For patients registered with the Spinney Education evening for Spinney Patients Wednesday 28th October 7.30pm – 9pm Methodist Church Hall The Waits, St.Ives Cambs PE27 5BY An Evening about Strokes Dr Chris Allen – Consultant Dr Meena Kanagasabapathy – GP Spinney What is a stroke? How you can reduce your risk of a stroke Common problems after a stroke Life after a stroke In the UK, strokes are a major health problem. Every year, around 110,000 people have a stroke in England and it is the third largest cause of death, after heart disease and cancer. The brain injuries caused by strokes are a major cause of adult disability in the UK. Come and hear our experts talk about these issues and much more! AGM & refreshments FLU CLINICS This year we are sending out appointments to patients who are eligible. We are holding two large Flu sessions. Saturday 17th October (am) and Thursday 22nd October (pm) If you are eligible you will be sent a letter inviting you for a flu and possibly also a pneumonia vaccination. STAFF NEWS Halyna our health care assistant had her baby daughter in June and will be returning to work next June. Laura Hylton has been helping us by working with us, and Janet Ireland has been doing extra shifts to help with the workload Ellie Hales joined the Reception Team in August and is learning the intricacies of general practice administration very quickly. Dr Danielle Witherick left the Spinney in September and we have recruited a local GP as a locum to our team. Dr. Carolann Walcott is a very experienced GP and will be working in the consulting room on the first floor. From Dr Mark Sanderson Since February 2010 I have been part-time at the Spinney, the rest of the week working for Cambridgeshire PCT and now NHS England. From 13 October I will be taking 6 months leave from the Spinney as a sabbatical to spend time working with NHS England nationally developing systems to support GP practices. I’m sorry to be taking some time away when all my colleagues are working so hard but I would like to take the opportunity to be involved in some of the national work on developing primary care. Dr Lynda Brown who was the senior partner at Ramsey Health Centre will be my replacement while I’m away. She will work the same days and see my patients. I hope you don’t need to see a GP while I’m away, but if you do Dr Brown is excellent. 1 “Why has my GP changed so much in the last few years” At the last Patients’ Association meeting Dr Sanderson presented a talk about changes in the GP workforce nationally. We have had lots of requests to publish this. Here is a short summary of his talk: At The Spinney we are very aware that we have had a larger than desired turnover of GPs in the last few years. However this is happening nationally as the numbers of GPs, and their working patterns, have changed. By 2013 the number of GPs had declined to 59.6 per 100,000 people from a peak of 61.5 in 2009, with the GP workforce failing to keep up with population growth and increases in life expectancy. The national picture hides marked local and regional variation – a number of areas across the country are under doctored, e.g. the North West has 63.4 GPs per 100,000 compared to Thames Valley with 81.5. The proportion of GPs aged 40 and over is due to increase over the next 15 years, with the median retirement age for GPs being 59. Eleven former PCT areas have more than 35% of GPs aged over 55. The fill rates for GP trainee programmes vary from 100% in some areas to as low as 36% in others. Last year the average fill rate for trainee programmes was 76%. Nationally there is a programme to increase GP recruitment and retention. At the Spinney we are dedicated to finding the best doctors we can, but hope you can appreciate that that has got more difficult over the years. 2 Surgery half day closing 24th November 2015 27th January 2016 23rd November 2016 The Surgery will be closed on the above dates for staff training. If you require urgent medical attention your call will be answered by Urgent Care Cambridgeshire. The Surgery also closes 1-2 pm Tuesdays and Thursdays. There is a number for urgent medical attention only. Please do not use this number for routine enquiries, appointments and prescriptions. THINK PHARMACY FIRST The Pharmacy First scheme is available to adults who are entitled to free prescriptions on the grounds of low income & to their children. People over 60 are also entitled to use the scheme. Free advice & treatment is available for all sorts of minor health conditions such as bites, stings, chicken pox, colds, colic, cold sores, conjunctivitis, constipation, coughs, cystitis, dermatitis, eczema, diarrhoea, ear wax, fungal & yeast infections, muscular aches & pains, genital thrush, hay fever, head lice, heartburn & indigestion, mouth ulcers, nappy rash, oral thrush, threadworms, warts & verrucae. Pick up an information leaflet from the local pharmacy. REDUCING PRESSURE ON A&E There has been a lot of national publicity about pressure on A&E departments and we would like to provide information about other services that are available. A&E is for “accidents” and “emergencies” and should not be used for minor problems. We are able to treat minor injuries at the surgery, these include:Cuts and bruises Bites (animal and insect bites) Blows to the head (no loss of consciousness) Burns and scalds Eye injuries Foreign bodies (including foreign bodies in the eye) Injuries needing more than first aid Minor trauma to hands, limbs and feet Sprains and strains Wound infections Please phone reception on 0844 4773603 or 01480 495347 and inform a member of staff that you have had a minor injury and we will ensure that you are seen as quickly as possible. Shingles immunisation programme Over 50,000 cases of Shingles occur in older people aged 70 years and above each year. The Department of Health introduced the national shingles immunisation programme for people aged 70-79 to help protect those who are most at risk from shingles and its complications. As the programme is being phased in over a few years, not everyone will be eligible for the vaccine this year. If you are eligible for the vaccination, we will contact you but if you wish to make an appointment sooner rather than later, and you are eligible then please do so. Vaccine groups are defined by age on 1st September The vaccine is currently being offered to those people who were aged 70, 71, 72, 78 or 79 on 1st September 2015. It is easily worked out – if you were born between 2nd September 1942 and 1st September 1945 or 2nd September 1935 and 1st September 1937 - you are eligible. We are not allowed to provide this vaccination to any patients whose birthday does not fall into these dates, so please do not ask us. What about people aged under 70 or over 79 on 1st September 2015? People under 70 will be offered the shingles vaccine in the year following their seventieth birthday. From 1st September 2015 people aged 80 and over are not part of the national programme because the vaccine seems to be less effective in this age group. Appointments - why do delays occur to your appointment time? ! Each consultation is booked for 10 minutes. If each consultation overruns by just 2 minutes a surgery will be running half an hour behind towards the end. ! Consultations can vary considerably in length depending on the complexity or severity of problems being discussed ! Sometimes a patient’s condition will require immediate hospital admission and this takes time to arrange ! The young, the elderly, the chronically ill or patients with learning difficulties may require more time and attention ! Your Doctor will always try to run to time, but it is not in your best interests for a doctor to rush a consultation, so sometimes delays do occur. 3 ! We receive complaints if a GP does not have the time to deal with more than one problem but we also receive complaints if a surgery runs behind because a GP has tried to do that. Our GPs try to prioritise their time in the most appropriate way and with the best interests of all our patients in mind. ! We appreciate the problems that delayed appointment times can cause - we will try and tell you if a surgery is running particularly late so that you are free to speak to reception about rearranging your appointment if necessary individual patient since 4th March 2015 We publish and promote our online services to our patients through our website, waiting room leaflets, screens, posters and by discussion with the Spinney Patients Association By March 31st 2016 online access to medical records must provide patients with access to all coded information held within their record. We will be working with our clinical supplier and NHS England to prepare for this and ensure the service is in place by that date. FEES MOBILE NUMBERS & EMAIL ADDRESSES We still need up to date mobile numbers and e mail addresses (where available) for as many patients as possible. You can do this on our website, when you attend for an appointment, or drop us an e mail at noreply.spinney@nhs.net Please do not use this e mail for medical enquiries or for passing messages on to GPs – it is not monitored on a daily basis. There are some services such as private forms and certificates, as well as some drugs and vaccinations which are not covered on the NHS. For these items, certain fees are chargeable to the patient or their employer. For full details of fees please see the schedule in the waiting room, or on our website. Some of these fees attract VAT. When submitting a form to be completed please enquire about the cost to ensure you are aware of this. Please also note that general medical services will take priority over private services. Access to medical records online The Surgery currently offers patients' facilities to book, view, amend, cancel and print appointments on line. We also offer the facility for all patients to order online, view and print a list of their repeat prescriptions. The Surgery has offered patients the facility to view online, export or print any summary information from their record, relating to medications, allergies, adverse reactions and other items agreed between the practice and 4 Did you know…? ...you can self-refer to the Stop Smoking Service without seeing a doctor? You can access the free service run by Our Health Care Assistants.