Martlesham Heath Surgery

Version 3.0 Date published: November 2017 Martlesham Heath Surgery

23 The Square, Martlesham Heath, Suffolk IP5 3SL. Tel: 01473-610028 Fax: 01473-610791 Web site: www.mhdoctors.co.uk

NEW PATIENT REGISTRATION

INTRODUCTION Patient registration is determined by the provisions of the practice GMS or PMS contract and terms of service. Where a Practice has an “Open List” it is required to accept the registration of a new patient unless it has fair and reasonable grounds for not doing so. Practices are assumed to have open lists unless they have complied with the procedures for list closure as detailed in the General Medical Services Contracts Regulations. There is the facility to have a “Full” list which is not officially closed, for example where staffing difficulties result in suspension of registrations being necessary.

NEW PATIENT ACCEPTANCE / REFUSAL New patients must submit a New Patient Registration/Health Questionnaire. The Practice will accept patients onto its list whilst it remains “Open”. If the list is closed, the Practice will only accept registrations of immediate family members of patients who are already registered and only if such relatives reside permanently at the registered patient’s address. Patients will not be unreasonably refused registration, and “unreasonable” includes refusal based on:  Medical condition  Race  Gender or sexual orientation  Disability  Age  Religious group or religious beliefs  Political beliefs  Appearance or lifestyle The Practice will however refuse registration if:  The list is officially “Closed” (see above)  The patient resides out of the publicised Practice area The Practice will normally refuse registration (subject to a Partners’ discussion and agreement) if:  The patient has been previously removed from the list  The patient has a known history of violence

Procedure for New Patient Registration & Health Check

When you have completed and returned the forms, the practice will send your details to NHS England who will then transfer your medical records to your new practice and write to you to confirm your registration as a patient with that practice.

Parents or guardians can register a baby at this practice by completing our application forms and presenting them with form FP58 which is issued at the same time as a birth certificate.

We ask for proof of identity when you register, especially when you register children in your care. This is used to check your details match with the information held on the NHS central patient registry and that your previous medical notes are passed on to the new practice.

However, you will not be refused registration or appointments because you don’t have a proof of address or personal identification at hand.

The receptionist will ask you if you would like to make an appointment for a new patient check, if you are on regular medication this is an opportunity to have your medication added to the system. Please bring a urine sample to this appointment.

Policies & Procedures / Patients Version 3.0 Date published: November 2017 M a r t l e s h a m H e a t h S u r g e r y

23 The Square, Martlesham Heath, Suffolk IP5 3SL. Tel: 01473-610028 Fax: 01473-610791 Web site: www.mhdoctors.co.uk

NEW PATIENT REGISTRATION APPLICATION – FOR CHILDREN AND BABIES

Surname: First name(s): Date of Birth: Male Female Age Place of Birth: NHS No: Address: Post Code: Next of kin: Telephone No: Mobile No:

Does your child suffer from any illness? If yes, which illness and what was the date of onset?

Have any close members suffered from any of these illnesses: Asthma Yes No Cancer Yes No Hypertension Yes No Stroke Yes No Diabetes Yes No Epilepsy Yes No Hypothyroidism Yes No COPD Yes No Ischaemic Heart Disease Yes No Coronary Heart Disease Yes No Their relationship to your child

Please list any other illnesses that run in your family

Does your child suffer from any allergies? If yes, which allergies and what was the date of onset?

Are your child’s immunisations up to date? Yes No Yes No What date were they given?

PLEASE LIST ALL THE MEDICATION YOUR CHILD IS CURRENTLY TAKING

Any other relevant information:

OFFICE USE ONLY Was proof of identify seen YES NO If YES detail what was seen

If NO state reason

Other Information given

Policies & Procedures / Patients