Duncan Street Newsletter October - November 2010 Smoking Cessation Services Smoking cessation services, provided by the PCT, are available at the surgery. People who use stop smoking services are up to four times more likely to successfully go smoke free. The smoking cessation advisor is in surgery every Thursday over lunchtime and in the afternoon. Appointments can be booked as usual, or you may be booked in during another appointment. At the first appointment you will go through why you smoke and what triggers you to have a cigarette. You will be asked how many a day you smoke and when your first cigarette of the day is. This helps you and the advisor to choose the best way to help you quit. You may be offered nicotine replacement (as gum, patches, lozenges or inhalator) or be referred to a doctor to start one of the two medications. Smear Tests Skin Lightening Creams There has been a recent warning from the Health Protection Agency that a number of skin lightening creams from abroad contain illegal ingredients, including mercury. All legal skin creams must have a suppliers name and address in the UK, along with a list of ingredients in a European language (usually English). Creams without this have been illegally imported and may contain illegal ingredients. Mercury causes many health problems and damages the kidney, skin, brain and nerves. Mercury exposure is harmful to babies in the womb and can be passed through breast milk. Women aged over 25 are routinely called for smear tests every three years. After age 50, women are called every five years. This is a routine test to try to detect changes to the cervix before they become severe, preventing cases of cancer. Although the test is embarrassing, it is uncomfortable, not painful. If you are concerned about having the test, you can book an appointment with a nurse or doctor to discuss it. If, after a discussion, you decide that you really do not want to have this test, you can sign a form and not be called back. Closing for Training The advice is to stop using creams which may be illegal straight away. If you are concerned that you have been using an illegal cream which may have affected your health, book an appointment to see one of the doctors, and bring the cream or tub in with you. If the surgery closes for a half day, cover will be provided by Showell Park Health Centre. The telephones will be diverted, but there will be no walk in service. Patients do not have register at this practice to be seen. Recorded Consultations Travel Vaccinations The doctors at the surgery who are training to Travel vaccinations need to be GPs have to be done at least six weeks before travel to be fully take an exam where they effective. are observed consulting with patients. This checks their medical knowledge as well as their “bedside” manner with patients. You may be asked to have one of the partners in your consultation or you may be asked if your consultation can be recorded to be watched back by one of the partners. The consultations are watched only by the doctor you saw and one of the partners and are erased after two weeks. Sign Language Interpreters British Sign Language interpreters can be booked for appointments at the surgery. The interpreters have been specially trained to deal with complex medical problems and have had training about confidentiality. To book an interpreter: Telephone - 0121 707 8685 Textphone – 0121 707 4706 Fax – 0121 707 9812 SMS – 07887 622746 If you can give two months notice, it gives our nursing team chance to look at your notes to see what jabs are needed and then arrange them in good time. We can only book two members of the family in at once. If a whole family forget their appointments, it can waste a lot of surgery time. Interpreters All patients are advised about booking interpreters at their new patient check. Patients booking appointments and interpreters and not attending, will not have interpreters booked for them again. PCT Letters If you get a letter from the PCT, please answer it. If you do not, the PCT think you do not live in Wolverhampton and you may have to re-register at the surgery. Missed Appointments Last month 6.3% (197) doctors appointments were missed and 9.2% (124) nursing appointments were missed. This is equivalent to: - six and a half days of GP appointments - three days of nursing appointments Out of Hours GP Services From October 2010, emergency out of hours GP services will be provided by Primecare. The telephone number will be the same – 0845 155 1800. The surgery phone number will also still divert to the out of hours service. Appointments will be provided at the Pheonix Centre. There will be no walk in service, as previously. However, if you do walk in, you will be seen once and advised on how best to use the service. People who persistently try to use the service as a walkin centre, will be turned away and advised to phone in.