GDPR and Privacy

This privacy notice explains why Mosborough Health Centre collects information about you and how that information may be used.

GPs have fair processing responsibilities under the Data Protection Act 1998 as data controllers. This means we ensure your personal confidential data is handled in ways that are transparent and that you would reasonably expect. The Health and Social Care Act 2012 changed the way that personal confidential data are processed, therefore it is important that patients are made aware of, and understand these changes.

The GPs and health care professionals who provide you with care maintain records about your health and any treatment or care you have received previously (e.g. NHS Trust, GP Surgery, Walk-in clinic, etc.). These records help to provide you with the best possible healthcare.  To ensure you receive the best possible care, your records are used to facilitate the care you receive. Information held about you may be used to help protect the health of the public and to help us manage the NHS. Information may be used within the GP practice for clinical audit to monitor the quality of the service provided.  In the event that you may need to be seen at another GP Practice or 'Hub' it may be necessary to share your information within and across the Primary Care Network in Sheffield, to ensure that you receive the most appropriate medical attention.

NHS health records may be electronic, on paper or a mixture of both. We use a combination of technology and working practices to ensure that your information is kept confidential and secure. Records which this GP Practice holds about you may include the following information;

• Details about you, your home address, carer, legal representative, emergency contact details
• Any contact the surgery has had with you, your appointments, clinic visits emergency appointments etc.
• Notes and reports about your health
• Details about your treatment and the care you received
• Results of investigations, laboratory tests, x-rays etc. and any
• Relevant information from other health professionals, relatives or those who care for you

To ensure you receive the best possible care, your records are used to facilitate the care you receive. Information held about you may be used to help protect the health of the public and to help us manage the NHS. Information may be used within the GP practice for clinical audit to monitor the quality of the service provided.

Some of this information will be held centrally and used for statistical purposes. Where we do this, we take strict measures to ensure that individual patients cannot be identified.
Sometimes your information may be requested to be used for research purposes – the surgery will always endeavor to gain your consent before releasing the information for this purpose.

Under the powers of the Health and Social Care Act 2012 (HSCA) the Health and Social Care Information Centre (HSCIC) can request Personal Confidential Data (PCD) from GP Practices without seeking patient consent. The Care Data Programme allows PCD to be collected by the HSCIC to ensure that the quality and safety of services is consistent across the country. Improvements in information technology are also making it possible for us to share data with other healthcare providers with the objective of providing you with better care.

Any patient can choose to withdraw their consent to their data being used in this way. When the Practice is about to participate in any new data-sharing scheme we will make patients aware by displaying prominent notices in the surgery and on our website at least four weeks before the scheme is due to start. We will also explain clearly what you have to do to ‘opt-out’ of each new scheme.

A patient can object to their personal information being shared with other health care providers but this may limit the treatment that you can receive when the surgery is closed.

You have a choice about access to your data

You do not need to do anything if you are happy about how your information is used. If you do not want your confidential patient information to be used for research and planning, you can choose to opt out through NHS Digital securely online or through a telephone service. You can change your mind about your choice at any time.  This is the national data opt out.

Will choosing this opt-out affect your care and treatment?

No, choosing to opt out will not affect how information is used to support your care and treatment. You will still be invited for screening services, such as screenings for bowel cancer.

What do you need to do?

If you are happy for your confidential patient information to be used for research and planning, you do not need to do anything.

To find out more about the benefits of data sharing, how data is protected, or to make/change your opt-out choice visit www.nhs.uk/your-nhs-data-matters

You can also choose to opt out of your data leaving the practice – to do this you will need to register your opt out with your practice and they will mark your record.  This is known as a type 1 opt out.

Risk Stratification

Risk stratification is a process for identifying and managing patients who are at high risk of requiring emergency or urgent care.

Risk stratification data tools are increasingly being used in the NHS to help determine a person’s risk of suffering a particular condition, preventing an unplanned or (re)admission and identifying a need for preventive intervention. Information about you is collected from a number of sources including NHS Trusts and from this GP Practice. A risk score is then arrived at through an analysis of your de-identified information using software managed by Sheffield CCG, and is only provided back to your GP as data controller in an identifiable form. Risk stratification enables your GP to focus on preventing ill health and not just the treatment of sickness. If necessary your GP may be able to offer you additional services.

Please note that you have the right to opt out of your data being used in this way.

As a patient you can object to your personal information being shared or being part of any data collection at the practice. Please contact the Practice Manager in writing if you have concerns or wish to change your mind and reverse a previous decision about data sharing.

Medicines Management

The Practice may conduct Medicines Management Reviews of medications prescribed to its patients. This service performs a review of prescribed medications to ensure patients receive the most appropriate, up to date and cost effective treatments. This service is provided to practices by Sheffield CCG Medicines Management Team.

Invoice Validation

If you have received treatment within the NHS your personal information may be shared within a strictly monitored, secure and confidential environment in order to determine which Clinical Commissioning Group should pay for the treatment or procedure you have received.

Information such as your name, address and date of treatment may be passed on to enable the billing process. These details are held in a secure environment and kept confidential. This information will only be used to validate invoices, and will not be shared for any further commissioning purposes

How do we maintain the confidentiality of your records?

We are committed to protecting your privacy and will only use information collected lawfully in accordance with:

• • Data Protection Act 1998
• • Human Rights Act 1998
• • Common Law Duty of Confidentiality
• • Health and Social Care Act 2012
• NHS Codes of Confidentiality, Information Security and Records Management
• • Information: To Share or Not to Share Review

Every member of staff who works for an NHS organisation has a legal obligation to keep information about you confidential. All of our staff and contractors have appropriate and ongoing training to ensure they are aware of their personal responsibilities and have contractual obligations to uphold confidentiality. Authorised staff access personal information where it is necessary for their role and is strictly on a need-to-know basis. Information is only shared with organisations and individuals that have a legitimate and legal basis for access.

We will only ever use or pass on information about you if others involved in your care have a genuine need for it. We will not disclose your information to any third party without your permission unless there are exceptional circumstances (i.e. life or death situations), where the law requires information to be passed on and / or in accordance with the new information sharing principle following Dame Fiona Caldicott’s information sharing review (Information to share or not to share) where “The duty to share information can be as important as the duty to protect patient confidentiality.” This means that health and social care professionals should have the confidence to share information in the best interests of their patients within the framework set out by the Caldicott principles. They should be supported by the policies of their employers, regulators and professional bodies.

The report, Information: To share or not to share? The Information Governance Review, can be found at: https://www.gov.uk/government/publications/the-information-governance-review

Who are our partner organisations?

We may also have to share your information, subject to strict agreements on how it will be used, with the following organisations;

• NHS Trusts / Foundation Trusts
• GP’s
• • NHS Commissioning Support Units
• • Out of Hours Service and 111
• • Independent Contractors such as dentists, opticians, pharmacists
• • Private Sector Providers
• • Voluntary Sector Providers
• • Ambulance Trusts
• • Clinical Commissioning Groups
• • Social Care Services
  • Health and Social Care Information Centre (HSCIC)
• • Local Authorities
• • Education Services
• • Fire and Rescue Services
• • Police & Judicial Services

You will be informed who your data will be shared with and in some cases asked for explicit consent for this to happen when this is required.

Access to personal information

You have a right under the Data Protection Act 1998 to request to access/view or to obtain copies of what information the surgery holds about you and to have it amended or removed should it be inaccurate. This is known as the ‘the right of subject access’. In order to request this, you need to do the following:

• Put your request in writing to the Practice Manager

• If you require information from the hospital please write direct to them

• You will need to give adequate information (for example full name, address, date of birth, NHS number and details of your request) so that your identity can be verified and your records located

Some details in your health records may be exempt from disclosure; however this will be in the interests of your wellbeing or to protect the identity of a third party.

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 is incorrect in order for this to be amended. We would require sight of the official documentation to make amendments (e.g. marriage certificate or bill /letter with change of address etc.). You have a responsibility to inform us of any changes so our records are accurate and up to date for you.

Notification

The Data Protection Act 1998 requires organisations to register a notification with the Information Commissioner to describe the purposes for which they process personal and sensitive information.

This information is publicly available on the Information Commissioners Office website www.ico.gov.uk

The Practice is registered with the Information Commissioners Office (ICO).

Who is the Data Controller?

Mosborough Health Centre is registered as the Data Controller and is responsible for keeping your information secure and confidential under the Data Protection Act 1998. The registration number is Z4919800 and can be viewed online in the public register at http://ico.org.uk/what_we_cover/register_of_data_controllers

Consent and Objections

The General Data Practice Regulation is similar to the Data Protection Act 1998 (which the practice already complies with), and provides special protection for patient data and your right to privacy. Where we need your consent to process data, this consent must be freely given, specific, informed and unambiguous.

You also have the right to withdraw your consent at any time.

Further information

Further information about the way in which the NHS uses personal information and your rights in that respect can be found in:

• The NHS Care Record Guarantee: http://www.nigb.nhs.uk/pubs/nhscrg.pdf
• The NHS Constitution: https://www.gov.uk/government/publications/the-nhs-constitution-for-england
• data programme: http://www.england.nhs.uk/ourwork/tsd/care-data/gp-guidance/
• The HSCIC Guide to Confidentiality gives more information on the rules around information sharing: http://www.hscic.gov.uk/confguideorg
• The NHS Commissioning Board – NHS England – Better Data, Informed Commissioning, Driving Improved Outcomes: Clinical Data Sets provides further information about the data flowing within the NHS to support commissioning. http://www.england.nhs.uk/wp-content/uploads/2012/12/clinical-datasets.pdf

Complaints

Should you have any concerns about how your information is managed at Mosborough Health Centre or feel that we have not complied with the current data protection legislation, please contact in writing the Practice Manager, Mrs. Bridgette Guest. If you are still unhappy following a review by the practice, you can then complain to the Information Commissioners Office (ICO) via their website (www.ico.gov.uk).

If you are happy for your data to be extracted and used for the purposes described in this privacy notice then you do not need to do anything. If you have any concerns about how your data is shared then please contact the practice in writing as below:

Practice Manager, Mrs. Bridgette Guest

Mosborough Health Centre

34 Queen Street

Mosborough

Sheffield

S20 5BQ

If you are still unhappy following a review by the Practice you can then complain to the Information Commissioners Office (ICO). www.ico.gov.uk telephone: 0303 123 1113 (local rate) or 01625 545 745

The Information Commissioner’s Office is the Regulator for the Data Protection Act 1998 and offer independent advice and guidance on the law and personal data, including your rights and how to access your personal information. For further information please visit the Information Commissioner’s Office website at http://www.ico.gov.uk

May 2018 (Reviewed March 2020)

COVID-19 Privacy Notice

(This Privacy Notice is to run alongside our standard Practice Privacy Notice)

Due to the unprecedented challenges that the NHS and we, Mosborough Health Centre face due to the worldwide COVID-19 pandemic, there is a greater need for public bodies to require additional collection and sharing of personal data to protect against serious threats to public health. 

In order to look after your healthcare needs in the most efficient way we, Mosborough Health Centre may therefore need to share your personal information, including medical records, with staff from other GP Practices including Practices within our Primary Care Network, as well as other health organisations (i.e. Clinical Commissioning Groups, Commissioning Support Units, Local authorities etc.) and bodies engaged in disease surveillance for the purposes of research, protecting public health, providing healthcare services to the public and monitoring and managing the Covid-19 outbreak and incidents of exposure.

The Secretary of State has served notice under Regulation 3(4) of the Health Service (Control of Patient Information) Regulations 2002 (COPI) to require organisations to process confidential patient information in the manner set out below for purposes set out in Regulation 3(1) of COPI.

Purpose of this Notice

The purpose of this Notice is to require organisations such as Mosborough Health Centre to process confidential patient information for the purposes set out in Regulation 3(1) of COPI to support the Secretary of State’s response to Covid-19 (Covid-19 Purpose). “Processing” for these purposes is defined in Regulation 3(2) and includes dissemination of confidential patient information to persons and organisations permitted to process confidential patient information under Regulation 3(3) of COPI. This Notice is necessary to require organisations such as Mosborough Health Centre to lawfully and efficiently process confidential patient information as set out in Regulation 3(2) of COPI for purposes defined in regulation 3(1), for the purposes of research, protecting public health, providing healthcare services to the public and monitoring and managing the Covid-19 outbreak and incidents of exposure.

Requirement to Process Confidential Patient Information

The Secretary of State has served notice to recipients under Regulation 3(4) that requires Mosborough Health Centre to process confidential patient information, including disseminating to a person or organisation permitted to process confidential patient information under Regulation 3(3) of COPI.

Mosborough Health Centre is only required to process such confidential patient information:

• where the confidential patient information to be processed is required for a Covid-19 Purpose and will be processed solely for that Covid-19 Purpose in accordance with Regulation 7 of COPI
• from 20^th March 2020 until 30th September 2021.

Covid-19 Purpose.

A Covid-19 Purpose includes but is not limited to the following:

• understanding Covid-19 and risks to public health, trends in Covid-19 and such risks, and controlling and preventing the spread of Covid-19 and such risks
• identifying and understanding information about patients or potential patients with or at risk of Covid-19, information about incidents of patient exposure to Covid-19 and the management of patients with or at risk of Covid-19 including: locating, contacting, screening, flagging and monitoring such patients and collecting information about and providing services in relation to testing, diagnosis, self-isolation, fitness to work, treatment, medical and social interventions and recovery from Covid-19
• understanding information about patient access to health services and adult social care services and the need for wider care of patients and vulnerable groups as a direct or indirect result of Covid-19 and the availability and capacity of those services or that care
• monitoring and managing the response to Covid-19 by health and social care bodies and the Government including providing information to the public about Covid-19 and its effectiveness and information about capacity, medicines, equipment, supplies, services and the workforce within the health services and adult social care services
• delivering services to patients, clinicians, the health services and adult social care services workforce and the public about and in connection with Covid-19, including the provision of information, fit notes and the provision of health care and adult social care services
• research and planning in relation to Covid-19.

Recording of processing

 A record will be kept by Mosborough Health Centre of all data processed under this Notice.

Sending Public Health Messages

Data protection and electronic communication laws will not stop Mosborough Health Centre from sending public health messages to you, either by phone, text or email as these messages are not direct marketing.

Digital Consultations

It may also be necessary, where the latest technology allows Mosborough Health Centre to do so, to use your information and health data to facilitate digital consultations and diagnoses and we will always do this with your security in mind.

Research and Pandemic Planning

The Secretary of State has directed NHS Digital to collect, process and analyse data in connection with COVID-19 to support the Secretary of State’s response to COVID-19 and support various COVID-19 purposes set out in the COVID-19 Public Health Directions 2020, 17 March 2020 (as amended) (COVID-19 Direction) and below. This enables NHS Digital to collect data and analyse and link the data for COVID-19 purposes with other data held by NHS Digital. 

 The purpose of the data collection is also to respond to the intense demand for General Practice data to be shared in support of vital planning and research for COVID-19 purposes, including under the general legal notice issued by the Secretary of State under Regulation 3(4) of the Health Service (Control of Patient Information) Regulations 2002 (COPI). 

NHS Digital has therefore been requested by the joint co-chairs of the Joint GP IT Committee (JGPITC) (the BMA and RCGP) to provide a tactical solution during the period of the COVID-19 pandemic to meet this demand and to relieve the growing burden and responsibility on General Practices. On 15 April 2020 the BMA and RCGP therefore gave their support via JGPITC to NHS Digital’s proposal to use the General Practice Extraction Service (GPES) to deliver a data collection from General Practices, at scale and pace, as a tactical solution to support the COVID-19 response in the pandemic emergency period.

 It is a requirement of the JGPITC that all requests by organisations to access and use this data will need to be made via the NHSX SPOC COVID-19 request process, that will triage and prioritise these requests and refer appropriate requests on to the NHS Digital Data Access Request Service (DARS).   NHS Digital will consult with representatives of the BMA and the RCGP on all requests for access to the data. An outline of the process for this agreed with the BMA and the RCGP is published here. Requests by organisations to access record level data from this collection will also be subject to Independent Group Advising on the Release of Data (IGARD) consideration. Data applicants will need to demonstrate they have a lawful basis to access the data for COVID-19 purposes. 

Benefits of this sharing

Organisations, including Government, health and social care organisations need to access this vital data for a range of COVID-19 purposes, to help plan, monitor and manage the national response to the COVID-19 pandemic, which will help save lives. COVID-19 purposes for which this data may be analysed and used may include: • understanding COVID-19 and risks to public health, trends in COVID-19 and such risks, and controlling and preventing the spread of COVID-19 and such risks • identifying and understanding information about patients or potential patients with, or at risk of COVID-19, information about incidents of patient exposure to COVID-19 and the management of patients with or at risk of COVID-19 including: locating, contacting, screening, flagging and monitoring such patients and collecting information about and providing services in relation to testing, diagnosis, self-isolation, fitness to work, treatment, medical and social interventions and recovery from COVID19. Data will be analysed and linked to other data held by NHS Digital or held by other organisations to which access to the data is granted for COVID-19 purposes, through the process described above. Data will be collected nationally from all General Practices by NHS Digital every week. All requests to access this data will be through Data Access Request Service (DARS). This will significantly reduce the burden on General Practice at a time when demand on resources is high, enabling General Practice to focus on delivering health care and support to patients. It will also reduce compliance burden and risk for General Practice associated with sharing data and complying with the terms of the general legal notice issued under the National Health Service (Control of Patient Information Regulations) 2002 (COPI), which applies to General Practices Patients facing the greatest risk if they contract COVID-19 and/or are in the moderate to high risk of complications from flu:

• will be identified and known to health organisations
• will have a greater awareness of the recommended preventative shielding measures
• will be able to follow clear advice
• will be able to ask for help and support, including social care support and essential food supplies, through the Extremely Vulnerable Persons service operated by gov.uk.

It will enable the SPL to be updated weekly to identify new patients and changes to patients on the List and will enable support provisions to be more dynamic and responsive to both social and clinical need.

It will also enable vital planning, commissioning, and research to be carried out for COVID-19 purposes. If patients facing the greatest risk follow advice, it is hoped that this will contribute to the delay and mitigation of the spread of COVID-19 and save lives.

Legal Basis for this collection

In August 2020, the NHS announced that the seasonal national flu immunisation programme criteria for 2020 - 2021 will be expanded to include patients on the SPL. Therefore, to provide information that will support the identification of patients at moderate or high risk of complications from flu, a revision to the weekly extract of data has taken place. This, version three of the extract for the purpose of maintaining and updating the SPL, will continue until the expiry of the COVID-19 Direction. This is currently 31 March 2022 but will be reviewed in September 2020 and every six months thereafter. The frequency of the data collection may change in response to demand.

Data collection extracted on a weekly basis week commencing 13 April 2020	Revised weekly data collection. The first collection is due week commencing 28 September 2020
All patients with defined long-term medical conditions which pose a COVID-19 risk, identified as clinically extremely vulnerable to that risk and/or on certain drug treatments as below:	All patients with defined long-term medical conditions which pose a COVID-19 risk, identified as clinically extremely vulnerable/potentially clinically vulnerable to that risk and/or on certain drug treatments as below:
Medical Conditions that provide information on clinically vulnerable patients ·         Severe asthma and dust related lung disease with relevant treatment in the last 12 months (asthma treatment & prednisolone OR high dose cortiscosteroid safety card) ·         COPD emphysema, and associated lung diseases with relevant treatment in the last 12 months (COPD drugs OR high dose high dose cortiscosteroid safety card ·         Non-asthma and non-COPD respiratory disease ·         Cancer(haem and others) ·         Genetic, metabolic or autoimmune disease ·         Immunosuppression drugs in the last 12 months ·         Flu-like symptoms or respiratory tract infections from 1 November 2019 ·         Transplants with severe Immunosuppression drug treatment in the last 12 months ·         Pregnant in last 9 months	Medical Conditions that provide information on clinically vulnerable patients ·         Severe asthma and dust related lung disease with relevant treatment in the last 12 months (asthma treatment & prednisolone OR high dose cortiscosteroid safety card) ·         COPD emphysema, and associated lung diseases with relevant treatment in the last 12 months (COPD drugs OR high dose high dose cortiscosteroid safety card ·         Non-asthma and non-COPD respiratory disease ·         Cancer(haem and others) ·         Genetic, metabolic or autoimmune disease ·         Immunosuppression drugs in the last 12 months ·         Flu-like symptoms or respiratory tract infections from 1 November 2019 ·         Transplants with severe Immunosuppression drug treatment in the last 12 months ·         Pregnant in last 9 months    No change
·         Patients designated separately as at risk from COVID-19 using high/medium/low risk SNOWED CT Codes, for example	·         Patients designated separately as at risk from COVID-19 using high/medium/low risk SNOWED CT Codes, for example   No change
Patients with a COVID-19 activity code	Patients with a COVID-19 activity code   No change
	Clinically vulnerable patients (eligible for seasonal flu vaccination) ·         Chronic Respiratory disease ·         Unresolved asthma with recent asthma drug treatment (in the last 12 months) or has ever had an emergency hospital admission due to asthma ·         Chronic heart disease ·         Unresolved chronic kidney disease stage3,4 and 5 ·         Unresolved diabetes mellitus ·         Unresolved immunosuppression diagnosis ·         Immunosuppression procedure in the last 12 months ·         Chronic Liver disease ·         Chronic neurological disease ·         Pregnant in the last 9 months (different cluster to clinically extremely vulnerable group) ·         In patients aged 16 and over : BMI of 40+ in the last 12 months ·         In patients aged 16 and over : Latest BMI in the last 3 years was 40+ ·         Learning disability (including Down’s) ·         Has a “requires flu vaccination” code ·         Identified as a healthcare worker in the last 12 months ·         Household contact of an immunocompromised individual   Other Potentially clinically Vulnerable patients ·         Unresolved hypertension ·         Pulmonary hypertension ·         Dementia ·         Systemic lupus ·         Discoid and non-systemic lupus ·         Psoriasis ·         Rheumatoid arthritis and associated disorders
	Additional Data items for Patients from the above groups ·         Latest ethnic category code (all groups) ·         Earliest code indicating that the patient has died (all groups) ·         Latest smoking status (all groups) ·         Blood pressure from the last 2 years (all groups) ·         In patients aged 16 and over: all BMI and weight in last 5 years plus height (all groups) ·         IFCC-HbA1c in the last 2 years (for diabetic patients in the flu group only) ·         Latest COPD resolved and admission codes (for COPD Patients in the clinically extreme vulnerable group only) ·         ACE inhibitors, ARBs and non-steroidal anti-inflammatory drugs in the last 12 months (all groups) ·         Latest asthma emergency admission codes (for asthma patients in flu group only) ·         Asthma-related drug treatments in the last 12 months (for asthma patients in the flu group only)

The Secretary of State has directed NHS Digital to collect, process and analyse data in connection with COVID-19 to support the Secretary of State’s response to COVID-19 and support various COVID-19 purposes set out in the COVID-19 Public Health Directions 2020, 17 March 2020 (COVID-19 Direction) (as amended) (COVID-19) Direction) and below. This enables NHS Digital to collect data and analyse and link the data for COVID-19 purposes with other data held by NHS Digital. The rationale for changing the data extraction is that the initial data collection was based on an existing specification for flu vaccination eligibility. This data extraction was then refined in order to more accurately reflect the patients who are clinically extremely vulnerable to COVID-19 and also to minimise the data we are collecting. A further refinement of the data extraction has taken place leading to the inclusion of new data being extracted. This will provide information to inform vaccination programmes. This General Practice Extraction

Service (GPES) data will be extracted weekly and be used to assist in producing a weekly update of the SPL. The objective of this collection is on an ongoing basis to identify patients registered at General Practices who may be: • clinically extremely vulnerable if they contract COVID-19 • at moderate or high risk of complications from flu or COVID-19. The data collected will be analysed and linked with other data NHS Digital or other organisations hold to identify: • a list of clinically extremely vulnerable patients who will be advised to take shielding measures to protect themselves. Advice given to these patients has been published by Public Health England and is available here: https://www.gov.uk/government/publications/guidance-on-shielding-and-protectingextremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protectingextremely-vulnerable-persons-from-covid-19#what-do-we-mean-by-extremelyvulnerable • a list of patients at moderate or high risk of complications from flu to inform the flu call/recall vaccination programme.

Further information on the flu programme can be found here: https://www.england.nhs.uk/wpcontent/uploads/2020/05/Letter_AnnualFlu_2020-21_20200805.pdf

The extract may also be used for future direct care purposes relating to the COVID-19 outbreak. The methodology NHS Digital has used to produce the SPL is explained in detail and is published on the NHS Digital SPL website page here:

 https://digital.nhs.uk/coronavirus/shielded-patient-list Patients

 added to the SPL will be contacted by post, email (and/or SMS message where this is necessary) by the NHS on behalf of the Chief Medical Officer, Chris Whitty, to:

• advise of the measures they can take to reduce their risk of contracting the virus and sign-post them to the Extremely Vulnerable Persons service operated by gov.uk at https://www.gov.uk/coronavirus-extremely-vulnerable
• offer a flu vaccination or to contact non-responders who remain unvaccinated (as per NHS England specifications for the service). The SPL will also be used to inform GPs of their individual patients on the SPL, by flagging those patient records on GP patient record systems. The SPL will be shared with a variety of other organisations involved in the care and support of those patients and for planning, commissioning and research purposes associated with COVID-19. Full details of those with whom information has been shared can be found on the NHS Digital SPL website here:

https://digital.nhs.uk/coronavirus/shielded-patient-list/distribution.

Requests by organisations to access record level data from this collection will be subject to Independent Group Advising on the Release of Data (IGARD) consideration. Data applicants will need to demonstrate they have a lawful basis to access the data for COVID-19 purposes.

Visitors to The Practice

We have an obligation to protect our staff and employees’ health, so it is reasonable for staff at Mosborough Health Centre to ask any visitors to our practice to tell us if they have visited a particular country, or are experiencing COVID-19 symptoms. This must only be in pre-approved circumstances and we would also ask all patients to consider government advice on the NHS 111 website and not attend the practice.

Where it is necessary for us to collect information and specific health data about visitors to our practice, we will not collect more information than we need, and we will ensure that any information collected is treated with the appropriate safeguards.

 Review and Expiry of this Notice

This Notice will be reviewed on or before 30th September 2021 and may be extended by The Secretary of State.  If no further notice is sent to Mosborough Health Centre by The Secretary of State this Notice will expire on 31st March 2021.