Central Milton Keynes Medical Centre 68 Bradwell Common Boulevard Bradwell Common Milton Keynes, MK13 8RN Telephone: 01908 605775 01908 295653/7 Fax: Website www.cmkmc.co.uk When the surgery is closed call 01908 605775 Welcome to C M K Medical Centre We are a busy urban practice consisting of ten GPs, 1 Registrar, a nurse Practitioner and four practice nurses with district nurses, health visitors and midwifery services. We work closely together for the benefit of the patients. We believe that we provide a choice of personal care with a wide range of medical interests. In line with modern practices we use a comprehensive computer service which is now a key tool in patient care, record keeping, prescribing and preventative medicine. We are a training practice which involves fully qualified doctors (registrars) working with us to become General Practitioners. Occasionally, we may also have medical students working alongside our doctors and at such times you will be asked permission for these professionals to be present during your consultation. You do, of course, have the right to refuse. Vitamin D Are you taking enough Vitamin D? Children under 5, pregnant women and breast feeding mothers are encouraged to take Vitamin D supplements. Read about it in the following leaflets; Vitamin D & Folic Acid for pregnant women & breast feeding mothers Vitamin D for children - Patient information leaflet Protected Time - Tuesday 22nd January We will be closed between 12noon and 5pm. If you need to see a doctor or require advice during this time please contact NHS Direct 0845 46 47 or Urgent Care Services on 01908 201022 Please Note 301 patients did not attend their appointments during October. We removed 2 patients from our list during September due to the number of appointments they had not attended without cancelling, (warning letters are sent before this stage). Opening Times Monday 8.00am - 6.30pm Tuesday 8.00am - 6.30pm Wednesday 8.00am - 6.30pm Thursday 8.00am - 6.30pm Friday 8.00am - 6.30pm Weekend closed Telephones are manned between 8.30am and 6.30pm Monday to Friday Please note: appointments cannot be made until 8.30 Consulting Times Monday Morning Afternoon 8.30am - 1.30pm 3.00pm - 6.00pm Tuesday 8.30am - 12.00pm 3.00pm - 6.00pm Wednesday 8.30am - 12.00pm 3.00pm - 6.00pm Thursday 8.00am - 12.00pm 3.00pm - 6.00pm Friday 8.00am - 12.00pm 3.00pm - 6.00pm Weekend closed closed When We Are Closed In common with 90% of Milton Keynes doctors, our out of hours calls are dealt with by a cooperative of doctors – MKUCS. Please telephone 01908 605775 to receive information regarding out of hours service. You may be given advice, asked to visit the centre that are within the grounds of Milton Keynes Hospital or be visited by the doctor on call. NHS Direct In the case of urgent need when the practice is closed you can call NHS Direct (www.nhsdirect.nhs.uk/) (0845 4647) to speak to a triage nurse. Your needs will be assessed and advice offered or arrangements made for you to see a doctor. Please do not ask to see a doctor out of hours unless you genuinely cannot wait until the surgery re-opens. Call 999 in an emergency. Chest pains and / or shortness of breath constitute an emergency. Appointments We operate an appointment system of 10 minute consultations with doctors and between 10 and 20 minutes with practice nurses. Appointments can be booked up to 6-8 weeks in advance plus routine appointments are available on the day. Please ask reception regarding our On-line appointment bookings. If you need to see a doctor urgently and all routine appointments are booked you may be offered an emergency appointment. Please note that these are not for repeat medication, sick notes, letters or routine problems. Telephones are manned between 8.30 and 6.30 Monday to Friday. A text reminder messaging services is available to all patients you will automatically be signed up to this if you have given us a mobile number, if you do not wish to receive a reminder text please speak to a receptionist. It is important to cancel any appointments if they are no longer required. Please phone the surgery or text a message to 07513 288933 please make sure that you quote your name, time and date of appointment you wish to cancel (please note that this mobile number only accepts text messages) You can also cancel appointments via the on-line appointments service Home Visits The surgery with all its facilities, is the best place to hold a consultation, however, home visits will be made if: as a result of your illness, you are unable to be transported to the surgery. the doctors consider that it would be medically unsafe for you to attend. Requests for home visits should be made before 10.00am. Repeat Prescriptions Some patients who are receiving long term medication may be authorised by the doctors to have a repeat prescription. The left hand sheet of the prescription is used by the chemist to dispense the medication. The right hand sheet (request slip) is retained by the patient and used when medication is next required. To request a repeat prescription : Send your request slip by post or bring it to the surgery indicating clearly which items you require. If you supply a stamped addressed envelope your prescription will be posted back to you. (Please allow extra time for posting) Some Chemists provide a prescription collection service and will dispense your medication ready for collection. Please arrange this directly with the pharmacy. You can use our on-line appointment system to order medication, please contact the surgery for a user name and password Fax details of you request to 01908 295657 – please give all details as above Some chemists will also deliver to your home. Please give at least 2 working days notice for the prescription to be ready at reception and longer if you require the pharmacy to collect it. 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 From 1 April 2012, the charges are: Prescription (per item): £7.65 12-month prepayment certificate (PPC): £104.00 3-month PPC: £29.10 If you will have to pay for more than 3 prescription items in 3 months, or more than 13 items in 12 months, you may find it cheaper to buy a PPC. The charge for a single prescription item is £7.65, whereas a three month PPC will cost you £29.10 and a 12 month PPC £104.00. 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 Minor Surgery This is carried out by the doctor and assisted by the practice nurse. This may include for example the removal or freezing of a wart or cyst, steroid injection for painful bone conditions i.e. tennis elbow, frozen shoulder. Contraception Contraceptive services and advice, including contraception implant fitting service and emergency contraception is available to all , please make an appointment with Ruth Tompsett Nurse Practitioner. For emergency contraception it is advisable to seek advice as soon as possible either at the surgery during normal hours or after 6.30pm contact The Brook Clinic or MKUCS. These services are entirely confidential and can be given either by your doctor or your local family planning clinic. Sexual Health Sexually transmitted diseases are common and can affect any sexually active individual. If you think you may have a sexually transmitted disease you can seek confidential advice from your doctor or from Milton Keynes sexual health clinic: Tel No: 0300 303 8273. HIV testing drop-in clinic This is available at CMK Medical Centre every Wednesday between 15.00 - 18.00. There is also a drop-in clinic on Mondays 13.00 - 16.00 at Fishermead Health Centre, Fishermead Boulevard MK6 2LR. Screening Some diseases can be prevented or treated more successfully through early detection by screening. In view of this we encourage our patients to attend for the following procedures: Cervical Screening (Smear test) A recall system exists to call eligible women between the ages of 25 and 64 years for regular smear tests according to national protocols. Appointments are made with the nursing staff. Routine Breast Screening Arranged by the health authority, is available to all women between 50 and 70 years of age. Patients are informed of their appointment by letter. A leaflet containing further details is available t at the surgery. “Breast Awareness is encouraged in all women of all ages. Bowel Cancer Screening Bowel screening is available to all patients between the age of 60 - 69. You will be contacted by letter Testicular Self Examination It is important that all men, particularly those aged 15-40, examine their testicles regularly and they are aware of any changes, e.g. pain, swelling etc, that may be of concern. Information is available at the surgery. Clinics and Other Services Cervical Smear Screening Maternity Care Diabetes Family Planning Advice Asthma Child Obesity Child & Baby immunisation Contraceptive implant fitting Smoking Cessation Healthy Heart Baby Clinic Travel Advice and immunisation Coronary Heart Disease Minor Surgery Clinic All patients who feel they would benefit from attending one of our clinics are welcome to discuss an appointment with our reception staff. Test Results Test Results Please telephone for results of blood tests or x-rays between 10.00 – 3.00 whenever possible. Blood tests and xrays take a minimum of 5 working days, although some tests do take longer. Please note it is the patient’s responsibility to collect their own test results. Due to confidentiality, results will not be give to a 3rd party unless consent has been given by the patient. If you would like to be notified by email regarding test results please contact the surgery. You would only be contacted by email if you needed to be seen or collect a prescription Health Visitors & Baby Clinic The Health Visiters at the surgery run several clinics/sessions on a regular basis these are: A baby clinic every Wednesday between 1.30pm - 3pm. This is a drop in clinic no appointment is necassary. An immunisation clinic is also held on a Wednesday between 12.30pm - 4.00pm appointment times are sent for this clinic but drop ins are accepted if you are unable to make your alloted date/time. A family drop in session is available on Thursday mornings from 10am - 11am. A breast feeding group meets on a Thursday morning between 11.15am - 12.15pm All childern under 5 are invited for regular developements checks. Please contact the health visitors for any further information regarding the above, by phoning the surgery between 9am - 10am or 4pm - 5pm. There is an answerphone for any messages. Registration New Patient Registration All new patients registering with the practice are asked to complete a simple medical questionnaire, following this you may be invited for a Health Check with the Nurse. If you wish you can make an appointment for a Health Check at any time Practice Area Our practice covers: Central Milton Keynes Bradwell Common Heelands Oldbrook Conniburrow Bradwell Village Campbell Park Loughton New Patient Registration Requirements Confidentiality Confidentiality The surgery holds manual and computerised records on all its patients. This data is entirely secure and confidential and we are registered under the Data Protection Act 1998. All staff who have access to medical records are obliged to observe strict rules of confidentiality Under the Access to Medical records Act 1990, patients may view their records, although a small charge will be made. Records are used by the NHS for financial audit purposes and for anonomysed research to monitor and improve health care. If a patient wishes to be excluded from anonomysed research, then they should write to the practice manager. Exclusion from research will not affect your treatment. Please inform the surgery of any change to your details ie name, address, telephone number Medical Records Medical Records may on occasions be inspected by other doctors for the purposes of training and education. You do, of course, have the right to object to this but we would ask that any objection is put in writing to the Practice Manager. Freedom of Information The ICO has published a new Model Publication Scheme that all public authorities are required to adopt. Model Publication Scheme - further information (www.ico.gov.uk/upload/documents/library/freedom_of_information/introductory/freedom_of_in formation_factsheet.pdf) Comments & Complaints Comments & Complaints We operate a zero tolerance for both physical and verbal abuse. We try our utmost to give you the best possible service, if however, you have cause for concern, we operate an in house “Practice Complaints procedure”. Please ask reception for one of our complaints procedure leaflets. This does not affect your rights. The Health Service Ombudsman The Health Service Ombudsman has published a booklet that describes the ‘six principles for remedy’ in relation to complaints handling and involves: 1. 2. 3. 4. 5. 6. Getting it right Being customer focused Being open and accountable Acting fairly and proportionately Putting things right Seeking continuous improvements If you remain unhappy after everything has been done to try to resolve your concern or complaint you have the right to approach the Ombudsman. Tel: 0345 015 4033 Email: phso.enquiries@ombudsman.org.uk Write: Millbank Tower, Millbank, London SW1P 4QP. Last Years patient survey Results & Report 2011/2012 Survey Report 2011/2012 Survey Results Health Information Vitamin D Are you taking enough Vitamin D? Children under 5, pregnant women and breast feeding mothers are encouraged to take Vitamin D supplements. Read about it in the following leaflets Vitamin D & Folic Acid for pregnant women & breast feeding mothers Vitamin D for children - Patient information leaflet Staff Vacancies Change of Personal Details It is important that you let us know if: You move – if this is out of our area you will need to register at a different practice. Your name changes – Legal documents are now required Your change your email address You change your home telephone number You change your mobile number (especially if you are signed up to text message reminders) We may need to contact you urgently so it is important that the details we hold are up to date Useful telephone numbers TVPCA 0118 918 3333 Milton Keynes Hospital 01908 660033 Saxon Clinic 01908 665533 Willen Hospice 01908 663636 Bletchley Community Hospital 01908 376415 Brook Advisory Clinic 01908 669215 Genito-Urinary Medicine 01908 243860 (VD/HIV Counselling) Social Services 01908 691691 Citizens Advice 08701264050 Alcoholics Anonymous 01582 484948 Relate Marriage Guidance 01908 310010 Pegasus Drug & Alcohol 01908 668603 Police Chemists Boots Bradwell Common Boots CMK Chapharm Lloyds Superdrug Cox and Robinson 08458505505 01908 607179 01908 607327 01908 320392 01908 314870 01908 673271 01908 669590 Vaccination Schedule Children's Immunisation Schedule Immunisation clinic at CMK is held every Wednesday between 12.30pm - 4.00pm (times may vary during the holiday periods please contact the surgery) Here's a checklist of the vaccines that are routinely offered to everyone in the UK for free on the NHS, and the age at which you should ideally have them. 2 months: Diphtheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib, a bacterial infection that can cause severe pneumonia or meningitis in young children) given as a 5-in-1 single jab known as DTaP/IPV/Hib Pneumococcal infection 3 months: 5-in-1, second dose (DTaP/IPV/Hib) Meningitis C 4 months: 5-in-1, third dose (DTaP/IPV/Hib) Pneumococcal infection, second dose Meningitis C, second dose Between 12 and 13 months: Meningitis C, third dose Hib, fourth dose (Hib/MenC given as a single jab) MMR (measles, mumps and rubella), given as a single jab Pneumococcal infection, third dose 3 years and 4 months, or soon after: MMR second jab Diphtheria, tetanus, pertussis and polio (DtaP/IPV), given as a 4-in-1 pre-school booster Around 12-13 years: Cervical cancer (HPV) vaccine, which protects against cervical cancer (girls only): three jabs given within six months Around 13-18 years: Diphtheria, tetanus and polio booster (Td/IPV), given as a single jab 65 and over: Flu (every year) Pneumococcal HPA Childrens Vaccination Schedule Click here (www.hpa.org.uk/webw/HPAweb&Page&HPAwebAutoListDate/Page/1204031508623?p=1204 031508623) for the recommended HPA vaccination schedule Seasonal Flu Vaccination Influenza – flu – is a highly infectious and potentially serious illness caused by influenza viruses. Each year the make-up of the seasonal flu vaccine is designed to protect against the influenza viruses that the World Health Organization decide are most likely to be circulating in the coming winter. Regular 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 people living in a residential or nursing home the main carers for an elderly or disabled person whose welfare may be at risk if the carer becomes ill healthcare or social care professionals directly involved in patient care, and those who work in close contact with poultry, such as chickens. These links all come from trusted resources but if you are unsure about these or any other medical matters please contact your doctor or pharmacist for advice Travel Information If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required. There is further information about countries and vaccinations required on the links below Europe & Russia North America (www.fitfortravel.scot.nhs.uk/destinations/europe-(www.fitfortravel.scot.nhs.uk/destinations/northrussia.aspx) america.aspx) Central America South America (www.fitfortravel.scot.nhs.uk/destinations/central(www.fitfortravel.scot.nhs.uk/destinations/southamerica.aspx) america.aspx) Caribbean Africa (www.fitfortravel.scot.nhs.uk/destinations/caribbean.aspx) (www.fitfortravel.scot.nhs.uk/destinations/africa.aspx Middle East Central Asia (www.fitfortravel.scot.nhs.uk/destinations/middle(www.fitfortravel.scot.nhs.uk/destinations/asiaeast.aspx) %28central%29.aspx) Australasia and Pacific East Asia (www.fitfortravel.scot.nhs.uk/destinations/asia(www.fitfortravel.scot.nhs.uk/destinations/australasia %28east%29.aspx) -pacific.aspx) It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work. Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS. Travelling in Europe If you are travelling to Europe a very useful booklet has been published with advice and guidance to help you get the most out of your holiday. To visit please click:http://ec.europa.eu/publications/booklets/eu_glance/86/en.pdf (ec.europa.eu/publications/booklets/eu_glance/86/en.pdf) (this is a large document and may take a minute or two to view) Staff Details Doctors Dr Jolly Zachariah MB, BS, MRCS, LRCP, FP.Cert (Eng 1981) SENIOR PARTNER Dr Susan Weatherhead MBBS, MRCGP, DCH, DRCOG, DFFP (Eng 1982) Dr Emma Huish MB, BS, MRCGP, DFSRH (Eng 1989) Dr Stephen Norman MB, CHB, MRCGP, DFFP (Eng 1980) Dr Shahid Amin MBBS, MSSc, FRCS Dr Frances Webster MBBS, MRCGP DFSRH (1990) Dr Edward Sivills MB ChB (2001, Bristol) MRC GP Dr Cheryl Manna BSc (Hons),MBBS,MRCGP, DRCOG Dr Nessan Carson MBBS, FRCGP, DRCOG, DFSRH, DOccMed Dr Shikha Puri MBBS, MRCGP Dr Caroline Wood GP Registrar Dr Vivake Roddah Long term Locum Nurse Practitioners The nurse practitioner is trained to diagnose and treat illness and may be the person you see when you book an emergency appointment. She is able to issue prescriptions in some cases. Ruth Tompsett Nurses Our specialist nurses currently run clinics for appointments between 10 and 20 minutes. When making an appointment with the practice nurse you will be asked the reason, this is to allow the correct amount of time to be allocated. Kim Cassidy Sarah Chappelhow Jane Grisdale Karen Care Healthcare Assistants Our health care assistants are available to help you with blood pressure readings, new patient health checks, ECG’s, Diabetic checks and blood tests. Caroline Phillips Betty Barker Emily Pashen Practice Management Mrs Jan King Business Manager Miss Georgina Price Data & Information Manager Mrs Yvette Baker Office Manager Community Midwives During your pregnancy our practice midwife runs regular Antenatal clinics, and will supervise your care. Contact via the surgery. Vicky Kye Janeta Watts Community Nurses District Nurses provide skilled nursing care and can help patients to become as independent as possible within their own home, they can also liaise with other agencies (eg occupational therapy social services). They will advise and support families/carers on a healthy life style and how to prevent complications from their disease. Contact via the surgery. Helen Lyne Kate Devanney Emily Pashen Mrs Tracy GormleyParker Health Visitors Specialist nurses are attached to the practice who are trained in child development and health education to provide advice, information and support to all families. Patients may contact them at the surgery. They also offer Family Drop in clinic (Thursday am), parenting classes, development assessments, behavior clinics, healthy life style groups and baby clinics. Please phone for details. Lynne Courtney Linda Wilkinson Penny Claydon