Churchfields Medical Practice
1 Bailey Street
Old Basford
Nottingham
NG6 0HD
Promoting Health for You and Your Family Ph: 0115 978 1231
Fax: 0115 979 0419
www.churchfieldsmedicalpractice.co.uk
At Churchfields Medical Practice, we are striving to improve communication and prioritise convenience for our patients. The practice uses email to communicate with patients about recalls and reminders. It is important to note that this type of communication is not always secure. For this reason we do not communicate personal health information via email.
Conditions for the use of Email
Churchfields Medical Practice will use reasonable means to protect the security and confidentiality of information sent via email. However due to the risks outlined above, we cannot guarantee the security and confidentiality of communication sent via email and will not be liable for improper disclosure of confidential information that is not caused by Churchfields Medical Practice’s intentional misconduct.
Consent includes agreement with the following conditions:-
● Email replies are not accepted by Churchfields Medical Practice.
● Individuals are responsible for protecting passwords. Churchfields Medical Practice is not liable for breaches of confidentiality caused by the individual or any third party.
● It is the individual’s responsibility to follow up and/or schedule an appointment if required.
● It is the individuals responsibility to inform the practice of any changes to his/her email address.
● Patients under the age of 16 years must have the consent form signed by a parent/guardian.
● Consent can only be given by a carer with patient’s written consent.
● Withdrawal of consent must be given in writing.
Risk of using Email
Transmitting patient information by email has a number of risks that should be considered. These include and are not limited to the following:-
● Can be circulated, forwarded and stored in numerous paper and electronic files.
● Can be immediately broadcast worldwide and be received by many intended and unintended recipients.
● Easier to falsify than handwritten or signed documents.
● Backup copies may exist even after sender or recipients have deleted their copy.
● Employers have a right to inspect and archive transmissions through their system.
● Can be intercepted, altered, forwarded or used without authorisation or detection.
Patient Acknowledgement and Agreement
I acknowledge that I have read and fully understand the information the practice has provided me regarding the risk of using email. I hereby authorise the practice to furnish to me general notices via email. I understand that it is my obligation to inform the practice of any changes in my email address. I further understand that my records and medical information are protected and that no confidential information will be included in any general notices provided to my e-mail address. I also understand that I may revoke this authorisation at any time in writing.
Name of patient: Date of birth:
Address of patient:
Signature of patient:
(parent/guardian if under 16 years)
Date: Email Address:
Dr K Roy & Partners