WELCOME TO DOUGLAS GROVE SURGERY DOUGLAS GROVE WITHAM CM8 1TE DOCTORS - The surgery is a partnership practice with 3 GP’s. Dr N O Parry-Jones MB BChir MRCP DRCOG Practising in Witham since April 1996 Dr F Salau MBBS MRCP UK Dr A Asghar MBBS MRCGP DFFP THE PRACTICE TEAM Practice Manager - Toni Wyatt Our practice manager is available if you wish to discuss any issues or concerns you may have regarding the practice, its way of working or any care problems. The practice has a complaints procedure which is available to any patient on request. Alternatively a form is on the notice board in our waiting room. Patients have rights and responsibilities for their own health, as this document will explain. We also have the Douglas Grove Patient Charter and this is available on request. The practice complies with current legislation allowing patient’s access to his / her medicalrecords. Please ask for further information. Nurse Practitioner - Fenella Miller RGN, RM, BSc (Hons), NP Practice Nurses - Gillian Davis SRN, Diploma in diabetes - Suzanne Pearce RGN,RM Diploma in Asthma and COPD - Stacey Gardiner RN & DipHE (Adult) Nursing Our nurses are available for dressings, suture removals, contraception and cervical smears, vaccinations, health checks, general health advice, diabetes, hypertension and asthma reviews, preventing coronary heart disease and strokes. Please make an appointment with the receptionist if you wish to see any of our nurses. Heath Care Assistant - Sam Pilkington – NVQ level 3 Healthcare In General Practice. Our Healthcare Assistant is available for ear care, stop smoking support, phlebotomy, ECG, INR, certain vaccinations and general health advice. COMMUNITY HEALTH TEAM Health Visitors The health visitors hold child health clinics at Witham Health Centre. They also visit mums at home after new births, or will see any family member who would like to see them. They also spend time with the elderly and bereaved. Midwife The midwife holds an antenatal clinic here and antenatal care is shared between her, the GP’s and the hospital obstetric team. The midwife visits mother and baby at home following discharge from the hospital. Dietician The Witham Health Centre dietician can advise patients on dietary issues. The doctors or the practice nurse will refer you to her when appropriate. District Nurses The district nurses will visit at home when a patient is housebound and needs nursing care. Community Physiotherapy This is available if recommended by your doctor, and in certain cases physiotherapy may be in the patient’s home. Macmillan Nurse Based at the Farleigh Hospice, the Macmillan nurses will visit the very ill at home and liaise with the GP’s and the district nurses. We also offer the following clinics: Chiropractor, pain clinic and ultrasound. PLEASE NOTE THAT THESE ARE MADE ONLY BY GP REFERRAL. DOUGLAS GROVE SURGERY INFECTION CONTROL MISSION STATEMENT Douglas Grove Surgery will promote awareness to healthcare workers, co-workers, patients and visitors about the importance of infection prevention and control measures. We aim to make it part of our daily practice to primarily prevent and contain infections. Therefore please follow these simple steps to help yourself and others around you. If you KNOW that you are suffering for an infectious complaint please call the surgery and ask for a call back from one of the doctors or nurses. Please do not come into the surgery Please inform reception if you THINK you are suffering from an infectious complaint. You can then be segregated from other patients and healthcare workers. Please use the antibacterial hand gel provided at reception when entering the surgery. This will ensure that you will not be passing on any germs to other users when you touch any objects within the surgery. SURGERY INFORMATION Reception Our reception staff endeavour to provide a flexible service throughout surgery opening times. They all work part-time and all are approachable and friendly. They will do their best to accommodate your wishes. If they are not always able to do so this will usually be because they are carrying out the instructions of the doctors. Like every other practice we have to manage high levels of demand by setting priorities. We hope that you will find our policies fair and reasonable. If you do feel dissatisfied we would like you to express your concerns directly to the practice manager or to the doctors if they are not available. Please don’t give the receptionists a hard time. They do a difficult job well, and are not responsible for the policies of the practice. Registering with the practice If you wish to register with the practice you will be asked to fill in the appropriate forms. Please ensure that these are filled in correctly and completely, if not there could be a delay in your registration. You will be offered a new patient check with the nurse to ensure your past medical history and medication is recorded on our computer. If you do not wish to make an appointment at this time it will be your responsibility to ensure that an appointment will be booked within 14 days. This will enable us to assist in your care until your full medical records arrive. You may express a preference of practitioner when booking your appointment. Violent or abusive behaviour The practice will not tolerate any violent or abusive behaviour or language from patients or their relatives. The doctors or practice managers may well ask patients and their families to leave the practice and to register elsewhere if they believe the behaviour of the patient is unacceptable to them. Home visits If you need a home visit please try to telephone before 10.30 a.m. so that the doctors can organise their visiting rounds. The increasing demand for medical care has vastly increased the work load of GP’s. This means that the doctors can now only make home visits to patients who are too ill to be brought to the surgery by car or by taxi, and only in those instances where the problem cannot be dealt with by way of a telephone consultation. Please note that you cannot insist that a GP visits you at home. A GP can also decide how urgently a visit is needed. Phones and premises The surgery doors open at 8.30 a.m. daily, however appointments in person can only be booked from 10 a.m. onwards. The telephone lines open at 8.30 a.m. daily. The surgery doors and telephone lines are closed between 1.30 – 2.30 p.m. The surgery closes at 6.30 p.m. In an emergency when the surgery is closed Please call 111, which is free from a landline or mobile number. APPOINTMENTS Telephone consultation If a problem is very urgent, a telephone consultation with the doctor or Nurse Practitioner on call that day will be offered to you. The receptionist will take the telephone number of where you are. If may not be with your usual GP, and there may be a short wait. The doctor will endeavour to speak to all patients who are ill as soon as possible. Please only use an emergency telephone consultation if the problem really cannot wait. Please ensure you call the surgery before 10.30 a.m. to ensure a call. Routine appointments Each patient is allocated a ten minute pre-booked appointment. However some patients may need longer than this. Should you require a longer appointment please tell the receptionists when make the appointment. If you wish to see the doctor, nurse or midwife please telephone to make an appointment. Routine appointments are offered each morning where possible, within 48 hours. We also offer pre-booked afternoon appointments. It is the responsibility of the patient to either keep or telephone to cancel an appointment in good time. ‘Did Not Attend’ Policy If a patient fails to attend a pre-booked appointment on more than two occasions in the last 12 months, an informal warning letter will be sent out to you. If you fail to attend on another occasion the matter will be discussed between the clinicians and you may be removed from the practice list. In which case a formal warning letter will be issued. Emergency appointments If we are unable to offer you a routine appointment on the day, and you think your appointment cannot wait until the next day, please explain to the reception staff, at which point they will fit you in to see the doctor or nurse as an emergency that day. We cannot guarantee which doctor or nurse you may see. Doctor’s holidays The partner’s cover each others surgeries and also employs a locum where necessary. Out of hours arrangements At all times other than stated within this document there is an emergency service to assist patients with their medical conditions. Please call 111 which is free from a landline or mobile number. Clinics The doctors and nurses hold various clinics throughout the week to help patients with the control of their disease, and to advise on prevention of ill health. If you have any queries on how to access these services, please telephone the surgery and our receptionists will endeavour to assist you. The practice undertakes research for professional development and improve individual health care. It may be that the practice will ask you to attend a special clinic to discuss your medical conditions. You will be invited via a personal letter and be recalled again annually for follow up. If you decline this care you will need to inform us and we will remove you form the recall system, however it is strongly recommended you attend to enable the practice to monitor your progress. Diabetes Asthma Coronary Heart Disease Hypertension Well Man / Well Woman Clinics and health checks for new and elderly patients Family Planning Cervical Smears Child Health Surveillance Maternity Services Minor Surgery Depression Mental Health Phlebotomy Take control of your health Stop smoking • Watch your weight • Take regular exercise Eat a low fat diet • Eat high fibre food • Avoid excess sun Take alcohol in moderation • Ensure your holiday vaccinations are up to date Travel vaccine clinics Anyone travelling abroad should make an appointment with the nurse to discuss what vaccinations are required. Please allow plenty of time before travelling to complete all the vaccine courses. Minor surgery Arrangements can be made for some minor surgery to be carried out at the surgery. Cysts, lumps, warts, etc. can be removed. Please discuss this with your doctor or nurse. Non NHS medical examinations One of the partners carries out medical examinations for insurance companies, and other fitness medicals, including HGV licences, elderly drivers, sporting and pre-employment examinations. There is a charge payable by the patient for these examinations. Please ask the receptionists for details. Confidentiality All members of staff at the practice are bound by the confidentiality policy held by the practice. Information however is shared with other health care professionals with the practice team where appropriate by means of the computer records. This includes confidentiality between the patient and their relatives. It is sometimes difficult when another member of the family telephones or asks for information regarding their relatives which is not forthcoming from a member of staff. This is because they are bound by the confidentiality guidelines. Please telephone or ask in person for any information regarding your own health only. Where patients are enquiring about an elderly or sick relative it is crucial we have written consent from the patients agreeing to us discussing or releasing information regarding their wellbeing. Disclosure to third parties GP’s and staff will ensure that personal health information is only disclosed to third parties when consent has been given by the patient. Exceptions to this rule occur when the disclosure is necessary to manage a serious and imminent threat to the patient’s health or welfare, or is required by law. A referral or telephone encounter to a third party health care professional may be necessary and by the patient discussing this with staff or health care professional at the surgery first, it is assumed that consent has been given. Referrals may be to hospital consultants, health visitors, school nurses, the out of hour’s service and care in the community where appropriate. GP’s and staff will only disclose to third parties only that information which is required to fulfil the needs of the patient. These principles also apply where the information is transferred by e-mail, internet, and post or by telephone. Complaints procedure If you have a complaint or suggestion for improvement, please contact the practice managers, who will endeavour to help with your concern. If the practice has failed to resolve your complaint, it is your right to contact the Care Trust at PALS (patient advice and liaison service), Swift House, Hedgerows Business Park, Colchester Road, Springfield, Essex. CM2 5PK or telephone on 01245 459459. SELF HELP FOR COMMON ILLNESSES AND ACCIDENTS Antibiotics These medicines only work on bacteria and do not work on viruses. This means that the common viral infections like cold and flu etc. will not be helped by antibiotics. Overuse of them leads to the development of more powerful bacterial resistant to antibiotics, which may not then work when they are badly needed. They can also cause side effects such as thrush, rashes and diarrhoea. Viral infections Most common viral infections are self-limiting; the bodies own immunity produces antibodies to the virus, and these kill the virus. Stress and activity suppress the immune response, so rest of often necessary to help recovery to a viral infection. While the antibodies are being produced, the symptoms of the illness can usually be treated by simple measures. Paracetamol reduces pain and temperature. Sometimes extra cooling is required, and the body can be sprayed with water from a domestic ironing spray, and then evaporation and cooling can be increased with an electric fan. This is especially helpful for young children, who do not sweat as much as adults. Dehydration must be avoided, so the regular intake of fluids is also very important. Gastroenteritis (diarrhoea and vomiting) is usually caused by a virus and because the stomach and intestines are very inflamed by the infection, they cannot absorb solids or milk, which therefore makes the diarrhoea and vomiting worse. The patient should only be given small frequent amounts of boiled water containing orange squash, Ribena or Dioralyte and the diarrhoea and vomiting have stopped for 12 hours. Very bland solids such as dry bread or rice, or diluted milk or formula can then be reintroduced cautiously. If the above approach is not successful, you will then need to seek medical advice from the practice. DOUGLAS GROVE ARE PLEASED TO OFFER: Blood tests: These are taken by our Healthcare Assistant here at Douglas Grove Surgery – Results are normally available within 3-5 days, it is the patient’s responsibility to ring the surgery between 3.00pm—4.30pm for these, in cases where the doctor feels that a result is to be dealt with urgently, one of the surgery team may call. Any other specimens (e.g. urine or stools) should be delivered to Douglas Grove Surgery before 12 noon in order to catch the transport van to Broomfield Hospital. X-rays: These can be taken at any one of the 3 local hospitals; you will be able to pre-book your appointment with our reception staff. There is a walk in service at Braintree Community Hospital. Surgery consulting times are between: Monday to Friday - 8.30 – 6.30 p.m. Saturday & Sunday - Closed Phones and premises The surgery doors open at 8.30 a.m. daily, however appointments in person can only be booked from 10 a.m. onwards. The telephone lines open at 8.30 a.m. daily. The surgery telephone lines are closed between 1.30 – 2.30 p.m. The surgery closes at 6.30 p.m. on Thursday and Fridays. Monday and Tuesday 7.30pm In an emergency when the surgery is closed—Dial 111 Free from a landline or mobile USEFUL TELEPHONE NUMBERS Douglas Grove Surgery Out of hours emergency service Broomfield Hospital Citizens Advice Bureau Social Services Police Station Drug & Alcohol Team Relate, Chelmsford Genito-Urinary Clinic Samaritans Braintree District Council Health Visitor Farleigh Hospice Registrar births, deaths and marriages Tel no: 01376 512827 Fax no: 01376 502463 E-mail: adminF81173@nhs.net Tel no: 01376 512827 Tel no: 01245 362000 Tel no: 01376 516222 Tel no: 01376 555400 Tel no: 01376 501212 Tel no: 01245 318588 Tel no: 01245 258680 Tel no: 01245 513086 Tel no: 01245 357357 Tel no: 01376 552525 Tel no: 01376 512243 Tel no: 01245 358130 Tel no: 01376 320762 The surgery complies with the Publication Scheme and the Freedom of Information Act and Patient Confidentiality Policy. If a patient needs to cancel their evening appointment out of normal working hours they can contact us by: e-mail on adminF81173@.nhs.net Website: www.douglasgrovesurgery.nhs.uk