DR SMITH & PARTNERS

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DR JAIRAM
Hill View Surgery
Practice Booklet
Hill View Surgery
Kirklington Road
Rainworth
Mansfield
Nottingham
NG21 0JP
Tel: 01623 795562
Fax: 01623 798879
www.hillviewsurgery.co.uk
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Reception open
Monday – Wednesday Thursday - Friday 8.00am - 6.30pm
Tuesday –8 am – 8pm
Phones answered 8.00am 6.30pm.
Consultations by appointment
Morning
Evening
Doctor appointments
9.30am - 12.20am 3.00 – 6.00pm
Nurse appointments
8 am – 12.20pm 2.00 – 6.00pm
HCA appointments
8.00am – 11.50pm
Appointment availability will vary day to day and later appointments won’t be
available every day of the week.
For emergency visits outside surgery hours:
Diel 111
For repeat prescriptions:
Visit our website - www.hillviewsurgery.co.uk
Please phone between 12.00pm & 2pm Monday to Friday
Allow 48 hours excluding weekends
GP & Senior Partner
Dr I C Jairam (Female) MRCGP MDFFP BM BS
GP
Dr M Foley (Female) MRCGP DRCOG MRCP (UK) BM BS B MED SCI
GP
Dr Shrestha GP (Male) MBBS MRCGP
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WELCOME TO THE PRACTICE
The staff who work here are part of a team. This publication has been
designed to enable you to get the best from your practice.
THE PRACTICE TEAM
Practice Nurses
Vicky Watts
The practice nurses offer advice and screening to patients on health
promotion.
Will see patients with minor injuries, minor illnesses, run child vaccination
clinics; provide cervical smears.
Health Care Assistants
April Williams
Our HCA works with the practice nurse. Duties include taking bloods, well
man and well woman checks, NHS Health Checks, blood pressures, suture
removal and dressings, smoking cessation advisor, diet advice.
Practice Manager
Mandy Brown (Dip Primary and Healthcare Management) is the Practice
Manager. She is responsible for the overall management of the practice. She
will be pleased to discuss any non-medical problems with you and welcomes
any suggestions you may have for improving the service provided. She is
responsible for the practice complaints procedure.
The Administration Team
Kath Nicholls, Ainsley Clarke, is responsible for the practice secretarial work,
GP referrals and Choose and Book administration
Louise Parbery Ethan Cartwright (Apprentice) is responsible for Notes
Summarising, Scanning.
The Reception Team
Lynne Flavin, (Senior Receptionist). Natasha Garner ( MAT) Sharn Wilsin
(Apprentice. All information they receive will be treated in the strictest
confidence. Registration of new patients and any information or
documentation required for outside agencies. General office and reception
duties e.g booking of appointments, arranging child surveillance and child
vaccination appointments, ante natal enquiries etc.
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THE HEALTH CENTRE TEAM
Health Visitors
A health visitor is concerned with the health of the whole community, offering
particular attention to those with special needs, children and the elderly.
Health visitors run their own clinics and support parents and carers with
problems which arise as a result of bringing up children.
Information can also be supplied to clients on ways of maintaining and
improving health, both individually and to groups.
District Nurses
They provide skilled nursing care to our clients at home and can also offer
support and advice on general health issues.
Community Child Health Nurse
This nurse provides pro-active health surveillance and health education in the
Joseph Whitaker family of schools and clinics in Rainworth Health Centre,
including continence treatment as well as Hill View Surgery – Baby Clinic
Speech Therapy
Services are available through a doctor’s referral.
Counsellor
Services are available through a doctor’s referral
Midwife
The midwife provides care for expectant mothers and works with the doctors
during antenatal clinics. An antenatal clinic is held by the midwife on Tuesday
Afternoon. Home deliveries may be possible in suitable cases.
Physiotherapy
You will need a referral from your Doctor to see the physiotherapist.
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CONSULTATIONS
There is a full appointment system with the following options available to you:
1. Routine appointments with a Doctor within 1 week
2. Appointments for long-term conditions can be booked up to 12 weeks in
advance.
3. Same day clinic for certain conditions that can’t wait
4. Bookable telephone consultations
Please remember that one appointment is for one patient even if it is to
discuss another patient. One appointment is for one problem. If you have
more than one problem please make a double appointment. Please cancel
your appointment if you can’t attend so that someone else may take your
place.
You will be able to sign up to book appointments online. To register bring
photo ID to the practice and sign up at reception.
You will be able to register for our text messaging service. You will receive
reminders for appointments the day before and we may also text you about
other health related matters from time to time. Ask at reception or when on the
phone to register.
HOME VISITS
Home visits need to be requested before 10am. Home visits are available for
those too ill to come to the surgery. Please come to the Surgery if at all
possible. This ensures the doctor has all facilities at hand and that the
doctor’s time is used effectively. You will also be seen sooner.
On average a doctor can see four patients in the health centre in the time it
takes to make one single home visit. We always try to see sick children the
same day. Lack of transport is not a valid reason for a home visit; the doctor is
not a taxi service!
Same day appointment to be booked from 8.00am - 9.00am
Emergency visits, for life-threatening cases, can be requested at any time.
These requests may be put through to the doctor on duty who will visit at the
appropriate time according to need. Sometimes, for example in collapse with
unconsciousness or severe chest pain, it is safer to call the ambulance first,
before the doctor.
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111
For health advice and information you can call 111
access their website at…..Their services are freely available 24 hours a day,
365 days a year.
OUT-OF-HOURS ARRANGEMENTS
Our doctors cover from 8.00am to 6.30pm weekdays. Outside these hours we
pay for an emergency deputising service using GPs who practise elsewhere
in the Mansfield area. NHS Nottinghamshire County are responsible for
providing these services and their contact details can be found at the back of
this booklet. Please avoid using this service if possible - we would rather see
you during normal hours.
REPEAT PRESCRIPTIONS
There are 3 ways you can order your repeat prescriptions:
1 Bring in your prescription slip. Please circle the items you require and leave
with reception.
2 Telephone 01623 795562 between 12 – 2pm
3. Order online. You need to register for our online service by bringing photo
ID to the practice and signing up at reception.
Always order 2 working days in advance and remember that items ordered on
Friday will not be ready for collection until Tuesday evening. If you send a
stamped, self-addressed envelope we will post your script to you. If you are
elderly and have difficulty coming to surgery the local chemists operate a
collection and delivery service. Telephone your local pharmacist for further
information. Please do not request repeat prescriptions during
consultations.
RESULTS OR TELEPHONE ADVICE
You may telephone for results at any time and the receptionists will try and
put you through to either the practice nurse or health care assistant. If they
have a patient with them, you may be asked to leave a contact number and
they will ring you back when it’s convenient. The receptionists may in certain
circumstances pass on comments from the GPs about your results but cannot
discuss them further or give out more detail.
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ACCESS FOR DISABLED PATIENTS
*****Coming Soon*****
We will offer full facilities for the disabled including a hearing loop for patients
with hearing difficulties. All staff will be happy to assist you.
COMPLAINTS
If you have a complaint or a suggestion to make, please address it to the
practice manager. It will be investigated promptly with an appropriate
response issued in a timely manner. We welcome your comments and will
make every effort to ensure that problems you experience are quickly
resolved. You can get a copy of the practice complaints procedure and a
complaint form at reception or by downloading it from the practice website.
You may also find it helpful to speak to the Patient Advice and Liaison Service
(PALS) who may be able to give you advice or help resolve any problems you
may have. You can contact them on 0800 028 3693.
CONFIDENTIALITY
We ask you for personal information so that you can receive appropriate care
and treatment. This information is recorded on computer and we are
registered under the Data Protection Act.
The practice will ensure that patient confidentiality is maintained at all times
by all members of the practice team. However, for the effective functioning of
a multi-disciplinary team it is sometimes necessary that medical information
about you is shared between members of the practice team.
ZERO TOLERANCE
We strongly support the NHS policy on zero tolerance. Anyone attending the
surgery who abuses the GPs, staff or other patients be it verbally, physically
or in any threatening manner whatsoever, will risk removal from the practice
list. In extreme cases we may summon the police to remove offenders from
the practice premises.
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HOW TO REGISTER AS A PATIENT
1. In person; request a Registration pack from reception for completion.
2. Via the Internet; complete a registration form on the surgery website
www.hillviewsurgery.co.uk and print off the other forms that need completing.
PREFERRED PRACTIONER
You are entitled to see you preferred GP for routine appointments. However,
this will not be possible for urgent or emergency appointments that must be
seen that day. You may also find that you have to wait longer than usual if you
only want to see your preferred GP.
When you register with us you will not be assigned to a particular GP, though
that doesn’t stop you from expressing a preference to see a different GP
when you book appointments.
SERVICES OFFERED
Minor Surgery Clinic
Dr Jairam offers a minor surgery clinic.
Minor Injuries
Minor injuries such as sprains, bumps and minor cuts can be seen at the
practice. Please call and ask for an appointment.
Family Planning
We provide advice on all aspects of birth control during surgery consultations.
Please make an appointment to see a nurse for contraception advice.
Dr Jairam fit coils and Implanons. Please make an appointment with the GP to
discuss these options.
Chronic Disease Management
This includes diabetes, asthma, COPD, heart disease and stroke. Patients will
be invited for an annual review Dr but can make an appointment with the Dr
between these times if they have any concerns about their condition.
Well Woman Clinic/Well Man Clinic
Well woman and well man health checks are available with our health care
assistant. Ask at reception for details.
Vaccinations
Every autumn we have flu vaccine clinics. These are mainly for the elderly
(over 65), immuno-compromised diabetics, those with chest problems (eg
asthma and bronchitis), heart problems (eg angina), kidney problems and
pregnant ladies.
There is also a vaccine called Pneumovax II available at any time against
bacterial chest infections and pneumonia recommended for the same people.
Smoking Cessation
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Smoking cessation appointments are available with our Health Care
Assistants to help you quit.
Private Certificates and Letters
A self-certificate SC1 is normally sufficient for the first week off work. Private
fit for work notes are available from day three to day seven of an illness.
There is a charge for these. Letters to appeal against Disability Living
Allowance ratings, to the Council, Citizens Advice Bureau and Housing
Associations also attract a nominal fee.
MINOR ILLNESSES
Coughs, Colds and Sore Throats
These illnesses are extremely common and troublesome. Most of these
infections are caused by viruses, which will not get better with antibiotics.
Even if the illness is caused by bacteria, it is not always necessary to treat
with antibiotics as the human body is capable of fighting these infections
naturally and there is little evidence that antibiotic use in these infections will
make you better any quicker.
Overuse of antibiotics leads to the development of super-bugs (e.g. MRSA). It
is better to only use antibiotics when they are really essential.
There are certain times of year when these infections are more prevalent. If
you have had symptoms for more than five or six days and have tried various
preparations from the chemist without result, then feel free to see a GP or
nurse for an assessment.
Minor Accidents
For simple cuts and grazes, wash the wound under running water and apply a
clean dressing or plaster; available in all chemists and supermarkets. If the
wound does not stop bleeding after 5 minutes of pressure and it’s during
surgery hours you can be seen by either a Practice Nurse or a GP as an
emergency to review the injury. Treatment will be offered as appropriate for
any minor injuries or concerns.
Any accident or injury out of surgery time must be seen at the hospital.
Diarrhoea and Vomiting
Most cases of diarrhoea and vomiting are caused by airborne viral infections,
although some are passed by direct contact. They are usually self-limiting.
Symptoms include diarrhoea, vomiting, abdominal cramps and fever. Babies
with diarrhoea and vomiting are often well in themselves - but if you have any
uncertainty then, please, see a GP for assessment. Signs of dehydration
include sunken soft-spot, dry mouth, dry nappies and change in colour of skin.
If any of these signs occur then see a GP as an emergency.
It is usually not recommended to change your baby's feeding regime when
they have diarrhoea and vomiting. In the past we used to advise watering
down feeds, but this is not necessary. Just offer usual fluids and milk/feeds.
If you have any doubt at all about your child/family member, then do not
hesitate to come for an assessment. If you think you may have food poisoning
then bring a faeces sample so it can be sent for analysis.
Paediatric Surveillance
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Eight week checks are performed by GPs. Baby Clinic every Wednesday
11.30am -12.30pm Baby vaccinations are also given at this time or
alternative times are available if required.
Fever Symptoms in Children
There are lots of illnesses in children that can cause fever. Most of the time
they are simple viral infections. Below are some simple measures for
controlling a fever, when to consult a GP about a fever and any warning signs
you should look out for.
 It is very helpful if you can keep a thermometer at home for monitoring
temperature accurately. The forehead strip thermometers are not
always very helpful. Chat to your chemist about this.
 If you have a child under three months with a fever, please seek
medical attention as soon as possible.
If you have a child with a fever, who is otherwise well in him/herself
(eg, eating ok, drinking well, alert, no rashes) then use
paracetamol/calpol suspension as directed on the bottle, and
encourage fluids. If he/she is no better after 48 hours then please see a
GP for assessment.
 If your child is unwell with a fever - more drowsy than usual, has a
rash, isn't taking fluids very well, or if you are at all worried, then see a
GP for urgent assessment. It usually takes us only a few minutes to
assess your child, enabling us to offer appropriate treatment and
advice, and we should be able to put your mind at ease about your
child's illness.
Sun Safe Advice
 Do not sit or work outside in the midday sun if you can help it.
 Always apply a high factor sun screen at least 30 minutes before going
out in the sun.
 You can still burn even if it is a cloudy day
 Beware of sunny, windy weather as you may not notice that you are
burning.
 Always wear a hat or sunglasses as eyesight can be damaged by UV
rays.
 It is better to be pale and free of skin cancer! There are lots of good
fake tan products out there!
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When should I call 999?
There are always reports in the papers about inappropriate reasons for calling
for emergency help - 'I couldn't find my glasses' being one of the many
inappropriate requests 999 have heard over the years.
The following symptoms or conditions are potentially life threatening and
warrant a 999 call.
Collapse/loss of consciousness
A fit in someone not known to have epilepsy, or an unusually long or violent fit
in a known epileptic.
Severe shortness of breath - signs may include strangely noisy breathing,
chest heaving in and out, difficulty speaking in sentences.
Any chest pain, especially if associated with breathlessness.
If you feel someone has had a stroke
The following conditions may warrant a 999 call - if in doubt dial 999 and
discuss with the operator or speak to the duty doctor here.
Anyone who is very unwell, and not able to be moved into a vehicle to be
taken to A&E by a family member or friend.
Severe, sudden abdominal pain.
Very heavy bleeding that does not slow when pressure is applied for five
minutes
If you speak to a receptionist or medical staff member at the surgery and are
advised to dial 999 then please follow that advice.
Infectious Diseases
Chickenpox has an incubation period of 11-21 days and an infectious period
of one day before the rash appears to 6 days after.
FREEDOM OF INFORMATION – PUBLICATION SCHEME
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. This scheme is
available on request.
PRIMARY CARE TRUST
Details of primary medical services in the area may be obtained from:
NHS Nottinghamshire County
Birch House
Ransom Wood Business Park
Southwell Road West
Mansfield
Nottinghamshire
NG21 0HJ
0300 300 1234
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USEFUL TELEPHONE NUMBERS
Childline 0800 1111
Citizens Advice Bureau 627163
Community Health Council 627541
North Nottingham Health Service 622515
Family Planning Clinic 622541
Joseph Eastwood Hospice 622626
King's Mill Hospital 622515
Mansfield Community Hospital 622515
Mansfield District Council 656656
Nottinghamshire Police 101
Patient Advice and Liaison Service 0800 028 3693
Private Patient Clinic 624137
Relate (Marriage Guidance) 636553
Samaritans 422224
Social Services 622551
PRACTICE BOUNDARY
You will not be able to register with the practice if you live outside the practice
boundary. If you move outside the boundary we will ask you to register with
another practice.
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