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Patient Leaflets and Forms

Self-Referrals

Congratulations on discovering you are pregnant! It is key that you access Antenatal Services as soon as possible.

There are four local hospitals which offer maternity services. Two of which, Queen Elizabeth Hospital in Woolwich and Lewisham Hospital, are now a single Trust and share a  common referral process.

All four hospitals accept and encourage self-referral by pregnant women and details on how to self-refer are set out below.

Lewisham & Greenwich Trust

This is for both Queen Elizabeth Hospital, Woolwich, and Lewisham Hospital. You can contact the maternity referral service on 0778-784-1986  and the self-referral form  by clicking here. Further information on the service is available here.

Princess Royal, Farnborough

The self-referral form is available here and further  information is available on the hospital website.

Dartford & Gravesham NHS Trust

This includes Darent Valley Hospital and the Trust also has an online self-referral form.

Other Information

Named GP

All patients have a named GP who is responsible for co-ordinating their care. The doctor's name should appear in the white box at the bottom of your prescription but, if in doubt, ask at reception who your named GP is. Patients remain free to see any doctor or nurse of their choice.

Data Sharing in the NHS

Summary Care Record

This is an electronic health record that can be accessed when you need urgent treatment from somebody other than the practice (i.e., the hospital). The record contains key information about the medicines you take, allergies you suffer from and any bad reactions to medicines you may have had in the past. It may be possible to add further information if you wish.

The default setting is that patients automatically have a Summary Care Record unless they opt out of having it. You can always change your mind, just write to us to let us know.

To opt out, please either write to the practice requesting to opt out of the Summary Care Record or fill in the SCR Opt Out Form below.

Connect Care

This is a new system of local electronic records administered by Lewisham & Greenwich Trust which comprises Queen Elizabeth and Lewisham Hospitals. It should enable the practice, hospital and, in time, District Nurses to share information in a more timely fashion. Further information is available here and a patient leaflet about Connect Care is available below. An Opt-Out Form is also available below. However, please note that because the system is administered by Lewisham & Greenwich Trust, should you wish to opt out, you will need to contact the Connect Care Team there.

Forms and Leaflets for Patients to Download

Summary Care Record Opt-Out Form

Summary Care Record Leaflet

Connect Care Patient Leaflet

Connect Care Opt-Out Form

Carer's Access to Medical Records

Carer's Form

Your Neighbourhood Professionals. Just a Click Away! Burnett Hodd & Jenkins Ltd
Your Neighbourhood Professionals. Just a Click Away! Burnett Hodd & Jenkins Ltd