Declaration of average earnings

All GP Practices are required to declare mean earnings (i.e. average pay) for GPs working to deliver NHS services to patients at each practice. The average pay for GPs working in the practice of The Chelsea Practice in the last financial year (2023-24) was £33,911.17 before tax and National Insurance.

This is for 1 full time GP, 4 Salaried part time GPs and 1 locum GPs who worked in the practice for more than six months.

Proxy Access

Practice  has a number of patients who book their appointments, request repeat medication and can view certain parts of their medical records online. Patient Access have now improved their system to allow parents and Carers to be authorised to all of the above-mentioned functions for children or the people they care for.

Any patient or Carer wishing to have proxy access will need to sign up to this service by completing a form available at the practice Reception.

Named accountable GP

All our patients have an allocated named GP, which is your registered GP. If you wish to know who this is, please ask at reception.

Please note that you can still choose to see the GP of your choice.

Suggestions, Comments and Complaints

We welcome all comments on the services provided by the Practice.

You may submit any comments via our online Patient Feedback form below.

Please note: This form should only be used to provide your feedback on the website, your experiences as a patient or the services we provide. Please do not use it to ask questions or request prescriptions as we are unable to respond or deal with these requests via the form – please use our Online Services instead.

If you would like to contact the practice with a complaint against the service we have offered you or a patient please email the practice on chelsea.reception@nhs.net.

Please view our complaints procedure

Contact Us

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Zero Tolerance

The practice fully supports the NHS Zero Tolerance Policy. The aim of this policy is to tackle the increasing problem of violence against staff working in the NHS and ensures that doctors and their staff have a right to care for others without fear of being attacked or abused.

We understand that ill patients do not always act in a reasonable manner and will take this into consideration when trying to deal with a misunderstanding or complaint. We ask you to treat your doctors and their staff courteously and act reasonably.

All incidents will be followed up and you will be sent a formal warning after a second incident or removed from the practice list after a third incident if your behaviour has been unreasonable.

However, aggressive behaviour, be it violent or verbal abusive, will not be tolerated and may result in you being removed from the Practice list and, in extreme cases, the Police will be contacted if an incident is taking place and the patient is posing a threat to staff or other patients.

Removal from the Practice List

A good patient-doctor relationship, based on mutual respect and trust, is the cornerstone of good patient care. The removal of patients from our list is an exceptional and rare event and is a last resort in an impaired patient-practice relationship. When trust has irretrievably broken down, it is in the patient’s interest, just as much as that of The Surgery, that they should find a new practice. An exception to this is on immediate removal on the grounds of violence e.g. when the Police are involved.

Removing other members of the household

In rare cases, however, because of the possible need to visit patients at home it may be necessary to terminate responsibility for other members of the family or the entire household. The prospect of visiting patients where a relative who is no longer a patient of the practice by virtue of their unacceptable behaviour resides, or being regularly confronted by the removed patient, may make it too difficult for the practice to continue to look after the whole family. This is particularly likely where the patient has been removed because of violence or threatening behaviour and keeping the other family members could put doctors or their staff at risk.

Your Rights and Responsibilities

Patient’s Rights

We are committed to giving you the best possible service. This will be achieved by working together. Help us to help you. You have a right to, and the practice will try to ensure that:

  • You will be treated with courtesy and respect
  • You will be treated as a partner in the care and attention that you receive
  • All aspects of your visit will be dealt with in privacy and confidence
  • You will be seen by a doctor of your choice subject to availability
  • In an emergency, out of normal opening hours, if you telephone the practice you will be given the number to receive assistance, which will require no more than one further call
  • You can bring someone with you, however you may be asked to be seen on your own during the consultation
  • Repeat prescriptions will normally be available for collection within two working days of your request
  • Information about our services on offer will be made available to you by way of posters, notice boards and newsletters
  • You have the right to see your medical records or have a copy subject to certain laws.

Patient’s Responsibilities

With these rights come responsibilities and for patients we would respectfully request that you:

  • Treat practice staff and doctors with the same consideration and courtesy that you would like yourself. Remember that they are trying to help you
  • Please ensure that you order your repeat medication in plenty of time allowing 48 working hours.
  • Please ensure that you have a basic first aid kit at home and initiate minor illness and self-care for you and your family.
  • Please attend any specialist appointments that have been arranged for you or cancel them if your condition has resolved or you no longer wish to attend
  • Please follow up any test or investigations done for you with the person who has requested the investigation
  • Attend appointments on time and check in with Reception
  • Patients who are more than 20 minutes late for their appointment may not be seen.
  • If you are unable to make your appointment or no longer need it, please give the practice adequate notice that you wish to cancel. Appointments are heavily in demand and missed appointments waste time and delay more urgent patients receiving the treatment they need
  • An appointment is for one person only. Where another family member needs to be seen or discussed, another appointment should be made
  • Patients should make every effort to present at the surgery to ensure the best use of nursing and medical time. Home visits should be medically justifiable and not requested for social convenience
  • Please inform us when you move home, change your name or telephone number, so that we can keep our records correct and up to date
  • Read the practice leaflets and other information that we give you. They are there to help you use our services. If you do not understand their content please tell us
  • Let us have your views. Your ideas and suggestions whether complimentary or critical are important in helping us to provide a first class, safe, friendly service in pleasant surroundings.

NHS Constitution

The NHS Constitution establishes the principles and values of the NHS in England. For more information see these websites:

Summary Care Records

About your Summary Care Record

Your Summary Care Record contains important information about any medicines you are taking, any allergies you suffer from and any bad reactions to medicines that you have previously experienced.

Allowing authorised healthcare staff to have access to this information will improve decision making by doctors and other healthcare professionals and has prevented mistakes being made when patients are being cared for in an emergency or when their GP practice is closed.

Your Summary Care Record also includes your name, address, date of birth and your unique NHS Number to help identify you correctly.

You may want to add other details about your care to your Summary Care Record. This will only happen if both you and your GP agree to do this. You should discuss your wishes with your GP practice.

Healthcare staff will have access to this information, so that they can provide safer care, whenever or wherever you need it, anywhere in England.

FAQs

Who can see my Summary Care Record?

Healthcare staff who have access to your Summary Care Record:

  • need to be directly involved in caring for you
  • need to have an NHS Smartcard with a chip and passcode
  • will only see the information they need to do their job and
  • will have their details recorded every time they look at your record

Healthcare staff will ask for your permission every time they need to look at your Summary Care Record. If they cannot ask you (for example if you are unconscious or otherwise unable to communicate), healthcare staff may look at your record without asking you, because they consider that this is in your best interest.
If they have to do this, this decision will be recorded and checked to ensure that the access was appropriate.

What are my choices?

You can choose to have a Summary Care Record or you can choose to opt out.

If you choose to have a Summary Care Record and are registered with a GP practice, you do not need to do anything as a Summary Care Record is created for you.

If you choose to opt out of having a Summary Care Record and do not want a SCR, you need to let your GP practice know by filling in and returning an opt-out form. Opt-out forms can be downloaded from the website or from your GP practice.

If you are unsure if you have already opted out, you should talk to the staff at your GP practice. You can change your mind at any time by simply informing your GP practice and either filling in an opt-out form or asking your GP practice to create a Summary Care Record for you.

Children and the Summary Care Record

If you are the parent or guardian of a child under 16, you should make this information available to them and support the child to come to a decision as to whether to have a Summary Care Record or not.

If you believe that your child should opt-out of having a Summary Care Record, we strongly recommend that you discuss this with your child’s GP. This will allow your child’s GP to highlight the consequences of opting-out, prior to you finalising your decision.

Where can I get more information?

For more information about Summary Care Records you can

  • talk to the staff at your GP practice
  • phone the Health and Social Care Information Centre on 0300 303 5678

Statement of Intent

New contractual requirements came into force from 1 April 2014 requiring that GP Practices should make available a statement of intent in relation to the following IT developments :

  • Summary Care Record (SCR)
  • GP to GP Record Transfers
  • Patient Online Access to Their GP Record
  • Data for commissioning and other secondary care purposes

The same contractual obligations require that we have a statement of intent regarding these developments in place and publicised by 30 September 2014.
Please find below details of the practices stance with regards to these points.

Summary Care Record (SCR)

NHS England require practices to enable successful automated uploads of any changes to patient’s summary information, at least on a daily basis, to the summary care record (SCR) or have published plans in place to achieve this by 31st of March 2015.
Having your Summary Care Record (SCR) available will help anyone treating you without your full medical record. They will have access to information about any medication you may be taking and any drugs that you have a recorded allergy or sensitivity to.
Of course if you do not want your medical records to be available in this way then you will need to let us know so that we can update your record. You can do this via the opt out form.
The practice confirms that your SCR is automatically updated on at least a daily basis to ensure that your information is as up to date as it can possibly be.

GP to GP Record Transfers

NHS England require practices to utilise the GP2GP facility for the transfer of patient records between practices, when a patient registers or de-registers (not for temporary registration).
It is very important that you are registered with a doctor at all times. If you leave your GP and register with a new GP, your medical records will be removed from your previous doctor and forwarded on to your new GP via NHS England. It can take your paper records up to two weeks to reach your new surgery.
With GP to GP record transfers your electronic record is transferred to your new practice much sooner.
The practice confirms that GP to GP transfers are already active and we send and receive patient records via this system.

Patient Online Access to Their GP Record

NHS England require practices to promote and offer the facility to enable patients online access to appointments, prescriptions, allergies and adverse reactions or have published plans in place to achieve this by 31st of March 2015.
We currently offer the facility for booking and cancelling appointments and also for ordering your repeat prescriptions and viewing  a summary of your medical records on-line. If you do not already have a user name and password for this system – please register your interest  with our reception staff.

Data for commissioning and other secondary care purposes

It is already a requirement of the Health and Social Care Act that practices must meet the reasonable data requirements of commissioners and other health and social care organisations through appropriate and safe data sharing for secondary uses, as specified in the technical specification for care data.
At our practice we have specific arrangements in place to allow patients to “opt out” of care.data which allows for the removal of data from the practice. Please see the page about care data on our website

The Practice confirm these arrangements are in place and that we undertake annual training and audits to ensure that all our data is handled correctly and safely via the Information Governance Toolkit.

Referrals

What is Choose and Book?

Choose and book is a service that lets you choose the hospital or Clinic you wish to attend for your first appointment. It also gives you the choice of date and time that is convenient for you to fit in with your day to day life.

For more information and access the choose and book service, see the Choose and Book website.

How Choose and Book Works

When you and your GP agree that you need an appointment with a specialist, Choose and Book shows your GP which hospitals or clinics are available for your treatment.

A referral letter is then dictated by the GP and this is passed to the secretary for typing and then an Appointment Request is raised on the Choose and Book system and an Appointment Request letter is printed off which lists your unique booking reference number, your NHS number and a list of hospitals or clinic options for your to choose from.  It also gives you a password with your appointment request letter.  This is then sent to you through the Royal Mail.

Once you have received your paperwork you can then decide how you wish to book your appointment; this can be via the telephone, using a national number on the letter or via the internet.  Please note that whilst the vast majority of appointments can be booked this way, in some cases you will need to telephone your chosen hospital directly to make your appointment.  This is because the hospital appointments system does not link to Choose and Book.

Can I Book all my Appointments through Choose And Book?

When you and your GP agree that you need an appointment with a specialist, you can book your FIRST hospital or clinic appointment using Choose and book.  Any follow up appointments are arranged by the hospital themselves.

Hospital Appointments

If a patient has a query regarding an appointment made then the patient should contact that hospital direct. You can usually find their direct contact number on your clinic letter on the top right. Or you can ring the hospital directly as ask the switch board to transfer you to the appropriate consultant secretary.

Here are some useful hospital numbers:

  • Coming soon…

If you have a query with regards to booking an appointment through the Choose and Book system they can phone the Choose and Book number which you will have on the paperwork you received through the post. If you still have a problem you can speak to the Practice Secretary directly or ask the practice online.

Role of the Practice Secretary

The role of the Practice Secretary is to type all of the referral letters for the patient and then raise the appointment request onto the Choose and Book System, so that the patient can then book an appointment.

Once the Practice Secretary has raised the request onto the system, they will then print off the request which will have a Unique Booking Reference Number, list of hospitals that the patient can choose from to attend and a Password.  This will then be sent to the patient for the patient to book the appointment.

If the patient knows they are being referred via the Choose and Book system and they haven’t received there paperwork within 3 weeks they should contact the Secretary directly or ask the practice online, for her to reprint the information off again, which can either be sent or the patient could come and collect from the Surgery.