Microsoft word - practice leaflet 3 jean .doc
M.B., B.S. 1989, FRCGP, MFFP, DRCOG, PGCE
If the patient has not had a full course of tetanus
We are delighted to have you as a patient and will do
our very best to ensure that you are treated promptly,
courteously and in complete confidence in addition to
providing you with the highest standard of care from
Wash gently with clean water and pat dry with a clean
tea towel or kitchen paper. Leave uncovered.
Wheelchair and disabled access is available via the
We can arrange interpretation and translation services
in person or by phone for patients who do not
• Paracetamol and Aspirin (children under 16,
speak English. Please let us know if you need this
people on anti-coagulation drugs and people
For deaf people and those hard of hearing, a
telephone service is available on: 0845 606 4647.
• Indigestion remedy (for example, antacids)
We hope you will find this booklet useful as an aid to
informing you about the wide range of services we
• Sunburn treatment (for example, Calamine)
We recognise that the parking facilities at the Surgery
• A selection of plasters, non-absorbent cotton
are not good, but you may park in the EHDC Car Park
opposite the Surgery, or in the car park for the
Blendworth Church Centre (by kind permission of the
Remember: Keep the medicine chest in a secure,
locked place out of reach of small children
Always read the instructions and use the suggested
We constantly look for ways to improve our services
to patients. If you have any ideas or comments about
Watch expiry dates – do not keep or use medicines
the Practice, or our services, please let us know.
f you have a severe earache or headache If the person is a baby-under-six-months with a
Bumps and Bruises Rest with injured part raised. Apply a cold compress
• Quality medical care provided by qualified
clinical staff with a clear explanation of the
understanding response to any questions you
If you fear a bone may be broken. For head injuries, if the person has been
• Courtesy and respect from everyone working at
the surgery, especially with regard to your
unconscious or cannot remember what happened.
Immerse the burn or scald in cold water immediately. Gently dab-dry with clean tea towel or kitchen paper.
Do not apply butter. Leave uncovered if possible.
• To inform us as soon as possible if you will not
• To tell us if you change your name, address or
If severe or extensive If the skin is blackened or badly blistered
• To be patient if we are running late.
If the person is a baby under one year old
• To treat everyone at the surgery with the
courtesy and respect that you would wish to
Stop the bleeding by firm, gentle pressure for two or
three minutes. If dirty, wash gently under a cold tap
and pat dry. Apply plaster across the cut to hold the
Where possible, a clinician must be satisfied that a
patient understands and consents to a proposed
treatment, immunisation or investigation. For more
information regarding our consent procedures please
If the cut is more than one inch long or gaping
If you have severe abdominal pain, vomiting or
If you vomit blood or pass blood in the stools
If you live in our practice area and would like to
If the person is an infant under 6 months old
register with us, please complete a registration form
which is available from our reception desk. When you
register you will be offered the opportunity to receive
Everyone gets sore throats, coughs and colds from
time to time. The usual cause of all these is infection
As part of the normal registration process you will be
with a virus. Given the chance, the body’s natural
registered as a patient of the practice not with a
defences kill the virus very efficiently within four or
five days. The symptoms may persist for a little while
longer. Antibiotics do not help. If you feel feverish
You do however have the opportunity to state a
and ill, rest in bed and drink plenty. Aspirin or
preference to receive services from a specific
paracetamol help to relieve the pain and reduce the
practitioner. Where this request is made we will
fever. Take two soluble aspirins or two paracetamol
every four hours. Gargling with them first may help.
However, we do withhold the right to refuse your
Children under 12 should avoid aspirin but may be
request if we have reasonable grounds to do so.
given paracetamol. Follow the dosage instructions on
The Practice is also involved in General Practice
the bottle. Warm drinks may help a cough. Steam
inhalations relieve a dry cough and blocked nose. Decongestant nose drops relieve a blocked nose but do not use them for more than two or three days.
Improve the evidence base for primary care.
Inform the prevention, diagnosis, treatment and
management of illness and disease in primary
If you have a pain in the chest, you’re wheezing or
Facilitate and increase the Participation of
General Practices, primary care practitioners
If a sore throat is getting worse after two or three
Please be aware that if you are invited to
If a cough is not improving after two weeks
participate in a study, whether you accept the
invite or decline, this will not affect your care or
relationship with the practice in any way.
The Horndean Surgery Patient Group consists of a
group of patients and members of the practice team
who seek to increase liaison between patients and the
Mark joined the Horndean Surgery in August 1996
Practice for the overall improvement of health care
after service in the Royal Army Medical Corps.
If you would like to make any comments or
Jenny joined the Horndean Surgery in Aril 2008 after
suggestions, would like to know more or feel that you
moving to the area. She previously worked in general
may be interested in joining the group please
complete a return slip which can be found in the foyer
Ben joined the surgery in 2009 having trained in
Helen joined the surgery in October 2009 after working as a GP in Southampton.
Diarrhoea and Vomiting Usually caused by infection, unusual food, alcohol or
anxiety. Mild, cramp-like colicky pain is usual. Clears
Please note that Dr M D Coombe is the Director of Education for the Wessex faculty of the Royal College
up within a few days. Drink frequent small amounts of clear fluids: water, clear soup or diluted fruit juices.
of General Practitioners which supports the training and development of doctors in General Practice.
Avoid very sweet drinks and take no solid food. Do not take any medicines other than those prescribed.
There will be times when his availability may be restricted due to these responsibilities. All his
When you begin to feel better and hungry, eat small quantities of bread, boiled potato or thick vegetable
surgeries are covered by qualified GPs who have
soup. Avoid meat, butter, cheese and other rich
If you have recently returned from abroad
If you feel we have not met your expectations, then
The Practice Nursing team consists of 3 clinicians who
let us know. If you make a written complaint, please
are qualified Registered Nurses and Health Care
address it to the practice manager. We shall normally
Assistants who have specialised knowledge of Practice
try to acknowledge it within 48 working hours of
Each has specialist skills at your disposal and they are
In line with the NHS complaints procedure you should
competent in dealing with all aspects of patient
receive a more full response from the practice within
treatment in General Practice, including:
10 working days. Any medical issues will be passed to
the doctor(s) concerned for comment. If you feel that the problem has not been resolved after this then you
• Minor illness and injury treatment and
Contact Number: 0300 311 2233
Postal address: NHS Commissioning Board
PO Box 16738
Health care information: If you need medical advice
fast but is not a 999 emergency NHS 111 is a fast and
easy way to get the right help – wherever you are and
whatever time. A team of highly trained advisors will
includes clinics for those suffering from
direct you to the people you need to speak to.
Minor Injuries Unit:Petersfield Hospital, Swan
Street, Petersfield, Hants, GU32 3LB, Tel: 01730 263221.
Mrs Jean Smees (Diploma in Practice Management,
MAMS) is responsible for the management and
Data Protection and Information About You
smooth running of the practice. She is available in
The Data Protection Act controls how we use
person to deal with any suggestions or complaints.
information about you. You may be receiving care
from other people as well as the NHS. We therefore
may need to share some information about you. We only ever use or pass on information about you if
there is a genuine need, and it is in your interest to do
Our team of receptionists and administration staff
so. Whenever we can we shall remove details which
answer the telephone, assist with enquiries, arrange
identify you. Anyone who receives information from
appointments and patient transport to hospital and
us is also under a legal duty to keep it confidential.
take written prescription requests. They also deal with
necessary, but unseen tasks, including the processing
You have the right of access to your health records.
of repeat prescription requests, transfer of electronic
Please make your request in writing to the Practice
data into clinical records, referral requests to
Manager, at the address on this leaflet.
hospitals, non-NHS administration and the practice’s
clinical recall systems and audit processes.
The Freedom of Information Act 2000 requires that
the Practice creates a guide to the services and General Practitioners at the Horndean Surgery. This
We are an accredited training practice and frequently
leaflet forms a large part of the guidance. The
have GP registrars working with us. Our current GP
remaining guidance is held in a document called the
registrar is Dr Mark Swindells. Mark is a fully qualified
‘Horndean Surgery General Practice Publication
doctor who is in the final stages of training before
Scheme’, which is available from the Practice
Training sessions sometimes include the video
recordings of consultations which enable the
Whilst our staff are experienced in relating to patients
effectiveness of the doctor to be assessed. Whenever
who may be anxious or upset, abusive, violent or
video recordings are proposed, you will be consulted,
threatening behaviour will not be tolerated. Such
and you may opt not to participate if you prefer.
behaviour will result in the police being called and the
patient being removed from the practice list.
When ever possible please ring after 11am for test
results. The results of tests can vary and can take
from 48 hrs up to several weeks before we receive
them. Test results will only be given to the patient or
Surgeries and clinics are run at various times daily.
In addition, extended opening hours offer pre bookable appointments to patients who are unable to
access medical services during normal working hours.
District Nurses: Visit housebound patients in their
home and provide general nursing care and advice.
Health Visitors: Visit families with children aged five
years and under, providing support and advice
• The last Saturday of every month 9am -
Midwife: Provides support and information to families
regarding antenatal and postnatal care from around twelve weeks’ of pregnancy.
Community Psychiatric Nurse (CPN): Provides
If you require urgent medical assistance outside of
medical treatment for patients with specialist
surgery hours, which cannot wait until the surgery re-
psychiatric needs either at the surgery or in the
opens, please call 111. Calls to the NHS 111 service
are free from both landlines and mobiles. If you have
a life threatening medical emergency please dial 999.
Counsellor: Provides a counselling service for
For more details please contact reception
Surgery and clinic consultations are by appointment,
and can be made at reception or by telephoning
during our normal opening hours. Consultations with a doctor are timed to take approximately 10 minutes.
The receptionists will arrange your appointment and
are your link with the rest of the Practice. The more
The doctors will only allocate a Home Visit on the
information you are able to give them, the better they
basis of clinical need. If you feel that a home visit is
will be able to assist you. Routine pre bookable
appropriate please telephone (023) 9259 2138
appointments can be booked up to 4 weeks in
preferably before 10:00am. This will help the doctors
to plan their visits for the day. Please do try to come
to the surgery if you are able as this will save the
In addition the Practice has also introduced the Rapid
doctor’s time, and patients can be examined more
Access Consultation service. This service is designed
thoroughly, and with the appropriate equipment, in
to provide same day access for problems needing to
the surgery. Patients suffering from acute and
be dealt with on the day. The service is available
potentially serious illnesses will always be given
Monday to Friday. Please ring on the day [8am or
priority for a home visit, but if unexpectedly rapid
2.20pm] for an appointment. If you would like more
deterioration occurs, relatives are encouraged to
make a repeat telephone call to the surgery without
delay. If the situation appears to be critical. Dial 999
Please let us know if you are unable to keep an
appointment so that that time can be offered to
These can be requested on-line via our Practice
website, by bringing in your repeat prescription slip,
If you have a problem that you feel can be managed
by completing a form at the surgery, or by writing to
over the telephone by speaking to a clinician, you can
us. You may also fax a request to the surgery on
make an appointment for a telephone consultation.
(023) 92 571628, but please ensure that you indicate
Telephone consultations are also suitable for
Name and address and which item you wish repeated.
If you require your prescription to be posted to you
please supply an S.A.E. with your request.
Prescriptions can also be directed to a local chemist if
you wish. You should allow 48 hours for your
prescription to be processed. You will be periodically requested to visit the doctor to monitor your progress
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The Management of Spasticity; The Evaluation and Treatment of An Interdisciplinary Approach Spasticity in Adults with ND/ID • Decrease spasticity • Infection (including urinary-tract) • Improve functional ability and independence • Constipation • Decrease pain associated with spasticity • Reflux • Prevent or decrease incidence of contractures • D