Healthtech-1

This page gives you a breakdown of the information we collect that will likely be of most interest to your practice.

There are two parts of the form the patients complete the 🌱Core form and 💊Medical form.

- Patient details 
 - Ethnicity 
 - Religion
 - Sexual orientation 
 - First arrival into the UK

- Children section (if applicable)
 - Lives with guardian 
 - Has a social worker
 - Is Fostered
- Current Address 
 - Postcode
 - County
 - Nursing home
- Contact details
 - Preferred contact method 
 - Consent for non medical contact
 - PPG attendance 
- Previous details
 - Previous names
 - Has moved
 - Previous GP
- Emergency contact 
 - Is patient already
 - Lives with patient
 - Can discuss records

- Conditions 
- Disabilities 
- Alcohol
- Smoking
- Exercise Frequency 
- Allergy

✨ Our form completion experience is consistently receiving a satisfaction rating of 4.83/5 ✨

* Patient data preferences can only be updated if they have an English NHS number. Patients will be notified of this during their registration. 

🎤 Information we collect from patients

020 3856 7772

support@healthtech1.uk

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	Specific Questions
Category	Questions	Coded?
🧍🏽‍♀️Gender and Sexuality	How would you describe your gender identity? Is your gender identity the same as the sex you were registered at birth? What's your sexual orientation?	Coded
📣 Language	Do you need an interpreter? Which language do you need translation for?	Coded
🙏🏽 Religion	What is your religion?	Coded
👶 Child Safeguarding (only for u18)	Is the patient a fostered child? Does the child also live with the person with parental responsibility? What is their relationship to child? Requests DOB Requests address Do the patient have a social worker? What is the social worker's full name? What is the social workers contact number? What is their email?	Coded
🏠 Care home	Do you live in a residential care home or a nursing home?	Coded
🛡Armed Forces	Have you been registered with an Armed Forces GP before? What role were you registered as? What is your enlistment date?	Coded
☝️Special circumstances	Do any of the following circumstances apply to you: I am a refugee I am an asylum seeker (to be completed)	To be coded soon
🇬🇧 Living/ Moving to the UK	Are you coming back from living abroad? When did you leave the UK? When did you return to the UK? Were you born in England? Where were you born? When did you first come to live in the UK?	updated/ coded
😷 Long Term Illnesses	Do you have any of the following long term conditions?	Not Coded
💊 Repeat medication	Do you have any repeat prescription medication?	Not Coded
📝 Summary Care Record Consent*	Would you like to share a summary of your GP care record (SCR) with authorised care professionals? For example, NHS 111, 999 and Accident & Emergency departments.	Coded
📞 Preferred Method of Contact	What's the best way to contact you when it comes to your medical circumstances?	Coded

🌱Core form sections

💊Medical form sections

Specific Questions