Practice Leaflet> · Web viewPractice Leaflet January 2018 Dr Perkins' Practice Integrated Care...

Dr Perkins' PracticeIntegrated Care Centre

New Radcliffe Street Oldham, OL1 1NL

Telephone: 0161 621 3888Fax: 0161 621 3889

Website www.drperkinspractice.nhs.uk

When the surgery is closed call NHS111 on 111

Welcome to Dr Perkins' Practice

With patients' needs at the heart of everything we do, we have a website which has been designed to make it easy for you to gain instant access to the information you need. As well as specific practice details such as opening hours and how to register, you’ll find a wealth of useful pages covering a wide range of health issues along with links to other relevant medical organisations. Please check out our website at www.drperkinspractice.nhs.uk

We hope you enjoy having a look around the site and familiarising yourself with some of the online features such as ordering a repeat prescription. Whatever your thoughts, be sure to let us know via our feedback function. Comments and suggestions are always a great way of helping us continue to enhance the way we look after you.

Get Well, Keep Well

Of course we’re not just here for when you are unwell. Our team of healthcare professionals and back-up staff offer a number of clinics and services to promote good health and wellbeing whatever your medical condition.

Access

The Integrated Care Centre is open 7 days a week for access to the Urgent Care Centre and has suitable access for all disabled patients.

Reception Opening Times Monday 08:00 - 18:30Tuesday 08:00 - 18:30Wednesday 08:00 - 18:30Thursday 08:00 - 18:30Friday 08:00 - 18:30Weekend closed

Surgery Times for Dr Perkins (From 1st April 2015)Morning Afternoon

Practice Leaflet January 2018

http://www.drperkinspractice.nhs.uk/

Monday 08:00 - 12:00 15:30 - 18:0018:30 - 19:30

Tuesday 08:00 - 12:00 15:30 - 18:00Wednesday 08:00 - 12:00 15:30 - 17:00Thursday 08:00 - 12:00 15:30 - 18:00Friday 08:00 - 12:00 15:30 - 18:00

Surgery times for Mrs Jeanette Cocker (Practice Nurse)Morning

Tuesday 07:45 - 15:30Wednesday 07:45 – 15:30

Surgery times for Miss Samantha Hepworth (Health Care Assistant)Monday 08:00 - 12:45Tuesday 13:00 – 17:45Thursday 08:00 - 12:45Friday 13:00 – 17:45

Appointments

Appointments can be made for any of the services we offer by speaking to the receptionist either in person or by telephone during the opening hours shown above.

Appointments can be made up to 4 months in advance for Dr Perkins and up to 6 months in advance for the Practice Nurse.

Occasionally it may become necessary to cancel appointments made so far in advance due to staff attending training courses, annual leave, staff sickness etc.

A number of same day appointments are available for those patients needing to be seen quickly. There are a limited number of appointments so it is important for patients who need to be seen urgently to ring as soon after the surgery opens at 08:00 as possible.

If there are no appointments available when you ring you can be seen the same day by attending the Urgent Care Centre.

Appointments can also be made for the 7 Day Access Service which operates between 6.30pm - 8:00 pm Monday to Friday and 10:00 am – 2:00 pm Saturday & Sunday. Appointments with the 7 Day Access Service will not be with Dr Perkins.

Please note the practice offers same day appointments for all under 5 year olds.

Appointments to see Dr Perkins may also be made, or cancelled, at any time of the day or night over the internet by registering to use Patient Access. Contact reception for more information on how to register for Patient Access.

Please note – Occasionally Dr Perkins and the Practice Nurse have medical, nursing or healthcare students observing in the surgery or in the clinics. This is an important part of their training programme. You will be given the opportunity to decline the student’s presence during your consultation should you prefer to be seen alone.


Extended Hours

The practice provides extended opening from 08:00 – 20:00 most Monday evenings with an additional surgery, appointments for which are available from 18:30 – 19:30.

N.B. if you have an appointment for the later evening surgery please make sure you use the lift near the Pharmacy as the stairwell doors may be locked. Our reception may not be open even though Dr Perkins is running a surgery. Please have a seat in the waiting room and Dr Perkins will come out for you.

Telephone Consultations / Triage

Although we do not have specific times for telephone consultations if your query can be dealt with over the phone it may be possible for you to speak to either the practice nurse or Dr Perkins.

Please contact reception and give brief details of your query and your contact number. The practice nurse, Dr Perkins or a member of the practice will ring you back with the reply to your query.

Important Information

Patients who are more than 10 minutes late for their appointment with any member of the Practice Team MAY NOT BE SEEN. They may be requested to make another appointment.

The Practice is currently updating the policy for dealing with missed appointments. Details will be added to this leaflet on completion of the policy.

Cancellations

If you cannot attend an appointment for any reason please inform us as soon as possible in order for us to give the slot to someone else.


Staff Details

Doctor

Dr Brian Perkins MA Cantab BM BCh Oxon

Practice NurseMrs Jeanette Cocker RGN, Practice Nurse Certificate, Asthma Diploma, CHD Diploma,

Diabetes Diploma, Family Planning Diploma.Practice nurses are qualified and registered nurses. They can help with health issues such as family planning, healthy living advice and blood pressure checks. The practice nurses run clinics for long-term health conditions such as asthma or diabetes, COPD, heart disease, hypertension and carry out cervical smears.

Practice ManagementMrs Helen Peel Diploma in 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 GP and other medical professionals with delivering patient services and also helps to develop extended services to enhance patient care.

ReceptionMrs Helen MilneMs Lauren OwenMrs Debbie CrossleyMrs Joanne JonesMiss Jade ThomsonMiss Davina Gacha-Ganji

Receptionists provide an important link for patients with the practice and are your initial contact point for general enquiries. They can provide basic information on services and results and direct you to the right person depending on your health issue or query. Receptionists make most of the patient appointments with the GP and nurse. They also perform other important tasks such as issuing repeat prescriptions and dealing with prescription enquiries, dealing with Solicitors’ letters and dealing with patient records.

Health Care AssistantMiss Samantha Hepworth

The Health Care Assistant supports the practice nurse and carries out tasks such as phlebotomy (drawing blood), blood pressure measurement, weight management, new patient checks and NHS Health Checks. She may act as a chaperone when a patient or doctor requests one.


Community MidwivesEmergency contact number 0161 652 5811

Ms Lisa Moores is the named Community Midwife for the practice. She and her colleagues provide care and advice during pregnancy and after birth. They run Antenatal Clinics at local Children’s Centres

Community NursesContact number 0300 323 0464

The District Nurses provide home nursing care. They also run clinics at the Integrated Care Centre and at other centres in Oldham.

Health VisitorsContact number 0161 484 1302

The Health Visitor service is currently being restructured. Our temporary contact for the practice is through the Werneth HV team. The Health Visitors will offer advice and monitor health and development in children. Families and the elderly are also offered advice.

Counsellors

Christine Metcalf Drug CounsellorChristine, from The Gateway, provides drug counselling and support for our patients, at the Integrated Care Centre, on a Monday afternoon.

Suzanne Atreides Benzodiazepine Withdrawal SpecialistSuzanne, from ADS, provides benzodiazepine withdrawal or reduction counselling and support for our patients, at the Integrated Care Centre, on a Friday afternoon.

Alcohol Counselling

Alcohol counselling is available from The Gateway. Patients self-refer to this service by contacting The Gateway on 0161 716 3666 and arranging their initial appointment.


Integrated Care Centre

The Integrated Care Centre houses many services. A few of these and their locations are:

Ground Floor:

Lloyds Pharmacy, Tel 0161 626 5426o Their opening hours are:o Monday – Friday: 08:00 – 20:00o Saturday: 09:00 – 15:00o Sunday: 10:00 – 16:00

Urgent Care Centreo They are open every day from 08:00 – 20:00

Lindley Medical Practice X-Ray

1st Floor: 5 GP practices

2nd Floor: District Nurse clinics Treatment suites Breast Screening

3rd Floor: Podiatry Dental Anticoagulant Clinic (Warfarin)

4th Floor: Audiology Speech & Language Therapy Orthoptist

If the service you require is not listed here please ask about the location at Meet & Greet on the Ground Floor.


When We Are Closed

From 10th November 2015 all calls during the “out of hours” period will be handled by NHS111.

Patients requiring advice or needing to see a doctor should ring the NHS111 service on 111.

Go To Doc as the Oldham out of hours provider will receive calls which have been assessed by NHS111 as needing to speak to or contact, primary care during the out of hours period.

We are no longer able to auto divert your call because• NHS111 is a free call (requiring 1p credit on a mobile phone) to the caller. Callers are

charged for calls that are auto-diverted. • The number of the caller is visible to the NHS111 service when it is a direct call and not an

auto-divert call. This is important for patient safety if the call is disconnected for any reason and will allow NHS111 to call back.

NHS Oldham CCG is responsible for commissioning the Out Of Hours Service

Urgent Care Centre

NHS Oldham’s Urgent Care Centre, Integrated Care Centre, New Radcliffe Street, Oldham, is open seven days a week from 08:00 – 20:00.

The Urgent Care Centre can provide treatment and advice for minor injuries and illnesses. The Urgent Care Centre is staffed by experienced nurses and GPs.

You can attend the Urgent Care Centre at your convenience; you do not need an appointment.

NHS111

NHS 111 is a free-to-call non-emergency medical helpline. The service has replaced the telephone triage and advice services provided by NHS Direct. The service is available 24 hours a day, every day of the year and is intended for 'urgent but not life-threatening' health issues. NHS 111 operators are able to dispatch ambulances when appropriate using the NHS Pathways triage system.

In a genuine emergency you should call 999. Chest pains and / or shortness of breath constitute an emergency.

Home Visits

Whilst we encourage our patients to come to the surgery, where we have the proper equipment and facilities available, we do appreciate this is not always possible. In this respect, if you do need a home visit, you can help us by calling reception before 10:00 am.

You should only request a home visit if you are housebound or are too ill to visit the practice. From 2nd November 2015 the Practice will be using the Emergency Care Practitioner (ECP) Visiting Scheme for home visits. Your visit request will be triaged by Dr Perkins and the details, if a home visit is required, will be passed to the ECP to arrange the visit.

You can also 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.


Repeat Prescriptions

Repeat prescriptions can be ordered in writing at the reception, by post, by fax (fax number 0161 621 3889) or online. Contact reception for more information on how to register for online Patient Access.

Repeat prescriptions are not taken over the telephone except for the housebound and elderly.

When a prescription is issued please keep the back copy which lists all the medication you are on. To order a repeat prescription please tick the appropriate box on the list and place it in the box at the reception, post it to the surgery or fax it to reception.

If you enclose a stamped addressed envelope the prescription will be posted back to you when it has been signed.

Printed prescriptions will be ready for collection after 12 noon the next working day following receipt by the practice.

Many prescriptions are now sent electronically through EPS2 to your nominated pharmacy. In these cases you can go directly to your Pharmacy without having to collect a paper prescription first. Please note we still require 24 hours’ notice from ordering to collection to make sure the items are ready for you to collect.

Several chemists offer a prescription ordering and collection service and will dispense the medication ready for you to collect from them. Some chemists also offer a home delivery service for prescriptions.

In some circumstances, e.g. elderly patients, housebound, it may be possible to arrange for a regular repeat prescription to be printed automatically. Please ask at reception.

Dosette Boxes

Some local pharmacies are able to provide medication in dosette boxes. These may be arranged for the elderly to help ensure compliance with medication. The dosette boxes are divided into different sections dependent on when medication is to be taken. To arrange a dosette box for an elderly patient please speak to your pharmacy.

Please note – Dr Perkins does not issue repeat prescriptions during surgery. Your prescription request should left at the reception.

Medication Reviews

Patients on repeat medication will be asked to see a doctor or practice nurse at least once a year to review these regular medications and notification should appear on your repeat slip.Please ensure that you book an appropriate appointment to avoid unnecessary delays to further prescriptions.


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): £8.60 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 15 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)

Sickness Certificates

You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website (www.hmrc.gov.uk/forms/sc2.pdf)

Evidence that you are sick

If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).

It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.

You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.

Statement of Fitness for Work - ’Fit Note'

The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.

For more information see the DirectGov website (www.direct.gov.uk/en/MoneyTaxAndBenefits/BenefitsTaxCreditsAndOtherSupport/Illorinjured/DG_175850) (where this information was sourced).


Clinics & Services

Alcohol Counselling

Asthma Clinic – further information given on following page

Benzodiazepine withdrawal or reduction support

Cervical Cytology

Child Health Surveillance

Childhood vaccinations & immunisations

Child Health Checks

Coronary Heart Disease Screening / Clinic

Diabetic Clinic

Drug Counselling

Elderly Health

Family Planning

Contraception advice

Emergency contraception

Pre-conception Advice

Health Promotion

Hypertension Clinic

Influenza vaccination (seasonal)

Joint injections

Maternity Services

Antenatal Clinic – run by the Midwives at Children’s Centres

Postnatal Clinic

Minor Surgery – referred to Hopwood House Medical Practice

NHS Health checks

Pneumococcal vaccinations

Shingles vaccinations

Travel Advice & vaccinations

Please contact the reception to make appointments for any of the above services.


Asthma management

The practice leads for the management of asthma are;

Dr Brian Perkins - GP Lead Jeanette Cocker – Practice Nurse Lead

All Asthma Patients will be offered a 30 to 45 minute appointment for their initial assessment. During this appointment they will receive inhaler technique assessment and training so it is essential that all inhalers, spacers etc. are brought to this appointment. A 15 to 30 minute appointment will then be offered for each follow up review.

Once a patient is established with inhaler / medication for asthma a Personalised Asthma Action Plan and Self-Management resources with be provided to enable self-management of symptoms.

Patients / carers will be reminded to bring all inhaled medication to their appointments.

Patients with asthma are added to an Asthma Register and will be invited for review every 3 to 12 months depending on age and symptom control.

It is important for anyone experiencing any problems to book an appointment with the Practice Nurse or the GP as soon as possible


Other Services

Baby weighing & advice – The Health Visitors, NHS Oldham, run a Baby Clinic on the Lower Ground Floor of the Integrated Care Centre, for weighing & advice, on Tuesdays from 13:30 – 16:00. No appointment is necessary.

Drug & Alcohol Service – 0161 624 9595

Podiatry – 0161 621 3803

Family Planning & Sexual Health – Several Drop-In Clinics on various days / times. Details are available on 0300 303 8565 or from the surgery.

Termination self-referral service – Women no longer need to be referred by their GP. To access this service ring 0845 3650565, the service is available 7 days a week.

Citizens Advice Bureau – Drop-In Clinic held at Integrated Care Centre on Monday afternoon.

Smoking Cessation Service - Unfortunately Jeanette, our Practice Nurse, is no longer able to provide smoking cessation advice.

If you want help to stop smoking you can self-refer to Positive Steps, NHS Oldham’s smoking cessation service on 0800 288 9008.

Alternatively some Pharmacies provide a smoking cessation service.

Test Results

The results for most blood tests, urine tests, swabs, X-rays, ultrasound scans or other tests requested by Dr Perkins or the Practice Nurse are received electronically.

Most test results are back within 2 days but some need a longer testing period or are sent to different hospitals. When this happens the results can be delayed and may not be received for 2 weeks.X-ray and ultrasound reports may not be received for approximately 2 weeks.

Please ring reception on 0161 621 3888 after 11:00 for any test result.

Please note that we do have a strict policy regarding confidentiality and data protection. In this respect we will only give out results to the person they relate to unless that person has given prior permission for their release or if they are not capable of understanding them.

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. 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

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 (www.nhs.uk/conditions/x-ray/Pages/Introduction.aspx) .

Non-NHS Services

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.) Insurance claim forms Passport signing Prescriptions for taking medication abroad Private sick notes Vaccination certificates

The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.

RegistrationPractice Leaflet January 2018

New Patient Registration

If you wish to register with the practice you need to sign and complete either your medical card from your previous GP or Form GMS1 which can be obtained from any surgery. A New Patient Information sheet should be completed, which gives details of medical history and medication. You will also be asked to complete an Ethnicity Survey.

Proof of your address, such as a recent utility bill, bank statement or tenancy agreement, and photographic ID also needs to be provided.

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.

When your form has been received Dr Perkins will consider your request to join his list. You will not automatically be accepted as you may live outside of the practice area.

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.

You can be registered as a temporary patient for up to three months. This will allow you to be on the local practice list and still remain a patient of your permanent GP. After three months you will have to re-register as a temporary patient or permanently register with that practice.

To register as a temporary patient simply contact the local practice you wish to use. Practices do not have to accept you as a temporary patient although they do have an obligation to offer emergency treatment. You cannot register as a temporary patient at a practice in the town or area where you are already registered.


Patients’ Rights & Responsibilities

You have the right to be seen by a GP within 48 hours of your request for an appointment.

You have the right to be seen by a Health Care Professional within 24 hours of your request for an appointment.

48 hours and 24 hours refer to normal working days, weekends, Bank Holidays and absence due to holidays are not included in the calculation.

You have the right to be treated with respect and for your dignity to be maintained during consultations.

You have the right to express a preference as to by whom you are seen, either generally or in relation to any particular condition. If you wish to be seen by a specific consultant when being referred please inform Dr Perkins of their name.

You have a responsibility to keep any appointment made or inform the surgery that you are unable to attend.

You are responsible for ordering your medication before it runs out. 24 hours notice is required for prescription requests. It may not be possible to issue prescriptions for collection on the same day.

You have a responsibility to treat the GP and all staff with whom you have contact, with respect. Violence, aggression and abuse by patients will not be tolerated. The Practice operates a Zero Tolerance Policy. Patients who are violent, aggressive or abusive to the GP, his staff or other persons on the practice premises will be removed from the practice list.

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 Practioner and the practice required for disclosure under this act can be made available to the public. All requests for such information should be made, in writing, 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, in writing, through the practice manager and may be subject to an administration charge. No information will be released without a patient’s 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 regarding the complaints procedure and the complaints form is available from reception.

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.


Practice Leaflet> · Web viewPractice Leaflet January 2018 Dr Perkins' Practice Integrated Care...

Documents

Transcript of Practice Leaflet> · Web viewPractice Leaflet January 2018 Dr Perkins' Practice Integrated Care...