THE SELE MEDICAL PRACTICE Hexham Primary Care Centre Corbridge Road Hexham Northumberland NE46 1QJ PRACTICE INFORMATION Dr. Janet S. Gold Dr. Matthew C. Walker Dr. Benjamin S.M. Frankel Dr. Thomas W. Schatzberger TELEPHONE (01434) 602237 PRESCRIPTION LINE (01434) 607000 FAX (01434) 613063 www.selemedicalpractice.gpsurgery.net Jan 2011 INTRODUCTION We are a small, friendly family practice offering a wide range of modern medical and nursing services which are described in this booklet. Although we strongly believe in a team approach to health care, our aim is that all patients should feel that medical advice and care is always personal and accessible. The Practice is a long established partnership. PRACTICE PHILOSOPHY To be an effective and efficient family practice working as a well trained, highly motivated team, maintaining and constantly reviewing the provision of care, for the benefit of our patients’ health and quality of life. NEW AND PROSPECTIVE PATIENTS We accept patients moving newly into the practice area. Registration involves the completion of a form and our transmitting the information from the form via computer link to the relevant Trust. All new patients are expected to see a nurse or doctor soon after registration for a health check. This enables us to assess what care or advice you may require and ensures that the doctor has all your relevant health information to hand. Even if you feel perfectly well, we feel it is important that you take this opportunity to have a check. It is essential that you make an appointment at the earliest opportunity if you need repeat medication. If you are considering registering as a patient and would like further information, we would be pleased to arrange an interview with one of our doctors. WEBSITE We have a website which provides much of the information available in this leaflet. It can be found at www.selemedicalpractice.gpsurgery.net. Routine repeat prescriptions may be ordered via the website. Please see the section labelled ‘other services’. 2 MAKING CONTACT SURGERY OPENING TIMES The surgery is staffed continuously from 8.00 a.m. to 6.30 p.m. on weekdays. However, Thursdays from 12 noon to 6.30 pm is for emergencies only. We open earlier from 7.30 am and later to 8.30 pm on some days as advertised. Consultations generally take place at the following times: 8.00 a.m. – 10.30 a.m. Monday to Friday 1.00 p.m.—3.30 p.m. Surgeries vary daily between these hours 4.00 p.m. – 5.30 p.m. Monday, Tuesday, Wednesday and Friday 7.30 a.m. to 8.00 a.m. Tuesdays and Wednesdays (routine pre booked appointments only) 6.30 p.m. to 8.00 pm Tuesday (routine pre booked appointments only. A doctor is always on call for emergencies during the day and when the surgery is closed. Please telephone the main number, 01434 602237 to find out how to access the emergency doctor. An appointment should be made for each member of the family requiring a consultation. Always notify the receptionist of your arrival at the surgery or use the touchscreen check-in opposite the reception desk to ensure that the doctor or nurse knows that you are waiting. If you need to cancel an appointment, please telephone to cancel in good time so that the appointment can be offered to someone else. Consultations are by appointment only. Appointments are normally for 10 minutes but, if you feel your problem may take longer, a longer appointment can be arranged. Annual diabetic reviews, heart reviews, medicals and minor surgery require longer appointments, so please let the receptionist know if this is why you are attending. We often ring patients to remind them about longer appointments. If you do not wish to be contacted about a longer appointment, please let us know and we will mark that appointment accordingly. 3 Appointment times may be varied in the future in response to changing requirements. Details may be found in reception from time to time. 48 HOUR ACCESS The Practice ensures that appointments are always available to patients within a 48 hour time period. However, patients should be aware that it may not be possible to see the doctor of their choice in this timeframe. Patients should also be aware that our female GPs work part time and there may be occasions when there is no female GP available. TELEPHONE CALLS You may book a telephone call with a doctor or nurse. These are available every day after morning surgery. You may have to book ahead to speak to the doctor of your choice. The doctor or nurse will telephone you when they are finished seeing patients on a face to face basis. EMERGENCIES During the day, a doctor is always available for emergencies using the usual telephone number. If you think your problem is urgent, the receptionist will be able to offer you an appointment the same day, or suggest that you speak to a doctor or practice nurse. You may consider dialling 999 for an ambulance if your problem relates to chest pain or shortness of breath. If the surgery is fully booked, you may have to wait for a vacancy later in the day and it may not be possible to see the doctor of your choice. For less urgent, routine problems, it is essential that you make an appointment. This will enable you to see a doctor or nurse of your choice at a time most convenient to you. If you think your problem can be dealt with over the telephone, a doctor or nurse will be happy to give you advice. If you wish to speak to a doctor or nurse, please ask for a telephone consultation, which are bookable at the end of each morning surgery. 4 HOME VISITS We invest a great deal of time, effort and money in providing excellent facilities at the surgery for assessment and treatment where there is access to several members of our team. We expect you to attend the surgery for both routine and more urgent treatment. We cannot offer you these facilities at home and therefore home visits are restricted to patients who are genuinely medically incapable of travelling to the surgery. If you require a home visit during normal Monday to Friday surgery hours, please telephone before 10.00 a.m. if at all possible. This will enable the doctors to plan their rounds. OUT OF HOURS From 6.30 p.m. until 08.00 a.m. and at weekends and on bank holidays, telephone 0300 1234343 if you have a problem which cannot wait until the surgery re-opens. Your personal details, together with details of your problem will then be taken by a trained message handler who will pass on any symptom based problem to an NHS Direct Nurse. Responsibility for providing medical services when the practice is closed lies with Northumberland Care Trust. Northern Doctors Urgent Care currently provides the out of hours service. Telephone Northern Doctors Urgent Care on 0300 1234343 or 0845 60 80 320. These numbers are also given on the practice answer phone. NHS Direct is available for telephone advice on 0845 46 47 The nearest walk-in centre is at the Hexham Emergency Care Centre or, alternatively, at Newcastle General Hospital, Westgate Road. 5 WHO’S WHO IN THE SURGERY Partners Dr JANET S GOLD MB, BS (Newcastle 1987) MRCGP, DCCH, DRCOG DR MATTHEW C WALKER MB, ChB (Leeds, 1989) MRCGP DRCOG DR BENJAMIN S M FRANKEL MB,BS (Newcastle 2000) MRCGP, DR THOMAS W SCHATZBERGER MB,BS (Newcastle, 1999) MRCGP DR NIAMH TELFORD – Salaried GP MB BCh, BAO (Dublin) MRCGP, DFSRH We work in a partnership and you may consult any of the above doctors. However, we strongly recommend that you try, as far as possible, to see the same doctor for the duration of any particular illness. Assistant Doctors In addition to this, the practice also employs an assistant doctor who has completed the full training for General Practice but, usually due to family commitments, wishes to work for only two surgeries per week on the Retainer Scheme. The post is currently filled by Dr Telford. The Sele Medical Practice is a training practice. We have two trainers, Dr Gold and Dr Walker. It is an important role for the future provision of doctors in General Practice and hospital consultants. We have two types of doctors attached to the practice. The first is called a Foundation Scheme doctor or F2. These doctors are fully qualified, and work in the practice to gain some experience working as a GP. They have career aspirations to be a GP or a hospital consultant. They come to the practice for 4 months at a time, the other 8 months spent in hospitals. 6 The second is a GP Registrar. They also are fully qualified doctors who undertake 3 years training to become a GP. Registrars spend 18 months in hospital rotations, one year in full time general practice and six months half-time between general practice and a specialty such as pediatrics. Registrars and Foundation doctors are an invaluable source of specialist knowledge, helping to keep us informed of new developments in hospital medicine and in return we develop their skills and in the increasingly complex specialty of general practice. Practice Nurses Margaret Burridge RGN Julie Smith RGN Anne Horrocks RGN Our practice nurses offer a wide range of expertise in nursing and management of chronic diseases such as asthma and diabetes. Where your medical condition is well controlled, the doctor may ask you to see the practice nurse for further follow up. They will refer you back to the doctor when necessary. Our practice nurses are available to see patients five days a week (except Thursday afternoon) for routine surgery appointments. Administrative Staff MRS ANNE BROOKS, Business Manager Our business manager deals with the day to day management of the practice. She is ably supported by MRS LIZ KIRKBRIDE, MRS SHEILA DANCE, and MRS IRENE NESS. Mrs VAL HOOKER is our medical secretary. She is responsible for dealing with hospital referral letters and appointments and will be happy to respond to your queries. MRS DEBORAH SIM, works as phlebotomist and Medicines Manager 7 MRS BERYL STEEL, Senior Receptionist Our Senior Receptionist has primary responsibility for the day to day running of the appointments and repeat prescriptions systems and the management of reception. She will be pleased to help with any queries about administration and non-medical aspects of your health or treatment. The other members of our reception team are: MRS STEPHANIE STEWART MRS HELEN BRADLEY MRS TERESA TOMLINSON MRS MAUREEN STEAD MRS MAGGIE PAINE MISS CARLY NICHOL The reception staff will usually be your first and most frequent point of contact with the practice. They make appointments and take requests for home visits and repeat prescriptions. In order to ensure that urgent requests for advice are dealt with appropriately, the receptionists need to ask for specific information relating to your problem. There are times when reception will be extremely busy and you may have to wait to be dealt with. The receptionist will help you as quickly and as courteously as they can. Please help them to help you by being patient and by giving them sufficient information to prioritise urgent appointments. Community Nurses – contact via 01434 613013 Community Matron District Nursing Sister Community Staff Nurse Community Staff Nurse Community Staff Nurse Community Staff Nurse Community Staff Nurse Nursing Auxiliary Sr. Irene Hall Sr. Angela Scott Linda Handcock Joy Ryall Sarah Winspear Kirsten Telfer Suzanne Little Yvonne Batey The community or district nurses generally care for those who are unable to attend the surgery for nursing treatment. The nursing care given by the community nurses allows people to stay in their own homes who might otherwise need to go into hospital. They also provide care in the surgery. 8 Community Psychiatric Nurse Community Psychiatric Nurses (CPN), based at the Fairnington Centre at Hexham General Hospital, offer counselling and support for people with mental health problems. They have close links with Clinical Psychologists, Psychiatrists and Occupational Therapists. Referrals are normally made by Doctors or Nurses. Gary Mayhew is our CPN, offering appointments at the Primary Care Centre. Counsellor Gail Young works at the practice two sessions per week. Referrals are made by Doctors or nurses. Health Visitors DIRECT CONTACT NUMBER 01434 613022 The health visitors’ primary tasks are to promote health and prevent illness in our community. This involves working with the under fives, expectant mothers, the elderly and disabled. Ann Potter Sue Wilson Karen Goodchild They are aided by the nursery nurses: Libby Fieldhouse Nuala Mason Midwife Our community midwife, Pauline Harrison, is involved in the care of expectant mothers, new-born babies and their mothers. She holds clinics in the surgery and also visits mothers in their own homes for at least the first ten days after they have had their baby. The contact number for Northumberland Care Trust for podiatry and other services is 01434 613013 9 CHAPERONES You may request a chaperone at any time during a consultation. A doctor or nurse may offer you a chaperone if they feel it appropriate. If a chaperone is not available, you may have to make another appointment. REPEAT PRESCRIBING If you are on long term medication, we have a computerised system which allows you to obtain a number of repeats without seeing your doctor. After an interval agreed with your doctor, you will be asked to make an appointment for a check up. The purpose will be to monitor your condition and to ensure that you are taking the most effective treatment and to check that your current dosage is still the most appropriate. IT IS VERY IMPORTANT THAT YOU ATTEND FOR THESE REGULAR MEDICATION REVIEWS AS REQUESTED BY YOUR DOCTOR OR YOU MAY FIND US UNABLE TO ISSUE MORE MEDICATION Please note that, in accordance with national guidelines, the practice usually prescribes a 28 day supply of any drug. OBTAINING A REPEAT PRESCRIPTION Requests for repeat prescriptions should be made at least two working days before the medication is required. This allows us time to prepare, check and sign the prescription. Telephone requests should be made on the dedicated prescription line on 607000 between 10.00 a.m. and 4.00 p.m. Monday, Tuesday, Wednesday and Friday and 9.00 a.m. - 12.00 p.m. Thursday. Alternatively you may: Either: Hand in your computer slip at reception, indicating clearly which drug you require and which chemist the prescription is to be collected from Or place your prescription counterfoil in the metal post box outside the primary care centre. The box is marked with The Sele Medical Practice’s name and is to the right of the main entrance as you approach. 10 Or Send your computer slip by post, enclosing a stamped, self addressed envelope if you require your prescription to be returned to you. Or Order your prescription online via our website. Please include the details of where you would like to collect the prescription from in the other information section at the bottom of the page. These requests are collected periodically throughout the day but patients must ensure that they give 48 hours notice. SPECIAL CARE AND CLINICS Antenatal care Care is usually shared between the hospital, midwife and doctor. Patients are usually seen initially by the midwife in her own Booking and Antenatal clinics held on Wednesdays. Family Planning The doctors are fully trained to provide a full range of contraceptive services, including the fitting of intra-uterine devices, emergency contraception free of charge. Condoms may also be obtained from doctors, nurses, health visitors or from reception. Appointments for these services may be made in normal surgery. The practice nurses, health visitors and midwife are available to give more general contraceptive advice. Asthma The majority of asthmatic patients are reviewed by our specially trained practice nurses during normal surgery. If you are an asthmatic, it is important that you are reviewed regularly to ensure that you are not suffering symptoms which require treatment and that your treatment is still the best available. Continence Clinic Nurse led continence clinic held on Thursday afternoons. Please contact Sr Irene Hall on 07771663429 or Sr Angela Scott on 07919592324 for an appointment. 11 Diabetes We work closely with the local hospitals to provide a shared care plan of follow up for diabetes. If you are diabetic, it is very important that your diabetes is closely monitored at the practice or in the hospital outpatients department in order to prevent any complications. If you receive your diabetic care at the surgery, you will normally see a specially trained nurse twice yearly and be checked at least annually by one of the doctors and you will be offered a consultation with a dietician and a chiropodist. In addition, as part of our diabetic screening programme, you will be offered an appointment to have an annual photograph of your eyes taken at the surgery. Vascular Reviews A 20 minute appointment is required annually for those with heart problems or high blood pressure. Cervical Smears The practice nurses carry out the majority of cervical cytology screening (smears) during normal surgery hours. You are advised to have a smear once every three years, from age 25 until age 49, then every 5 years until the age of 65, unless otherwise indicated. Minor Surgery The practice is able to offer a wide range of surgical procedures. If you require a minor operation which can be carried out in the surgery, you will be advised by your doctor who will explain how to arrange a minor surgery appointment. 12 Childhood immunisations The recommended vaccination schedule is show below: 2 months 1st dose diphtheria, pertussis, tetanus, polio, HiB and pneumococcal 3 months 2nd dose diphtheria, pertussis, tetanus, polio, HiB and meningitis C 4 months 3rd dose diphtheria, pertussis, tetanus, polio, HiB , meningitis C and pneumococcal 12 to 13 months Combined HIB & Meningitis C vaccine and MMR (measles, mumps and rubella) and pneumococcal 3+ years booster – diphtheria, tetanus, polio, acellular pertussis, HiB and MMR 15-18 years booster diphtheria tetanus and polio IMMUNISATIONS AND TRAVEL IMMUNISATIONS All patients are advised to ensure that their immunisations are up to date. If you are in any doubt, please ask. In addition to routine immunisations, the practice offers a comprehensive travel immunisation and advice service. To access this service, please let the practice nurse know your travel details as soon as possible before the date of travel by completing a travel schedule available from reception to enable a travel health schedule to be planned for you. In general, we require a minimum of six weeks notice to ensure the completion of courses of travel vaccinations. The practice nurse can discuss the vaccination schedule with you and advise of any associated costs. The Sele Medical Practice is a designated Yellow Fever Centre. This means we can give Yellow Fever vaccinations to people who are not registered with us. 13 CONFIDENTIALITY AND DATA PROTECTION Your doctors, their staff and everyone else working for the NHS have a legal duty to maintain the highest levels of confidentiality about patient information. In some instances, you may be receiving care from other people as well as the NHS. We may need to share some information about you with them, so that we can all work together for your benefit. Anyone who receives confidential information about you is also under a legal duty of confidence. Unless there are exceptional circumstances, for example, when the health or safety of others is at risk, we will not disclose your information to third parties without your permission. We will only give your relatives, friends and carers information if you want us to. In certain circumstances we are required by law to report information to the appropriate authorities. This information is only provided after formal authority has been given by a qualified health professional. For example: notification of new births where we encounter infectious diseases which may endanger the safety of others (e.g. meningitis or measles, but not HIV/AIDS) where a formal court order has been issued However, our guiding principle is that we hold your records in strict confidence, in perpetuity. ACCESS TO YOUR RECORDS The practice is registered under and complies with the Data Protection Act 1998. This act is designed to ensure that information we have on you whether held as paper records or on a computer is obtained fairly, kept up to date and is stored securely. Any request for access to notes by a patient, patient’s representative or outside body will be dealt with in accordance with the Act. We have to obtain consent to allow access to records. The consent we need varies according to the access required. Under certain circumstances information may be withheld by your GP. This could be because disclosure may cause you serious mental or physical harm. Please contact the Business Manager for further information. There is a charge for access of £10.00 or up to £50.00 if photocopies are required. 14 We get requests from third parties who are not involved with your health care for information about your health. One example of this is insurance companies when you are considering a new policy. The amount of information they require varies and you must make sure you understand exactly what they have asked to see. You have the right to choose whether you allow this access or not, but we will never disclose any information without your written consent. You also have the right to view the report we intend to send if you wish. Once we have received consent and prepared the report we will contact you and then you have 21 days to view the documents before dispatch. If you choose not to view the report at the time you have 6 months after it has been sent to change your mind and see the documents. Your GP has the right to withhold information if he feels disclosure would seriously cause mental or physical harm or that the identity or information about another person could be revealed. For further information contact the Business manager, Anne Brooks. We are constantly striving to improve our service to patients and frequently undertake audits and reviews to evaluate our care and identify any areas for improvement or change. We need to use patient data for these audits and where possible use anonymous information. If patient identifiable data is required it is used on a need to know basis only even within the practice. FREEDOM OF INFORMATION ACT 2000 In accordance with the above Act, the practice has a publication scheme which is available to view on our website or in hard copy from the Business Manager. RESEARCH PROJECTS The practice may occasionally take part in research projects supported by on of the local or national Research Networks. Any such project will have full Ethics Committee approval. We will never divulge your personal nor health details to any third party without your consent and will approach patients directly to seek consent to participate, often asking patients to contact those carrying out studies directly. 15 PRIVATE MEDICAL SERVICES There is some work which the doctors are not contracted by the NHS to carry out and for this a charge will usually be made. This includes BUPA/PPP forms, medical certificates, signing of passport applications and various special examinations for employment, school or sport. A full list is displayed at reception, together with current prices which are based on national guidelines. IF YOU MOVE HOUSE If you move house, please let us know your new address and telephone number. If it is outside the practice area, we will normally, regretfully have to ask you to change to a practice nearer your new home. If you are in any doubt whether your new address is within our practice area, please ask to speak to a Partner. (In exceptional cases, we may allow patients to remain on the practice list if on the fringe of the area). VIOLENT OR ABUSIVE PATIENTS The practice operates a zero tolerance approach to violent or abusive patients. Our staff are here to help and try their best to do so at all times. We appreciate that patients may be anxious or unwell and allowances are always made for this. CLOSED CIRCUIT TELEVISION The practice premises, including the car park, are monitored by closed circuit television. PRACTICE BASED COMMISSIONING The Practice is part of the West Northumberland Practice Based Commissioning Group which monitors, evaluates and redesigns care pathways for the patients of Tynedale. 16 CAR PARKING Car parking is available on the site of the Primary Care Centre. Northumbria Healthcare NHS Trust owns and manages the car park and levies the current charge of 80p per hour. Disabled badge holders (blue badges) are allowed to park in the designated bays free of charge provided their blue badge is displayed. Patients calling in to the Practice to drop off repeat prescriptions, samples or to collect prescriptions etc may use the pick up/drop off bay in front of the main doors. TELEPHONE RECORDING Calls to and from the surgery may be voice recorded for training, monitoring and quality purposes. NO SMOKING The practice operates a no smoking policy throughout the premises, including the garden area and car park PATIENTS COMMENTS AND COMPLAINTS We do our best to ensure that the service we provide is appropriate to the nature and urgency of your problem and your circumstances. We also aim for high quality service. However, there may be occasions when you may feel that we have failed to meet your expectations. If this is the case, then we would welcome your comments to enable us to improve our service to you. We offer a practice complaints procedure to deal with comments, suggestions and complaints about the service we provide. Our Business Manager is able to give further advice. PLEASE HELP US TO HELP YOU. Revised Jan 2011 17