Practice Charter

The Milton Surgery Charter

Patient Responsibilities

Treat all of our staff with courtesy and respect.

  • Advise us of changes in names and addresses.
  • Do not be late for your appointment and Inform us as soon as possible if you are unable to keep your appointment.
  • Remember to allow 48 hours for a repeat prescription and to send us your request with ticks against only the items you require.
  • Do not ask for a home visit unless it is essential.
  • Do not expect the doctor to deal with a long list of health problems or see two members of your family when you have only booked one appointment – if you require a longer appointment please ask when booking the appointment.
  • Keep your telephone calls short, and make non-urgent calls in the afternoon. Calls to find out the results of tests should be made after 3.30pm.
  • Speak to a member of staff if you wish to see your medical records. A fee may be payable.
  • You are responsible for your own health and that of your children. Please act on the advice given by the surgery.
  • Where an appointment or acknowledgement of a routine referral for a hospital appointment is not received within six weeks please contact the surgery.


GP Responsibilities

  • You will be treated as an individual with courtesy and respect at all times. You have the right to confidentiality.
  • Your religious and cultural beliefs will be honoured where they are known.
  • You have a right to information about your own health (illness, treatment, possible side effects, prevention or recurring illness etc).
  • We will offer medical advice and information for promotion of good health.
  • You have the right to see your own medical records subject to the limitations of the law. A charge may be made.
  • Home visits will be made when requested and if the doctor feels that you are not well enough to attend the surgery. The final decision rests with the doctor.
  • We may tell you your test results when you telephone the surgery, or you may be asked to make an appointment to discuss them with the doctor.
  • If your doctor believes that you need a second opinion, then this will be arranged.
  •  Routine referral letters for hospital appointments will normally be sent within three working days of the referral being agreed with the doctor. Urgent referrals may be faxed, telephoned or provided as a handwritten note for the patient to take to hospital.
  • Whenever possible the telephone will be answered promptly.

Protecting Your Information

The health professionals caring for you keep records about your health and the treatment you receive. This information is used to help them decide the best possible care and treatment for you. Everyone working for the NHS has a legal duty to maintain the highest level of confidentiality. Generally, your records will only be seen by those involved in providing or administering your care. A few administrative processes require information that may identify you. We will share relevant information about you with
other Health care organisations treating you. We will talk to you before information is shared to ensure that we act with your consent. If you are unable to give your consent for any reason, we will only share information where it is clearly in your best interest to
do so. To help us keep our records accurate and up to date please advise us of any changes to your personal information such as name or contact details.

If you want to know more please refer to the leaflet held in reception entitled "Your Health Record, Protecting Your Information" or talk to a member of our staff.

Patient Records

Under the Data Protection Act 1998 you are entitled to access your clinical records or other personal information. To do so please contact the practice manager.

Freedom Of Information - Publication Scheme

The Freedom of Information Act 2000 obliges the practice to produce a Publication Scheme. A Publication Scheme is a guide to the ‘classes’ of information the practice intends to routinely make available. This document is part of this scheme. The full scheme is available from reception.

Publication of Practice Earnings

The General Medical Services (GMS) contract is the contract between general practices and NHS England for delivering NHS primary care services to patients.

Staff Protection

Staff, doctors and nurses have the right to work in an environment free from violent, threatening and abusive behaviour; a policy of zero tolerance for such behaviour is in place throughout the National Health Service.

Violent, threatening or abusive behaviour will not be tolerated in the surgery. If you do not respect the rights of the doctors, nurses staff and other patients we may inform the police and will make arrangements for you to be removed from our medical list.

Violent patients will be obliged to obtain access to medical services through a specialist unit in Bristol.

Medical Services Contract

The practice has a Personal Medical Services contract with NHS England. Details of Primary medical services in the area can be obtained from them at Primary Care Commissioning, NHS England, Bristol, North Somerset, Somerset and South Gloucestershire Area Team Address: Commissioning - 4th Floor, South Plaza, Marlborough Street, Bristol, BS1 3NX. NHS England also commission us for some services additional to our PMS contract.

We also provide other services in the surgery which are commissioned NHS North Somerset Clinical Commissioning Group or North Somerset County Council. Details of the services they commission can be obtained from them by writing to them at:
PO Box 247, Castlewood, Tickenham Road, Clevedon, BS21 9BH.

We also have arrangements for certain NHS services contracted by these three commissioners to operate from surgery premises during core hours. If you have any doubts about who commissions any particular service, please contact the reception team who will try their best to answer your queries NHS North Somerset also commission the “Out of Hours” services provided outside of core surgery hours.