Surgeons Proposal Clinic - All Med Pro

Skip to content

All Med Pro

Quotes for Dental & Medical Insurance

Facebook page opens in new window Twitter page opens in new window Instagram page opens in new window Linkedin page opens in new window

Home
Insurance type
About AMP
- Why AMP
- Our Story
- Our Team
- Careers
- Events
- Partners
- OUR SUSTAINABLE VISION
Client area
News
Contact

Home
Insurance type
About AMP
- Why AMP
- Our Story
- Our Team
- Careers
- Events
- Partners
- OUR SUSTAINABLE VISION
Client area
News
Contact

Step 1 of 6

16%

Clinic Contact Details

Legal Entity Name

Trading Name(s)

Description of business activities

Website Address

Main Contact Details(Required)

First Last

Phone Main Contact(Required)

Email Main Contact(Required)

Main Contact Role(Required)

What best describes your role?

Business Owner

Partner

Manager

Other

Companies Registered Address(Required)

Street Address Address Line 2 Postcode Country

What date do you require cover?

Treatment Procedures

Treatment /Procedure Type LAST 12 months (inpatient)

Aesthetic Treatments

Bariatric Surgery

Cardiology

Cosmetic & Reconstructive

Gastroenterology

Neurology

Obsetrics

Orthopaedics

Other

Paediatrics

Urology

Vascular

Other or additional information

Treatment /Procedure Type LAST 12 months (outpatient)

Aesthetic Treatments

Bariatric Surgery

Cardiology

Cosmetic & Reconstructive

Gastroenterology

Neurology

Obsetrics

Orthopaedics

Other

Paediatrics

Urology

Vascular

Other or additional information

Treatment /Procedure Type NEXT 12 months (inpatient)

Aesthetic Treatments

Bariatric Surgery

Cardiology

Cosmetic & Reconstructive

Gastroenterology

Neurology

Obsetrics

Orthopaedics

Other

Paediatrics

Urology

Vascular

Other or additional information

Treatment /Procedure Type NEXT 12 months (outpatient)

Aesthetic Treatments

Bariatric Surgery

Cardiology

Cosmetic & Reconstructive

Gastroenterology

Neurology

Obsetrics

Orthopaedics

Other

Paediatrics

Urology

Vascular

Other or additional information

Please indicate medical staff that are employed within the business(Required)

Audiologist

Cardiologist

Dermatologist

Dietician

Endocrinologist

Gynecologist

Haematologist

Immunologist

Medical Lab Technician

Microbiologist

Neurologist

Nuclear Medicine

Nutritionist

Occupational therapist

Oncologist

Ophthalmologist

Optometrist/Optician

Orthopaedics

Other

Pediatrician

Pathologist

Physiologist

Physician

Prosthetist/Orthotist

Psychiatrist

Psychologist

Radiographer

Radiologist

Sonographer

Surgeon

Urologist

Venereologist

Is the business classed as the clinical provider?(Required)

Yes

No

Do all employed staff above have their own medical malpractice cover?(Required)

Yes

No

Do you require indemnity for employed individuals?

Yes

No

Please advise on the employees that require medical malpractice cover

Turnover Details

What was the turnover for the previous 12 months

What is the anticipated turnover for the next 12 months

NHS/Private

What % of work is NHS

What % of work is Private

Additional Information

How many operating theartes do you have within your facility?

Please confirm the number of beds within your facility

General Clinic Questions

Do you treat any high profile individuals?

Yes

No

Do you treat any sports professional or work with any professional sports club?

Yes

No

Is any of your work outside of the UK?

Yes

No

Do you plan to retire in the next five years?

Yes

No

Have you ever been subject of/aware of any circumstances that could give rise to any referral, complaint, inquiry or investigation or hearing by the GMC/GDC or any other registration body or had conditions imposed on your practice or been suspended or erased from medical/dental/specialist register?

Yes

No

Have you ever been subject of/aware of any circumstances that could give rise to, a disciplinary inquiry by your employer or practice privileges refused/withdrawn/made conditional by a health care provider?

Yes

No

Have you ever been cautioned by the police in respect of, or convicted of, any criminal allegation (including road traffic offences)?

Yes

No

Are there any other issues of which we might reasonably need to be aware when considering your application for membership?

Yes

No

Has any medical indemnity/medical defence organisation ever been declined, had special conditions applied, declined or cancelled?

Yes

No

Please provide further detail if you have said 'yes' to any of the questions in this section

Risk Management

Do you have a reliable method for recording and passing on messages?(Required)

Yes

No

Do you have a complaints system and nominated complaints manager?(Required)

Yes

No

Do you have a system of peer review in place to monitor standards of patient note taking?(Required)

Yes

No

Do you have a reliable method for making sure that the results of tests and investigations are received and communicated to patients?(Required)

Yes

No

Do you have a system for reviewing repeat prescriptions?(Required)

Yes

No

N/A

Do you have a procedure for recording and reporting events with adverse outcomes or the potential for an adverse outcome?(Required)

Yes

No

Are locums properly inducted?(Required)

Yes

No

N/A

Do you have a documented informed consent procedure?(Required)

Yes

No

Do all staff fully understand the concepts of informed consent?(Required)

Yes

No

N/A

Do you have a policy for managing difficult patients?(Required)

Yes

No

Are all staff vaccinated against Hepatitis B and is this monitored appropriately?(Required)

Yes

No

Do you obtain written agreement before using patient statements or photos?(Required)

Yes

No

Have you had indemnity insurance in place before?(Required)

Yes

No

Does the practice have a system to ensure that patients on medication requiring monitoring are identified and treated properly?(Required)

Yes

No

Please provide details of your indemnity history (indemnity provider and dates of coverage)

Have there been any gaps in your medical indemnity?(Required)

Yes

No

Are you aware of any complaints and/or claims that have ever been brought or threatened against you, and/or any circumstances which could lead to a complaint and/or claim against you?(Required)

Yes

No

Please provide further details on claims

Supporting Information

Drop files here or

Max. file size: 64 MB.

If you have a letter of good standing or any other information that may support your application please upload.

Indemnity Requirements

Who is your current insurance provider?

What are you currently paying?

What limit of indemnity do you require?(Required)

If you require retroactive cover please input the relevant date

DD slash MM slash YYYY

Declaration Statement(Required)

I/We declare that ater full invesigaion I/we are unaware of any claims and/or circumstances that could give rise to a claim, other than those already declared in the proposal. I/We declare that the statements and pariculars contained in the proposal are true and that I/we have not mis-stated or suppressed any material facts. I/we declare that I/we have made a fair presentaion of the risk, by disclosing all material maters which I/we know or ought to know or, failing that, by giving the Insurer sufficient informaion to put a prudent insurer on noice that it needs to make further enquiries in order to reveal material circumstances. I/We undertake to inform Insurers of any material alteraion to these facts occurring before compleion of the contract of insurance. However, the duty to disclose material facts coninues ater the compleion of the proposal form and throughout any period of insurance (and any extension thereto). I/We acknowledge that any deducible applied to my/our insurance policy is inclusive of all legal costs and I/we are financially responsible for paying this amount.

Other Covers

Please select other covers required

Clinic Insurance - Property, Employers Liability, Public Liability, Business Interruption. (Buildings if required)

Buildings Insurance Only

Management Liability Cover

Cyber Insurance

Pressure Vessels Inspection

Key Man Cover

Clinic Insurance

Please provide your sums insured below

Buildings sum insured

If required

Tenants improvements sum insured

If required

Contents sum insured(Required)

Computers sum insured

Business interruption sum insured

Any claims in the last five years?

Please provide details of all claims in the last five years.

Dates, Type of Claim and Costs.

Current documents if available

Max. file size: 64 MB.

Buildings Insurance

Have you had a rebuild reinstatement value performed in the last three years?

What is the buildings sum insured?

This should be based on the rebuild value and not the property value

Current documents if available

Max. file size: 64 MB.

CONTACT US

Email:
info@allmed.co.uk
Enquiries:
0203 7576950
Address:
All Med Pro, Units 15-17 Lotmead Business Village, Wanborough, Swindon, Wiltshire, SN4 0UY

Find us on:

Facebook page opens in new window Twitter page opens in new window Linkedin page opens in new window Instagram page opens in new window

Cookie & Privacy policy
Cookie settings
Terms of Business
COVID-19 Statement

Footer

All Med Pro is a trading style of All Medical Professionals Limited who are authorised and regulated by the Financial Conduct Authority Number: 309653.
All Medical Professionals Limited registered in England number 4468555. Registered office: Unit 15-17, Lotmead Business Village, Wanborough, Swindon SN4 0UY
© All Medical Professionals Limited 2017.

Powered by GDPR Cookie Compliance

Privacy Overview

We use cookies and other tracking technologies to ensure that we give you the best experience on our website, analyse your use of our products and services and assist with our promotional and marketing efforts.

Please see our privacy policy for more information relating to GDPR.

Strictly Necessary Cookies

These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms. You can set your browser to block or alert you about these cookies, but some parts of the site may not work then.

Cookies used:
viewed_cookie_policy
moove_gdpr_popup
cookielawinfo-checkbox-non-necessary
woocommerce

Enable or Disable Cookies

If you disable this cookie, we will not be able to save your preferences. This means that every time you visit this website you will need to enable or disable cookies again.

3rd Party Cookies

This website uses Google Analytics and other marketing cookies to collect anonymous information such as the number of visitors to the site, and the most popular pages.

Keeping this cookie enabled helps us to improve our website.

Cookies used:
Google Analytics
eKomi

Enable or Disable Cookies

Please enable Strictly Necessary Cookies first so that we can save your preferences!