Here is our latest GP Patient Survey undertaken at the surgery

Mean score & in brackets GPAQ benchmark (national) score In general, how satisfied

are you with the care you

get at your GP surgery or

health centre? -98%

How helpful do you find the

receptionists at your GP

surgery or health centre?

87% (77)

In the past 6 months, how

easy have you found the

following? Getting through

on the phone – 81% (59)

In the past 6 months, how

easy have you found the

following?... Speaking to a

doctor on the phone-72%

(61)

How long after your

appointment time do you

normally wait to be seen?

55% within 5-10 mins &

45% within 10-30 mins

How satisfied are you with

the hours that your GP

surgery or health centre is

open? 78% (67)

How satisfied are you with

availability of particular

doctor – 66% (60)

Last time you saw a doctor

at your GP surgery how good

was the doctor at each of

the following? - Giving you

enough time – 87% (80)

Last time you saw a doctor

at your GP surgery how good

was the doctor at each of

the following? - Listening to

you – 90% ( 84)

Last time you saw a doctor

at your GP surgery how good

was the doctor at each of

the following? - Explaining

tests and treatments –

90% (83)

Last time you saw a doctor

at your GP surgery how good

was the doctor at each of

the following? - Treating

you with care and concern –

90% (84)

Last time you saw a doctor

at your GP surgery how good

was the doctor at each of

the following? Involve you in

the decisions 88% (81)

Last time you saw a doctor

at your GP surgery how good

was the doctor at each of

the following? Put you at

ease 91%(84)

What you think of our

newsletter? – 88% who read

it rated as excellent or

good

What do you think of the

information displayed in the

waiting room?

71% rated it as excellent

or good.

A full report of the survey is available.Please ask at reception.

Spr ing 2014 Vo lume 13 I s sue 2

Moor Green Lane Newsletter

I N S I D E T H I S I S S U E

Summary Care Records

Disease focus : Lupus

NHS reforms : Professional

Standards Authority

Self Help Group: Anxiety UK

Benefits : Carer’s Allowance

News at the surgery

We say goodbye to Dr.Tara Khan as she completes her attachment at the surgery shortly and moves on with her further training and welcome our new FY2 trainee Dr. Hashpal Sihre

Significant event analysis – Did you know that the practice regularly reviews & learn from both poor & good practice within the NHS e.g. near misses, delayed diagnosis, unexpected death as well as positive patient feedback on the care received

Go to www.nhschoices and type in postcode B13 8QS to find us.

Easter Opening

Thurs 17/ 4/2014 – 8am-6.30pm Fri 18/4/2014 – Good Friday Closed Saturday 19/4/2014 – closed Sunday 20/4/2014 – closed Easter Sun Mon 21/4/2014 – Easter Monday Closed Tues 2/4/2013 – onwards normal opening times

Page 2 Moor Green Lane Newsletter

The Professional Standards Authority for Health and Social Care oversees statutory bodies that regulate health and social care professionals in the UK. They assess their performance, conduct audits, scrutinise their decisions and report to Parliament. They also set standards for organisations holding voluntary registers for health and social care occupations and accredit those that meet them. They monitor policy developments in the UK and internationally and provide advice on issues relating to professional standards in health and social care. They share good practice and knowledge, conduct research and introduce new ideas to our sector including the concept of right-touch regulation. Right-touch regulation means always asking what risk we are trying to regulate, being proportionate and targeted in regulating that risk or finding ways other than regulation to promote good practice and high quality healthcare. The Professional Standards Authority is responsible for overseeing the UK’s nine health and care professional regulatory bodies which include the General Medical, General Dental, General Optical, General Osteopathic, Health & Care Professions (chiropody & podiatry), General Pharmaceutical, General Chiropractioner, Nursing & Midwifery Councils and the Northern Ireland Pharmaceutical society

Carers Allowance Carer’s Allowance is a payment made to help look after someone with substantial caring needs. The person you care for must get one of the following: Attendance Allowance Constant Attendance Allowance at or above the

normal maximum rate with Industrial Injuries Disablement Benefit Constant Attendance Allowance at the basic (full

day) rate with a War Disablement Pension Armed Forces Independence Payment (AFIP) Personal Independence Payment daily living

component Disability Living Allowance - the middle or highest

care rate You don’t have to be related to, or live with, the person you care for. You must be 16 or over and spend at least 35 hours a week caring for them. It is important to note that Carer’s Allowance is taxable. It can also affect your other benefits. Only one of you can get Carer’s Allowance, if there is more than 1 carer looking after the same person. You can get your Carer’s Allowance backdated for up to 3 months if you were entitled to it before claiming. More info: Benefit Enquiry/Helpline 0800 88 22 00 or https://www.gov.uk/browse/benefits

Doctor’s availability Day mon tue Wed thur fri

Time am pm am pm am pm am pm am pm

RAJ X X X X X X

ALT

GEETI X X X X

SALIM X X X X

ALT

NAIPAUL X X

ALT X X X

CHOWDHURY x x x x x x x x

KHAN x x x x x x x x

We now offer 34 doctor surgeries per week.

Dr. Raj will be in the practice on certain days but unable to see patients due to teaching and administrative commitments. He is also responsible for respiratory services & commissioning for SmartCare that takes him away from the practice from time to time. ALT = alternate week

Late night surgery Wednesdays till 8pm

Moor Green Lane Newsletter Page 3

Disease focus – Lupus Systemic lupus erythematosus (SLE) is an autoimmune disease whereby the immune system attacks some of your

body's healthy tissues, causing inflammation, swelling and damage. It is commonly just called SLE or 'lupus'. There are

two main forms of lupus – systemic and cutaneous. Systemic lupus can affect nearly every tissue and organ system in

your body. Cutaneous lupus only affects your skin (mainly on your face, scalp or hands, or areas exposed to light). SLE

affects about 5 in 10,000 people in the UK. It’s ten times more common in women than in men and you’re also more likely

to be affected if you’re of African, Caribbean or Asian descent.

What causes SLE? SLE is an autoimmune condition. Your body's immune system produces white blood cells and proteins called antibodies to fight infection. However, if you have SLE or another autoimmune disease, your immune system attacks the healthy tissues in your body, causing inflammation and damage. It is not known why SLE occurs. Combination of environmental, genetic and hormonal factors may be involved. Some factor may trigger the immune system to attack itself. Possible triggers of SLE include infections e.g Epstein Barr virus, smoking, drugs (for example, minocycline or Losartan) or sunlight. Hormonal changes may play a role in SLE, which could explain why it is much more common in women.

What are the symptoms of SLE?

Symptoms can be sudden or occur over months or even years. An episode of SLE is sometimes called a flare up.

Common symptoms include:

aching joints (arthralgia) and swollen joints (arthritis), particularly in your hands, wrists and knees

a skin rash that may appear on your face and is often butterfly shaped

tiredness that doesn’t go away no matter how much rest you have

fever, headaches, pleurisy (chest pain that is worse when you take a deep breath in)

sun or light sensitivity (photosensitivity), hair loss ,ulcers (often in clusters) in your mouth or nose

more serious complications include kidney (1 in 3 people) and heart damage, miscarriages, anaemia & migraine

How is SLE diagnosed? If your symptoms suggest SLE then your doctor will usually do some blood tests. Most people with SLE have an antibody called antinuclear antibody in their blood. Another antibody called anti-double-stranded DNA (anti-dsDNA) is often

present in people with SLE. Various other antibodies are also associated with SLE. SLE is often difficult to diagnose as the symptoms can be similar to other conditions and may come and go. Further tests may be needed to see which of your organs have been affected. These may include urine tests, X-rays, ultrasound scan, CT scan or MRI scan which uses magnets and radiowaves to produce two- and three-dimensional pictures of the inside of your body. A blood test to measure a blood chemical called 'complement' (another part of the immune system) can assess the activity of the disease. The level of this chemical reflects how 'active' the disease is.

What is the treatment for SLE?

Although there is no cure for SLE, this condition can usually be controlled and symptoms eased. Most people with SLE are seen regularly by a specialist rheumatologist who advises on treatment. The treatments may vary from time to time, depending on the severity of the disease or flare-up of symptoms and also which parts of the body are affected. Mild symptoms may not need any treatments. NSAID are often called anti-inflammatory painkillers and are commonly prescribed to ease joint or muscle pains. e.g. ibuprofen, naproxen. Long-term use of some NSAIDs isn't recommended as they can cause potentially serious complications such as stomach ulcers, high blood pressure and kidney problems. Antimalarials such as hydroxychloroquine or chloroquine, is used to treat milder symptoms such as joint pain, tiredness

and skin rashes. Side-effects include stomach and bowel upsets and headaches. It is not clear how this drug works in SLE. It may take 6-12 weeks for it to become fully effective. These drugs can potentially cause eye problems, so patients will need to have regular eye check-ups with an optician or ophthalmologist. Steroids tablets are usually advised if you develop more severe symptoms. Steroids reduce inflammation and the dose is

usually given at the lowest possible dose, in order to reduce any side-effects from the steroids. Higher steroid doses may be needed if you have inflamed kidneys or severe anaemia. Immunosuppressant drugs such as azathioprine, ciclosporin, cyclophosphamide & methotrexate may be advised if you have severe SLE. These drugs are called immunosuppressive drugs because they work by suppressing the immune system. They also reduce the amount of steroid needed but the main side-effect of these drugs is that patients’ are more prone to developing infections and require regular blood and urine tests to look out for possible side-effects.

Self help - Don't sit or lie in direct sunlight. Use a sunscreen that has an SPF of at least 50, which is available on

prescription. Wear a hat and clothing to protect your skin from the sun as much as possible. Try to do low-impact exercises such as walking and swimming to increase your fitness and stamina, but rest when you need to. If you smoke, stop. The symptoms and complications of SLE are made worse by smoking. Eat a healthy and well-balanced diet to make sure you’re getting all the nutrients you need. Need to more: just click www.lupus-support.org.uk

Page 4 Moor Green Lane Newsletter

Practice Notice Board

**Telephone Advice**

Available everyday between 12.30-2.30pm & 4- 4.30pm. Please keep your mobile switched on and be ready to answer the telephone when the doctor calls.

The Big Social Conversation – BSC CCG is seeking views from citizens on improving the NHS and making a real difference to services such as children and mental health. They need your help! Find out more see web link below https://www.bhamsouthcentralccg.nhs.uk/b-papers/doc_download/68-bsc-big-social-conversation-pack

Do you have an email address? If you do not mind us contacting you via email please provide us with your email address.

Please remember to bring all your medication both prescribed and bought over the counter when you attend your medication review.

Disease focus – Meniere’s Disease

Self-help group – Shaw Trust –support for disabled people

NHS reforms – Health Education England

Patient Participation Group – update

Benefits – Income support & much more!!!!!!!!

Remember you can access practice information 24 hours of the day click: www.nhs.choices search for B13 8QS

In the next issue (don’t miss it)

This is a national registered charity for those affected

by anxiety disorders. They are a user-led organisation,

run by sufferers and ex-sufferers of anxiety disorders,

supported by a high-profile medical advisory panel.

Anxiety UK works to relieve and support those living

with anxiety disorders by providing information, support

and understanding via an extensive range of services,

including 1:1 therapy. They work regularly with external

agencies and healthcare professionals to improve

services for those living with anxiety disorders. They

also campaign to raise awareness of anxiety disorders.

The website has information on anxiety, video clips,

symptom checker and downloadable information leaflets

everything from phobias, OCD, post traumatic stress etc

There is even a Smartphone app to help you with

relaxation technique see get help section. Check it out! Contact: Zion Community Resource Centre, 339

Stretford Road, Hulme, Manchester M15 4ZY

Tel: 08444 775 774 (open Monday to Friday 9.30- 5.30) Admin/office line: 0161 226 7727

www.anxietyuk.org.uk

Available

online

Summary care records

You may have heard about GP practices sharing your

medical details with other NHS and non NHS organisation

as there has been quite a lot of national media coverage around this subject; however some of what you may

have heard maybe inaccurate.

This is why the practice felt it was important to share

with you information about CARE DATA and two other

medical record sharing schemes, SUMMARY CARE

RECORD and CENTRAL CARE RECORD. Deciding

whether to opt out is an important decision and we

want you to make the right choice and will support you

in the choice you make. We would like to give you

enough information in order for you to make an informed

decision about whether you wish to share your data or

not. Below are the briefly the 3 schemes listed:

CCR is a local shared medical record containing allergies, adverse reactions, medication, diagnosis, tests

results and measurements, alerts, treatment/care (past

or present), end of life care plans. This will be used in Birmingham, Sandwell and Solihull only.CCR is a

clinical system only used for treating patients and

will only be used if you are referred or self refer to a hospital, community clinic or social services within

Birmingham, Sandwell and Solihull. Even if you have

consented to having a CCR record on the day of you

being seen you can refuse consent and the doctor will not access your record. This scheme has potential to

save lives and improve your care

SCR (Summary Care Record): Is a national shared medical record containing allergies, adverse reactions

and medications. So if you are referred to hospital or

present in a hospital (i.e. A&E) in any part of the country this data is available for a doctor or a nurse to be able

better treat you. Access is purely used for clinical

purposes and your consent is required every time. It could potentially be crucial in delivering the safest

care to you.

Care.data is a NHS England national programme. Care.data will collect both identifiable and non-

identifiable patient information from GP practices. GP

practices have no control over this scheme and

cannot opt out as a practice. Practices can only opt patients out if a patient decides to do so. It is utilised for

planning and research purposes. It will not be given

for the purposes of insurance or marketing.

Find out more: Pick up a leaflet from reception