Patient terms and conditions

Please read these terms and conditions carefully; they set out the basis upon which you will be provided with treatment at a GenesisCare centre.

The content of this page forms part of the terms and conditions of registration, a summary of which is printed on the reverse of the GenesisCare registration form. We ask you to sign the registration form prior to treatment at any GenesisCare treatment centre.

Signing the registration form confirms that you undertake ultimate responsibility for your treatment charges, whether you are insured, sponsored or self-funding, and that you agree we can use information about you within the limitations of relevant data protection legislation.

You should sign and return the registration form in advance of attendance or at the time of your initial registration.

When you arrive at one of our treatment centres we would like to ensure that you have no concerns about:

  • The arrangements made for settling your account
  • The way we will handle information about you, both to support your treatment and to settle your account

We urge you to consider such matters now, before you attend one of our centres. This document is provided in advance of any treatment that you may receive at GenesisCare and please ask us if there is something that you would like explained further; prior to signing the registration form.

Any private medical insurance or sponsorship arrangement will be between you and your insurer or sponsor.

Your care

A patient is under the care and control of his or her consultant who may also involve other doctors in the patient’s treatment if appropriate.

GenesisCare staff provide care and treatment under your consultants’ instructions.

Your consultant is an independent practitioner and is not employed by GenesisCare and will normally invoice you separately for his or her services. GenesisCare will not be liable for any act or omission of any consultant (or the company or partnership that employs or engages the consultants). Your consultant shall be responsible for the care he/she gives you.

Your consultant is responsible for arranging consent for your treatment and this will be completed as part of your consultation with them.

A patient is responsible for ensuring that they give us accurate and timely information about their health so that appropriate care can be delivered throughout.

The law and your liability

For the purposes of this document “centre” shall mean any treatment centre owned by GenesisCare. Unless otherwise stated, the contract is between the centre providing the services and the patient.

The contract shall be governed by and construed in accordance with English Law and the English Courts shall have non-exclusive jurisdiction to settle any dispute arising out of the contract.

Separate contracts will usually exist between the patient and the consultant(s) and where applicable between the patient and his/her sponsor or insurer.

The patient’s representative’s or guarantor’s signature confirms acceptance of the terms and conditions of registration contained in the “Registration Form” and this booklet.

The patient is liable for all personal expenses and any charges not settled by an insurer or sponsor. If there are delays in settlement, there may be penalties, for example the charging of interest for which the patient will be liable.

Interest may be charged at the rate of 8% per annum, calculated from the invoice date, on all accounts where credit has not been granted and there are delays in payment.

Any further collection costs incurred by the centre (including fees billed by collection agencies and solicitors) will be added to the final amount payable

Payment responsibilities

Patients with UK medical insurance

You agree to pay for your treatment. Whilst you will remain responsible for the payment of your treatment, where you have private medical insurance we will, where possible, process the insurance claim for your treatment with your insurer, provided you have given us and your insurer all the information we and your insurer need to do so. It is the patient or their representative’s responsibility to ensure cover is adequate to pay for treatment. The patient/representative must contact their insurance company prior to treatment in order to check cover and the terms of the policy.

The authorisations team and centre will process insurance claims directly with approved insurers on the patient’s behalf, if the patient has provided claim details. It is the patient’s/representative’s responsibility to verify with the insurer that the condition to be treated and proposed treatment plan is covered by the insurance. The authorisations team and centre are not responsible for this verification, but will aim to assist wherever possible.

Where we process your insurance claim and your insurer pays us direct, the rate agreed between GenesisCare and your insurer will apply to your treatment. If you pay for your treatment and subsequently seek reimbursement from an insurer, we will invoice the respective insurer at the agreed rates. Once funds have been received from the insurer for the complete treatment episode, a refund will be provided to the patient for any payment that has been received for the same treatment episode.

Insufficient documentation will prevent direct settlement and will result in the account being treated as self-funding. Any shortfalls in benefit are the patient’s or their representative’s responsibility. All insured patients will be asked to complete a credit card mandate form. No payment will be taken until the finance team have received notification of any shortfall amount. Patients will be contacted before any payments are taken and will also be sent a statement confirming the shortfall balance. A statement should also be sent to patients by the insurer.

In all circumstances, responsibility for payment of centre accounts rests ultimately with the patient. Should any sponsorship or guarantee fail, or insurance claim be declined in whole or in part, the patient will be required to pay the outstanding balance in full. In this instance an invoice would be raised and posted to the patient’s home address along with details of how to make payment.

Pre-authorisation

Most private medical insurance companies require claims to be authorised before a patient may be treated at a private facility.

If confirmation of cover cannot be obtained by the time of registration, you will be asked to either self-fund or defer treatment until authorisation has been received.

Private medical insurance does sometimes have exclusions, this may be due to a previous medical condition or to a general exclusion within your policy. It is always wise to check for any exclusion or benefit limits before commencement of treatment.

Claim forms

Please bring all appropriate registration documents, pre-authorisation statements or a claim form with you, as directed by your insurer. Again we strongly recommend that you obtain clarification of the cover provided under your policy.

Six-week clause

Some insurance policies contain a six-week clause, which permits private medical attention only if you cannot be seen by an NHS hospital within six weeks; it is imperative that the patient discusses this with their consultant and insurance company before the planned treatment date.

Direct settlement, shortfalls and exclusions

The claim form must be completed by the patient or their representative and forwarded to the consultant or GP arranging treatment.

GenesisCare has direct settlement arrangements with many UK insurance companies. While we will invoice an insurance company directly on behalf of a patient, it remains the responsibility of the patient to ensure that claims are processed promptly. Should the insurer decline or delay payment for any part of the treatment, we will invoice the patient for immediate settlement. In this instance an invoice would be raised and posted to the patient’s home address along with details of how to make payment.

International policies

GenesisCare has agreements with a limited number of insurances that offer international cover. If no agreement is in place, the patient is required to pay in full and claim back monies from their insurer at a later date.

Sponsored patients

If a company, employer or other third party agrees to settle the account, they will need to provide a letter of guarantee along with a deposit.

We accept direct settlement arrangements only with third parties with whom we have a prior arrangement. If such an agreement is not in place, the patient will be asked to settle their account in advance of their initial appointment with us and seek to recover the sum from their sponsor.

Letters of guarantee must be addressed to the centre and must be patient, treatment and date specific including relevant reference numbers.

The letter will need to specify any charges that are not included and any special requests for the format of the account.

Self-funding patients

For patients receiving radiotherapy and chemotherapy treatment, we require full payment and receipt of cleared funds 3 days prior to your initial appointment. The centre may require further payments on account should your treatment plan change or be extended.

For patients who are undertaking diagnostic tests or procedures, full payment on the day of the procedure is required.

Quotations or estimates given by a physician, consultant or their staff are not valid unless confirmed in writing by the centre.

Packaged accounts

Refunds

In the unlikely event that you are unable to receive the complete treatment course, and an advance payment has been made, we will arrange for a pro-rata payment to be sent to you covering the cost of treatment not delivered.

Please note that we will pay any refund only to the cardholder or person who made the original payment by the method that they had paid. We do not pay cash refunds. If you decide not to go ahead with your treatment package you will need to pay for the treatment that you have received up until the point of cancellation.

Making payments

We accept most major credit or debit cards, with the exception of American Express.

Cheques

Cheques are accepted if they are drawn on a UK bank. Cheques must be paid in and cleared 3 days in advance of the initial appointment.

Cash

Cash is only accepted up to the amount of £500.

Bank transfer

Banks can usually generate same day transfers from current accounts on instruction from the account signatory. Please make sure the details include the patient’s full name and GenesisCare medical record number, if you have one.

Payment should be made payable to our bank, details of which are available upon request.

NHS patients receiving treatment on behalf of the NHS

If you are an NHS patient, the costs of your treatment are paid by the NHS.

Occasions when a patient may be refused treatment

GenesisCare regrets that patients arriving for treatment will not be registered if they arrive without satisfactory insurance or sponsorship documentation or any acceptable method of pre-payment. On such an occasion, staff will contact the patient’s consultant to discuss the situation.

Data Protection Act 2018 and confidentiality

Sharing your information outside the EEA

It may sometimes be necessary to transfer personal information overseas. When this is needed information may be transferred to countries or territories around the world. Any transfers will be made in full compliance with all aspects of data protection legislation.

Audit

We have a legal obligation to carry out clinical audits and your records may be reviewed by statutory inspectors of our service or by our staff carrying out the audits so that we can monitor the quality of care provided, measure performance and ensure that our services can meet patient needs in the future.

Sharing for research and clinical training purposes

CCTV, video and telephone call recordings

We use CCTV at some treatment locations for security and safety purposes only and areas monitored by CCTV are signposted.

If photographs are taken for marketing purposes a separate consent form will be given to you for your signature.

We record phone calls for training and monitoring purposes.

Data sharing

Retention, storage and destruction of information

Information about you is stored in a confidential manner whether it is in manual or computerised form and it will be kept for the specific retention periods outlined by the relevant professional bodies.

Destruction of data, either manual or digital, is undertaken using documented procedures with an audit trail of activity and destruction.

Identifying you as an individual

The personal data we handle

How you can help us to keep your healthcare record up-to-date

Use of personal data

Names and addresses

GenesisCare does not give the names and addresses of patients to other organisations, except under the circumstances described in this booklet and our Privacy Notice.

National Cancer Registration service

If you will receive radiotherapy or chemotherapy treatments we may provide information about you and your cancer to the National Cancer Registration service. The service has the government’s permission to collect this information. The service has strict confidentiality guidelines. The registration information promotes research, monitoring and improvement of cancer care. Further information can be accessed at www.ncr.nhs.uk you may request that your information is not used for reasons other than your direct care.  You can also object to your details being included in the service. Objecting will not affect your treatment or your care. If you wish to have your information removed you should email optout@ncr.nhs.uk or write to:

Director

National Cancer Registration service

Public Health England

Wellington House

London

SE1 8UG

Lawful basis

GenesisCare is a registered data controller with the Information Commissioner’s Office and entry details of the registration can be viewed at: www.ico.org.uk.  A controller must have a lawful basis for using (processing) data and this will vary according to the circumstances.  We have provided full details in the Patient Privacy Notice on our website.

Data security

Under the General Data Protection Regulation/Data Protection Act 2018 strict principles govern our use of data and our duty to ensure it is kept safe and secure.  We have appropriate security measures to protect your personal information and everyone working for GenesisCare is subject to the common law duty of confidentiality. Anyone who receives data from us is also under a legal duty to keep it confidential.  We have put in place procedures to deal with any suspected data security breach and will notify you and any applicable regulator of a suspected breach where we are legally required to do so.

Data retention

Full retention details can be found in the Patient Privacy Notice on our website but in summary we retain our records in accordance with national guidelines.

Rights of access, correction, erasure and restriction

Under GDPR and the Data Protection Act 2018 you have rights in relation to your data, including the right of access, and these are explained in full in the Patient Privacy Notice on our website. To make a request to exercise a right, please speak with the healthcare professional who is involved in your care or a manager where you are being treated.

Further help

The use of information by your insurer or sponsor

Information provided to your insurer in order to settle your account will become part of the data held by them (and other companies in the same group) in accordance with the provisions of the Data Protection Act 2018.

Your insurer may arrange for processing of your data outside the European Economic Area.

If you have any concerns about this, or about any third party your insurer may share your data with, please contact your insurer.

If an insurer or other organisation has indicated that they will meet your expenses, they may choose to use non-medical information to send you details of products or services. If you do not wish to receive such information, please write directly to the insurer or other organisation.

Sharing with your family and friends

We will normally share information about the progress of your treatment with the person you name as your emergency contact unless you have specifically instructed us otherwise.  Please make sure any specific wishes you have in relation to disclosure are documented during registration.

We make best efforts to ensure that information provided over the telephone is restricted to those you list as emergency contacts. Sometimes this means refusing to disclose information about you to someone who feels they should know about your treatment and progress. Please make your family and friends aware of this.

Disclosure and the settlement of your account

Medical information will be kept confidential. Unless you have provided your explicit consent, it will be disclosed only to those involved in your treatment or care, to their agents and if applicable, to any person or organisation or their agents who may be responsible for meeting your treatment expenses.

We will also need to share your demographic and account information with a third party who has taken responsibility for payment of your bill. In the event that a bill is unpaid, then we may need to share data with other professionals such as solicitors or collection agents.

If you reside outside of the European Union

If your permanent address is outside the EU, or your treatment is continuing outside of the EU, we may send details of your treatment to individuals based outside of the EU specifically to promote your ongoing care.

This would normally be the doctor who referred you to us for treatment. If you wish, we can give you the documents so that you have physical control over this information.

Valuables

The centre does not accept responsibility for the loss of any cash or valuables belonging to patients or visitors.

Patients are advised not to bring valuables into the centre. Where this is unavoidable, patients should ensure that the valuables are fully insured.

The centre will accept no liability whatsoever for any loss or damage to valuables, cash or personal effects which the patient or any other persons bring into the centre, whether as a result of negligence or otherwise.

Other terms and conditions

If there is a problem with the services

If there is any problem with the services we provide, please contact us and tell us as soon as possible, and we will investigate the problem under our complaints procedure and try to put things right as soon as we can. Please ask any member of staff at a centre for a copy of the leaflets that explain our complaints procedure.

You have legal rights in relation to services not carried out with reasonable care and skill. Nothing in these terms will affect these legal rights.

Assignment: GenesisCare may transfer and assign your contract to any person who acquires all or substantially all of the assets of GenesisCare or to any other member of the GenesisCare group of companies.

Third party rights: Except for you or GenesisCare, no person will have any rights under or in connection with these terms.

If you should have any concerns or question relating to the content of this booklet, please do not hesitate to contact the Patient Administration team at your treatment centre.