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Noticeboard

NEWS FROM THE NURSES

It is with regret that we have to inform you that

SUSAN MILNE

 our Lead Practice Nurse, has taken the decision to retire fro the practice with her last day being

 

Friday, 15 September 2017

 

She will greatly missed by everyone at the Practice and we would like to take this opportunity to wish her all the very best for the future.

  

We are however, please to announce that

 TAMMY HUNTER

 will be joining the Nursing team on 3 October 2017

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Termination of Morning Open Access Service

(as of Monday, 31 July 2017) 

Due to an increase in requests for urgent appointments throughout the day, the morning Open Access service has become unsustainable and the doctors have made the difficult decision to change from a morning walk-in service to a pre-booked appointment system in the morning as well as the afternoon.

The last Open Access surgery will run on Friday, 28 July 2017 with appointment-only surgeries commencing on Monday, 31 July 2017.

A few morning appointments are now available to book for Monday, 31 July 2017 onwards.

Emergencies will always be seen

The Practice will continue to offer on the day appointments for urgent matters that cannot wait until the next free pre-bookable appointment but this may not be with the Minor Ailments practitioner or GP of choice.

These appointments will be spaced throughout the day and will be given out in time order.

The Duty GP will continue to deal with telephone queries throughout the day.

For more information, please click on the link below

Patient Update Leaflet

Please note that application forms for Online Services (Appointments and Prescriptions) are not yet available for collection, either at Reception or online.  More information about the introduction of this service will be available in the coming weeks.

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We are pleased to announce that a new GP

 

DR LOUISA ASHMAN

will be joining the practice on Wednesday, 2 August 2017

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Closure for Training

The Surgery will be closed

from 1.30pm to 2.30pm on Wednesday, 30 August 2017

for training.

 

Should you need a Doctor during this time, please call the practice mobile:

07581 591605

 

or  

 

IN THE EVENT OF AN EMERGENCY

PLEASE CALL: 999

 

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NEWS FROM DR VORENKAMP

It is with regret that we have to inform you that

DR EWAN VORENKAMP

will be leaving the practice in July 2017 and sadly, due to continued ill health, he will not return to work before then.

 

We would like to take this opportunity to wish him all the very best for the future.

 

The doctors are currently advertising for a GP to fill this new vacancy with the hope of recruiting someone to take over the post in July or August.

 

The practice will endeavour to provide as full a service as possible until a new doctor has joined us but there will be days when the service has to be restricted, as has been the case over the past few months.

 

The GPs and Staff appreciate your support and understanding during this time.

 

Shirley Mann

Practice Manager

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Public Holiday Closures

We will be closed on Monday 25th and Tuesday 26th December and Monday 1st and Tuesday 2nd January 2018

Should you require medical attention during this time, please contact NHS24 on 111 or in the event of an emergency, call 999 immediately. 

In addition to providing 24 hour advice, NHS 24, along with GMED (Grampian Medical Emergency Department) provides emergency cover during the hours of 18:00 and 08:00 when the practice is closed, throughout the weekend and public holidays. If you need medical assistance between these hours, telephone NHS 24 on 111 (if you have any difficulties contacting NHS 24, please dial 100 for the operator).

A receptionist from NHS 24 will answer your call and either:

  • Arrange for you to speak to a doctor or nurse
  • Invite you to attend the centre to be seen by the doctor 
  • Arrange a home visit if you are too ill to visit the centre

Transport to and from the centre may be available if you cannot arrange this yourself. Out of hours cover is the responsibility of the local Health Board. Further advice and information can also be obtained from NHS 24, whom you can contact direct on 111 or by visiting http://www.nhs24.com/ 

For severe life threatening emergencies, call 999

Emergencies

You should call 999 for the following emergencies:-

  • suspected heart attack or severe chest pain or breathlessness
  • loss of consciousness
  • choking and you are unable to help
  • Suspected stroke

Attend the nearest A+E department/Casualty rather than coming to the surgery for any of the following:-

  • a serious injury such as a suspected fracture 
  • head injuries especially if the person has been knocked out
  • bad burns
  • road traffic accidents
  • eye injuries
  • nosebleeds not settling with first aid

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DID NOT ATTEND APPOINTMENT RATE

 Ever wondered why you couldn’t see the Doctor or Nurse sooner?

 Did you know that, in February 2017:

52 appointments were booked by patients who then failed to attend them

 

24 Doctor appointments – equivalent to TWO afternoon surgeries*

and

28 Nurse appointments – equivalent to TWO morning surgeries*

If, in the future, you are unable to attend, please let us know in advance so that we can offer the appointment to someone else.

 

Thank you

Alford Medical Practice

*approx

Morning Surgeries PM_Appts

Morning surgery appointments are changing - click on the

link below for more information

TERMINATION OF MORNING OPEN ACCESS SERVICE - Poster.docx

Appointments in the morning are for an acute or urgent problem.  These are new problems which have arisen within the past 3 weeks and can not wait for a routine booked appointment.  This may be a brand new problem or an acute flare up of an existing medical condition such as an asthma attack.  These appointments are available between 08:00-10:00 and currently can only be made by presenting at the surgery when it opens.  An appointment slot is for 10 minutes and is for one problem and one person only.  Slots are issued strictly in order of arrival and you will be allocated a slot with the next available doctor or Minor Ailments Practitioner. You will not be able to request a specific doctor but you may request a female GP if one is available for a gynaecological problem.

It should be noted that Open Access appointment slots are limited as the GPs and Minor Ailments Practitioner can only see a certain amount of patients each per morning surgery.  This becomes even more limited when one of them is off on annual leave or is absent for another reason.  If all the Open Access slots have been taken before 10am you will be offered a call back by the Duty Doctor who will determine how best to deal with your problem.

If you are feeling very unwell please inform the receptionist and we will ensure you are seen as soon as possible.  Remember if you think your problem is life threatening it is more appropriate to call an ambulance rather than coming to the surgery. When all the appointment slots are issued for the morning no further patients will be seen unless the problem is very urgent.  If you feel your problem can not wait for a routine appointment or until the next day please give the receptionist your correct details so that the duty doctor can contact you to arrange a suitable appointment.  If your problem is not considered urgent you may be offered an appointment later in the day, a phone consultation or an appointment on a different day.

Please remember we will never turn away any sick patients. 

Conditions that will not be dealt with in the morning surgeries include:-

  • Cervical smears
  • STI screening
  • Contraception reviews - unless for emergency contraception
  • Foreign travel advice
  • Repeat prescriptions
  • Chronic illness reviews such as diabetes or COPD - unless it is an acute exacerbation of a pre-existing illness e.g. asthma attack, chesty cough in COPD, low blood sugar level in diabetes, breathlessness or chest pain with known heart disease, visual disturbance or sensory problems in MS.  Problems such as these will be seen.
  • Fungal toe nail infections
  • Smoking cessation advice
  • New patient consultations/requests for medication

Examples of suitable reasons to attend morning surgery:-

  • New onset pain anywhere in the body not responding to simple pain killers or your usual treatment such as a GTN spray
  • Recent onset or worsening breathlessness or cough other than a simple cold
  • Injuries - although these may be better dealt with at a minor injuries unit or A+E
  • Blood loss - if severe call an ambulance
  • New onset dizzyness, lightheadedness or balance problems
  • Recent onset hearing or visual disturbance
  • Rashes
  • Fever of more than 24 hours not responding to calpol/ibuprofen
  • Diarrhoea and/or vomiting lasting more than 48 hours
  • Severe depression/anxiety - feeling suicidal
  • Possible urinary tract infection

Please note this list is not exhaustive, if uncertain please feel free to phone the surgery and discuss with a doctor who will advise you what to do.

Please consider the following before attending the morning surgery:-

  • Many minor complaints can be treated at home, you do not always need to see a GP or Minor Ailments Practitioner. Often for minor ailments such as earache a GP/Minor Ailments Practitioner will only recommend trying simple pain relief for 48 hours. Remember for colds, coughs, earache and conjunctivits, antibiotics are rarely recommended where symptoms have been present for less than 48 hours.

 

  • Eye problems are best dealt with by an optician, all the local opticians offer urgent/same day appointments.

 

  • Remember you should see the nurses for health and lifestyle advice, blood pressure checks and blood tests.

 

  • At particularly busy times if it becomes apparent during the consultation that you will require bloods tests or swabs do not be surprised if the GP asks you to make an appointment for the nurse for these.

 

  • If a consultation is taking longer than 10 minutes the GP/Minor Ailments Practitioner may well ask you to make a further appointment or return to open access another day.

 

 
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