NORTH BRINK PRACTICE

NORTH BRINK PRACTICE
North Brink Practice
7 North Brink
Wisbech
Cambs
PE13 1JU
Tel: 0844 477 3121
Calling from abroad Tel: 08701 127 801
Fax: 0844 477 3178
Email: www.northbrink.com
THE PARTNERS
Michael Richardson - B Med Sci BM BS
MRCGP
Quintin Wong - MB BS DRCOG FRCGP
Angela Culshaw - MB ChB DRCOG MRCGP
Paul Whyman - MB ChB DRCOG DPD MRCGP
Peter Godbehere - MB ChB MRCGP
HOSPITALS
North Cambs
Queen Elizabeth
Peterborough City
Doddington
Hinchinbrooke
Addenbrookes
Fitzwilliam
Norfolk and Norwich
Princess of Wales
01945 488088
01553 613613
01733 874000
01354 644299
01480 416416
01223 245151
01733 261717
01603 286286
01353 652000
USEFUL CONTACTS
District Nurses
Health visitors
Social Services Wisbech
Social Services March
Social Services Peterborough
GUM clinic
NHS Direct
01945 488033
01945 488031
03456 500289
01354 654321
01733 558895
01553 613766
0845 4647
PHARMACIES
Mandeep Sira - MB ChB DGM DROCOG DPD
MRCGP
Tim Webster - MB BS MA MRCGP MRAeS DAvMed
DRCOG DFFP
North Brink Pharmacy
Alliance (De Havilland Road)
Alliance (Old Market)
Boots (Wisbech)
Boots (Walsoken)
Fairbrothers
Tesco
01945 468740
01945 588498
01945 588497
01945 583182
01945 475682
01945 583965
01945 880471
LOCAL WALK-IN CENTRE
ADVANCED PRACTITIONERS
MINOR INJURIES UNIT
Stephanie Garner - RGN BSc (Hons) Nurse Practitioner MSt (Cantab)
Primary and Community Care
North Cambs Hospital
The Park ,Wisbech ,
Cambs,PE13 3AB
Tel: 01945 488068
8:30am - 6.00pm Monday to Friday
X-ray facilities 9:00am—4.45pm
The minor injuries unit is available for walk in medical attention such
as:
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Wounds/Cuts and bruises. Tetanus immunisation can also be
given
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Bites - Human, animal and insect
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Minor burns and scalds
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Muscle and join injuries - strains, sprains and limb fractures
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Sports injuries
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Emergency contraception
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Eye problems - removal of foreign bodies and conjunctivitis
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Earache (patients aged 2 and over)
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Sore throat (patients aged 2 and over)
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Cystitis (not male patients under 14 years)
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Minor Head Injury (with no loss of consciousness)
Patients with some conditions such as back pain, suspected fractured
nose/nose-bleeds, dental problems and some other conditions may be
assessed but referred on to other services (their GP, A&E, etc.) for further/on-going treatment.
OUT OF HOURS
The local out of hours team operate as follows:
North Brink Practice - 18:30—00:00 Mon—Fri
07:00—00:00 Weekends
Doddington Hospital - 18:30-08:00 Mon-Fri
24hrs over Weekends
Ruth McKenzie - RGN Certificate School of Nursing, Practice Nurse
Course, Family Planning, Teaching & Assisting 998, Nurse Degree in
Primary Care, BSc (Hons) Non-Medical Prescribing
Jo Perez - RGN , Dip Asthma, Certificate in Diabetes, Teaching &
Assessing 7307, Independent Prescribing, BSc (Hons)
Sharon Bainbridge - RGN , BSc (Hons)
PRACTICE NURSES
Team of 6 Practice Nurses and
A Health Care Assistant
ATTACHED STAFF
Team of District Nurses
Team of Health Visitors
Registered Midwives
Community Staff Nurses
PRACTICE INFORMATION
BURNS and SCALDS
1.
RECEPTION
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday/Sunday
08:30 - 20:00
08:30 - 20:00
08:30 - 20:00
08:30 - 20:00
08:30 - 20:00
08:00 - 11:00
DISPENSARY
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday/Sunday
08:00 - 18:00
08:00 - 18:00
08:00 - 18:00
08:00 - 18:00
08:00 - 18:00
08:00 - 11:00*
*Dispensary will be open between 08:00—11:00 on
Saturdays for prescription collection only. There will not be
any dispensary staff members to help with any prescription
queries.
Immediately put the burn or scald under running cold water to
reduce the heat in the skin. Do this for at least 1 minute. If running water is not possible, immerse the burn or scald in cold water.
2.
Cover the burn or scald with a clean, non-fluffy cloth, like a linen
tea towel. This cuts down the danger of infection.
3.
If clothes are stuck to the skin, don't try to take them off.
4.
Call an ambulance or take the patient to hospital. You should
take a child to hospital for anything other than a small burn or
scald.
Do not put butter, oil or ointment on a burn or scald. It only has to
be taken off again before treatment can begin.
RECOMMENDED HOME FIRST AID KIT
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WHEN WE ARE CLOSED
Call 999 if your life is at risk
NHS DIRECT
If you need medical advice when we are closed, contact NHS Direct
(0845 4647) to speak to a triage nurse . Your needs will be assessed
and advice offered.
You can also visit NHS Direct online at www.nhsdirect.nhs.uk
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SOLUBLE Aspirin 300mg tablets (not for those with a history of
stomach ulcers or asthma)
Paracetamol mixture (Calpol or Disprol) good for pain and
reduces fever
Menthol crystals or Friar’s Balsam for steam inhalations
Antiseptic solution for cleaning cuts and grazes
Calamine lotion for dabbing insect bites, sunburn or chicken pox
Thermometer - Feverscan forehead thermometers are very quick
and easy for children
Cotton wool for cleaning cuts and grazes
An assortment of dressings
Tweezers for removing splinters
Remember - The Pharmacist can give on-the-spot advice on your
medication and possible side effects.
DIARRHOEA
Diarrhoea is unpleasant but rarely dangerous. It may be due to a
change in diet, food poisoning or travelling abroad. It is often
accompanied by colicky (cramp-like) pains and usually begins to get
better in 48 hours.
TREATMENT: Rest. Eat nothing for 24 hours. Drink small sips of
water regularly. As the stomach settles, try boiled rice, plain mashed
potato or clear soup before gradually returning to a normal diet.
Children and Infants: Try water, juice or Dioralyte sachets made up
with boiled water to replace body fluids.
Make an appointment to see Advanced Nurse Practitioner if it does
not settle after 48 hours, if an attack comes shortly after a visit abroad,
or if there is continuous pain.
URGENT CARE CAMBRIDGESHRIE
If you require medical assistance when we are closed you can contact
Urgent Care Cambridgeshire who provide an out of hours service. Call
03301239131 and a duty Doctor will phone you back. Alternatively
contact the practice to be transferred.
NEW PATIENT REGISTRATION
We welcome new patients who live within our Practice area to join us.
We accept patients from Wisbech and the surrounding areas. You may
register with us if you are living in any of the following villages:
STUFFY or RUNNY NOSE
The common cold usually starts with a hot feeling in the back of the
throat. The patient feels unwell and aches, and the nose starts running
with a clear liquid with becomes a thick and yellow discharge after 3 to
4 days. ANTIBIOTICS DO NOT HELP.
TREATMENT: Adults add menthol or Friar’s Balsam to the steam
inhalations. Inhale for 1 minutes three times a day.
Babies and Children often have repeated colds . This helps them
build up resistance to infection on the chest. They cough because of
the discharge running from the nose down the back of the throat. Do
not give linctuses. Try normal saline nose drops from the chemist, two
drops in each nostril before bed.
FEVERISH CHILD
Children often develop feverish illness which settle spontaneously in
24-48 hours. Give liquid paracetamol (Calpol or Disprol). Remove the
child's clothing and offer sips of cool water. Sponging with tepid water
may also help reduce the temperature. Do not give aspirin to children
under 12 years.
Make an appointment with Advance Nurse Practitioner if the temperature does not fall after paracetamol (although it may rise again later) or if the child becomes drowsy or obviously unwell.
If you are unsure about these or any other medical matters do not
hesitate to contact us for advice.
Coldham
Long Sutton
Sutton St. Edmund
Tydd St. Giles Fen
Elm
Marshland St. James Sutton St. James
Emneth
Murrow
Terrington St. John Upwell
Four Gates
Newton
Tholomas Drove
Walpole Highway
Friday Bridge Outwell
Tilney All Saints
Walpole Marsh
Gorefield
Parson Drove
Tilney Fen End
Walpole St. Andrew
Guyhirn
Rings End
Tilney High Way
Walpole St. Peter
Hay Green
St. Johns Highway
Tilney St. Lawrence Walsoken
Laddus Fens
St. Johns Fen End
Tydd Gote
Walton Highway
Leverington
Sutton Bridge
Tydd St. Giles
West Walton
Tydd St. Mary
Wisbech St. Mary
THE REGISTRATION PROCEDURE
SORE THROAT
You can register with us in 3 ways.
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Attend the Practice and complete in person with assistance from
a member of our Patient Services Team
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Collect the Registration Pack from reception, one for each
family member, fill out all relevant areas and return the form to
reception.
Most sore throats are caused by a virus infection which antibiotics
CANNOT cure. With simple treatment the patient normally gets better
in 4-5 days.
Tonsillitis usually starts with a sore throat, which causes pain on
swallowing. There may be a fever, it might be possible to see white
spots on the tonsils, and glands in the neck may be swollen and
painful.
A hoarse voice, dry cough and sore throat indicates a viral laryngitis.
TREATMENT: Adults: Soluble Aspirin - 2x300mg, gargle and swallow
four times a day. Drink plenty and take steam inhalations.
Children: Paracetamol liquid (Calpol or Disprol) and plenty of drinks.
Make an appointment to see Advanced Nurse Practitioner if the
sore throat is getting worse after 2 days, or if the patient complains of
earache.
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Visit the website and print the Registration Pack, one for
each family member, fill out all the required areas and post
to us.
Visit the website and complete the forms online
WHAT HAPPENS NEXT
Once you have completed and returned your registration form you will
be fully registered with us. You can book to see a member of our clinical team, as soon as necessary.
COUGH
WHAT DOCUMENTS YOU WILL RECEIVE
You will receive a welcome letter and online appointment booking
information through the post, shortly after you register.
Summary Care Record information is also included and an opting out
form. You may have already received the SCR form and opt out form
from your previous surgery, if you have completed the form you do not
need to fill out another.
If you wish to have your core data on the National Spine, you do not
need to do anything, if you DO NOT wish to have your core data on
the National Spine, please complete the opt out form and return it to
our reception.
After a couple of months you should received your new health authority letter with your NHS number/address and your new Doctors name
and practice address, from the local Health Authority.
If dust or food enters the air passages, coughing acts as a protector. It
also prevents mucus from causing infection in the chest. To suppress
this action with cough mixtures can cause more harm than good.
TREATMENT: The best treatment is steam inhalation and avoiding
cigarette smoke.
Make an appointment to see Advanced Nurse Practitioner if
coughing continues for more than a week or two after a common cold
has cleared up, if coughing produces yellow or green sputum - it may
mean the lower air passages are infected, if breathing is accompanied
by a pain in the chest or shortness of breath, or if coughing produces
blood.
SELF-HELP AND MINOR ILLNESS
NHS Choose Well
WHO YOU WILL BE REGISTERED WITH
You will be registered with an allocated Doctor depending on the
Doctors patient list size.
You have the right to express a preference of a Doctor to be registered
with, if at the time of registration there is sufficient space within your
preferred Doctors list you will be allocated to that Doctor.
NEW PATIENT MEDICAL
It is recommended that if you are on a number of medications that you
book to see our Health Care Assistant for a new patient medical. If you
wish to have a medical, speak to our Patient Services Team who will
be able to book this appointment for you. A Lifestyle & Past Medical
History questionnaire form will need to be completed prior to an
appointment.
When you attend for your new patient medical , you will need to bring
with you, your completed Lifestyle & Past Medical History
questionnaire, any medications you are taking and a urine sample for
testing.
VOMITING
Vomiting may be caused by a virus infection of the stomach, food
poisoning or by eating and drinking too much. It normally stops within
24 hours and may be followed by diarrhoea. Some children will vomit
when they have a temperature.
TREATMENT: Rest. Eat nothing for 24 hours. Drink small sips of
water regularly. As the stomach settles, try boiled rice or clear soup
before gradually returning to a normal diet.
Children and Infants: Try water, juice or Dioralyte sachets made up
with boiled water to replace body fluids.
Make an appointment to see Advanced Nurse Practitioner if
vomiting is accompanied by continuous stomach pain, if vomiting lasts
longer than 24 hours, or if the child is vomiting clear fluid or has a high
temperature.
The appointment will take around fifteen minutes and the Health Care
Assistant will go through your medications with you.
It is preferred if you need to see a Doctor, to book with the Health Care
Assistant first for your new patient medical.
APPOINTMENTS
MEDICAL SERVICES IN THE AREA
BOOKING YOUR APPOINTMENT
To find local medical services in the area you can contact the Cambridgeshire and Peterborough Commissioning Group.
Appointments are by appointment times only. There are 3 ways to
book:
Cambridgeshire and Peterborough Commissioning Group (CCG)
Lockton House
Clarendon Road
Cambridge
CB2 8FH
Online - This service is available 24 hours a day. A percentage
of appointments are available for booking four weeks in
advance, after 18:30 for the next working day or at 08:00 on
the day.
Using your online registration form, visit our website.
Telephone - Call our appointments line on 0844 477 3121
which is open during surgery hours.
In person - Come in to the practice and speak to a member of
our patient services team, who book appointments for all
Doctors, Nurse Practitioners and Nurses at the Reception.
KEEPING YOUR APPOINTMENT
It is important to arrive in good time for your appointment to enable
surgeries to run smoothly. If you arrive more than 10 minutes late the
Patient Services Team will ask the clinician if it is still possible for you
to be seen, if so the clinician will see you as an extra but there will be a
wait.
CANCELLING APPOINTMENTS
Please cancel appointments you no longer need or are unable to
attend. Give us as much notice as possible so we can offer your
appointment to someone else.
Appointments can be cancelled, on-line, via our cancellation option on
the telephone 24 hours a day, via text (number quoted in appointment
confirmation text) or by telephone, during opening hours.
Tel: 01223 725400
Email: [email protected]
Website: www.cambridgeshireandpeterboroughccg.nhs.uk
BEING A RESPONSIBLE PATIENT
The NHS operates a Zero Tolerance policy with regards to violence
and abuse and the we have the right to remove patients from our list
with immediate effect in order to safeguard practice staff, patients, and
other persons.
Violence in this context includes actual or threatening physical violence
or verbal abuse which leads to fear for a person’s safety. In this
situation we will notify you in writing of the removal from the list and
record in your medical records the fact of the removal and the circumstances leading to it.
ACCIDENT AND EMERGENCY
We are not equipped as a casualty unit. If you think your injury may
require stitches or if you think you have broken something, please go
to the Accident & Emergency Department or your nearest hospital. If
the incident is more urgent, please dial 999 for an ambulance.
FREEDOM OF INFORMATION
Information about the Doctors 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, you may request to see your 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 your consent unless we are legally obliged to do so.
TELEPHONE APPOINTMENT
BOOKING YOUR TELEPHONE APPOINTMENT
Telephone appointments can be booked in advance and on the day.
There are 3 ways to book:
Online - This service is available 24 hours a day.
Telephone - Call our appointments line on 0844 477 3121
which is open during surgery hours.
In person - Come into the practice and speak to a member of
our Patient Services Team who will arrange for the appropriate
person to call you back.
SUGGESTIONS AND COMPLAINTS
HOME VISIT
We make every effort to give the best service possible to everyone
who attend the practice.
If you are housebound or too ill to attend the Practice please telephone
us on 0844 477 3121 from 8am to request a home visit.
However, we are aware that things can go wrong, resulting in patients
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.
Your Doctor will phone you back to assess your needs and if
necessary, will agree a home visit for you during the course of the day.
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 our reception.
Please be aware patients on the home visit list for the day will be seen
in priority order.
PATIENT ACCESS
The Practice is accessible to people with disabilities. We have a rear
parking area for disabled patients to park and enter the Practice from
the rear entrance, some of our rooms are upstairs if patients are not
able to manage the stairs, the Clinicians will come and use a room on
ground level. Toilets are available on ground level.
IN-HOUSE CLINICS AND SERVICES
STUDENT NURSES
WOMENS HEALTH CLINIC
We have Student Nurses from Anglia Ruskin University who are on
their community placement at the practice several times a year, and
they will be sitting in on many clinics, watching how we do things and
sometimes giving care under the supervision of the Nurses.
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Family Planning
Smears
Swabs
CLINICS
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Asthma Clinic
Diabetes Clinic
Heart Disease Clinic
Blood Pressure Clinic
Respiratory Clinic
Travel Vaccinations
Child Immunisation Clinic
Stop Smoking Clinic
Minor Surgery Clinic
ADDITIONAL SERVICES
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Health Trainer
Mental Health Nurse
WHO SHOULD YOU BOOK WITH?
HEALTH CARE ASSISTANT
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Basic Dressings
Re-dressings
B12 injections
Flu injections
Urine testing
Stitch removal
YOUR RIGHTS
If you have any objections to having a student - whether Medical or
Nursing - in your consultation, please inform the clinician and they will
ask the student to step out of the room during your visit. There is no
need to feel embarrassed about this and our students understand and
respect your decision at all times.
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:
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To provide further medical treatment for you e.g. from district nurses and hospital services.
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To help you get other services e.g. from the social work department. This requires your consent.
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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.
PRACTICE TRAINING
Dr. Wong, Dr. Whyman and Dr. Sira are involved in the training of other Doctors.
The following groups are trained:
MEDICAL STUDENTS FROM
THE UNIVERSITY OF EAST ANGLIA, NORWICH
These students visit in groups of 10 for one day a week, for 20 weeks
per year.
Dr. Sira and Dr. Whyman co-ordinate their training.
Foundation year doctors (called F1 or F2 depending on which
year they are post-qualification)
These are qualified doctors who elect to spend 4 months in general
practice as part of their 2 year rotation after qualification.
Dr Wong and Dr Whyman co-ordinate their training.
GP Registrars
These doctors are following a 3 year training program to enable them
to pursue a career in general practice. They are usually with us for 4 or
6 months. They are fully qualified doctors and are part of the King's
Lynn Vocational Training Scheme (VTS).
Dr. Whyman and Dr. Wong co-ordinate their training.
Although there are named partners co-ordinating training, education is
done very much across the whole practice and almost all other
members of the practice will be involved in their training.
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Clip removal
Blood sugar testing
Pregnancy testing
Blood pressure testing (if not on medication for BP)
NURSE
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Duty Clinic—For routine treatment such as dressings, injections,
ear syringing, stitch removal etc.
NURSE CLINICS
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Asthma
Diabetes
Respiratory
Blood Pressure
Women’s Health
Child immunisation
Holiday vaccination
Weight management
Stop smoking—Also available by our Health Checkers
Do not book for Nurse if you require:
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Medical certificates
Breast examinations
Intimate examinations
Referral to secondary care
Referral for termination of pregnancy
Examinations that require a form to be filled out
ADVANCED NURSE PRACTITIONER
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Prescribe medications
Breast examinations
Intimate examinations
Referral to secondary care
Post natal check up
Medication reviews
Contraception (first issue)
All other issues NOT listed overleaf
Do not book for Advanced Nurse Practitioner if you require:
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Dressings
Injections
Examinations which require a form to be filled out
Medical certificates
Cervical smear
Renewal contraception injections
Referral for termination of pregnancy
GENERAL PRACTITIONER
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Everything in the Advanced Nurse Practitioner list
Medical certificates
Referral for termination of pregnancy
Examinations which require a form to be filled out
Joint injections
Anything else not listed with other clinicians
Online 24/7 - Please collect your online ordering/appointment
booking details from reception, ordering them online at our
website.
By Phone - The facility to request a repeat prescription is
available 24/7. During our opening hours your call will be
transferred, when closed you will be advised to select the repeat prescriptions from the options provided.
In person - By putting your repeat prescription order slip in
one of the request boxes located next to the North Brink
Pharmacy and outside the rear entrance. If we are closed,
please post your request through the letter box on the front
door.
Please note all prescription requests made after 3pm will be
processed the next working day.
Do not book for a General Practitioner if you require:
FOR PATIENTS WHO LIVE NEAR A PHARMACY
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Once a repeat prescription is ready for collection it is held in the
Practice dispensary area for you to collect and take to the
Pharmacy of your choice to be dispensed
We have arrangements for prescription collection with all local pharmacies. All you need to do is sign the authorization form supplied by the
pharmacy of your choice, order your repeat
prescription in their usual way (phone, in person or via the internet)
and the script will be ready for collection by the nominated pharmacy
after 2 working days.
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Regular chronic disease review e.g. asthma, diabetes, respiratory, etc.
Dressings
Renewal contraception
Child immunisations
Holiday immunisations
Removal of stitches & clips
DISPENSARY
We have a dispensary within the Practice. If you live in a village
around Wisbech or further than 1 mile from the nearest chemist you
may collect your prescriptions from our Dispensary.
For full details to see if your Postcode qualifies for use of our dispensary please contact us.
FOR PATIENTS WHO LIVE WITHIN THE NORTH BRINK
PRACTICE DISPENSARY AREA
The same procedure for ordering repeat medication will apply if you
live within the area and have your medicines dispensed from the Practice Dispensary.
The dispensary team offer a full dispensing service including home delivery, an automatic ordering service (whereby regular medication can
be issued 4 weekly without the need for a request by you) and advice
on anti-malarial needs for travel abroad. Medication is
usually ready for collection 2 working days after the request has been
received and we offer a notification by text service also.