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NETHERGATE MEDICAL CENTRE NEWSLETTER DR COULL DR DORWARD DR RUTHVEN DR LA HAY DR KILLICK DR THARAYIL DR HUSSAIN Tel: 01382 221527 FLU VACCINE If you have not had this yet please speak to our reception staff who can book you an appointment to have this done. GP RETAINER We would like to welcome Dr Hussain who has been appointed our new GP retainer. Dr Hussain will be working two days a week Tuesday and Wednesday. UPDATING RECORDS Do we have your correct address and/or telephone number? If we don’t, how can we contact you? Reception staff are asking patient’s for up to date telephone numbers so that we have all your details recorded correctly on your medical record. If you change address or telephone number please let us know. APPOINTMENT SYSTEM Cancelling appointments Each month the Practice audits the number of appointments that patients fail to attend. We try to meet patients’ requirements and this does not help as these are wasted appointments that could have been used by another patient requesting to be seen. If you are unable to attend an appointment please contact the surgery asap to cancel. If patients fail to attend their appointment on more than one occasion a letter will be sent to the patient warning them that they may be removed from our Practice list if this continues. Below is a record of the number of appointments that patients failed to attend during July – Sep 12 Weekly average number of failed to attend appointments for GPs Aug 12 Sep 12 Oct 12 19 21 23 Weekly average amount of GP time wasted that could have been used by other patients Just over 3 hours 3.5 hours Just under 4 hours Booking appointments We have a percentage of our appointments that are bookable on the day and a percentage that can be pre booked. To book an appointment on the day you need to call the surgery at 8am. If you would prefer to pre book then you can call the appointment line anytime and book an appointment in advance. We can pre book an appointment up to 4 weeks in advance. Sometimes patients may find that they are having difficulty booking on the day or pre booking for a particular doctor. This maybe because the GP you are requesting only works part time. Sometimes it is important that you see the same GP for a follow up appointment to help provide continuity of care, but if it is not a follow up problem then you can book to see any of our GPs. Occasionally, all our appointments maybe booked up and if you feel it is something that cannot wait then please inform our reception staff who can arrange for our Practice Nurse to call you back for advice. To help with our appointment demand there is one GP consulting one evening a week and one GP consulting on a Saturday morning. Please check with our reception staff which evening/Saturday morning we are open. These appointments are pre bookable and are for people who work or have other commitments and cannot attend the surgery during the day. The surgery will not be dealing with any enquiries as the telephone will be connected to the Out of Hours Service. You will not be seen unless you have an appointment. Advice If you feel you require medical advice you can speak with our trained Practice Nurses. They are available in the morning and afternoon and will be able to offer you advice and answer questions about your health. We are trying to improve our services to patients and are aware of increased demand for appointments and medical advice and hope that this system will offer patients the chance to speak to a Nurse promptly and reduce the unnecessary wait to see a GP. When you call, the reception staff will pass your message to a Practice Nurse who will call you back. Patients will be appropriately referred to a GP if this is required. Time spent at GP Appointment Our GP appointments are usually for 10minutes only. The GP appointments are booked at 10 minute intervals to allow the GPs to see as many patients as possible without any intervals. Sometimes if a problem is complicated and urgent then the GPs may need to run over and this makes the GP run late and holding up other patients waiting to be seen by the GP (good for traffic wardens on South Tay Street!!) Please can you try and not bring “lists” of non urgent problems, the GPs try their best but it is usually impossible to deal with more than one issue in a 10 minute appointment. Please help the GP’s to help you and your fellow patients by keeping this in mind when you book your GP appointment. Late for appointments Patients who are 10 minutes late for their appointment will be asked to make another appointment. This decision will be at the doctor’s discretion. If you know you are going to be late due to unforeseen circumstances please telephone the Medical Centre. The practice has made this decision to be fair to patients that do arrive on time. Sometimes due to unforeseen circumstances the GPs or Practice Nurses appointments may run late. Please try to be patient but if you are waiting for more than 30 minutes please report to reception. PRACTICE TRAINING DAYS The Practice will be closed from 12.30pm on the following days. This is to allow for staff training. Wednesday 6th February and Wednesday 6th March If you require medical advice please telephone NHS24- 08454 24 24 24. PUBLIC HOLIDAYS The Practice will be closed on the following days Monday 1st April and Monday 8th April If you require medical advice please telephone NHS24- 08454 24 24 24. KEEP WELL CLINICS Our Practice Nurse runs these clinics by appointment. Patients aged between 40-64 years of age will receive a letter asking you to attend the Practice. If the appointment time is inconvenient then an alternative can be arranged please ask at reception. The nurse will simply carry out a small health check. The results will be explained to you and advice given on diet, exercising etc. REPEAT PRESCRIPTIONS There are different options that you can use for ordering your repeat prescriptions. These are explained below. You can order your repeat prescription by email. Our email address is [email protected] Medication ordered too early may result in your prescription not being issued. Any medicine that is not listed on your repeat slip may not be automatically generated. Please leave your name; date of birth, contact number and clearly list the medication you require. Only repeat prescription requests will be dealt with. Queries will not be dealt with by email you must telephone and speak with a receptionist. You can also visit our website at www.nethergatemedicalcentre.co.uk where you can obtain a repeat prescription, by registering your details, by email. You can also telephone the surgery with your order or hand your repeat slip into the surgery or post this into the surgery. Repeat prescriptions will be ready for collection 2 days after request is received. Please allow an extra day if using the chemist collection service. Please also ensure that you leave enough time for ordering your repeat medication. Repeat prescriptions will not be given at routine appointments. Please telephone after 10.30am, choosing option 2, if you wish to speak to a member of staff regarding prescription queries. Patients on repeat medication may be invited to make an appointment for annual review. INFORMATION IN PRACTICE WAITING AREA There are leaflets placed in the reception area please take time to read over these. If you would like a copy of any of these leaflets then please ask reception staff. Confidentiality – it’s your right, Consent – it’s your decision and Emergency Care Summary – what does it mean to you? ACCESS TO MEDICAL RECORDS Patients have a right of access to all computerised and manual records. If you would like further information please ask at reception. ARE YOU A CARER OR BEING CARED FOR? The practice is currently trying to offer support to patients of any age who have caring responsibilities for someone who is ill, disabled or elderly. If you are a carer please let the Practice know so that we can update our records. Reception staff will provide you with a form. STUDENTS If you are off sick up to and including 7 days you should self-certificate either using the university’s on line form or ask at reception for a selfcertification medical form. Should your university department require medical certification for less than 7 days sickness then please ask the department to write to us requesting this information. There is a charge for this and if we do not have contact from the university you will be liable for payment. PRIVACY AT THE RECEPTION DESK Please remember and try to respect patients’ privacy at the reception desk. If you wish to discuss anything in private please let the receptionist know. PATIENTS RESPONSIBILITIES Be polite with reception staff. The practice does not tolerate violence against any member of staff. Please arrive a couple of minutes early for appointments. Let us know if you cannot make an appointment. Try to attend when we invite you for health check ups. Inform reception staff if you have a change of address or telephone number. As always, if you have any queries, comments or concerns about any of our services please do not hesitate to speak to one of the Receptionists or the Practice Manager. We welcome your comments and hope to use them to continually offer further improvements in the future. WHY ANTIBIOTICS ARE NOT ALWAYS NEEDED MANAGEMENT OF A SORE THROAT Majority of patients presenting with a sore throat do not require antibiotic treatment The average duration of symptoms is 7 days whether you take antibiotics or not Evidence shows that regular painkillers are more likely to help your symptoms than antibiotics OTHER HELPFUL TIPS: Drink plenty of fluids and suck on throat lozenges or similar to stop your throat becoming dry Rest if you feel tired Avoid foods that cause pain when you swallow Try to avoid smoking or smoky atmospheres MANAGEMENT OF EAR ACHE Most common in children less than 10 years of age In 80% of children it was found that this can resolved without antibiotics in around 3-4 days The average duration of symptoms is 4 days Regular analgesia, such as paracetamol and or ibuprofen, will help the immediate pain more quickly than an antibiotic MANAGEMENT OF A “CHEST INFECTION” Cough usually lasts for 7-10 days but can persist for 3 weeks with or without antibiotics An antibiotic will not be given after clinical examination confirms there are no chest signs Sputum alone is not an indication for antibiotics if you have been previously well and have no chest signs HELPFUL TIPS: Try to avoid smoking or smoky atmospheres Drink plenty fluids and rest if you feel tired WHEN THE GP WILL CONSIDER ANTIBIOTICS When the patient has symptoms and signs of serious complications When the patient is at a high risk as they have other conditions such as diabetes, asthma, coronary heart disease etc When the patient is aged 65 or older When the patient is aged less than 3 months IF ANTIBIOTICS ARE GIVEN TAKE THEM REGULARLY AND COMPLETE THE TREATMENT ANALGESIA MAY STILL BE REQUIRED IN THE FIRST FEW DAYS OF TREATMENT