Cheddar Medical Centre Cheddar Medical Centre Roynon Way Cheddar, BS27 3NZ 01934 742061 Telephone: 01934 744374 Fax Number: CheddarMC@chedmed.nhs.uk Email address Prescription Line 01934 744130 Website www.chedmed.co.uk When the surgery is closed call 0845 408 8000 Welcome to Cheddar Medical Centre Online Welcome to our Medical Centre, which serves Cheddar and the surrounding villages within a 6mile radius. This leaflet describes the services we offer and gives guidelines on how best to use them. We hope you will find it helpful and informative. We provide access and toilets for the disabled and changing facilities for babies. Free car parking is provided off the main car park. Please avoid leaving your car here longer than is necessary to complete your visit to the Medical Centre. In addition to everything you need to know about the practice you will also find a wealth of health-related information in the menu on the right hand side. Please have a look around and do send us some feedback if you like. “NHS Direct– Help at the click of a button NHS Direct is asking people in Somerset to use their online ‘symptom checker’. The advice comes as the current cold weather had led to a 50% increase in the number of calls to the service – mainly from people who believe they are experiencing flu like symptoms. To check your symptoms online visit the NHS Direct symptom checker at: http://www.nhsdirect.co.uk/ (www.nhsdirect.co.uk/) “ Opening Times Monday 8.30am - 6.00pm Tuesday 8.30am - 6.00pm Wednesday 8.30am - 6.00pm Thursday 8.30am - 6.00pm Friday 8.30am - 6.00pm Weekend closed Surgery Timetable Morning Afternoon Monday Dr Hincks Dr Davies Dr Laband Dr Howard/ Dr Thomas (alt weeks) Dr Hincks Dr Davies Dr Laband Tuesday Dr Hincks Dr Davies Dr Laband Dr Thomas Dr Howard (alt weeks) Dr Hincks Dr Davies Dr Laband Wednesday Dr Hincks Dr Davies Dr Howard/ Dr Thomas (alt weeks) Dr Hincks Dr Davies Dr Howard/ Dr Thomas (alt weeks) Thursday Dr Howard Dr Thomas Dr Laband Dr Howard Dr Thomas Dr Laband Friday Dr Davies Dr Laband Dr Thomas/ Dr Davies Dr Laband Dr Thomas/ Dr Howard (alt weeks) Dr Howard (alt weeks) There is a Duty Doctor available for Emergencies only from 8.00am – 6.30pm When We Are Closed On weekdays between the hours of 6.30pm and 8.00am, and all day and night at weekends and on Bank Holidays, services are commissioned by the Somerset Primary Care Trust. Tel: 0845 408 8000 Other Sources of Medical Help or Advice NHS Walk-in Centre Your nearest NHS walk-in centre is: 33 Broad Street Bristol BS1 2EZ NHS Direct In the case of urgent need when the practice is closed you can call NHS Direct (www.nhsdirect.nhs.uk/) (0845 4647) to speak to a triage nurse. Your needs will be assessed and advice offered or arrangements made for you to see a doctor. Please do not ask to see a doctor out of hours unless you genuinely cannot wait until the surgery re-opens. Call 999 in an emergency. Chest pains and / or shortness of breath constitute an emergency. Appointments Consultations are by appointment only. Please see surgery timetable under Opening Hours and telephone the receptionist on 01934 742061. Please be patient if the lines are busy. Every effort will be made to give you an appointment with the doctor of your choice. If you know you will need more than 10 minutes please tell the receptionist when you make the appointment. If you are unable to keep your appointment please notify reception as soon as possible so that we may use this time for another patient. Home Visits Home visits are time consuming and have to be only for housebound patients or those too ill to come to the surgery. If you need a home visit please try to ring before 11.00a.m. We appreciate that this may not always be possible but phoning early helps the doctors plan their day. Repeat Prescriptions Requests for repeat prescriptions received by midday will be ready for collection from the Medical Centre within 24 hours. Repeat prescribing is computerised and such prescriptions have an attached re-order form. It would be helpful if you could request your next prescription by using this tear-off sheet, ordering all you need at the same time and placing it in the prescription box in the entrance vestibule. Prescriptions can be sent to the Chemist in Cheddar or Axbridge and will be ready for collection within 48 hours, or posted to Wedmore or Winscombe chemist, in which case please allow for postage time. We can also post your prescription to your home but please enclose a stamped addressed envelope with your request. Telephone requests We would like to discourage the use of the telephone for prescription requests so that the line can be used to increase telephone availability for other purposes but if it is essential for you to phone the prescription line number is 01934 744130. Telephone requests will only be taken between 10.00.am and 12.00 noon. 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 Prescription prepayment certificates (PPC) are available in England and they can save you money. Prescription costs as of April 1 2011 The current prescription charge is £7.40. From 1 April 2010 a three monthly PPC is £29.10. This saves you money if you need four or more items in three months. A 12 month certificate is £104.00 and saves money if 15 or more items are needed in 12 months. PPCs are available by 10 monthly direct debit instalment payments. The prescription prepayment certificates allow anyone to obtain all the prescriptions they need for £2 per week 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 Immunisation and Vaccination Clinics We consider that it is important that all children should be protected against Diphtheria, Tetanus, Whooping Cough, Polio, Mumps, Measles, Rubella and Haemophilus Influenzae B and Meningitis C. There are very few contra-indications to these vaccinations but if you are worried please discuss this with one of the Doctors or the Health Visitor. The Clinic is held on the 2nd and 4th Thursday in every month from 2.00p.m. to 3.30p.m. (Practice Nurse) Family Planning Service A full family planning service is provided including emergency contraception and the fitting of coils and counselling. The Practice Nurse also provides family planning advice and we are happy to provide confidential services for people under 16, and advice on safer sex. The doctors in the Practice will see patients from other practices for contraceptive services. Child Surveillance Clinic At Cheddar Medical Centre- The Clinic is on the 3rd Wednesday of the month from 1p.m to 3p.m. (Health Visitors). At the Valley Childrens Centre- The Clinic is on the 1st Wednesday of the month from 9.30am to 11.30am (Health Visitors) Antenatal Clinic The Clinic is held every Monday from 9.10 a.m. to 12.10 p.m. or Wednesday 2.00.p.m. to 4.00.p.m. in Bank Holiday weeks. (Midwife). Breastfeeding Support Group The Group meets weekly at the Valley Childrens Centre on Thursdays between 12 and 1pm. This is a 'drop in' session and no appointments are necessary. Asthma Clinic The Clinic is held every Tuesday between 3.45 p.m. and 6.00 p.m. (Practice Nurse) Diabetic Clinic The Clinic is held every other Wednesday from 5.00 p.m. to 6.20 p.m. (Practice Nurse) and on alternate Tuesdays from 10.00 a.m. to 11.40 a.m. (Practice Nurse). Cardiovascular Clinic This Clinic is held every Wednesday from 9.00 a.m. to 1p.m. (Practice Nurse). Travel Clinic The Clinic is held on alternate Thursdays from 2.00 p.m. to 3.20 p.m. (Practice Nurse). If you are travelling anywhere abroad make an appointment to be advised of your vaccination needs and you will be given an advice sheet and travel tips. These can vary depending on where you are going. We do need 4 weeks notice to ensure we can offer an appointment. Within 4 weeks we will try to help, but you may need to attend a private clinic and pay for your vaccines if we cannot accomodate your request. Minor Surgery All doctors provide a minor surgery service by appointment. NHS Physiotherapy Service Provided on Monday afternoons from 1pm to 4pm by our Physiotherapist Vanessa Ayers. Patients must be referred by their GP. Hearing Aid Batteries If your National Health Service hearing aid batteries need replacing you can obtain supplies of these free from the Medical Centre. Please ask at Reception. Test Results Test Results We would be grateful if you would not ring for test results on a Monday but phone any other weekday after 12 noon. Please note that we are not able to give results to anyone other than yourself unless you give us your permission in advance. Non NHS Services Private Medical Examinations These are not covered by the National Health Service. You will be charged a fee in accordance with the recommended British Medical Association rate CHEDDAR MEDICAL CENTRE The NHS does not cover certain certificates, reports and examinations You may need the Doctor to complete for you. We may have to charge you, or a third party, a fee. CERTIFICATES WITHOUT EXAMINATION Simple certificate of fact Private Sick Note Freedom from Infection Certificate MEDICAL EXAMINATIONS AND REPORTS £15 £20 £15 Life Assurance Report without exam Life Assurance Supplementary report Life Assurance GP exam Employees Incapacity Report Private Health Insurance Forms Sickness/ Accident Claim Form School Fees Insurance Claim report Fitness for Sports Medical Pre Employment Medicals (includes Local Authority) HGV/ PSV/ Taxi Medicals Seat Belt Exemption Examination and medical Seat Belt Exemption Certificate without medical Elderly Drivers Medical Road Traffic Accident Report (1st Attendance) Fitness for Education Examination and report Court of Protection (CP3) with examination Court of Protection (CP3) without examination Adoption Report without examination Adoption Medical AH Form Adoption Form AH Update Form To Certify Power of Attorney To Certify Power of Attorney including Home Visit Criminal Injuries Compensation Authority (CICA) – No attendance necessary Criminal Injuries Compensation Authority (CICA) - Attendance necessary £94.30 £24.10 £92.30 £40 £30 £30 £30 £75 £75 £75 £75 £52 £65 £30 £75 £145 £75 £26.74 £73.86 £26.74 £100 £150 £19.50 £39 TRAVEL SERVICES Fit to Travel Certificate Fitness to Travel Examination and report Vaccination Certificate (Cholera/ Meningitis etc) Holiday Cancellation Certificate Hep B, Rabies and Japanese Encephalitis vaccinations Private prescription for Malaria £15 £75 £26 £30 £33 each £13 MISCELLANEOUS Search fee (Access to Records under Data Protection Act) Photocopies of Medical Records £10 £0.35/ sheet PAYMENT TO BE MADE ON COLLECTION OF THE FORM OR AT THE TIME OF THE MEDICAL OR PROCEDURE CHEQUE PAYMENTS MUST BE ACCOMPANIED BY AN APPROPRIATE CHEQUE CARD SORRY, WE ARE UNABLE TO ACCEPT CREDIT CARDS With effect from 1st January 2011 Registration New Patient Registration Anyone living within our Practice boundary is welcome to apply to register with us. Please bring along your medical card to the surgery. If you cannot find it we can give you a form to fill in. When you register you will be encouraged to indicate a preferred doctor and we will make every effort to provide appointments with them when requested. You can, of course, see any of our other doctors if you prefer. Registration Form You may print off a registration form, fill it out and bring it in with you on your first visit to the practice. Registration Form (www.mysurgerywebsite.co.uk/regforms/gpregistration1.pdf) Summary Care Record Summary Care Record A new Central NHS Computer System is coming soon, called the Summary Care Record (SCR). The Summary Care Record is meant to help emergency doctors and nurses help you when you contact them when the surgery is closed. Initially, it will contain just your medications and allergies. Later on as the central NHS computer system develops, (known as the ‘Summary Care Record’ – SCR), other staff who work in the NHS will be able to access it along with information from hospitals, out of hours services, and specialists letters that may be added as well. Your information will be extracted from practices such as ours and held on central NHS databases. As with all new systems there are pros and cons to think about. When you speak to an emergency doctor you might overlook something that is important and if they have access to your medical record it might avoid mistakes or problems, although even then, you should be asked to give your consent each time a member of NHS Staff wishes to access your record, unless you are medically unable to do so. On the other hand, you may have strong views about sharing your personal information and wish to keep your information at the level of this practice. Connecting for Health (CfH), the government agency responsible for the Summary Care Record have agreed with doctors’ leaders that new patients registering with this practice should be able to decide whether or not their information is uploaded to the Central NHS Computer System. For existing patients it is different in that it is assumed that you want your record uploaded to the Central NHS Computer System unless you actively opt out. For further information visit the Connecting for Health Website (www.connectingforhealth.nhs.uk/systemsandservices/scr) If you choose to opt out of the scheme, then you will need to complete a form and bring it along to the surgery. Download the opt out form >>>> (www.mysurgerywebsite.co.uk/regforms/optoutform.pdf) Confidentiality Confidentiality Here at Cheddar Medical Centre we safeguard all confidential information about you and your health. All staff are required to sign a confidentiality document when they start work at the surgery. This is to ensure that they are fully aware of the need to maintain patient confidentiality at all times. So that we can all work together for your benefit, we may need to share information about you with others in healthcare. We only ever use or pass on information about you if healthcare workers have a genuine need for it and it is in your interest. Wherever possible we will remove personal details that would identify you. Freedom of Information The ICO has published a new Model Publication Scheme that all public authorities are required to adopt. Model Publication Scheme - further information (www.ico.gov.uk/upload/documents/library/freedom_of_information/introductory/freedom_of_in formation_factsheet.pdf) Comments & Complaints Comments & Complaints We have our own complaints procedure and, if you need to make a complaint, please address it to the Practice Manager, Mrs Pauline Drummond who will take full details of your concerns and decide how to deal with the problem. Full details of our complaints procedure may be found in our complaints leaflet. We would be grateful for any suggestions you may have to improve the services we offer – please direct these to the Practice Manager. The Health Service Ombudsman The Health Service Ombudsman has published a booklet that describes the ‘six principles for remedy’ in relation to complaints handling and involves: 1. 2. 3. 4. 5. 6. Getting it right Being customer focused Being open and accountable Acting fairly and proportionately Putting things right Seeking continuous improvements If you remain unhappy after everything has been done to try to resolve your concern or complaint you have the right to approach the Ombudsman. Tel: 0345 015 4033 Email: phso.enquiries@ombudsman.org.uk Write: Millbank Tower, Millbank, London SW1P 4QP. Staff Details Doctors Dr Jonathan R. Hincks M.B.B.S. (London 1980) Dr T. Elwyn Davies M.A., M.B., B.Chir. (Cambridge 1988) M.R.C.G.P., D.C.H., D.R.C.O.G. Dr Elwyn Davies was once a zoologist, then a commissioning editor of books of very limited readership (anyone remember ‘Beyond NeoDarwinism’?) and finally became a doctor in 1988, moving to Cheddar in 1994. He is the practice GP Trainer and has a special interest in Diabetes. In his spare time he attempts to play guitar and speak French, and often tackles books of very limited readership. He has successfully encouraged his four English children to support Welsh rugby. Dr Jillian C. Howard M.B.Ch.B. (Bristol 1993) D.R.C.O.G., M.R.C.G.P. (Part-time) Dr Claire L. Laband M.B.B.S. (London 1981) (Part-time) Claire qualified at the London Hospital in 1981. She worked in Japan and Australia before moving to the West Country to complete her GP training. She joined the Cheddar Medical Centre in 2001. She has managed a local football team for several years and remains their worst player. She has recently started growing vegetables and has acquired a dog Dr Sara M Frost GP Registrars We are an approved training practice for young qualified doctors who (Trainee are attached to the Practice for a period of 6 or 12 months. Our Doctors) current registrar is Dr Natalie Lukeman Nurses Practice Nurses are employed in the Treatment Rooms where many services are available including dressings, chronic disease management, cervical smear tests, ear syringing, travel vaccinations, child immunisation, blood pressure checks and support to stop smoking. Jill Peters Anne Martyn Julie Hutton Healthcare Assistants Kerry Randall Takes blood tests and check blood pressure Practice Management Pauline Drummond Practice Manager, Pauline is responsible for the strategic running of the practice including staff, IT, finance, premises, new services, audits, complaints and innovations and may be able to help you if you have a problem on a non-medical aspect of your health care. Administration Secretaries (Tess and Nadine) type medical correspondence, make hospital appointments for doctors’ referrals and provide administrative support to the Practice Manager. Admin Assistants (Julie, Sue, Maria and Angela) deal with practice administration and patient related services. Tess O'Neill Nadine Higginbottom Julie Crisp Sue Callow Maria Davies Angela Francis Reception The Reception Supervisors (Lin and Angela) maintain the smooth running of reception and organize the work of the reception team. The Receptionists (Deborah, Bernice, Elaine, Nadine , Sandra and Alison) are your first point of contact and will arrange appointments and answer your queries in complete confidence. Lin Hebden Reception Supervisor Angela Francis Reception Supervisor Bernice Parfitt Nadine Higginbottom Sandra Slingsby Deborah Monks Elaine Snow Alison Barnhouse Community Midwives Helen Crandon Visits expectant mothers in their homes, holds a weekly antenatal clinic, holds relaxation classes and cares for mother and baby after delivery. If you need a midwife urgently out of surgery hours, please ring 01278 444517 (Mary Stanley Wing, Bridgwater Hospital Maternity Unit) and they will bleep the midwife on call. Community Nurses Our Community Nursing Team give nursing care to those patients unable to visit the surgery. They can be contacted on 01934 734207 where, if they are unavailable, a message can be left on their Voicemail. Health Visitors Health Visitors are primarily involved in the provision of advice, health education and developmental screening for children under 5 years. They can be contacted on 01934 744935. Gina Ashman Suzanne Moss Caroline Woodcock