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Information for Patients This booklet outlines the services we provide for our patients and will give you information that we hope you will find useful. Please keep it handy for future reference. Barton Surgery 1 Edmunds Close, Barton-on-Sea, New Milton, Hampshire BH25 7EN Enquiries: 01425 620830 Appointments: 01425 615533 Webb-Peploe House 45 Church Lane, Lymington, Hampshire SO41 3RA Enquiries: 01590 675428 Appointments: 01590 674118 Website: www.bartonsurgery.nhs.uk www.webb-peploesurgery.nhs.uk You can also find details of our services via www.nhs.uk The Practice is part of West Hampshire CCG, and comprises of six GPs working in Partnership from purpose built premises with excellent parking facilities. We are assisted by a team of Practice Nurses, District Nurses, Receptionists and Administrative Staff. We are also a Training Practice and often have experienced Doctors working with us for one year. Medical Students are also attached to the Practice for some periods during the year. THE PARTNERS Dr. Lawrence Maule MB BS MRCGP Based at Webb-Peploe Surgery (Male) Dr. Geraint Davies MB BCh MRCGP Based at Barton Surgery (Male) Dr. Jacqueline Davies MB BCh MRCGP DFFP Based at Webb-Peploe Surgery (Female) Dr. Sara Nash MD DIS DFFP Based at Barton Surgery (Female) Dr. Chad Tew MBChB MRCGP DipFamMed DCH DRCOG DTM&H Based at Barton Surgery (Male) Dr. Greg Rogers MBChB MRCGP DRCOG MSc FRCGP Based at Barton Surgery (Male) Page 1 of 12 PRACTICE AREA For full details of our boundaries, including explanations of our inner and outer boundaries, please speak to reception. THE CARE QUALITY COMMISSION Barton Webb-Peploe Partnership is registered with the Care Quality Commission (CQC), the independent regulator of health and adult social care services in England. For further information please speak to our Practice Team, or visit the CQC website at www.cqc.org.uk You can also contact them by telephoning 03000 616161. WEST HAMPSHIRE CCG This Practice is part of the West Hampshire CCG, providing patient care throughout the area. If you would like further information, please contact our Practice Manager through reception. OUR TEAM: PRACTICE NURSES The Nursing team is led by Heather Westwood, a Nurse Practitioner. As such she can see and treat a variety of minor illnesses and injuries, providing prescriptions where necessary. The team also includes 3 Practice Nurses, a Healthcare Assistant, and two Phlebotomists. Practice Nurses are available by appointment. They can help with: INFANT AND ADULT IMMUNISATION DIABETES TRAVEL MEDICINE ADVICE BLOOD PRESSURE CERVICAL SMEARS CONTRACEPTION DRESSINGS Page 2 of 12 HORMONE REPLACEMENT THERAPY EAR SYRINGING LIFESTYLE CHECKS ASTHMA MINOR ILLNESSES They are also able to offer advice on other matters. Please feel free to ask at reception. OUR TEAM: RECEPTIONISTS We have a team of fully trained receptionists to help you whether by making appointments to see the Doctors or advising on administrative problems. If they cannot answer a query they will undertake to find someone else who can. We also have practice secretaries and administrative staff. We place a high value on confidentiality, which is maintained and respected by all staff. OUR TEAM: PRACTICE MANAGER Our Practice Manager, Matt Perkins, is responsible for the efficient administration of the Practice. We realise that occasionally things do not go as smoothly as we would like and if you think this is happening to you, please inform the Practice Manager. SURGERY TIMES Our Surgery doors are open from 8.30am – 6.00pm Mondays to Thursdays, 8.30am – 5.30pm on Fridays, and closed between 1pm-2pm for lunch. There will always be a Doctor available and telephone lines open between 8.00am – 6.30pm Monday to Friday. The GP Partners have 4 days per week with surgeries and one Admin day. On their clinic days surgeries are run from 8.30am to 12.00pm and from 2.30pm until 5.30pm. These are subject to change but clinics are normally as follows: Surgery GP Monday Tuesday Wednesday Thursday Friday Barton Barton Barton Barton Dr Davies Dr Nash Dr Tew Dr Rogers Admin Admin Admin Admin Webb-Peploe Webb-Peploe Dr Maule Dr Davies Admin Admin HOW TO MAKE AN APPOINTMENT We aim to provide an appointments system to suit those needing urgent appointments and those requiring follow-up appointments or more routine consultations. We hope that the following information will help explain the system we use and be of use when you are contacting the Surgery to book an appointment. Appointments can be booked: in person at the surgery between 8.30am and 6pm (we are closed from 1pm until 2pm). on the telephone by calling 01425 615533 between 8.30am and 6.30pm. Page 3 of 12 through our online booking system (details of which are available at Reception). The online system also allows you to cancel appointments and request repeat medication. We offer several different types of GP appointments: ‘Book Ahead’ appointments which can be booked up to 4 weeks in advance. ‘Week Ahead’ appointments which can be booked 7 days in advance. Book on Day Appointments, which are released at 8.30am on the day, and make up, on average, 40% of the total slots. Medically urgent slots, reserved for those patients who need to be seen even when all standard appointments are full. Extended Hours: We do also operate an ‘Extended Hours’ service which provides the following additional appointments: Monday evenings 6.30pm until 8pm for 2 GPs Every fourth Saturday, 8am until 10am for 1 GP VISITS Please remember that several patients can be seen at the same surgery in the time that it takes to do a home visit. The visits are intended for people whose illnesses prevent them from attending the surgery. HOW TO REQUEST A HOME VISIT Please telephone before 10.30am if the visit is required that day. We only accept emergency calls after that time. Please give as much information as possible to enable the Doctor to allocate priority to House Calls. Our reception staff never refuse requests for Home Visits, but will always ask you for details to help the doctors to plan their rounds. Home Visits are not available to assist with problems of transport to the surgery except at the discretion of the Doctor concerned. OUT OF HOURS When the Surgery is closed the Out Of Hours Service will take on the responsibility for providing health services. The service will operate during the following times: Monday to Thursday: 6.30pm – 8.00am and from 6.30pm Friday until Monday morning at 8.00am. The service will also be available on Bank Holidays. Only contact the Out of Hours service if you have a medical problem that cannot wait until your surgery opens. This service is available by telephoning 111. The 111 service, available 24 hours a day, can also signpost you to the most appropriate local service. BLOOD TESTS The main Phlebotomy service is run at Lymington Hospital. There is a ‘walk-in’ service available there, open from 7.30am until 3.00pm Monday to Friday. A limited Phlebotomy service is available at Barton Surgery for those on warfarin and for those non-mobile patients unable to access the service there. This is run on two mornings per week. Please ask at Reception for details. CHAPERONES If you would like a Chaperone present during your consultation, please advise reception when booking your appointment, and this can be arranged for you. Page 4 of 12 COMMENTS, COMPLAINTS AND PROBLEMS If you have any comments or suggestions whether about your medical treatment or about our Practice in general, please contact the surgery who will do their best to help. We have a comments/suggestions box located at each surgery which we would also encourage you to use. If you wish to make a complaint, we follow the NHS complaints procedure, details of which are on display in Reception at both surgeries. We will always do our best to sort out any issues immediately, and you are welcome to speak to the Practice Manager. VIOLENT AND ABUSIVE PATIENTS The Practice is firmly committed to ensuring that all Partners and staff go about their daily work without fear or threat from violence, aggression and intimidation. Any patient who is violent or abusive in person or over the telephone will be warned that they will be removed from the Practice list if such behaviour continues. PATIENTS RIGHTS RE DISCLOSURE OF INFORMATION We will ask for information about yourself so that you can receive proper care and treatment. We keep this information, together with details of your care, because it may be needed if we see you again. The law requires Doctors to provide some very limited information about certain things. The law says, for example, that Doctors must provide information to local authorities about some infectious diseases, e.g. if you had food poisoning. Very rarely, Doctors may be required to disclose information in order to detect a serious crime. Likewise, a court order can require Doctors to disclose certain information during a court case. We are also asked, on occasion, to share some of the information we hold about you, and it is important that you understand why information is collected about you, the ways in which this information may be used, and who will be collecting it. There are four distinct areas in which this is done: 1. Care Data Anonymised data is extracted and held securely, and NHS England aims to link information from all the different places where you receive care, such as hospital, community service and us your GP Surgery. This will allow them to compare the care you received in one area against the care you received in another. 2. Summary Care Record (SCR) If you decide to have a SCR, it will contain important information about any medicines you are taking, allergies you suffer from and any bad reactions to medicines that you have had. This does not include diagnosis or procedures. Giving healthcare staff access to this information can prevent mistakes being made when caring for you in an emergency or when your GP practice is closed. 3. Hampshire Health Record (HHR) The HHR is an electronic summary record for people living in Hampshire, Portsmouth and Southampton. GP Surgeries, hospitals, social care and community care teams collect information about you and store it electronically on separate computer systems. The Hampshire Health Record stores summary information from these organisations in one place so that – with your consent – professionals can view it to deliver better care to you. 4. SystmOne Data Sharing The practice uses a clinical computer system called SystmOne to store your medical information. The system is also used by other GP practices, Child Health Services, Community Services, Hospitals, Out of Hours, Palliative Care services and many more. This means your information can be shared with other clinicians so that everyone caring for you is fully informed about your medical history including medication and allergies. Page 5 of 12 You have a choice whether you would like data held about you to be shared in the ways described above. Full details are available from reception in the form of a patient leaflet, including details of how to opt out. THE COMMUNITY NURSING TEAM This team provide nursing care to patients, relatives and carers in coping with illness at home. They can be contacted at the following numbers: Barton Patients: (01425) 622140 Webb-Peploe Patients: (01590) 645430 HEALTH VISITING TEAM The Health Visiting Team consists of Health Visitors, the Community Staff Nurse, a Nursery Nurse, and a Clerical Administrator. Employed by Hampshire Community Heath Care Children’s Business Unit, the team aims to deliver the Child Health Promotion Programme for children 0-4 years by: Identifying and assessing any children or families in need, and working in partnership with those families, GPs and other agencies. Improving outcomes for children by reducing health inequalities. HOW TO REGISTER AS A NEW PATIENT When you register as a new Patient you will be registered with the Practice and have a named GP to coordinate your care. Please complete the questionnaire you receive when you register, and we would encourage you to make an appointment to see the Practice Nurse for a New Patient check. This helps gather any information we need from your last Doctor and spot potential health problems early on. MOBILE AND EMAIL CONSENT The practice runs a mobile texting and e-mail communication service, but only after gaining your consent. This service is used to send text and e-mail reminders to patients regarding upcoming appointments, and to contact patients about health promotion or patient surveys. Of course, this will be subject to our usual confidentiality procedures. To help us maintain these, it is important that you let us know if you change your mobile number or email address in the future. If you are happy to give consent for us to communicate with you by mobile text messaging and / or e-mail as outlined above please fill in your details on the form available at reception or via our website. If you decide you no longer wish to receive messages through this service please inform us. NHS STOP SMOKING SERVICES Do you want to give up smoking? Services are available in the surgery from the nurse who has special training in helping people give up smoking, alternatively there is an NHS Smokefree helpline on 0800 0224332 available from 9.00am until 8.00pm weekdays, and 11.00am until 5.00pm at weekends. Alternatively you can go online at www.nhs.uk/smokefree CARERS Do you look after someone who is ill, frail, disabled, or mentally ill? If so, you are a carer and we would like to support you. Please complete the form available at reception. Page 6 of 12 If you are agreeable, we will pass your details to the Hampshire Carer’s Centre, which is a countywide organisation providing relevant information and advice, local support services, newsletter and telephone linkline for carers. PATIENT PARTICIPATION There is a joint Patient Participation Group, with representation from both surgeries, meeting quarterly, and aiming to provide a means for patients to make constructive suggestions about the service, and influence the provision of health and social care in the community. We also run a ‘Virtual’ patient participation group which is made up of patients contactable via email only. CHANGE OF ADDRESS Please notify our staff as soon as possible of any changes. We will require proof of address to accompany this. REPEAT PRESCRIPTIONS Repeat prescriptions can be obtained by post or by calling at the surgery and leaving your request in writing. They can be collected 48 hours later (not including weekends), or they can be returned by post if a stamped addressed envelope is enclosed. Repeat medications can also be requested via our online service, available through our websites. Please ask reception for details and your username and password. Prescriptions can also be collected by a local pharmacy by arrangement. We are sorry we cannot accept requests for a repeat prescription by telephone. TEST RESULTS Test results can be obtained from the surgery after 2.00pm. LIFESTYLE CHECKS If you don’t come to the surgery very often, or perhaps even if you do, we suggest you make an appointment with one of the Practice Nurses for a Well Person Check. You would have a check of your blood pressure, height and weight and family history. Also, a urine test for diabetes. Women are offered a smear test. If you are over 75 years and have not been seen by a doctor within the last 3 years, please make an appointment for a health check. ADDITIONAL SERVICES AVAILABLE AT THE PRACTICE Childhood immunisations - recommended ages for immunisation in Hampshire are as follows: 2 months Diphtheria, Tetanus, Pertussis (Whooping Cough) Polio, HIB and Pneumococcal 3 months Diphtheria, Tetanus, Pertussis, Polio, HIB and Pneumococcal 4 months Diphtheria, Tetanus, Pertussis, Polio, HIB, Pneumococcal and Meningococcal 12 months HIB and Meningococcal 13 months MMR and Pheumococcal 3½ years Diphtheria, Tetanus, Polio Booster, 2nd MMR and Pertussis Flu, pneumonia, shingles and pertussis immunisations for identified “at risk” groups Minor surgery Anti-coagulation monitoring Intra-uterine contraceptive device and contraceptive impant fitting / removal Page 7 of 12 Minor injury Learning Disabilities Checks NHS Health Checks Smoking Cessation Teledermatology CERVICAL SMEAR TESTS Smears are normally performed by the Practice Nurse or by a doctor, the choice is yours. The test can detect cell changes in the cervix (neck of the womb), that can sometimes lead to cancer. If the changes are present, treatment is nearly always simple, effective and without major surgery. This is preventative test to stop cancer before it starts. We recommend a test every 3 years from age 25 to 49 then 5 yearly from 50 to 64. Patients who have had a total hysterectomy do not usually need a smear. Ask your doctor or Practice Nurse if you are not sure. TRAVEL IMMUNISATION We can offer a full range of foreign travel immunisations. However, you will probably need time to have the necessary course (the vaccine works better if spread out in time), so try to come about eight weeks in advance if possible. The Practice Nurse can give you up to date advice when you make an appointment with them. A charge is payable for some foreign vaccinations. Please ask the Receptionist or the Practice Nurse. FORMS NEEDING SIGNATURE The number of forms doctors are being asked to complete is on the increase. In some cases, someone other than a doctor can sign the form for you. The doctor is only allowed to sign a passport application if he/she has known you personally for two years. Private Medical Insurance claim forms can be signed by your specialist. Certificates for sickness for periods of less than a week should be signed by the sick person themselves using form SC2 (a medical certificate is not normally required). Holiday cancellation insurance needs an official claim form obtainable from your insurers (a doctor usually does need to fill part of it in). If a doctor is asked to do any of the above, we will gladly comply – but will probably charge a fee (details available from reception) OTHER NON-NHS SERVICES Medical examinations for HGV and PSV Licences and for pre-employment are not paid for by the NHS. Some insurance forms such as the certificates for Elderly Drivers Insurance appear deceptively simple but need a full medical examination for their completion. Examinations of this nature take time and therefore a fee has to be charged. A special appointment will be required and the fee payable at the time of the examination. Some Life Insurance companies may also require a medical to be undertaken and this will need a special appointment. The fee in this case is usually payable by the Insurance company concerned. FLU VACCINATION We particularly recommend this for patients with heart, chest or kidney disease, diabetes and other long term illnesses. It is also recommended for over 65s. Please contact the reception staff in early September for dates of our flu vaccination clinics. Page 8 of 12 SELF-REFERRAL SERVICES There are several local services that you can ‘self-refer’ yourself to, and therefore do not need to be sent via a GP. Some of the more common ones are: Italk: Provides access to psychological therapies for patients in the local area. In order to self-refer, please visit www.italk.org.uk or telephone 023 8038 3920. Physiotherapy: Provides access to physiotherapy, podiatry or occupational therapy. Details are on our website or you can collect a self-referral form from your surgery. Community Independence team: The Community Independence Team (CIT) can help by providing you and your family with: specialist help if you are experiencing difficulties around the home, or with managing everyday activities, or if you are concerned about your health and wellbeing assistance with linking you into appropriate health and community services support, advice and guidance on a range of issues such as keeping warm, safe, fit and eating well support to know what social or leisure opportunities are available and how to access them CIT is funded and delivered through Hampshire Adult Services as part of its preventative approach to promoting individuals independence, although you may have to meet costs associated with any community resources and services you choose to access. If you need assistance with any of the above please ring Adult Services on 0845 603 5630. The Agents who answer the call are trained to assess your requirements and may ask you for more details of your circumstances to ensure that your details are routed to the correct team. This service is only available if you do not already have a care package in place. KEEPING HEALTHY - STAYING HEALTHY SENSIBLE DRINKING A small amount of alcohol does you no harm but if it’s more than a small amount you may be damaging your health. Alcohol is measured in units - one unit is 10 grams of alcohol and is found in: Half a pint of beer Less than half a pint of export beer, lager or strong cider (a 440ml can of cider = 2.3 units) A small glass of wine (a 75cl bottle contains between 7 and 9 units) A small sherry (a 75cl bottle = 13 units) A pub single measure of spirits (a 75cl bottle of whiskey = 28 units) Only you really know how many units you may drink. Be fair to yourself and your family – stay within healthy limits. For men, a sensible limit is up to 28 units a week. For women the limit is 21 units a week. GIVING UP SMOKING Some people smoke because they enjoy it and do not want to stop. However, when most people are questioned they say they do not really enjoy it and would like to stop but cannot manage to. Some of the risks are: Heart and Arterial Disease – heart attack, stroke and amputation Cancer (all kinds) Chronic Bronchitis (cough with phlegm every morning is an early sign) Ulcers Page 9 of 12 Ask to speak to a Practice Nurse who can help you join a stop-smoking programme. REDUCING YOUR FAT INTAKE When cooking with oil, use polyunsaturated oils such as sunflower or monounsaturated oil such as olive oil. Measure with a tablespoon the amount of oil so you see how much you use, then you can slowly reduce it to maybe half or less (there are 130 calories per tablespoon of oil). When cooking meats, trim off excess fat. Skim off a layer of oil that settles on top of the food. WHAT TO DO IN TIME OF BEREAVEMENT If death occurs at home: 1. Telephone the doctor who will visit to confirm that death has taken place. 2. Contact a funeral director. 3. Arrange to collect the Doctor’s Medical Certificate of Death (usually from the surgery). 4. Take this to the Registrar’s Office, (together with the deceased’s Medical Card and Birth Certificate, if available) for the area in which the death took place. Alternatively you can register by declaration at any convenient Registrars Office but certificates will not be available as these will have to be posted to you a few days later. 5. The Registrar will normally issue a Green coloured certificate for you to give to your funeral director who will look after necessary arrangements for the funeral. The Registrar will also issue a white notification certificate for the DSS. They will also enquire as to the number of Certified Copies you require for dealing with the deceased finances (a fee is payable for each copy). If the death occurs in hospital: 1. Contact a funeral director to inform him his services are required. 2. Collect the certificate from the hospital then follow 4 - 5 as above NOTE FOR CREMATION - Your funeral director will usually liaise directly with the surgery regarding the additional certification required. PRACTICE CHARTER OUR RESPONSIBILITIES You will be treated as a partner in the care you receive. You will be treated as an individual and will be given courtesy and respect at all times. You have the right to be treated with confidentiality. You will be able to see a doctor where possible, within 24 hours. We will try to see you within 20 minutes of your appointment time. You will be offered an explanation if we cannot do this. We will explain the likely effects of any drugs and review your long-term medical needs at agreed times. If we believe that you need a second opinion, we will try to help you obtain this. We will visit you at home if you are too ill or infirm to be brought to the surgery. A doctor will visit you outside normal surgery hours for emergencies. Page 10 of 12 We have the right to remove patients from our list if they repeatedly and persistently ignore their responsibilities to us and other patients. We will inform you about how you can make suggestions and complaints about the services we offer. YOUR RESPONSIBILITIES Help Us to Help You. Being a partner means that we have responsibilities to each other. We ask that you treat the doctors and all the practice staff with the same courtesy and respect. Please remember that the doctor of your choice may not always be available due to other commitments, such as holidays. Please do everything you can to keep appointments. Tell us as soon as you can if you are unable to attend. You should not expect to be given a prescription every time you visit the doctor. Please remember to check your cupboards before ordering repeat prescriptions. You have the right to ask for a second opinion. The less time a doctor spends travelling, the more time is available for patients. Please do not ask for a home visit unless it is strictly necessary. Please do not call out of hours except in real emergencies. Wherever possible, it is best to wait for the next surgery. If you are seriously unhappy with us or the services we provide, you have the right to leave our list and register with another practice. Please keep our practice leaflet, as this will give you important information that will help you. STATEMENT OF PURPOSE Within our local community, we aim to: Make the care of our patients our first concern Protect and promote the health of patients and the public Provide a good standard of practice and care Treat patients as individuals and respect their dignity Work in partnership with patients Be honest and act with integrity USEFUL TELEPHONE NUMBERS Practice Barton Surgery Appointments 01425 615533 Webb-Peploe Appointments 01590 674118 Barton Surgery Enquiries 01425 620830 Webb-Peploe Surgery Enquiries 01590 675428 Hospitals Oakhaven Hospice Lymington Hospital Becton Centre Milford Hospital Christchurch Hospital Poole General Hospital 01590 670346 01590 663000 01425 627802 01590 648100 01202 486361 01202 665511 Page 11 of 12 Royal Bournemouth Hospital Southampton General Hospital Royal South Hants Hospital Princess Anne Hospital Salisbury District Hospital 01202 303626 02380 777222 02380 777222 02380 777222 01722 336262 General Police Emergencies Hampshire Police less urgent contact Social Services (Lymington patients) Social Services (New Milton patients) Out of Hours Service Macmillan Cancer Care Age UK (Bournemouth) 999 101 01590 625047 01590 625032 111 0808 808 0000 01202 530530 Funeral Directors A.V.Ridout, New Milton A.V.Ridout, Highcliffe Moodys, New Milton Moodys, Highcliffe Diamond and Son House & Son Colin Hayley, New Milton Colin Hayley, Highcliffe Co-op Funeral Services 01425 618808 01425 272835 01425 612261 01425 278383 01590 672060 01590 673142 01425 629000 01425 272764 01425 611133 Page 12 of 12