Accessing your health record

We are often asked if we are able to access your NHS GP record. Because we are outside the NHS, we don’t automatically have access to it. However, this isn’t normally a problem: in many cases, we are happy to rely on information you provide us regarding your health conditions, medication, and allergies, and we will ask you about these before your appointment by means of our registration form.

Medical records storage – Fitzsimons General Hospital.
Lebovich, Bill, creator, Public domain, via Wikimedia Commons

You have the right to receive your record in electronic format from your NHS GP if you ask for it electronically (a “Subject Access Request“). If you would like, you may then share it with us, either by emailing it to Clinical@FormbyGP.net, or uploading it from our registration form. Often, a summary of your record will suffice. Sometimes, however, we will need your full record, such as if you ask ask us to write certain reports. It can sometimes be helpful to know recent blood test results, to save us duplicating work privately; if you have online access, you will often be able to view your results there.

With your consent, we will usually keep your NHS GP and any other relevant professionals updated. If you would prefer us not to, that’s generally fine too, so long as you are happy for us not to prescribe any controlled drugs. If we feel that information-sharing is particularly important, such as in particularly complex cases, we may broach the subject with you again and explain why we would recommend information-sharing.

Reports and “medicals”

If you have been asked for a medical report or examination, we can help! Simply tell us what you need and share the request or form that you have received using our online form and we can give you a quote.

Many such reports – such as an HGV medical “D4” – we will be happy to complete during your consultation for no extra charge. On the other hand, some might simply require us to review your GP record, and we might not even need to see you.

Please email us a copy of your NHS GP record before your consultation. For some reports (including HGV medicals), a summary of your GP record will suffice.

Some reports, however, expect the examining doctor to have access to your full GP record. For these, please download from your NHS GP your full record and then email or upload it to us.

If in doubt, just email us the blank report or form and we can advise you what we would need.

There are a small number of organisations that ask a doctor to certify that you are fit for a particular activity that they organise. At the time of writing, the Paris marathon is an example. It is very difficult for any doctor to say this, as there is no way for them to be certain that the organisers will have in place proper safeguards, not is it possible to predict that your health will not change before or during the event. We would be happy, however, to provide a summary of your medical history and an opinion as to whether that is likely to be problematic.

Referrals

We can organise many tests directly, and as GPs we can diagnose and manage a great many conditions ourselves.

Sometimes, we will offer to make a referral asking another professional or organisation whom we trust for their opinion using the specialised resources and expertise at their disposal.

If you have any concerns about your health, do book an appointment with one of our expert GPs. We will undertake our own assessement, collect any information and tests necessary to support any referral, and advise whether a referral would be appropriate.

We will advise you which specialty, organisation or individual we believe is most likely to accept the referral and to give the most helpful opinion. This is the reason why patients, specialists and insurers value the input of GPs in the referral process.

We will of course facilitate your preferences as best we can, mindful that this might sometimes result in “going round in circles” if the preferred specialist is either not available, too busy, or feels they cannot help.

If you have a fixed view about the need for a particular referral, we may be able to add less value to the process. You might like to contact the specialist directly, as some do accept self-referrals.

In any case, when we make a referral, we will usually let you have a copy of the referral letter. This will put you in control, so that you can produce it in case of communication difficulties, and so that you can take it to a different, similarly qualified, individual or organisation, should you subsequently discover that they are more convenient. Feel free to search for other providers yourself. If you happen to know of any specialists who live nearby, you might like to suggest they consider using our premises!

If we make an NHS referral, you will very often be able to take that referral letter to a private provider. Please be mindful that it does not always work the other way around, as it can sometimes be more difficult to refer to NHS providers: they are often not even allowed to accept referrals which some might consider less appropriate; they also often expect the GP to undertake more preliminary assessment, the expense of which we would otherwise seek to save you.

How can it be “ethical” to charge patients?

Access to our service will, unlike the NHS, be limited by ability to pay. However, NHS GP is not without barriers, especially now, as it can be limited by the ability to pick up the phone or internet at the correct time, or to prioritise one’s own needs appropriately.

Pillars of medical ethics

We are aware of the risks of describing ourselves as “ethical”. It is common to consider questions of medical ethics under four “pillars”: autonomy, non-maleficence, beneficence and justice.

Justice

We believe it is for society rather than individual GPs to ensure justice of access to general practice, whether that be by ensuring that all patients have the means to pay for care, or whether that be by providing excellent NHS general practice.

A growing private GP sector will support just access to primary care by providing additional capacity (we will increase my working commitment significantly, for example), and perhaps also by helping to define expectations of NHS GP by providing a contrast.

Non-malificence

What possibly sets us apart is our commitment to non-maleficence (“first do no harm“), perhaps not always a priority for private healthcare providers, for whom there can be a temptation to sell tests and treatments without certainty that they will not cause undue anxiety, or that any condition so found definitely merits the side effects and risks of treatment.

Safety and value for money

So yes, we have to charge our patients. But we will do our utmost to ensure that we do not charge patients for appointments, tests or treatments that are not completely necessary. That way, our patients get value for money whilst receiving medical care as safe and high quality as possible.

Do GPs work 7 days a week?

NHS General Practice is available 24/7, via GP Out of Hours services – both Heather and John have done GP Out of Hours work in the past (Heather during the second wave of the pandemic in 2020).

Most NHS GPs work incredibly hard – 10 to 12 hour working days are not uncommon, and many GPs do log on to their computer at the weekend to catch up on paperwork and filing results, even if they are not working in Out of Hours. The reason that many patients are struggling to access NHS General Practice are complex and are not due to GPs being lazy – rather, issues like funding, recruitment, and retention contribute.

Heather and John both work in the NHS too, and will mostly be working for Formby GP at times they would not otherwise be working. Furthermore, we plan to offer a 7 day advice service to subscribers.

One of the advantages for us in doing private work is that it gives us a high degree of control and flexibility about when we work, which is particularly important to us because we have a child with health needs which require us to be available a lot of the time. The alternative for us isn’t doing more NHS work.

On a personal note, we have recently had a very positive experience at Ormskirk Hospital when our child was unwell. We are grateful to everyone who works in the NHS for the incredible work that they do.

Do we offer “MOTs”?

Bodies are so much more complex than cars! Before every consultation, we will check your blood pressure, pulse and weight (amongst other things). You probably don’t need us to tell you to lead a healthy lifestyle!

When considering tests, our usual approach is to recommend targeted testing for conditions that you seem to be at increased risk of. Typically this would be based on new symptoms you have noticed, but your family history, lifestyle and occupation might also give clues.

Some private clinics perform a vast array of tests on every adult that consults them. We believe we can add more value by being more judicious, thus saving you money and worry, and – most importantly – harmful treatment for conditions that might never have troubled you. This is why we describe Formby GP as “ethical”.

When appropriate, we can organise extensive blood tests, ECGs, x-rays and scans and more, and we will work towards offering more and more of these on site.

Opening tomorrow!

Our appointment booking page is now live, just in time for our opening day tomorrow! You can find it on our website at www.FormbyGP.com/book.

We will very soon be launching our Priority Club. As well as a guarantee that we will offer you an appointment within a reasonable timeframe, access to our community forum, and half price text consultations, we will waive our prescription charges for Priority Club members. We are making final adjustments to our back office systems and will let you know when this is ready, probably within the next few days.

For those who have signed up for our email updates since the last message: welcome! Here is a quick recap.

We understand that most patients want to see a doctor face-to-face, so we offer face-to-face appointments as standard. You will be able to contact us and book a GP appointment face-to-face, no questions asked. You will be able to see us in our discreet premises in Freshfield, or we can visit you at home. If you would prefer to speak to us via phone, video call, or text, we will offer these modalities too.

If you need investigations (such as X-rays) or referrals, we can arrange these – either privately, or via the NHS in many circumstances.

We know that your time and money are precious. We will not recommend investigations or treatments that you don’t need. We believe in offering tests and treatments that are more likely to help you than to harm you! If you have symptoms or concerns, or a family history of a particular condition, we will talk to you so we can decide together which tests and/or treatments are appropriate.

Opening 9 Jan!

We are delighted to announce that we will be opening our doors on January 9th 2023! Formby GP will be offering an ethical, private General Practice service on a self-pay basis.

We understand that most patients want to see a doctor face-to-face, so we offer face-to-face appointments as standard. You will be able to contact us and book a GP appointment face-to-face, no questions asked. You will be able to see us in our discreet premises in Freshfield, or we can visit you at home. If you would prefer to speak to us via phone, video call, or text, we will offer these modalities too.

We will also offer Priority Club membership for a modest subscription. Priority Club members will enjoy the guarantee of the offer of an appointment of their choice within a reasonable timeframe, access to our WhatsApp community chat (where Heather and I will be available for non-personalised advice), and half price text consultations for those quick queries.

If you need investigations (such as X-rays) or referrals, we can arrange these – either privately, or via the NHS in many circumstances.

We know that your time and money are precious. We will not recommend investigations or treatments that you don’t need. We believe in offering tests and treatments that are more likely to help you than to harm you! If you have symptoms or concerns, or a family history of a particular condition, we will talk to you so we can decide together which tests are appropriate.

We will be launching our online booking platform in the next few days – watch this space!