We are pleased to announce that Jessop Medical Practice is now part of Amber Valley Health Limited (AVH) along with the following practices:
Brooklyn Medical Practice, Crich Medical Practice, Ivy Grove Surgery, Kelvingrove Medical Centre, Parkside Surgery, The Park Surgery, Somercotes Medical Centre and in collaboration with Ripley Medical Centre.
We aim to improve the service and access to GPs for our patients and from Saturday 1st September 2018 AVH will be offering extended appointments, late evening and Saturday and Sunday mornings.
These will be at the new Amber Valley Health GP Hub at our Ripley Surgery, Church Farm Primary Care Centre.
The opening times of the hub will be Monday to Friday 6.15pm – 8.00pm Saturdays and Sundays 8.45am – 11.45am
Please note, all AVH GPs and staff members are from one of the local practices named above.
The Amber Valley Health GP Hub is open for pre-booked appointments only.
Patients, including Jessop Medical Practice patients will be unable to access any other services during the GP Hub’s opening times.
To book an appointment, or for any further information please contact Jessop reception as usual.
You can also visit http://ambervalleyhealth.co.uk or pick up a leaflet in your usual reception area.
Over 65 or in an AT RISK group? Book your Flu Jab NOW!
Our flu clinics will be held on the following dates:
Saturday 13th October 2018
Saturday 3rd November 2018
Please book your appointment at reception or phone us now on:
01773 602707 (Greenhill) or 01773 514110 (Ripley)
Download the new Paediatric app HANDi now. Click the picture above for more details.
ANNOUNCEMENT FROM THE PARTNERS OF JESSOP MEDICAL PRACTICE
The Partners of Jessop Medical Practice committed to formally review the proposal to close Ripley surgery before 31 March 2018 and accordingly have done so.
Unfortunately the situation is unchanged since we last discussed the proposal, and therefore we find that the current situation still does not allow for the closure of Ripley at this time.
The Partners will continue to review the situation and if and when circumstances change we will issue a further announcement.
All our patients can therefore continue to access services at both Leabrooks and Ripley surgeries. However, patients should note that Leabrooks continues to be our main surgery, and you may be asked to travel to either surgery to access the most appropriate healthcare service.
We are sorry for any inconvenience this uncertainty may cause.
The Partners of Jessop Medical Practice
28 March 2018
How We Use your Information
Data Protection Privacy Notice for Patients
This privacy notice lets you know what happens to any personal data that you give to us, or any that we may collect from or about you.
This privacy notice applies to personal information processed by or on behalf of the practice.
This Notice explains
- Who we are, how we use your information and our Data Protection Officer
- What kinds of personal information about you do we process?
- What are the legal grounds for our processing of your personal information (including when we share it with others)?
- What should you do if your personal information changes?
- For how long your personal information is retained by us?
- What are your rights under data protection laws?
The General Data Protection Regulation (GDPR) became law on 24th May 2016. This is a single EU-wide regulation on the protection of confidential and sensitive information. It enters into force in the UK on the 25th May 2018, repealing the Data Protection Act (1998).
For the purpose of applicable data protection legislation (including but not limited to the General Data Protection Regulation (Regulation (EU) 2016/679) (the "GDPR"), and the Data Protection Act 2018 (currently in Bill format before Parliament) the practice responsible for your personal data is Jessop Medical Practice.
This Notice describes how we collect, use and process your personal data, and how, in doing so, we comply with our legal obligations to you. Your privacy is important to us, and we are committed to protecting and safeguarding your data privacy rights
How we use your information and the law.
Jessop Medical Practice will be what’s known as the ‘Controller’ of the personal data you provide to us.
We collect basic personal data about you which does not include any special types of information or location-based information. This does however include name, address, contact details such as email and mobile number etc.
We will also collect sensitive confidential data known as “special category personal data”, in the form of health information, religious belief (if required in a healthcare setting) ethnicity, and sex during the services we provide to you and or linked to your healthcare through other health providers or third parties.
Why do we need your information?
The 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.
NHS health records may be electronic, on paper or a mixture of both, and we use a combination of working practices and technology to ensure that your information is kept confidential and secure. Records which the Practice hold about you may include the following information;
- Details about you, such as your address, carer, legal representative, emergency contact details
- Any contact the surgery has had with you, such as appointments, clinic visits, emergency appointments, etc.
- Notes and reports about your health
- Details about your treatment and care
- Results of investigations such as laboratory tests, x-rays etc
- 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.
How do we lawfully use your data?
We need to know your personal, sensitive and confidential data in order to provide you with Healthcare services as a General Practice, under the General Data Protection Regulation we will be lawfully using your information in accordance with: -
Article 6, e) processing is necessary for the performance of a task carried out in the public interest or in the exercise of official authority vested in the controller;”
Article 9, (h) processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems
This Privacy Notice applies to the personal data of our patients and the data you have given us about your carers/family members.
Risk stratification data tools are increasingly being used in the NHS to help determine a person’s risk of suffering a 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 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.
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.
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 2018
- The General Data Protection Regulations 2016
- 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.
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 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.
Our practice policy is to respect the privacy of our patients, their families and our staff and to maintain compliance with the General Data Protection Regulations (GDPR) and all UK specific Data Protection Requirements. Our policy is to ensure all personal data related to our patients will be protected.
All employees and sub-contractors engaged by our practice are asked to sign a confidentiality agreement. The practice will, if required, sign a separate confidentiality agreement if the client deems it necessary. If a sub-contractor acts as a data processor for Jessop Medical Practice an appropriate contract (art 24-28) will be established for the processing of your information.
In Certain circumstances you may have the right to withdraw your consent to the processing of data. Please contact the Data Protection Officer in writing if you wish to withdraw your consent. If some circumstances we may need to store your data after your consent has been withdrawn to comply with a legislative requirement.
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 gain your consent before releasing the information for this purpose in an identifiable format. In some circumstances you can Opt-out of the surgery sharing any of your information for research purposes.
With your consent we would also like to use your information to
We would however like to use your name, contact details and email address to inform you of services that may benefit you, with your consent only. There may be occasions were authorised research facilities would like you to take part on innovations, research, improving services or identifying trends.
At any stage where we would like to use your data for anything other than the specified purposes and where there is no lawful requirement for us to share or process your data, we will ensure that you have the ability to consent and opt out prior to any data processing taking place. This information is not shared with third parties or used for any marketing and you can unsubscribe at any time via phone, email or by informing the practice DPO as below.
Where do we store your information Electronically?
All the personal data we process is processed by our staff in the UK however for the purposes of IT hosting and maintenance this information may be located on servers within the European Union.
No 3rd parties have access to your personal data unless the law allows them to do so and appropriate safeguards have been put in place. We have a Data Protection regime in place to oversee the effective and secure processing of your personal and or special category (sensitive, confidential) data.
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
- NHS Commissioning Support Units
- Independent Contractors such as dentists, opticians, pharmacists
- Private Sector Providers
- Voluntary Sector Providers
- Ambulance Trusts
- Clinical Commissioning Groups
- Social Care Services
- NHS England (NHSE) and NHS Digital (NHSD)
- Local Authorities
- Education Services
- Fire and Rescue Services
- Police & Judicial Services
- Voluntary Sector Providers
- Private Sector Providers
- Other ‘data processors’ which you will be informed of
You will be informed who your data will be shared with and in some cases asked for consent for this to happen when this is required.
We may also use external companies to process personal information, such as for archiving purposes. These companies are bound by contractual agreements to ensure information is kept confidential and secure. All employees and sub-contractors engaged by our practice are asked to sign a confidentiality agreement. If a sub-contractor acts as a data processor for Jessop Medical Practice an appropriate contract (art 24-28) will be established for the processing of your information.
How long will we store your information?
We are required under UK law to keep your information and data for the full retention periods as specified by the NHS Records management code of practice for health and social care and national archives requirements. More information on records retention can be found online at (https://digital.nhs.uk/article/1202/Records-Management-Code-of-Practice-for-Health-and-Social-Care-2016)
How can you access, amend move the personal data that you have given to us?
Even if we already hold your personal data, you still have various rights in relation to it. To get in touch about these, please contact us. We will seek to deal with your request without undue delay, and in any event in accordance with the requirements of any applicable laws. Please note that we may keep a record of your communications to help us resolve any issues which you raise.
Right to object: If we are using your data because we deem it necessary for our legitimate interests to do so, and you do not agree, you have the right to object. We will respond to your request within 30 days (although we may be allowed to extend this period in certain cases). Generally, we will only disagree with you if certain limited conditions apply.
Right to withdraw consent: Where we have obtained your consent to process your personal data for certain activities (for example for a research project), or consent to market to you, you may withdraw your consent at any time.
Right to erasure: In certain situations (for example, where we have processed your data unlawfully), you have the right to request us to "erase" your personal data. We will respond to your request within 30 days (although we may be allowed to extend this period in certain cases) and will only disagree with you if certain limited conditions apply. If we do agree to your request, we will Delete your data but will generally assume that you would prefer us to keep a note of your name on our register of individuals who would prefer not to be contacted. That way, we will minimise the chances of you being contacted in the future where your data are collected in unconnected circumstances. If you would prefer us not to do this, you are free to say so.
Right of data portability: If you wish, you have the right to transfer your data from us to another data controller. We will help with this with a GP to GP data transfer and transfer of your hard copy notes
Access to your personal information
Data Subject Access Requests (DSAR): You have a right under the Data Protection legislation to request access to view or to obtain copies of what information the surgery holds about you and to have it amended should it be inaccurate. To request this, you need to do the following:
- Your request should be made to the Practice – for information from the hospital you should write direct to them
- There is no charge to have a copy of the information held about you
- We are required to respond to you within one month
- 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 information we hold about you at any time.
What should you do if your personal information changes?
You should tell us so that we can update our records please contact the Practice Manager as soon as any of your details change, this is especially important for changes of address or contact details (such as your mobile phone number), the practice will from time to time ask you to confirm that the information we currently hold is accurate and up-to-date.
Objections / Complaints
Should you have any concerns about how your information is managed at the GP, please contact the GP Practice Manager or the Data Protection Officer as above. If you are still unhappy following a review by the GP practice, you have a right to lodge a complaint with a supervisory authority: You have a right to complain to the UK supervisory Authority as below.
Tel: 01625 545745
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 Data Protection Officer.
If you would like to know more about your rights in respect of the personal data we hold about you, please contact the Data Protection Officer as below.
Data Protection Officer:
The Practice Data Protection Officer is Paul Couldrey of PCIG Consulting Limited. Any queries in regard to Data Protection issues should be addressed to him at: -
Postal: PCIG Consulting Limited
7 Westacre Drive
It is important to point out that we may amend this Privacy Notice from time to time. If you are dissatisfied with any aspect of our Privacy Notice, please contact the Practice Data Protection Officer.
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
The HSCIC Guide to Confidentiality gives more information on the rules around information sharing : http://content.digital.nhs.uk/media/12822/Guide-to-confidentiality-in-health-and-social-care/pdf/HSCIC-guide-to-confidentiality.pdf
An independent review of information about patients is shared across the health and care system led by Dame Fiona Caldicott was conducted in 2012. The report, Information: To share or not to share? The Information Governance Review, be found at: https://www.gov.uk/government/publications/the-information-governance-review
NHS England – Data Services for Commissioners provides further information about the data flowing within the NHS to support commissioning. https://www.england.nhs.uk/ourwork/tsd/data-services/
Please visit the Health and Social Care Information Centre’s website for further information about their work. Information about their responsibility for collecting data from across the health and social care system can be found at: http://www.hscic.gov.uk/collectingdata
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 https://ico.org.uk/.
You can also print a 'How We Use Your Health Records Leaflet' by clicking here.
CHURCH FARM COFFEE MORNING
Coffee morning for patients & carers of
Jessop Medical Practice & Ivy Grove Surgery
Thursday 13th September 2018
10am – 12pm
Church Farm Primary Care Centre, Steeple Drive, Ripley, DE5 3TH
SHARING YOUR INFORMATION WITH HEALTH AND SOCIAL CARE PROFESSIONALS
Helping Everyone Give You The Best Possible Care
Sharing your Information
Your health and social care records contain important information about you.
We’ll always keep your information safe and never sell it or pass it on.
And making that information available to health and social care staff involved in your care means everyone can work together to give you the best support we can.
What does this Information Contain?
This information might be details of your appointments, assessments, medications, or anything that would help a health or social care professional to support you. It’s a good idea for everyone to make that information available in case they need care or help in an emergency – particularly people with certain health conditions or illnesses.
Professionals can Provide Better Care...
…and work more effectively and efficiently if relevant information about you can be shared among agencies providing your support.
Sharing your records means health and social care workers have your most up to date information. It also means you don’t have to repeatedly provide the same facts, have unnecessary tests and it would prevent you being given drugs that you’re allergic to.
If you have Chosen not to Opt Out...
Information held on your records may be securely shared with appropriate professionals who are working with you to provide support, so your information is available when it is needed most.
However, health and social care professionals will still ask for your explicit consent to view certain information when treating and supporting you, which means that you are always presented with an option to agree or disagree.
YOU CAN BE SURE THAT...
- Systems hold your information safely and securely.
- Staff are trained in the importance of handling your information confidentially.
- Access to your records on systems can be restricted if they are sensitive or private, which means they will not be visible in another care setting.
- Information is only shared with organisations that have the necessary accredited systems and processes that ensure confidential information is protected.
- Your information is not sold, or passed on, to organisations for commercial or marketing purposes.
- You can decide what information is not to be shared between professionals or organisations.
For further information about this, please visit https://derbyshirehealthcarerecords.org.uk/
Patient Participation Group
Your Voice Counts!
Come and join us at our next meeting on ..... TBC
Jessop Medical Practice will be Closed
We are CLOSED for training on the following Wednesday afternoons:
11th July 2018
15th August 2018
12th September 2018
17th October 2018
14th November 2018
If you need to see a doctor in this time please dial 111
AAA SCREENING PROMOTIONAL ARTICLE
Abdominal Aortic Aneurysm
Men urged to avoid ‘Silent Killer’
Men are being urged to attend one of the newest NHS Screening Programmes. The Abdominal Aortic Aneurysm (AAA) Screening Programme is aimed solely at men who are aged 65 years and over. Men who are in their 65th year will automatically be invited to a screening clinic near to them, but those who are aged 66 and over can self-refer onto the Programme. All that is involved is a free one-off, painless 10 minute ultrasound scan of the abdomen with the results given at the end of the scan.
The aorta is the main blood vessel that supplies blood to your body. It runs from your heart down through your chest and abdomen. In some people, as they get older, the wall of the aorta in the abdomen can become weak. It can then start to expand and form an abdominal aortic aneurysm (AAA). Large aneurysms can be serious. As the wall of the aorta stretches it becomes weaker and can burst (rupture) which can lead to death. The condition is most common in men aged 65 and over, with around 1 in 70 men who are screened having a AAA. Research has demonstrated that offering men ultrasound screening in their 65th year could reduce the rate of premature death from ruptured AAA’s by up to 50%.
The programme is based at the Royal Derby Hospital but all clinics are community-based and we hold clinics at 31 locations throughout the whole of Derbyshire mainly at GP practices, including the Ivy Grove Surgery and Health Centres. Last year we invited 5900 men in their 65th year of which on average 87% attended.
Men who are born prior to the 1st April 1947 and wishing to be screened can contact us 01332 789859 or email us at dhft.AAAScreening@nhs.net
Stay Safe & Well In The Cold Weather
With sub-zero temperatures travelling is becoming difficult for many, so residents should think about how they could best access any healthcare they need. The best option may be to stay at home to recover, to visit a pharmacy for treatment, use a walk-in or urgent care centre, or to call NHS 111 for advice and signposting to a healthcare service.
More often than not self-care is the only treatment you need for minor ailments, such as headaches, colds and flu, or minor injuries like muscle pulls and strains.
The cold weather is a killer and can take its toll on your body, particularly if you are more susceptible to illness because you are elderly or have a long-term medical condition. So, we are urging the most vulnerable to take a few simple precautions to protect themselves from the cold – as it could save their life:
- Keep yourself warm in and outdoors.
- If you suffer from a long-term medical condition, are pregnant, or over 65 make sure you book an appointment to have your flu jab.
- If you take regular medications, make sure you have sufficient supplies and remedies to treat yourself when you are becoming unwell. Ensure that you have access to help and support when you may need it.
- People should think about how the bad weather may affect friends and family, particularly if they are older or very young or have pre-existing health conditions. These groups can be particularly vulnerable to the ill-effects of cold so think now what you could do to help.
It only takes a few simple measures to protect yourself and your family from winter-related illnesses and incidents. People can keep warm and healthy by following our five top tips.
- Heat your home well by setting your heating to the right temperature (between 18-21ºC). If you feel cold at night, use a hot water bottle or electric blanket – but never use both together. It is especially important if you’re at home all day.
- Eat well and have plenty of fluids. Food and water are vital sources of energy, and they help keep your body warm. Try to make sure you and your family have hot meals and drinks regularly throughout the day.
- Get a flu jab. You can get free flu jabs to protect against seasonal flu from your GP or local pharmacy if you are over 65, pregnant, or have a long-term condition.
- Look after yourself and others. On cold days try to avoid going outside. However, if you do need to go out, remember to wrap up warm and take care on slippery surfaces. If you have an older neighbour or relative, look out for them during the winter to make sure they are safe and well.
- Keep your medicine cabinet well stocked. If you’re on medication, make sure you get your repeat prescriptions in time so you don’t run out. If you haven’t already, talk to your GP practice about registering for Patient Online. Simply complete the paperwork and you’ll be able to request repeat prescriptions online as well as make GP appointments. Check to make sure you have enough over the counter remedies for coughs and colds so you don’t need to leave home unless you have to.
For more winter health advice:
Sign up to the NHS Choices newsletter (see the latest example here). It’s packed full of useful advice for staying healthy in cold weather.
Read Met Office advice for when travelling during heavy snow and on icy roads.
Visit the Health A-Z section on the NHS Choices website, or download Self Care Forum's fact sheets from their website for advice on how to treat minor illnesses.
If your injury is not serious, you can get help from a Minor Injuries Unit (MIU), rather than going to an A&E department. Minor Injuries Units can treat sprains and strains, broken bones, wound infections, minor burns and scalds, minor head injuries, insect and animal bites, minor eye injuries, injuries to the back, shoulders and chest.
There are nearby MIUs at Ripley Community Hospital and Ilkeston Community Hospital and no appointment is normally necessary as they offer a walk in service.
In addition, Jessop Medical Practice also offer a limited minor injuries service.
We are able to treat minor injuries that may not be suitable for normal domestic first aid and these include things such as
- Bad bruises
- Minor head injuries (where there has been no loss of consciousness.
Please remember this is not a walk in service and is strictly subject to appointment availability
"Pharmacy First" Minor Ailment Scheme
'Everyone can go to their pharmacist for free advice or to buy a medication for a minor ailment.
Your pharmacist can also help you decide whether you need to see a doctor or if self treatment is enough. They may suggest a treatment that you can purchase from the pharmacy or receive for free through the ‘Pharmacy First‘ scheme if you qualify*. Most pharmacies are open throughout the day and there are some that are also open until midnight and at weekends.
If you qualify for free prescriptions you could receive free treatment from your local participating community pharmacist for the following conditions without having to see your GP;
*Qualification for free medication through ‘Pharmacy First’ is subject to pharmacy participation and if the patient qualifies for free NHS prescriptions.'
PATIENT AND INFORMATION - Statement of Intent
Accessible Information Standard
How Do You Communicate?
Do you need information in a different format?
Tell us today, please ask at reception for further information
Access to Medical Records
Patients can now access their Summary Care Record information via the website. The Practice uploads any changes to a patient’s summary information to the Summary Care Record at least on a daily basis. If you do not want a Summary Care Record then please ask at reception for an opt out form.
Access to Full Medical Record
In line with new contractual requirements, the Practice has worked with its clinical supplier to provide our patients with access to their full medical record. This service is now available and to access the service please attend reception at either surgery in order to complete the relevant paperwork. To ensure this service is secure, and the interests of our patients are safeguarded, proof of identification will be required so please bring this with you. Thank you.
A Practice leaflet, patient Access to Online GP Electronic Health Records has been produced to give patients further information. Should you wish to access this service then please complete the Consent Form for Access to Online Medical Record and hand it in to reception at either surgery. Please note that you can complete the form beforehand but you must sign it in the presence of a receptionist and bring in form of ID (photo evidence required i.e. passport, driving license) Alternatively, please ask reception for the relevant leaflet and forms or for more information.
From April 1st 2015, as part of GP contract changes, all patients are required to have a named GP. In this practice, all patients have already been informed of this by letter. The named GP will take lead responsibility for ensuring that all appropriate services are delivered to the patient. Please note that the named GP will not be the only doctor that ever sees the patient, as patients are free to see whichever doctor they wish.
GP2GP is an on-line facility to transfer patient records between GP practices.
This practice uses the GP2GP facility for all transfers of patient records unless there is an issue with the receiving practice’s computer system which does not allow or provide such transfers.
The Practice is committed to working with NHS England and system suppliers as new functionality is introduced to other GP systems, to enable the introduction of GP2GP across the whole estate.
The Practice clinical system is fully compliant with GP2GP.
On-line Appointment Booking Ordering Repeat Prescriptions
Patients can already book and cancel appointments on-line and they are able to order repeat prescriptions on-line.
The Practice is committed to further increasing these facilities and will liaise with the Practice Patient Participation Group.
In order to register for these services please ask at reception at either surgery.
The Practice routinely uses the NHS Number as the Primary Identifier in all NHS Clinical correspondence, including all referrals to other services, whether in electronic or other format, except in exceptional circumstances where the number cannot be ascertained.
QUERIES AND FURTHER INFORMATION
If you have any queries about any of the on-line facilities then please ask at reception. If you have any feedback then please use either the website: jessopmedicalpractice.co.uk or the Patient Participation suggestion box situated in both waiting rooms, or please let reception know. Thank you.