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Tyne Medical Practice Newton Port Surgery Haddington East Lothian, EH41 3NF Telephone: 01620 823 183 01620 824 622 Fax: Website www.tynemedicalpractice.co.uk/ When the surgery is closed call 1 1 1 Tyne Medical Practice Formerly known as Dr Alexander and partners, Tyne Medical Practice serves Haddington and the surrounding area. We’ve packed our new website full of useful information in a very easy to use format with the added benefit of several online functions. If you’re new to the area, have a look at our opening times, download a Registration Form and Registration documentation required. If you are unsure if you are within our practice area, please check with reception. All patients are asked to complete a New Patient Questionnaire and this information is used until your medical records are received from your previous practice. The General Medical Council has produced a guide for patients on what to expect from your doctor. The leaflet can be found here Access all Areas Existing patients can enjoy access to our wide range of services at the touch of a button. Whether managing your appointment or ordering a repeat prescription you can now do both without leaving your home. Your Health in Safe Hands The team are here to provide all patients with a professional and caring healthcare experience in friendly and personal surroundings. With discretion and confidentiality guaranteed your welfare is safe, secure and in good hands. Opening Times The practice is open between 08:00 - 18:00 Monday to Friday. Consulting Times Appointments are available at the times shown below and the availability of each of our clinicians can be found on the tab above. Monday 08.20 to 17.30 / 1800 times may vary so please check with reception for exact times Tuesday 08.20 to 17.30 / 1800 times may vary so please check with reception for exact times Doctors Availability 08.20 to 17.30 / 1800 times may vary so Wednesday please check with reception for exact times Details of the doctors availability are provided for information only. Times may vary on occasions and over 08.20 to 17.30 / 1800 times may vary so holiday periods. Please note that the Thursday please check with reception for exact doctors also have administration times tasks to perform and whilst they may be in practice it is possible that 08:20 - 17:20 Friday they are not consulting each closed Weekend morning / afternoon as listed below. Please check with reception for exact availability of the doctor you wish to consult. Dr Peter Hastings - is available all day Monday, Wednesday Thursday and Friday and a Tuesday morning. Dr Hastings consults from 08:30 - 10:40 and 15:20 - 17:30 in the afternoons with the exception of Fridays which are 14.30 - 16.30. Consults until 6pm one evening a week on a rota basis. Please check with reception for details. Dr Fionn Nairn - is available Monday afternoon (alternate weeks), full day Tuesday, Thursday morning (alternate weeks), Friday morning or full day Friday (alternate weeks ). Dr Nairn consults from 08:20 - 10:30 and 15:20 - 17:30. Consults until 6pm one evening a week on a rota basis. Please check with reception for details.. Dr Lynda Wilson - is available Monday morning or full day Monday (alternate weeks), Wednesday all day and Friday morning or full day Friday (alternate weeks). Dr Wilson consults from 08:20 - 10:30 and 15:20 - 17:30 in the afternoons with the exception of Fridays which are 14.30 - 16.30. Consults until 6pm one evening a week on a rota basis. Please check with reception for details. Dr Andrew Forder - is available all day Monday, Tuesday, Thursday and Friday. Dr Forder consults from 08:20 - 10:30 and 15:20 - 17:30 in the afternoons with the exception of Fridays which are 14.30 - 16.30. Consults until 6pm one evening a week on a rota basis. Please check with reception for details. Dr Catherine Morgan (GP Retainee) - Is available all day Monday and Thursday. Dr Morgan consults from 08:30 - 10:40 and 14:00 - 16:00. Dr Sally Fall (GP Assistant) - Is available all day Tuesday and Wednesday. Dr Fall consults from 08:30 - 10:40 and 15.20 - 17.30. Dr Cara Strachan (GP Registrar) - is available Monday morning and full day Tuesday and Thursday morning. Dr Strachan consults from 08:30 - 10:30 and 15:20 - 17:30. Dr Sive Malone (GP Registrar) - is available all day Monday, Wednesday Thursday and Friday and a Tuesday morning. Dr Malone consults from 08:30 - 10:30 and 15:20 - 17:30 in the afternoons with the exception of Fridays which are 14.30 - 16.30. Practice Nurses Bridget Cousland is available Tuesday 09:30 - 14:30, Wednesday 11:00 - 17:00 and Thursday 08:30 - 12.30. Eleanor Philip is available Wednesday and Thursday 13:00 - 18:00, and Friday 08:30 - 13:30. Health Care Assistants Lorraine Spillett is available Monday to Friday from 08:15 - 16:30. Rhona Ritchie is available Monday to Thursday mornings. Treatment Room Nurses Yvonne Forrest is available Monday to Friday from 09:00 - 14:00. Liz Muir is available Monday to Friday from 14:00 - 18:00. When We Are Closed The out of hours service operates from 18:00 until 08:00 Monday to Thursday and from 18:00 Friday until 08:00 Monday. If you require urgent medical attention outside the practice opening hours, please telephone the Lothian Out-of-hours Service on 111. Upon contacting the Out of Hours Service you will be asked for your name, address, telephone number, doctors name and address and details of any medication that you are taking. An experienced nurse will assess your symptoms and provide advice. Depending on the outcome of this assessment by NHS 24, you will either be seen by appointment at one of the out-of hours centres which are located across Lothian, or when necessary, in your own home. Sometimes a doctor will call you back to discuss your problem further. If you telephone the practice number out with opening times you will automatically be diverted to the service. Please note that this is not a walk in service. The nearest Accident & Emergency Department to Haddington for adults is the New Royal Infirmary, Little France, Edinburgh. Children under the age of 13 should be taken to the Royal Hospital for Sick Children, Sciennes Road, Edinburgh. Out-of-hours services are generally busy so please think carefully before asking to see a doctor and only do so if you genuinely cannot wait until the surgery re-opens. In a genuine emergency you should call 999. Chest pains and / or shortness of breath constitute an emergency. Appointments Appointments can be made by telephoning the practice on (01620) 823183. You may consult any doctor you choose but we would recommend that when possible, you try to see the same doctor, as this enables us to get to know one another. We always try to offer you an appointment on the day that you request, but it may be necessary to wait if you would like to be seen at a certain time or by a specific doctor. If you have a problem that will not wait for a routine appointment or the doctor of your choice, please tell the receptionist that your problem is urgent.You will then be seen as an emergency by the duty doctor. Telephone Advice If you would like to speak with a doctor, the best time to ring is before 10:00 or between 15:00 and 15:15. If the doctor is unavailable the receptionist will ask for your name, address, date of birth, contact telephone number and reason for the call. This enables the doctor to prioritise his / her telephone calls. The receptionist has been asked by the doctors to request this information so please do try to help them by giving as much detail as possible. If your call is urgent and cannot wait until the doctor is available, please ensure that you advise the receptionist of this and they can direct your call to the duty doctor. Interpretation & Translation Service The practice complies with NHS Lothian’s policy to provide interpreters and translations when requested by the service user. Please ask reception staff for further information. 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. You can also do this online by using the link on the bottom of the Home Page. 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. You can request a home visit if you are housebound or are too ill to visit the practice. Your GP will only visit you at home if they think that your medical condition requires it and will also decide how urgently a visit is needed. Please keep this in mind and be prepared to provide suitable details to reception which will enable the doctor to schedule house calls 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. 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) Training practice We have been approved as a training practice and may have attached to us doctors training for general practice. These doctors are fully qualified and supervised by us. You may be offered an appointment with them or be visited by them at home. On occasions the practice may ask if your consultation can be video recorded for training purposes. This will not be undertaken without your consent and no intimate examination will be recorded. You may ask for the camera to be switched off at any time. Repeat Prescriptions If you are on long term medication, your doctor may arrange for you to obtain a repeat prescription without being seen on each occasion. Prescriptions may be requested by telephoning the practice between 10:00 and 16:00. You can also order online by following the link at the top of this page. Prescriptions may be collected from the surgery or from a Haddington chemist of your choice. We would be very grateful if you would order all of your repeat prescriptions at one time as this would greatly reduce our administrative workload. Medication Reviews Patients on repeat medication will be asked to see a doctor, nurse practitioner 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. Please allow 48 HOURS for prescriptions to be processed and remember to take weekends and bank holidays into account. Please allow 48 hours, excluding weekends and Bank Holidays, for your request to be processed. Any problems please telephone the surgery. PLEASE NOTE THAT WE WILL AUTOMATICALLY ARRANGE FOR YOUR PRESCRIPTION TO BE SENT TO THE PHARMACY THAT WE HAVE ON FILE FOR YOU. IF YOU WISH TO CHANGE THIS PLEASE INDICATE IN THE OTHER DETAILS BOX ON STEP 3 (sending your request) WHICH PHARMACY YOU WOULD LIKE TO USE AND IF THIS IS A TEMPORARY OR PERMANENT CHANGE. PLEASE NOTE THAT THE COMMENTS BOX SHOULD ONLY BE USED FOR INFORMATION RELEVANT TO YOUR REPEAT PRESCRIPTION REQUEST. NO MESSAGES WILL BE ANSWERED Clinics & Services Clinics & Services In addition to GP consultations the practice adheres to the General Medical Services Contract for the provision of healthcare services: Chronic Disease Management Asthma COPD Coronary heart disease Diabetes Additional Services Blood pressure checks Blood tests Cervical smears Childhood immunisations Child health surveillance Dressings and removal of stitches Family planning - including the fitting of coils caps and implants. YOUR GUIDE TO CONTRACEPTION Health promotion Maternity services - antenatal clinic held on Fridays. Minor surgery Pre-conception counselling Vaccinations and immunisations - including travel. Wart clinic Well-person clinics Non-NHS Services 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 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. Test Results Test Results We do not routinely contact patients with test results. If the doctor requires to see the patient again, speak with the patient or the patient requires further treatment we will contact you. Test results are given by the receptionists after authorisation from the doctors. Results will only be given to the patient concerned unless consent has been given to release the information to another person. 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. 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 (www.nhs.uk/conditions/x-ray/Pages/Introduction.aspx) . Registration New Patient Registration If you live within the practice area you can apply to join the practice list. (Click here to view boundary map). Reception will ask you to provide your medical card or complete a patient registration form and will also ask for proof of your address such as a utility bill or rent book. Registration Form and Documentation Required for Registration. You will also be asked to complete a new questionnaire with information on your health, details of any allergies and medication that you may take. This data will be used until your medical records are received by the practice. New Patient Questionnaire All new patients are asked to arrange an introductory appointment with the practice nurse. The practice nurse will perform a brief medical check and may ask for further details of any health issues provided on your new patient registration form. Guide to GP Services The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them. You can download the guide below. A Patient Guide to GP Services (www.rcgp.org.uk/pdf/rcgp_iyp_full_booklet_web_version.pdf) Temporary Residents 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. Download the Temporary Resident Registration Form Public Holidays & Closures The practice will be closed on the following public holidays: 15th September 14 25th & 26th December 14 1st & 2nd January 15 All practices in East Lothian will be closed from 1pm to 6pm for staff training on the following dates: 10th September 14 8th October 14 26th November 14 4th February 15 25th March 15 IF YOU REQUIRE URGENT MEDICAL ATTENTION OVER THIS TIME PLEASE CONTACT NHS 24 on 111. Alcohol Telephone Support Service Edinburgh and Lothian Council on Alcohol (ELCA) has a new service which provides telephone support to individuals who are concerned about their own alcohol use. We can offer an alcohol focussed telephone call lasting up to 30 minutes. You will receive 1 session a week for up to 4 weeks. During the sessions you will be given information and advice, consider your options and receive some support in making changes to your drinking. All you need is to have access to a phone at an arranged time and a place where you will have privacy and no distractions. If you are interested in this service, you can self-refer by contacting ELCA on 0131 337 8188, or by emailing us at [email protected] to arrange the first session. One of our trained counsellors will phone you back at an arranged time, so the service is free to them. Useful Websites Details of websites are provided for information only and completely independent of the practice. The practice accepts no responsibillity or liability for the accuracy or content of any information contained in any of these sites. ASTHMA ARTHRITIS www.asthma.org.uk (www.asthma.org.uk) www.arc.org.uk (www.arc.org.uk) CARDIOVASCULAR & CHOLESTEROL COELIAC DISEASE DEAFNESS DEMATOLOGY DIABETES EPILEPSY HYPERTENSION HYPO / HYPERTHYROID IRRITABLE BOWEL SYNDROME LIVING IT UP MENOPAUSE MULTIPLE SCLEROSIS PARKINSONS DISEASE PROSTATIC DISEASE STORKE TRAVEL ADVICE ULCERATIVE COLITIS VISUAL IMPAIRMENT www.bhf.org.uk (www.bhf.org.uk) (click on heart then lifestyle) www.coeliac.co.uk (www.coeliac.co.uk) www.rnig.org.uk (www.rnig.org.uk) www.bad.org.uk (www.bad.org.uk) (has specific skin disorder support groups) www.diabetes.org.uk (www.diabetes.org.uk) www.epilepsy.org.uk (www.epilepsy.org.uk) Same as Cardiovascular & Cholesterol www.thyroid.org (www.thyroid.org) www.digestivedisorders.org.uk/leaflets/ibs.html (www.digestivedisorders.org.uk/leaflets/ibs.html) www.livingitup.org.uk (www.livingitup.org.uk) www.thebms.org.uk (www.thebms.org.uk) www.mssociety.org.uk (www.mssociety.org.uk) www.edinburghparkinsons.org (www.edinburghparkinsons.org) www.prostatitis.org (www.prostatitis.org) www.stroke.org.uk (www.stroke.org.uk) www.fco.gov.uk/travel (www.fco.gov.uk/travel) www.nacc.org.uk (www.nacc.org.uk) www.rnib.org.uk (www.rnib.org.uk) PHYSIOTHERAPY EXERCISES Anterior Knee Pain Knee Osteoarthritis Plantar fascitis Shoulder Pain Golfers Elbow Mechanical Back Pain Tennis Elbow Simple Back Exercises Simple Knee Exercises Simple Neck Exercises Simple Shoulder Exercises Model Publication Scheme 2014 Tyne Medical Practice has adopted the Model Publication Scheme 2014 produced by the Scottish Information Commissioner. Details can be found here The scheme has the Commissioner's approval until 31 May 2018. SUGGESTIONS & COMPLAINTS Suggestions We aim to provide high quality personal care to our patients through positive supportive teamwork. We would be very pleased to receive any suggestions or feedback which you feell would improve our service. Patient feedback forms and a suggestion box are available in the waiting area. We are happy to respond to comments and suggestions so please supply your name and address on the form and also advise if you would like us to respond directly to you. Complaints Procedure We operate a practice complaints procedure as part of the NHS system for dealing with complaints. Our system meets national criteria. Details of the practice complaints procedure and a patient information leaflet is available from reception or the practice manager. If you require further information or wish to discuss a formal or informal complant, please contact our practice manager. 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 Practioners 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. 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. Staff Details Doctors Dr Peter D Hastings BSc, MBChB, FRCGP, DRCOG, DCH, FP Cert, Cert Med Ed. Qualified Edinburgh 1981 Dr Fionn MM Nairn BSc, MBChB, MRCGP, DRCOG, DCCH, FFRSHC. Qualified Edinburgh 1986 Dr Lynda E Wilson BSc, MBChB, DRCOG, DFFP, MRCGP. Qualified Edinburgh 1996 Dr Andrew Forder GP Assistant - MBChB, MRCGP - Qualified Edinburgh 2004 Dr Catherine Morgan GP Retainee MBChB, MRCGP. Qualified Edinburgh 2004 Dr Cara Strachan GP Registrar MBChB. Qualified Glasgow 2005 Dr Sally Fall GP Assistant - Qualified Newcastle Upon Tyne 1993 - MBChB, DRCOG, MRCGP. Dr Sive Malone GP Registrar. MB BS, Qualified in Newcastle Upon Tyne in 2011 Nurses Bridget Cousland RGN, Diploma in Asthma and Diabetes Care. Eleanor Philip RGN The preactice nurses deal with new patient checks, asthma clinic, COPD / chest clinic, ongoing care clinis, foreign travel advice, cervical smears, family planning, HRT checks, advice on smoking cessation, blood pressure treatments and health lifestyle. Treatment Room Nurses Yvonne Forrester & Liz Muir are the treatment room nurses attached to the practice and their time is shared between the three Haddington practices. The treatment room nurse gives help and advice with dressings, minor injuries, injections, remocal of stitches, treatment of warts, cervical smears, family planning and foreign travel advice. Yvonne Forrester Liz Muir Healthcare Assistants Lorraine Spillett & Rhona Ritchie Healthcare assistants support practice nurses with their daily work and carry out tasks such as phlebotomy (drawing blood), blood pressure measurement and new patient checks. They may act as a chaperone when a patient or doctor requests one. Lorraine Spillett Rhona Ritchie Phlebotomists Rhona Ritchie is the phlebtomost trained to take blood tests for the practice. Rhonas time is shared between the three Haddington practices. Practice Management Carol Orr 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 GPs and other medical professionals with delivering patient services and also helps to develop extended services to enhance patient care. Carol Orr Administration Elaine Knox - Medical Secretary / Receptionist Lynne Parlett nGMS Contract Administrator / Medical Record Summariser / Clinical coder Maryclare Jenkins Administration Assistant Lynn Cunningham Building Administrator Reception Caroline Johnstone Emma Innes Maria Siggins Diana Brown 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 GPs and nurses. They also perform other important tasks such as issuing repeat prescriptions and dealing with prescription enquiries, dealing with financial claims, dealing with patient records and carrying out searches and practice audits. Community Midwives Sally McGonigal (RGN, RM) is the midwife attached to the practice. Sally is available in the practice for ante-natal appointments on a Friday afternoon and can see you at home if necessary. Sally runs aqua natal sessions, parent craft sessions and a breast feeding group in conjunction with the health visitors. You can contact the midwife at any time by telephoning the practice on 01620 823 183 or on 0131 536 8304 (answering machine). Community Nurses Evelyn Sillence & Gwen Fraser are the district nurses attached to the practice.You can contact them by telephoning the practice on 01620 823 183 or by calling them direct on 0131 536 8460 (answer machine 24hrs). Health Visitors A health visitor is a registered nurse who has received training particularly related to babies, children and pregnant women. Their role is to provide families with children under five years old with support and advice around the general aspects of mental, physical and social wellbeing. Noreen Lillie (RN, RM, H/V, BA Hons Psychology and MSc in Counselling Services) and Gillian Baird (RN ) are the practice attached health visiting team and are based at Newton Port Clinic (opposite the surgery). You can contact themby telephoning her direct on 01620 824519 (24 hour answer machine) or by contacting the practice on 01620 823 183. Counsellors Ewan Davidson is the practice attached counsellor. Further information can be obtained from your doctor.