Cowes Medical Centre Your local GP Practice: a guide for Patients - Caring together

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Cowes Medical Centre Your local GP Practice: a guide for Patients - Caring together
Cowes Medical Centre               Version: 8 February 2021

Your local GP Practice: a guide for Patients

                               Caring together
Cowes Medical Centre Your local GP Practice: a guide for Patients - Caring together
Practice Guide                                                      Cowes Medical Centre

Welcome
Our mission is to provide sustainable, good quality, safe, people-centred primary care services to
patients and temporary residents in our area. To do so we tailor patient services to population
types, focus resources where they are most needed, co-ordinate with related services and charities,
listen to our patients and staff, and monitor need and performance.

We are part of the Central West Wight Health Alliance Network together with Brookside,
Carisbrooke and Dower House Practices. The network has been created to deliver better integrated
local services that bring together general practice, community services, social care and the
voluntary sector.

  Practice Area:
  Cowes, Gurnard,
  Northwood, Medham,
  Parkhurst, Thorness,
  Porchfield & Newtown

                                                            Smoking, e-cigarettes, or charging of
                                                            devices is not permitted on site.
                                                                 Only guide/assistance dogs are
                                                                  permitted inside the surgery.

                                                               If you see anything you feel could
  15,300 Patients                                              put someone at risk, please tell a
                                                                     member of the Team.

                                                  To register we need:
       Patients living in our Practice area        completed registration forms
       may register with the Practice.             current height, weight & blood pressure

                                                  To register for the full on-line services we will
       Temporary Resident                         also need:
       If you are staying within the practice      proof of your identity: drivers licence,
       area for less than 3 months, you can          passport, or bus pass
       still be treated, but as a Temporary
                                                   proof of your permanent home address: utility
       Resident.
                                                     bill, bank statement within the last 6 months
                                                   have your own email address

       Experiencing domestic or emotional abuse and too frightened or unable to
       talk to someone?
       Don’t worry; tell us by taking a Repeat Prescription Request Form from the Patient Advisers
       desk, fill in your contact details and add a green sticker    (found by the Prescription
       letterbox) and post it in the Prescription letterbox.

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Cowes Medical Centre Your local GP Practice: a guide for Patients - Caring together
Practice Guide                                                             Cowes Medical Centre

Our Team
 Dr B Parsons (f) GP Senior Partner         RWTH AACHEN. 1989 (Ger), JCPTGP, DFFP RCOG
 Dr J Boorle (m) GP Partner                 MB, BS 1991 (Utkal), MS, FRCSEd, JCPTGP
 Dr S Westmore (f) GP Partner               BMed Sci, MB ChB 2004 (Bham), MRCGP, DRCOG, DFFP
 Dr A Boorle (f) GP                         BM 2011 (Southampton), MRCGP
 Dr P Slade (m) GP                          BM, BS 2010 (Brighton), MRCGP
 Dr G Singh (m) GP                          MB BS (1991), MRCOphth (2001), MRCGP (2009)

                                General ANP Clinics & Family Planning| RNA, BSc (Hons) Clinical Nursing
 ANP Terry (f)
                                Practice, FSRH Diploma, Independent Prescriber, studying MSc ANP
                                General ANP Clinics & Paediatrics | BSc Hons Nurse Practitioner, RCN,
 ANP Parkman (f)
                                Advanced Diploma in Child Health, Independent Prescriber
                                General ANP Clinics, Cardiology & Diabetes | RGN, BSc Nursing, MSc
 ANP Ramdany (m)
                                Cardiology, Independent Prescriber
                                General ANP Clinics & Care Homes | RGN, studying MSc in Clinical Practice,
 ANP Hammond (f)
                                Independent Prescriber
 ANP: Advanced Nurse Practitioner

 Lead Nurse Roberts (f)         General Nurse Clinics & Respiratory | RGN
 Nurse Kirkby (f)               General Nurse Clinics | RGN

 Nurse Taylor (f)               General Nurse Clinics, Specialist Wound Care & Diabetes | RGN
 Nurse Royal (f)                General Nurse Clinics, Family Planning & Sexual Health | RGN, FSRH
 Nurse Curtin (f)               General Nurse Clinics & Diabetes | RGN
 HCA Gibbs (f)                  HCA Clinical Support (NHS Health Checks, B12 & Flu Jabs, ECGs & BPs)
 HCA Wicks (f)                  HCA Clinical Support (Over 75 Health Checks, B12 & Flu Jabs, ECGs & BPs)
 HCA: Health Care Assistant

 Practice Pharmacist, Andy Brandham (m)       BSc(Hons), MRPharmS, DipClinPharm, IPresc

 Ms Whittington (f)             Practice Business Manager | MSC HR, CIPD, BA (Hons) Business Studies
 Mrs Bunday (f)                 Data Management

 Mrs Woodford (f)               Complaints, Compliance & Building Maintenance
 Mr Woodward (m)                Finance & Administration

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Cowes Medical Centre Your local GP Practice: a guide for Patients - Caring together
Practice Guide                                                        Cowes Medical Centre

         With thousands of patients per GP, seeing your ‘Usual or Accountable GP’
         for all your needs is no longer possible. INSTEAD, there is a healthcare team
         to take care of you. This includes additional, and sometimes more
         specialised, support. In this way we can focus our GPs to support you when
         you have complex needs.

We ask that you are open to the idea of seeing other health professionals to support you:

Patient Advisers             help with: healthcare navigation, appointment and home visit
(previously Receptionists)   requests, sick note requests, enquiries about results and new patient
                             and on-line registrations

Medical Secretaries          help with: referrals and transportation

Prescription Clerks          help with: prescription queries

Practice Pharmacist          helps with: medication reviews and queries

Muscular Skeletal Service    helps with: diagnosing joint and muscular pain

Practice Nurses              help with: wellness monitoring, living with chronic diseases support,
                             minor injuries, family planning, immunisations, travel injections, wound
                             assessment etc

Health Care Assistants       help with: ECGs & blood pressure monitoring, B12 & flu injections,
                             health checks and initial respiratory checks

Advanced Nurse               help with: diagnosing, referring & prescribing for many day-to-day
Practitioners                ailments such as chest infections, rashes, urine infections, stomach
                             aches etc and liaison with care homes

Locum GPs                    help with: on the day GP appointments, visits and telephone
                             consultations

Named Accountable            co-ordinates your care and consults on complex needs such as end of
(Usual) GP                   life care

Providing good quality care with limited available resources means we need your support and
understanding too. You can help by managing minor illnesses yourself (think pharmacy first), by
making sure you follow treatment instructions, and cancelling any appointments you don’t
need/cannot attend in advance.

Everyone should be polite and treat you with dignity and respect. You should also be polite and
show respect to the team. Instances of violence or aggression are rare, however, a patient being
violent or aggressive may be reported to the police and ultimately removed from our list of
patients.

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Cowes Medical Centre Your local GP Practice: a guide for Patients - Caring together
Practice Guide                                                            Cowes Medical Centre

Appointments                                                     Our phones are located away from the
                                                                 front desk to ensure your call is
           Our Patient Adviser Team will need to ask             confidential.
           you a little about the nature of your enquiry
           to guide you to the best person.

           Consultations are for one person,
           approximately for 10 minutes and ideally to
           discuss one problem.

            On-going Medical               Annual or regular check-ups with our Nursing team are really
            Concerns                        important. From here we will refer you to specialist, or GP
                                            support if needed.
                                           We have limited GP advance appointments, if the GP would
                                            like you to have a follow-up appointment, the Patient
                                            Advisers will be in touch to arrange this with you.
            Sudden Illness                 Our ANPs specialise in on-the-day appointments for when
                                            you are unexpectedly not well.
                                           On busy days, you may be offered a telephone consultation
                                            with the Duty Doctor to establish the urgency of your
                                            medical need.

            Telephone/Video                If you have been offered a telephone consultation, we will
            Consultation                    call you on the telephone number you have given. Note our
                                            number will show as withheld.
                                           If you are only available on a mobile phone, please
                                            remember to have it switched on and ensure you are in a
                                            location with good reception.

            Home Visits                    Home Visits are for Patients needing end of life care,
            (Telephone before               completely housebound (uncommon), or if their clinical
            10.30am)
                                            condition would be adversely affected by attending the
                                            Practice (rare). See our Home Visiting Policy on our website.

            Chaperone                      Please ask if you would like a Chaperone present if you are
            (for intimate examinations)     having an intimate examination (a procedure involving your
                                            breast, genitalia or rectum).

Making the most of Consultations
It is important to be as frank and open as you can. You may find it helpful to prepare some notes to
bring with you to discuss during your appointment. Taking phone calls during an appointment is
wasting your GP’s time – please either decline the call or explain you will call them back.

Interpreting / Translation Support
If you need help with interpreting or translation, please let us know as you make the appointment.
You can arrange for a friend or relative to accompany you. Alternatively we offer a translation
service, but we will need at least 24-hours’ notice to book an interpreter.
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Practice Guide                                                Cowes Medical Centre

Services Available Here

NHS:                                               Non-NHS:
 Asthma                                           A fee is payable for these services. Ask
 COPD                                             our Patient Advisers for full details.
 Spirometry
                                                    Fitness to: travel, undertake certain
 Blood Pressure                                     sports, or slim
 INR (Warfarin)                                    Holiday cancellation certificate
                                                    Travel Injections
 Childhood/Young Person Immunisation                (Meningitis ACWY & Hep B)
 Six-week Baby Checks                              Sick Notes issued in the first 7 days of
 Diabetes                                           illness
                                                    Child-minder letter
   Cervical Smears                                 Medical examination: pre-employment,
   Emergency Contraception                          elderly drivers, sports, HGV or Boatman
   Family Planning                                 Letters requested by the Patient
   Hormone Replacement Therapy                      addressed ‘to whom it may concern’
                                                    Paternity test
 Flu Immunisation                                  Insurance company enquiries
   Long-term conditions support                    Private prescription, consultation, ECG
   Well Person Screening                            or visit
   Checks for the Over 75’s                       This list is not exhaustive.
   Carer’s health check

 Medication management & reviews

 MSK (joint & muscle pain)

 Minor injuries such as:
  o Head injury without nose bleed or having
     lost consciousness
  o Facial injury without any need for stitching
  o Arm or leg injuries eg sprains or grazes
  o Minor chest or stomach injuries, still able
     to move and breath normally
  o Minor burns or scalds (not on face or           Call 999 or go to A&E for:
     genital area)                                   Obvious fracture
 Suture Removal & Dressings                         Injury needing stitching
 Wound Checks & Dressings                           Eye injuries
 Leg Ulcer Checks & Dressings                       Dental or jaw injuries
                                                     Hip or ankle – unable to stand on
 Minor Surgery                                       injured leg
                                                     Neck or spinal injury
 Travel Injections                                  Poisoning or suspected poisoning
  (Hep A & Hep B, Typhoid & Tetanus)

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Practice Guide                                                          Cowes Medical Centre

Prescriptions
         Prescriptions must be requested in writing, via SystmOn-line, or a form at the front desk.
         They cannot be taken over the telephone. Prescriptions are sent electronically to your
         preferred pharmacy.

         Please do not leave your prescription requests to the last minute - allow 5 working days for
         us to process your prescription to the pharmacy. The pharmacy will normally require 2
         more working days to dispense your medication.

         Urgent prescriptions received before 10.30am will be ready between 5pm and 6pm the
         same day and sent electronically to your Pharmacy. Urgent prescriptions received after
         10.30am will be at the Pharmacy between 5pm and 6pm the next working day.

         If you are concerned about, or suffering from any side effects, please speak to your
         pharmacy, call 111, go on to our website www.cowesmedicalcentre.co.uk and use
         eConsult, or speak to a clinician or our Practice Pharmacist.

 THINK Pharmacy First
 Pharmacists are can give you expert advice on medicines and how they work.

 You can talk to them in a private consultation area about:
 skin conditions, coughs, colds, sore throat, minor cuts and bruises, constipation, hay fever and
 allergies, aches, pains, indigestion, diarrhoea, period pain and thrush, haemorrhoids (piles),
 warts and verrucas, mouth ulcer and cold sores, athletes foot, nappy rash and teething.

Sickness Certificates / Fit Notes (Med3 form)
                           You do not need a sick note for any illness / absence of less than 7 days.
                           If you're off work sick for more than seven days, your employer will usually
                           ask you to provide proof that you've been ill. They will normally ask for a
                           sick/fit note from your GP. These may also be called medical statements or
                           a doctor's note.

           If you need a sick/fit note, go on to our website www.cowesmedicalcentre.co.uk and use
           eConsult, or ask the Patient Adviser to take down some details in the first instance. They
           will pass the request on to a GP. If an appointment or more information is needed, we
           will contact you, if not, your fit note will be prepared, signed and ready for collection
           within five working days after your request.

           If you're under the care of a hospital, your sick/fit note should be issued by the hospital
           rather than your GP.

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Practice Guide                                                           Cowes Medical Centre

Test Results
           You will need to wait a minimum of 48 hours before calling about a test result; they are
           normally made available one week after a test. Please call after 11am for Test Results.

Referrals to Consultants
           If the Hospital refers you to a Specialist then the Hospital will arrange transport if needed.
           When you are discharged from Hospital, they should provide two weeks’ worth of
           medication, if medication is needed straightaway. Please bring in your discharge letter
           (pink slip) which details your procedure and medication.

           If a GP refers you to a Specialist, our Secretarial team will support/liaise with you on this
           process and arrange transport if appropriate.

On-line Services
           Use eConsult for medical care, questions and sick notes. Just click on the eConsult link on
           our website and we will respond within two working days.

           NHS App
           The NHS App enables people to:
            check their symptoms using the health A-Z on the NHS website
            find out what to do when they need help urgently using NHS 111 online

           As soon as this GP practice is connected to the App (which we will announce on our
           website and in the Practice), you can register and verify your identity so you can:
            book and manage appointments at their GP practice
            order their repeat prescriptions
            securely view their GP medical record
            register as an organ donor
            choose whether the NHS uses your data for research and planning

           We encourage patients to sign-up for our on-line services to be able to: book
           appointments, see your health record or order repeat prescriptions.

           Simply ask for an on-line registration appointment to obtain log in details. You will need
           to have your own email address and to bring two forms of ID: photo ID (passport, drivers
           licence or bus pass) and proof of where you live (utility bill, Council Tax bill, bank
           statement etc within the last 6 months).

Your Contact Details
           If you move home, change your mobile or home phone, or your name, please let us know
           as soon as possible in order that we can keep our records up to date.

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Practice Guide                                                        Cowes Medical Centre

Working Together
Feedback on our services is important. Feedback is given across a number of methods: Friends and
Family Test (in the waiting area or on our website), Healthwatch Isle of Wight, MORI GP Patient
Surveys plus our own surveys and our patient participation groups. We use this feedback to shape
our planning, our processes and our communication.

Suggestions, Concerns or Complaints

           Your suggestions and concerns are important to us. These can be posted or call us. If you
           have been happy with the consultation or service you received, please tell us.

           If you have a formal complaint, please follow the procedure in our Complaints Leaflet
           available from Patient Advisers. The Complaints Manager and Lead GP for Complaints will
           respond to your concerns, investigate the circumstances and help the Practice to learn
           from these experiences.

           Call and ask for the Complaints Manager or send your complaint to:
           Complaints Manager, Cowes Medical Centre, 200 Newport Road, Cowes, Isle of Wight,
           PO31 7ER

Patient Participation Group (PPG)
        Formed in 2012, the PPG is a group of our registered patients who volunteer to meet with
        the Practice to discuss services and support on key patient initiatives. The PPG:
              are involved in patient surveys
              partner with the Practice on developing services
              help promote health knowledge and events to the local community

The PPG is tasked with representing the six patient group types:
 Families & 0 -18 years         poor mental health         long term conditions
 Working people                 the vulnerable             older people

The Practice also funds membership for the PPG of the National Association for Patient
Participation, which shares good practice and connects groups.

Interested in becoming a member, or simply happy to respond to the occasional survey sent to you
via e-mail? Please visit our website or fill out a form in the Practice.

                     Friends of Cowes Medical Centre: is a Registered Charity, founded in 1995.
                     They are dedicated to raising funds for medical equipment and patient
                     amenities for the surgery.

                     Information about the Friends and their great contribution, is online and in the
                     Practice.

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Practice Guide                                                          Cowes Medical Centre

Patient Privacy and Data Protection
          We will ask you for information to enable us to give you the best health care and
          treatment. We then keep this information, together with details of your care, because it
          may be needed when we see you again. Some of this we will need to share with others
          concerned with your care. Everyone working for the NHS has a legal duty to keep
         information about you confidential; anyone who receives information from us is also under
         a legal duty to keep it confidential.

         Information is kept in compliance with Regulation (EU) 2016/679 (the “General Data
         Protection Regulation” or “GDPR”) and the Privacy and Electronic Communications (EC
         Directive) Regulations 2003 and any guidance or codes of practice issued by the European
         Data Protection Board or the UK’s Information Commissioner from time to time (all as
         amended, updated or re-enacted from time to time).

         You have the right of access to your health record and to obtain copies of your health
         record. If you would like to access your patient record, please download the form from our
         website (Patient Medical Records), and ask a Patient Adviser to book an on-line services
         registration appointment.

         If you would like to know more about how we use your patient information or your rights
         about opting out, please refer to our Patient Privacy Notice on our website:
         www.cowesmedical.co.uk, email: iwccg.cowesmcdpo@nhs.net or ask a Patient Adviser.

              Primary Care (GP) Services on the Island
 Primary Care (GP) services are commissioned /
 contracted each year. The different contracts are run
 by NHS England (South East Regional Team), the IW
 Clinical Commissioning Group and the IW County
 Council.

 Priorities are set to meet national and local needs. Co-
 ordination with GP practices is organised into localities:
 Cowes is in the West & Central Locality.

 Isle of Wight Clinical Commissioning Group   NHS England                Isle of Wight County Council
 Building A, The APEX                         South East Regional Team   Customer Service Centre
 St. Cross Business Park                      Oakley Road                County Hall, High Street
 Newport, Isle of Wight                       Southampton                Newport, Isle of Wight
 PO30 5XW                                     SO16 4GX                   PO30 1UD

 Tel: IOW 552 064                             Tel: 023 80296914          Tel: IOW 821 000
 www.Isleofwightccg.nhs.uk                    www.nhs.uk/services        www.iwight.com

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Practice Guide                                                 Cowes Medical Centre

Surgery Opening Times
200 Newport Road, Cowes, IOW, PO31 7ER
                                                                   Related Services
Monday                     08:00 - 18:00                       (Not run by the Practice)
Emergencies:               18.00 - 18.30
Extended Hours:            18.30 – 20.00 (pre-booked)
Tuesday                    08:00 - 18:00                       Care Navigator
Emergencies:               18.00 - 18.30                       (Support to Patients Aged 50+)
                                                               IOW 525 282
Wednesday                  08:00 - 18:00
Emergencies:               18.00 - 18.30                       Optio – Volunteer Car Service
Extended Hours:            18.30 – 20.00 (pre-booked)          IOW 524 058
Thursday                   08:00 - 18:00
Emergencies:               18.00 - 18.30                       Community Nurses
Friday                     08:00 - 18:00                       IOW 534 323
Emergencies:               18.00 - 18.30
                                                               Health Visitors
Weekend                    Closed                              IOW 293 511
                           Evening & weekend pre-booked
                           appointments are available at       St Mary’s Hospital Podiatry
Extended Access                                                (If referred for treatment)
                           other Practices – ask a Patient
                           Adviser to book these               IOW 290 585

                                                               Physiotherapy
                                                               (If referred for treatment)
       To make an appointment:                                 01329 245 224
               call IOW 294 902 - 8.00 to 5.00pm, Mon-Fri
               go on-line for routine nurse appointments      Day Lewis Pharmacy
                (if you are registered for on-line services)   Cowes
                                                               IOW 293 011
       For general enquiries:
               visit www.cowesmedicalcentre.co.uk             Boots Pharmacy
               call IOW 295 251 - 8.00 to 5.00pm, Mon-Fri     Cowes
                                                               IOW 294 467
        Practice Website:
               visit www.cowesmedicalcentre.co.uk             Lloyds Sainsburys Pharmacy
               eConsult                                       Newport
               Practice information                           IOW 533 198
               download forms
               links to services & support

Urgent Care Service at the Beacon Health Centre,
                                                                 Emergency dial 999
St Mary’s Hospital - a health professional can refer you to
                                                                Medical Advice dial 111
this service (GP, nurse, paramedic, dentist, pharmacist,
optician or 111 Service)

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Practice Guide                                                         Cowes Medical Centre

                           Who do you go to for help?
 Common ailments including: cough, cold,             Housebound Patients including: most
 vomiting, eye infections, teething, migraine,       blood samples, wound dressing, ear syringing,
 hayfever, insect bites & stings, ear ache, fever,   Dopplers
 athlete’s foot, urinary infections (women only)     Contact: District Nurse Team tel 534 323
 Contact your pharmacy first for advice              (part of the Hospital Trust)

 Less complex medical needs including:               Administration & process including:
 urine infection, rash, in-growing toe nail,         results, sick notes, referral status updates,
 stomach aches & pains, fainting, throat             blood forms, copy records, letters, new
 infections, chest infections etc                    patient registration
 See an Advanced Nurse Practitioner                  Speak to our Patient Advisors first

 Children: who are unwell                            Mouth, gum or dental problems
 See our paediatric specialist Advanced Nurse        including: referrals and pain relief
 Practitioner                                        Contact your dentist first, then NHS 111

 Health & long term conditions                       On discharge from the Hospital make
 monitoring including: blood pressure, height,       sure you have been given your results, urgent
 weight, asthma, diabetes, smears, birth control     prescriptions, sick note etc before your leave.
 etc                                                 Contact St Mary’s on 524 081
 See a Practice Nurse (or Health Care Assistant
 for some of these)

 Wounds & ear syringing including: suture            Practical support including: mobility
 removal, dressings, leg ulcer clinics, ear          concerns, respite care for the carer or patient
 syringing                                           Contact Adult Social Care tel: 814 980 or
 See a Practice Nurse or a Health Care Assistant     Age UK Care Navigator tel: 525 282
 in our Treatment Room

 Immunisations & travel injections                   Mental health including: assessments, low
 See a Practice Nurse or Health Care Assistant       mood, anxiety, bereavement
 Speak to our Patient Advisers who will direct       See a Locum or GP, or on-line advice at
 you to the appropriate person.                      bigwhitewall.com (16 to 24 year olds)

 Medication changes and reviews                      Prescription requests: must be in writing
 Speak to our Prescription Clerks who will help,     or on-line via your patient record
 or can direct you to the appropriate person if      Ask a Patient Adviser about registering for
 needed                                              on-line services

                            www.cowesmedicalcentre.co.uk

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