King George Road Surgery 52a King George Road Walderslade Chatham Kent, ME5 0TT Telephone: 01634 671037 01634 672729 Fax: Website www.kinggeorgeroadsurgery.nhs.uk When the surgery is closed call 111 Welcome to King George Road Surgery Welcome to our website where we hope you will find enhanced convenience added to first class healthcare. Find out when we are open and how to see a member of the team. We’ve made life a little easier with practice updates, news on the latest health issues and even access to repeat medication all at your fingertips. Your Good Health Access to a wide range of healthcare services is a key element of a good local practice. We don’t just want to see you when you’re ill we want to make sure you stay healthy too. Check out how we can cover both bases with our clinics and services. Best Practice Our professional team will ensure you receive the best attention at all times whether you’re attending a specialist clinic or a routine appointment. If you’re new to the area registration is easy and comes with the comfort of discretion and confidentiality assured. Thinking of Giving Up Smoking? We now run a free stop smoking clinic. To make the first step to becoming a 'non smoker' contact reception to book your first appointment. Opening Times Morning Afternoon Monday 08:30 - 12:00 14:00 - 18:00 Tuesday 08:30 - 12:00 14:00 - 18:00* Wednesday 08:30 - 12:00 14:00 - 18:00* Thursday 08:30 - 12:00 14:00 - 18:00 Friday 08:30 - 12:00 14:00 - 18:00 Weekend closed closed Please note some clinics run over the lunch period so please press the buzzer next to the door if you have an appointment at that time. When We Are Closed The opening hours of our surgery are 8.30 to 6.00 Monday to Friday. If you have an urgent medical problem outside of our opening hours, which cannot wait until the surgery re-opens, please contact NHS 111 to access the out of hours service. Just dial 1-1-1 from a phone. NHS 111 is a new service that's being introduced to make it easier for you to access local NHS healthcare services. You can call 111 when you need medical help fast but it’s not a 999 emergency. NHS 111 is a fast and easy way to get the right help, whatever the time. NHS 111 is free to call from both landlines and mobiles. Call 999 in an emergency. Appointments We offer a variety of appointment slots that can be booked in advance or on the day. Please telephone 01634 671037. The first part of each morning surgery is by advance appointment. The second part offers appointments on the day. Consultations are generally for 10 minute periods and for one person only. Therefore if you think you may need longer or if more than one member of the family needs to be seen, please book a double appointment. Telephone Advice There may be occasions when you would prefer to speak to your GP or our nurse practitioner on the telephone rather than visiting the practice. Our reception team will happily take your contact details and ask the nature of your call before passing a message to the appropriate clinician. More often than not the person you wish to speak with will be consulting when you telephone but will return your call when their clinic has finished. 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. Sign Language and Community Interpreters Through Medway Council we are able to offer both foreign and sign language interpreters. Our reception staff will be happy to advise you should this be a requirement. 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. Home Visits If possible please try to telephone reception before 11:00 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. You can be visited at home by a community nurse if you are referred by your GP. You should also be visited at home by a health visitor if you have recently had a baby or if you are newly registered with a GP and have a child under five years. 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_175850) (where this information was sourced) Patients who fail to attend for their appointments and do not inform the practice incur significant cost to the practice and to other patients in terms of lost appointments. The practice is committed to providing appointments to meet the needs of patients but cannot replace appointments lost due to failure to attend. During June 2013, 55 appointments were wasted on patients who failed to attend. This is over 9 hours worth of appointment time! It is our practice policy to monitor all cases of patients not attending appointments (Did not Attend—DNA ) and contact will be made with all patients who fail to inform the practice that they will not be attending their appointment. Patients who repeatedly fail to attend appointments and do not contact the surgery in advance will be sent a letter. A further DNA appointment following the issue of the letter will result in review of the circumstances by the Practice Manager and one of the Partners to determine what action will be taken. Possible outcomes in this situation are: 1. The patient will be invited to meet with the Practice Manager to explain why they have difficulties in failing to notify the surgery. 2. The patient will receive a further warning letter that further occurrences of DNA will result in their removal from the practice list. 3. The patient will be sent a letter informing them that they will be removed from the practice list. Please help us to help you by always cancelling an appointment you are unable to attend or no longer need. Should you have any comments, suggestion or concerns regarding our policy on appointments please ask to speak to the Practice Manager. We have a new online prescription request service now up an running. From the 31st May the current system will cease. In order to be able to continue using the online repeat prescription service you will need to register. The reason for this change is we have a new system in place that directly links up to our clinical system To register for the new service please complete the form and hand it to reception. You can find the form by clicking on the link below: Online Services Registration Form Repeat Prescriptions Patients on long-term medication can order repeat prescriptions in a number of ways: By Hand – drop your repeat slip in 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 Fax – to 01634 672729 Online – follow the link at the top of this page and carry out a simple registration. Prescriptions can be sent to Merlin Pharmacy or any other participating pharmacy. 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. Electronic Prescription Service This service enables your prescription to be sent electronically to any participating phamacy of your choice. Should you wish to nominate a participating pharmacy this can be done by completing the form below and handinging it into either the surgery or your nominated pharmacy. Register to use the Electronic Prescription Service Please allow two full working days between requesting and collecting your medication. Please note: Pharmacy 2 u is not associated with this practice. Prescriptions Charges and Exemptions Extensive exemption and remission arrangements protect those likely to have difficulty in paying charges (NHS prescription and dental charges, optical and hospital travel costs). The NHS prescription charge is a flat-rate amount which successive Governments have thought it reasonable to charge for those who can afford to pay for their medicines. Prescription prepayment certificates (PPCs) offer real savings for people who need extensive medication. NHS charges These charges apply in England only. In Northern Ireland, Scotland and Wales prescriptions are free of charge. Prescription (per item): £7.85 12-month prepayment certificate (PPC): £104.00 3-month PPC: £29.10 If you will have to pay for four or more prescription items in three months, or more than 14 items in 12 months, you may find it cheaper to buy a PPC. Telephone advice and order line 0845 850 0030 General Public - Buy or Renew a PPC On-line There is further information about prescription exemptions and fees on the NHS website (www.nhs.uk/NHSEngland/Healthcosts/Pages/Prescriptioncosts.aspx) Please allow 48 hours, excluding weekends and Bank Holidays, for your request to be processed. Any problems please telephone the surgery. 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/COPD management Hypertension screening and management Stroke management Childhood immunisations Minor surgical procedures Travel health advice and immunisations Family planning (contraceptive advice) Ante natal and post natal clinics Weight management support Well Women/Man clinics Implanon implantation Diabetic screening and management CHD/heart failure Hyperthyroidism management Child health surveillance Smoking cessation support Cervical screening Chlamydia screening NHS Health Checks Phlebotomy Ear irrigation Dermatology 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 Passport signing 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. Minor Surgery King George Road Surgery offers a wide range of minor surgery procedures including: Steroid injections Excisions of moles, lumps, skin tags & cysts Coil fitting and removal Cauterisation of warts and veruccas Aspirations Please contact reception to arrange an appointment with your GP to discuss what minor surgery may be required. We also provide this service to patients that are not registered with our practice, you would need to visit your own GP and ask for a referral to King George Road Surgery. Blood Tests - Phlebotomy Blood tests can be done by appointment only. All registered patients and non-registered patients, aged 2 and over. Please contact reception on 01634 671037 to book your appointment. Please bring with you your blood form. Should you have a fasting test then please let the receptionist know and they will book you in for an early morning appointment. Chlamydia Screening Chlamydia is the most common STI among under 25s and is caused by the bacteria Chlamydia Trachomatis. Chlamydia is easily passed from one person to another through sexual contact. Chlamydia often has no symptoms, so you can only be sure you don't have Chlamydia if you have a test. Symptoms could include: Unusual discharge from the vagina (or urethra), penis and/or anus Pain when passing urine Pain or bleeding during sex Swelling/soreness around the genitals Lower abdominal pain If left untreated, Chlamydia can cause painful and serious health problems in men and women including infertility. If you are aged between 15 and 25 then please feel free to ask at reception to obtain a testing kit or ask for an appointment with our Health Care Assistant to discuss further. NHS Health Check The NHS Health Check programme aims to help prevent heart disease, stroke, diabetes, kidney disease and certain types of dementia. Everyone between the ages of 40 and 74, who has not already been diagnosed with one of these conditions or have certain risk factors, will be invited (once every five years) to have a check to assess their risk of heart disease, stroke, kidney disease and diabetes and will be given support and advice to help them reduce or manage that risk The check will take about 20 minutes, during which you will be asked some simple questions such as your family history and any medication you are currently taking. Your height, weight, age, sex and ethnicity will be recorded. Your blood pressure will also be taken and a simple blood test will be carried out to check your cholesterol level. After the check you’ll be taken through your results and be offered personalised advice on how to lower your risk and maintain a healthy lifestyle. Once you receieve an invitation, pease contact the surgery to book an appointment for your free NHS health check. Stop Smoking Service Thinking of quitting smoking, but unsure if you can do it? Quitting smoking is hard, but quitting alone is harder. You are 4 times more likely to make it if you opt for support alongside your chosen medication. At the King George Road Surgery we are now running a Stop Smoking Service. The service is free of charge Medication on prescription Call: 01634 671037 to book your first appointment Test Results Test Results You are welcome to call after 11:00 to enquire about your test results as our staff will have more time to help you at this time. 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. 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 the phlebotomist 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 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 living within the practice area, which covers postcode ME5, are welcome to register. Please bring along proof of identification such as driving licence, passport or a recent utility bill. You will also need to complete a registration form (GMS1) and a health questionnaire which will provide useful information whilst we wait for your medical records to arrive from your previous doctor. All new patients are offered a new patient health check with a member of the healthcare team. Medical treatment is available from the date of registration. 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 and you will also need to provide identification before we can process your registration. 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 Care Data Information about you and the care you receive is shared, in a secure system, by healthcare staff to support your treatment and care. It is important that we, the NHS, can use this information to plan and improve services for all patients. We would like to link information from all the different places where you receive care, such as your GP, hospital and community service, to help us provide a full picture. This will allow us to compare the care you received in one area against the care you received in another, so we can see what has worked best. Information such as your postcode and NHS number, but not your name, will be used to link your records in a secure system, so your identity is protected. Information which does not reveal your identity can then be used by others, such as researchers and those planning health services, to make sure we provide the best care possible for everyone. You have a choice. If you are happy for your information to be used in this way you do not have to do anything. If you have any concerns or wish to prevent this from happening, please speak to practice staff or download a copy of the leaflet “How information about you helps us to provide better care” below. We need to make sure that you know this is happening and the choices you have. How information about you helps us to provide better care Care Data - Frequently Asked Questions Should you wish to opt out of please click on the link below, complete the form and give to reception: Care Data Opt Out Form You can find out more on the NHS England Care Data website (www.england.nhs.uk/ourwork/tsd/care-data/) Self Help We are keen to help patients improve on self help and hope that the following information will offer some insight into that. Take a look and see if you can improve your own understanding of your health and well-being! Please encourage others to look here too. Here is a list of ailments that can be safely self managed. You will see that you can take a look via the hyperlink at the other websites which can offer you further information about managing your condition. Common ailments that can be self managed : Back pain Cold sores NHS Choices (www.nhs.uk/conditions/backpain/Pages/Introduction.aspx) NHS Choices (www.nhs.uk/conditions/coldsore/Pages/Introduction.aspx) Common Cold Conjunctivitis NHS Choices (www.nhs.uk/conditions/coldcommon/Pages/Introduction.aspx) NHS Choices (www.nhs.uk/conditions/conjunct infective/Pages/Introduction.aspx) Information Leaflet Cough Constipation NHS Choices (www.nhs.uk/conditions/cough/Pages/Introduct NHS Choices (www.nhs.uk/conditions/constipation/Pages/Introduction.aspx) Information Leaflet Diarrhoea Dysmenorrhoea (painful periods) NHS Choices (www.nhs.uk/conditions/diarrhoea/Pages/Introduction.aspx) NHS Choices (www.nhs.uk/conditions/periodspainful/Pages/Introduction.aspx) Earache Haemorrhoids NHS Choices (www.nhs.uk/conditions/otitismedia/pages/symptoms.aspx) NHS Choices (www.nhs.uk/conditions/haemorrhoids/Pages/W page.aspx) Hayfever Head lice NHS Choices (www.nhs.uk/conditions/hayfever/Pages/Introduction.aspx) NHS Choices (www.nhs.uk/conditions/headlice/Pages/Introduction.aspx) Headache Heartburn & Indigestion NHS Choices NHS Choices (www.nhs.uk/livewell/headaches/Pages/headacheshome.aspx) (www.nhs.uk/conditions/heartburn/Pages/Intro Influenza Insect bites NHS Choices (www.nhs.uk/conditions/flu/Pages/Introduction.aspx) NHS Choices (www.nhs.uk/conditions/migraine/Pages/Introd Information Leaflet Migraine Nasal congestion NHS Choices (www.nhs.uk/conditions/migraine/Pages/Introduction.aspx) NHS Choices (www.nhs.uk/conditions/catarrh/Pages/Introdu Nappy rash NHS Choices (www.nhs.uk/conditions/nappyrash/Pages/Introduction.aspx) Sore throat NHS Choices (www.nhs.uk/conditions/sorethroat/Pages/Introduction.aspx) Information Leaflet Sinusitis Sprains and strains NHS Choices (www.nhs.uk/conditions/Sinusitis/Pages/Introduction.aspx) NHS Choices (www.nhs.uk/conditions/sprains/Pages/Introdu Thrush Warts and Verrucas NHS Choices (www.nhs.uk/conditions/thrush/Pages/Introduction.aspx) NHS Choices (www.nhs.uk/conditions/warts/Pages/Introduct Do you really need to go to A&E? Accident and Emergency Department A&E departments assess and treat patients with serious injuries or illnesses. Generally, you should visit A&E or call 999 for life-threatening emergencies, such as: loss of consciousness acute confused state and fits that are not stopping persistent, severe chest pain breathing difficulties severe bleeding that cannot be stopped Minor Injuries Unit If you have an injury that is not life threatening, i.e. wound infection, broken bones, burns, sprains, animal bites etc..you can get help from a minor injuries unit, rather than going to A&E. This allows A&E staff to concentrate on people with serious, life-threatening conditions and will save you a potentially long wait. There are minor injuries units situated at: Sittingbourne Memorial Hospital Sheppey Community Hospital Bell Road Plover Road, Minster-on-Sea Sittingbourne ME12 3LT ME10 4DT Telephone: 01795 879104 Telephone: 01795 418300 Open 9am to 9pm 7 days a week. Open 9am to 9pm 7 days a week Minor Injuries Unit’s are usually nurse-led services and an appointment is not necessary. NHS 111 The NHS 111 service is if you urgently need medical help or advice but it's not a life-threatening situation. NHS 111 will direct you to the service that best suits your needs, this could be A&E, an out-of-hours doctor, an urgent care centre or a walk-in centre, a community nurse, an emergency dentist or a late-opening chemist. If NHS 111 advisers think you need an ambulance, they will immediately arrange for one to be sent to you. NHS 111 is available 24 hours a day, 365 days a year. Calls are free from land lines and mobile phones. Community Pharmacy – Minor Ailments Service Your local pharmacist is trained to give advice and prescribe medications for many minor ailments, including: Minor cuts & Bruises Thread worms Conjunctivitis Mild acne & eczema Period pain Cough Impetigo Thrush Colds Dermatitis Warts and verrucas Temperature Constipation Mouth ulcer Sore throat Hemorrhoids Cold sore Insect bite Hay fever & allergies Athletes foot Nasal congestion Aches and pains Nappy rash Thrush Indigestion Teething Chicken Pox Diarrhoea NHS Walk in Centre If you need to see a GP or nurse without an appointment, 8am-8pm, 7 days a week. Medway NHS Healthcare Centre, 547 - 553 Canterbury Street, Gillingham, Kent, ME7 5LF, Telephone: 01634 575232 Mental Health MattersHelpline offers confidential emotional support and guidance, 24 hours a day, 365 days a year – 0800 17 0160 If you are unsure then ‘phone before you go’ Call NHS 111 anytime for advice on which service to use. Please keep emergency services free for those who really need them Using Health Records Why we ask for personal information In order to provide you with the best possible healthcare, we need to maintain proper records of your health and make sure that this is available to your medical team, wherever and whenever possible. Doctors need to make notes about any diagnosis, test results, treatments including drug prescriptions, and other information that you may provide, that seems relevant to the treatment of your condition. Nurses and other health professionals also need access to these records, and will add their own notes, as part of the overall healthcare provision. Secretaries, receptionists and other clerical staff need access to some of your records in order to complete administrative tasks, such as booking appointments, and for communicating with you, other parts of the NHS and care providers. The NHS is dedicated to protecting your information. All information about patients is kept in the strictest confidence. Everyone working for the NHS has a responsibility and legal duty to protect your information, so that information is not disclosed to unauthorised bodies or people. Information is recorded, either on paper or in computer files. However, it is all treated with the same strictly controlled confidential care. The Law strictly controls the sharing of some types of very sensitive personal information. We are continually reviewing ways in which confidentiality improvements can be made and it is important for us to know and understand the views of patients and users of the service, including carers. If you agree your relatives, friends and carers will be kept up to date with the progress of your treatment. We may also use some of the information for other reasons. Anyone who receives information from us is also under a legal duty to keep it confidential. You may also be receiving care from other organisations as well as the NHS. To enable us to work together for your benefit, we may share some information about you. We may use some information for other reasons, such as to help us protect the health of the public generally and to see that the NHS runs efficiently. Also, so that the NHS can make plans for the future, train its staff, pay its bills and to help staff review the care they provide to you is of the highest standard. Information may also be needed to carry out medical and other health research for the benefit of everyone. Research projects are always approved by local Research Ethics Committees. If anything to do with research would involve you personally, you will be contacted to see if you would be willing to take part. Improvements and advances in medical care and treatment can only occur by monitoring current practices. Sometimes managers and planners as well as researchers may need to examine records to assist in the monitoring process. All data that could identify you personally is removed. In addition, the NHS maintains a number of registries for diseases such as cancer, to allow the NHS to plan the services it provides. These registries are used to monitor the effectiveness of treatments and, therefore, over time improve the outcomes for specific conditions. How to access your health records You have a right of access to your own health records, subject to certain conditions. If you want to see the information that is kept about you, then make a written request to the person who holds your health records. Who to contact for further information If at any time you would like to know more about how we use your information you can speak to the person in charge of your care, to the Practice Manager or Assistant Practice Manager. CQC - Care Quality Commission Care Quality Commission page on King George Road Surgery Carers Direct Carers Direct (www.nhs.uk/carersdirect/Pages/CarersDirectHome.aspx) Are You a Carer? If you are please let us know (www.churchviewpractice.nhs.uk/carer.aspx) - we may be able to help you There is a wealth of information on NHS Choices (www.nhs.uk/carersdirect/Pages/CarersDirectHome.aspx) about carers and caring. Below are some links into the site that we hope you will find useful. Caring for a parent (www.nhs.uk/video/pages/medialibrary.aspx?Page=1&Filter=&Id={6F24B98E-41DC-499F-B97C0A2C688F5100}&Tag=Carers&Title=NHS+VIDEOS+|+Caring+for+a+parent+at+home&Uri=video/2 009/November/Pages/Caringforaparentathome.aspx) Watch this video on: caring for a parent at home Telling people (www.nhs.uk/CarersDirect/yourself/relationships/Pages/telling-friends.aspx) Caring responsibilities can make it difficult to maintain friendships or develop new ones. Telling your friends you're a carer is important so they understand and can support you. Taking a break (www.nhs.uk/CarersDirect/yourself/timeoff/Pages/Overview.aspx) Caring for someone can be a full-time job, but it's essential that you take time out for yourself too. Read our guide to accessing breaks and respite. Housing and carers (www.nhs.uk/CarersDirect/guide/practicalsupport/Pages/Housing.aspx) Do you know your tenancy rights as a carer? Are you aware of all your care at home options? Do you need tips on moving someone around the home? Contact Carers Direct Telephone 0808 802 0202 Helpline Information http://www.nhs.uk/carersdirect/carerslives/updates/pages/carersdirecthelpline.aspx (www.nhs.uk/carersdirect/carerslives/updates/pages/carersdirecthelpline.aspx) Email CarersDirect@nhschoices.nhs.uk Office Hours Lines are open 8am to 9pm Monday to Friday, 11am to 4pm at weekends. Calls are free from UK landlines. Carers support groups Finance and Law Help claiming benefits, looking after your bank balance and understanding the legal issues of caring. Benefits for carers (www.nhs.uk/carersdirect/moneyandlegal/carersbenefits) Directing carers to the benefits that can help them in their caring role Benefits for the person you care for (www.nhs.uk/carersdirect/moneyandlegal/disabilitybenefits) Advice and information on helping the person you look after get the benefits that they are entitled to Death and benefits (www.nhs.uk/carersdirect/moneyandlegal/deathandbenefits) How your benefits maybe affected after the death of the person you look after and what happens to their benefits Managing someone's legal affairs (www.nhs.uk/carersdirect/moneyandlegal/legal) Advice for when carers find they have to take over the legal affairs of the person they are looking after Other benefits (www.nhs.uk/carersdirect/moneyandlegal/otherbenefits) Advice for carers and the people they are looking after on claiming a whole host of other benefits unrelated to their disability or caring Personal and household finance (www.nhs.uk/carersdirect/moneyandlegal/finance) Advice on keeping a tight rein on household and personal finance for carers Social fund (www.nhs.uk/carersdirect/moneyandlegal/socialfund) Tax credits (www.nhs.uk/carersdirect/moneyandlegal/taxcredits) Information on claiming tax credits and whether you might be eligible Consent What does this mean? Where possible, a clinician must be satisfied that a patient understands and consents to a proposed treatment or investigation. This will include the nature, purpose, and risks of the procedure, if necessary by the use of drawings, interpreters, videos or other means to ensure that the patient understands, and has enough information to make an “informed choice”. Implied Consent Implied consent will be assumed for many routine physical contacts with patients. Where implied consent is to be assumed by the clinician, in all cases, the following will apply; An explanation will be given to the patient what he/she is about to do, and why. The explanation will be sufficient for the patient to understand the procedure. In all cases where the patient is under 18 years of age a verbal confirmation of consent will be obtained and briefly entered into the medical record. Where there is a significant risk to the patient an “Expressed Consent” will be obtained in all cases (See below). Expressed Consent Expressed consent (written or verbal) will be obtained for any procedure which carries a risk that the patient is likely to consider as being substantial. A note will be made in the medical record detailing the discussion about the consent and the risks. A consent form may be used for the patient to express consent. NHS Health Check The NHS Health Check programme aims to help prevent heart disease, stroke, diabetes, kidney disease and certain types of dementia. Everyone between the ages of 40 and 74, who has not already been diagnosed with one of these conditions or have certain risk factors, will be invited (once every five years) to have a check to assess their risk of heart disease, stroke, kidney disease and diabetes and will be given support and advice to help them reduce or manage that risk The check will take about 20 minutes, during which you will be asked some simple questions such as your family history and any medication you are currently taking. Your height, weight, age, sex and ethnicity will be recorded. Your blood pressure will also be taken and a simple blood test will be carried out to check your cholesterol level. After the check you’ll be taken through your results and be offered personalised advice on how to lower your risk and maintain a healthy lifestyle. Once you receive an invitation, please contact the surgery to book an appointment for your free NHS Health Check. Change4Life What is Change4Life? These days, ’modern life’ can mean that we’re a lot less active. With so many opportunities to watch TV or play computer games, and with so much convenience and fast food available, we don’t move about as much, or eat as well as we used to. Change4Life for your kids Nine out of 10 of our kids today could grow up with dangerous amounts of fat in their bodies. This can cause life-threatening diseases like cancer, type 2 diabetes and heart disease. Change4Life for you By the time we reach middle age, the majority of us could do with losing at least a bit of weight. Being overweight isn’t just about the way we look. It can lead to more aches and pains, problems sleeping and people report a loss of energy and confidence. It also increases our chances of getting heart disease, type 2 diabetes and some cancers. But it doesn’t have to be this way. Middle age comes to everyone – ‘middle aged spread’ doesn’t have to. You’ve taken the first step towards getting yourself or your kids eating well, moving more and living longer just by being here - so welcome to Change4Life! Please click here to visit the Change4Life website: http://www.nhs.uk/Change4Life/Pages/change-for-life.aspx (www.nhs.uk/Change4Life/Pages/change-for-life.aspx) Local Leisure Centres Medway Local Leisure Centres offer many great ways to help improve your level of health and fitness. Activities include swimming, badminton, gym, exercise classes and many more. Please click on the links below for more information from Medway Council: Medway Local Leisure Centres (www.medway.gov.uk/leisureandculture/leisurecentre s.aspx) Active Medway Cycling Groups Dementia Helpline Is dementia something which affects you or your family? Do you have any questions or concerns and would like to talk to someone? DEMENTIA HELPLINE 24 Hour Kent Freephone 0800 500 3014 *Calls to 0800 numbers are free from a landline. Calls from mobiles will vary, please refer to your network operator for charges Monday to Friday 9.00am- 5.00pm qualified staff can: • Source and mail out relevant information • Discuss any concerns you may have • Signpost to relevant services for support Evenings and weekends: • Offer emotional support (anonymous service) You can also e-mail your questions to: helpline@alz-dem.org answered within 24 hours weekdays They understand the difficulties you may be experiencing and never judge. Please call - They are there to help 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. Medway Complaints Leaflet 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. Staff Details Doctors Dr Selvanayagam Maheswaran MBBS LRCP Ed LRCP & S. Glasg. Dr Olugbenga Sofowora MBBS MRCOG DFFP Nurses Jane Muir RGN 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. Healthcare Assistants Angela Wilkin Healthcare assistants support practice nurses with their daily work and carry out tasks such as phlebotomy (drawing blood), blood pressure measurement and new patient checks. They may act as a chaperone when a patient or doctor requests one. Practice Management Kelly Temple Practice Manager 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. Reception Kirsty Shanine Sandra Christine Louise Our reception staff are keen to help patients in any way possible. They do not offer medical advice but may be able to resolve queries by seeking more information from patients. All information given to receptionists is treated with strict confidentiality. Our staff are well motivated but they do have a difficult job, so please try to help them. They work under the doctors’ instructions to make it as easy as possible for everyone to see the appropriate health care professional, be it GP, nurse practitioner, nurse, health care assistant or other. Therefore the receptionist may offer you an appointment with an alternative practitioner to your GP. Reception can also ensure that paperwork such as, passport applications, insurance/cancellation forms, drugs/allergy history sheets before admission to hospital etc. are given to the appropriate GP and completed ready for you to collect in the agreed timescale. Secretaries Jenny Simmons Medical Secretary Jenny's role involves typing referral letters from the GPs to Consultants of local hospitals and services. Many of these referrals are done through the Choose and Book system whereby a patient can choose which hospital they would prefer to attend and a specific date and time. She also liaises with Consultants’ Secretaries to ensure patients receive their appointments and in some cases expedition of the appointment if medical circumstances change. If a patient has any difficulty in booking an appointment through the Choose and Book system she will assist them to do this. Jenny also summarises patient's medical records and data inputs correspondence received in the post.