Practice News

NEWS UPDATE FOR 2016/17

***IMPORTANT NOTICES***

MEDICINE SICK DAY RULES
When you are unwell with:
Vomiting & Diarrhoea for more than 24 hours STOP taking the medicine listed below.
Restart when you’re well (after 24-48 hours of eating and drinking normally).
If in doubt contact your pharmacist Practice Nurse or GP. 

*  ACEi: Medicine names ending in “pril” eg Lisinopril, Perindopril, Ramipril.

*  ARBs: Medicine names ending in “sartan” eg Losartan, Candesartan, Valsartan.

*  NSAIDs:  Anti-Inflammatory pain killers, eg Ibuprofen, Diclofenac, Naproxen.

*  Diuretrics: Sometimes called “water pills” eg Furosemide, Spironolactone, Bendroflumethiazide, Indapamide.

*  Metformin: A medicine for diabetes.

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From Monday 1st August we are changing our prescription ordering number, please note our new number:
0795 451 9397
When texting your order, please remember to include:

• YOUR FULL NAME
• DATE OF BIRTH
• WHETHER YOU ATTEND PALLION OR RYHOPE
• ITEMS YOU REQUIRE

If you request a new item please state where this was given and be aware that this may take longer than the usual 48 hours to process.
If you are requesting an item you have not had for over 3 month you may require a GP review before this is issued.

Thank you for your cooperation.
Medicines Optimisation Team

MANDATORY TIME OUT SESSIONS
Our Surgery along with all other practices in Sunderland CCG are closed once a month, normally a Wednesday afternoon for mandatory training and development of staff.

Please ring the surgery on 111 and you will be directed to the Out of Hours Services for medical emergencies and advice.

Dates to note are:
WEDNESDAY afternoons:
14th September, 19th October, 7th December, 18th Jan 2017 and 8th March 2017.
Thank you.

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From Monday 29th February 2016 we no long take telephone message requests for repeat medications.

Preferred methods include: fax, online, by post in writing or by using your right hand side repeat slip, in person or text your request to the usual number.

Thank you for your cooperation

ANTIBIOTIC GUIDELINES
We would like to inform you that GP’s in the practice do not prescribe antibiotics for infections which usually get better on their own such as colds and flu.  We would recommend you visit your pharmacist if you are suffering from these sorts of conditions.

Management change at the surgery
The surgery is undergoing management change.  We will notify you soon of the newly appointment Practice Manager.

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GP contract 2015-2016 Named GP
What is the named GP requirement?
This is a contractual requirement and builds on the 2014-2015 agreement to provide a named and accountable GP for over 75s. The named GP requirement has now been extended to all patients. By 31 March 2016 all practices will need to include on their website reference to the fact that all patients, including children have been allocated a named, accountable GP.

Will practices have to write to patients to tell them their named GP?
There is no requirement to write to any patients regarding their named GP. Practices are required to inform patients of their named GP at the next appropriate interaction and it is for practices to decide what is appropriate.

What does ‘accountable’ mean?
The contract requires the named accountable GP to take responsibility for the co-ordination of all appropriate services required under the contract and ensure they are delivered to each of their patients where required (based on the clinical judgement of the named accountable GP).

Does the requirement mean 24-hour responsibility for patients?
No. The named GP will not:
*  take on vicarious responsibility for the work of other doctors or health professionals
*  take on 24-hour responsibility for the patient, or have to change their working hours. The requirement does not imply personal availability for GPs throughout the working week
*  be the only GP or clinician who will provide care to that patient

Can patients choose their own named GP?
In the first instance, patients should simply be allocated a named GP. However, if a patient requests a particular GP, reasonable efforts should be made to accommodate their preference, recognising that there are occasions when the practice may not feel the patient’s preference is suitable.

Do patients have to see the named GP when they book an appointment with the practice?
No. Patients can and should feel free to choose to see any GP or nurse in the practice in line with current arrangements.

If you wish to know your accountable named GP please contact us. 

We now have the facility for you to order prescriptions and book appointments online.
You must register with us for access to the online services by contacting us on
0191 5658598 or
E-Mail: Hylton.Medical@nhs.net
Or calling into the surgery for an access form.

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We have also implemented a new Warfarin Monitoring service which is held every Friday (morning at Pallion, afternoon at Ryhope with home visits over the lunchtime period).

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BIG CHANGES “SCCG” (Sunderland Care Commissioning Group)

As you may be aware from the media the NHS is undergoing one of the biggest changes since it began.  Local PCT’s are disbanding and GP consortia’s are taking control.  We are part of the SCCG Sunderland clinical Commissioning Group.
By 2012, legislation will be in place forcing all practices in England with a registered list to be part of a commissioning group. But how will the network of consortia operate?

Accountable officer
By April 2013, each GP consortium must have an ‘accountable officer’ to take financial control of budgets from its PCT.
As PCTs and SHAs are abolished, a new NHS Commissioning Board will calculate practice-level budgets, based on list size and deprivation, and allocate them directly to the consortia.
The commissioning board will hold each consortium to account for ‘stewardship of NHS resources’ and outcomes of its population. In turn, each consortium will hold its constituent practices to account against these same objectives.
Unlike fundholding, GPs will not be able to profit from savings the consortium makes, nor will they be liable for financial losses.
The consortium will instead receive a ‘management fee’ to pay GPs for their time (or to pay third parties for support) with a ‘premium’ available for those achieving high quality outcomes or financial performance.
GP contracts and services will be commissioned directly by the NHS Commissioning Board, another big job for it alongside all the other commissioning GPs will not take part in, like pharmacy and dentistry.
GPs will still be monitored by the CQC, and despite Mr Lansley’s pledge to scrap many NHS quangos, his White Paper seems to have created new ones and made the largest ones even larger.
The CQC will be ‘strengthened’ as a quality inspectorate, while incorporating Healthwatch England, a new body that will respond to patient and public complaints. Monitor will take over the regulation of all providers, including GP practices, as well as being the ‘economic regulator’, setting prices for the NHS services commissioners will buy.
What this means for you?
Please follow the link for further information.

Changes made in 2012/13:
After discussion at clinical meetings and training events we decided to utilise our clinical staff’s knowledge and expertise with new services.

Holiday Vaccinations are a big hit with us also having the added bonus of being a Yellow Fever Centre.  We also offer Anti-malarial prescriptions which some other surgeries don’t.

As part of our on going health promotion programme any patients found with raised BP is referred for ambulatory bp readings (24hr bp recording).  We have a device in the surgery which is used one a daily basis and will help us to confirm a Hypertensive diagnosis.

Sue and Jane are both Nurse prescribers – specialising in COPD & Diabetes.  Both nurses now initiate Insulin as part of our Diabetic Care – this service is also not available at every surgery with some patients having to be referred onto secondary care.

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