SOUTH GRANGE MEDICAL CENTRE TRUNK ROAD, ESTON Prescript MIDDLESBROUGH, TS6 9QG Appointments & General Enquiries Telephone: (01642 467001) Emergency Telephone: (01642 460033) Fax: (01642 463334) Website: www.southgrangemedical.co.uk NHS Out of Hours: 111 Dr Shahul Hameed (Male-Senior Partner) MBBS MRCGP Office visits. Dr Amjid Raja (Male-Salaried GP) MD (2001) MRCGP (2013) Dr Sangeta Peddinti (Female-Salaried GP) MBBS (2000) Dr Vanitha Srinath (Female-Salaried GP) MRCGP MBBS Practice Manager: Mrs Karen Brain OUR MISSION STATEMENT "To provide the best possible health care for patients at all times by responding to their needs, providing accessible medical and anticipatory care of the highest quality. To do all that is possible to improve the social environment of the community while providing the greatest level of job satisfaction for all”. Patient Rights You will be treated with respect and as a partner in your care. Being a partner means you have responsibilities too. We will: Ensure the surgery is clean, comfortable and easy to access Respect our patient’s confidentiality, and whenever necessary, provide a private place to speak to staff Be helpful and polite Treat you as an individual regardless of your ethnic origin, religion, sexual orientation or illness Ensure our patients have 24-hour access to medical advice Work in partnership with you to achieve the best medical care possible. The prevention of disease, illness and injury is a primary concern Please help us: Treat staff with courtesy and respect. Reception staff may have to ask some personal questions to assist in providing you with the best service Attending your appointment on time, letting us know if you intend to cancel an appointment or are running late. Cancelling early enables us to use the time for another patient Inform the practice staff of any alterations in your circumstances, such as change of surname, address or telephone number Making a separate appointment for each member of the family Being prepared to wait if you request an appointment for an urgent problem which requires treatment on the same day As patients, you are responsible for your own health and that of any dependents. It is important that you adhere to information and advice given to you by health professionals, and co-operate with the practice in endeavoring to keep you healthy. PRACTICE OPENING TIMES. The practice is open for collection of prescriptions, documents and making appointments as follows: Monday – Wednesday & Friday 8.00am – 6.00pm Thursday 8.00am – 1.00pm 2.00pm – 6.00pm Saturday 8.00am – 11.00am (subject to change) A receptionist is available between these times to take your calls. For any routine queries (for example to check if any letters/results have been received), we ask that you call after 2.00pm. SURGERY TIMES Dr Mon AM Mon PM Tues AM Tues PM Wed AM Wed PM Thurs AM Thurs PM Fri PM Fri PM OFF OFF OFF OFF Alternate Weeks Raja Dr Hameed Dr Coapes (term time only) Dr Peddinti OFF OFF OFF OFF OFF OFF OFF OFF Geraldine OFF OFF There are a number of appointments available for each GP Monday to Friday that can be prebooked up to 4 weeks in advance; the remaining can be booked from 8am the same day. Appointments can also be booked with the Doctors or Nurse Practitioner online. In addition, patients are able to cancel an appointment online via the practice website. PRACTICE STAFF Practice Manager: Mrs Karen Brain Responsible for management of staff, administration of practice finance, organisation, health and safety, management of premises, nonclinical patient welfare, complaints liaison manager and computer manager. Practice Secretary: Jackie Russell Transcribing all referral letters, forwarding them via Choose & Book, patient/hospital queries, hospital DNA letters and insurance reports. Minute clerk for in-house meetings, sorts doctors post and occasional reception duties. Also responsible for immunisation recalls and targets, minor surgery and cryotherapy clinics. Receptionists: Tricia Hodgson (Office Manager), Sheila Atkinson, Lorraine Tierney, Janet Mannion, Beverley Pearson, Elaine Gates Your first point of contact with the practice. Please help them to help you by giving them any information they require to enable your request to be processed appropriately HCA’s: Elaine Gates: NVQ Level3 Diploma in Health and Social Care and Phlebotomy Level 2 The Health Care Assistants role includes phlebotomy, blood pressure, ECG taking, spirometry, dressings, weight management, smoking cessation and Healthy Heart Checks. Phlebotomist: Leanne Kirwin: Qualified to administer the taking of bloods and to take blood pressure readings. Nurse Practitioners: Geraldine Nuttall: RGN,Diploma Health & Social Welfare, Nurse Prescribing, Clinical Skills, BSc Promoting Practice Effectiveness - Nurse Practitioner Pathway Can treat a range of conditions and can prescribe some medications. They also provide telephone advice. Please be aware that Nurse Practitioners are unable to see children under 12 months and pregnant ladies. Nurses: Annabel Lambert, Julie Jackson & Delia Geldart: All Registered Nurses (RGN qualified) who offer advice on minor problems and who run many of the clinics mentioned in this booklet District Nurses: There is a team of nurses working in the community to care for the medical needs of housebound patients Health Visitor: They are based at Low Grange Health Village. They are responsible for all children aged 5 years and under (Tel: 01642 838003) Midwife: Attends to the needs of expectant and newly delivered mothers and their babies Counsellor: Beryl Woolbar Patients can be referred for counselling through their GP Physiotherapist: Lydia Gardner Patients can be referred for physiotherapy through their GP A TO Z OF SERVICES Accident & Emergency Your local Accident & Emergency Department is at The James Cook University Hospital, Marton Road, Middlesbrough. This deals with injuries and life threatening emergencies. Ambulance Bookings Ambulance transport to Hospital Out Patients is intended for people with disabilities or elderly housebound patients who cannot get to hospital by any other means. If you need to book an ambulance please ring 0345 045 0160. Antenatal Clinic Maternity services are available from doctors and midwifes. You will be asked to come to surgery for an 8 week postnatal check. Chronic Disease Management Our nurses offer check-ups of chronic disease including asthma, diabetes and Coronary Heart Disease. These are intended to keep our patients at their peak fitness. Our specialist nurses teach you about your condition and check that you are getting the best from your prescribed medication. Complaints We make every effort to give the best service possible to everyone who attends our practice. However, we are aware that things can go wrong resulting in a patient feeling that they have a genuine cause for complaint. If this is so, we would wish for the matter to be settled as quickly, and as amicably, as possible. Please contact the Practice Manager and she will set all the necessary wheels in motion. Further written information is available on the complaints procedure from Reception. We are continually striving to improve our service, any helpful suggestions would be much appreciated and a suggestion box is located in the waiting area. The Health Service Ombudsmen If you remain unhappy after everything has been done to try to resolve your concern or complaint, you have the right to approach the ombudsmen. Tel: 0345 0154033 Fax 0345 0614000 Email: phso.enquiries@ombudsman.org.uk Counselling - Counsellors are available in the surgery after bereavement, for depression, family relationships, abuse. Additional information on counselling and associated services provided by other/outside agencies can be obtained from our doctors and nurses. Family Planning - Family planning services and advice can be given by doctors, nurses and nurse practitioners. Cervical smear tests are taken by the nurse by appointment only. Health and Safety - The practice aims to provide safe and healthy premises for staff and patients. Please behave in a responsible and reasonable manner while you are on the premises. Equipment must not be touched or used without instruction or supervision by staff. Interpreters - If you are a patient with difficulties in speaking English, the surgery staff are able to arrange for an interpreter to attend your appointment with you to interpret for you. Minor Surgery/Cryotherapy and Joint Injection Clinics Minor surgery and Cryotherapy is offered to patients with warts, moles, cysts or skin tags. Joint injections are also available. Please ask your GP or Nurse Practitioner to refer you if appropriate to our in-house clinic for either Dr Hameed or Dr Peddinti Physiotherapy Clinics are held for back care advice, joint mobilisation, acupuncture and general advice and exercise. Your doctor can refer you if appropriate. Podiatry This service is provided at the surgery by One Life. The Podiatrist is responsible for taking care of patient’s feet Sexually Transmitted Diseases If you prefer, these can be treated in James Cook University Hospital by a trained specialist, who will also give advice. Please telephone the Centre for Clinical Infection on 01642 835677 for an appointment. Treatment and advice is given in strict confidence. Smoking Cessation Clinics Please arrange an appointment with one of our Health Care Assistants for advice on giving up smoking. Travel Information If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required. Antimalarials are not available on the NHS. You can buy directly from the pharmacy. Remember to continue anti-malarials for up to 4 weeks after your return to the UK. Treatment Room Our practice nurses undertake dressings, remove stitches, syringe ears, take blood samples, carry out ECG’s and cervical smears, give childhood and travel vaccinations and run various health clinics. Well Person Check Simple checks and tests can often identify preventable health problems. This clinic will check your general fitness and give advice on staying healthy. You will also be given advice on preventing heart disease. APPOINTMENTS: The practice operates an advanced access system to assist patients in gaining timely appointments with a healthcare professional. Should you like an early morning appointment (8.30am – 9.30am) or a late appointment, these appointments can be pre-booked up to 4 weeks in advance. For all other appointments please ring on the day you wish to attend (from 8.00am) How to register as a new patient: To register at the practice please ask at reception. The receptionist will provide you with a registration form. A patient questionnaire will also be provided which asks questions about your health and previous medical history. You will be asked if you have a preferred doctor and this preference will be recorded on medical records, though you may of course see any member of the health care team. The receptionist will invite you for a health check with the practice nurse and annual health checks at specific clinics should you suffer with certain illnesses. Seeing the Doctor: Consultations are by appointment only and can be made through our advanced access appointment system or on the practice website. We would encourage you to see the same Doctor as far as possible for continuity of medical care. All patients have the right to express which practitioner they would prefer to see. If you require urgent medical attention, we will always see you on the same day, although you may sometimes have to wait to see another Doctor. Seeing the Nurse Practitioner: She is available to treat a range of conditions. For example; asthma, skin conditions, women’s health and contraception, coughs and colds, hay fever, earache, sore throat and HRT. Please be aware that Nurse Practitioner is unable to see children under 12 months and pregnant ladies. Seeing other Health Care Professionals Appointments can also be made to see our Practice Nurses and Health Care Assistants as needed in advance. Home Visits If possible please try to telephone before 10am if you require a home visit. A doctor or nurse may phone you back as it may be that your problem can be dealt with by telephone advice, or that it would be more appropriate to send a nurse, or indeed arrange a hospital attendance. House visits are only available for patients who are housebound because of illness or disability. Please remember that several patients can be seen in the practice in the time that it takes to make one home visit. There are also better facilities for examining and treating patients at the Health Centre. CONFIDENTIALITY The practice complies with Data Protection and Access to Medical Records legislation. Identifiable information about you will be shared with others: - To provide further medical treatment for e.g. from district nurses/hospital services. - To help you get other services e.g. social work department (requires your consent). - When we have a duty to others e.g. in child protection cases, anonymised patient information will also be used at local and national level to help the Health Board and Government plan services e.g. for diabetic care. If you do not wish anonymous information about you to be used in such a way, please let us know. Reception and administration staff require access to your medical records in order to do their jobs. These members of staff are bound by the same rules of confidentiality as the medical staff. FREEDOM OF INFORMATION ACT The ICO has published a new Model Publication Scheme that all public authorities are required to adopt. CCTV The practice operates CCTV both in the practice and the car park to ensure security and safety of our patients and staff. DISABLED FACILITIES The surgery has suitable access for disabled patients. All the patient areas including the waiting room, the consulting rooms and the toilets, have wheelchair access. A hearing loop is in place at the front reception desk. If you require one, there is a wheelchair available at reception. There are designated disabled parking spaces in the car park. Out of Hours If you need urgent medical attention when the surgery is closed, please telephone NHS 111. The out of hours service is not provided by the surgery, but is commissioned NHS England. You may be asked to attend a Primary Care Centre and, as in the day time, will only be visited if the doctor considers it medically necessary. Telephone Advice Line If you have a medical query which you feel may not require a doctors appointment, our advice line is available. Please phone the surgery before 11.00am specifying that you want telephone advice, and leave a contact number. A Doctor or Nurse Practitioner will phone you back. Repeat Prescriptions To request a repeat prescription, patients must give a minimum of 48 hours notice. Please be aware that any requests submitted out of hours (between 6pm 8am, weekends or bank holidays), will not be processed until the following working day. For example if you submit your prescription request on a Saturday it will not be processed until Monday and will be ready to collect from Wednesday afternoon. Prescription requests will not be taken over the phone. To order online follow the link on the website (www.southgrangemedical.co.uk). Practice Area: The practice accepts patient’s resident in Grangetown, South Bank, Eston, Normanby, Ormesby, Spencerbeck, Overfields and Lazenby. Other locality areas may be considered, please enquire at reception. VIOLENCE STATEMENT The practice considers aggressive behaviour to be any personal, abusive and/or aggressive comments, cursing and/or swearing, physical contact and/or aggressive gestures. The practice will request the removal of any patient from the practice list who is aggressive or abusive towards a doctor, member of staff, other patient, or who damages property. All instances of actual physical abuse on any doctor or member of staff, by a patient or their relatives will be reported to the police as an assault. Adult & Childhood Immunisations It is important that your children and yourself are immunised and you may arrange an appointment with the practice nurse at your convenience. Recommended Vaccination Schedule When to Immunise 2,3 and 4 months old What is Given How it is Given Diptheria, tetanus,pertussis (whooping cough), polio One injection and Hib (DtaP/IPV/Hib) Men C One injection Around 13 months old Measles, mumps and rubella (MMR) One injection 3 years and 4 months to 5 Diptheria, tetanus,pertussis (whooping cough), and years old polio (dTaP/IPV or DtaP/IPV) One injection Measles, mumps and rubella (MMR) One injection Skin test, then if 10 to 14 years old BCG (against tuberculosis after birth) 13 to 18 years old Diptheria, tetanus, polio (Td/IPV) One injection Adults Tetanus booster One injection Flu One injection Tetanus booster One injection Flu One injection Pneumococcal One injection Elderly needed, one injection For those who have had their normal childhood immunisations, which include tetanus, a tetanus booster may be recommended if patients incur a wound. COMMON ILLNESSES-SELF HELP Cold & Flu - Most of these last for only a few days and get better without treatment. They often start with a runny nose, cough, temperature and aches. They are caused by viruses. If the symptoms are distressing or uncomfortable, the treatment consists of taking the recommended dose of Paracetamol and drinking plenty of fluids. Diarrhoea & Vomiting - This is normally caused by an infection in the stomach or bowel. Although the diarrhoea and vomiting may be unpleasant and uncomfortable, they are nature’s way of flushing the infection from the system. It is better not to take any medicine or tablets but to drink plenty of fluids. Diarrhoea and vomiting in very young children should be discussed with your Doctor in person or via the telephone advice line which is available at the surgery. Burns & Scalds - Taking the heat away from the skin as soon as possible is the most important factor. Apply large quantities of cold water immediately, for up to 15 minutes if necessary. Do this before any other measure such as removing clothes or sending for an ambulance or Doctor. If the skin is broken but blistered, apply a large dressing after cooling. If the skin is broken, or larger than 4 inches in diameter, contact the local A&E department. Head Lice - These are not a sign of poor hygiene. Shampoos and lotions which can relieve the problems are available from the pharmacist without prescription. Backache & Strains - Many acute strains and backache will respond to a few days rest, with Paracetamol taken for pain. Sprains - First apply a cold compress containing ice for 15-30 minutes to reduce the swelling. Apply a firm crepe bandage and give the sprain plenty of rest until all the discomfort has subsided. Insect Bites & Stings - Most of these need no treatment. Antihistamine tablets can be obtained from the pharmacist without prescription and will relieve most symptoms. Threadworm - These usually manifest as itching at the bottom and treatment can be obtained from the pharmacist without prescription. All members of the household (more than 3 months of age) should be treated. Treatment may be ineffective unless strict attention is pain to personal hygiene, in particular hands should be washed and nails scrubbed before meals. Nose Bleeds Sit in a chair leaning forward with your mouth open. Pinch your nose just below the bone continuously for at least 10 minutes, by which time the bleeding will probably have stopped. If the bleeding continues consult your doctor or, out of hours, go to the nearest A&E department Sunburn Treat as for other burns with cold water to remove the heat. Calamine lotion with relieve the irritation and Paracetamol will help. If you are badly burn consult your doctor. To help prevent sunburn, make sure that you apply a good quality sunscreen to all exposed parts of your body. As your Doctor or pharmacist which sunscreen is right for your skin. Re-apply the sunscreen every two hours when outdoors, especially if you are swimming or sweating. USEFUL TELEPHONE NUMBERS. Accident & Emergency advice line 01642 854 222 East Cleveland Hospital 01287 676205 Fabian Road Clinic 01642 453449 Guisborough Primary Care Hospital 01287 284000 Health Visitors (Low Grange Health Village) 01642 838003 Inform Physio Helpline 01642 688885 James Cook University Hospital Switchboard 01642 850850 NHS Out of Hours 111 One Life 01642 737777 Redcar Primary Care Hospital 01642 511000 Tees Valley Treatment Centre 01642 737855 Teesside Hospice 01642 819819 Time to Talk (counseling service) 01642 221910 University Hospital of North Tees 01642 617 617 NHS Tees 01642 352370 Unit 20 Highforce Road, Riverside Park Middlesbrough TS2 1RH (to obtain details of primary medical services in the area)