THE PARTNERS - Ashfield Medical Practice

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CONTENTS
Page No.
Surgery Hours
3
Surgery Contact Details
3
The Practice Team
Partners
Nurses
Other Practice Staff
4
4
5
Appointments
How the system works, including emergencies,
house visits and access
6
7
“Out of Hours” Consultations
8
Repeat Prescriptions
8
Test Results
9
How to Register with the Practice
9
Changes to Personal Details
10
Non Attendance
10
Special Medical Examinations and Reports
11
The Healthcare Team and their roles
Practice Nurses
12
District Nurses
13
Health Visitor
13
GP Specialist Trainees
14
Medical Students
14
Physiotherapists
14
Back Pain Service
15
Chiropodists
15
Mental Health Care Team/CPN
15
www.ashfieldmedical.co.uk
0141 956 1339
CONTENTS
Page No.
More services offered by the Practice and others
16
Care in pregnancy and after
16
Child Health Surveillance
16
“Baby Friendly”
16
Sickness Certificate
17
Social Services /Social work
18
Contraceptive Services
18
Cervical smears
19
Diabetic clinic
19
Chronic disease clinics
19
Asthma care
20
Joint injections
20
Minor Surgery, Cryotherapy and Electrocautery
20
Stopping Smoking
21
Travel Clinic
21
Community Addictions Team
22
Sexually transmitted diseases advice /treatment
22
Vaccinations
22
Childhood Immunisation Schedule
25
The GP Contract
26
Facilities for the Disabled
27
Patient Rights and Responsibilities
28
Sharing Information about Children at Risk
28
Suggestions and Complaints
28
Confidentiality
30
Self Treatment of Common Illnesses
31
Useful Contacts
35
www.ashfieldmedical.co.uk
0141 956 1339
2
Opening Hours
Monday:
8.30 am – 12.30 pm
2.00 pm – 6.00 pm
Tuesday:
8.30 am – 12.30 pm
2.00 pm – 6.00 pm
Wednesday:
8.30 am – 12.30 pm
2.00 pm – 6.00 pm
Thursday:
8.30 am – 12.30 pm
2.00 pm – 6.00 pm
Friday:
8.30 am – 12.30 pm
2.00 pm – 6.00 pm
Monday:
8.30 am – 12.30 pm
3.00 pm – 5.30 pm
Tuesday:
8.30 am – 12.30 pm
3.00 pm – 6.45 pm
Wednesday:
7.15 am – 12.30 pm
3.00 pm – 6.45 pm
Thursday:
8.30 am – 12.30 pm
3.00 pm – 5.30 pm
Friday:
8.30 am – 12.30 pm
3.00 pm – 5.30 pm
Consulting Hours
CONTACT DETAILS
Telephone Number:
0141 956 1339
Emergency Number:
0141 956 4334
Fax Number:
0141 956 7098
Email address:
vleslie@nhs.net
Web Address:
www.ashfieldmedical.co.uk
A list of other useful contacts is provided on page ?
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3
THE PARTNERS
Dr John M Lovett
MB ChB (Edinburgh, 1985), MRCGP,
(8 sessions) Male
MBA(Healthcare Management),FPCert.,
DPDerm., DRCOG.
Dr Lynette Harkins
MB ChB (Glasgow, 1989), MRCGP, FP Cert.
(7 sessions) Female
Dr Marjorie A Fraser
MB ChB (Glasgow, 1987)
(5 sessions) Female
Dr John McPherson
MB ChB (Glasgow, 1996), MRCGP, DFFP
(9 sessions) Male
Dr Robert L Harrand
MB ChB (Dundee, 1999), MRCGP,
(8 sessions) Male
DRCOG, DFFP
THE TEAM
NURSES
Practice Nurses:
Sister Fiona Bennet
MA, RGN, RM, CIDC, FPCert
Sister Joanna Lynch
RGN, RM, BSc, ADMN, FPCert
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4
NURSES cont
District Nursing Team:
Sister Kathleen Halpin
RGN, BSc Hons (CNIH),
BSc(Health Studies), Nurse Prescriber
Staff Nurse Gill Caban
RGN
Mrs Dorothy Maltman
Nursing Assistant
Health Visiting Team:
Vacancy
Health Visitor
Staff Nurse Veronica Groom RGN, RMN, BSc, BSc, DipLSN
OTHER PRACTICE STAFF
Practice Manager:
Mrs Vicky Leslie
BA (Accountancy)
Health Care Assistant:
Mrs Rhonda Miller
Receptionists/Administrators:
Mrs Joan Doyle
Ms Emma Gallacher
Ms Danielle Reid
Secretarial and Administrative Staff:
Mrs Margaret Shearer
Mrs Irene McDonald
Miss Emma Gallacher
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APPOINTMENTS
Emergencies take priority at all times. Telephone: 0141 956 4334
Making an appointment:
All surgery consultations are by appointment only. Most appointments are
available from 08.30 am until 17.20pm, with a smaller number from 7.00am
and until 18.45 pm

An appointment lasts 10 minutes and can be made at the surgery
or by telephone (0141 956 1339).

Out of consideration for your fellow patients, if the consultation is
likely to be lengthy, (for example if it involves several problems which
cannot be adequately dealt with within a 10 minute time slot)
please book a “double appointment” (which allows 20 minutes’
consulting) or two separate appointments.

You can request an appointment with any of the doctors or nurses in
the practice, subject to availability (irrespective of whom you may
be officially registered with).

In addition to our normal appointments (which are available up to 4
weeks in advance) we have a number of appointments available
at 24 and 48 hours notice; these are available for booking at 8.30
am.

Same day appointments are available for urgent cases and can be
booked from 8.30 am. It is best to book these early in the morning.
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House Visits

House visits from a doctor should only be requested in
exceptional circumstances. Visits are only for those who, in the
doctor’s opinion, are too ill to be brought to the surgery and all
house visit requests are vetted by a GP. Lack of transport is not a
reason for requesting a house visit – there are several taxi
companies for hire locally. Please bear in mind that the average
house visit, because of the time spent by the doctor travelling,
takes as long as three consultations in the surgery.
This affects
the service which we can offer to other patients. Facilities at the
surgery, including equipment for examination, are superior to
those available in the doctor’s bag.

District nurses have a responsibility for, the housebound elderly
and others who can not attend the surgery. They should often
be your first port of call.
They can carry out many activities
including changing catheters, blood tests, care of wounds etc.
They can be contacted at Milngavie Clinic on (0141)232 4813.

Access for the disabled. There is purpose built access at the
main entrance for those with mobility problems. The surgery is
entirely accessible by wheelchair.

We have disabled lavatory facilities.
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EVENING OR WEEKEND (‘OUT OF HOURS’) CONSULTATIONS
If you need to contact a doctor outside normal opening hours (see
page 3) please telephone NHS 24 on Free phone 111 or visit
www.nhs24.com.
You normally will be invited to attend a GP run clinic at the Western
Infirmary or Drumchapel Hospital. In some cases NHS 24 will simply
offer advice. If medically indicated, a home visit will of course be
offered.
REPEAT PRESCRIPTIONS
We operate a computerised repeat prescription system for regular treatments.
Requests may be made in 3 ways:
1 The counterfoil from the last repeat prescription can be
(i) delivered in person to the surgery
(ii) Sent by post to the surgery with a stamped self-addressed
return envelope enclosed
2 Use our prescription line – 0141 956 1339, option 4
3 Use our website www.ashfieldmedical.co.uk
Please allow 48 hours (2 working days) for your prescription to be
ready for collection.
Local pharmacies/Collection Services
If you intend to collect your prescription from one of the local
pharmacies please tell us which one you have registered with.
You need to contact them directly to arrange this facility.
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TEST RESULTS
Blood test’s and urine results, xray reports etc can be obtained by
contacting the surgery between the hours of 8.30 am and 5pm. The
Healthcare assistant, nurse or doctor who takes your blood sample or
urine test etc. will provide you with a form with details of the tests.
You must contact the surgery after the appropriate time to obtain
your results. Please ensure that you keep the form so that when you
contact reception the receptionist knows exactly which results you
are looking for. Do not expect the surgery to contact you with the
results.
You must contact the surgery
HOW TO REGISTER AS A PATIENT
If you live in the G62 area and will be resident for a period of more than
3 months you can register as a patient at the practice. You will be
required to fill out a registration form and a health questionnaire and will
need to show reception two forms of identification eg passport and
utility bill. The forms are available on our website or can be collected
from reception.
As part of the process you will be asked to make an ‘introductory
medical’ appointment with one of our practice nurses sometime in the
four weeks following registration.
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If you are staying in the area for a period of less than 3 months and
require medical attention you can be seen as a temporary resident.
Please contact reception for more information.
Advance notice will be required for an interpreter.
CHANGES TO YOUR CONTACT DETAILS
If you move house or change your telephone number please inform
the reception staff so that your records can be updated.
In
particular, if you change your telephone number please advise the
receptionist.
Failure to do so may result in us being unable to
contact you quickly should we receive urgent information to pass
on to you, for example after investigations or blood tests. It is in your
interests to ensure that you keep us up to date with your contact
details.
NON-ATTENDANCE
Please attend your appointments on time. Failure to do so may
result in you being unable to see the doctor. Please also ensure
that you cancel appointments which you are unable to attend or
no longer require. This can now also be done via our website.
IF YOU ARRIVE FOR AN APPOINTMENT LATE YOU MAY NOT BE SEEN.
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SPECIAL MEDICAL EXAMINATIONS AND REPORTS
Doctors are often asked to carry out private physical examinations
of patients. This may be at the request of employers or insurance
companies and will typically take thirty minutes to an hour. The
examinations are carried out by Dr Lovett out-with normal surgery
hours. A fee is payable for private examinations and/or reports. A
list of our current fees is available from the surgery or online.
Please contact one of our secretaries for further details and to
arrange appointments for private medical examinations.
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ROLES AND DUTIES OF THE HEALTHCARE TEAM
Practice Nurses
The Practice Nurses are involved in many activities in the surgery,
including advice about travel and administering vaccinations,
blood sampling and ear syringing. Increasingly they have a major
role in the management of chronic diseases.
They work in the
surgery.
Sister Bennet has special interests in the management of Diabetes
and Heart Disease.
Sister Lynch has a special interest in the management of Asthma
and Chronic Obstructive Pulmonary Disease (COPD). Appointments
can be made directly for her Asthma Clinic.
Health Care Assistant
Most of your blood tests, blood pressure readings, dressing changes,
stitch removal, dressings and height and weight recordings will be
carried out by our trained Healthcare assistant, Mrs Rhonda Miller.
She is also trained in some vaccinations eg. Influenza.
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District Nurses
The District Nurses are based at Milngavie Clinic, Craigdhu Road and can
be contacted on:
Mon – Fri
7.00 am – 4.00 pm
0141 232 4813
Evening – out of hours
0141 355 1688
Weekends
0141 232 8100
The district nurses care for housebound patients and visit them at
home. Their services include: wound management, palliative care
(care of the dying), bladder and bowel management, amongst
other things. They are also involved in health promotion and with
patients who have had surgery. They are involved with patients
who have disabilities, accidents or illness. They are also trained in
taking blood samples.
Health Visitor
The Health Visiting Team are based at Milngavie Clinic and can be
contacted on:
Mon – Fri
8.30 am - 4.30 pm
0141 232 4850
They are mainly involved with children under five. They should be
contacted about child health development and childhood
immunisations. Breast feeding support, general parenting advice
and health promotion and education are also available. They can
be contacted regarding local voluntary and statutory services and
participate in public health activities.
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General Practitioner Specialist Trainees (Registrars)
This practice is a ‘training practice’ for doctors who have decided
to specialise in General Practice.
They work in the practice for 18
months; initially they spend 6 months as first year trainees then in
their third year of GP training they spend a year with us. They aim to
obtain the MRCGP qualification and most will subsequently
become partners in practices in the future. They have surgeries and
carry out home visits just as the partners do.
Dr Lovett and Dr Harkins are the practice trainers and educational
supervisors for all trainees.
All of the partners are involved in
training.
Medical Students
Dr Lovett and Dr McPherson are tutors at Glasgow University
Medical School. Medical students from the University and overseas
are occasionally present during consultations.
If this is so, you will
be informed in advance at reception; if you have any objections,
the student(s) will leave for the duration of your consultation.
Physiotherapists – Self Referral
The Physiotherapists are based at Milngavie Clinic. This is a ‘Direct
Access’ service. The system is by self referral forms available in the
surgery or online. You do not need to see your doctor for this service
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Back Pain Service – Self Referral
This is a physiotherapist- run self referral service and can be
accessed in the same way as the physiotherapist as above. You do
not need to see your doctor for this service
Chiropodists (Podiatrists) – Self Referral
Based at Milngavie Clinic, this is also a ‘Direct Access’ service.
Please telephone 0141 636 8421 between 9.00 am and 5.00 pm if
you would like an appointment.
You do not need to see your
doctor
Mental Health Care Team
This service is for people (over 16 years) with psychological or
emotional difficulties such as anxiety, stress and depression. They
are based at Milngavie Clinic. You will need to be referred by your
doctor. Please consult your doctor in the first instance.
Sometimes it may be more appropriate for you to be seen by a
psychiatrist or psychiatric nurse (CPN). The latter can do home visits
if necessary.
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MORE SERVICES OFFERED THROUGH THE PRACTICE
Care in pregnancy and after
You should contact your GP in the first instance who will refer you for
antenatal care. This is now carried out by midwives alone in the
vast majority of “low risk” pregnancies. The midwives also will visit
you on several occasions after your delivery.
A post-natal check is usually carried out by your doctor around 6
weeks after delivery here at the surgery. In the interim a member of
our health visiting team will see you to advise about care of your
baby including vaccination schedules.
Child health surveillance
This
involves
checks
on
your
baby’s physical
and mental
development soon after birth and is carried out by your GP and
health visitor.
There is a check at around 6 weeks of age where you will see both
your health visitor and GP here at the surgery.
Drs. Lovett or
McPherson perform these checks
The practice has been awarded “BABY FRIENDLY” status.
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Sickness Certificates
If you are absent from work for longer than seven days then you
may require a sick line or ‘Fitness to Work’ Certificate. Please note
1. Under no circumstances can your employer request a
certificate for periods shorter than 7 days except on
prepayment.
2. If your school, university or college or anyone else requests
certification it must be paid for in advance as it is not an NHS
service.
3. If you are in hospital and need a sick line please ensure that
a doctor there provides this and do not request one from the
surgery
4. Self certificates from 4-7 days off work can be downloaded
from our website
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CARE IN THE COMMUNITY
Social Services /Social Work
The social workers help with social, domestic, housing and financial
matters. Their role is varied but includes providing assessments, help
and care for elderly or disabled people who are having difficulty
managing in their homes. They should be contacted for assessment
and advice regarding residential or nursing home care for you or a
relative. You should contact them directly yourself.
They are located at 0141 578 2101:
East Dunbartonshire Council
Southbank House, Strathkelvin Place
Kirkintilloch
G66 1XQ
Contraceptive Services
All of the doctors offer contraceptive advice and prescriptions for
contraception during normal surgery consultations. No special
appointment is required.
If you require an intrauterine contraceptive device (IUCD or “coil”)
or implant you should attend the Family Planning Clinic at
“Sandyford Initiative” – tel: 0141 211 8601. This is by self-referral.
They have a helpful website at www.sandyford.org
Morning after pill
Despite the name, this is effective if taken up to 72 hours after
unprotected
intercourse
(the
sooner
the
better).
Currently
pharmacies can provide this free of charge to females aged 13
years or over. You do not need to see your doctor.
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Cervical Smears
The majority of cervical smears are carried out by our practice
nurses. A recall system is in operation by the health board.
Under normal circumstances smears are carried out every 3 years in
women aged 20 – 60 years.
Diabetic Clinic
Dr Fraser and Sister Bennet have a special interest in diabetes and
run the diabetic clinics. They are assisted by a podiatrist and a
dietician. The practice also has a diabetic nurse specialist within
the practice area who can be contacted directly by patients for
advice:
Sandra Coates (Tues, Wed, Thurs, Fri) or
Sharon Sinclair (Mon,Tues, Wed) (Tel. no. 07899 822364)
Chronic Disease Clinics
A number of clinics are run throughout the year to monitor chronic
disease
eg.
Stroke,
Rheumatoid Arthritis.
Chronic
Heart
Disease,
Hypertension,
These are supported by the Nurses and
Healthcare Assistant. Attendance is by invitation.
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Asthma Care
All of the doctors offer care for asthmatics within normal surgery
consultations. Sister Lynch also offers asthma appointments. If you
have been diagnosed as asthmatic, it is important to have a review
with your doctor or Sister Lynch at least on a yearly basis and
sometimes more frequently depending on the level of control of
your asthma.
Joint Injections
Dr McPherson has an interest in musculo-skeletal conditions and
carries out joint injections for painful joint conditions. If you feel this
may be of help to you please make an appointment to see Dr
McPherson.
Minor Surgery, Cryotherapy and Electro-Cautery Clinics
Cryotherapy (“freezing”) using liquid nitrogen can be a useful
treatment for warts, verrucae and certain other skin conditions
including sun damage and skin tags. Appointments can be made
at reception. Please advise the staff that you wish this treatment as
not all doctors provide it.
There are a limited number of appointments available for other
procedures such as removal of toenails and surgical removal of
some skin lesions. If you feel this may help you please make an
appointment to see Dr Lovett in the first instance. In some cases it
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may be more appropriate for you to contact a chiropodist (they
also carry out toenail operations) [self referral].
If after consultation with Dr Lovett he feels that you should see a
dermatologist or plastic surgeon he will make this referral for you.
Stopping Smoking
All of the doctors and nurses in our practice are very keen to
encourage people to stop smoking. There is a ‘Smoking Cessation
Support’ service, run by nurses, available by ’Direct Access’ based at
Milngavie clinic. You do not need to be referred for this service. Selfreferral forms are available from reception or can be downloaded
from our website.
The telephone number for this service is 0141 232 4800.
The local pharmacies also participate in smoking cessation and
currently offer advice and provide free gum and patches (nicotine
replacemtn therapy). You contact your chosen chemist
Travel Clinic
This service is run by the practice nurses from the surgery and offers
specialist advice and/or the administering of travel vaccinations. The
surgery holds a stock of those vaccinations available on the NHS. The
nurses can arrange private prescriptions for non NHS vaccines.
A charge may be made for this service. Please contact reception
for further information. We are unable to offer yellow fever
vaccinations.
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East Dunbartonshire Community Addictions Team (EDCAT)
This service is for those who have problem with alcohol or drugs. It is
also for relatives or friends. If you or a friend or relative have
problems in this area please feel free to contact this team which
includes employees of both social services and NHS. They can be
contacted directly on 0141 588 5143.
You do not need to be
referred to this service. Leaflets are available at reception.
Sexually-Transmitted Diseases advice / treatment (Sandyford)
This clinic (not based at the practice) provides general advice
about family planning including fitting of “coils” and “implants”.
They are also the point of contact for concerns about sexually
transmitted diseases as well as other services. 0141 211 8696. You
do not need to be referred.
Vaccinations
These are usually carried out by the practice nurses or our health
visitor, all of whom can advise about the current regime for childhood
vaccinations. At the time of writing, the recommended schedule for
immunisations is as detailed on page 22. (March 2014)
The practice nurses should be consulted about travel vaccinations,
anti-tetanus boosters and all other vaccinations.
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Tetanus
Boosters may be recommended for tetanus prone wounds or when
travelling abroad. The practice nurse can advise about this.
Stocks of tetanus vaccine are held in the surgery. If you require a
course of anti-tetanus vaccination or a booster, please make an
appointment with the practice nurse.
Influenza Vaccination (Flu)
1. For Adults
Yearly vaccinations are recommended for many people at the start of
winter. The clinics usually commence in October and details of dates
are available by contacting the surgery or referring to our website.
Eligible individuals include all patients aged 65 and over and those in
the at risk categories.
Please see our website for a list of the
categories. (Please do not assume that you will be eligible every year
as the criteria changes annually.)
2. For Children
Children whom fall into the at risk categories eg. Asthma, heart
problems etc are entitled to an annual vaccination. At the time of
publication all 2 – 3 year olds are also entitled to the influenza
vaccination.
3. Private Flu vaccinations are also available from Dr Lovett for those
who wish the vaccine but are not eligible on the NHS.
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Pneumococcus Vaccination
This can be helpful in protecting against a certain type of pneumonia.
As with influenza the NHS will provide vaccination for ‘high risk’ groups.
This is usually given at the same time as the flu vaccine but much less
often as it lasts for many years.
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ROUTINE CHILDHOOD IMMUNISATIONS AS AT AUGUST 2010
Age
Disease Protected Against
Vaccine Given
2 Months
Diphtheria
Tetanus
Pertussis
Polio
Haemophilus influenzae type b (Hib)
Pneumococcal infection
Rotavirus
Diphtheria
Tetanus
Pertussis
Polio
Haemophilus influenzae type b (Hib)
Meningitis C
Rotavirus
Diphtheria
Tetanus
Pertussis
Polio
Haemophilus influenzae type b (Hib)
Pneumococcal infection
Haemophilus influenzae type b (Hib)
DTaP/IPV/Hib
3 Months
4 Months
Around 12
Months
Around 13
Months
3 yrs 4
months
to 5 years
13 years
PCV (Prevenar)
Orally
DTaP/IPV/Hib
Men C
Orally
DTaP/IPV/Hib
PCV (Prevenar)
Hib/Men C
Meningitis C
Measles, Mumps, Rubella
Pneumococcal infection
Diphtheria
Tetanus
Pertussis
Polio
Measles, Mumps, Rubella booster
Human Papilloma Virus
MMR
PCV (Prevenar)
dTaP/IPV
Tetanus
Diphtheria
Polio
Men C
Td/IPV
MMR booster
HPV (3 doses)
(girls at school)
13 to 18
years
(usually at
school)
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THE GP CONTRACT
The current GP contract was implemented on 1st April 2004. GP
services are Essential, Additional and Enhanced Services.
Our
agreement, with Greater Glasgow & Clyde Health Board is that we
will provide the following services to Milngavie and surrounding
areas (G62):
Essential Services

Management of patients who are ill or believe themselves to be
ill, with conditions from which recovery is generally expected, for
the duration of that condition, including relevant health
promotion advice and referral as appropriate, reflecting patient
choice wherever applicable.

General management of patients who are terminally ill.

Management of chronic disease in the manner determined by
the Practice, in discussion with the patient.

The Practice strives to provide continuous holistic treatment and
care for registered patients
Additional Services

Cervical Screening

Contraceptive Services

Vaccinations and Immunisations (non childhood)

Childhood vaccinations and immunisations

Child Heath Surveillance

Minor surgery procedures – curettage, cautery, cryocautery
of warts and verrucae and other skin lesions
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Enhanced

Diabetes, Stroke/TIA, Chronic Heart Disease and COPD

Influenza vaccination

Near Patient Testing (Monitoring of blood and urine testing of
certain drugs)

Learning Disability

Pre Chemo Phlebotomy

Minor Surgery Procedures involving cutting e.g. when stitches
may be required. This service does not include suturing after
minor injuries when you should attend Casualty (A&E) at
Western Infirmary or Stobhill Hospital.

Joint Injections

Multiple Sclerosis

Palliative Care

Medicines Management

Alcohol Screening
FACILITIES FOR THE DISABLED
The premises offer several facilities to minimise any difficulty a
disabled person may encounter in using our services including
disabled access, disabled toilets and portable induction loops.
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PATIENTS’ RIGHTS AND RESPONSIBILITIES
The Data protection Act 1998 gives you the right of access to your
medical records. Please ask at reception for details of how you can
see your records. An administration fee is charged. More details
can be found on www.show.scot.nhs.uk/confidentiality
VIOLENCE STATEMENT
In the rare event of a patient being violent or threateningly abusive
to staff or other people in the surgery, we may call the police, and
we may ask the Health Board to remove you from our list. There is a
special GP practice in the city to which violent patients will be
referred.
SHARING INFORMATION ABOUT CHILDREN AT RISK OF ABUSE OR NEGLECT
We have a responsibility as Health Professionals to act to make sure that all
children are protected from harm. If there is a reasonable concern that a
child may be at risk of significant harm this will always override a
professional requirement to keep information confidential. Great care will
always be taken before any information is shared and advice will be
sought from the Child Protection Advisor and the Caldicott Guardian and
any other appropriate legal advisor.
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SUGGESTIONS AND COMPLAINTS
If there is any way in which you think we can improve our services
please contact our practice manager.
If you have to complaint about any service you have received in
the practice please do so in writing to the Practice Manager, Vicky
Leslie. We operate a practice procedure as part of the NHS system
for dealing with complaints and the procedure will be initiated in all
circumstances. We hope that most issues can be sorted out easily
and quickly. A leaflet explaining our procedure is available from
reception.
Should you wish to contact the Health Board with whom we are
contracted in relation to any of the service we provide they can be
contacted as below:
Greater Glasgow & Clyde NHS Board
JB Russell House
Gartnavel Royal Hospital Campus
1005 Great Western Road
Glasgow
G12 0XH
0141 201 4444 or www.nhsggc.org.uk
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CONFIDENTIALITY
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.
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SELF TREATMENT OF COMMON ILLNESSES AND ACCIDENTS
Many common aches and pains can be simply treated at home without
the need to consult a doctor.
BACK PAIN
Back pain causes 13 million working days to be lost in Britain each year.
The spine supports the whole weight of the upper body so it is
understandable that it sometimes goes wrong.
Because of the complex nature of the spine it is advisable to consult the
physiotherapist if back pain persists for more than a few days. This is
a direct access service. Tel: 0141 232 4816.
Paracetamol or cocodamol or anti-inflammatories such as ibuprofen
can be helpful.
BURNS
Apply large quantities of cold water to the affected area as soon as
possible and maintain this until the pain subsides. This may take as long
as 15 minutes! If the skin is unbroken but blistered, apply a loose, dry
dressing.
If the burn is larger than four or five inches in diameter or if the skin is
broken, consult your doctor or nurse as soon as possible.
CHICKENPOX
On the first day a rash appears as small red patches about 3-4mm
across. Within a few hours of these developing, small blisters appear in
the centre of these patches. During the next three or four days further
patches will appear and the earlier ones will turn ‘crusty’ and fall off.
Calamine lotion may be applied to soothe the often severe itching.
Cool baths may also help as may antihistamines (available from the
chemist). The most infectious period is from two or three days before the
rash appears and up to five days after this date. Children may return to
school as soon as the last ‘crusts’ have dropped off.
This infection can cause problems to the unborn baby if the mother is
not immune due to previously having had chickenpox, usually as a
child. If you develop chickenpox during pregnancy please contact
your doctor or obstetrician/midwife.
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COLDS
Even in this day and age there is still no magic cure for the common
cold. Go to bed and take plenty of drinks. If you have a headache or
are feverish, take paracetamol or co-codamol. Do not bother to take
antibiotics as these will have no effect!
DIARRHOEA
In adults, diarrhoea is usually caused by a virus infection and is
therefore unable to be treated directly. The symptoms can usually
be eased by medicines containing loperamide (“Imodium”) and
fluid replacement sachets such as “Dioralyte” or “Rehidrate”.
These are available from the chemist without prescription.
Holiday diarrhoea is often due to bacteria. Consult your doctor if the
symptoms persist for more than a few days, or if there is blood.
Diarrhoea in very young children and babies needs careful
attention. Most babies have loose bowel action during their first six
months due to their predominantly liquid diet. Sudden bouts of
unusually watery diarrhoea should be treated by taking the baby off
solids and giving them plenty of fluids: rehydration sachets
(“Dioralyte” or “Rehidrate) are available from the chemist. If the
symptoms persist for more than 24 hours, or are accompanied by
vomiting or weakness, consult your doctor.
GASTROENTERITIS
Gastroenteritis describes a group of diseases affecting the stomach or
part of the intestine. Symptoms are often diarrhoea, sickness and
stomach-ache. Because the lining of the stomach is likely to be
inflamed medicines are often immediately vomited up.
Large quantities of fluids should be taken to counter the effects of
dehydration. Consult your doctor if symptoms persist for more than a
day or, in the case of babies or young children, six hours.
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GERMAN MEASLES (RUBELLA)
The rash appears during the first day and usually covers the body,
arms and legs in small pink patches about 2-4mm and doesn’t itch. No
other symptoms are usually present apart from occasional aching
joints. It is infectious from two days before the rash appears, until the
rash disappears in about four or five days from that date.
The only danger is to unborn babies and, therefore, it is important
that all contacts are informed in order that anyone who may be
pregnant can contact their doctor.
Immunisation can prevent this disease.
HEAD LICE
These creatures, contrary to popular belief, prefer clean hair and are,
therefore, not a sign of poor personal hygiene. Medicated head lotion
can be obtained from the chemist without prescription.
INSECT BITES AND STINGS
Antihistamine tablets can be obtained from the chemist without
prescription and will usually relieve most symptoms.
Note: bee stings should be scraped away rather than ‘plucked’ in order
to avoid squeezing the contents of the venom sac into the wound.
MEASLES
The rash is blotchy and red and appears on the face and body around
the fourth day of illness. It is at its most infectious from two or three days
before the rash appears until eight or ten days after that date.
Immunisation can prevent this disease.
MINOR CUTS AND GRAZES
Wash the wound thoroughly with water and a little soap. To stop
bleeding apply a clean handkerchief or dressing firmly to the wound for
about five minutes. Cover with a clean dry dressing. Contact the
Practice nurse if you require a tetanus booster.
MUMPS
Symptoms are swelling of the gland in front of one ear often followed,
after a couple of days by swelling in front of the other ear. It is infectious
from two or three days before the swelling appears until eight or ten
days after that date. If the pain is severe you should consult your
doctor.
Immunisation can prevent this disease.
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NOSEBLEEDS
Sit in a chair, lean forward with your mouth open, and pinch your
nose just below the bone for approximately ten minutes, by which
time the bleeding should have stopped. Avoid hot drinks or hot food
for 24 hours. If symptoms persist, consult your doctor.
If the nosebleed is very heavy attend Casualty (A&E) at the hospital.
SPRAINS
Treat with a cold compress, containing ice if possible, for 15 to 30
minutes to reduce the swelling.
Then apply, firmly, a crepe bandage and give the sprain plenty of rest
until all discomfort has subsided.
Further strain will inevitably lead to further swelling and a longer
recovery period.
STOMACHACHE
Most attacks are not serious and are usually caused by indigestion. A
hot water bottle will often relieve the symptoms and, in the case of
indigestion, medicines are available from the chemist or supermarket
without prescription. If the pain lasts for longer than eight hours or
increases in intensity you should consult your doctor.
SUNBURN
Treat as for other burns with cold water to remove the heat. Calamine
lotion will relieve the irritation whilst paracetamol will also help.
Children are particularly susceptible to sunburn and great care should
be taken to avoid over-exposure to the harmful effects of the sun.
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USEFUL TELEPHONE NUMBERS
Ashfield Medical Practice
0141 956 1339
Ashfield Medical Practice (emergencies or
house calls during surgery hours ONLY)
“Out of Hours” Service – NHS 24
0141 956 4334
111
(for attention out-with surgery hours)
Health Visitor
0141 232 4850
District Nurses
0141 232 4813
Physiotherapists
0141 232 4816
Chiropodists
0141 636 8421
Smoking Cessation
0141 232 4800
Western Infirmary Hospital
0141 211 2000
Gartnavel General Hospital
0141 211 3000
Gartnavel Royal Hospital
0141 211 3600
Stobhill Hospital
0141 201 3000
Southern General Hospital
0141 201 1100
Royal Hospital for Sick Children
0141 201 0000
Social Work Department
0141 956 1083
Milngavie Police
0141 956 1113
East Dunbartonshire Community
Addiction Team
0141 588 5143
Sandyford Initiative
0141 211 8130
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