friends of stennack surgery (foss)€¦ · agm on monday 25th february 2013. linda petzing did not...

kevdnak

WINTER 2012/3

ISSUE 3

www.thestennacksurgery.co.uk 01736 793333 email: [email protected]

Participation

Stennack Surgery Patient Participation Group Newsletter

Patients and Practice stronger together

Ladies and Gent of The Table celebrating another record breaking fundraising year with FOSS

President Mayor Ron Tulley. In the last financial year, The Table raised a phenomenal £13,199!

months

Friends of Stennack Surgery (FOSS)

On December 3rd Friends of the Stennack Surgery hosted their annual Christmas dinner at the

Western Hotel. They were joined by Mayor of St Ives, Councillor Ron Tulley, Dr Rupert Manley and

Chris Gendall, Strategic Business Manager at the surgery.

FOSS Chairman, Terry Murray, welcomed

members and reflected on the years good work.

He particularly thanked the ladies and

gentlemen of the sales table, for their

tremendous effort which had resulted in raising

over £13,000, another record year. This money,

like all the money collected and donated, would

be used for the benefit of patients.

He thanked the Doctors and surgery staff for their

continued co-operation and finally, the

people who use the surgery for their support and

donations which enabled FOSS to purchase

much needed medical equipment for the doctors

and nurses to use in the treatment of patients.

Terry also paid a special tribute to Len Etheridge,

the retiring chairman, for all the work carried out

for FOSS over the past 3 years.

Dr Rupert Manley thanked FOSS members on

behalf of the Doctors and staff at the surgery for

their continued fund raising work in support of the

surgery and recorded how much this is

appreciated by all concerned at the Stennack.

With speeches completed we all went on to enjoy

a cracking pre-Christmas dinner.

Winter 2012/3 STENNACK SURGERY PATIENT PARTICIPATION GROUP NEWSLETTER Issue 3

Rev Andrew Gough, Helen Mason, Peter Luing

with Chair Terry Murray

FOSS Christmas Concert

FOSS, THE Friends of Stennack Surgery,

held their annual Christmas Concert on

Wednesday 12th December. Doctors and

Staff provided excellent entertainment

thoroughly enjoyed by everyone present.

‘KRUners’ conducted by Peter Luing sang

various items including items with words and

music by peter including Christmas in

Zagreb and Down in Yon Forest.Carol

singing was accompanied by Helen Mason

on the Keyboard.

All Proceeds from the event will go towards

FOSS funds, which will be used to support

and provide equipment for the surgery.

The evening was compered by the Rev Andrew Gough and concluded with the Christmas Raffle Draw

and light refreshments in the conference room.Thank you to all who attended and helped make the

evening such a success. Len Etheridge ( FOSS Committee )

!

FOSS has raised over £200,000 since formation in 1991, and has purchased equipment to the value

of £150,262 since that time. Sales and donations for the year ending September 2012 amounted to

£23,447. The objective of FOSS has always been to relieve the patients of the Stennack Surgery by

providing or assisting in the provision of equipment.

The inaugural meeting of FOSS took place on

Monday 8th July 1991 at the Mayor’s parlour.

Following discussions with Dr Ashley Royston it

was agreed that in the first instance the Friends

would raise funds to purchase equipment needed

for an operating theatre for minor operations

within the surgery.

Fundraising since that time includes Christmas

concerts, raffles, individual donations, and

principally resale of goods donated by local

residents and holiday makers who have had

cause to use the surgery during their stay. The

table staffed by volunteers each week day

morning is a familiar sight to patients attending

the surgery for their appointments.

This year, in pursuance of this objective and to

allow the Ultrasound Service at Stennack

Surgery to develop, FOSS purchased a height

adjustable couch to help patients comfortably lie

down to be examined replacing the existing

wooden static couch. Blackout blinds,

examination chair and specialist waste bin have

also been purchased. The Ultrasound service

provides shorter waiting times, and saves

considerable travelling for patients, who would

otherwise have to attend hospital at Treliske.

A permanent list of items purchased is always on

display in the surgery for those interested in the

equipment provided. Mayor projects are at

present being discussed and are to be

considered following the Annual General Meeting

in November. Further information on FOSS can

be found on the Surgery website.

Registered Charity No 1013747


Referral Management Service Update

Linda spoke to Peter Stokes, the RMS General Manager, about the concerns raised by Stennack PPG

members on the apparent unavailability of female sonographers through RMS and why the Service is

not apparently promoting all services at WCH for clinics available there.

Peter explained the role of the RMS and said it was about offering patients choice (where choice was

available), making sure clinical pathways for patients were effective so that patients arrived seeing a

consultant having had the right tests, and giving feedback to contract managers so services could be

better designed. Peter welcomed all feedback from patients, and valued an ongoing open dialogue to

help develop more patient-centred services in the future. He was very keen to maintain contact, listen

and respond.

The RMS are aware of the specific issues with

ultrasound and in other health specialties which

affect dignity, and limit choice for some patients

in Cornwall and the Islands. At present, there are

some restrictions in booking ultrasound

appointments as different providers offer slightly

different methods of booking. For example, the

RMS has no control or influence on who a patient

is seen by.

Under changes in the future delivery of

healthcare, the new CCG is commissioning

services using something called “Any Qualified

Provider” (AQPs). This means that a set standard

of service has to be delivered by all providers

which should make them more responsive and

accountable to patient needs and outcomes. The

RMS is starting to work with providers to look at

how to capture the patient’s journey from referral

to completion of treatment along the whole

pathway.

Peter was surprised to learn that patients are not

offered appointments at WCH when there are

available clinics.

The staff at the RMS are trained not just to offer

the first available appointment, but also to ensure

that where appointments are available closer to

home, they are also offered. Unfortunately,

services are not always available locally and if

they are, sometimes, patients don’t always meet

the hospital’s risk profile for treatment. For

example, if you are referred for a neurosurgery

appointment the nearest you can be seen is

Derriford.

The RMS handles about 2500 calls per week and

Peter was proud that staff managed to get most

patients’ their appointment of choice. However,

when things do go wrong he wants to hear about

it and as all calls are recorded it is easy to

investigate any issues. So, if choice isn’t offered

ask for an explanation of why it’s not offered and

if you are still not happy, note the day, time and

operator’s name and pass the details onto me.

Peter has promised to investigate and listen to

any call we query. He is also going to come and

chat to us about how it works in practice after our

AGM on Monday 25th February 2013.

Linda Petzing

Did Not Attend Update

The PPG has been working with the surgery to

help reduce the number of appointments missed

by patients. Two new letters templates produced

by the surgery have been agreed with the Group.

These will be sent to patients who miss three or

more appointments within six months, subject to

the individual’s health and circumstances.

Over 95% patients keep their appointments,

although the surgery could offer up to 30-40 extra

GP appointments per week and around 4 hours of

nursing time if unwanted appointments are

cancelled.


Using the surgery more effectively

In our last newsletter, we promised to follow up on our feature “A Day in the Life of a GP” with Dr Sam

Freegard. Linda, the PPG Chair asked Dr Freegard...

What can we do as patients to use services more effectively? I’m thinking about the Same Day Service for example.

Dr Freegard continues... in terms of helping the whole system, using the Same Day Service for an acute problem that does not require continuity of care is certainly a help.

Accepting that insisting on seeing a doctor for all medical problems is not reasonable or possible - many issues can be very well dealt with by experienced nurses - especially ongoing illness management (diabetes/coronary heart disease/asthma/COPD etc) and other services (e.g bloods/ECG) do not require a nurse but a Health Care Assistant (HCA). All the GPs have trained the reception team to ask specific questions to ensure patients are offered the appropriate care with the right person. We have to use a 'skill mix' to deliver different aspects of care appropriately. Of course this means that continuity with always seeing the same person may be diminished.

The demands on services we provide and recognising how much more can be- and is being- done these days at the surgery compared with 10-20yrs ago, when there was a much greater dependence on going to secondary care (hospital) for diabetic checks/warfarin monitoring/echo tests etc. Demands have increased markedly with the noticeable ageing of our practice population too, and with it, complex morbidities/medical problems - all meaning less available doctor time. Phone contacts (patient to GP) were almost non-existent when I started 25yrs ago. Now I may have 10-12 a day in addition to booked surgeries - these often take 5-10mins and then may generate additional work - e.g. referral. Of course it is often more efficient and convenient for both patient & GP than making an appointment. Pointing out that it is not always possible to phone back same day - I think we can do more to guide patients about when they might expect a call back - timetable this activity in better.

From Dr Freegard’s. comments, Linda also concluded:.

You can help yourself and the surgery by booking any follow up appointments with the GP

dealing with an episode of care before you leave the surgery. Please don’t leave it until the day

before.

Use the Same Day Service when offered-it is fully supported by a duty doctor.

Cancel any unwanted appointments.

Attend chronic disease health reviews and screening clinics when invited.

Try to order repeat medication a week before you run out.

There is also the Choose Well campaign (page 5) which supports self care and helps patients navigate

around the NHS to find the right level of care.

Speak to a pharmacist for advice and keep a well stocked medicine cupboard. Your local pharmacist

can help with many minor ailments. They can give advice or, where appropriate, medicines that can

help to clear up the problem. Instead of booking an appointment with your GP, you can see your local

pharmacist any time: just walk in.


NHS Winter Choose Well Campaign 2012-13

Key Facts and Messages

Key Facts

51.4m GP consultations are for minor ailments alone, which would clear up by themselves, or

with a little help from an over-the-counter remedy; this is 18 per cent of the GP workload

Nearly half of these consultations are generated by people aged 16 – 59 years

Up to 40,000 GP visits per year are for dandruff; 20,000 go to their local surgery for travel-

sickness and 5.2 million with blocked noses

Two million people who go to A&E could either self-care or have been treated elsewhere in the

community

12 percent of people admit to having used A&E in the past even when they knew there was

nothing seriously wrong with them

The estimated cost of treating people who go to A&E but who could have either self-treated or

gone elsewhere, is £136 million a year

This is the equivalent cost of 6,500 nurses

Key Campaign Messages

1. Got a cough or cold? Flu? Upset stomach? Feeling miserable? Save yourself time and

money – visit your local pharmacy for help and advice or look on line www.nhs.uk

2. A fall in temperature means a rise in heart-attacks, strokes and breathing problems. You can help by keeping NHS services free to treat emergency cases such as these. For advice on common complaints such as upset stomachs, colds and flu and general aches and pains talk to your pharmacist or look on line – www.nhs.uk

3. Self-care is the best option if you have a common complaint such as a cough, cold, upset stomach, aches, sprains and strains. Your high street pharmacy can give you expert advice without an appointment

4. For the majority of people, common complaints such as an upset stomach, sprains, strains and aches, cough or sore throat will start to clear up without the need for treatment or a GP appointment within a few days.

5. Information and advice on how to self-care for common complaints is available on-line, including how long symptoms will last. If you prefer a face-to-face chat with someone, your high street pharmacist can help

6. If symptoms won’t go away, contact your GP for further advice – make sure you tell them what self-help steps you have already taken.

7. If you are living with an underlying health condition such as diabetes, heart disease, lung disease; if you are a carer of someone with health problems such as these; or looking after someone recovering after a stay in hospital; there is a free on-line resource that you can use to organise care and support amongst friends, family members and neighbours – go to www.rallyroundme.com

http://www.nhs.uk/

http://www.nhs.uk/

http://www.rallyroundme.com/


48 Hours in the Life of a Prescription

Did you know the surgery generates over 500 prescriptions

every day?

Most requests are received by the Reception team in the following way –

From the patient

Placed in the Post Box in the surgery

Phoned through after 11am

Message left on our dedicated prescription line answerphone (792177)

Emailed via the surgery website

By Other Health Care Professionals

Community Nurses, Stop Smoking Advisors, Health Visitors, Midwife, Podiatry, Care Homes, CMHT & GPs

By local pharmacies

Managed Repeats – patient agrees for the pharmacy to reorder when due

Dossett Boxes/Blister packs

Care Home Monthly orders

By Hospitals

Via Discharge letters

Direct by email

The request is then checked against the patient’s medication record –

Is the medication on “repeat”?

Is the patient due a review?

The prescription, which may contain multiple medications, is then printed ready for signing by a

Doctor either during the day, if time, or that evening. There are also additional procedures for

any controlled drugs issued under a prescription.

If there are any queries the prescription must be passed to the registered GP or the “Buddy” for

authorisation. (The doctors will deal with these after clinics have finished for the day).

The next day, the paper prescriptions are then ready to be filed for collection from the surgery,

or ready to be collected by the local pharmacies (chosen by the patient).

I hope you can see why this process can take up to 48 hours and that after this the pharmacy

still has to put the medication order together. So please allow extra time for collecting your

medication directly from a pharmacy.

We do appreciate that from time to time if you have forgotten to re-order medication in good

time, then your request becomes more urgent. In these circumstances we will endeavour to

generate a script and get it authorised and signed by the end of the day, but as you can see

from the above, your request is one of over 500 being processed that day.

Further information about the services available from your local pharmacies is printed on page 7

and can be also found as a separate flyer in the surgery.


Boots Ltd Stennack 01736 795047

Mon – Thurs 8.45am-1.30, 2pm-7pm. Fri 08.30am – 1.30pm, 2pm-6.15pm

Boots Ltd High Street St Ives 01736 795072

Mon – Sat 9am-5.30pm, Sunday 10.30am-4.30pm

Leddras Fore St, St Ives 01736 795432

Mon-Sat 9am-5.30pm

Boots Ltd, Foundry Hayle 01736 753072

Mon – Fri 8.30am-6pm, Sat 9am-5.30pm

Boots Ltd Copperhouse Hayle 01736 752189 Mon – Sat 9am-5.30pm

Boots Ltd, Hayle Retail Park 01736 759389 Mon – Sat 7.30am - Midnight, Sun 10.30am -4.30

Local Pharmacy

Services Available

Boots Ltd Stennack

BootsLtd St Ives

Leddra’s St Ives

Boots Ltd Foundry Hayle

Boots Ltd Copperhouse Hayle

Boots Ltd Hayle Retail Park

Free Managed Repeat Prescription

Repeat Medication Telephone requests

Weekly Blister Packs

Prescription Delivery Service - Housebound Patients only

Prescription Delivery Service -ALL Customers with other non script items Tues-Frid

Free advice from a pharmacist for treating minor ailments

Annual medication check up

Free advice from a pharmacist on prescribed and over-the- counter medication

Return of unused medication for safe disposal

Details and opening times correct at time of publication (Jan 2013)

Many pharmacies are closed on bank holidays and operate rotas with reduced opening hours over the weekend and bank holidays. Most also offer extended opening hours in the summer.

Please contact individual pharmacies for further information

Local Pharmacy information and contact details


Doctors at the Stennack Surgery GP Partners

Frank Davey MBChB MRCGP DCH DRCOG

Frank studied in Birmingham then worked at Penzance and Treliske Hospitals amongst others including Greenland and Bangladesh. He enjoyed working in St Ives since his training in 2000 and then joined as a partner in 2009. Frank is the lead GP for the Edward Hain Community Hospital and for mental health. Frank says that he loves working in St Ives and looks for every opportunity for a sea swim at lunchtimes!

Simon P Freegard MBBS MSc MRCP FRCGP

St Bartholomew’s Hospital, London – 1978. Sam has worked in Practice in St Ives since 1987, having moved to Cornwall in 1982. He has a special interest in adult cardiovascular medicine and runs a community-based heart scanning (‘echo’) service on the day he is not in the practice. He is married with two children.

Rupert Manley BSc, MB ChB, DGM, DRCOG, MRCGP Rupert studied at Bristol Medical School then settled in Cornwall in 1989. He trained as a GP at Stennack Surgery before joining as a partner in 1994. His special interests include neurology, substance misuse issues and lifestyle approaches to health and wellbeing. He is married with 3 children.

Rupert Morrall MBBS, BSc, MRCGP, Dip Paeds, Dip O&G, DFFP, PGCert Med Ed St Mary’s Hospital Medical School, London. Rupert has had hospital jobs in Devon, Cornwall and New Zealand. He became a Partner at the Stennack in 2007. His particular areas of interest include working with the Peninsula Medical School, the Foundation Programme, dermatology and the development of primary care in the St Ives area. He is married with two children.

Anna Morris MBBS MRCGP DCH DRCOG

Guy's Hospital Medical School – 1991. Anna has been at the Stennack since 1999 and became a partner in 2012.Anna enjoys all aspects of general practice. She looks after the residents at Cornwallis Nursing Home. Anna is married with 2 children.

Colin Philip MB, ChB, MRCGP, DRCOG University of Bristol – 1978. Colin has been a GP in St Ives since 1983 and is the Senior Partner. He is also the Chair of the new Kernow Clinical Commissioning Group.

Daniel J Rainbow MBBS BSc DFFP DRCOG MRCGP St Mary’s Hospital Medical School, London – 1996 Having been brought up near Constantine, Dan moved to the St Ives area in 2000 and joined the Practice as a partner in 2002. Whilst his clinical interests include diabetes care and end of life care, he is a strong advocate of GPs being able to offer 'cradle to grave' generalist care. Dan is also one of two GP Trainers within the practice and is also involved in the Penwith locality commissioning group. Dan is married with four children.

Michele Sharkey MBChB, MRCGP

Michele qualified in Glasgow and started her working career there in hospital medicine then general practice. She moved to Cornwall shortly after and has been a partner in St Ives for 20 years. She has tried to remain a generalist and to retain the best of the old while embracing the new. Michele looks after the residents of Cornwallis Nursing Home.

Sarah Shaw MBBS BA (hons) MRCGP DRCOG DCH DFFP

Sarah trained at Oxford University and Charing Cross and Westminster Medical School. After working in hospital jobs at home and abroad she entered the Cornwall GP training scheme, joining the Stennack Surgery as a trainee in 2003 and as a partner in 2006. Her interests include women's health, sexual health and young people, integrated medicine and education. She is a GP trainer. When not at the Stennack you can find her working at Brook Advisory Service, enjoying the outdoors or playing music.

William Webb MBBS, MRCGP, BSc, DRCOG University College London Medical School

Will was brought up in Somerset, trained in London and settled in Cornwall in 1999, interrupted by 6 months working in A&E in Melbourne, Australia. Will looks after the residents of Trewartha and Headlands Nursing Homes and is the lead GP for prescribing. He lives in Porthtowan with his wife and two sons.


Salaried GPs

Nurse Practitioners

Karen Jenkin RGN, BSc (Hons) Emergency Care

Karen qualified in 1986 after which she worked in A & E. As well as being a Nurse Practitioner/Prescriber and our Nurse Manager, Karen also works as an Emergency Care Practitioner for the Ambulance Service. In any spare time Karen can be found outside with her horses and dogs.

Kate Stuart RGN, BSc, MSc

Kate qualified at St Thomas' Hospital in London in 1986. She has a wide variety of experience but specialised in Emergency Care in the Midlands for 13 years. She also spent 8 years working in Africa, providing Primary & Emergency Care. She has a special interest in training & education. After growing up in Cornwall, she finally moved home to Helston in 2007 and is delighted to have become part of the team at Stennack Surgery.

Qualification Glossary

BA (Hons) Bachelor of Art (honours)

BSc Bachelor of Science

BSc (Hons) Emergency Care Bachelor of Science (Honours) Emergency Care

DCH Diploma in Child Health

DFFP Diploma of the Faculty of Family Planning

DGM Diploma in Geriatric Medicine

Dip O&G Diploma in Obstetrics and Gynaecology

Dip Paed Diploma of Paediatrics

DRCOG Diploma of (The) Royal College of Obstetricians and Gynaecologists

FRCGP Fellow of (The) Royal College of General Practitioners

MBChB or MBBS Bachelor of Medicine /Bachelor of Surgery

MRCGP Member of (The) Royal College of General Practitioners

MRCP Member of (The) Royal Colleges of Physicians

MSc Master of Science

PG Cert Med Ed Postgraduate certificate in medical education

RGN Registered General Nurse

Aida Lopez

Aida studied medicine in Madrid and then came to the UK in 1996. She’s been working at the Stennack surgery since 2004. Aida says she has two beautiful children!

Mark Russell

Mark Russell has been a GP since 1991 first in Sheffield and then in Penzance. He has worked at the Stennack surgery since 2007. He is married with 2 children.


Meet the PPG Day - 14th December 2012

Members of the PPG spent an interesting day in

the waiting room recently offering seasonal

refreshments and talking to patients about the

group and their surgery experience.

Dr Colin Philip, Stennack Surgery Senior

Partner and Chair of Kernow Clinical

Commissioning Group spent an hour with

members listening to patient feedback. He was

joined by PPG Surgery Lead Fiona

Vinnicombe and Strategic Business Manager

Chris Gendall.

Linda Petzing, Chair of the PPG, found the

event very rewarding. “ I would like to thank all

the patients and staff involved. Dr Philip’s ongoing

support to the Group, through his presence today

was especially valuable, acknowledging the many

demands of his work with KCCG and the day job.

We will summarise the feedback and responses

from the surgery in the next newsletter.”

Community Transport Scheme

Volunteer Cornwall and Cornwall Council have produced a new online directory of Community

Transport schemes in Cornwall.

The Scheme is available for those who:

need transport to hospital as a patient or a visitor,

need to arrange transport for a community group or organisation you work with

need mobility equipment around local town centres

need help with transport whilst unemployed or to get to work

are seeking volunteering opportunities in Community Transport

are seeking groups running day trips and excursions

Community Transport provides a vital link in Cornwall’s Transport Network by reducing rural isolation

and increasing the well-being of the volunteers and passengers alike. Anyone who is unable to use

conventional public or private transport for whatever reason can benefit from the wide range of schemes

across the County

http://www.cornwallcommunitytransport.org.uk/

http://www.cornwallcommunitytransport.org.uk/


Carer emergency card scheme

Would you like a safety net to support you in your

caring role?

Do you worry about what would happen to the person you

care for if you were prevented from getting home because of an unforeseen emergency?

Do you avoid going to places because of fear that something may happen to you and the

person you care for would suffer?

If an unplanned incident should happen who would know your contingency plan?

The carer emergency card scheme is designed to provide you with peace of mind that your contingency

plans be accessible to all should any unplanned emergency occur to you.

What do I need to do?

You will need to complete an application with the person you care for.

Or you can download our https://www.cornwall.gov.uk/default.aspx?page=28225

and post your completed form to:

Carers Emergency Card Administrator

Tremorvah Industries

Threemilestone Industrial Estate

Threemilestone

Truro TR4 9LD

Your emergency plan will be supported by Cornwall Lifeline who will make sure the plan is put into place

when it is needed. You will be issued with two wallet sized cards with a unique ID number and the

emergency plan telephone number. When this unique ID number is quoted to lifeline they will call up

your plan and contact people you have requested in the case of an emergency.

For more information and to request the emergency plan application form please contact the

Emergency Card Administrator on 01872 324 369 or by email at [email protected].

https://www.cornwall.gov.uk/default.aspx?page=28225

mailto:[email protected]


Breaking News....

A date for your diary.

The first AGM of The Stennack Surgery Patient Group takes place in the Surgery conference room on Monday 25th February at 7.30PM.

We are delighted to announce the guest speaker for the evening will be Mr Peter Stokes, General Manager of The Referral Management Service (RMS). Peter will also will also be available to take questions from the floor.

To help with logistics and catering arrangements, it will be helpful if patients can confirm attendance through the contact details below. Please see page 3 for further details of the RMS.

Thank you

Linda Petzing SSPPG Interim Chair

We would welcome feedback on this Newsletter from patients, practice staff and clinicians.

What would you like to see in future editions?

Please send your ideas and articles for consideration to [email protected]

Feedback on the newsletter or on patient related matter may also be left in the comments box

located in the PPG waiting room area or through the Surgery PPG Lead, Fiona Vinnicombe on

01736 793333.

Please visit the Stennack Surgery website for further information

www.thestennacksurgery.co.uk

Thank you for reading!

Linda Petzing Fiona Vinnicombe

PPG Interim Chair PPG Surgery Lead

Please contact the surgery if you would like a copy of this newsletter in

another format or language.

mailto:[email protected]

friends of stennack surgery (foss)€¦ · agm on monday 25th february 2013. linda petzing did not...

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