Practice Updates

14th Jun

General Practice Data for Planning and Research: GP Practice Privacy Notice

How is your data being used?

NHS Digital have gathered all the information you need to know about the General Practice Data for Planning and Research collection that will be happening from the 1st September 2021. This data collection will include information regarding your sex, ethnicity, and sexual orientation, as well as any clinical data about you. 

What will not be included is information such as your name, or address (except your postcode in a unique coded form), as well as any images, letters, documents, or outdated data that is held by your practice. An example of this would be any medication, referral, or appointment data that is over 10 years old.

By law, we are not permitted to share certain information, such as certain codes in relation to IVF treatment or gender reassignment, and so these will not be collected.

For more information regarding the data collection, please follow the link below.

General Practice Data for Planning and Research: GP Practice Privacy Notice - NHS Digital

Here you will find detailed information on how your data will be used, as well as how to opt-out as is your right to do so. You will also be able to read about the legal basis for sharing data under the Health and Social Care Act 2012.

9th Jun

NHS Emergency Steroid Card

Dear patients,

Churchfields Surgery would like to draw your attention to the recent safety alert on the new NHS Steroid Emergency Card. In August 2020, a joint National Patient Safety Alert was issued regarding the early recognition and treatment of adrenal crisis in adults.

All patients with primary adrenal insufficiency are steroid dependent. In addition, some patients who take oral, inhaled, or topical steroids for other medical conditions may develop secondary adrenal insufficiency and become steroid dependent. The latter includes:

Patients taking oral prednisolone ≥5mg/day, dexamethasone ≥0.5mg/day, or hydrocortisone ≥15mg/day for 4 weeks or longer.
Patients taking inhaled beclometasone >100mcg/day, or fluticasone >500mcg/day (or equivilant).
Patients taking nasal steroids >1000mcg/day
Patients taking oral prednisolone >40mg (or equivalent) for longer than 1 week, or those who have repeated short courses of oral steroids.
Patients taking a course of oral glucocorticoid within 1 year of stopping long-term therapy.

You have received this information as you fit within the above criteria and should retain a copy of the new NHS Steroid Emergency Card. You can view, download, and print an electronic version of the new card from the Society for Endocrinology. Physical copies of the card are available to collect from local community pharmacies should you be unable to print your own.

The omission of steroids for patients with primary or secondary adrenal insufficiency can lead to adrenal crisis; a rare medical emergency which can be fatal if left untreated. If these patients become acutely ill or are subject to major body stressors, such as from trauma or surgery, they require higher doses of steroids to prevent an adrenal crisis.

We would like to highlight the occurrence of adrenal crisis is relatively uncommon and medical staff are not always aware of the risk of adrenal crisis, or the correct clinical response should one occur. Presenting your new NHS Steroid Emergency Card to medical staff can flag up your risks of an adrenal crisis and sets out the initial steps for managing it.

Patients at risks of adrenal insufficiency usually require their usual steroid dose to be increased at times of stress, intercurrent illness and surgical procedures. We advise patients at risk of primary and secondary adrenal insufficiency (steroid dependent) to ask their GP, clinical practitioner, or specialist team for advice on 'sick day rules' to increase their oral glucocorticoid should they become unwell. An easy read patient information leaflet on 'Sick Day' rules is available here.

Please do not hesitate to contact us if you require further clarification.