Our location Useful phone numbers Alcoholics Anonymous (AA) 0845 769 7555 CRUSE (bereavement counselling) 01463 713741 Dental helpline 0845 6442271 Department of Social Security (DSS) 01463 663500 District Nurses 01463 234038 Health Visitor 01463 714929 Highland Hospice 01463 243132 Kinmylies Chemist 01463 221094 Marriage guidance/Relate 01463 712888 Osprey House 01463 716888 Raigmore, New Craigs, RNI 01463 704000 Reachout Highland 01463 711585 Samaritans 08457 909090/ 01463 713456 Social work dept 01463 791338 Women’s Aid 01463 220719 Leaflet produced by Kinmylies Medical Practice Leaflet reviewed February 2012. Dr Helen Richards MBBCh (Wales 1986); MRCGP; DRCOG; DCH; DFFP; DPD; PhD Dr Stuart Smith MBChB (Aberdeen 1991); MRCGP; MRCP (UK); DRCOG; DFFP Assynt Road, Inverness, IV3 8PB Telephone (01463) 239865 Fax (01463) 711218 Website: www.kinmyliesmp.org.uk Contents page Welcome 3 The practice team 4 Registering & general information 6 Surgery opening times 6 Appointments 7 Home visits 7 Evenings and weekends 8 Test results 8 Medical certificates 8 Prescriptions 9 Special services and clinics 10 Community staff 11 Patients’ rights & responsibilities 12 Complaints & comments 12 Accessing your medical records 13 Confidentiality of records & information sharing 13 Useful phone numbers & location map Back page Kinmylies Medical Practice is part of the South East Highland Community Health Partnership: Alder House, Cradlehall Business Park, Inverness IV2 5GH Tel: 01463 706948. Full details about local primary health care services can be obtained from: Chief Executive, NHS Highland, Assynt House, Beechwood Business Park, Inverness. Welcome to Kinmylies Medical Practice Kinmylies Medical Practice is situated on the western side of the city of Inverness. Although we serve the whole of Inverness, most of our patients live close to the practice. In October 2006, the practice was taken over by a new partnership comprising two full-time doctors: Dr Helen Richards and Dr Stuart Smith. The practice has a manager, a deputy manager and five receptionists. We also employ two practice nurses and one Associate GP. We offer a full range of primary care services, including clinics for chronic diseases such as asthma, heart disease and diabetes; family planning advice; and minor surgery. In addition, weekly clinics are held at the practice by a community midwife and a physiotherapist. We work closely with the district nurses, and the practice has access to beds in the Royal Northern Infirmary (our local community hospital). Medical students from Aberdeen University are regularly attached to the practice on 5 week placements. We aim to provide the very highest standard of medical care to our patients, within an effective, efficient, well-managed and friendly small practice. Both partners believe that personal, individualised care and continuity are best achieved by smaller practices. Details of how to register are given in this leaflet. If you would like to suggest ways in which we can improve our service to patients, please tell us, speak to our reception staff or write to the practice manager. 3 Dr Helen Richards MBBCh (Wales 1986), MRCGP, DRCOG, DCH, DFFP, DPD; PhD Since 1990, Dr Richards has worked in general practice in England and Scotland. She believes that general practice is best delivered by small practices which can provide personalised, continuous care for individuals and families. She has extensive experience of research and undergraduate teaching. Her clinical area of interest is dermatology (skin disease). Dr Stuart Smith MBChB (Aberdeen 1991), MRCGP, MRCP (UK), DRCOG, DFFP Dr Stuart Smith has been working in the Highlands since 1996, with widespread experience from remote, rural and urban general practices. He has a background in hospital medicine, having gained MRCP. Associate GP Dr Alison Nicholls MBChB (Aberdeen 2002), MRCGP, DRCOG, DFFP Dr Nicholls consults on Thursday afternoon and Friday afternoon. Practice Nurses Heather MacFadyen RGN is primarily responsible for managing chronic diseases such as diabetes, hypertension, chronic airways disease (COPD) and asthma. Wendy Tait RGN, Dip DN, BSc, NP, joined us in July 2007. She carries out all general nursing duties (blood tests, ECGs etc) and is increasingly involved in chronic disease management. Rachel Mackay is a fully trained phlebotomist who runs a weekly phlebotomy clinic. Medical students Medical students are tomorrow’s GPs and hospital doctors. Medical students greatly value their time at the practice and it is a crucial opportunity for them to experience a wealth of medicine and learn about the importance of general practice to UK health care. The University of Aberdeen and its students regard our practice very highly and we value your help in teaching these doctors-to-be. Administration staff We are also involved in the further training of ‘FY2 Doctors’ who are completing their ‘Foundation Programme’. These Doctors join the practice for periods of four months throughout the year; they hold their own surgeries but are be closely supported by the GPs. The name of the current FY2 Doctor is available from reception. Practice Manager Mr Steven Addie is our practice manager. He is responsible for the smooth running of the practice and is happy to help with any queries or concerns. Reception Team 4 Our receptionists are Martine, Laura, Rachel, Cath, and Susan. They are here to support our clinicians and to help you. They make appointments; answer the phone, handle enquiries, typing and deal with prescription requests. 5 Registering at Kinmylies Medical Practice Patients are asked to complete a registration form and health questionnaire. A ‘new patient check’ appointment will be offered with one of our nurses. She will ask about your health, and will check your height, weight, blood pressure and urine. She may advise you to see one of the doctors. You will be registered with the practice, but not with a specific doctor. You are welcome to see the doctor of your choice, but this may mean you have to wait longer for an appointment. Surgery opening times The surgery is open every day from 8am until 6pm, except Wednesdays, when it closes from 12.30pm to 2.30pm for staff training. On Wednesday, from 12.30pm to 2.30pm, a doctor is available for emergencies by contacting the practice on (01463) 239865 and listening to the message. Dr Smith does not consult on Monday afternoon or Friday and Dr Richards does not consult on Tuesday afternoon or Thursday. Appointments Routine appointments Consultations are by appointment. A standard appointment is 10 minutes. In order to run to time, doctors can normally only deal with one problem during a single appointment. If you think that you need more time, please make a ‘double appointment’. Patients will be seen within 20 minutes of their appointment time, or be offered an explanation for the delay. If you do not specify a doctor, you will normally get an appointment within 2 working days. If an appointment is not available within 2 days, a phone appointment will be offered for that day. Urgent appointments If you think you need an urgent appointment please phone as early as possible. You will either be seen that day, or will be offered a phone appointment that day with a doctor. Phone appointments For your convenience, we offer phone appointments. When you make a phone appointment, a receptionist will arrange a time that the doctor will call you. Home visits Dr Nicholls consults on Thursday and Friday afternoons. The practice closes at 1.30pm on four “NHS REACT” training days throughout the year. These dates are on display in the waiting room. The practice is covered by NHS 24 on REACT training afternoons (see page 8 for NHS24 information). 6 If you require a home visit, please phone the surgery before 10am. The receptionist will ask you for a phone number so that a doctor can contact you, if necessary, before attending. The receptionist may ask you some questions to allow visits to be prioritised. It is very time-consuming for the doctor to do house calls, and generally safer to assess patients at the surgery, so whenever possible, you will be encouraged to attend the surgery. 7 Evenings and weekends Prescriptions For urgent medical care outside surgery hours, please contact NHS 24, on 08454 24 24 24. You will be offered advice or asked to attend the ‘Out of Hours’ Centre at Raigmore Hospital. Repeat prescriptions The practice will inform you of any abnormal results. However, please phone for results one week after a blood test, or two weeks after an x-ray, even if you have not heard from us. Your repeat prescription can be renewed without seeing a doctor. All prescriptions have a tear-off re-order slip. When you are nearing the end of your prescription, please post or deliver your re-order slip to the surgery (using the post-box in the foyer, or order via our website). Your medication will be at your chemist 48 hours later. From time to time, you may be asked to make an appointment for a medication review. Medical certificates Special requests For the first five working days of sickness absence, you can complete a ‘self-certificate’ (SC2) - available at reception. Doctors can only provide a certificate for absence after the first five days. A certificate for a new period of absence can only be dated from the day that you are seen, unless we have a report from another doctor. Some medicines (such as antidepressants and pain-killers) are generally not available as repeat prescriptions because we want to closely monitor their use. These will not automatically appear on the tear-off slip. However, they can be ordered as a ‘special request’, by writing the name of the medicine on the tear-off slip and either posting or delivering it to the surgery or by email. Test results Please note that for reasons of safety, we cannot not take orders for any prescriptions (repeat prescriptions or special requests) over the phone. Repeat prescriptions can be arranged by visiting our website at www.kinmyliesmp.org.uk and clicking on the ‘prescriptions’ link. 8 9 Special services and clinics Community staff The nurses Chronic disease clinics The nurses run clinics for diabetes, hypertension, heart disease, epilepsy, asthma and chronic airways disease (COPD). Health promotion The nurses run health promotion clinics such as: ‘well-woman’ (including cervical smears and contraception), ‘wellman’, smoking cessation and advice about alcohol and diet. Travel advice Patients needing advice about vaccinations or other matters relating to foreign travel should ask for a travel advice form from reception. An appointment will be made to discuss your travel plans with the practice nurse. There may be a charge for some vaccines and tablets. The doctors Minor surgery Both doctors perform minor surgery, such as removal of skin lesions. In addition, Dr Smith carries out joint injections. Patients are first assessed by a doctor and then advised about the type of appointment they need for the procedure. A number of additional services are provided by community based colleagues attached to Kinmylies Medical Practice, including district nurses, health visitors, the community midwife and a physiotherapist. District nurses District nurses provide care to patients in their own homes (mainly older people or those with chronic ill health or disability). They aim to promote independence, and to prevent hospital admissions. The district nurse attached to the practice is Marie Lumsden. Health Visitor The health visitor carries out home visits, from newborn to school age; gives advice before and after the birth of a baby, such as advice on postnatal depression; provides health promotion in the family setting. The health visitor attached to Kinmylies is Janette Ferguson, who can be contacted through the practice. Contraception Both doctors provide contraception, including the ‘morning after’ pill (which can be obtained using a phone appointment). Community midwife The community midwife offers care and advice throughout pregnancy and immediately after. On becoming pregnant, women may make an appointment for ‘antenatal booking’ with the midwife without first needing to see a doctor. The community midwife attached to this practice is Joan Kelly, who holds a weekly clinic on Tuesday afternoons. Minor injury We offer a service for minor injuries. If possible, make an appointment with the nurse, but if there are no appointments available, a doctor or nurse will assess minor injuries without an appointment. Physiotherapist The physiotherapist offers initial assessment and advice to patients with musculoskeletal problems. She holds a weekly clinic on Thursday afternoons. The physiotherapist attached to this practice is Neil Brotherstone. 10 11 Patient rights and responsibilities If you wish to talk to someone out with the practice, please contact: Behaviour Complaints Team, NHS Highland, John Dewar Building, Inverness Retail Park, Highlander Way, Inverness, IV2 7GE. Telephone 01463 705997 or Email: nhshighland.complaints@nhs.net We aim to treat our patients courteously at all times. We expect patients to treat our staff in a similar way. Abusive behaviour by patients towards staff is taken seriously. If a patient is abusive, they will be given a warning. If the behaviour persists, the patient may be removed from the practice list. Cancellation of appointments On page 7, normal waiting times for seeing a doctor are given. In order to meet these standards, the practice tries to minimise the number of missed appointments. Please phone to cancel your appointment if it is not needed, so that it can be allocated to another patient. Patients who persistently miss appointments may be removed from the practice list. Complaints and comments We operate a complaints procedure, which complies with national criteria. If you wish to make a complaint, please write to or speak to the practice manager. You will receive an acknowledgement of your complaint within two working days, and a formal response within ten working days. In investigating your complaint, we aim to find out what happened and what may have gone wrong; enable you to discuss the problem with those concerned; ensure you receive an apology, if appropriate; and try to prevent the same thing happening in the future. It would be helpful if you could inform us of any complaint as soon as possible, and, at the latest, within 12 months. 12 Accessing your medical records You are entitled to access your clinical records held by the practice. A written request should be made to the practice manager, stating exactly what information you require. A charge of between £10 and £50 will be made. Confidentiality of records & information sharing The practice complies with Data Protection and Access to Medical Records legislation. When necessary, information about patients may be shared between health care professionals, and (with the patient’s consent) with other agencies such as the social work department. Information can also be shared when we have a duty to others, for example in child protection cases. Anonymous patient data (i.e. with all identifying information removed) will also be used at local and national level to help the local health board and government to plan services. Practices undergo regular inspections, in which all aspects of patient care are examined including the inspection of randomlyselected medical records. The assessors adhere to a strict code of confidentiality. If you do not wish your records to be inspected, please inform the practice manager. 13