Doctors fees, complaints and Out of Hours Service
The fees charged by doctors in general practice in Jersey vary greatly. Doctors surgeries are private practices so can charge what they wish.
A deduction is given to people who hold a Health Card, i.e. people who have lived in Jersey for a period of a least six months. The amount of the reduction is £20 and it will have been taken off at the time you pay your bill.
Health Access Scheme
Households in receipt of Income Support are automatically entitled to reduced fees through the Health Access Scheme.
Complaints regarding fees
With so many different fees being charged from practice to practice, or even doctor to doctor, there will be times when a patient may wish to question their bill. Patients can ask for a breakdown and negotiate fees they feel are unreasonable. Advice can be sought from Trading Standards.
Complaints about conduct
In Jersey, patients do not have an automatic right to see their handwritten medical notes. The General Medical Council, however, advises that patients have a right to information about any condition or disease from which they are suffering which should be given to them in a manner easy to follow and include information about diagnosis, prognosis, treatment options, common and serious side effects of treatment, likely timescale of treatments and costs if relevant.
Medical records come under the Data Protection (Jersey) Law 2018 and patients do have the right to see what is about them. Doctors would need to make a good case to the Data Protection Commissioner as to why the notes should not be seen by the patient.
Patients’ notes are legally the property of the GP. If a patient changes from one GP practice to another, in general, the practice will cooperate in passing on the patient’s records or summaries of records. It is the duty of a doctor, if a patient does change practice, to hand over records or other information for use by the new doctor as soon as possible. Doctors may legally keep notes when a patient changes practice.
Confidentiality and the sharing of information
Patients have a right to expect that information about them will be held in confidence by their doctors. However, where patients have agreed to treatment, express consent is not usually needed before relevant personal information is shared to allow the treatment to be provided.
For example, express consent would not be needed before a doctor gives information so that a colleague can type a referral letter. Patients should be made aware that personal information about them will be shared within the health care team unless they object. The wishes of the patient who objects to their information being shared with others providing care, except where this would put others at risk of death or serious harm, should be respected.
Visitors to Jersey
Visitors will need to pay the full cost of any GP appointments and prescriptions if required.
Out of Hours Service at the General Hospital
The GP Co-op Out of Hours Service provides the following:
- a visiting GP arrangement for 7 nights per week
- an out of hours surgery at the General Hospital, Ground Floor, Gwyneth Huelin Wing, 7 evenings per week, between 7pm and 11pm and Sunday, 8am to 11pm
You need to book to use the surgery and you can only book if you are a patient of one of the GP practices which takes part.
The above services also run on public and bank holidays, except Christmas Day where an emergency service will be provided. Patients should call their GP’s surgery telephone number to make an appointment.
Calls made after 11pm are answered by the Ambulance Service who pass them on to the GP on call.
GP Co-op costs
For a consultation with a GP at the hospital, a resident with a health card pays £59 and a visitor or seasonal worker pays £79
Telephone advice is free: +441534445445
GP Practices who are not part of the Co-op arrangement
Bookings will not be accepted by patients of practices who are not part of the group. Patients of those other practices should discuss their health care options with their GP practice under their own practice arrangements.