to object. We will respect a patient’s wishes in respect of the disclosure.
Disclosure without consent
In certain circumstances we will be required to disclose patient information by law or in the public interest. We will inform the patient in advance of such an intended disclosure, unless this would cause the patient serious harm or would undermine the purposes of the disclosure.
We will disclose patient information where required by law, for example, pursuant to a court order or infectious disease notification or if we hold a reasonable belief that a crime involving a sexual assault or other violence has been committed against a child or other vulnerable person. We may make a disclosure in the public interest to protect a patient, other identifiable people or the wider community. Before making such a disclosure the practice will be satisfied that the possible harm the disclosure may cause to the patient is outweighed by the benefits that are likely to arise for the patient or others. The disclosure will be limited to the minimum information and minimum number of people necessary.
If a patient lacks capacity to give consent and is unlikely to regain capacity we may consider making a disclosure only if it is in the best interests of the patient.
As a general rule where possible we will always tell the patient in advance that we are disclosing information without the patient’s consent and why the GP is doing so, unless to do so would put the patient or third party at risk of serious harm.
Request for records from a patient or third party before and after death of a patient.
If the practice receives a request from a patient to release a copy of a patient’s records we will consider carefully the obligation to remove all references to third parties. This is both a time-consuming and labour intensive process, as the notes have to be examined in their entirity by one of our doctors before their release. It is not uncommon that a patient record consists of several hundred pages. For this reason all requests received in writing can expect to be processed within a 30 day window. This is in keeping with Section 4 of the Data Protection Acts, 1988 and 2003.
We are not in a position to process “urgent” requests for patient notes for the aforementioned reason.
Please note that while access to patient notes is free, requests for copies of patient notes are subject to standard copying fees.
As the protection of patient information is paramount to us, we do not facilitate the forwarding of the patient record by unsecured email or fax. We suggest that patients collect their information directly from the practice or arrange for it to be sent by registered mail marked private and confidential.
In the case of requests for disclosures to insurance companies or requests made by solicitors for a patient’s records we will only release the information with the patient’s signed consent.
We are aware that patient information remains confidential even after death. If it is not clear if a patient consented to the disclosure of information after death, we will consider how the disclosure might benefit or cause distress to the family or carers, the effect of disclosure on the reputation of the deceased and the purpose of disclosure. We will require written consent to disclosure of a deceased’s patient’s records from the personal representative or executor of the deceased’s will. We are aware that a GP’s discretion may be limited if a disclosure of a patient’s records is required by law.
Medical reports
We will only prepare a medical report on a patient with a patient’s written consent. A report will be specific to the episode for which the report has been requested. We understand that a medical report requested by a third party such as an employer, insurance company or legal representative must be factual, accurate and not misleading. We will seek to ensure that the patient understands the scope and purpose of the report and that the GP cannot omit relevant information. We will also seek to ensure the patient is aware of our duty of care to them and to the person/company from whom the report was requested. We will take the patient through the report before we release it so the patient appreciates the extent of the information we are reporting upon. Medical reports will only be released on receipt of our standard fee. These fees vary and are set based on the length of time taken to complete the report.
Recordings
We are committed to ensuring that any audio, visual or photographic recordings of a patient or relative of a patient, in which the person is identifiable, should only be made with express consent of that person. The recordings will be kept confidential as a part of the patient’s record of consent. We will do all we reasonably can to protect confidentiality of the recording. We will get consent before sharing such videos, photos or other images of a patient.
We will only take images of patients on a GP’s personal mobile device when necessary for the patient’s care. Such images will not identify a patient and shall only be kept for the minimum time necessary.
Medical certificates
In general, work related Medical Certificates from a GP will only provide a confirmation that a patient is unfit for work with an indication of when the patient will be fit to resume work. Where it is considered necessary to provide additional information we will discuss that with the patient. However, Social Welfare Certificates of Incapacity for work must include the medical reason the patient is unfit to work
Your right of access to your health information
You have the right of access to all the personal information held about you by this practice. If you wish to see your records in most cases it is quickest to discuss this with your doctor who will outline the information in the record with you. You can make a formal written access request to the practice and the matter can be dealt with formally.
Transferring to another practice
If you decide at any time and for whatever reason to transfer to another practice we will facilitate that decision by making available to your new doctor a copy of your records on receipt of your signed consent from your new doctor. For medico-legal reasons we will also retain a copy of your records in this practice for an appropriate period of time which may exceed eight years.
We hope this policy has explained any issues that might arise. If you have any questions please speak to the practice secretary or your doctor.
Policy implemented on 10-10-17 signed by Dr P Stewart:
Reviewed annually on 10-10-18 and signed by Dr R Stewart:
The staff of the Dunfanaghy & Creeslough Health Centres want to ensure the highest standard of medical care for our patients. We understand that confidentiality is a fundamental principle of medical ethics and is central to the trust between patients and doctors. The privacy practices we adopt in our practice are in line with the Medical Council guidelines, the privacy principles of the Data Protection Acts and the ICGP Guide to Data Protection Legislation for Irish General Practice. We see our patients’ consent as being the key factor in dealing with their health information. This statement is about making consent meaningful by advising you of our policies and practices on dealing with your medical information.
Managing your information
- In order to provide for patient care we need to collect and keep information about patients and their health on our records.
- We commit to retaining patient information securely.
- We will only ask for and keep information that is necessary. We will attempt to keep it as accurate and up to date as possible. We will explain the need for any information we ask for if a patient is not sure why it is needed.
- We ask all patients to inform us about any relevant changes that we should know about. This would include such things as any new treatments or investigations being carried out that we are not aware of. Patients are asked to inform us of change of address and phone numbers.
- All persons in the practice (not already covered by a professional confidentiality code) sign a confidentiality agreement that explicitly makes clear their duties in relation to personal health information and the consequences of breaching that duty.
- Access to patient records is regulated to ensure that they are used only to the extent necessary to enable the employee in question, whether secretary, manager, or healthcare professional perform their tasks for the proper functioning of the practice. In this regard, patients should understand that practice staff may have access to their records for:
- Identifying and printing repeat prescriptions for patients. These are then reviewed and signed by the GP.
- Generating a social welfare certificate for the patient. This is then checked and signed by the GP.
- Typing referral letters to hospital consultants or allied health professional such as physiotherapists, occupational therapists, psychologists and dieticians.
- Opening letters from hospitals and consultants. The letters could be appended to a patient’s paper file or scanned into their electronic patient record.
- Scanning clinical letters, radiology reports and any other documents not available in electronic format.
- Downloading laboratory results and Out of Hours Coop reports and performing integration of these results into the electronic patient record.
- Photocopying or printing documents for referral to consultants, attending an antenatal clinic or when a patient is changing GP.
- Checking for a patient if a hospital or consultant letter is back or if a laboratory or radiology result is back, in order to schedule a conversation with the GP.
- When a patient makes contact with a practice, checking if they are due for any preventative services, such as vaccination, ante natal visit, contraceptive pill check, cervical smear tests, etc.
- Handling, printing, photocopying and postage of medico legal and life assurance reports, and of associated documents.
- The practice is committed to guarding against accidental disclosures of confidential patient information. Before disclosing identifiable information about patients, the practice will:
- Take into consideration Freedom of Information and Data Protection principles.
- Be clear about the purpose for disclosure.
- Have the patient’s consent or other legal basis for disclosing the information.
- Have considered using anonymised information and be certain it is necessary to use identifiable information.
- Be satisfied that we are disclosing the minimum information to the minimum amount of people necessary.
- Be satisfied that the intended recipient is aware the information is confidential and that they have their own duty of confidentiality.
If a patient is capable of making their own decisions about their healthcare, we will get their consent before giving confidential information that identifies them to the patient’s relatives close friends, or for research or to disease registers.
If the patient does not consent to disclosure of identifiable information we will respect that decision except where failure to make the disclosure would put the patient or others at risk of serious harm or the disclosure is required by law or in the public interest as outline below.
Patients should understand and accept that their healthcare information must be shared within the healthcare team and with support staff to provide effective and safe care. If disclosure of a patient’s information within our practice or to other health care providers is necessary as part of a patient’s treatment and care, we will explain this to the patient and disclose the information to an appropriate person making sure they are aware of their duty of confidentiality. If a patient objects to the transfer of the information we deem necessary we will explain to the patient that we cannot arrange referral or treatment without disclosing the information.
We recognise that clinical audit, quality assurance, education and training are essential for providing safe and effective healthcare. If we are providing patient information pursuant to of any of these activities, we understand the information must be anonymised or coded before it is disclosed outside the healthcare team. If that is not possible we will make sure a patient is told about the disclosure in advance and given the opportunity to object. We will respect a patient’s wishes in respect of the disclosure.
Disclosure without consent
In certain circumstances we will be required to disclose patient information by law or in the public interest. We will inform the patient in advance of such an intended disclosure, unless this would cause the patient serious harm or would undermine the purposes of the disclosure.
We will disclose patient information where required by law, for example, pursuant to a court order or infectious disease notification or if we hold a reasonable belief that a crime involving a sexual assault or other violence has been committed against a child or other vulnerable person. We may make a disclosure in the public interest to protect a patient, other identifiable people or the wider community. Before making such a disclosure the practice will be satisfied that the possible harm the disclosure may cause to the patient is outweighed by the benefits that are likely to arise for the patient or others. The disclosure will be limited to the minimum information and minimum number of people necessary.
If a patient lacks capacity to give consent and is unlikely to regain capacity we may consider making a disclosure only if it is in the best interests of the patient.
As a general rule where possible we will always tell the patient in advance that we are disclosing information without the patient’s consent and why the GP is doing so, unless to do so would put the patient or third party at risk of serious harm.
Request for records from a patient or third party before and after death of a patient.
If the practice receives a request from a patient to release a copy of a patient’s records we will consider carefully the obligation to remove all references to third parties. This is both a time-consuming and labour intensive process, as the notes have to be examined in their entirity by one of our doctors before their release. It is not uncommon that a patient record consists of several hundred pages. For this reason all requests received in writing can expect to be processed within a 30 day window. This is in keeping with Section 4 of the Data Protection Acts, 1988 and 2003.
We are not in a position to process “urgent” requests for patient notes for the aforementioned reason.
Please note that while access to patient notes is free, requests for copies of patient notes are subject to standard copying fees.
As the protection of patient information is paramount to us, we do not facilitate the forwarding of the patient record by unsecured email or fax. We suggest that patients collect their information directly from the practice or arrange for it to be sent by registered mail marked private and confidential.
In the case of requests for disclosures to insurance companies or requests made by solicitors for a patient’s records we will only release the information with the patient’s signed consent.
We are aware that patient information remains confidential even after death. If it is not clear if a patient consented to the disclosure of information after death, we will consider how the disclosure might benefit or cause distress to the family or carers, the effect of disclosure on the reputation of the deceased and the purpose of disclosure. We will require written consent to disclosure of a deceased’s patient’s records from the personal representative or executor of the deceased’s will. We are aware that a GP’s discretion may be limited if a disclosure of a patient’s records is required by law.
Medical reports
We will only prepare a medical report on a patient with a patient’s written consent. A report will be specific to the episode for which the report has been requested. We understand that a medical report requested by a third party such as an employer, insurance company or legal representative must be factual, accurate and not misleading. We will seek to ensure that the patient understands the scope and purpose of the report and that the GP cannot omit relevant information. We will also seek to ensure the patient is aware of our duty of care to them and to the person/company from whom the report was requested. We will take the patient through the report before we release it so the patient appreciates the extent of the information we are reporting upon. Medical reports will only be released on receipt of our standard fee. These fees vary and are set based on the length of time taken to complete the report.
Recordings
We are committed to ensuring that any audio, visual or photographic recordings of a patient or relative of a patient, in which the person is identifiable, should only be made with express consent of that person. The recordings will be kept confidential as a part of the patient’s record of consent. We will do all we reasonably can to protect confidentiality of the recording. We will get consent before sharing such videos, photos or other images of a patient.
We will only take images of patients on a GP’s personal mobile device when necessary for the patient’s care. Such images will not identify a patient and shall only be kept for the minimum time necessary.
Medical certificates
In general, work related Medical Certificates from a GP will only provide a confirmation that a patient is unfit for work with an indication of when the patient will be fit to resume work. Where it is considered necessary to provide additional information we will discuss that with the patient. However, Social Welfare Certificates of Incapacity for work must include the medical reason the patient is unfit to work
Your right of access to your health information
You have the right of access to all the personal information held about you by this practice. If you wish to see your records in most cases it is quickest to discuss this with your doctor who will outline the information in the record with you. You can make a formal written access request to the practice and the matter can be dealt with formally.
Transferring to another practice
If you decide at any time and for whatever reason to transfer to another practice we will facilitate that decision by making available to your new doctor a copy of your records on receipt of your signed consent from your new doctor. For medico-legal reasons we will also retain a copy of your records in this practice for an appropriate period of time which may exceed eight years.
We hope this policy has explained any issues that might arise. If you have any questions please speak to the practice secretary or your doctor.
Policy implemented on 10-10-17 signed by Dr P Stewart:
Reviewed annually on 10-10-18 and signed by Dr R Stewart:
Practice Policy on References & Letters of Support
This practice policy relates to:
All References (with the exception of references for practice students and practice staff)
Letters of Support for the Court Service.
Letters of Support for Planning Applications.
Letters for Immigration Services, Revenue Services, Department of Agriculture or Property Sales etc.
Following discussion at the Practice Management Meeting on the 15-10-20 it was agreed that it is practice policy that we do not provide letters of support for the purposes of (but not limited to) the above services.
As a community GP service, our primary role is to provide medical care for the community as a whole. As of the 15-10-20, it is practice policy that we do not provide letters of support/references.
Policy implemented on 15-10-20 signed by Dr P Stewart:
Reviewed annually on 15-10-20 and signed by Dr R Stewart:
Website Disclaimer
The information contained in this website is for general information purposes only. The information is provided by the Dunfanaghy & Creeslough Health Centre and while we endeavour to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the website or the information, products, services, or related graphics contained on the website for any purpose. Any reliance you place on such information is therefore strictly at your own risk.
In no event will we be liable for any loss or damage including without limitation, indirect or consequential loss or damage, or any loss or damage whatsoever arising from loss of data or profits arising out of, or in connection with, the use of this website.
Through this website you are able to link to other websites which are not under the control of Dunfanaghy & Creeslough Health Centres. We have no control over the nature, content and availability of those sites. The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them.
Every effort is made to keep the website up and running smoothly. However, Dunfanaghy & Creeslough Health Centres takes no responsibility for, and will not be liable for, the website being temporarily unavailable due to technical issues beyond our control.
The information contained in this website is for general information purposes only. The information is provided by the Dunfanaghy & Creeslough Health Centre and while we endeavour to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the website or the information, products, services, or related graphics contained on the website for any purpose. Any reliance you place on such information is therefore strictly at your own risk.
In no event will we be liable for any loss or damage including without limitation, indirect or consequential loss or damage, or any loss or damage whatsoever arising from loss of data or profits arising out of, or in connection with, the use of this website.
Through this website you are able to link to other websites which are not under the control of Dunfanaghy & Creeslough Health Centres. We have no control over the nature, content and availability of those sites. The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them.
Every effort is made to keep the website up and running smoothly. However, Dunfanaghy & Creeslough Health Centres takes no responsibility for, and will not be liable for, the website being temporarily unavailable due to technical issues beyond our control.