Welcome to Rushden Medical Centre A guide to our services Contacting us: Rushden Medical Centre Adnitt Road Rushden Northants NN10 9TR Tel: (01933) 412666 Fax: (01933) 417375 Email: Rushden.k83024@nhs.net Web: www.rushdenmedicalcentre.com This practice is within the NHS Northamptonshire healthcare area. Normal surgery opening hours: Monday to Friday 8:00am – 6:30pm Extended Hours: Alternate Saturdays 8:30am to 11:30am (Pre-booked appointments only and limited administrative services) Training: The practice will be closed for training one afternoon per month so that the doctors, nursing staff and admin staff can attend essential or compulsory training. These days are advertised in advance on the website and at the front door. When the practice is closed medical support is available from NHS111. Out Of Hours Services For when it’s less urgent than 999, or not suitable for primary care call 111 (NHS 111) Available 24/7 - calls from mobiles and landlines free type talk 18001 111 Revised December 2015 How to Register Rushden Medical Centre serves the whole of Rushden and surrounding villages covering the NN10 postcode area except for those residing in Bedfordshire. We are unable to accept new patients residing outside of this area. Our clinical team includes GPs, Nurse Practitioners, Practice Nurses, & Healthcare Assistant and various attached clinical staff including Midwives, Counsellors, Health Visitors and District Nurses. We offer a full general practice service and also run specialist clinics for childhood immunisations, pregnant women. Our nurses also specialise in diabetes, asthma and family planning/contraception. At Rushden Medical Centre we aim to treat all our patients promptly, courteously and in complete confidence and expect the same level of courtesy towards our doctors and staff. If you live in our practice area and would like to register with us, please enquire at reception. You will be asked to complete a registration form, and basic health questionnaire. It would also be helpful if you would bring along proof of identity and proof of residency. If registering a new born baby you will need to bring in the red book. Choice You will be registering with the practice but you will be allocated to a named accountable GP to oversee your care. This is simply a government requirement and when making an appointment you may specify the doctor that you wish to see, this will be subject to availability of the doctor or you may opt to see any doctor as all doctors have access to your medical records. If you express this choice you may have to wait longer to see your preferred GP. In order for us to register you as a patient, we will require proof of identity and proof of residency in order to establish whether you are entitled to full or temporary registration. For permanent English residents such documentation could include photo identification such as a passport or driving licence, and a utility bill dated within the last 6 months. Specific documentation requirements are for other applicants such as asylum seekers, overseas workers, overseas students, overseas visitors etc. may be required. Temporary/Short -term resident We provide a temporary patient service for anyone residing outside the NHS England area we belong to but who is staying for a short period within our practice area (holiday, staying with relatives etc.) A temporary resident form can be obtained from our reception team which must be completed before any treatment can be given. Services We offer a range of NHS General Practice services, which are subject to contracts between NHS England (NHS), Nene Commissioning and Northamptonshire County Council and Dr Hanspaul & Partners (a medical partnership) and terms may vary or availability be limited. If you require a specific service please feel free to ask if it is one that is commissioned, or provided privately and subject to relevant fees e.g. medical reports, private letters and private medicals. The Doctors Dr Amrik S Hanspaul (male) MRCS 1978 Royal College of Surgeons of England LRCP 1978 Royal College of Physicians of London GMC 2450133 Normally available Monday, Tuesday and Wednesday Dr David Glyn Williams (male) MB BS 1984 University of London GMC 2932370 Normally available Monday to Friday Dr David Robert Purdy (male) MB BS 1984 University of London GMC 2923123 Normally available Monday, Wednesday, Thursday and Friday Dr Swati Negi (female) MB BS 2001 University of Delhi GMC 6096810 Normal available Tuesday, Wednesday, Thursday and Friday Dr Nigel Frank James Loveday (male) MB ChB 1992 University of Leicester GMC 3585899 Normally available Monday, Tuesday, Wednesday, Thursday and Friday Dr Priya Selva Kumar (female) MB BS 2000 Annamalai University GMC 6041010 Normally available Tuesday, Wednesday, Thursday and Friday The Nurses Our qualified nurses deal with a range of conditions and health concerns. They examine patients, make a diagnosis and plan care, including prescribing certain products. They deal with many areas of long term condition management such as diabetes COPD and asthma. Our nurse practitioners work alongside the doctors in the practice to provide a medical service including cervical cytology, travel vaccinations and well woman as well as minor illness surgeries. One is normally available Monday to Friday. Our practice nurses provide treatment room services such as wound dressings, childhood immunisations, asthma, diabetes, cervical smears, blood samples, spirometry, blood pressure, urine testing and removal of sutures. One is normally available Monday to Friday. Practice Administration The practice manager undertakes and advises on all aspects of managing our busy practice. Our office manager oversees the reception and admin team. Our reception/admin team will always try to help you. They answer the phone, deal with enquiries and take repeat prescriptions. Their job is very demanding and we ask you to bear this in mind and be patient. They are bound by confidentiality so you can feel free to discuss any matter with them if it assists in getting you seen by the most appropriate clinician. If the matter is personal this can be documented or you can discuss this with the receptionist in a more private area. They should not bear the brunt of frustration when someone cannot get exactly what they want. The partners treat verbal abuse of reception/admin staff as a serious matter that could lead to removal. We have a dedicated team who deal with prescription requests, repeat dispensing and electronic prescribing. Attached Services Counsellors Experienced counsellors are available who can help patients experiencing emotional problems. You will need to see your GP first in order to be referred to the counsellors. Well Being The Wellbeing Teams provide an innovative and person centred service for individuals in Northamptonshire, who may be at risk of or who are experiencing a period of mental distress, referral is made through a nurse practitioner or doctor. Community Midwives KGH Maternity Unit runs antenatal clinics at the surgery. If you think you are pregnant contact the surgery. If it is confirmed, you will be given appointments to see the midwife or doctor throughout your pregnancy. Most of our deliveries are booked for Kettering General Hospital but your doctor or midwife will be pleased to discuss any alternatives with you. District Nurses District Nurses work closely with us and are able to provide treatment and aftercare at home for housebound patients. Patients are normally referred to the community service by a GP or by the hospital on discharge. Health Visitors Health visitors can give expert advice on your family's health care. When your child is due for a routine health check you will be sent an appointment to attend the clinic. They can be contacted at the Health Clinic, Rectory Road, Rushden, telephone 01933 410192 . The Midwife, Health Visitor, and District Nurse teams are very much an integral part of our practice team, but are actually employed and managed by other NHS organisations and are therefore not directly accountable to the practice. Practice Services We run a range of services. For an appointment or further details, please call our reception desk on 01933 412666. Antenatal This clinic is run by the midwives. If you become pregnant you will be given a booking appointment at which the midwife will ask you a few questions and carry out some general health checks. You will be seen regularly throughout your pregnancy either at the practice, at your chosen local hospital, or both. Asthma & COPD This nurse led service offers advice and support for those with respiratory problems. Cervical Cytology Cervical Smears are usually undertaken by nurses. Patients are invited automatically and can then make an appointment with the surgery. Child health and immunisation All new babies are invited for regular check-ups from six weeks old. The immunisation clinic for baby and pre-school immunisations is usually held on a Tuesday morning. Diabetes This nurse led service offers advice and general health checks to patients diagnosed with diabetes. Patients are invited for these checks by letter. Family Planning This nurse led service offers contraceptive advice, insertion and removal of contraceptive implants and intrauterine contraceptive devices (coils). For more information please make an appointment with the nurse to discuss your options. Appointments To make a routine appointment you can book on line, call in to our reception, or telephone the surgery. When booking, please give as much information as possible. The receptionists are here to help you and ensure that you can be seen by the most appropriate clinician at the earliest opportunity. Appointments are available up to 5 weeks ahead but there is always more demand than capacity. If nothing we offer is convenient you may be asked to contact us again when more appointments become available. We will make an offer of an appointment with any clinician, if you wish to see a specific doctor you may have to wait longer until an appointment becomes available You may be offered an appointment with a Nurse Practitioner for a wide range of common minor illness problems. Nurse Practitioners are qualified to prescribe from a range of medicines. They will only deal with the problem you have specified. The Nurse Practitioner can refer you to the duty doctor if appropriate. Appointments are normally available Monday to Friday mornings and afternoons. Appointment times are dependent on the needs of the patient and must remain flexible. If you are requesting an urgent appointment you will be asked for a reason so that you can be directed to the most appropriate clinician. This could be a doctor or a nurse. If the matter is personal this can be documented or you can discuss this with the receptionist in a more private area. Let us know immediately if your call is an emergency. You can book to have a telephone consultation with a doctor or nurse. He or she will ring you on the telephone number you have provided. The GP or nurse will inform you if a telephone consultation is inappropriate and may ask you to make a face to face appointment. The GP or Nurse cannot consult with you by telephone if you are outside the British Isles. Let us know if more than one person in the family needs to be seen. We can give you a separate appointment if necessary. If the doctor or nurse is going to carry out an intimate or personal examination they will explain the examination or procedure. You or the clinician may request that a chaperone is present in the room during the examination or procedure. A chaperone can be a member of staff (subject to availability), or a person of your own choice (subject to clinician acceptance). If a chaperone cannot be made available at that time then another appointment will be made for you. Home visits Doctors typically see a minimum of four patients in the practice in the time it takes to do a single home visit. There are better facilities at the practice therefore we ask our patients to come to the practice if at all possible. However, we will visit you at home if it is necessary on medical grounds and your condition means you cannot attend the practice. We cannot visit simply because you lack transport to the surgery. Please ring before 11:30am to arrange a visit and let us know if your condition is urgent and give the receptionist a clear description of the problem The doctor may call you prior to agreeing to visit. Repeat Prescriptions Your doctor will inform you if your medication can be obtained through the repeat prescription process. You must allow at least 48 hours (2 working days) for the prescription request to be processed. On line ordering You can order your repeat medication via our website. You must still allow at least 48 hours (2 working days) from when we receive the order before you collect the prescription. Fax Post or drop off Use the request slip printed on the right hand side of your repeat prescription. Tick the items you need and either post or fax it to the surgery, or put it in the box by reception or if we are closed there is a letterbox on the staff entrance door. If you wish to have the prescription posted you must enclose an s.a.e. Order direct from your local pharmacist Most local pharmacies will collect your prescription from us and may deliver your medicines to you at the discretion of the pharmacy. NHA Pharmacy is operated by Northamptonshire Healthcare Alliance Ltd, a consortium of local Doctors and Pharmacists providing a free internet based prescription pickup and delivery service across the county. Some of the G.Ps and staff at this medical centre are shareholders in Nene Healthcare, who are a part of this alliance; each shareholder has an interest of approximately 0.1%. No GP at this surgery has an interest in Dudley Taylor Pharmacy except that as owners of the building they lease the pharmacy space to Dudley Taylor. Medication Review Please note that we review the care of all our patients who receive their medication by repeat prescription at least annually. This is not only good clinical practice but is a requirement under our contract with the NHS. Your review date is generally your birth month so as the date approaches you should make an appointment for a review or respond to any invitation. If you do not comply with the review process the GP may decline to issue medication until the review has taken place. Staff are not authorised to issue repeat medication once the review date has passed. If you are housebound a doctor or nurse may call or visit you to carry out the review. In line with all local practices we do not accept requests for prescriptions over the telephone as this is open to error and is a high clinical risk If you no longer need a medication please advise us as soon as possible, and do not order it. If you look after the medication of a relative please check they do not overorder or hoard. This can be risky and is a known waste of scarce NHS resource. If you are on long term repeat medication, you may find this is changed to a different brand. This is infrequent, but perfectly normal, and is undertaken where appropriate to ensure best use of NHS resources. You will be advised of any such change. Test Results All test results are sent to the doctor requesting the test. You are responsible for contacting the surgery for your results. You will be advised when to call for the results as some results take longer than others to be received at the practice You will be contacted if there is an abnormal result. You can visit www.labtestsonline.org.uk for detailed information on tests. Test results can only be given to the patient unless we have written and signed authority to discuss your medical condition with someone else. Sickness Certificates Under current legislation a patient can self-certify for the first 7 working days of any illness. The self-certificate (Form SC2) is available from www.gov.uk, from reception, the DSS office or your employer. We do not normally issue doctors certificates for the first week. If a private sick note is required a fee will be charged. After the first week, if you require a free Statement of Fitness for Work (Fit Note), please make an appointment as these are obtained as part of a consultation with a doctor. Form SC1 (Incapacity Benefit Claim Form) is for people who have an illness or disability and are unable to work. People who are in work but require special medical treatment (e.g. dialysis, radiotherapy, chemotherapy) may also be eligible for this benefit. This form is downloadable from www.gov.uk If you require one for insurance purposes, please ask your doctor (a fee will be payable in this instance). A receipt will be issued if requested. General Information You can help us by: Using our online services where possible Being on time for your appointment Letting us know as soon as possible if you need to cancel an appointment, we can then offer it to somebody else Calling for a home visit or urgent appointment before 11:30 am Keeping us informed of changes to your personal details. This will keep your records up to date. You can change address and contact details online through our website. Name changes require documentary evidence Do not leave your re-ordering of medication until the last minute. Specialist and hospital care If a doctor believes you need hospital treatment or specialist care elsewhere they will arrange your referral electronically for you while you wait or after the appointment. If the referral is made during the appointment you will usually leave the surgery with a document detailing your options and the contact details and password to make the appropriate appointment. If the referral is made afterwards you will be contacted with the same information. Consent for Children’s treatment (Under the age of 16) Where it is considered appropriate by parents, or where an adolescent does not wish the presence of an adult, a child may give legal consent to their own treatment. Under these circumstances the clinician must be satisfied that that the child has a full understanding of the advice and treatment being provided. Patient confidentiality We respect your right to privacy and keep all your health information confidential and secure. It is important that the NHS keeps accurate and up-to-date records about your health and treatment so that those treating you can give you the best possible care. This information may be used for management and audit purposes. However, it is usually only available to, and used by, those involved in your care. You have the right to know what information we hold about you. If you would like to see your records, a formal request form is available from reception. When you register with another practice your records will be transferred electronically wherever possible. In some cases records cannot be transferred electronically and this will take extra time. Dr Hanspaul & partners are the data controllers for the practice under the Data Protection Act 1998. Access to Patient Records The practice needs a signed authorisation which is available from reception before allowing access medical records and this can take up to 21 days to facilitate. The practice charges the following fees for access medical records: Viewing only - free Summary print out of electronic medical record - £10 plus .35p per page over and above the print out Print out of complete record - up to a maximum £50 Carers If you look after someone who is ill, frail, disabled, mentally ill you are a carer and we can offer support. Please complete a carer’s registration form available from our website or reception and hand it in to reception. The carer’s registration form includes information on local support services. You may also wish to have your needs assessed by Adult Care Services. A Carers assessment is a chance to talk about your needs as a carer and the possible ways help could be given. It can also look at the needs of the person you care for. This could be done separately or together, depending on the situation. There is no charge for an assessment. Interpreter Services We can arrange interpretation and translation services in person or by phone for any patient who does not speak English. At least 10 days’ notice is required for the practice to book an interpreter. Please let us know if you need this service. Applying to use our web based service You can book appointments, order a repeat prescription and provide us with change of address details on-line via our website at www.rushdenmedicalcentre.com To apply for this service you will need to request access details from the surgery. A form for this is available on our website or from reception. You will need to provide evidence to confirm your identity before you can use this service. You will be able to apply on behalf of your children to have access to this service but when they reach 16 years the registration will be cancelled and they will have to reregister in their own right. Access Our surgery is accessible to patients using a wheelchair. A wheelchair is available for those with difficulty in walking – please ask at reception. We have five parking spaces reserved for patients displaying a disabled sticker. For patients with hearing problems, we have fixed and portable hearing loop systems. There are toilet facilities for the disabled. Baby changing facilities are available. We can provide a private room for confidential discussion or activity. All dogs, with the exception of assistance dogs are not allowed in the building. This is a non-smoking building. Patients are requested to refrain from bringing food or drink on to the premises whilst waiting for their appointments. Water may be obtained from reception upon request. There is a check in system opposite the reception desk for those who wish to use it. Complaints and Acknowledgements Rushden Medical Centre aims to give a friendly and professional service to all our patients. If you have any constructive ideas for improving our service or simply wish to comment we will be pleased to hear from you. However, if you have any concerns about any aspect of our service, please let us know. Speak with whomever you feel most comfortable speaking to, your GP, our manager or our reception staff will be happy to help. In the majority of cases, concerns can be resolved quite easily. A comments/complaint leaflet and form are available from reception. However, if you do not feel able to approach the practice direct, you can contact NHS England. Additional Patient Services & Healthcare Information The doctor can provide relevant information on services and healthcare during the consultation and can print information leaflets if available or direct you to the relevant source of information. The practice will also display information posters in the waiting room. If you require information on a specific topic please discuss this with the GP. Freedom of Information Act The Freedom of Information Act 2000 obliges the practice to produce a publication scheme. A Publication scheme is a guide to the classes of information the practice intends to routinely make available. Details are available from the practice manager. Any subsequent request for information under the Act must be made in writing to the practice manager. Mobile Phones We allow mobile phones to be used within the building, but please ensure you do not disturb other patients with loud conversations, and please switch them off during your consultation. Patient Participation Group The practice supports an independent patient participation group that represents all of our patients and aims to be representative of all our patient population. Safety and Security CCTV is installed in the practice premises. Images are held primarily for the prevention and detection of crime in relation to the premises both inside and outside opening hours and footage would not be suitable and accordingly not released for car park incidents during opening hours. In keeping with our commitment to providing the best possible service to all our patients the CCTV installation will provide assurance to patients & staff that safety and security are high on our agenda. We uphold our policy that all consultations are private and confidential therefore no cameras or monitors have been installed in any of the consulting rooms. Policy on Violence and Abuse We aim to treat our patients courteously at all times and expect our patients to treat us in a similarly respectful way. We take seriously any intimidating, threatening, abusive or violent behaviour against any of our staff, patients or other surgery users. If a patient is abusive, they will be warned to stop their behaviour. If they persist, we will exercise our right to take action to have them removed, immediately if necessary, from our list of patients. Violence against any member of the practice will be reported to the police and the perpetrator immediately removed from the practice. Practice Based Commissioning Rushden Medical Centre is a member of Nene Commissioning; an award-winning organisation that brings together around 75 GP practices across Northamptonshire into a practice-based commissioning (PBC) consortium, with the aim of improving the health of the county. The practices in the consortium serve more than 657,000 out of the 696,000 patients in Northants. Nene works in close partnership with NHS Northamptonshire. For further details visit www.nenecommissioning.com. Non-NHS Services Fees will be charged for services not covered by the NHS e.g. private certificates, letter requests for non-NHS reasons, reports, insurance claims, HGV & PSV licences, elderly drivers’ reports, fitness to travel certificates, sports fitness certificates, private sick notes etc. GPs do not endorse passport photographs. Medical reports and examinations for insurance are usually paid for by the insurer. Research & Surveys The practice participates in studies and surveys to improve patient care and we are also externally evaluated as a training Practice and for re-accreditation of nationally recognized quality awards. Qualified assessors come into the Practice and are bound by the same stringent rules of confidentiality as are all members of the NHS. You may be asked to complete questionnaires from time to time but you have our assurance that these will be handled in an entirely confidential manner, as is all Patient related data. Your participation in any aspect of external evaluation or research is optional. Self Help As well as our practice, there are many other local NHS services you can contact for health advice, information or treatment. Before you do, remember that you can treat many minor ailments such as colds, coughs and indigestion by keeping a wellstocked medicine cabinet at home. We suggest you keep the following: Paracetamol and aspirin (children under 16 and people with asthma should not take aspirin) Mild laxatives Anti-diarrhoeal medicines Rehydration mixture Indigestion remedy (for example, antacids) Travel sickness tablets Sunscreen – SPF15 or higher Sunburn treatment (for example, calamine) Tweezers and sharp scissors A thermometer A selection of plasters, non-absorbent cotton wool, elastic bandages and dressings. Remember Keep the medicine chest in a secure, locked place out of reach of small children. Always read the instructions and use the suggested dose Watch expiry dates – don’t keep or use medicines past their sell-by date Take all unwanted and out-of-date medicines back to the pharmacy Your local Pharmacist Your local pharmacist will be able to give you free health advice at any time, you don’t need an appointment. Many pharmacies operate extended hours on a rota basis. Call NHS 111 for details NHS Walk-in Centres Lakeside Plus Surgery, Cottingham Road, Corby, NN17 2UR is our nearest walk in centre where you can see a doctor or nurse everyday 8am - 8pm. You can walk in and wait to be seen or book an appointment by telephone or internet. Call 01536 202121 .Accident and Emergency/999 For life threatening emergencies such as: Severe bleeding Collapse or unconsciousness Severe chest pains Suspected stroke Severe allergic reaction Telephone 999 for an ambulance Accident and Emergency (A&E) departments are open 24 hours a day, 365 days a year and can assess serious injuries and provide emergency treatment. Other Information The area served by Dr Hanspaul & Partners is in the district covered by NHS England Herefordshire & South Midlands which is responsible for commissioning and ensuring that you receive the health services you need. NHS England PO Box 16738 Redditch B97 9PT www.england.nhs.uk england.contactus@nhs.net Telephone: 0300 311 22 33 (Monday to Friday 8am to 6pm excluding B/Hols) NHS England NHS England is responsible for the direct commissioning of the following: GP Services Dental Services Community Pharmacy Services Optometry Services Health Visiting Services Screening Services Making a complaint If you are unable to discuss your complaint directly with your provider you can ask NHS England to look into your concerns. The contact details for NHS England are: Telephone 0300 311 22 33 NHS England PO Box 16738 Redditch B97 9PT e-mail england.contactus@nhs.net Ombudsman As a last resort, if you are not happy with the response from this practice, you can refer your complaint to the Parliamentary and Health Service Ombudsman who investigates complaints about the NHS in England. You can call the Ombudsman’s complaints helpline on 0345 015 4033 or http://www.ombudsman.org.uk or Textphone (Minicom): 0300 061 4298 The Care Quality Commission If you have a genuine concern about a staff member or regulated activity carried on by this practice then you can contact the Care Quality Commission at: CQC National Customer Service Centre Citygate Gallowgate Newcastle upon Tyne NE1 4PA Tel 3000 616161 or http://www.cqc.org.uk Social Services – Some Useful information Social Care is a department of Northamptonshire County Council which provides information about, and access to a wide range of social care services for people in need. Such services include care at home services, day care, respite care and long term residential and nursing home care. Services are provided directly by the County Council or by arrangement with the private or voluntary sector. The staff you are likely to be in touch with will include social workers, occupational therapists, home care assistants and day service workers. Access to services is subject to assessment by Social Services staff who will take into account your views as well as information from any health professionals or others involved in your care and will often include financial assessment as some services are charged for. If you meet the criteria which establish your eligibility for a service, a care plan will be agreed with you. What Sort Of Help Can Social Services Provide? Social Services for Adults aim to: Maintain an individual’s ability to live independently in the community Provide relief for family carers Enable provision of residential and nursing home care when independent living is not possible The Main Types of Services are: Information and advice Domiciliary service Home care (help with personal care such as washing and dressing) Help with housework and shopping is given where there are personal care needs, or to relieve a family carer Community meals Equipment or adaptations to property to enable independent living with advice from occupational therapists Day services Residential or nursing home care Carers support How Do You Get Help? Contact your local area office on 0300 126 1000 who will be happy to advise about the help available.