Minster Medical Practice 2 Cabourne Court Cabourne Avenue Lincoln, LN2 2JP Telephone: 0844 815 1384 0844 815 1385 Fax: Website www.minstermedicalpractice.co.uk When the surgery is closed call 111 Welcome to Minster Medical Practice The doctors and staff at Minster Medical Practice are proud to offer the highest standard of patient-centred healthcare. We run many clinics for the management of chronic diseases such as asthma and diabetes and offer a wide variety of other medical services including antenatal and postnatal care, minor surgery, childhood vaccinations and well-person check-ups. 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. ORIGINS Historically our Practice has been in the Cathedral Area since the mid-nineteenth century. Drs Maclure and Watson moved from Eastgate to "2 Mainwaring Road" in 1968 and the Practice remained there until 1991, when we moved to our current location. NOW Our Surgery is situated off Nettleham Road in the Cabourne Court Health Care Complex. This site has ample car parking and pedestrian access from both Nettleham Road and Cabourne Avenue. Other services on the site include a Chemist, Dental Practice, Physiotherapy clinic, Chiropractitioner, Chiropodist and Hearing Care Aid Centre. GENERAL PRACTITIONER REGISTRARS We have been a training Practice since 1994. Dr Pontin and Dr Fitzgerald are the approved trainers. GP Registrars join us for four or eight month attachments. They are fully qualified Doctors, but have not yet completed the specialised extra training now required before they can become a partner in General Practice. Because we undertake training of other Doctors wishing to enter General Practice we undergo a periodic assessment when the quality of the records in the Practice may be examined by senior Doctors. Patient confidentiality is always maintained. However, if you do not want your notes to be examined please inform the Receptionist or your Doctor. Have you registered for online prescription ordering? Ask at Reception for further details ***************************** Patients are seen by appointment only, the surgery is open from 8:00 am - 6:00 pm Opening Times Times Monday 08:00 - 18:00 Tuesday 08:00 - 18:00 Wednesday 08:00 - 18:00 Thursday 08:00 - 18:00 Friday 08:00 - 18:00 Weekend closed Consulting Times Morning Afternoon Monday 08:30 - 11:00 14:00 - 17:30 Tuesday 08:30 - 11:00 14:30 - 17:30 Wednesday 08:30 - 11:00 14:00 - 17:30 Thursday 08:30 - 11:00 15:00 - 17:30 Friday 08:30 - 11:00 15:00 - 17:00 Weekend closed *Evening Surgery hours may vary slightly to those shown above Clinic Times Baby Clinic - Important Changes Baby clinics will no longer be run from Minster Medical Practice. You can access baby clinics on: Wednesday 13:00 - 14:30 at SureStart, Welbourne Gardens, Ermine East Thursday 13:00 - 14:30 at SureStart, Lamb Gardens, St Giles Working Parents Clinic: 1st Monday of the Month 17:30 - 19:30 at SureStart, Welbourn Gardens, Ermine East Antenatal Clinic (Midwife) Thursday: 09:30 - 12:00, By appointment Friday: Booking clinic via invitation letter from the Midwife Child Health - Drop-in Clinic Monday 13:00 - 15:00 Health Visitor or Nursery Nurse Baby Immunisation Clinic Thursday 10:00 - 11:00 and 15:00 - 15:30with the practice nurse. Diabetic Clinic (Nurse Led) Monday 14:00 - 16:00 by appointment with Doctor only Wednesday 08:30 - 11:00 by appointment with Nurse only Friday 10:30 - 11:45 by appointment with Nurse only Asthma Clinic (Nurse Led) Monday, Tuesday and Wednesday. Phone to arrange an appointment with the Practice Nurse Smoking Cessation Clinic Monday, Tuesday and Thursday. By appointment with Practice Nurse When We Are Closed During the week from 6.30 pm to 8.00 the following morning, at weekends and Bank Holidays when the surgery is closed please ring 111. This is a freephone number from both landlines and mobile telephones. This allows you direct access to the Out of Hours service. If you call the Practice telephone number when we are closed you will be given the option to be transferred to 111, however your service provider will charge you for this call. The Out of Hours services is available for urgent consultations which cannot wait until your GP surgery is open. 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. Accident & Emergency The nearest A&E Department is at Lincoln County Hospital, Greetwell Road, Lincoln, LN2 2JP. Telephone: 01522 512512. NHS Walk-in Centre There is a Walk-in Centre at 63 Monks Road, Lincoln LN2 5HP. It is open Monday to Sunday 8.00 am - 8.00 pm. The centre is run by a team of experienced nurses and GPs. You do not need to make an appointment. Emergency Dentist Please contact the emergency dental centre on 01522 560018 Appointments All appointments can be made by telephoning 0844 815 1384 and selecting the appropriate option. We do not accept appointment requests by email. You may consult any of the Doctors in the Practice, but we would encourage patients to see the same Doctor for ongoing problems to enable continuity of care. If you have an urgent problem, you will be offered an appointment on the same day, but this will not necessarily be with the Doctor of your choice. Please book separate appointments for each member of the family attending Surgery. Cancelling Appointments Should you need to cancel an appointment please telephone the surgery on 0844 815 1384 before your appointment time so we can offer your slot to another patient. Home Visits If possible please try to telephone reception before 10am if you require a home visit. House visits are only available for patients who are genuinely housebound because of illness or disability. Please remember that several patients can be seen in the practice in the time that it takes to make one home visit. There are also better facilities for examining and treating patients at the surgery. Emergency Visits Emergencies will be dealt with immediately by the Duty Doctor. Please stress that the call is "an emergency". Telephone Consultations If you wish to speak to your Doctor on the telephone, it will normally be possible to do this by arrangement with the Receptionist. It would be helpful, in assessing the urgency of the call and also ensuring that the Doctor has the relevant information available, if you could indicate to the Receptionist the nature of your call when you ring. However, sometimes interruptions during surgery can be upsetting both for the Doctor and the patients they are seeing. For this reason, the Receptionists are asked not to disturb consultations with non-urgent telephone calls. A more convenient time for you to ring will be suggested. Practice Information Disabled Access We aim to be fully accessible for our disabled patients and have an ongoing programme to comply with the Disability Access Act. Disabled patients will not find any difficulty in obtaining access to the Surgery where all main services are provided on the ground floor. A toilet for disabled people is also available. Prams, Buggies and Pushchairs To comply with fire regulations, these should be left in the space provided by the front door. Car Park A car park is available for the use of patients attending the Surgery, the staff and the Doctors. Please note that persons using the footpaths and car park do so at their own risk. No responsibility is accepted for injury to pedestrians or for any loss or damage caused to vehicles, their contents or accessories, or any injury caused by or to owners or occupants of such vehicles whilst entering or leaving the premises . Medical Fund Over the years, our patients have helped us enormously with charitable donations and bequests for the purchase of medical equipment. If any patient would like to help us by making a donation to the Minster Medical Practice, would they please contact the Practice Manager or a Partner. Repeat Prescriptions We accept repeat prescription requests online. To use this service you will need to ask at Reception where an account will be set up for you. Once you have set up a password you will be able to order repeat prescriptions online. Patients on long-term tablets or medicines agreed by their Doctor may obtain repeat prescriptions on a regular basis without seeing the Doctor each time. Sometimes, however, you may be asked to make an appointment so that your medication can be reviewed. New patients on regular treatment will be asked to make an appointment with the Doctor soon after registering to discuss their medication. If your Doctor gives you a repeat prescription, you will also receive a printed counterfoil. Please keep this until you require a further supply of medicine. Then, either leave the counterfoil in the special repeat prescription box at the side of the reception desk,post it to us or order online. Please allow at least 2 working days for your prescription to be processed. When your prescription is ready, you can collect it from the Surgery or, alternatively, we can post it to you - but we do ask that you provide us with a stamped addressed envelope for this. If you are genuinely housebound, the local chemists are happy, if you make prior arrangements with them, to collect prescriptions from the Surgery and deliver your medication free to your home. Could you please also notify us by writing this on the counterfoil. We do not take repeat orders for medication over the telephone. To order your prescription online click here New Midnight Dispensing Pharmacy This can be found at Boots chemist at the Carlton Centre on Outer Circle Road. They are open Mon-Sat until midnight and Sun until 4:30 pm. 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): £7.65 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. 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) 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 Our nurses and doctors run a number of clinics. Please see our Clinic Times for information about schedules. Baby Clinic (Important: Baby clinics will no longer be run from Minster Medical Practice. See Clinic Times for details) Child Health (Drop-in Clinic) Baby Immunisation Clinic (Please see the Vaccination Schedule for detailed information) Diabetic Clinic (Nurse Led) Asthma Clinic (Nurse Led) Smear Clinic (By appointment with the Practice Nurse) Smoking Cessation Clinic (By appointment with Practice Nurse) Minor Surgery (By appointment with your Doctor ) Nurse Clinics Our Nurse Practitioner is available by appointment every day to see patients with any newly presenting problems. She is able to assess, diagnose, refer and prescribe medication if required (over 1 year olds only). Our practice nurses are available by appointment for general nursing duties, e.g. dressings, immunisations, ear syringing etc, which the Doctor may arrange. Attached Services Attached Services Though not employed by the Practice, these professionals liaise with surgery personnel and have full use of our facilities to provide additional services for our patients. Health Visitor Telephone: 07767 005816 The Health Visiting Team are available for your routine baby and child reviews along with confidential advice regarding all aspects of their care and health. Community Midwife Telephone: 07721 550730 If no response you can contact The Community Midwifery Office on 01522 573772 where you can leave a message. Our midwife provides the majority of antenatal and postnatal care and is at the surgery on Thursday and Friday mornings. She works with a small team of midwives practicing in the North of the City. For advice you can contact the Assessment Centre on 01522 573138. For emergencies or when in labour contact 01522 578305. District Nurses The District Nursing team offer care in the homes of those patients unable to attend the surgery. They are based at Ravendale Health Centre and can be contacted on 01522 533331. Non NHS Services Non NHS/Private Services Certain services provided by your Doctor are not covered by the NHS, e.g. completion of private medical insurance forms etc, for which you may be asked to pay a fee. A list of the fees we charge is displayed in the Reception area but please ask the Receptionist for details if you are in doubt. All forms for completion by the Doctor should be handed to the Receptionist and up to 10 days allowed before collection. It should be noted that there may be a charge for certain travel vaccinations. Test Results Test Results Please call between 2:00 pm and 5:00 pm to enquire about your test results as our reception staff will have more time to deal with your request between these times. 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. When you take your test you will be told how long it will be before the results are returned to the practice. It is your responsibility to check your results and to make an appointment to discuss them with your doctor if you are advised to do so. 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. Registration New Patient Registration The doctors welcome new patients who live within our practice area. When you apply to join this Practice you will be asked to complete a confidential questionnaire, and if you are on repeat medication you will be invited to attend an introductory appointment with one of the Doctors. Please contact reception for further information on 0844 815 1384. You may print off a registration form & medical questionnaire, fill them out and bring them in with you on your first visit to the practice. Registration Form Medical Questionnaire Practice Area The Practice area extends north of the River Witham to the Ring Road. It DOES NOT INCLUDE Monks Road and the adjacent streets from the River Witham to Lindum Avenue/ Sewell Road. It DOES INCLUDE the villages of Burton Waters, Burton, Riseholme, and North Greetwell. We also accept patients from the villages of Nettleham, Scothern, Sudbrooke and North and South Carlton. 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 Practitioners 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. Text Message Reminders You can now register to receive information regarding appointments and health care. If you wish to register for this service please fill out the consent form. Travel Vaccinations If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse 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. Most travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because travel vaccination is not included in the services provided by the NHS and therefore is a chargeable service. Travel Health Questionnaire To help us offer the appropriate advice, please download, complete and return the form below before coming to see the nurse. Download our Travel Questionnaire 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) Patient Guide to Services It’s Your Practice: A patient guide to GP services has been put together by the Royal College of General Practitioners (www.rcgp.org.uk) (RCGP) for patients. This guide has been produced as part of the RCGP’s aim to build stronger relationships between you and your doctors and encourage the involvement and inclusion of you in your own care. The guide provides helpful information on all aspects of using GP services: from finding and choosing a practice and how to get the most out of a GP consultation to accessing health records and understanding patients’ rights and responsibilities. It is split into several sections including: General Practice explained Choosing the right practice for you Registering with a GP practice Seeing your GP – consultations Seeing your GP – the next steps After your GP consultation Your health record Your rights and responsibilities as a patient Get involved with your practice The publication is part of a push by the NHS as a whole to encourage you to understand how you can get the most out of primary care – which also includes how you can become more involved in monitoring your own health. Download A Patient Guide to GP Services (www.rcgp.org.uk/pdf/rcgp_iyp_full_booklet_web_version.pdf) Summary Care Record There is a new Central NHS Computer System 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.connectingforhealth.nhs.uk/systemsandservices/scr/staff/aboutscr/comms/pip/ optout.pdf) Patient Advice Patient Advice and Liaison Service (PALS) (www.pals.nhs.uk/) The NHS employs over a million staff in thousands of locations. It is a large and complex organisation providing a broad range of services. It is not surprising that sometimes you or a loved one may feel bewildered or concerned when using the NHS. And this can be at times when you are feeling at your most vulnerable and anxious. So, what should you do if you want on the spot help when using the health service? The NHS expects all members of staff to listen and respond to you to the best of their ability. But sometimes, you may wish to talk to someone employed especially to help you. The Patient Advice and Liaison Service, known as PALS, has been introduced to ensure that the NHS listens to patients, their relatives, carers and friends, and answers their questions and resolves their concerns as quickly as possible. PALS also helps the NHS to improve services by listening to what matters to patients and their loved ones and making changes, when appropriate. What does PALS do? In particular, PALS will: Provide you with information about the NHS and help you with any other health-related enquiry Help resolve concerns or problems when you are using the NHS Provide information about the NHS complaints procedure and how to get independent help if you decide you may want to make a complaint Provide you with information and help introduce you to agencies and support groups outside the NHS Inform you about how you can get more involved in your own healthcare and the NHS locally Improve the NHS by listening to your concerns, suggestions and experiences and ensuring that people who design and manage services are aware of the issues you raise Provide an early warning system for NHS Trusts and monitoring bodies by identifying problems or gaps in services and reporting them. Find out more If you would like more information about PALS, the functions it is intended to provide and the standards it should strive to achieve , follow this link (www.pals.nhs.uk/) . Live Well Please Note: This information is syndicated by the NHS. This means that the content comes from NHS data sources and is maintained by the NHS. There are many examples of missing links, poor formatting and empty pages but we have included it anyway because of the wide spectrum of useful information included. (www.nhs.uk/livewell/Pages/Livewellhub.aspx) There is a wealth of information on NHS Choices (www.nhs.uk/livewell/Pages/Livewellhub.aspx) about healthy living for everyone. Please find below some information and links that we hope you will find useful. Child health Featured topics Men's health Special reports Women's health Staff Details Doctors Dr Jonathan C Partner Gibbs MBBS FRCGP DRCOG Graduated from Kings College Hospital, London in 1988 after which he spent three years doing hospital training in London and Kent followed by one year's GP training in Scarborough. He joined the Practice in August 1995. His medical interests include IT, child health surveillance and minor surgery. He achieved Fellowship by Assessment in 2000. He is the Practice Lead for Clinical Governance, Prescribing, IT, and the Quality and Outcomes Framework. He is also a GP Tutor for medical students based at the University of Nottingham Medical School. Partner Dr Christopher J MB ChB DRCOG Batty Graduated from Liverpool Medical School in 1989, having enjoyed an active role in medical student life, being Treasurer of the Society in his fourth year and Captain of the Medical School Football Team for three years. Following House Officer jobs, he moved to Macclesfield in Cheshire for his vocational training and took a year out to work in Australia prior to finishing his GP training. Since being in Lincoln, he has taken up the position of Club Doctor to Lincoln City Football Club, where he is now in his tenth season, and has graduated from Nottingham University with an MSc in Sports Medicine. Within the Practice, he is responsible for finance and complaints, with a shared responsibility for personnel and is also responsible for the Practice appointment system. Clinically, he has interests in asthma, diabetes and minor surgery in addition to Sports Medicine. He is also a GP with a Special Interest in Orthopaedics. Dr Paul Fitzgerald Partner MB BCh BAO MRCSI MRCGP PGCME Graduated from University College, Dublin in 1994. Following internship, he completed a three year Pre-Fellowship training programme in Surgery in Ireland. Following Membership examinations he spent two years as an Orthopaedic Registrar in Cork and Limerick. He then moved to the UK in 2000 and completed in the Lincoln Vocational Training Scheme in 2003. He then worked as a Salaried Principal in two local Practices before joining Minster Medical Practice as a Partner in August 2004. He has recently completed a Postgraduate Certificate in Medical Education and is an approved GP Trainer. He is mentor to the Nurse Practitioner and enjoys the wide variety of General Practice, particularly orthopaedics and minor surgery. Dr Alyson J Pontin Associate Doctor MBBS FRCGP DRCOG DFFP Graduated from The Royal Free Hospital School of Medicine in 1981 and completed her postgraduate training in Inverness. She moved to Lincoln in 1985 and worked as a Locum for various practices, including the Minster Practice, until 1989. After three years of locum work in Cornwall, she returned as a part-time Partner in 1992. In 1999 she achieved Fellowship by Assessment and in 2000, DFFP (The Diploma of Faculty of Family Planning and Reproductive Health). Her interests include gynaecology, family planning and teaching. In 2002, she was approved as a Trainer and acted as an FBA advisor to a local GP. Dr Aurelia Moreno Beteta Associate Doctor LMS DFFP Graduated from University Complutense in Madrid in 1989 and moved to the UK where she initially gained wide postgraduate experience in surgical jobs, and particularly in orthopaedics. She spent one year as Anatomy Demonstrator at St George's Medical School in London and passed Primary FRCS in 1995. She then joined The Greenwich Vocational Training Scheme for General Practice in South East London. She completed her training in Lincolnshire in 2001 after placements in psychiatry in Lincoln and GP Registrar at Market Rasen. She joined Minster Medical Practice as a GP Assistant and became a Salaried Doctor in 2003. She achieved ALS Provider Certificate in 1998 and DFFP in 2001. She ran a teenage Family Planning Clinic at Market Rasen. Her interests include gynaecology, family planning, orthopaedics and minor surgery. Nurse Practitioners Mrs Karen J Hutchings Available by appointment every day to see patients with any newly presenting problems. She is able to assess, diagnose, refer and prescribe medication if required (over 1 year olds only). Nurses Rachel Telfer RN, Dorothy Phillips RN, Sally Bowey RN RM & Kim Hawes RN Available by appointment for general nursing duties, e.g. dressings, immunisations, ear syringing etc, which the doctor may arrange. In addition they run specialist clinics, e.g. Travel Advice, Smear clinics, Diabetic clinics, Coronary Heart Disease and Asthma, together with various health promotion activities. They also assist the doctors with various clinics. Phlebotomists Available by appointment for blood tests only Mrs Jo Botham Practice Management Mrs Elizabeth Stephenson Practice Manager Responsible for the day to day organisation of the Practice. If you have any problems with regard to the running of the Practice, or any suggestions on how you feel this may be improved, she will be pleased to discuss this with you and pass on any comments to the Doctors. Assistant Practice Manager Mrs Lucy HollandHancock, DipHE Assists the Practice Manager with the day to day organisation of the Practice. Mr Russ Turner IT Manager Responsible for the patient database together with the maintenance of the Practice computer network. Administration Lucy Holland-Hancock, DipHE and Sue Lloyd Secretaries In addition to providing secretarial support to the Practice, Lucy and Sue also arrange hospital referral appointments and liaise between hospital consultants and your doctors. Reception Michele, Kate, Maralyn, Jo, Lisa, Liz, Kathy, Jean, Kerrie, Jude & Shaila Our receptionists are your first contact with the Practice. It is their job to advise and guide you and any information they receive is treated in the strictest confidence. If you are willing to provide them with details of your enquiry, they will then be able to assist you in the use of our range of services. Confidentiality Our staff are bound by the same rules of confidentiality as the Doctors and Nurses. They have a difficult job to do, especially in dealing with large numbers of patients who visit and telephone the surgery each day. They have to try to keep both the Doctors and yourselves happy and in order to do so, may have to ask what appear to be unnecessary questions. Please remember that they are only doing what they are asked to do by the Doctors and, by providing the information they need, you are helping them to help you. Access to Medical Records Access to medical records can be arranged within the scope of the relevant laws - details from the Practice Manager. The request for copies of medical records needs to be in writing and charges may be made for the provision of this facility. Community Midwives Mrs Kay Booth Kay provides the majority of antenatal and postnatal care and is at the surgery all day Thursday and Friday mornings. Kay works with a small team of midwives practicing in the North of the City. Mobile telephone: 07721 550730 If there is no response you can contact the Community Midwifery Office on 01522 573772 where you can leave a message. For advice you can contact the Assessment Centre on 01522 573138. For emergencies or when in labour contact 01522 578305 Community Nurses The District Nursing team offer care in the homes of those patients unable to attend the surgery. They are based at Ravendale Health Centre. Telephone number: 01522 533331 Health Visitors Mrs Carmel Walker RN, Diploma Nursing, BSc Community Nursing (Public Health Nursing) The Health Visiting Team are available for your routine baby and child reviews along with confidential advice regarding all aspects of their care and health. Mobile telephone: 07767 005816