How we use and share your information to help you

We need to keep a record of the care you receive to ensure that:

• Professionals involved in your care have accurate and up-to-date information
• We have all the information necessary for assessing your needs and providing the best care
• Your concerns can be properly investigated if you raise a complaint

Accurate information about you is available if you:

• Move to another area
• Need to use another service
• See a different healthcare professional.

Your record

We have a duty to:

• Maintain full and accurate records of the care we provide to you
• Ensure that your records are confidential, secure, and accurate
• Provide a copy at your request in an accessible format (e.g., in large type if you are partially sighted).

Your record may include some or all of the following:

• Your name, address, and date of birth
• Contacts we have had with you, such as appointments
• Notes and reports on your health
• Details of treatment and care, images, and test results
• Information on medicines, side effects, and allergies
• Relevant information from people who care for you and know you well, such as health professionals and relatives.

The staff who see you may also add notes on their professional opinion. If you wish us to, and it is practical and in line
with good medical practice, we will discuss and agree with you what we are going to enter on your record and show you what
we have recorded.

Identifying you as an individual

We have many patients/clients/customers with similar names so it is vitally important for all patients/service users to be
properly identified as individuals. In order to be absolutely sure that you have been correctly identified, we may ask you
for a number of pieces of information. Suitable information can include:

• Full name
• Date of birth
• NHS number
• National Insurance number
• Passport as photo ID
• Driving licence as photo ID
• Permanent (home, not a temporary) address

How you can help us to keep your health record accurate

• Let us know when you change address, telephone number or name
• Tell us if any information in your record is incorrect
• Give your consent so that we can share information about you with other health professionals to make sure you receive
  the right healthcare
• Tell us if you change your mind about how we share the information in your record.

How we use your contact details

We take your privacy seriously so please let us know how you want us to contact you.

Telephone

If you provide a mobile phone number: we may ring, leave a message or text you, so tell us if you do not want us to do so.

If you provide a landline: we may leave a message, so tell us if you do not want us to do so.

Email

• If you provide us with your email address: we may use it to send confidential health information, unless you have told us not
  to do so. Where possible this information may be encrypted.
• Please read the following before providing us with your email address.
• Emails can be quick and convenient and will allow you to keep a record (unlike a phone call). However, although our own
  systems are secure, it may be possible to intercept your email when it is being sent over the internet.
• Be aware also that if you share your computer, others may read your emails.
• You could use email to contact staff in relation to a query or to ask about an appointment.
• Do not give more personal information than we need to process your request.
• Do not ask us to send you medical details that you would not want seen by other people.
• If you have an urgent question or feel unwell after going home after treatment, contact an emergency service e.g. 111 NHS emergency service or 999 for life-threatening conditions by telephone, do NOT email.

How your records are kept

Our guiding principle is that we hold your records in strict confidence.

Harley City Clinic is registered under the Data Protection Act 2018. It abides by the law and observes good practice in maintaining
confidentiality and appropriate information security.

We will fulfill its obligations under this Act to the fullest extent, including ensuring that the following eight principles
governing the processing of personal data are observed.

1. personal data shall be processed fairly and lawfully;
2. personal data shall be obtained only for specified and lawful purposes and shall not be processed in any manner
   incompatible with those purposes;
3. personal data shall be adequate, relevant and not excessive in relation to the purposes for which it is processed;
4. personal data shall be accurate and, where necessary, kept up to date;
5. personal data shall be kept for no longer than is necessary for the purposes for which it is processed;
6. personal data shall be processed in accordance with the rights of data subjects under the Act;
7. personal data shall be subject to appropriate technical and organizational measures to protect against unauthorized or
   unlawful processing and accidental loss, destruction or damage;
8. personal data shall not be transferred to a country or territory outside the European Economic Area unless that country
   or territory ensures an adequate level of data protection

Harley City Clinic is also registered with the Care Quality Commission. This means that we are subject to ongoing inspection and
regulation by the CQC. This includes checks by the CQC that we are observing all necessary and statutory guidelines for
the use of your data in line with Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Part 3).

Information about you and the services you receive may be held in a number of formats and will be kept for the specific
retention periods outlined by the relevant professional bodies. We use secure electronic systems to store user records,
images, and details of prescriptions. Patient data held on paper or disk will be processed in accordance with the Data
Protection Act and destroyed using secure documented procedures after the time periods set out by the Department of
Health.

How your records are used

We use your records to:

• Ensure that any treatment or advisory services we provide to you are based on accurate information.
• Send a letter about your care to your GP or other health professional at the end of your treatment, unless you tell us
  not to do so.
• Work effectively with other services providing you with treatment or advice.
• Monitor the quality of our care and help us to understand the outcomes of care.
• Investigate any concerns or complaints you or your family have about your health care.
• Provide information that is needed for financial transactions in relation to payment for treatment, such as billing. For
  private patients/service users, this may include details shared with your insurance company. If you have any concerns
  about this, please contact your insurer.

Anonymised data

We may remove your name and other details that could identify you so that we can use the information in your record
anonymously to:

• Monitor and improve the quality of care received by patients/service users
• Protect the health of the general public, for example, we may share anonymous and aggregated patient information with
  organizations such as the National Institute for Clinical Excellence and the Cancer Registry for research or statistical
  purposes
• Train and educate staff.

Wherever possible, we anonymize your data or use a quasi-identifier such as a patient number or NHS number.

Sharing your health record

Harley City Clinic has a designated Information Lead/Data Protection Officer who is responsible for protecting the confidentiality
of patient information and making sure that information is shared where this is appropriate.

To make sure you receive all the care and treatment you need, we may need to share the information in your health record
with other staff and organizations. This could include:

• Other healthcare professionals, such as doctors, pharmacists, and pathology and radiology staff involved in the analysis
  and reporting of diagnostic tests
• Other hospitals and private sector organizations involved in your care
• Local authority departments
• Voluntary organizations providing ongoing support
• Administrative support staff

Note that anyone who receives information from us also has a legal duty to keep it confidential.

We may also share information that identifies you where:

• You ask us to do so
• We ask for specific permission and you agree to this
• We are required to do this by law
• We have special permission because we believe that the reasons for sharing are so important that they override our
  obligation of confidentiality (e.g. to prevent someone from being seriously harmed).

We do not give the names and addresses of patients/service users to other organizations except under the circumstances
described in this Privacy Notice. Unless you have signed an additional consent, we will not contact you after your visit
for purposes other than:

• Follow up of care
• Collecting your views about your stay with us
• Settlement of any account that may be due, if appropriate
• Complaints and concerns handling.

Sharing information with your family and friends

We will normally share information about the progress of your treatment with the person you name as your Emergency Contact,
unless you have told us not to do so. Your emergency contact should be someone that you trust and feel close to. It does
not have to be a blood relative; it can be a good friend. We ask patients/service users to name their emergency contact so
that we know who you would like us to keep informed about the care we provide or the decisions we need to make. In
identifying your emergency contact, you are giving us permission to keep her or him informed.

You can also name other people, with whom you would like us to share information about you. We make best efforts to ensure
that information provided over the telephone is restricted to those you have named and we share on a need to know basis.
Sometimes this means refusing to disclose information about you to someone who feels they should know about your treatment
and progress. Please make your family and friends aware of this.

Special situations

Sometimes we have a legal duty to provide information about people; examples are reporting some infectious diseases, and
when a court order instructs us to do so. Records may also be shared without the patient’s consent in exceptional
situations, such as to safeguard adults or children.

External Regulation

The Care Quality Commission is the independent regulator of health care, and they also protect the interests of people whose
rights are restricted under the Mental Health Act. They routinely inspect our premises to quality-check information we
hold and the services we provide in line with the Health & Social Care Acts. This is designed to ensure that
patients/service users using services are protected and receive the care, treatment, and support they need. These
inspectors have the authority to access personal information without the permission of patients/service users.

Sharing your records outside the EU

If your permanent address is outside the EU, or your treatment is continuing outside the EU, we may send details of your
treatment to individuals based outside the EU specifically to promote your ongoing care. This would normally be the doctor
who referred you to us for treatment. If you wish, we can give you the documents so that you have physical control over
this information.

In the usual course of our business, we may use third parties to process and store your data on our behalf. We normally store your data on secure servers in the European Economic Area (EEA). Such processing is subject to contractual restrictions with regard to confidentiality and security in addition to the obligations imposed by the Data Protection Act 2018.

Exceptionally we may make use our suppliers are based outside the EEA for processing and storing your data. We have strict controls over how and why your data can be accessed. By submitting your personal data, you agree to this.

Where necessary we may transfer personal information overseas for processing to support the long- term effectiveness of treatment and monitor patient outcomes. Personal information will be processed in this way where it is not possible to achieve this purpose with the use of anonymised or pseudonymised information only.

How can I stop my information from being shared?

Harley City Clinic acts to provide information principally for other health and social care professionals who have requested this since they require further detailed investigations on their patients/service users. So naturally we will normally need to share this information with your doctor who has referred you to our service.

If you do not want us to share your information with your GP, other healthcare providers or carers, please tell the team looking after you. But please note that not sharing your information may affect the care that can be provided for you.

You have the right to request that your confidential information is not used beyond your own care and treatment and to have your objections considered. Where your wishes cannot be followed you will be told the reasons including the legal basis. You may at any time withdraw any consent you have previously given to us to process information about you.

If you wish to exercise your right to opt-out, withdraw consent to use your information, or to speak to somebody to understand what impact this may have, please discuss your concerns with your professional, or email us typing ‘Opt Out Request’ in the subject line of the email.

Your legal rights

Harley City Clinic is the Data Controller of the data it holds about its patients/service users and staff.

You have the right to confidentiality under the Data Protection Act 2018 (DPA), the Human Rights Act 2018 and the Common Law Duty of Confidentiality. The Equality Act 2010 may also apply.

You have the right to know what information we hold about you, what we use it for and if the information is to be shared, who it will be shared with.

You have the right to apply for access to the information we hold about you. Other people can also apply to access your health records on your behalf. These include anyone authorised by you in writing (such as a solicitor), or any person appointed by a court to manage your affairs where you cannot manage them yourself. Access covers:

• The right to obtain a copy of your record in permanent form;
• The right to have the information provided to you in a way you can understand, and explained 
where necessary, for example where abbreviations have been used. You would not be entitled to see information that:

1. 1. Has been provided about you by someone else if they haven’t given permission for you to see it
   2. Identifies another person who has not given permission for you to see the information about them
   3. Relates to criminal offences
   4. Is being used to detect or prevent crime
   5. Could cause physical or mental harm to you or someone else. 
If you are currently receiving services from us and wish to view the record without obtaining a copy, discuss your request with the professional in charge of your care.

Obtaining a copy of your record

If you wish to apply for access to the information, we hold about you:

• You should send your request in writing to us.
• You should provide enough information to enable us to correctly identify your records, for example include your full name, address, date of birth, any unique identifier number/ NHS number (if known)
• We will take every reasonable step respond to you within 40 days of receiving your request
• You may be required to provide a form of ID before any information is released to you. 
Once you receive your records, if you believe any information is inaccurate or incorrect, please inform us.

Currency

This Privacy Policy is effective immediately and will remain in effect until further notice. /p>

We reserve the right to update or change our Privacy Policy at any time and you should check this Privacy Policy periodically. Your continued use of the Service after we post any modifications to the Privacy Policy on this page will constitute your acknowledgment of the modifications and your consent to abide and be bound by the modified Privacy Policy /p>

Further Questions

If you have any further questions about this Privacy Policy, or if anything is not clear, please let us know. /p>

Further information about data protection issues is at:

Information Commissioner’s Office (ICO)

The Information Commissioner’s Office Wycliffe House
Cheshire SK9 5AF
Helpline: 08456 30 60 60

Website: www.ico.gov.uk