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Dr Hepplewhite & Dr Virmani NHS Volume 1, Issue 1 April 2017 Practice Newsletter & Patient Information Practice News Special points of interest: Prescription Protocol Wasted Appointments Diabetes Education Event Changes to Prescribing Online Services Why do our Reception Team ask questions? Staffing Changes: We have recently said Goodbye to Sister Jane Scott. Jane has moved to a new role based in Derby. We all wish her well in her new role and her new adventures. Retirement: July will see the retirement of Dr Hepplewhite. After ...years, she is going to enjoy her time at home and be taking time to travel. We are all going to miss her, and sincerely wish her all the best for the future. “Retirement, a time to do what you want to do, when you want to do it, where you want to do it, and, how you want to do it." Catherine Pulsifer New Manager: In November, we welcomed Sarah Chalmers to the practice as our Lead I.T. administrator. Since March, Sarah has taken on the role of our Practice Manager. We have also been joined by Jayne who is working as part of our Reception & Admin Team. ONLINE SERVICES - Please speak with our Reception Team for help accessing our Services PRESCRIPTIONS—HOW TO HELP US TO HELP YOU We increasingly have patients who are asking for medication and prescriptions because they have run out. Many of them are asking us to deal with this request the same day , stating it is “Urgent”. We are also experiencing an increasing number of patients telephoning the surgery to request the same. We cannot take requests for medication over the telephone. Orders for medication must be done in writing, by ticking your white repeat list, or online with a user name and password. Please do not allow your medication to run out or run low and then expect us to deal with it immediately. We require at least 48 hours notice to get your prescription ready whether it is on repeat or an acute item. The prescription will be ready after the 2nd or 3rd working day (longer if you have it sent to a chemist) Urgent prescription requests are requests for medication which you need within 24 hours to prevent you becoming severely unwell. We will not process your item over the telephone it can lead to mistakes and those patients who do follow the correct process end up with their prescriptions delayed because of others requesting them urgently. Patient Responsibility It is your responsibility to ensure that your repeat prescription request is ordered in plenty of time. Urgent requests for medication that is available over the counter will not be processed as Urgent; it will be processed as a Routine request. This is not the receptionist’s decision: please respect them. Urgent requests are monitored and recorded on your records. Urgent repeat requests may result in you receiving a letter from the surgery, to identify the cause for repeated Urgent requests, and try to assist you to manage your medication better. URGENT PRESCRIPTION REQUESTS - Out of Hours: Weekends and Bank Holidays Urgent prescription requests can be requested by contacting 111, who will assess the urgency of your request and direct you to the appropriate service. By the end of the next working day, the 111 service will inform your GP of any treatment or medication you have received. PRACTICE POLICY: URGENT PRESCRIPTION REQUESTS Urgent prescription requests are requests for medication which you need within 24 hours to prevent you becoming severely unwell. Urgent prescription requests must be submitted by 11:00 for collection at 17:00 the same day. Requests received after 11:00 will be processed the following day. The exceptions to this rule are the following medications: Oral anticoagulants – Warfarin, Dabigatran, Apixaban, Rivaroxaban, Edoxaban Insulin and glucogel Epilepsy medication (Tegretol, carbamazepine, gabapentin, pregabalin, lamotrigine, leviceteram, phenytoin, topiramate, sodium valproate, epilim) Ventolin inhalers Oral steroids –e.g. Prednisolone, Hydrocortisone, Fludrocortisone, Dexamethasone, Adrenaline pens for anaphylaxis (epi-pen, JEXT) Medication for terminal palliative care patients 48 hours are required for the [production of all routine prescription requests If the above medications are requested routinely, they should be processed routinely. These are the only medications for which an urgent script will be generated, if requested urgently. Please Note: Urgent prescription requests are not requests for medication which has been ordered late. Routine requests submitted as Urgent requests will be reviewed by a Doctor, and if appropriate rejected or only part issued. You should allow 48 hours (2 full working days) for routine repeat prescription requests. Requests for morphine and methadone (or physeptone) will be directed to the duty doctor to make a decision whether the script is urgent, or if it can wait for the following day. Changes to Prescribing: In accordance with a directive from WLCCG, we will no longer prescribe certain medications—Paracetamol, Gluten Free products. Paracetamol is available to buy cheaply and easily over the counter at supermarkets, pharmacies and many other retailers. In 2015/16 the NHS spent £1.5 million on prescribing paracetamol for patients in Leicester, Leicestershire and Rutland. If you are a patient diagnosed with Coeliac Disease and / or Dermatitis Herpetiformis you will now be able to have up to 8 units per month of bread and flour on prescription. This is a reduction in items/units per month. Using our Online Service means you can book or cancel appointments, order your prescription or view your medical record. Please speak with reception for more information DID NOT ATTEND 38 patients did not attend their appointments in February. This equates to about 6.5 hours of missed appointments if they were all 10 minute appointments. The average cost of a missed appointment is £15 that equates to approximately £570 wasted money. 54 patients did not attend for their appointments in January, this equates to about 9 hours of missed appointments if they were all 10 minute appointments. The average cost of a missed appointment is £15 that equates to approximately £810 wasted money. Overall £1380 would buy 55 nursing hours ! The effect of these DNA’s are: An increase in the waiting time for appointments Frustration for both staff and patients Costs the NHS billions of pounds per year Prevents someone else who is sick being seen sooner Unfortunately patients frequently missing booked appointments is a wasted resource that neither other patients or the surgery can accept. Please use your appointments—Keep It or Cancel It!! Please give us or update your mobile number so we can keep you informed, by text, about: Your Appointments Clinic Cancellations Relevant health campaign information such as flu clinics For those patients who have already provided a mobile telephone number, we will use the text service unless we are advised that you wish to opt out. All newly registered mobiles will also be included unless patients opt out. DIABETES INFORMATION AND ADVICE EVENING Arranged by Your Practice PPG Free for Everyone Thursday 6 July, 7pm - 9pm, 2017 PARK HALL, WHITWICK in the park, off North Street Whitwick, (near Masons) Speaker from University Hospital Leicester What is diabetes? How pre-diabetics can reduce their risk of developing diabetes How type 2 diabetics can best manage their condition How type 1 diabetics can best manage their condition QUESTIONS and ANSWERS (Please bring your question on a post card) Organised by the Whitwick Patient Participation Group Supported by University Hospital Leicester and Whitwick Parish Council Please keep the date in your diary, support your practices patients group and come along to this informative event. And finally……. Why do the receptionists need to ask what’s wrong with me? Our receptionists are not being nosey! As members of our practice team, they are trained to ask certain questions to ensure that you receive: The most appropriate care, from the most appropriate health professional, at the most appropriate time. Information from patients given to our receptionists helps with: Ensuring the Doctor can prioritise who needs to be seen, who may need a phone call or who the Doctor may need to visit at home. You information helps us to give the appropriate level of care and direct our patients to the relevant Clinician for their problem or concern. Your information is held is confidence by ALL our staff; our reception team are bound by these same confidentiality rules and, as such, any breach would be taken very seriously. If you wish to speak to one of our reception team privately, away from our reception area, please tell them. If you feel that the issue is “very private”, you can state this and it will be respected. Please help us to help you by supporting our reception team and by being open to sharing brief details with them. They are acting with the consent of the Doctors. Thank you. Did You Know…. Your local pharmacist can help with some minor illness without the need for a GP appointment? Please speak to the Pharmacist if you have: Cough, cold, sore throat Pain inc backache Minor skin conditions/Acne/ Athletes foot Cold sores Minor eye infections Diarrhoea/Constipation Head Lice Colic Thrush Dr Hepplewhite The practice would like to confirm that Dr . Hepplewhite will be retiring in the summer. She has been at the practice for a long time and will be much missed. We will provide further information in due course.