Self Care Medicines.
The Medicine Optimisation Team of the Cambridgeshire CCG has instructed us to stop prescribing treatments that are available over the counter, inexpensive and used intermittently. This includes hay fever medication which we are therefore no longer routinely issuing and instead asking patients if they are able to purchase themselves.
The main reason for this rationing is the very challenged financial position of the Cambridgeshire health economy which if not addressed will result in cuts to important services which will affect us all but we must also remember that there are advantages to buying these medications as it promotes self care, independence and reduced reliance on the surgery.
At The Spinney we understand that such changes are not popular but all of us must do what we can to protect our fragile health economy and we will prescribe for those patients unable or unwilling to support our local NHS in this way.
We can now utilise the new Systm1 Online prescription ordering facilities as well as online appointment bookings and cancellations. To enable you to utilise these services you need to register by completing a form and attending the surgery with identification to enable us to provide you with the password you will require.
Click here for registration form to use services
All doctor surgeries are by appointment and available by contacting 01480 495347
In addition to the doctors surgeries our practice nursing team provide a range of services in our specially equipped treatment rooms. The services range from general treatments often following on from treatment received from or diagnosed by a doctor such as wound dressings, treatment of cuts, removal of stitches etc., to the delivery of treatment via a number of specialised clinics that are held at specific times.
All nurse surgery treatments are by appointment, and available by contacting 01480 495347
Patients requesting a same day appointment with a GP will first have their problem assessed by our triage nurses. They will first assess the urgency of your problem and then offer you a suitable appointment with a GP or other healthcare professional if more appropriate. In some cases they may offer advice alone.
On Monday, Tuesday, Wednesday and Thursday mornings we now offer routine pre-booked appointments from 07:10, please make sure you book with your usual doctor as we have a rota in place. On Tuesday evenings we offer routine pre-booked appointments from 18:30 to 19:45. Again please make sure you are happy to see the doctor working that evening.
If you cannot attend an appointment for any reason please inform us as soon as possible in order for us to give the slot to someone else.
Doctors and nurses' appointments are for 10 minutes. Sometimes you will need longer, for instance if you wish to discuss several problems. Please ask the receptionist if you are unsure.
The doctor does always try to keep to time, but can sometimes need more than 10 minutes with more complex cases. Please be patient if you are kept waiting as one day it may be you who needs the extra time.
Ask for a nurse appointment for the treatment of minor injuries, dressings, travel and other immunisations, ear syringing etc
Health care assistants (HCAs) undertake the following tasks: blood tests, ECG, hearing tests, urinalysis, routine recording of blood pressure, new patient health checks.
If you are unsure about the kind of appointment you need please check with the receptionist.
If you are late for your appointment , it is possible that you will need to make another appointment. Putting late patients ahead of those already waiting inconveniences those patients. To protect and maintain the quality of care we provide to all our patients, practice policy is to write to patients who abuse our services by persistently failing to attend appointments they have booked.
We do not operate strict personal lists however patients have a “usual doctor”. We encourage patients to see their usual doctor as far as possible. This may not always be possible for urgent problems as not all the doctors work every day.
If you or your child are very ill and need to see a doctor very quickly, please tell the receptionist.
Our Surgery is accessible to patients using a wheelchair. We also have a parking space outside the Surgery which is reserved for patients displaying a disabled sticker.
For patients with hearing problems, we can arrange special facilities. Please notify reception.
We can arrange interpretation and translation services in person or by phone for patients who do not speak English. Please let us know if you need this service when booking an appointment.
Your usual doctor welcomes the opportunity to discuss your care with you on the telephone. Please call and leave a contact number and a message and this will be passed on. We have a limit of phone calls in the morning and afternoon for each doctor.
If possible please try to telephone reception before 10:00 if you require a home visit. These are usually made between 12:00 - 16:00 however we can offer no guarantee which doctor will make the visit.
You should only request a home visit if you are housebound or are too ill to visit the practice. Your GP will visit you at home if they think that your medical condition requires it and will also decide how urgently a visit is needed.
You can be visited at home by a community nurse if you are referred by your GP. You should also be visited at home by a health visitor if you have recently had a baby or if you are newly registered with a GP and have a child under five years.
You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.
If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).
It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.
You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.
The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.
For more information see the DirectGov website (where this information was sourced)
From 1996 it has been a requirement that all doctors newly entering, and some doctors returning to General Practice, be vocationally trained. Patients, the practice team, GP Registrars and House Officers all benefit from this process.
The Spinney Surgery is registered as a Teaching Practice and as such is committed to and is responsible for helping GP Registrars, Medical Students, Nurses and other Health Workers with their training and development.
As part of the Spinney Team's commitment to teaching, the Practice must achieve and maintain certain levels of standards that are subject to regular external examination and inspection.
These examinations and inspections are carried out by doctors who specialise in medical education, thus maintaining maximum patient confidentiality.
The practice was recently re-approved for five years.
The Spinney has been training registrars since 1978 and currently Janie Anderson and Eira Trewavas take responsibility for the training but all the doctors at the Surgery enjoy a teaching role and get involved.
The Spinney is also one of the Practices linked to the Department of General Practice at Cambridge University and has taken students since the Clinical School was founded. Sean organises the teaching of medical students which has developed to form a major part of the Spinney Practice. All doctors share this educational responsibility and it has become an enjoyable and challenging part of practice life.
As a patient you may be offered an appointment with a GP Registrar or medical students who will have a senior doctor supervising them. As part of their placement GP registrars may sometimes want to video consultations for their own education, with patient consent. Our reception team will ensure that you are aware of any such arrangements, please let them know if you would prefer an alternative appointment as soon as possible, preferably when making the initial booking.
Current Registrars are Dr Amphlett and Dr. Khurrum
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