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 ? www.ashfieldmedical.co.uk 0141 956 1339 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 www.ashfieldmedical.co.uk 0141 956 1339 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 www.ashfieldmedical.co.uk 0141 956 1339 5 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. www.ashfieldmedical.co.uk 0141 956 1339 6 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. www.ashfieldmedical.co.uk 0141 956 1339 7 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. www.ashfieldmedical.co.uk 0141 956 1339 8 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. www.ashfieldmedical.co.uk 0141 956 1339 9 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. www.ashfieldmedical.co.uk 0141 956 1339 10 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. www.ashfieldmedical.co.uk 0141 956 1339 11 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. www.ashfieldmedical.co.uk 0141 956 1339 12 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. www.ashfieldmedical.co.uk 0141 956 1339 13 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 www.ashfieldmedical.co.uk 0141 956 1339 14 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. www.ashfieldmedical.co.uk 0141 956 1339 15 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. www.ashfieldmedical.co.uk 0141 956 1339 16 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 www.ashfieldmedical.co.uk 0141 956 1339 17 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. www.ashfieldmedical.co.uk 0141 956 1339 18 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. www.ashfieldmedical.co.uk 0141 956 1339 19 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 www.ashfieldmedical.co.uk 0141 956 1339 20 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. www.ashfieldmedical.co.uk 0141 956 1339 21 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. www.ashfieldmedical.co.uk 0141 956 1339 22 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. www.ashfieldmedical.co.uk 0141 956 1339 23 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. www.ashfieldmedical.co.uk 0141 956 1339 24 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) www.ashfieldmedical.co.uk MenC 0141 956 1339 25 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 www.ashfieldmedical.co.uk 0141 956 1339 26 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. www.ashfieldmedical.co.uk 0141 956 1339 27 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. www.ashfieldmedical.co.uk 0141 956 1339 28 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 www.ashfieldmedical.co.uk 0141 956 1339 29 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. www.ashfieldmedical.co.uk 0141 956 1339 30 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. www.ashfieldmedical.co.uk 0141 956 1339 31 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. www.ashfieldmedical.co.uk 0141 956 1339 32 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. www.ashfieldmedical.co.uk 0141 956 1339 33 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. www.ashfieldmedical.co.uk 0141 956 1339 34 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 www.ashfieldmedical.co.uk 0141 956 1339 35