3Local Walk In centre Practice Leaflet The nearest NHS walk in centre is in Corby which is accessible by any patient in the area. Lakeside Plus (8 to 8) Cottingham Rd Corby NN17 2UR OUT OF HOURS ARRANGEMENTS: Telephone: 111 This will put you in touch with the NHS 111 Service and they will direct you to the appropriate service If you have chest pain or other medical emergency please call 999 You should use the NHS 111 service if you urgently need medical help or advice but it's not a life-threatening situation. Call 111 if: you need medical help fast but it's not a 999 emergency you think you need to go to A&E or need another NHS urgent care service you don't know who to call or you don't have a GP to call you need health information or reassurance about what to do next For less urgent health needs, contact your GP or local pharmacist in the usual way. If a health professional has given you a specific phone number to call when you are concerned about your condition, continue to use that number. For immediate, life-threatening emergencies, continue to call 999. Revised: February 2015 The Cottons Medical Centre, Meadow Lane, Raunds, Northamptonshire, NN9 6UA Tel: 01933 623327 Fax: 01933 623370 www.thecottonsmedicalcentre.co.uk Dr D Blindt Dr S Fernando Dr T Thomas Dr N Peat Dr A Sukanthan (Salaried GP) Mr Julian Crowe OBE MBBS BMedSc MBBS MRCGP MBBS MRCGP DFFP BSc (Hons), MBBS, MRCGP MBBS Sri Lanka, MRCGP, DRCOG Practice Manager The Cottons provides training for Medical Students and you will be informed if a trainee doctor is in attendance Practice Area Raunds, Stanwick, Ringstead, Denford, Keyston, Catworth, Hargrave, Chelveston, Caldecott and the Addingtons Our practice charter: Useful Numbers All members of the primary care team are committed to do everything they can to keep you healthy, ensure you have access to the services we provide and ensure that you understand the care and treatment we offer. Citizens Advice Bureau 01933 357296 Mind 01933 223591 Samaritans 08457 909090 Serve 01933 461066 Kettering General Hospital 01536 492000 Northampton General Hospital 01604 634700 NHS 111 111 Language line (for non-English speakers) 01604 237773 ________________________________________________________ We will: Treat you as a partner in the care you receive. We ask you to: Accept your side of the bargain. You are responsible for your own, and your children’s health. Treat you as an individual courtesy and respect. Treat all staff with the same with courtesy and respect. Try to answer the phone promptly and courteously. Please phone outside peak times for non-urgent matters. Try to ensure you see a GP or nurse of your choice within a reasonable timescale Remember, you will be able to see a clinician within 48 hours but if you prefer to see a specific GP, the chosen GP may not always be available (sickness/holidays) and you may have to wait longer. ________________________________________________________ Complaints: A complaints leaflet is available at the front desk. In the first instance please speak to or write to the Practice Manager who will undertake an investigation into your complaint. Complaints will be acknowledged in writing within two working days, and we aim to give you a full explanation within ten to fifteen working days or inform you if any delay is anticipated. You can also contact NHS England using the e mail address: England.ContactUs@nhs.net. Suggestions: Try to ensure you are seen within 20 minutes of your appointment time and offer an explanation if we cannot achieve this. Try to be punctual and inform us in advance (24 hrs preferred) if you will not attend. If a GP is running late, Please bear with us, another time it may be you who needs extra time. Explain the likely effects of any drugs and review your long term medical needs You should not expect a prescription every time you visit the surgery Advise you how to obtain test and X-ray results Please do not call outside the suggested times. Freedom of Information Visit you if you are too ill to come to the surgery It is the GP’s decision whether or not to visit. Please ensure your request reaches us by 11am. www.foi.nhs.uk Revised: May 2015 The practice welcomes constructive comments or suggestions on the service we provide. If you have any comments or suggestions please address these to the Practice Manager, either in person, or by letter. Violent/Abusive behaviour: It is our policy to ensure that staff and other people are protected from physical/verbal abuse either directly or over the telephone. Patients who subject staff to this behaviour will be removed from our list and will not be offered medical facilities by the practice. Information about the practice can be found on the following web site: 2 of 8 Miscellaneous information: The Cottons Training afternoons: The practice has been serving the people of Raunds and the surrounding areas for many years. Over 9,500 patients are currently registered. The practice will close for training from 12.30pm approximately 10 times each year. We will give as much notice as possible and the out-of-hours service will provide emergency cover. Fit notes or medical certificates: Illness lasting less than seven days is usually minor, self-limiting and may not require a visit to a GP. In this first seven days it is difficult for a doctor to judge whether you are incapable of reporting to work or not. A GP is only required to provide a medical certificate if your absence from work lasts more than seven days. If required a GP can provide a private medical certificate although a fee will be charged for this service How to register: If you live within the practice area shown on the front cover, please call into the surgery with your NHS medical card or complete a registration form. All new patients will be asked to provide proof of entitlement and a questionnaire. Higham Ferrers, Thrapston and Irthlingborough are not included in the practice area. Surgery Opening Times (Monday-Friday): Telephone service Doors open 8.00am - 6.30pm (receptionist available) 8:00am – 6.30pm (receptionist available) The appointment system: The surgery has suitable access for disabled patients The appointment system we operate is a balance between access to medical care within 48 hours and patient choice. It provides different forms of access to try to accommodate the needs of most patients. Daytime Emergencies Unless urgent, please avoid calling at peak times (8am-10am and 5pm 6pm each day) The release of appointments is staggered so than some are available weeks in advance and the remainder released 48 hours in advance. We will always try to give you the GP of your choice but this is not always possible on the day of your appointment. If you feel you wish to see a particular GP you may have to wait longer than usual. Chaperone policy: Consideration is always given to a patient’s privacy and all consulting rooms have curtained areas for undressing. During routine appointment times patients may request a chaperone where examination involves intimate areas. Please call 01933 623327 For routine appointments - Telephone (01933) 623327 These are bookable in advance although we are unable to guarantee access to the Doctor of your choice. Monday and Tuesday appointments are released on Friday Wednesday – Friday appointments are released on Monday Extended Hours Clinic: Alternating Tuesday, Wednesday, Thursday 6.30 – 7.30pm Extended Telephone Consultations: Other work days 6:30pm – 7.30pm GP consultation times: Monday-Friday: 8:30am - 11:30 am 2:30pm – 6:30pm Telephone consultations: GPs/Nurses From 12:30 pm For protection, training and quality purposes, all calls are recorded Revised: May 2015 3 of 8 Keeping appointments: There is always significant demand for the practice to provide appointments. Please inform the surgery as soon as possible, at least 24 hours in advance if you no longer require, or are unable to attend your appointment so it can be allocated to another patient. MENINGITIS Symptoms in Adults and Children: These may not occur at the same time. Routine pre-bookable appointments Symptoms in Babies: A percentage of appointments are available several weeks in advance, these appointments are generally offered first. These may not occur at the same time 48 hours in advance Watch out for tiny red or brown pinprick marks, which can change into purple blotches or blood blisters. If your baby gets a rash, do the “Tumbler Test” All remaining routine 10 minute appointments are released weekly to allow everyone equal access to the service. Acute Clinic: This service is for acute problems (ongoing for less than a week). Please telephone the surgery between 8.00 am and 10:00 am and 1.30 pm to 3.00 pm. You will need to give us an idea of the problem and if it cannot be dealt with over the telephone you will be given an approximate time to come to the surgery. A doctor or nurse will see you and will deal with one acute problem. Please be aware there may be a lengthy wait on some occasions. If a clinician feels that your problem is not acute you will be asked to book a routine appointment. The acute clinic is not set up for ongoing conditions. Tumbler Test If a glass tumbler is pressed firmly against the rash, the marks will not fade. You will be able to see them through the glass. If this happens get medical help immediately. Remember, a very ill baby needs medical help even if they have no rash or a rash that fades. Home Visits: A Temperature If you are too ill to attend the surgery and require a home visit, please telephone before 11 am giving the relevant details to enable the doctor to assess the degree of urgency. Visits are not available to solve your transport problems and it is often difficult for a doctor to examine a patient without surgery facilities, so please attend the surgery whenever possible. This happens even with mild infections. In small children it is important to stop the temperature rising too quickly and Paracetamol syrup from your chemist should help. If they still feel hot, sponge them with tepid, not cold water. If the temperature is very high and does not respond to this treatment you should contact your doctor. Revised: May 2015 4 of 8 13 Ear infections and earaches: Practice Nurses: Your child may be sick and complain of ear pain. Regular doses of paracetamol will help relieve the pain as most are caused by a viral infection, which will resolve by itself. If the ear is still painful next day, consult your doctor. Nurse Team Leader: Nurse Practitioner: Practice Nurse: Practice Nurse: Practice Nurse: HCA: Cuts and Grazes: Clean the area with clean water or a weak antiseptic solution. Leave the graze to dry out and form a scab. Bites/stings insect and animal: Most of these do not need treatment. Antihistamine tablets from the chemist will relieve most symptoms. The stinging sensation & swelling can be relieved using a cold compress. Beccy Maycock Ann Woodcock Sandra Cox Karen Toseland Miriam Cuthbert Susan Tingey Routine appointments can be made with the Nurses for: Dressings Blood Tests for the Elderly Removal of stitches Ear syringing HRT Immunisations Well man Asthma Diabetes Blood pressure New patient check CHD-Coronary heart disease Ambulatory 24 hour BP Cystitis: Drink as much water as possible to flush out the bladder & kidneys. A warm water bottle against the stomach and taking pain- killers can provide some relief. The practice employs a Health Care Assistant who assists the Nurses and will undertake some routine checks on their behalf. A lotion is available to purchase from your pharmacy. If you are requested to provide a specimen, always remember to include your date of birth and name on the container. This information is a minimum legal requirement and without this information your specimen will be discarded. Specimens MUST be at the surgery by 12 noon. Indigestion: Community District Nurses: There is a range of antacids available from your pharmacy. If you feel you need to contact the district nurses they can be reached on telephone number: 01832 733289 Headlice: Sore throat: This is caused by a virus and will not be treated with antibiotics. Gargle with soluble aspirin before swallowing, or take paracetamol. Drink plenty. An ice-lolly or ice cream can be soothing. Health Visitors: Tel: 01832 733289 Community Midwife: Mrs Lorraine Groom. Tel: 01536 494078 (9:15am – 10am) Revised: May 2015 5 of 8 Other clinics and services: Some general medical advice and self-help: Doctors Diarrhoea and sickness Health Visitors Attached Staff Minor Surgery, Family planning including coil insertion Childhood Immunisation Counselling Drug & alcohol counselling Travel vaccinations: You will be requested to complete a form and may need to discuss your travel arrangements with a practice nurse prior to making an appointment for the vaccination. Please enquire at least 4 weeks before travelling. The provision of this service may attract a charge. Insurance/Employment Medicals: These are not part of general medical services and a charge will be made for their provision. These include medicals for insurance, recruitment, HGV, PSV, Taxi, GP reports and endorsements, passports, housing applications etc. Wherever possible, appointments will be made outside core NHS appointment times. Minor Ailments: Did you know that a local pharmacist can often deal with advice and treatment for minor ailments including allergies, athletes foot, back pain (recent), colds, cold sores, constipation, cough, cystitis, diarrhoea, earache, earwax, eczema/contact dermatitis, haemorrhoids, indigestion and heartburn, infant colic, insect bites & stings, nappy rash, skin rashes or itches, sprains or strains, sore throat, teething, temperature/fever, threadworm, vaginal thrush, warts & verrucas. Please enquire at your local pharmacy. Named GP: As of 1 April 2015 all patients will have a named GP. Please ask at reception who your named GP is. This is done on an alphabetical basis, so there is no scope to change your named GP. You are, however, at liberty to see any GP for a consultation. Revised: May 2015 Adults and older children should have plenty of clear fluids and eat nothing solid for 24 hours. Sickness should clear within 12 hours. If the diarrhoea shows blood or there is severe pain or high fever, contact your doctor. Your doctor will advise how to treat small babies and young children. If the sickness is prolonged or severe and the patient is not drinking enough, it is possible he or she may become dehydrated. In children if you can match the following questions and answers, serious dehydration is not likely. If you pinch the skin on their tummy and let go, does it immediately spring back flat? YES Is your child's mouth and tongue moist with saliva? YES Are your child's eyes sunken? NO Has your baby's soft spot on top of their head sunken in? NO Has your child passed urine in the last 12 hours YES Is your child lethargic? NO Rashes Infection, allergy, drugs or sometimes no obvious reason can cause rashes. They only need urgent medical attention if your child has a very high fever or the rash does not change from red to white when the skin is pressed firmly. Coughs, colds and flu Coughs are rarely an emergency unless the patient is breathless, in pain or suffering a high fever. Take paracetamol for aches and high temperatures and drink plenty of fluids. Cough medicine will be soothing and you may find a steam inhalation helpful. Do not worry if you do not want to eat anything for a few days. Flu should respond to complete rest, lots of fluid and regular painkillers. Consult your doctor if the fever is persistent, you produce coloured phlegm or you have visited a Malaria region in the last year. Coughs, colds and flu are caused by a virus and will not be treated with antibiotics. 6 of 8 Pathology opening times: Emergency Contraception Listed below are the opening hours of all local laboratories where patients can deliver specimens or have bloods taken: There is help for those women who have had unprotected intercourse or their present form of contraception has not worked, missed the pill, unable to feel the coil threads, the sheath has burst or slipped etc. However, it does require a prompt response from you. You need to consult your GP, by telephone or emergency appointment, most certainly within 48 hours of the first episode of unprotected intercourse in that cycle. If you have been asked to have a fasting-cholesterol blood test, please do not have anything to eat after 10pm the night before the test. You can drink water. Kettering General Hospital: Mon - Fri 8:30am - 5:00pm Emergency contraception may also be purchased from a pharmacy. You need to be over 16 and may be required to provide proof of age. Rectory Road Rushden INR and Blood Clinic: Contraception Mon - Fri 8:00am - 12:00pm Warfarin clinic: To make or cancel an appointment please call 01536 492701 Isebrook Hospital: Mon - Fri 8:00am – 3:30pm including lunchtime Nene Park, Irthlingborough: Monday – Friday 8:00am to 3:30pm including lunchtime Nuffield Corby Diagnostic Centre: Mon - Fri 8:00am - 4:00pm (last outpatient 3:45pm) Please note that afternoon sessions are for consultant clinics Northampton General Hospital: Mon - Fri If you are under 50, from the time you start your periods until the time you have not had a period for 2 years, or, if you are over 50, from the time you have not had a period for 1 year, you should regard yourself as fertile unless told otherwise by your GP or Gynaecologist. If you would like to discuss contraception please make an appointment with a doctor. NHS 111 NHS Direct is a confidential 24-hour advice and health information service staffed by nurses and professional advisers. You can call NHS Direct at any time, for advice on what to do if you or a family member feels unwell. NHS direct also provides information on particular health conditions; selfhelp or support organisations; and local health services (such as your nearest GP, dentist or out-of-hours pharmacy). Telephone number 111 Website: www.nhsdirect.nhs.uk 9:00am - 12noon and 1:00pm - 3:00pm By appointment only – 01604 544190 ext 4190 Revised: May 2015 7 of 8 Practice prescribing policy: Practice administration When prescribing medicines to you, we are committed to quality and cost effectiveness. We will try to optimise your individual treatment, balancing this against the need to spread fairly the NHS cash limited resources. We operate a 28-day dispensing policy in accordance with national guidelines. The admin team support the GPs. Our receptionists are here to help and guide patients to the most appropriate service. Any information given to any member of staff is treated as confidential. You can help us to help you by being careful to take your medication as directed and by reading any patient advice leaflet that is often enclosed with your medicine and reporting back any side-effects as necessary. Repeat prescriptions: If you require repeat medication, please use your repeat prescription slip, which can be left at reception, posted or faxed to the surgery. Telephone requests for repeat prescriptions are not accepted. If you require your prescription to be posted, please include a stamped addressed envelope. Please allow up to 48 hours (2 working days) to collect a prescription from the surgery. Who has access to patient medical records? GPs, nurses, practice staff and hospital consultants and their staff. Some referrals to secondary care are made electronically using secure NHS communications. Before we are able to disclose information to any third party other than those above, we require signed consent from the patient. Medical information will not be disclosed without written consent. This practice has a contractual arrangement with NHS Nene Clinical Commissioning Group (CCG) and information concerning Primary Care Medical Services may be obtained from the CCG by contacting: NHS Nene Clinical Commissioning Group Francis Crick House Summerhouse Road Moulton Park Northampton NN3 6BF Tel 01604 651100 Revised: May 2015 8 of 8