gun lane medical centre and pharmacy - Strood Gun Lane Medical Centre Strood Rochester, ME2 4UW 01634 290644 Telephone 1: 01634 727888 Telephone 2: 01634 296404 Fax: Gun Lane Pharmacy 01634 724397 NHS Liaison Service 111 www.gunlanemedicalcentreandpharmacy.co.uk Website When the surgery is closed call 01634 891900 Gun Lane Medical Centre and Pharmacy Welcome Gun Lane Medical Centre and Pharmacy is based in Strood, Kent and forms part of the Sydenham House Medical Group. Click on the link to the right, called Sydenham House Medical Group, to access our other practices within the Group. We've packed our website full of useful information in a very easy format with the added benefit of several online functions. If you're new to the area, have a look at our opening times, download a registration form and come and see us. Patient Online Services commencing 15th June 2015 To access these services, you will need to register. This will enable you to book appointments on line and view medications, immunisations and allergies. Please speak to the reception staff who will be happy to help. Patients have to be 18 and over to be eligible for this service. All patients have an allocated GP, this is not to say you cannot see other GPs too. Opening Times Reception is open Monday - Friday from 08:30 to 18:30. Late evening appointments are available on Mondays and Tuesdays from 18:30 onwards. Doctor Availability Dr Shahi Dr D Ray Monday AM - PM AM-PM Tuesday AM - PM & Late Evening AM-PM Wednesday AM - PM AM-PM Thursday AM - PM AM-PM Friday AM - PM AM - PM When We Are Closed When the Reception is closed (between 18:00 - 08:30) please telephone 01634 290644 or 01634 727888 and listen to the answerphone message. Patients are requested not to call the out-of-hours service for minor illnesses such as colds and sore throats. For In-house Pharmacy services, please go to 'In-house Pharmacy' page NHS Direct Alternatively you can access urgent assistance by calling NHS On-Line advice on 111. A triage nurse will assess your situation and take appropriate action. This could simply be by offering advice or where necessary guide you for further services as appropriate. Out-of-hours services are generally busy so please think carefully before asking to see a doctor and only do so if you genuinely cannot wait until the surgery re-opens. In a genuine emergency you should call 999. Chest pains and / or shortness of breath constitute an emergency. Appointments Patients are advised to telephone the surgery from 08:30 onwards to make an appointment with the GP or other health professional. As far as is possible you will be able to see a doctor on the same day or within 48 hours, although it may not always be possible to see a doctor of your choice. There are appointments that may be pre-booked for patients who have work or family commitments. These appointments can be booked up to one week ahead. Extended evening surgery appointments are offered on Monday and Tuesday evenings for commuters working away from home. Practice Nurses In a number of cases it might be worth considering an appointment with a practice nurse rather than a doctor. Practice nurses are qualified to deal with many ailments and you may be seen more quickly. We also have a health care assistant available three days a week, offering various services. Telephone Advice You can speak with a doctor or nurse over the telephone if you need advice. Please call after 10:30 to minimise disruption to the surgery. Chaperones and Interpreters If you would prefer to have a chaperone present during an intimate examination please let the doctor know. You can either bring a friend along or we will ask a member of staff to be present. Patients requiring an interpreter need to give three days notice. Cancellations If you cannot attend an appointment for any reason please inform us as soon as possible in order for us to give the slot to someone else. Home Visits Whilst we encourage our patients to come to the surgery, where we have the proper equipment and facilities available, we do appreciate this is not always possible. In this respect, if you do need a home visit, you can help us by calling reception before 10:30. You may only request a home visit if you are housebound or are too ill to visit the practice. Your GP will only visit you at home if they think that your medical condition requires it and will also decide how urgently a visit is needed. Please bear this in mind and be prepared to provide suitable details to enable the doctor to schedule house calls You can also be visited at home by a community nurse if you are referred by your GP. You should also be visited at home by a health visitor if you have recently had a baby or if you are newly registered with a GP and have a child under five years. Sickness Certificates You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website (www.hmrc.gov.uk/forms/sc2.pdf) . Evidence that you are sick If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay). It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise. You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP. Statement of Fitness for Work - ’Fit Note' The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury. For more information see the DirectGov website (www.direct.gov.uk/en/MoneyTaxAndBenefits/BenefitsTaxCreditsAndOtherSupport/Illorinjured/ DG_175850) (where this information was sourced) Training Practice We are an approved training practice for Foundation Year 2 (FY2) doctors. In this respect you may be asked for your consent to have that doctor present during the consultation. We hope you will assist in our teaching activities but you do of course have the right to refuse. The Practice is planning to become a 'Training Practice' in the future and would be taking trainee General Practitioners who would be available to provide medical care as well. You can now register to receive information by text message on your phone regarding appointments and health care. If you wish to register for this messaging service please fill out the consent form. Repeat Prescriptions Patients on long-term medication can order repeat prescriptions by handing in the tear-off slip attached to their last prescription to the surgery reception or nominated chemist. On-site Pharmacy can help you regarding your repeat prescriptions and they can offer a home delivery service if required. ON-LINE PRESCRIPTIONS can be requested by e-mailing the in-house Pharmacy gunlane.pharmacy@nhs.net, where your repeat slip can be 'ticked, scanned and attached'. It would be taken as your consent for repeat medication and medicines can be collected at the pharmacy within 48 hours of this request. First time users will be required to complete a simple registration form upon collection of your medication at the pharmacy. Please note we do not accept requests over the telephone for medico-legal reasons as errors can occur. Medication Reviews Patients on repeat medication will be asked to see a doctor, nurse practitioner or practice nurse at least once a year to review these regular medications and notification should appear on your repeat slip. Please ensure that you book an appropriate appointment to avoid unnecessary delays to further prescriptions. Please allow two full working days for prescriptions to be processed and remember to take weekends and bank holidays into account. Prescriptions Charges and Exemptions Extensive exemption and remission arrangements protect those likely to have difficulty in paying charges (NHS prescription and dental charges, optical and hospital travel costs). The NHS prescription charge is a flat-rate amount which successive Governments have thought it reasonable to charge for those who can afford to pay for their medicines. Prescription prepayment certificates (PPCs) offer real savings for people who need extensive medication. NHS charges These charges apply in England only. In Northern Ireland, Scotland and Wales prescriptions are free of charge. Prescription (per item): £7.85 12-month prepayment certificate (PPC): £104.00 3-month PPC: £29.10 If you will have to pay for four or more prescription items in three months, or more than 15 items in 12 months, you may find it cheaper to buy a PPC. Telephone advice and order line 0845 850 0030 General Public - Buy or Renew a PPC On-line There is further information about prescription exemptions and fees on the NHS website (www.nhs.uk/NHSEngland/Healthcosts/Pages/Prescriptioncosts.aspx) Tel: 01634 724397 The practice has an in-house late night and weekend pharmacy with opening hours as below and it also provides delivery services of repeat medications if required. Monday - 7.00 am to 11.00 pm Tuesday to Friday - 7.00 am to 10.30 pm Saturday - 7.00 am to 9.30 pm Sunday - 12.00 noon to 8.00 pm A pharmacist is on site all the time to give advice about minor illnesses, who can also dispense on counter medicines without prescription as appropriate. It is advisable that before going to MEDDOC or Accident & Emergency at Medway, take advice from the Pharmacist. Other services the pharmacy provides to patients are C Card Service, Smoking Cessation, Medicine Uses Review, New Medicine Service, Emergency Contraception. You can use this pharmacy if you have used MEDDOC services in the evenings and weekends for prescriptions and during extended hours surgery appointments provided by doctors in the late evenings. Please allow 48 hours, excluding weekends and Bank Holidays, for your request to be processed. Any problems please telephone the surgery. Clinics & Services Clinics & Services In addition to GP consultations the practice offers a wide range of clinics and services: Chronic Disease Management Angina Asthma/COPD Hypertension Coronary heart disease Diabetes Hypo-thyroidism Epilesy Cancer Atrial Fibrillation CKD Learning Disability Mental Health service Additional Services Cervical smears - carried out during normal surgery hours. Please inform the receptionist in order for a longer appointment to be made. Contraceptive services - including the fitting of IUD's, caps and Nexplanon. Emergency contraception is available without a consultation in certain circumstances only. Minor Surgical Procedures and joint injections - Practice is Accredited for carrying out minor surgical procedures and it is available for the practice patients and nonregistered patient by appointment. Child health & immunisations Maternity services - pre-conceptual advice is available and ante-natal and post-natal clinics are run by the doctors and midwife. New patient screening checks Three yearly health checks - for patients aged 16 - 74 years Annual checks - for patients over 75 years Vaccinations and immunisations - including flu and travel. In-house Ultrasound scans Phlebotomy In-house Podiatry Non-NHS Services Non-NHS Services Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following: Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.) Insurance claim forms Passport signing Prescriptions for taking medication abroad Private sick notes Vaccination certificates The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability. Outpatients Clinics Outpatient Clinics are held within our practices. We now provide diagnostic services by way of non-obstetric ultrasound. Many other projects are being developed with the common aim of bringing healthcare services closer to home with shorter waits. As these are developed we will update the website. Test Results Test Results When you attend for a test of any kind you will be told how long you should expect to wait for the results.Normally Doctor or our Receptionist would contact you personally regarding any abnormal result requiring action. Please call the surgery after 15:00 hrs if you are concerned. Our reception staff would communicate with you the comments made about your results by the Doctor but they are not qualified enough to give any explanation, therefore please make a follow-up appointment with the doctor if you wish to discuss the result further. Please note that we do have a strict policy regarding confidentiality and data protection. In this respect certain questions would be asked to verify your identity. We will only give out results to the person they relate to unless that person has given prior permission for their release. Blood Tests Blood Tests A blood test is when a sample of blood is taken for testing in a laboratory. Blood tests have a wide range of uses and are one of the most common types of medical test. For example, a blood test can be used to: assess your general state of health confirm the presence of a bacterial or viral infection see how well certain organs, such as the liver and kidneys, are functioning A blood test usually involves the phlebotomist taking a blood sample from a blood vessel in your arm. and the usual place for a sample is the inside of the elbow or wrist, where the veins are relatively close to the surface. Blood samples from children are most commonly taken from the back of the hand. The child's hand will be anaesthetised (numbed) with a special cream before the sample is taken. You can find out more about blood tests, their purpose and the way they are performed on the NHS Choices website. X-Ray X-Ray An X-ray is a widely used diagnostic test to examine the inside of the body. X-rays are a very effective way of detecting problems with bones, such as fractures. They can also often identify problems with soft tissue, such as pneumonia or breast cancer. If you have a X-ray, you will be asked to lie on a table or stand against a surface so that the part of your body being X-rayed is between the X-ray tube and the photographic plate. An X-ray is usually carried out by a radiographer, a healthcare professional who specialises in using imaging technology, such as X-rays and ultrasound scanners. You can find out more about x-ray tests, how they are performed, their function and the risks by visiting the NHS Choices website (www.nhs.uk/conditions/x-ray/Pages/Introduction.aspx) . Registration New Patient Registration You will be expected to complete the new patient registration form and would be offered an appointment at that stage for a health check and screening. Immunisations details contained in the 'RED BOOK' must be provided for under 5 years of age at the time of registration. Please note that a new patient health check has to be carried out before being registered as a patient. Medical treatment is available from the date of registration. Please contact reception for further information. Guide to GP Services The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them. You can download the guide below. A Patient Guide to GP Services Registering Online Joining the Practice - Online You need to complete pre-registration form and medical questionnaire for new patients - by clicking on the links below. When you have completed all of the details, click on the "Send" button to mail your forms to us. On your first visit to the surgery you will be asked to sign the form to confirm that the details are correct. You would be registered as a practice patient only after health check screening consultation has taken place for which our receptionist would offer an apppointment on your contact telephone or mobile number provided. Pre-registration Form Your medical records can take up to 3 months to be transferred to this practice and thus you need to complete a medical questionnaire on line as well by clicking on the link below. Online Medical Questionnaire For New Patients Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect. Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice to hand over to the receptionist. Registration Form Practice Area Practice Area Temporary Residents Temporary Registration If you are ill while away from home or if you are not registered with a doctor but need to see one you can receive emergency treatment from the local GP practice for 14 days. After 14 days you will need to register as a temporary or permanent patient. You can be registered as a temporary patient for up to three months. This will allow you to be on the local practice list and still remain a patient of your permanent GP. After three months you will have to re-register as a temporary patient or permanently register with that practice. To register as a temporary patient simply contact the local practice you wish to use. You cannot register as a temporary patient at a practice in the town or area where you are already registered. Download the Temporary Resident Registration Form Sydenham House Medical Group Sydenham House Medical Group Sydenham House Medical Group comprises of a number of Primary Care Medical Practices based within Kent and East Sussex:Sydenham House Medical Centre, Ashford, Kent http://www.sydenhamhouse.co.uk (www.sydenhamhouse.co.uk) Musgrove Park Medical Centre, South Ashford, Kent http://www.musgroveparksurgery.nhs.uk (www.musgroveparksurgery.nhs.uk) High Glades Medical Centre, St Leonards, East Sussex http://www.highgladesmedicalcentre.nhs.uk (www.highgladesmedicalcentre.nhs.uk) Gun Lane Medical Centre and Pharmacy, Strood, Kent http://www.gunlanemedicalcentreandpharmacy.co.uk (www.gunlanemedicalcentreandpharmacy.co.uk/) For more information and contact details, please click on the relevant link above. The Partners for the Group are:Dr R Menon BSc (Hons) MBBS DRCOG FP Cert Docc Med, Senior Partner Mr N Keyte - Managing Partner Dr D Ray MBBS, Partner Dr E Klim BSc (Hons) MBBS MRCGP FP Cert, Partner Dr Chintakuntla MBBS, Partner Dr D Fox MBchB MRCGP, Partner Dr Shahi MBBS MRCGP, Partner Ebola If you have returned from Guinea, Liberia or Sierra Leone or cared for someone with Ebola in the past 21 days and you have a fever or feel unwell - without touching anyone tell a member of staff or call 111. Do NOT come to the surgery. Flu Campaign 2015 Our Flu campaign will start in September 2015, notices will put up nearer the time in the Surgery. Pregnancy & Pertussis (Whooping Cough) Whooping cough vaccination in pregnancy There's a lot of whooping cough around at the moment and babies who are too young to start their vaccinations are at greatest risk. Pregnant women can help protect their babies by getting vaccinated against whooping cough (pertussis) when they are 28-38 weeks pregnant. Please contact our Reception to book an appointment to receive the pertussis vaccaine Why are pregnant women advised to have the whooping cough vaccine? Getting vaccinated while you’re pregnant may help to protect your baby from developing whooping cough in their first few weeks of life. The immunity you get from the vaccine will pass to your baby through the placenta. Babies are not routinely vaccinated against whooping cough until they are two months old. For further information please click on the link below: Pertussis (Whooping Cough) vaccination (www.nhs.uk/Conditions/pregnancy-andbaby/Pages/whooping-cough-vaccination-pregnant.aspx) The Friends and Family Test From 1st December, if you visit our GP Surgery you will be asked about whether or not you would recommend our surgery to your family and friends, if they need similar treatment or care. When you visit our GP surgery for care or treatment, you will be given the opportunity to give your feedback by answering a simple question about your experience. "How likely are you to recommend our GP practice to friends and family if they need similar care or treatment?" You will be asked to choose one of six options, ranging from 'extremely likely' to 'extremely unlikely'. You will also be invited to tell us: If we could change one thing about your care or treatment to improve your experience, what would it be? Your response is anonymous and you will be able to post the questionnaire anonymously in a box in our GP practice reception on your way out of the surgery. If you are unable to answer the question, a friend or family member is welcome to respond on your behalf. The Friends and Family test results will be published on the Medway Clinical Commissioning Group website at www.medwayccg.nhs.uk The information will give our GP practice invaluable feedback on what you think of the care and treatment you have received, which along with existing ways of gathering feedback , will help us to make improvements and improve the experience for our patients. The Friends and Family Test has already been successfully rolled out in hospitals across the country and is proving to be valuable in obtaining patient experiences. For more information on the Friends and Family Test, please visit www.nhs.uk/friendsandfamily Practice Policies Confidentiality & Medical Records The practice complies with data protection and access to medical records legislation. Identifiable information about you will be shared with others in the following circumstances: To provide further medical treatment for you e.g. from district nurses and hospital services. To help you get other services e.g. from the social work department. This requires your consent. When we have a duty to others e.g. in child protection cases anonymised patient information will also be used at local and national level to help the Health Board and Government plan services e.g. for diabetic care. If you do not wish anonymous information about you to be used in such a way, please let us know. Reception and administration staff require access to your medical records in order to do their jobs. These members of staff are bound by the same rules of confidentiality as the medical staff. Freedom of Information Information about the General Practioners and the practice required for disclosure under this act can be made available to the public. All requests for such information should be made to the practice manager. Access to Records In accordance with the Data Protection Act 1998 and Access to Health Records Act, patients may request to see their medical records. Such requests should be made through the practice manager and may be subject to an administration charge. No information will be released without the patient consent unless we are legally obliged to do so. Complaints We make every effort to give the best service possible to everyone who attends our practice. However, we are aware that things can go wrong resulting in a patient feeling that they have a genuine cause for complaint. If this is so, we would wish for the matter to be settled as quickly, and as amicably, as possible. To pursue a complaint please contact the practice manager who will deal with your concerns appropriately. Further written information is available regarding the complaints procedure from reception. Violence Policy The NHS operate a zero tolerance policy with regard to violence and abuse and the practice has the right to remove violent patients from the list with immediate effect in order to safeguard practice staff, patients and other persons. Violence in this context includes actual or threatened physical violence or verbal abuse which leads to fear for a person’s safety. In this situation we will notify the patient in writing of their removal from the list and record in the patient’s medical records the fact of the removal and the circumstances leading to it. Staff Details Doctors Dr Deepak K Ray MBBS (2001) MRCP (2006) MRCGP (2007) Dr Prabhat K Shahi MBBS (1995) MRCGP (2006) Nurses RGN Our Practice nurse is qualified and a registered nurse. She can help with health issues such as family planning and healthy living advice. The practice nurse also runs clinics for long-term health conditions such as asthma, COPD, diabetes, hypertension and CHD etc. Cervical smears, breast examination, travel immunisations and child immunisations are also done by our practice nurse. Healthcare Assistants Healthcare assistants support practice nurses with their daily work and carry out tasks such as blood pressure measurement, NHS health checks and new patient checks. They may act as a chaperone when a patient or doctor requests one. Our HCA is available three days a week. Practice Management Practice Manager The Practice Manager is involved in managing all of the business aspects of the practice such as making sure that the right systems are in place to provide a high quality of patient care, human resources, finance, patient safety, premises and equipment and information technology. The Practice Manager supports the GPs and other medical professionals with delivering patient services and also helps to develop extended services to enhance patient care. She does liaise with CCG and other organisations related to the practice. She is also complaints manager for the practice and can be approached for any complaints or suggestions through any practice staff. Reception The practice is well suppported by six receptionists and a secretary who provide an important link for patients with the practice and are your initial contact point for general enquiries. They can provide basic information on services and results and direct you to the right person depending on your health issue or query. Receptionists make most of the patient appointments with the GPs and nurses. They also perform other important tasks such as issuing repeat prescriptions and dealing with prescription enquiries and dealing with patient records. Receptionists are life-line to the practice and they deserve to be dealt with respect and care as this can help you to get excellent patient care and service from the practice. The practice runs a zero tolerance policy to verbal abuse and violence and does not discriminate between race, colour or religion. Mutual co-operation will make a successful practice. Community Midwives The midwife provides maternity care from the very beginning of your pregnancy to the end so that mothers receive support and continuity of care through their pregnancy and beyond to the point where the health visitor takes over. Community Nurses Telephone 01634 717755 We have close links with the community nursing service and if community help is required our practice staff will organise the appropriate service. For wound therapy clinic – self referral or hospital follow-up treatment Telephone 01634 810925 between 09:00 – 12:30. Health Visitors Telephone 01634 717755 A health visitor is a registered nurse who has received training particularly related to babies, children and pregnant women. Their role is to provide families with children under five years old with support and advice around the general aspects of mental, physical and social wellbeing. Attached Staff Counsellors Physiotherapists