Lorn Medical Centre Soroba Road Oban, PA34 4HE 01631 563175 Telephone: Repeat Prescriptions: 01631 565178 01631 570565 Health Visitors: 01631 569916 District Nurses: Website www.LornMedicalCentre.co.uk When the surgery is closed call 08454 24 24 24 Welcome Welcome to the Lorn Medical Centre website which we are currently developing. We aim to provide all of our patients with a comprehensive range of healthcare services covering one-off problems to longer term illnesses. Feel free to explore the site and find out how you and your family can benefit from our personal and professional approach to healthcare provision. Convenience As well as being able to see when we are open at the click of a mouse we’ve made it easier for you to do a number of things. You are now able to order a repeat prescription or cancel your appointment online. Join Us Registering is easy with online forms also available and appointment slots to suit most patients’ timetables. You’ll enjoy a confidential service in comfortable surroundings from a helpful and dedicated team. Opening Times Monday 08:00 - 18:00 Tuesday 08:00 - 19:30 Wednesday 08:00 - 19:30 Thursday 08:00 - 19:30 Friday 08:00 - 18:00 Weekend closed Please note the practice closes for four afternoons a year to enable the team to participate in staff training. These closures will be clealy notified in advance. We also close for Public Holidays: Christmas, New Year, Easter and May Day. When We Are Closed The doctors at the Lorn Medical Centre participate in the North Argyll Out-of-Hours service. If you need medical advice outside opening hours telephone NHS 24 on 08454 24 24 24. Your call will be diverted to the on call service. Out-of-Hours visits should only be requested if they are felt to be truly necessary. The service has access to your Emergency Care Summary, which lists your repeat medication and any major problems. Call 999 in an emergency. Chest pains and / or shortness of breath constitute an emergency. Appointments You can see any of the doctors or nurses in the practice by appointment. We aim to offer you a routine appointment of 10 minutes within two days. If it is important for you to see a particular clinician please try and book a week in advance. If you need an urgent appointment you will be seen as soon as possible that day. Please help the receptionists by telling them whether or not your problem is urgent. If you are not happy with your appointment, please speak to the practice manager. We also offer evening surgeries on Tuesday, Wednesday and Thursday between 18:00 - 19:30. A nurse is available at these times too. Telephone Appointments If you think your problem can be dealt with on the telephone we offer telephone consultations with our clinicians. The receptionist will give you a telephone appointment and the doctor will call you back. Please ensure that we have your current phone number. Practice Nurses In a number of cases it might be worth considering an appointment with a practice nurse rather than a doctor. Practice nurses are qualified to deal with many ailments and you may be seen more quickly. Teenaid We are aware that young people may find it awkward to approach the practice and in this respect we support the work of the Teenaid service, based at the Market Street Centre. This service is staffed by Dr Katherine Adams but is completely separate from the practice. Clinics are held on Monday 16:00 – 18:00 and on Friday 12:45 – 14:00. Telephone 01631 570769. Cancellations If you cannot attend an appointment for any reason please inform us as soon as possible in order for us to give the slot to someone else. Each week approximately 50 patients do not turn up for appointments resulting in others having to wait longer for an appointment. When the Surgery is Closed The doctors at the Lorn Medical Centre participate in the North Argyll Out of Hours Service. If you need medical advice outside opening hours phone NHS 24 08454 24 24 24. Your call will be diverted to the on call service. Out of Hours visits should only be requested if truly necessary. The Out of Hours service has access to your emergency care summary, which lists your repeat medication and major problems. Home Visits If possible please try to telephone reception before 10:00 if you require a home visit. You may only request a home visit if you are housebound or are too ill to visit the practice. Your GP will only visit you at home if they think that your medical condition requires it and will also decide how urgently a visit is needed. In this respect the doctor may call you back. Training Practice We are fortunate to have been selected as a training practice for doctors wishing to specialise in a career in general practice. These doctors will initially spend six months with the practice and then a further year. The training is supervised by Dr Erik Jespersen and Dr Emma Boyle. We also help train final year medical students who spend a six week placement with the practice. We believe our practice and our patients gain a lot from our trainees who bring to the practice up-todate knowledge and techniques, as well as a friendly enthusiasm. Occasionally you may be asked for your consent in taking a video of your consultation in order to assist them with training. Our nursing team, and in particular our community nursing team, provide training for student nurses. Diving & Lifeboat Emergencies Dr Colin Wilson is a volunteer member of Oban Lifeboat Crew and provides valuable medical assistance in emergencies. He also leads the medical team who cover diving emergencies at the Recompression Chamber at SAMS, Dunstaffnage. Drs Fiona MacLennan, Allyson Murray, Richard Wilson and Ewan Glen are also on the duty rosta. Occasionally your routine appointment with a doctor maybe disrupted by such an emergency but the practice team will always try to reschedule your appointment to cause you minimum disruption. Sickness Certificates You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website (www.hmrc.gov.uk/forms/sc2.pdf) . Evidence that you are sick If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay). It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise. You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP. Statement of Fitness for Work - ’Fit Note' The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury. For more information see the DirectGov website (www.direct.gov.uk/en/MoneyTaxAndBenefits/BenefitsTaxCreditsAndOtherSupport/Illorinjured/DG_17 5850) (where this information was sourced) If you have a long-term condition or are on any medication, you should be seen at least once a year to review your treatment and the effectiveness of your medication. We strongly advise you attend for your review as this may prevent complications. To ensure you remember to come for this review, why don't you make an appointment in the month of your birthday? Some doctors and nurses are trained to give advice on contraception. Some of them are also trained to fit implants and coils. Please tell a receptionist what you require as you may need a special type of appointment. Sexual health services including coils and implanon provision, are also available to patients not already registered with the practice. Audiology Your doctor or nurse may refer you to the audiologist for advice. Dietetics Your doctor or nurse may refer you to the dietician for advice. Podiatry You can ask at reception for a self referral form for podiatry. This service is managed by the podiatry department based at the Lorn and Islands Hospital. Physiotherapy Your doctor or nurse may refer you to physiotherapy and you can also pick up a self referral form from reception, again this is managed by the physiotherapy department at the Lorn and Islands Hospital. Repeat Prescriptions Patients on long-term medication can order repeat prescriptions in a number of ways: By Hand – drop your repeat slip in the box provided at reception with the required items clearly marked. By Post – send it to us with a stamped addressed envelope if you want us to post it back to you. By Telephone – to 01631 565178 and leave a message on the answerphone. Online – follow the link at the top of this page and carry out a simple registration. If your drug is not on the list or you would like to speak to a receptionist, please phone the surgery. Please also remember to tell us where you want to pick up your prescription. Medication Reviews Patients on repeat medication will be asked to see either a doctor, nurse practitioner or practice nurse at least once a year to review these regular medications. Please allow two full working days between requesting and collecting your medication. Please allow 48 hours, excluding weekends and Bank Holidays, for your request to be processed. Any problems please telephone the surgery. We are currently piloting a method to provide an online prescription service. Please use this service but it is recommend that you contact the practice to ensure your prescription has been processed until we are confident that it is working. Clinics & Services Clinics & Services In addition to general medical consultations we are pleased to be able to provide specialist clinics and services covering the following areas: Asthma Chronic obstructive airways disease Coronary heart disease Diabetes Cervical screening Contraceptive services - including the fitting of implants. Child health surveillance Maternity services - antenatal care provided by the midwife. Postnatal check-ups eight weeks after birth. Mental health Minor surgery - the removal of lumps and bumps following an assesment by the doctor. Osteoporosis Vaccinations and immunisations - including flu and pneumococcal. Well Woman clinic Travel advice and vaccinations - including Yellow Fever. Smoking cessation We also participate in the following local initiatives: Methadone substitution programme Regular monitoring - by blood and urine tests, for patients on a range of drugs for arthritis and bowel problems. Annual reviews for carers. More specialised sexual and reproductive health services Alcohol misuse Non-NHS Services Non-NHS Services Some services provided fall outside the scope of the NHS and therefore attract charges. Examples include the following: Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.) Insurance claim forms Prescriptions for taking medication abroad Private sick notes Vaccination certificates Our reception staff will be happy to advise you about appointment availability and applicable charges. Please note we are an approved centre for the following: HSE Professional Diving Medicals Department of Transport Medicals for Seafarers (ENG) Offshore Oil and Gas Industry UK (previously UKOOA) Surgery Pod Surgery Pod Help your doctor to make the most of his time with you by using our surgery Pod – a simple device that will allow you to check your blood pressure, if you are unsure how to use it please ask at reception for assistance. Self Help for Minor Ailments Antibiotics First a note on these commonly-prescribed and powerful medicines: Antibiotics only work on bacteria and have no effect on viruses. This means that common infections like coughs, colds and flu will not be helped by them at all. The correct treatment is to follow the simple remedies outlined below. We only use antibiotics when these remedies fail and we suspect there is a secondary bacterial infection. Overuse of antibiotics may lead to their not working in the future and may cause thrush, skin rashes and stomach upsets. Colds and Sinus Pains Take plenty of fluids, paracetamol or, if over 16 years old, aspirin. Inhalations with steam, and Karvol/menthol crystals/Olbas Oil etc. can help clear the passages. You could use a decongestant such as Sudafed (available from chemists) of Vicks Sinex etc. You should be on the mend after seven to ten days and usually better after two weeks. If you are not getting better by then, make an appointment to be seen. Coughs These can be soothed with a drink made from honey and freshly squeezed lemon juice (full of vitamins) in hot water. If particular irritating, steam inhalations can be worthwhile. Cough medicines may provide some relief. If you bring up coloured phlegm, we may need to check your chest. Flu If you have a temperature and are aching a lot, paracetamol or aspirin, fluids and rest are the answer. Aspirin should not been given to children under 16. In susceptible patients, complications of flu can occur. If you are particularly unwell, especially with symptoms of a chest infection, please contact the Surgery for advice. Sore Throats If over 16 years of age, gargle with soluble aspirin, otherwise paracetamol, drink plenty and use lozenges or boiled sweets if they help. Most sore throats will settle with this treatment in three to five days. Laryngitis As for sore throats, try steam inhalations, rest your voice and avoid smoke. Temperatures Children often have fever with no other symptoms. They need to be cooled down and then they will feel much better. Remove their clothes down their vest and pants and keep the room temperature down. Use Calpol/Disprol etc. and, if necessary, sponge them with luke warm, not cold, water or blow them with a fan or hairdryer on its coolest setting. If they are unwell with symptoms of listlessness or not taking adequate fluid, please seek further advice with delay. Similarly, if there is no improvement after 48 hours we will need to see them. Diarrhoea and Vomiting This usually settles in one to three days and we recommend that you avoid all foods for 12 to 24 hours, but drink plenty of fluids in small amounts. If the vomiting is very frequent, special re-hydration drinks such as Dioralyte are useful and are available from Chemists. Avoid milk, dairy produce, and fatty/spicy food when appetite returns. Instead try dry bread, toast, thin soups, potato, chicken etc. If the diarrhoea does not settle, try natural yoghurt (you can flavour it if you like). Tummy colic can be eased with paracetamol and will settle in a few days. Childhood Rashes If a child is basically well but has a rash, this is usually because of a virus and this will settle untreated in only a few days. We would want to see the child if they are unwell with the rash. Chicken Pox This can be soothed by calamine lotion or, if it is extremely itchy, by antihistamines like Phenergan/Piriton (which are available from Chemists). It is infectious for five days after the last batch of spots has appeared. The Minor Ailments Scheme The scheme means that you don’t need to wait to see a Doctor because your pharmacist can give advice and treatment for these ailments and if you don’t pay for your prescription then you won’t be charged for the medicines supplied by your pharmacist. ALL pharmacies in the area are involved in the scheme. The scheme includes treatment for the following ailments: Chesty Cough Sore throat Headache/earache Temperature Blocked nose Hay fever Head lice Tummy upset Constipation Threadworm Dry Cough Athlete’s foot Haemorrhoids Nappy rash Mouth Ulcers Insect bites and stings Indigestion/heartburn Diarrhoea Thrush Family Medicine Chest The following is a list of items and medicines that we think should be a part of every family’s first aid kit: Paracetamol and Aspirin (Paracetamol or Ibuprofen Syrup for children) - Aspirin should not be taken by under 16s or people with Aspirin allergy Dehydration mixtures such as Dioralyte Indigestion remedies e.g. Maalox or Gaviscon, milk of magnesia Sunscreen which should be factor 15 or higher Calamine lotion for after sun treatment Tweezers and sharp scissors Thermometer Selection of plasters, cotton wool, non-fluffy dressings such as lint and elastic bandages Keep this in a secure locked place out of the reach of small children. Always read the instructions and use the recommended dose. Watch the expiry dates and do not keep medicines beyond this. Take unwanted or out of date medicines back to the pharmacy for safe disposal. Seasonal Flu + Pneumococcal Seasonal Flu Influenza – flu – is a highly infectious and potentially serious illness caused by influenza viruses. Annual immunisation (vaccination) is given free of charge to the following at-risk people, to protect them from seasonal flu: People aged 65 or over People with a serious medical condition If you are pregnant People living is a residential or nursing home The main carers for an elderly or disabled person Healthcare or social care professionals Flu immunisation for 2-16 year olds is being introduced over the next 3 years. In 2013-2014 children aged 2 and 3 years will be offerred nasal flu vaccinations. The surgery will be in contact regarding this. Pneumococcal Vaccine Pneumococcal vaccine gives protection against the bacteria Pneumococcus, which can cause pneumonia, meningitis and blood infections. This is given to People under age 2 People aged 65 and over People at risk This usually involves one injection which provides protecting for 20 yaers.However younger children may receive between one to three injections depending on their age. At Risk Patient Immunisation Patients aged 6 months and older who suffer from the following conditions should have flu and pneumococcal immunisations Respiratory Disease COPD Asthma requiring continued use of preventer inhaler Other chronic lung conditions Children admitted for lower respiratory tract infection Heart Disease Congenital heart disease Ischaemic heart disease Heart failure Kidney Disease Chronic kidney disease Chronic kidney failure Nephrotic syndrome Kidney transplantation Liver Disease Hepatitis Cirrhosis Biliary atresia Neurological Disease Stroke Transient Ischaemic Attack (TIA) Cerebal palsy Multiple scelrosis Degenerative diseases of nervous system Neurological disability Diabetes Type 1 Type 2 Immunosuppression Immunosuppression due to disease or treatment Patients undergoing chemotherapy Patients on high dose steroids Asplenia HIV Preganant Women Flu vaccination at any stage of pregnancy Whooping cough (Pertussis) after 28 weeks gestation Unpaid Carers or Young Carers If you, without payment provide help and support for a child, partner, friend, relative or neighbour you are entitled to be a flu and pneumococcal immunisations. Childhood Immunisation Diseases protected against When to immunize Vaccine given Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) DTaP/IPV/Hib Pneumococcal disease PCV Rotavirus Rotarix 2 months old Diptheria, tetanus, pertussis (whooping cough), polio and (Hib) 3 months old Meningococcal Group C disease (MenC) Rotavirus Diptheria, tetanus, pertussis (whooping cough), polio and Hib DTaP/IPV/Hib MenC Rotarix DTaP/IPV/Hib 4 months old Pneumococcal disease Hib/MenC Between 12 and 13 months – within a month of the first birthday Pneumococcal disease PCV Hib/MenC PCV Measles, mumps and rubella (German measles) MMR Diptheria, tetanus, pertussis and polio dTaP/IPV or DTaP/IPV 3 years 4 months to 5 years Measles, mumps and rubella Girls – 12 to 13 years Cervical cancer cuased by Human Papilloma Virus (HPV) types 16 and 18 MMR Gardasil Tetanus, diphtheria, polio Td/IPV and check MMR status 13 to 18 years Men C Men C Test Results Test Results You are welcome to call after 10am to enquire about your test results as our staff will have more time to help you. We would also appreciate it if you could avoid telephoning on a Monday whenever possible. You will be told how long you should expect to wait for the results at the time of your test so please bear this in mind before calling. It is then your responsibility to check them and make any necessary follow-up appointment with the doctor. Remember to ensure that all results are available as you may have had more than one test performed and some tests take longer to report than others. Please note that we do have a strict policy regarding confidentiality and data protection. In this respect we will only give out results to the person they relate to unless that person has given prior permission for their release or if they are not capable of understanding them. Blood Tests Blood Tests A blood test is when a sample of blood is taken for testing in a laboratory. Blood tests have a wide range of uses and are one of the most common types of medical test. For example, a blood test can be used to: assess your general state of health confirm the presence of a bacterial or viral infection see how well certain organs, such as the liver and kidneys, are functioning A blood test usually involves taking a blood sample from a blood vessel in your arm and the usual place for a sample is the inside of the elbow or wrist, where the veins are relatively close to the surface. Blood samples from children are most commonly taken from the back of the hand. The child's hand will be anaesthetised (numbed) with a special cream before the sample is taken. You can find out more about blood tests, their purpose and the way they are performed on the NHS Choices website. X-Ray X-Ray Your clinician may refer you for an X-ray which is usually performed at the Lorn and Islands Hospital. An X-ray is a widely used diagnostic test to examine the inside of the body. X-rays are a very effective way of detecting problems with bones, such as fractures. They can also often identify problems with soft tissue, such as pneumonia or breast cancer. If you have a X-ray, you will be asked to lie on a table or stand against a surface so that the part of your body being X-rayed is between the X-ray tube and the photographic plate. An X-ray is usually carried out by a radiographer, a healthcare professional who specialises in using imaging technology, such as X-rays and ultrasound scanners. You can find out more about x-ray tests, how they are performed, their function and the risks by visiting the NHS Choices website (www.nhs.uk/conditions/x-ray/Pages/Introduction.aspx) . Registration New Patient Registration Patients that live within a five mile radius of the practice can register with the us. Registration forms are available from the surgery and can also be downloaded below for you to print out. Each person will also need to complete a 'New Patient Questionnaire' to provide us with more details about your health. These are available to download from the "Registering Online" tab. Please bring your completed registration form and new patient questionnaire to reception. Each new patient will need to attend the surgery in person and provide photographic proof of identification (e.g. driving licence or passport). It would also be helpful if you could bring along your previous medical card. Please keep your medical cards in a safe place. If your card is lost, please ask a member of staff for a form so that it can be replaced. Medical treatment is available immediately while the registration process takes place. Please contact reception for further information. Guide to GP Services The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them. You can download the guide below. A Patient Guide to GP Services (www.rcgp.org.uk/pdf/rcgp_iyp_full_booklet_web_version.pdf) Registering Online Online 'Pre-Registration' With The Practice If you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct. Pre-registration Form When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct. Online Medical Questionnaire For New Patients Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect. Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice. Registration Form Temporary Residents Temporary Registration If you are ill while away from home or if you are not registered with a doctor but need to see one you can receive emergency treatment from the local GP practice for 14 days. After 14 days you will need to register as a temporary or permanent patient. You can be registered as a temporary patient for up to three months. This will allow you to be on the local practice list and still remain a patient of your permanent GP. After three months you will have to re-register as a temporary patient or permanently register with that practice. To register as a temporary patient simply contact the local practice you wish to use. Practices do not have to accept you as a temporary patient although they do have an obligation to offer emergency treatment. You cannot register as a temporary patient at a practice in the town or area where you are already registered. Download the Temporary Resident Registration Form Lifestyle Information Walking Even the smallest effect can improve your quality of life and make you feel healthier and livelier. Simply start by walking for 15 or 20 minutes at a brisk enough pace to get your heart beating faster, 3 times a week regularly. There is a local walking group and leaflets are available at Reception. Healthy Eating A healthy diet doesn’t need to be a boring one. Health experts tell us we are all eating too much fat, salt etc, but what exactly does this mean? Why not speak to your doctor/nurse or pick up some of our information leaflets so you can enjoy a healthier diet? Lorn and Oban Healthy Options (LOHO) The Surgery is participating in LOHO which is a programme aimed at improving physical activity, health and wellbeing. Referral to this should be discussed with your GP or practice nurse, as it is aimed at people with long-term health problems. Smoking We are keen to give all our patients who smoke as much help as possible. All of our practice nurses can give advice and specialist help on how to stop smoking; this includes nicotine replacement therapy. Appointments are available throughout the day and evening. Alcohol The practice is keen to promote responsible drinking and is participating in an initiative to improve people’s awareness of the dangers of consuming too much alcohol. We have leaflets available which will explain what a unit of alcohol is and what the recommended limits are. If you are concerned about the amount of alcohol you are consuming, please take time to complete the short questionnaire available at reception.. Drugs Dr Michael Boyle sees patients with drug dependency problems in a specialised drug clinic. Any patients with drug addiction problems can be referred to the Clinic by their GP. Cardiovascular Disease The West Coast of Scotland has a higher than average incidence of heart attacks/strokes and other cardiovascular disorders. To try to prevent these illnesses, we are keen that everybody over 45 has a Lifestyle check, which will include checking their blood pressure and other risk factors. Sexual Health There are worrying increases in sexually transmitted infections for people of all ages in the UK. Younger women are at particular risk of Chlamydia, which can cause infertility yet may show no symptoms. HIV/AIDS now affects more heterosexuals than gay men, and continues to spread. We can provide free condoms and offer vaccines to anyone at risk. Mental Health Mental health problems are very common and we offer patients the opportunity to discuss problems as early as possible. We are able to offer support here, and advise on other services available locally. Osteoporosis We are interested in prevention and treatment of osteoporosis. Regular exercise, avoiding smoking and plenty of calcium in the diet all help reduce the risk for men and women. Testicular Self Examination Testicular cancer is one of the most common causes of death in younger men. Early detection of any abnormality is important, testicular self-examination (TSE) can detect problems; we can show you how to do this or ask for a leaflet. Well Woman Clinic Well woman Clinics are no longer held in the Lorn & IslandsHospital. Appointments can be made in the Surgery with any of our GPs and nurses. Useful Telephone Numbers Out-of-Hours NHS 24 08454 242424 Clinics Market Street Clinic Teenaid 01631 571294 01631 570769 Hospitals Lorn & Islands District General, Oban Gartnavel Hospital, Glasgow Glasgow Royal Infirmary Western Infirmary, Glasgow Southern GeneralHospital, Glasgow Royal Alexandra, Paisley Vale of Leven D G Hosp. Alexandria 01631 567500 0141 211 3000 0141 211 4000 0141 211 2000 0141 201 1100 0141 887 9111 01389 754 121 Carers Shop Mobility for Wheelchairs Carers Centre Crossroads 01631 567150 01631564422 01631562277 Chemists Boots Gordons Chemists (George Street) Boots (Soroba Road) 01631 562517 01631 562063 01631 564560 Dentists Shore Street Argyll Square 01631 563006 01631 562791 Council Argyll & Bute Council Lorn Social Work Department Lorne Resource Centre Oban Day Centre DSS 01546 602177 01631 563068 01631 562725 01631 563012 01631 569300 Police 01631 510500 Helpful Organisations Lorn Counselling 01631 566666 Childline Parentline Scotland Alcohol Anonymous Drugs Helpline Women’s Aid Women’s Aid Argyll & Bute Lorne Home Start Carers & Family Support Group Marriage Counselling Parkinson’s Helpline Dementia Helpline Cancer Backup National Eczema Society Samaritans Aids Helpline 0800 1111 0808 800 2222 0845 769 7555 01631 564482 0131 475 2372 01369 706036 01631 566749 0141 221 8100 01631 563297 0808 800 0303 0808 808 3000 0808 800 1234 0870 241 3604 0845 790 9090 0800 567123 Residential or Nursing Homes Lynn of Lorn Eadar Glinn North Argyll House 01631 720287 01631 563219 01631 562168 Undertakers Hamish Hoey D & A Munn 01631 562269 01631 562562 Patient Information Sources of Information Our clinicians have a wide range of information sheets available on our practice intranet and will often give you a fact sheet about your condition. Leaflets and other written information about various illness and conditions are available from the practice. Useful websites are http://www.nhshighland.scot.nhs.uk/ (www.nhshighland.scot.nhs.uk/) Scottish Health on the Web (SHOW) is sponsored by the Management Executive of the NHS in Scotland, and provides cost effective, readily available health service information to both clinicians and the public. The SHOW service is managed and maintained by the Information and Statistics Division of the Common Services Agency of the National Health Service in Scotland. (www.show.scot.nhs.uk/) www.show.scot.nhs.uk (www.show.scot.nhs.uk/) Health Information and Self Care Advice for Scotland nhs24.com provides comprehensive up-to-date health information and self care advice for people in Scotland. http://www.nhs24.com/ (www.nhs24.com/) The Scottish Intercollegiate Guidelines Network. A project to improve the effectiveness and efficiency of clinical care in Scotland by publishing guidelines which identify and promote good clinical practice. www.rcgp-signet.co.uk (www.rcgp-signet.co.uk/) (www.rcgp-signet.co.uk/) The RoyalCollege of General Practitioners www.rcgp.org.uk (www.rcgp.org.uk/) (www.rcgp.org.uk/) The home page of leaflets on Patient UK which has available over 500 topics on health and disease. Details of more than 2000 self help / patient support groups and similar organisations. A directory of UK websites on disease, health, health news, events, carers issues, helplines, medicines, NHS information, benefits, medical equipment, etc. Recommended books on health and disease mainly written by UK authors. (www.patient.co.uk/) www.patient.co.uk (www.patient.co.uk) This website is to promote Scotland’s national healthy living campaign, launched by the Scottish Executive in January 2003. www.healthyliving.gov.uk (www.healthyliving.gov.uk) (www.healthyliving.gov.uk/) Information on asthma as a sufferer or parent of a sufferer giving non-promotional asthma education. www.actionasthma.co.uk (www.actionasthma.co.uk) (www.actionasthma.co.uk/) .......And Now Some Sites For Teenage Health Are you a teenage health freak? Got lots of health questions? Then go to Pete Paynes daily diary. www.teenagehealthfreak.org (www.teenagehealthfreak.org) (www.teenagehealthfreak.org/) This site has content on highly relevant and difficult issues for young people of all ages such as bullying and sex. Check it out! www.pupiline.net (www.pupiline.net) (www.pupiline.net/) Patient Transport Patient Transport Service To book patient transport call 0300 123 1236. Please contact the surgery reception if you feel you are unable to request patient transport yourself. Ambulance transport is available for patients who: require assistance from skilled ambulance staff have a medical condition that would prevent them from travelling to hospital by any other means have a medical condition that might put them at risk from harm if they were to travel independently have mobility difficulties that require the assistance of ambulance care staff are attending hospital for treatment that might have side effects and require ambulance care on the return journey More information on the patient transport service is available from the Scottish Ambulance Service (www.scottishambulance.com/WhatWeDo/pts.aspx) website. North Argyll Voluntary Car Scheme (NAVCS) If you are not eligible for the patient transport service but do not have the use of a car and find it difficult or awkward to use public transport, you may be able to receive help from the North Argyll Voluntary Car Scheme. The scheme covers the Community Council areas of Seil, Luing, Kilninver and Kilmelford, and Taynuilt. Users of the car scheme may be taken to the local GP surgery, lunch clubs, church and cemetery, Community Council meetings, social functions, and into Oban for shopping, dementia clubs, to visit family or friends, to the dentist, optician, hairdresser, library, banks, post office, lawyers, church, and even with their animals, to the vet. Passengers make a small donation as a contribution towards journey costs. To access the scheme contact Margaret Anfield on 01852 300368 or visit the scheme webpage (seil.oban.ws/carshare.html) . Other transport options A range of other community transport options are promoted by Argyll and Bute Council on the Community Transport webpage (www.argyllbute.gov.uk/node/30314) . Practice Policies Confidentiality & Medical Records The practice complies with data protection and access to medical records legislation. Identifiable information about you will be shared with others in the following circumstances: To provide further medical treatment for you e.g. from district nurses and hospital services. To help you get other services e.g. from the social work department. This 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 Information about the General Practioners and the practice required for disclosure under this act can be made available to the public. All requests for such information should be made to the practice manager. Access to Records In accordance with the Data Protection Act 1998 and Access to Health Records Act, patients may request to see their medical records. Such requests should be made through the practice manager and may be subject to an administration charge. No information will be released without the patient consent unless we are legally obliged to do so. 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. To pursue a complaint please contact the practice manager who will deal with your concerns appropriately. Further written information is available regarding the complaints procedure from reception. Violence Policy The NHS operate a zero tolerance policy with regard to violence and abuse and the practice has the right to remove violent patients from the list with immediate effect in order to safeguard practice staff, patients and other persons. Violence in this context includes actual or threatened physical violence or verbal abuse which leads to fear for a person’s safety. In this situation we will notify the patient in writing of their removal from the list and record in the patient’s medical records the fact of the removal and the circumstances leading to it. Suggestions and Complaints Suggestions We appreciate feedback about the service we provide. If we know what we do well, or what we don't do so well, we can use this information to change how we work. So please do not hesitate to let us know how we can improve your experience. 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 you have a problem or complaint, please discuss this with the doctor or the Practice Manager. Further written information is available on the Complaint Procedure Leaflet from Reception. We are continually striving to improve our service. If you have any suggestions, please speak to the Practice Manager or we have a suggestion box located in Reception. We carry out an annual Patient Satisfaction Survey and use the results to focus our attention on common issues that arise from our analysis of the survey. You may feel that we have not resolved the issues that are concerning you, if this is the case you may wish to raise your complaint with: The Feedback Team NHS Highland PO Box 5713 Inverness IV1 9AQ Telephone No: 01463 705997 Email: nhshighland.feedback@nhs.net Or you can write to the Scottish Public Service Ombudsman who will consider complaints after they have been through the formal complaints process. You can contact them at: Scottish Public Services Ombudsman Freepost EH641 Edinburgh EH3 0BR Freephone 0800 377 7330 Text Number 0790 049 4372 Email ask@spso.org.uk http://www.spso.org.uk Staff Details Doctors Dr Colin Wilson MB ChB Glasgow 1978, FFARCS Has a special interest in diving medicine and is the Divisional Medical Adviser (RNLI Scotland). He is also a lifeboat crewman and local medical advisor for the RNLI. He is approved by the MCA for shipping medicals, HSE for professional diving medicals and for Oil and gas UK medicals. He provides anaesthetic cover at the local hospital. Dr Erik Jespersen MBE, MB ChB Glas 1983, MRCGP, DA, DCH, DRCOG Has been a GP with the practice since 1989. He has recently returned to full time GP after retiring from his NHS management responsibilities. Has a special interest in general medicine, paediatrics and mental health. He is one of the trainers in the practice. Dr Allyson Murray MB ChB Aberdeen 1986, MRCGP Has been a GP with the practice since 1993. She has a special interest in women’s health, care of the elderly and mental health issues. Dr Michael Boyle MB ChB Glasgow Joined the practice in 2001. He has a special interest in young people’s problems and addictions. Dr Emma Boyle MB ChB Dundee 1997, DRCOG, DFFP, MRCGP Joined the practice in July 2002. She has a special interest in women’s health and the health of young people. She has a particular interest in training our future GPs. Dr Richard Wilson MB ChB Dundee 1982 Joined the practice in July 2006. He has a wide and varied experience in General Practice and has a special interest in Diabetes and Dermatology. Dr Fiona MacLennan MB ChB Dundee 1999, MRCGP Joined the practice in July 2006, after a spell in Australia. She was our GP registrar. She has a special interest in General Medicine, Sexual Health and Paediatrics. Dr Ewan Glen MB ChB Aberdeen 1999 nMRCGP Has recently joined the practice, having completed his GP training in Fort William. He has a special interest caring for the elderly and people with dementia. Dr Katherine MB ChB Manchester 1992 MRCGP DTM&H DRCOG Adams Has a special interest in women’s health and travel medicine. Dr Ruth MacLean MB ChB Dundee MRCGP DFSRH Completed her GP training with the practice and has joined us as a Partner. Specialist Nurses Robert Fairman - Addictions Bev Ison - Community Alcohol Kirsteen Menzies - Harm Reduction Mairi MacGregor - Homeless Katrina Flannigan - Respiratory Hazel Hamilton - Stroke Betty Graham - Cardiac Nurses Practice nurses are qualified and registered nurses. They can help with health issues such as family planning, healthy living advice, blood pressure checks and dressings. The practice nurses run clinics for long-term health conditions such as asthma or diabetes, minor ailment clinics and carry out cervical smears. Pauline Jespersen BA SPGPN RSCN RGN RM RHV (Nursing Team Leader & Prescriber) Pauline is a specialist practice nurse and leads and manages the practice and community nursing team. She provides care for long term conditions including asthma, COPD and diabetes; and provides a service for patients requiring emergency appointments, family planning, women and men’s health. She can prescribe from an extended range of medicines and can provide contraceptive implants and coils. Fiona Thompson BSc RGN (Nurse Prescriber) Fiona is a senior practice nurse who also offers a specialist diabetes nursing service for adults within the locality. Within the practice she provides a service to patients with long term conditions including diabetes, asthma and COPD. She is also an extended nurse prescriber. Shiona Matheson RGN RSCN Shiona provides a general nursing service to our patients and has an interest in childhood immunisation and travel health. Margot MacLeod RGN Margot provides a general nursing service to our patients, including cervical smears and annual reviews for patients with a range of long term conditions including heart disease, hypertension and rheumatoid arthritis. Frances Parkinson RGN Frances works with the practice and distrct nursing teams and provides a general nursing service to our patients; she also provides annual review of patients with long term conditions such as heart disease, stroke, hypertension. Maureen MacDougall BSc RGN PGDip Maureen provides a general nursing service to our patients and provides annual reviews for patients with long term conditions e.g epilepsy, rheumatoid arthritis, hypertension. Ruth Cavanagh RGN Ruth provides a general nursing service to our patients. She has an interest in travel health and women's health and can provide cervical screening and contraceptive implants. Practice Management Mairi Dunnings BSc The practice manager is involved in managing all of the business aspects of the practice such as making sure that the right systems are in place to provide a high quality of patient care, human resources, finance, patient safety, premises and equipment and information technology. The practice manager supports the GPs and other medical professionals with delivering patient services and also helps to develop extended services to enhance patient care. Administration Sheena MacInnes - Business Manager Sarah Jackson - Medical Secretary Morag McHardy - Administrator Joyce Matheson - Administrator Catherine Smith - Administrator Reception Fiona Stephen, Marlyn Johnston, Lorna Armour, Shirley Ann McCaskill, Joanne Morrison, Andrea MacGuire Anne-Marie Flannigan, Allyson Lawson Receptionists provide an important link for patients with the practice and are your initial contact point for general enquiries. Our staff are fully trained and are happy to assist you in making the best use of our services to answer any question or deal with any request that you may have. It is necessary at times for them to ask further questions to enable them to provide the most appropriate response. They provide basic information on services, will pass on test results after the clinician has checked them. They also perform other important tasks such as issuing repeat prescriptions and dealing with prescription enquiries. Community Nurses District Nurses Gaynor Wotherspoon Pg Cert, BA, DN, RGN Shirley Maclean RGN Maggie McPhee RGN Morag Griffiths RGN Karen Wesley RN (A) Dip N Frances Parkinson RGN Lucy Sharp RGN The District Nursing team provides specialist-nursing care within the community. They offer comprehensive, individualised nursing care to the housebound and those patients recently discharged from hospital who are not able to come to the surgery. Healthcare Assistant Rebecca Horne SVQ3 Health and Social Care Health Visitors Janet MacMaster MSc BA RGN RSCN Dip FP Gillian Bradford Hons PHN BSc Dip RGN Alison Docerty MSc Bsc PHN RGN RSCN SNNEB ENP Kirsteen Clark - Health Visitor Support Julie MacQueen - Family Support Officer - PGDIP Children & Young Families A health visitor is a registered nurse who has received training particularly related to babies, children and pregnant women. The health visiting team has a responsibility to promote individual, family and public health through home visits, group work and baby clinics. Their role is to provide families with children under five years old with support and advice around the general aspects of mental, physical and social well being. Macmillan Nurses Hilary Brown