Hathaway Medical Centre
Middlefield Road
Chippenham
Wiltshire, SN14 6GT
01249 462775
Telephone:
Cancellations: 01249 655500
01249 443948
Fax:
Website
www.hathawaysurgery.co.uk
When the surgery is closed call 111
Welcome to the Hathaway Medical Centre
Find out when our practice is open, what the GP consulting times are and what to do if you need
help when the practice is closed. Find out more
Repeat Prescriptions
Do you need to re-order your medication? Visit our prescriptions page and complete the online
form. Find out
Like To Register?
New to the area and would like to join our practice? We would be happy to help you. Fill in our
registration forms and come see us. Find out more
Questions, comments or suggestions?
Have you got questions, comments or feedback - CLICK HERE to contact the practice.
Medical Records
To Access your Medical Records CLICK HERE
FLU VACCS AVAILABLE - PLEASE BOOK EARLY - CALL 01249 462775 SATURDAYS AVAILABLE
Opening Times
Hathaway Medical Centre is open every week, Monday - Friday except on Bank Holidays
Hathaway Medical Centre Extended Hours
Monday
08:00 - 18:30
Morning & Eve
Tuesday
08:00 - 18:30
Morning
Wednesday
08:00 - 18:30
Morning
Thursday
08:00 - 18:30
Friday
08:00 - 18:30
Weekend
closed
Please note that extended hours appointments are available for specific GP and some nurse
clinics/phlebotomy. Avaialbility depends upon staff holidays.
We do hold routine pre-bookable surgeries and clinic outside of these times. Please ask the
receptionists when you call to make your appointment.
Hathaway Branch Surgery, 32 New Road, Chippenham
Hathaway Branch Surgery is open most mornings each weekday for pre-booked appointments.
Please note, during the summer holiday season, or through sickness we may be unable to ensure
the branch surgery is open every day.
PLEASE NOTE: BOTH SURGERIES WILL BE CLOSED ON BANK HOLIDAYS
GP Availability
Dr Anthony Wright
Monday
Tuesday
Wednesday
Thursday
Friday
am
pm
am
pm
am
am
pm
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pm
Y
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Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Dr Helen Pethrick
Dr Tam Turek
pm
Dr Clare Osmond
Y
Y
Y
Dr Ellen Goedbloed
Y
Y
Y
Y
Dr Jane Hogg
Y
Y
Y
Y
Dr Vicky Jennings
Y
Y
Y
Y
Y
Y
Dr Lorraine Jeffrey
Y
Y
Y
Y
Y
Y
Y
Y
Dr Philip Grimmer
Y
Dr Miggi Morgan
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Drs Wright and Goedbloed work every other Wednesday and Friday
When We Are Closed
If you need assistance when the surgery is closed you should dial 111 (free from all telephones)
alternatively our answering system will give you details of who to contact.
You may receive telephone advice, be invited to a local walk in centre or a doctor might visit
you at home depending on the circumstance. This service is not for routine matters but for
pressing medical problems which cannot wait until the surgery opens again.
Call 999 in an emergency. Chest pains and / or shortness of breath constitute an
emergency.
Hathaway experiencing unprecedented levels of both GP
and senior nurse sickness
Due to an unforeseen and totally unprecedented level of both GP and senior nurse illness we are
having significant difficulty making routine appointments for our patients. Please be assured that
any patient needing to be seen will be seen
However your local pharmacy is trained and funded to deal with minor ailments and queries
about medication, we ask that you contact them in the first instance. Please be assured that we
are working hard to find cover to minimise this problem.
If you wish to cancel an appointment already booked click here
Appointments
Patients may see any doctor, but are encouraged to see the same doctor or nurse on each visit to
give continuity of care.
Appointments may be made by telephoning 01249 462775 or by calling in at the surgery.
We strive to offer patients routine appointments with the doctor of their choice, on the day of
their choice.
Continuity
Wherever possible it is always in your interest to see the same Doctor for any episode of care.
Whilst the Doctors have overall responsibility for the services we deliver they do not have the
time to do everything for you...
Help us to help you
To get the best from us it is essential that you take guidance from our staff. Patients generally ask
for an appointment with a doctor, yet may be seen a lot quicker by one of our specially trained
nurses, or sometimes we can help you without you having to come into the surgery through a
telephone consultation or by passing on details for an ongoing sick note etc. Sometimes, given
the correct information, staff will identify that blood tests may be needed before seeing the
doctor.
Initially think about whether self-medication, seeking advice from a pharmacist or speaking to
NHS Direct may be faster and more appropriate.
Rather than asking us for an appointment with a Doctor, tell us what you need or what is wrong.
During one week we received over 1100 patient contacts requesting appointments. Only 350
patients needed to see a Doctor.
The aim of the Admin and Reception staff is to help you meet your health needs by either:
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Making an appointment with the appropriate Doctor, Nurse or Health Care Assistant
Arranging for someone to contact you at a later time
Passing on information or questions on your behalf
Sorting out administrative problems such as prescriptions, health forms etc
It is important that you trust these staff and listen to the information that they give you. Seeing a
Doctor may not be the most appropriate or quickest way for us to help you.
When you telephone for an appointment, you will be asked to give brief details about why you
need to see the Doctor or the nurse. This information is used to assess who is best to see you and
the information is passed onto the doctor or nurse. Of course, you do not have to tell us but it
will help us to help you. All of our staff are bound by the same strict rules of confidentiality that
the Doctors are.
Extended Hours
Appointments outside of our usual working day, before 8:am or after 6:30 pm are available for a
number of our clinical staff including doctors, nurses and phlebotomists. These appointments are
for patients who find it difficult to access our appointments at other times of the day. If you
would like to book one of these appointments, please speak to the member of staff booking your
appointment.
Home Visits
If possible please try to telephone reception before 10:30 if you require a home visit.
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.
You can 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.
Phone Advice
Now that your medical record is kept on computer it is easier for the doctors and nurses to
engage in a “phone consultation” in a safe fashion. However the time in the day can never be
enough for all the people who would like to do this.
Discuss with reception the broad outline of what your call is about and we will see if we can
accommodate it. If you wish to speak to a certain doctor the best time is to ring at the end of their
surgery.
You can leave a message but the receptionist will want you to say a few words about the reason
so that doctors and nurses can prioritise their work.
Directions to Hathaway Medical Centre
You can view a map to the surgery here
Directions from M4
From the M4 (J17), take the exit onto A350 heading south towards Chippenham. Travel for 2.6
miles. At the roundabout, take the second exit the A350 West Cepen Way. At the 3rd roundabout
(with the A420 Bristol Road) take the 1st (Bristol Rd) exit towards Chippenham. Approx 400m
on the right you will see Hathaway Medical centre. Turn right immediately after you pass the
centre into Middlefield Rd.
Directions from the South
From the A350 travelling north towards Chippenham continue around the ring road until you
come to the roundabout with the A420 Bristol Road. Take the 3rd (Bristol Rd) exit towards
Chippenham. Approx 400m on the right you will see Hathaway Medical centre. Turn right
immediately after you pass the centre into Middlefield Rd.
Directions to Hathaway Surgery
Directions from M4
From the M4 (J17), take the exit onto A350 heading south towards Chippenham. Travel for 2.6
miles. At the roundabout, take the first exit onto B4158 Langley Road for 1.2 miles. At the
roundabout, take the third exit onto A420 New Road (towards the railway bridge). Hathaway
Surgery is situated on the right hand side about 100m from the roundabout.
Directions from the South
From the A350 travelling north towards Chippenham continue around the ring road until you
come to the roundabout with the A420 Bristol Road. Take the 3rd (Bristol Rd) exit towards
Chippenham, across a pair of mini roundabouts across another mini roundabout and onto the
one-way system (Park Lane). At the top of Park Lane take the 4th exit from the roundabout onto
New Road, towards the railway bridge. Hathaway Surgery is situated on the right hand side
about 100m from the roundabout.
GP Training
The practice has been an accredited training centre with Doctors Osmond and Grimmer as our
registered GP trainers.
Being a training practice involves the training of clinicians at a variety of levels, from medical
students, still at university, to newly qualified doctors undertaking their foundation years and
registrars moving towards qualification as General Practitioners.
The length of time a trainee would be with the practice depends upon their stage of training.
Medical students are generally with us for two weeks, whilst registrars may be at the surgery for
up to a year.
Newly qualified doctors and registrars hold their own clinics, under the mentorship of Drs
Osmond or Grimmer whereas medical students assist the doctor during your consultation. This is
tremendous experience for medical students; however, if you do not wish to have a student
present during your consultation, please inform the reception staff prior to seeing your doctor.
How to register for SystmOne
Forgotten your password or username: Request another
Registering is a simple process that can be carried out at reception, or by email. If you would like
to register by email, please email administrator@gp-j83007.nhs.uk with your name, DOB and
address. Please put "SystmOne Registration" In the subject field, this will ensure that it is routed
to the correct members of staff. You will receive your username and password within 2 working
days. The password can be changed but the username cannot.
The new TPP SystmOne one Online iPhone/iPad app
To download the app just go to the apple apps store and search for SystmOnline More
details in the link below.
http://www.tpp-uk.com/latest-news-stories/systmonline-app-released-onto-app-store/ (www.tppuk.com/latest-news-stories/systmonline-app-released-onto-app-store/)
Repeat Prescriptions
A repeat prescription is generated by handing in, posting or faxing the counterfoil attached to
your previous prescription.
Please use the counterfoil wherever possible and give us 48 hrs notice as we do many per day
and hand written or “urgent” ones (? forgotten) slow up the system.
You can also order your repeat prescription directly through this site. Click on the link above and
complete the simple registration form.
Please read “Non-NHS/Private Services” if you have been to see a private specialist.
Prescriptions ordered for collection from a local pharmacy may require 72 hours before being
available as pharmacies only collect from us once each day.
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.
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Prescription (per item): £7.65
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 14 items
in 12 months, you may find it cheaper to buy a PPC.
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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)
Electronic Prescriptions
Hathaway Medical Centre now use the new Electronic Prescription Service, which allows you to
choose or "nominate" a pharmacy to get your medicines or appliances from. Your GP then sends
your prescription electronically to the place you nominated. This means:
If you collect your repeat prescriptions from your GP you will not have to visit your GP practice
to pick up your paper prescription, saving time.
You will have more choice about where to get your medicines from because they can be
collected from a pharmacy near to where you live, work or shop.
You may not have to wait as long as your repeat prescriptions could be prepared before you
arrive.
FIND OUT MORE (systems.hscic.gov.uk/eps)
ELECTRONIC PRESCRIPTION SERVICE (ETP) - available from end of September - No more
paper - prescriptions signed digitally by your GP and sent to chemist. All you have to do is
appoint a chemist. Please speak to your usual chemist or Reception about this service. Why not
register for SystmOne and have direct access to you medication records Now that we have
moved to SystmOne you can request online access to the medication section of your medical
record and from there you can request your m
PRESCRIPTIONS ON LINE
The existing e-mail prescription request has now been switched off please order medication
through SystmOne. Please vist the Home Page for help with this registration.
Clinics & Services
Clinics & Services
Nurse Practitioners
There are three nurse practitioners working at HMC. All have completed a course at degree level
gaining extended skills in history taking, examination, diagnosis and treatment of a broad range
of medical problems. The nurse Practitioners are also able to prescribe medications without
referring to a GP and refer patients directly to hospitals and for further investigations if required.
We now see all patients requesting a same day appointment who would once have seen a GP
thereby freeing up GP time to see patients with more complex long term conditions. However we
work closely with and are supported by an on-call GP should we require medical advice within
the course of our daily work.
Nurse Clinics
Our nurses are highly trained and carry out a wide range of procedures, offer support and advice
and treat patients for many acute and chronic conditions. Nurses are often easier to see and can
make you an appointment to see the doctors if clinically needed.
Nurses are skilled and trained in all of the following
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Telephone Contacts
Minor Ailments
Cervical Cytology (Smears)
HRT & Pill Repeats
Vaccinations
Dressings
Travel and vaccination advice
Diabetes
Asthma
Heart Disease
Family Planning
Weight Advice
Health Care Assistants
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Blood pressure
ECG
Taking blood
Routine Weight Checks
Dressings
Spirometry
Health Checks
Flu Vaccinations
Non-NHS/Private Services
Non-NHS/Private Services
There has been a marked increase in the number of patients using private medical services in the
last decade. Whether this has been a good thing is unclear, but it is very much a fact of life.
There are a number of points which the practice would like to make to our patients who wish to
use “non N.H.S” medical services.
1. We are happy to make referrals to private Consultants after consultation and generally
refer to specialists who's clinical work we know and trust. These are often local N.H.S
specialists.
2. In general a specialist would expect and like a letter of referral from the G.P. The main
reason is that the G.P holds the patients medical record and of course may be privy to
important information which may be relevant to the situation.. It may be,of course that
the specialist might ask the G.P to continue any ongoing management of the condition
and wish them to be involved. Another reason is that some Insurance companies will not
pay unless this has been done.
3. A referral does not mean we are under any obligation to follow that specialists advice. An
issue which is often clouded here is over who is going to have the ongoing clinical
responsibility for that condition.This is particularly relevant to medication.
4. A private specialist (even one who is also doing work in the N.H.S) cannot issue an
N.H.S prescription when seeing someone privately. Virtually all Insurance policies do not
cover the cost of drugs.
5. It is a shock to patients when they discover how expensive some drugs are. This becomes
apparent when they take the private prescription from the specialist to the chemist. Some
specialists will tell you that we will prescribe it on an N.H.S prescription, but in fact we
are not supposed to do this and are under no obligation to do so.
6. Were we to do this (and we are not unsympathetic to the reasons which sometimes push
people towards the private sector) there are two important issues.
1. A doctor who signs a prescription is taking the major responsibility for the
monitoring and management of the condition being treated, and hence must feel
competent and be prepared to do so. The doctor will not sign prescriptions if we
do not feel in a position to do this.
2. G.P's are restricted under local Clinical Commissioning Group prescribing
guidelines to what they are able to prescribe whereas private doctors are not.
7. We do not prioritise the typing of letters etc just because someone is going the private
route. Our secretary prioritises her workload on medical need only.
Test Results
Test Results
If you have been sent for a test the results will be reviewed by a doctor.
When you are sent for a test (blood, X-ray, ultrasound etc) the doctor may arrange another
appointment for them to see you once the results are back.
Alternatively, when the result comes back, the doctor may then request for you to be contacted
for an appointment to be made to review your results. If the result is satisfactory and you are no
longer unwell, the doctor may feel that they do not need to see you again. Obviously if the
problem persists you will need to make another appointment to see the doctor.
Results of tests are available through our Enquiry telephone line. As this line is very busy in the
early morning we request that you phone for results between 11:00 - 13:00 and 14:00 - 16:00.
Please telephone 08444 120023
Blood tests, urine and swabs take at least 5 days, X-rays and Ultrasounds 14 days.
Note that the practice has a strict policy regarding confidentiality and data protection and we will
only release test results to the person to whom they relate unless that person has given prior
permission for the release of this data or they are not capable of understanding the results.
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:
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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.
Registration
New Patient Registration
The doctors welcome new patients who live within our practice area. As it often takes sometime
for records to be forwarded from your former practice all newly registered patients will be asked
to complete a health questionnaire and are offered a consultation with the doctor. Patients
should bring along with them 2 pieces of ID and proof of address when registering
Patients are no longer registered with any one doctor; you will be registered with the partnership.
However, continuity of care is an important part of your healthcare and we ask that you keep
seeing the same doctor for your ongoing problems. Staff will direct you to the doctor who has
seen you before and will be able to give you details of all appointments that you have had in the
recent past.
Medical treatment is available from the date of registration. If you have any queries about
registering please ask our reception staff on 08444 120023 who will be happy to advise you.
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 (www.rcgp.org.uk/pdf/rcgp_iyp_full_booklet_web_version.pdf)
New Patient Questionnaires.
Please print off and complete.
New Patient Questionnaire For New Borns.
New Patient Questionnaire For 0 - 5 year Olds
New Patient Questionnaire For 5 - 15 year Olds
New Patient Questionnaire For Adult Female
New Patient Questionnaire For Adult Male
Registering Online
Online 'Pre-Registration' with the Practice
Please note that you cannot be registered at Hathaway until we have received an original
signed form and proof of eligibility to the NHS. Completing these forms simply saves you
from having to collect a form from the practice. You will not be registered or able to make
appointments until the signed forms have been received at the practice.
If you wish to download the form and complete it, please will you also complete the appropriate
new patient questionnaires found on the "Registration" tab and send or bring all of the completed
forms in to the medical centre.This facility allows you to complete a registration form without
collecting it from the surgery/medical centre. Unfortunately the law does not allow us to register
a patient without a signed form, therefore submitting the form electronically does not register
you with the practice until you have come in and signed the form.
If you wish to pre-register click on the link below to open the form. When you have completed
all of the details, click on the "Send" button to mail your form to us. When you visit the surgery
for the first time you will be asked to sign the form to confirm that the details are correct.
Pre-registration Form
When you register you will also be asked to fill out a medical questionnaire. This is because it
can take a considerable time for us to receive your medical records.
Alternatively you may print off a registration form, fill it out and bring it in with you on your
first visit to the practice. PLEASE MAKE SURE YOU COMPLETE AN APPROPRIATE
QUESTIONNAIRE TO ACCOMPANY YOUR FORM. PATIENTS WILL NOT BE
REGISTERED UNTIL BOTH FORMS ARE SIGNED.
Registration Form
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.
For patients who are temporarily away from home and areunable to travel to the GP where they
are registered, practices will registerpatients on a temporary basis. You'll still remain registered
with yourpermanent GP
Temporary registration is for a maximum of 3 months and the temporaryGP practice does not
receive a copy of your medical records. Without full medical records the care thatcan be offered
is limited to what is required before the patient can return totheir own GP who is responsible for
coordinating their care.
While, historically, many temporary patients registered as they had run out of or they had
forgotten, their medication when away from home, replacement supplies can usually be arranged
from their own GP who can fax theprescription through to a local pharmacy. This is often faster
and easier than registering as a temporary patient with a practice that has no knowledge of the
medication you are prescribed. Without access to medical records GPs may not prescribe some
types of medication. If you are seeking repeat medication it is essential that you bring in proof
that this is being prescribed to you on an ongoing basis. Evidence may be a repeat prescription
slip, the boxes with your name and address or a letter from your permanent GP.
What information do I need?
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Full details of your medicines you are currently taking and any planned changes to dose
Details of any medical conditions you have
Details of medical conditions you've had in the past
Details of anything you're allergic to
Contact details for your permanent or previous GP
Your registered GP’s plan for your care while temporarily registered elsewhere
As a temporary patient you should expect to be supported forall ongoing problems and new
problems that arise that cannot wait until youreturn to your own GP. You should notexpect to
have investigations or referrals for non-urgent problems that are best arranged by your own GP.
Download the Temporary Resident Registration Form
Catchment Area
Catchment Area
To view the Practice catchment area - CLICK HERE
Care Data
Information about you and the care you receive is shared, in a secure system, by healthcare staff
to support your treatment and care.
It is important that we, the NHS, can use this information to plan and improve services for all
patients. We would like to link information from all the different places where you receive care,
such as your GP, hospital and community service, to help us provide a full picture. This will
allow us to compare the care you received in one area against the care you received in another,
so we can see what has worked best.
Information such as your postcode and NHS number, but not your name, will be used to link
your records in a secure system, so your identity is protected. Information which does not reveal
your identity can then be used by others, such as researchers and those planning health services,
to make sure we provide the best care possible for everyone.
You have a choice. If you are happy for your information to be used in this way you do not have
to do anything. If you have any concerns or wish to prevent this from happening, please speak to
practice staff or download the opt out form below, complete it and return it to the practice
We need to make sure that you know this is happening and the choices you have.
How information about you helps us to provide better care
Care Data - Frequently Asked Questions
Opt Out Form - Download, complete and return to the practice
National Care.Data scheme leaflet
You can find out more on the NHS England Care Data website
(www.england.nhs.uk/ourwork/tsd/care-data/)
Frequently Asked Questions
Friends and Family Test - FAQ
Appointments
Why am I kept waiting after my appointment is due?
GPs generally work on an appointment system based on standard appointment lengths that may
be 10 or 15 minutes. For complex or multiple problems patients are sometimes booked double or
even triple appointments. Some patients can be seen in 5 minutes, some may need 50 minutes.
The problem the practice faces is that we do not know what is going to walk through the door.
GPs then face the dilemma, do I help and support the patient in front of me or do I ask them to
come back? If the patient has come in with a shopping list of unrelated problems they are usually
asked to prioritise what they feel is the most important and to make other appointments for the
other problems.
GPs give the time needed to the patients who need it within an arbitrary appointment structure.
Sometimes they need to admit sick patients to hospital, to give emergency treatment (a child
bought in with meningitis) or simply give their time to a patient in crisis; all of these may cause
them to run late and this inconveniences all patients with an appointment later on in that session.
There are many situations when we simply cannot ask a patient to come back.
A recent publication written for patients titled “How to get the best from your GP appointment”
states:
“Don’t be put off by a GP who runs late – they may be spending needed time with patients. One
day you may appreciate them running late for you.”
Why can’t I see my preferred GP?
Continuity for any problem is desirable for GPs and in 2014 we introduced continuity
appointments specifically to try and get patients back in front of the GP who they last saw.
However, GPs may be absent from the practice due to attending ongoing medical updates, being
away on holiday or commitments to other areas of the health service such as Chippenham
Hospital. We do try and give you appointments with the GP who knows you best.
Why can’t I see any GP about my test results?
We always ask patients to discuss test results with the GP who ordered them for two reasons
1. That GP knows and understands why the tests were ordered and has a medico legal
responsibility for those test results.
2. That GP knows what the plan is depending upon the test results
You should not feel anxious if you have to wait for an appointment to discuss your results. If the
GP was at all concerned that a delay would cause harm you would be given an erly appointment.
There aren’t enough appointments
Over the last 12 months we have added an additional GP and increased the number of GP
sessions by almost a whole week. Despite this the routine capacity sometimes cannot meet the
demand.
This problem is compounded by the increase demand and expectation to be seen quickly.
Historically practices have had an open book allowing appointments to be booked for weeks in
advance. More recently practices have held back (embargoed) appointments so that they are
available at shorter notice. Feedback from our patients is that they expect appointments to be
available within 3 days, therefore the bulk of our appointments are held back and released 3 days
in advance.
Sometimes patients may be offered the next routine appointment and this may be 3 weeks ahead;
this may not be acceptable. With the system we have, every day has more appointments released.
Over a 4 week period we offered 7,897 appointments. 48% of appointments were booked within
48 hours and 69% in less than one week.
Prescriptions
Where’s my prescription?
We produce approximately 1,500 repeat prescriptions each week. While it used to be very paper
based the system is moving to become electronic. The most successful system is for patients who
order their medication on line, it is then processed, signed and sent to the pharmacy
electronically. At every stage the unique prescription number can be tracked, we know exactly
where the prescription is. For paper requests there are still problems with whether the correct
medication was ticked by the patient, have two prescriptions become folded in with one another,
were they put into the correct collection pouch for the pharmacy, do they get mislaid in the
pharmacy. With thousands of pieces of paper, sometimes one of them goes astray.
You can help by
1. Ordering your medication on line
2. Choosing to allow your prescription to be sent electronically – even if you don’t order it
on line
3. Arrange to have your prescription sent to a pharmacy convenient to you rather than
collecting from the practice. With electronic prescriptions this can be to any pharmacy in
England equipped to accept electronic prescriptions ie near your work.
Hypertension/Exercise Questionnaire
Are you hypertensive?
Please click here for further information on hypertension
Please click here to complete a questionnaire
CQC Information
Hathaway Medical Centre results from CQC visit
https://www.cqc.org.uk/sites/default/files/old_reports/1544523838_Hathaway_Medical_Partnership_INS1-552422255_Scheduled_29-08-2013.pdf
VACANCIES
Patient Transport Services
Patients eligible for patient transport services
Eligible patients are those:
- Where the medical condition of the patient is such that they require the skills or support of
PTS staff on/after the journey and/or where it would be detrimental to the patient’s condition
or recovery if they were to travel by other means.
- Where the patient’s medical condition impacts on their mobility to such an extent that they
would be unable to access healthcare and/or it would be detrimental to the patient’s condition
or recovery to travel by other means.
- Recognised as a parent or guardian where children are being conveyed.
PTS could also be provided to a patient’s escort or carer where their particular skills and/or
support are needed e.g. this might be appropriate for those accompanying a person with a
physical or mental incapacity, vulnerable adults or to act as a translator.
Discretionary provision such as this would need to be agreed in advance, when transport is
booked.
A patient’s eligibility for PTS should be determined either by a healthcare professional or by
non-clinically qualified staff who are both:
- clinically supervised and/or working within locally agreed protocols or guidelines, and
- employed by the NHS or working under contract for the NHS
Also this:
The Healthcare Travel Costs Scheme (HTCS) is a separate scheme and provides guidance on
reimbursement of journey expenses for patients meeting low-income criteria. See
www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/DH_075759
(www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/DH_075759) .
Practice Newsletter
Summer Newsletter 2014
Practice newsletters will be printed twice a year please look out for the latest edition as is aimed
at our patient population. Newsletters are renowned for being hard to keep uptodate and ours are
no excpetion but we will update the website when relevant information needs to be passed onto
patients.
If there is anything you feel might be useful information to add to the website for the future
please contact us.
Newsletter Archive
Autumn Newsletter 2013
Winter Newsletter
Practice Newsletter 2012-13
Practice Summer Newsletter 2011
The HALO Clinic
We are a Cosmetic Medical Clinic within the Hathaway Medical Centre. We offer a wide range
of treatments that can be accessed privately for our patients and the surrounding community.
The HALO Clinic is an exclusive clinic based at Hathaway Medical Centre and currently offers:
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Travel Advice & Vaccination
Non-surgical Aesthetics
Podiatry (Chiropody)
Chiropractor
For further details about any of these therapies, treatments and services please telephone 01249
454545. Treatments are suitable for both men and women.
Private Medical Aesthetics
This is a private doctor-led Clinic for treatments including:
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Permanent Hair Reduction - bikini line, legs, face, underarm
Scars and skin resurfacing - through fractional laser treatment
Acne treatments - with medical peels and microdermabrasion
Acne scarring - through fractional laser treatment
Sweating - reduce underarm or palm sweating
Thread Veins - reduce the thread veins on your face and legs
Pigmentation & sun damage - through laser treatments
Facial redness - rosacea
Skin Rejuvenation - medical peels and microdermabrasion
Anti-wrinkle Injections - fillers and Botox®
Dermafrac - Micro needling
For more information visit: www.thehaloclinic.co.uk
(www.thehaloclinic.co.uk/asp/default.asp?pID=1)
Clinical Research
Hathaway Medical Centre has an established Clinical Research Unit which regularly takes part
in UK and international studies.
These studies are varied. Some may be looking at new methods of administering established
drugs, for example using new types of asthma inhaler devices to establish the most effective
delivery system. Other research studies may be looking at new dose regimes to establish a
quicker and more effective response to disease management. Others may be comparative studies
looking at two or more similar drugs on the market to determine which is the most effective.
Some studies may be looking at totally new medicines to establishing effectiveness and best dose
regimes. All the studies taken on by Hathaway Medical Centre are chosen carefully so that the
practice as a whole can benefit from the research.
Patients who choose to be involved in the studies receive individual consultations from the
research doctors and careful monitoring from the research nurses on a regular basis.
The overall purpose of research is to constantly update treatments, further medical knowledge
and allow new developments in medicines. This also keeps the Practice up to date and
encourages overall health monitoring of the patient population.
Frequent areas of study for Hathaway Research Unit are blood pressure management, cholesterol
control, diabetes, asthma, irritable bowel, osteoarthritis and urinary problems.
If you would be interested in more information regarding the clinical studies or would be
interested in being involved please contact Sister Wright or Sister MacDonald on 01249 454509
Please indicate which type of study area you would be interested in by ticking one or more of the
boxes. Names will be place on a register so when an appropriate study is recruiting interested
patients can be contacted with further information.
Carers - Do you look after someone
(www.nhs.uk/carersdirect/Pages/CarersDirectHome.aspx)
Carers Register
If you care for a relative, friend or partner who is ill, disabled or frail please let
us know. The surgery maintains a carers’ register. Ask at reception for details.
Often carers are unaware of the help/services available from Carers
Support Wiltshire (0800 181 4118). You can also access their website which has
been developed to represent all the Carers Support Agencies in Wiltshire:
http://www.carersinwiltshire.co.uk/ (www.carersinwiltshire.co.uk/)
Are You a Carer?
If you are please let us know - we may be able to help you
There is a wealth of information on NHS Choices
(www.nhs.uk/carersdirect/Pages/CarersDirectHome.aspx) about carers and caring. Below are
some links into the site that we hope you will find useful.

Caring for a parent
(www.nhs.uk/video/pages/medialibrary.aspx?Page=1&Filter=&Id={6F24B98E-41DC499F-B97C0A2C688F5100}&Tag=Carers&Title=NHS+VIDEOS+|+Caring+for+a+parent+at+ho
me&Uri=video/2009/November/Pages/Caringforaparentathome.aspx)
Watch this video on: caring for a parent at home
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Telling people (www.nhs.uk/CarersDirect/yourself/relationships/Pages/tellingfriends.aspx)
Caring responsibilities can make it difficult to maintain friendships or develop new ones.
Telling your friends you're a carer is important so they understand and can support you.
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Taking a break (www.nhs.uk/CarersDirect/yourself/timeoff/Pages/Overview.aspx)
Caring for someone can be a full-time job, but it's essential that you take time out for
yourself too. Read our guide to accessing breaks and respite.
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Housing and carers
(www.nhs.uk/CarersDirect/guide/practicalsupport/Pages/Housing.aspx)
Do you know your tenancy rights as a carer? Are you aware of all your care at home
options? Do you need tips on moving someone around the home?
Contact Carers Direct
Telephone
0808 802 0202
Helpline Information
http://www.nhs.uk/carersdirect/carerslives/updates/pages/carersdirecthelpline.aspx
(www.nhs.uk/carersdirect/carerslives/updates/pages/carersdirecthelpline.aspx)
Email
CarersDirect@nhschoices.nhs.uk
Office Hours
Lines are open 8am to 9pm Monday to Friday, 11am to 4pm at weekends. Calls are free from UK landlines.
Carers support groups
Finance and Law
Help claiming benefits, looking after your bank balance and understanding the legal issues of
caring.
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Benefits for carers (www.nhs.uk/carersdirect/moneyandlegal/carersbenefits)
Directing carers to the benefits that can help them in their caring role
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Benefits for the person you care for
(www.nhs.uk/carersdirect/moneyandlegal/disabilitybenefits)
Advice and information on helping the person you look after get the benefits that they are
entitled to
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Death and benefits (www.nhs.uk/carersdirect/moneyandlegal/deathandbenefits)
How your benefits maybe affected after the death of the person you look after and what
happens to their benefits
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Managing someone's legal affairs (www.nhs.uk/carersdirect/moneyandlegal/legal)
Advice for when carers find they have to take over the legal affairs of the person they are
looking after
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Other benefits (www.nhs.uk/carersdirect/moneyandlegal/otherbenefits)
Advice for carers and the people they are looking after on claiming a whole host of other
benefits unrelated to their disability or caring
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Personal and household finance (www.nhs.uk/carersdirect/moneyandlegal/finance)
Advice on keeping a tight rein on household and personal finance for carers
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Social fund (www.nhs.uk/carersdirect/moneyandlegal/socialfund)
Tax credits (www.nhs.uk/carersdirect/moneyandlegal/taxcredits)
Information on claiming tax credits and whether you might be eligible
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Training courses
As part of a collaboration several organisations have formed a partnership and with joint
funding from NHS Wiltshire and Wiltshire Council, I have put together a Training and
Education programme for unpaid carers across Wiltshire. There are many courses available to
carers some to mention are:
Lifting & handling
First Aid
Safeguarding for Adults
Managing Benefits & Finance
And many more….
The programme can be accessed and downloaded from our website which is
http://www.carersinwiltshire.co.uk/ (www.carersinwiltshire.co.uk/)
Travel Vaccinations
If you require any vaccinations relating to foreign travel you need to make an appointment with
the Masta Clinic (01249 454540) to discuss your travel arrangements. This will include which
countries and areas within countries that you are visiting to determine what vaccinations are
required.
There is further information about countries and vaccinations required on the links below
Europe & Russia
North America
(www.fitfortravel.scot.nhs.uk/destinations/europe-(www.fitfortravel.scot.nhs.uk/destinations/northrussia.aspx)
america.aspx)
Central America
South America
(www.fitfortravel.scot.nhs.uk/destinations/central(www.fitfortravel.scot.nhs.uk/destinations/southamerica.aspx)
america.aspx)
Caribbean
Africa
(www.fitfortravel.scot.nhs.uk/destinations/caribbean.aspx) (www.fitfortravel.scot.nhs.uk/destinations/africa.aspx
Middle East
Central Asia
(www.fitfortravel.scot.nhs.uk/destinations/middle(www.fitfortravel.scot.nhs.uk/destinations/asiaeast.aspx)
%28central%29.aspx)
Australasia and Pacific
East Asia (www.fitfortravel.scot.nhs.uk/destinations/asia(www.fitfortravel.scot.nhs.uk/destinations/australasia
%28east%29.aspx)
-pacific.aspx)
It is important to make this initial appointment as early as possible - at least 6 weeks before you
travel - as a second appointment will be required with the practice nurse to actually receive the
vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second
appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.
Some travel vaccines are ordered on a private prescription and these incur a charge over and
above the normal prescription charge. This is because not all travel vaccinations are included in
the services provided by the NHS.
Travelling in Europe
If you are travelling to Europe a very useful booklet has been published with advice and
guidance to help you get the most out of your holiday. To visit please click:http://ec.europa.eu/publications/booklets/eu_glance/86/en.pdf
(ec.europa.eu/publications/booklets/eu_glance/86/en.pdf) (this is a large document and may take
a minute or two to view)
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:
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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 write to the practice for the attention of the manager who will deal
with your concerns appropriately. Further written information is available regarding the
complaints procedure from reception.
Download our Complaints Procedure Document Here
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.
Medical Research Data Collection
Medical Data Collection
Useful Telephone Numbers
Chippenham Community Hospital 01249 447100
Royal United Hospital (Switchboard) 01225 428331
Great Western Hospital(Switchboard) 01793 604020
Chippenham Birthing Centre 01249 456464
Princess Anne Wing Bath (Maternity Unit) 01225 824432
Royal National Hospital for Rheumatic Diseases 01225 465941
Green Lane Hospital 01380 731338
Ambulance Centre 01380 733408
Staff Details
Doctors
Dr
Anthony
Wright
MBChB (1979 Sheffield) DRCOG DA DCH DFFP RCGP(86)
Dr Wright is a Full time Partner. His particular clinical responsibility is in
Diabetes. He also leads the Hathaway Clinical Trials Unit which is
integrated into the Practice and offers patients the opportunity to
participate in Clinical Research in a wide range of conditions. There is
further information on the website about the research being
undertaken at The Surgery. This work occasionally reduces his
attendance at the surgery.
On Tuesday afternoons he works in the Halo Clinic, delivering private cosmetic
treatments including laser treatments and injectables.
Dr Tam
Turek
MBChB (1986 Dundee) RCGP(93) DFFP
Dr Claire
Osmond
MBBS (1980 Guys) MRCGP DRCOG MRCP Dr Osmond is a GP
Trainer for the Practice and Dermatology lead.
Dr Philip
Grimmer
Dr Philip Grimmer (M) - Partner
MB ChB (1995 Leicester) MRCGP (04) FRCGP (2012)
Dr Grimmer is an educational supervisor for doctors who are training to
become GPs. He works part-time at Severn Deanery.
Dr
Jonathan
Burrows
Dr Vicky
Jennings
MBChB (1986 Bristol) DFFP
Dr
Lorraine
Jeffery
MBBS (1988 London) MRCGP Dr Jeffery is involved in the medical
care of patients on Cedar Ward at Chippenham Hospital.
Dr Jane
Hogg
MBBS ( 2004 London), MRCPCH (2008), MRCPGP (2012).
Dr Hogg has an interest in paediatrics and is involved in the medical
care of patients on Cedar Ward, Chippenham Community Hospital.
Dr Lisa
Kramer
Dr Kramer lives locally - she trained in Dorset. Previously a locum GP
in Dorset and Wiltshire.
Dr Joanne
Waldock
MBCHB (Sheffield University 2008)
Dr Waldock is a GP registrar in her final year of training. She works at
the surgery full time.
Dr Miggi
Morgan
Currently on Maternity Leave
Nurse Practitioners
Nurse Practitioner
Karen Rogers
Donna Egbeare
Nurse Manager
Susan Young
Nurse Practitioner
Specialist Nurses
Clinical Research
Jan Wright (f)
Clare MacDonald (f)
Mrs Mary Webster
Diabetic Specialist Nurse
Nurses
Nurse
Dot
Hayward
Practice nurses are qualified and registered nurses. They can help with
health issues such as family planning, healthy living advice, blood
pressure checks and dressings. The practice nurses run clinics for longterm health conditions such as asthma or diabetes, minor ailment clinics
and carry out cervical smears.
Monique
Zwartouw
Kim
Grimmer
Vicky
Hyde
Lisa
Thomson
Healthcare Assistants
Healthcare Assistants support practice nurses with their daily work and
carry out tasks such as phlebotomy (drawing blood), blood pressure
measurement, spirometry, ECGs, ear syringing, flu vaccinations and
injections, health checks, dressings, stitch, clip and suture removal plus
they support diabetic and COPD clinics. They may act as a chaperone
when a patient or doctor requests one.
Crystal
Alford
Kelly
Horton
Jean
Gingell
Bridget
Spencer
Arlene
Marsh
Amanda
Houston
Alison
Lynn
Michelle
Young
Practice Management
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.
Andy
Briggs
Practice Manager
Barbara
Harris
Assistant Practice Manager