non-nhs fees and charges protocol, posters and patient 非nhs收费协议，海报和病人

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1、FieldRoadSurgeryNon-NHSFeesandChargesProtocol,PostersandPatientAgreementFormsDocumentControlA.ConfidentialityNoticeThisdocumentandtheinformationcontainedthereinisthepropertyofFieldRoadSurgery.Thisdocumentcontainsinformationthatisprivileged,confidentialorotherw

2、iseprotectedfromdisclosure.Itmustnotbeusedby,oritscontentsreproducedorotherwisecopiedordisclosedwithoutthepriorconsentinwritingfromFieldRoadSurgery.B.DocumentDetailsClassification:AuthorandRole:DrSSaleemGPOrganisation:FieldRoadSurgeryDocumentReference:CurrentV

3、ersionNumber:CurrentDocumentApprovedBy:DateApproved:17/5/13C.DocumentRevisionandApprovalHistoryVersionDateVersionCreatedBy:VersionApprovedBy:CommentsDoc.Ref–Version–Filename:Non-NHSFeesandChargesProtocol,PostersandPatientAgreementFormsPage11of11ContentsPage3-I

4、ntroductionProtocolPage4-PrivateFees&ChargesPoster-CertificatesPage5-PrivateFees&ChargesPoster-ReportsPage6-PrivateFees&ChargesPoster–MedicalExaminationsPage7-PrivateFees&ChargesPoster-ImmunisationsPage8-PatientServicesChargesAgreement-CertificatesPage9-Patien

5、tServicesChargesAgreement-ReportsPage10-PatientServicesChargesAgreement–MedicalExaminationsPage11-PatientServicesChargesAgreement-ImmunisationsDoc.Ref–Version–Filename:Non-NHSFeesandChargesProtocol,PostersandPatientAgreementFormsPage11of11IntroductionNotallser

6、vicesatthePracticeareavailabletopatientsundertheNHS.Therearefourcategoriesofservicescategorisedas“NON-NHS”whicharelistedonfourA4postersonpages4-7,andonpatientagreementformsonpages8-11.TheseservicesgenerallyincuraprivatefeepayabletothePractice.Patientaccesstome

7、dicalrecordsrequestsandchargesaredealtwithunderaseparatepolicy.See“PatientAccesstoMedicalRecordsPolicyandRequestForm”.ProtocolWherepatientsrequestaNON-NHSservicetobeprovided,thefollowingproceduremustbefollowedbyALLPracticeStaff:1.Advisethepatientthattheservice

8、requestedisNON-NHS,andthataprivatefeeisthereforepayable.VerifytheFeepayableusingtherelevantPosterServiceCategory–seePages4–7.2.Confirmthatthisisacceptabletothepatientandverifythatt