Newsletter Wincanton Health Centre Issue 41 Summer 2014 Welcome to our new members of staff! From l-r: Acute Care Practitioner Jo Whaites, Practice Nurse Melissa Kelly and Health care Assistant Lynda Turnbull We would like to extend a warm welcome to three new members of our medical team, Jo Whaites, Lynda Turnbull and Melissa Kelly. Our new Acute Care Practitioner Jo has settled quickly into her new job in Wincanton after working at Yeovil District Hospital for the past 28 years. Qualifying in 1984, Jo has worked in the Emergency Department for the last 14 years. She took a Sister’s post in July 2006 and has been an emergency nurse practitioner since 2007. She became an independent prescriber last year. Jo said: “I’m really looking forward to the challenge of working in a busy health centre!” She has two grown up boys and lives in Castle Cary. Health Care Assistant Lynda Turnbull has also settled quickly into her new job at Wincanton. Lynda started working as a phlebotomist in Winchester in 2002. The role quickly expanded and she has been working as a Health Care Assistant (HCA) ever since. She moved with her husband Nigel to Zeals two years ago. They have two daughters who are married and live in London. In her spare time she and Nigel enjoy going on trips in their motorhome, decorating their home, gardening and going for walks with their dog Sox. Lynda said: “I’d like to say how everyone at Wincanton Health Centre has made me feel so welcome and a big thank you to Melissa, Michele Jkljlkjlkjlkj and Jo for all their help on my first few days.” The third addition to our nursing team, Melissa Kelly, also joins us with a wealth of experience, having been a qualified nurse for 26 years, with Practice Nurse responsibilities for the past 7 years. jkllkjlkjlk Melissa said: “I am really excited about being part of the Wincanton Surgery and to be part of the local community. I have travelled around with my husband who is in the military and this will be the first opportunity to settle in our own home in the Wincanton area which is very exciting for all the family.” Melissa and her husband have two children, Amy and Nick, who are at university and a dog called Ellie. She enjoys running, cycling and taking Ellie for long walks. PATIENT PARTICIPATION GROUP (PPG) CORNER Once again it is time for me to put pen to paper for the summer edition of the newsletter. Since the publication of the spring edition we have held a very successful information evening, the subject being diverticular disease (gastric problems). The evening was held at the Balsam Centre. This proved to be an ideal venue which we will use for future events. There were 30 attendees plus members of the PPG and health-centre staff. The speakers were Marianne Williams, IBS (Irritable Bowel Syndrome), an allergy dietition and our own Dr Helena Smith, both giving a professional and at times humerous Len Grant presentations, prompting a lively question and answer session. These evenings are free and you can also enjoy coffee, tea and biscuits. Jkljlkjlkjlkjlkj Our next evening event is to be at the Balsam Centre on the 24th September at 7.30pm, the subject being respiratory problems. This should be very informative Jkljlkjlkjlkj jkllkjlkjlk and interesting, particularly for people suffering from asthma. We are sorry to hear that three of our nurses have decided to seek pastures new. Two to other health centres and one to the sunnier climbs of Spain. Our best wishes go with them for the future. The good news, however, is that the Health Centre has recruited a Practice Nurse, an Acute Care Practitioner and a Health Care Assistant, who are already settling in to their new posts. In addition, three new acute care practitioners are due to join the practice in the autumn. Len Grant PPG Chairman Farewell to four members of the medical team Staff and patients will be saying goodbye to four members of the medical team this summer. Here are a few words that they would like to say… Suzanne: “I have worked here for 5 ½ years and what a journey! I have become a better person and nurse for the challenges I have faced and am more flexible in my approach to working. I have gained so many skills and for these opportunities I am really grateful to the practice. I am leaving to live in Spain. This has been in my mind from when Paul and I first met 3 years ago, so it’s not a flippant decision. The time is now right for me and my family to start our new adventure. I am planning to work for an English nursing agency providing either community care or practice-based care for ex-pats. I have built up some close bonds/friendships with my patients over the last 5 years and I really will miss them all and wish them good health and happiness, (don’t worry the other nurses are all as good as me ha-ha). Despite being so very excited I will miss you all, each and every one of my colleagues. You have been a big part of my life and I feel you are part of my family.” Suzanne Riches Practice Nurse Nikki: “I have worked here for just over a year and half, of which I spent 14 months as a receptionist . However challenging this role was, it was one I thoroughly enjoyed. The team here are lovely and always willing to lend a helping hand (if they have one to spare). I then went to become a Health Care Assistant here, learning yet more new skills and jumping into a completely different role. I have really loved getting to Nicola Goodall Health Care Assistant know our patients and learning some clinical skills which will be invaluable to me. The team here at the Health Centre and all the lovely patients have been wonderful, making this a great place to work. My next journey is that of a Maternity Care Assistant, a role in which many skills I have learnt here will be invaluable. I look forward to being around lots of scrummy new born babies and providing care to women and their families. I would like to wish you all the best in the future and thank you for being a part of my journey.” Sarah and Jenny look forward to new challenges Sarah Stephen Many of you will be sorry to hear that Acute Care Practitioners Sarah Stephen and Jenny Holding have left us this summer for pastures new. Sarah is a well-known figure in the surgery as she started working here as a Practice Nurse 11 years ago, later adding to her skills by qualifying as an Acute Care Practitioner. Jenny joined more recently but she will also be sorely missed by staff and patients. Both Sarah and Jenny say they are looking forward to a new challenge! Jenny Holding Nosy Receptionists? – “No, they’re just doing their job!” We have received some feedback from a small number of patients that they do not like the receptionists asking them why they want to see the doctor or nurse. Apparently some patients feel that their problems are confidential and should not be discussed with the admin staff. Firstly we would like to reassure you that ALL staff are bound by the rules of confidentiality and they know that any breach of that confidentiality would result in immediate dismissal. In order for us to provide you with the best possible service, all our staff need to have access to patient records. The reason why the receptionists ask about the problem is in order to make sure that we book you the most appropriate appointment. Let me give you some examples. : A patient phones to make an appointment to see a doctor for a sick note. This can often be dealt with over the telephone and the receptionist would offer a telephone appointment first to save the patient the time and trouble of physically coming into the surgery. If the doctor feels that he or she needs to see the patient they would then explain this and make an appointment at a suitable time. A patient phones to make an appointment with the doctor as they have an ear infection. The Acute Care Practitioner is the most suitable person to see this patient. A patient phones to make an appointment with the doctor for a contraceptive injection. The doctors do not do these so the patient needs an appointment with the practice nurse. A patient phones to make an appointment with the doctor to show them that their rash is better (yes this is true). No appointment necessary! I am sure you will have read in the media about the financial and workload pressures on the NHS and on GP surgeries in particular. Gone are the days when the GPs dealt with everything. We now have a team of professionals who provide the full range of services but you will not always be seen by a GP and nor do you need to be. Of course, if you have an ongoing problem or complex health needs you can see the GP but, in order to make sure we have appointments available with the GPs, problems which can be dealt with by other members of our team need to be directed to them. Please help us to help you by letting the receptionists know what your problem is so they can make you an appointment with the most appropriate person. Janet Loe Practice Manager Dedicated reception staff now give out patients’ results WE have introduced a new daily results clinic when patients are phoned with their results. When a patient has a blood test or hands in a urine sample, the receptionist will automatically book a timed telephone slot on a specific day when the patient will be contacted to be informed of the result. The GP will state what the receptionist needs to tell the patient, which may vary from: Everything is normal You need to have a telephone call or face-to-face consultation with a GP You need to have a repeat blood test The receptionist on the telephone will be able to book any follow-up appointments that you may need. Please note: Receptionists are unable to interpret results. Shingles Vaccines WE often have patients phoning us to ask if they are eligible for a shingles’ vaccine. Hopefully, the following information will help to clarify who is able to receive one. The shingles vaccination is available to patients who were aged 70 OR 79 on 1st September 2013. This is the year 1 criteria and patients only have until 31st August this year to have the vaccination. After that, they will cease to be eligible. The year 2 programme will start on 1st September 2014 for patients who are aged 70, 78 OR 79 on that date. If you fall into this age group and would like to have the shingles vaccination, please ring the surgery to make an appointment after 1st September 2014. Please note we are unable to vaccinate any other age groups. Form an orderly queue! Please could we ask patients waiting to talk to the receptionist at the front desk to wait behind the person already being attended to. Some patients have complained that while they are speaking to the receptionist about matters which are often private and confidential, that patients waiting come and stand next to them AUGUST BANK HOLIDAY The Health Centre will be CLOSED on: Monday August 25th and even lean on the counter. We know it is frustrating to be waiting in a queue but we would appreciate it if all patients can respect the privacy of others when waiting at the front desk. Thank you Stay safe in the sun! It's important to protect your and your children's skin in the sun to avoid sunburn and heat exhaustion. Here are some guidelines to help you: What sun protection factor (SPF) should I use? Use sunscreen with a sun protection factor (SPF) of at least 15. The higher the SPF, the more protection you will get. Go for broad-spectrum sunscreens, which protect against harmful UVA and UVB rays. Make sure the product is not past its expiry date. Most sunscreens have a shelf life of two to three years. What is broad spectrum and the star-rating? Broad-spectrum products provide protection against the sun’s UVB and UVA rays. The sun protection factor, or SPF, is a measurement of the amount of UVB protection. The higher the number, the greater the protection. In the UK, UVA protection is measured with a star rating. Sunscreens has from 0 to 5 stars. The higher the number of stars, the greater the protection. How long can I stay in the sun? Don’t spend any longer in the sun than you would without sunscreen. Sunscreen should not be used as an excuse to stay out in the sun. Instead, it offers protection when exposure is unavoidable. The summer sun is most damaging to your skin in the middle of the day. Spend time in the shade between 11am and 3pm, under umbrellas, trees, canopies or indoors. Should I reapply sunscreen if I swim? Water washes off sunscreen and the cooling effect of the water can make you think you're not getting burned. Water also reflects UV rays, increasing your exposure. Even "waterproof" sunscreens should be reapplied after going in the water. What should I do if I get sunburn? Painkillers, such as paracetamol or ibuprofen, will ease the pain by helping to reduce inflammation caused by sunburn. Sponge sore skin with cool water, then apply soothing after sun or calamine lotion. If you feel unwell or the skin swells badly or blisters, seek medical help. Stay out of the sun until all signs of redness have gone. Are children more at risk of sunburn? Young skin is delicate and very easily damaged by the sun. Use at least a factor 15 sunscreen and choose a broad-spectrum brand that has a four- or five-star rating. Apply it to areas not protected by clothing, such as the face, ears, feet and backs of hands. Choose sunscreens that are formulated for children and babies' skin, as these are less likely to irritate their skin. My child has eczema. What sunscreen should I use? Some sunscreens may aggravate eczema. Check the label for any ingredients that you know your child is allergic to. Test any new sunscreen on a small area before applying it to the whole body. Put on your child’s emollient and steroids first then put the sun protection cream on 30 minutes later. Remember to put more sun protection cream on regularly throughout the day and especially after swimming. What are the symptoms of heat exhaustion? Heat exhaustion occurs when the body cannot lose heat fast enough. If it's not treated quickly, it can lead to heat stroke, which is a much more dangerous condition. Signs of heat exhaustion include faintness, dizziness, palpitations, nausea, headaches, low blood pressure, tiredness, confusion, loss of appetite and hallucinations. What should I do if someone has signs of heat exhaustion? Get them to rest in a cool place, ideally a room with air conditioning. Give them plenty of water. Avoid alcohol or caffeine as this can increase levels of dehydration. Cool their skin with cold water. Use a shower or cold bath to cool them down or, if this is not possible, wet flannels and face cloths in water and apply to their skin. Loosen any unnecessary clothing and make sure that the person gets plenty of ventilation. Monitor their condition closely. Should I cover up my mole when I’m in the sun? If you have lots of moles or freckles, you're more likely to develop skin cancer, so you need to take extra care. Avoid getting caught out by sunburn. Use shade, clothing and sunscreen with an SPF of at least 15 to protect yourself. Keep an eye out for changes to your skin and report these to your doctor without delay. Skin cancer is much easier to treat if it is found early. Use the mole self-assessment tool to see whether you could have a cancerous mole. Content supplied by NHS Choices – www.nhs.uk Going Abroad – need vaccinations? Don’t forget that you may need travel vaccinations. You will need to complete a travel questionnaire which can be either collected from the Health Centre or downloaded from the website. Complete this in plenty of time as the nurses need to use the information to assess which, if any, vaccinations you need. Some vaccinations are free but some you have to pay for and some need to be ordered in specially. You need to contact us at least six weeks before you travel. If your departure date is within six weeks, we will not be able to provide you with any travel vaccinations and you will need to attend a travel clinic. This will cost you more money so make an appointment in plenty of time to avoid this extra hassle and expense. New Electronic Prescription Service More than 2000 Wincanton patients have already signed up for the Electronic Prescription Service (EPS). This is an NHS service which means you will not have to visit your GP practice to pick up your paper prescription. Instead, your GP will automatically send it electronically to the place you choose, saving time. You will also 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. In addition, you may not have to wait as long at the pharmacy as there will be more time for your repeat prescriptions to be ready before you arrive. Is the service right for you? Yes, if you have a stable condition and you: * Don’t want to go to your GP practice every time to collect your repeat prescription. * Collect your medicines from the same place most of the time or use a prescription collection service now. It may not be suitable for you if you don’t get prescriptions very often or if you pick up your medicines from different places. How can you use EPS? You need to choose a place for your GP practice to electronically send your prescription to. This is called nomination. You can choose: A pharmacy A dispensing appliance contractor (if you use one) Your dispensing GP practice (if you are eligible) You can ask any pharmacy or dispensing appliance contractor that offers EPS or your GP practice to add your nomination for you. Newsletter by Email The newsletter is available for viewing on the website but if you would like to have a copy emailed to you, please complete the slip and return it to the Health Centre. Thank you. Name ……………………………….. 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