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Keyworth Medical Practice  
Information Booklet for Patients 
(last revised January 2008)

The new Keyworth Primary Care Centre opened in April 2007. The General Medical Practice is known as Keyworth Medical Practice and is located on the first floor. The remainder of the building is for NHS Community Staff.
The Keyworth Medical Practice is open from 8-30am to 1pm, and 2pm to 6-30pm Monday to Friday.
All GP services can be obtained on our main number 0115 9373527
For medical help please use our 24 hour phone number 0115 9373527
For repeat prescriptions ring 0115 9373141 2pm-4pm Mon-Fri only
Emergency number 0115 9376051 (during opening hours only if main number is busy)
For Community Staff (nurses, midwifes, health visitors etc) ring 0115 8837000 (9am-5pm Mon-Fri)

Keyworth Medical Practice, Keyworth Primary Care Centre,
Bunny Lane, Keyworth, Nottingham NG12 5JU, England.  tel  0115 9373527 fax  0115 9376781
email manager@keyworthhealthcentre.co.uk for administrative matters only. 
email CANNOT to be used to get medical care or advice
www.keyworthhealthcentre.co.uk for this information plus lots more

'Tell us by Ten ' If you think you need a home visit, please tell us before 10am

If you have been given this booklet, you may think it is set out oddly. This is because it has been printed from the internet. The advantage of this is that it is easily kept up to date and you can print out a new one for yourself. It does not have an page index but the topics are in the following sequence

Keyworth Medical Practice facilities and policies we need to tell you about

The Main building is accessible by people who are disabled.

Although patients are registered with the practice as a whole, if a preference is requested for a particular individual or class of individuals (eg female doctor), we will record that preference and endeavour to comply, provided such individuals perform the desired service.

 There is an NHS Walk-in Centre at London Road (behind BBC Nottingham), Nottingham, NG2 4LA.

NHS Direct services are available by ringing 08454647.  NHSDirect online is at www.nhsdirect.nhs.uk

Duties of GPs providing General Medical Services in the NHS
It is the duty of general practitioners to conduct enquiries into the general health of all patients over 75 who have not had a consultation for a year, when they consult us. So if you are over 75 and have not seen a doctor or nurse for a year you should expect us to quiz you about general health matters. We feel sure that most patients will be pleased about this. Similarly if you are over 16 and under 75. It is our duty to make general health enquiries about you if you consult us for the first time in over 3 years.

Freedom of Information. "The Freedom of Information Act 2000 recognises that members of the public have the right to know how public services are organised and run, how much they cost and how the decisions are made."
From January 1st 2005 we are required to provide information about policies, activities and funding matters that the Freedom of Information Act requires. This can be viewed on line at http://www.foi.nhs.uk/practice?id=7335

Doctors in the  practice

Dr Doug Jenkinson MB ChB DM FRCGP DRCOG DCH (Male) 
Dr. Jenkinson qualified in 1967 in Liverpool and did a variety of hospital jobs there. He then worked for 3 years in Zambia, where his responsibilities were wide ranging and included paediatrics, obstetrics and gynaecology, as well as general practice. He has been very involved in research, especially into whooping cough and asthma and has had many papers published in medical journals. He was a part-time lecturer in General Practice in the University Medical School for 15 years and was made a Fellow of the Royal College of General Practitioners in 1985. He was senior partner until the end of 2003, handing over to Dr Ledger prior to reducing to half-time working in April 2004. His outside interests include fell walking, photography and computers. He is married with three children. (He is also responsible for this website)

Dr Clive H Ledger MB BS MRCGP (Male) (Senior partner)
Dr. Ledger is Nottingham born and bred and qualified at the Royal Free Hospital in London in 1979. After a variety of hospital jobs he entered a vocational training scheme in the Yorkshire Dales region. After completion of this course he was appointed to his present job.  Clive has particular interests in orthopaedic medicine, minor surgery and obstetrics.   He is an undergraduate tutor attached to Nottingham Medical School. His outside interests include golf and natural history. He is married with two grown up children  

Dr Andrew M Wood BSc MB ChB MRCGP (Male) 
Dr. Wood qualified at Glasgow University in 1979 and did a variety of jobs there  before  entering  into  the  same vocational training scheme as Dr. Ledger. Andrew joined the practice in 1983 and was a trainer in the Nottingham vocational  training scheme from 1988 to 1998. He has published research papers on general practice. Andrew's outside  interests  include  painting, motor cycling and walking. He is married with two children.  

Dr Jill Langridge BMedSci MB BS DRCOG MRCGP DFFP (Female) 
Jill  joined  the  practice  as  a  part-time  assistant  in  1995 having previously worked here as a GP registrar and became a partner working part time in 1999. She qualified in  Nottingham  in  1989  where  she  also  did  her  GP vocational training. She has worked in a variety of hospital posts including dermatology and ear nose and throat before joining the practice. She is married to another local GP and has two children. 

Dr Corinna Small  BMedSci BM BS MRCGP DRCOG (female) 
Corinna qualified in Nottingham in 1992 and did her Vocational Training at Keyworth. She did locum work here before joining as a part time assistant in 1999, and she became a partner in January 2002 (part time).  In her spare time Corinna is interested in singing.  She is married to a GP who works in another part of Nottinghamshire, they have two young sons.

Dr Jim Hamilton MB BS MRCGP DRCOG (male)
 Jim joined the practice in July 2004. He qualified at the Middlesex Hospital Medical School in London in 1985, and was a GP in Clifton (Nottingham) for 11 years before coming to Keyworth. Jim is also the Medical Director of the Nottingham NHS Walk in Centre, and has worked to develop minor illness nursing at the Out of Hours Service in Nottingham, the Walk in Centre and numerous Practices in Nottingham. His interests outside work include golf, gardening and computing. He is married with two children.

Dr Julie O'Donoghue (formerly Hardy)  BSc MB BS DRCOG DCH DFFP (female)
Julie qualified in 1997 at Guys and St Thomas's and joined the practice as an assistant in January 2002, having completed her Vocational Training in Leicestershire.  She lives locally and is married. She now works part time after a period of full time. She has a young son.

Dr Neil Shroff Bsc MBBS AFRCSEd. MRCGP (Male)
Neil joined the practice in May 2005 as a GP locum, after finishing the Nottingham Vocational Training Scheme. He progressed to assistantship, then partnership in April 2007. He qualified in 1995 at Charing Cross and Westminster Medical School . He initially trained in surgery and completed basic surgical training in Norwich . He specialised in plastic surgery and worked in several hospitals around the UK , but decided family life was more important so trained as a GP. He has a special interest in minor surgery and skin cancer, working closely with Consultant Dermatologists. He has a diploma in Clinical Dermatology (Barts & London). He is married with children.

When a doctor is absent his/her patients will be seen by any other doctor in the practice.

Special services
Maternity medical services are provided by Drs Jenkinson, Ledger, Wood, Langridge Small and Hamilton .
Contraceptive services are provided by all the doctors.
Minor surgery is provided by Drs Jenkinson, Ledger, Wood, Langridge Small, Shroff and Hamilton .
Child health surveillance services are provided by Drs Jenkinson , Langridge and o'Donoghue.

Appointments to see a doctor or nurse

Appointments phone number is 0115 9373527
CONSULTING HOURS (Doctors) 
We consult with patients for much more time than indicated by the hours shown here, but all NHS doctors have to publish their general surgery times in this way. Consultations are by appointment, except for emergencies, and the hours are:- 
Monday - Friday           8.30 am - 11 am  and  4.00 pm -  6.10 pm. (We are closed for lunch from 1.00 - 2.00 pm Mon-Fri ).
Urgent Cases by special arrangement. Please phone the usual number 9373527, but if the number is busy there is another in cases of emergency only 9376051

Chaperones are available to doctors and patients. If you would like a chaperone to be present during a consultation, please request one at the time of the appointment if possible, otherwise when you arrive, although there could be a short delay while one is organised. If a male doctor needs to undertake a clinical examination of a female patient he would normally ask you if you wished a chaperone to be present or minded a chaperone being summoned. A female doctor might arrange for a male chaperone to be present for some consultations with male patients.

Appointments by email
We have recently introduced a scheme whereby you can arrange an appointment by email with the doctor and time of your choice as long as it is between 7 and 14 days ahead. If you are interested please go to www.keyworthhealthcentre.co.uk/appointments-by-email

Consulting hours for nurses
 Appointments are available from 8-30am to 12-30pm Monday to Thursday, 9am to 12-30pm Friday and 2pm to 5-40pm Wednesday and Friday. Nurses are able to deal with a large number of problems and patients should only make an appointment with a doctor if it cannot be dealt with by a nurse. 
Appointments may be made at any time between 8.30 am and 1.00 pm and between 2.00 pm and 6.00 pm, but it is best to avoid telephoning in the busiest time between 8.30 and 10.00 am. If you cannot keep an appointment please cancel it so it can be given to another patient. You may ask to see any doctor you choose, but if he/she is fully booked, you will be given the opportunity to see another doctor.

The doctors are also available for telephone advice for things that might save you having to make an appointment. If you wish to do this it is best to ring reception before 11am and explain what it is you need so your doctor can decide if phoning you is the best way of dealing with the problem. Please leave a number where you can be contacted and you will be rung back the same day. If you make the request after 11am you will be rung in the next 24 hours. Please give the reception staff an idea of what it is about if at all possible. This is so that if a doctor decides on a course of action without phoning back this can be done. In such a case a member of staff will phone you back with the information.

HOME VISITS If you need a consultation but are too ill to come to surgery, a doctor will visit you at home. In emergencies this will be the doctor on call, but in less urgent cases you may request your own particular doctor.  House calls are made for cases where there is medical need. Patients are expected to visit the Keyworth Medical Practice for consultations if they are able to travel. The necessity for a home visit is at the discretion of the doctor and when there is doubt your doctor may ring you to discuss the problem before deciding  the most appropriate place for the consultation to take place. Non urgent visiting usually takes place between 11.30 am and 2.30 pm but times may vary slightly.

Medical examinations nowadays are more technical and often require a properly designed and equipped environment to take place in. Doctors are expected to put themselves in the best position to do a proper examination of the patient. This is another reason for rejecting a home visit request. It is for your benefit in the long run!

It helps us greatly with the organising of home visits if requests for visits are made as early as possible, certainly before 10.00 am. Non-urgent visits requested after this time may be rearranged for the next normal working day.

"EMERGENCY" consultations have to be brief, dealing only with the urgent matter, so please do not expect to have non urgent matters dealt with. 

Practice Nurses

You can see the things that nurses can do for you below. Many of the things that you might think you need to see a doctor about can often be dealt with by a nurse. Indeed, for some things she going to be more experienced at dealing with the problem than a doctor.

Three of our senior nurses (Liz Lewis, Charlotte James and Gill Portsmouth) are also trained to take responsibility for the triage of urgent cases so they are dealt with by the best person at the best time.

We also have two Health Care Assistants Heather Pendleton and Karen Afonso . They take all our blood specimens and help the doctors and nurses with many other tasks.

Liz Lewis RGN RM (full-time Nurse Practitioner)
Liz is a Specialist Practitioner in General Practice. She came to Keyworth Medical Practice in 1993 as a practice nurse to do general practice nurse work and run our asthma clinic. She has subsequently developed our diabetes clinic and other services. She now also manages our practice nurse team. She also does teaching work and is a practice nurse lead for the Rushcliffe Primary Care Trust.

Charlotte James BSc RGN (part-time)
Charlotte came in 1999 to do general practice nurse duties. Charlotte has also been trained to undertake triage work.

Gill Portsmouth RGN RM (part-time)
Gill joined us in 2001 to run our coronary heart disease clinic. She has since added general practice nurse duties to her role, including triage

Cali Reid RGN (part-time) joined the practice nurse team in March 2006.

Things you can get done by seeing a nurse

Blood pressure checks for patients on treatment for blood pressure (usually 6 monthly). These are usually done by Health Care Assistant Heather Pendleton under the supervision of Dr Jim Hamilton. Heather has ben specially trained in blood pressure checking, smoking cessation and ecg taking.

Repeat prescriptions and checks for patients on hormone replacement therapy or contraceptive pills.

Emergency contraception

Well man or well woman check. (If you think you are well and want to have some basic checks done as well as healthy lifestyle enquiries).

Travel plans for getting the best health protection if you travel abroad. Please come 6 weeks before you travel.

Contraceptive injections.

Over 75 health checks Patients over the age of 75 are invited to have a general check on their health every year. This can be arranged at home.  This is to check on health and general welfare and is particularly important for those living alone and have not seen a doctor or nurse in the previous year. 

Advice on all aspects of healthy living. Diet advice, help with stopping smoking etc.

Routine v. Emergency appointments (We deal with them very differently)

Please read this. We think it will help you a lot.  
We want you to understand how our system works. Ideally we would like every patient to be able to see the doctor of their choice quickly, whenever they wanted. But obviously that cannot be done. So to help patients be able to get the advice they need and get rapid treatment when needed we organise things as follows. 

We classify appointments up into two sorts, "routine" and "emergency". The first sort are for problems that can wait, and the second sort are for things that cannot wait and have to be dealt with the same day or sooner. 

The problem is that as a patient you cannot always be expected to know what can wait and what cannot, and when we feel ill or are worried about our health we tend to feel that things are more urgent or serious than they often are. That is just human nature,  and we are all the same in this respect. 

As doctors we find that about 4 out of every 5 consultations that patients consider urgent are not urgent at all. This is not anybody's fault, it is just impossible to know, and we don't think we can change this much unless everybody becomes medically trained! 

So we solve this problem by helping you to know whether a problem is urgent or not ..........................So how do we do this? 

If you ring and ask for an routine appointment with a particular doctor you will be offered one. If it can be with any doctor  it will be quicker than if you specify a particular doctor, but you will be offered one in the next day or so. 

If you want an appointment  for today we assume this is because you think the problem is an urgent one, and because we want you to have any necessary treatment, we will do one of three things. 

  1. We will take your phone number, ask for a brief idea of the type of problem, and get one of our nurses to ring you back to arrange the best treatment option (if the nurse thinks you need to see a doctor quickly she can arrange this by allocating an appointment that is not available to receptionists).  

  2. If a nurse was available to speak to you immediately that would be done.

  3. If the problem is obviously very urgent or a nurse was not available you would be able to talk to the duty doctor..........................There is always a doctor available for advice at the Keyworth Medical Practice and the nurses dealing with cases in this way are constantly checking all these activities with the duty doctor

........................But we are not a walk-in casualty station. We do not have staff standing around waiting for people to walk in! We are all working with booked appointments, or doing the clerical work that medical care creates. Of course, if an emergency occurs and it seems more sensible to come along than telephone, that is OK, but you will be treated in exactly the same way as if you had telephoned. You will have to sit down and wait until a nurse is available to deal with you (when she has finished phoning any other emergencies and dealing with current patients), or maybe you would be better waiting comfortably at home until she can phone you.

Out of hours arrangements

Between the hours of 6-30pm and 8-30am our telephone is transferred to NHS Direct.  If your problem needs to be dealt with by a doctor you will be dealt with by the Nottingham Emergency Medical Service (NEMS).  This is a co-operative of Nottingham GPs who work a rota to provide a comprehensive out of hours service.  The Keyworth doctors frequently do sessions for NEMS, so we are all very familiar with how the system operates!

NEMS operates from a Primary Care Centre based in what used to be the old AA building on Derby Road on the corner of Triumph Road. It is about 400 yards past the QMC on the left hand side as you approach the City centre from the roundabout on the Ring Road.  It is a specially designed consultation suite and administrative centre with a fleet of cars, an ambulance, nurses and doctors.  This so that patients who are able to travel can come or be brought to the centre where there are full facilities for medical examination. Doctors are able to make home visits on patients who need to be seen by a GP out of normal hours. (other centres are sometimes used in addition)

When you ring out of hours you will first have your personal details taken and then you will be put through to a  NHS Direct nurse who is trained to decide whether you need advice, which she will give, or whether you need to see or speak to a doctor. If you need to speak to a doctor a doctor will return your call. If it is decided that you need to see a doctor you will be asked to attend the primary care centre where you will be seen by one of the doctors on duty, or visited if travel is not possible.

Please note that all phone calls to NEMS are voice recorded.

Whenever you are given advice by NEMS or a doctor sees you, the details are faxed to the Keyworth Medical Practice so that we are fully aware the following morning.

 Administrative matters & Practice area 
(Also suggestions & complaints)

The diagram below shows the boundaries.  The villages where we are pleased to register patients are:- Keyworth, Tollerton, Clipstone-on-the-Wolds, Plumtree, Normanton-on-the-Wolds, Bradmore, Bunny, Stanton-on-the-Wolds, Kinoulton, Hickling Pastures, Hickling, Kinoulton, Widmerpool, Wysall and  Willoughby-on-the-Wolds (not included in map for reasons of clarity) 

If you live in the area and wish to register for NHS general medical, maternity or contraception services please ring us or call in. You will be registered with a named doctor, but you may choose to see whichever doctor you wish, except in the case of emergency or home visit in which case the doctor on duty for these will deal with it.

If you register with us we think this a good opportunity to discuss your health and get to know your medical problems and requirements if there are any. We are not only interested in what you know you have wrong but what you have wrong but do not know about. As your registered doctor the Department of Health ( that governs the NHS) expects us to provide this service because 'health maintenance' is important for all of us. To this end, newly registering patients are required to see one of our nurses for a health check at which we ask you a few questions about lifestyle factors directly related to health (such as smoking) and then we check your weight, blood pressure and urine.  We feel we cannot doctor you properly (which is what you are asking us to do when you register) without this information and these tests and we would be very surprised if you disagreed. Please be prepared to arrange an appointment for this check if you are considering registering. You do NOT need a health check if you have already had one from your previous doctor in the last 12 months.

Complaints  We have a complaints procedure. Any complaint about the conduct of any of the Keyworth Medical Practice staff (Not Community Trust staff) should be made, preferably in writing to the practice manager Mrs Michelle Broutta, but a telephone call is acceptable. If you put it in writing you will receive a written reply. If she cannot resolve the problem the matter will be referred to the senior partner (Dr Ledger). If you feel your problem is one that should not be dealt with by the practice you can write direct to:-  Bev Hargreaves, Rushcliffe Primary Care Trust, Easthorpe House, 165 Loughborough Road, Ruddington, Nottingham NG11 6LQ..

Suggestions There is a suggestion box in the reception waiting area. We welcome suggestions about our service.

Patient Participation Group

Keyworth Medical Practice has launched a Patient Participation Group to facilitate closer cooperation between Practice medical & nursing staff and the registered Patients.
The Group numbers 12 registered Patients all of whom are committed to supporting and helping develop the excellent, new Practice facilities for the benefit of Patients.
The Group will concern itself initially with three main areas and will seek the views of Patients and their Carers:
Communication
•  Providing a route for patient feedback to the Medical Practice, initially by the Patients' survey, and to publicise a response.
•  To provide good links between the Medical Practice and Patients.
Health Education
•  Focussing on the quality of life and living for all members of the public.
•  Promoting all aspects of self help towards improved bodily and mental health.
Community Care
•  Raising awareness of support networks available to those with specific needs.
•  Facilitating the provision of physical companionship and support to those who need and would like to have it.
THE GROUP SETS OUT TO BE THE PATIENTS' VOICE. To contact us please put a note addressed to ‘PPG' through the Medical Practice letterbox beside the main door, or email ppg@keyworthhealthcentre.co.uk.

Confidentiality Issues and invitation to email your views
(A confidentiality notice with more detail is available on our website)

Confidentiality of patient information is an essential part of medical care. Because the NHS is large and complex, confidentiality issues are regulated. This is because confidential information needs to be shared amongst different people and those working in the NHS have to keep it safe.

For instance. When your doctor refers you to a hospital specialist, he or she has to write a letter to that specialist with your personal and medical details. But it is not just the doctors concerned who see that information, it is also the secretary who types the letter, the clerk who files it in your records at the hospital, and the nurse who may be assisting the doctor that you see. The are also numerous others. And when the specialist sends a report back to us, that letter is seen by clerical staff at this Medical Practice who scan it into our computer system. That makes the information accessible by all the doctors and nurses and some others who work here.

We and the whole NHS recognise that patients have the right to confidentiality, and the right to know what its limitations are, and how he look after your personal information. We also recognise that you have a right to have a say in who sees your information and to be able to control it.

Some time ago an NHS committee led by Dame Fiona Caldicott drew up recommendations on how the NHS should deal with patient identifiable information. The report is known as the Caldicott Report and one of the recommendations is that each NHS unit should have an identifiable person who is responsible for the policy on these issues. That person is known as the Caldicott Guardian and for the Keyworth Medical Practice it is Dr D Jenkinson. For Community staff it is Jane Wilson, a Health Visitor at East Bridgford Health Centre.

More information about Caldicott at www.doh.gov.uk/confiden/crep.htm

There is a notice in the Keyworth Medical Practice waiting room detailing general NHS policy on these issues.

Because this a new area for most people we would welcome feedback from you if you have questions or issues you have views about and want to make them known. You are welcome to email us by clicking on the following link. We will reply.  caldicottguardian@keyworthhealthcentre.co.uk 

We will compile a page of views in due course if we get responses (anonymously of course)

District Nurses

The district nurses are on duty from 8-30 am to 5.00 pm every day. During these hours they can be contacted at Keyworth Primary Care Centre (0115 8837000). An out of hours emergency service exists for evenings, nights, weekends and Bank Holidays ( 0115 9299338).

The District Nurses' role encompasses specialist knowledge in wound care, leg ulcer management, continence care, care of the terminally ill and those with complex needs.
The service is designed to promote the health and independence of housebound patients and their carers
For those who can travel, the District Nurses operate a specialist continence clinic at Keyworth Medical Practice, and a leg ulcer clinic at East Leake Health Centre. Referrals are made by your GP or the nursing team. For more information about district nurses see www.keyworthhealthcentre.co.uk

Pregnancy Care

Maternity care is usually alternated between the Doctor, local midwife and the hospital. Parent craft is offered locally through the midwife Nicky Such. If you become pregnant the normal procedure is to make an appointment with the midwife at 8 to 10 weeks at her booking clinic. You then follow the NICE (2003) antnatal care programme according to your needs.
Contact for midwife in office hours is 0115 8837000. Widwifery answering service out of office hours (5pm-9am, weekends and Bank Holidays) 0115 9299771.
24 hour Urgent Midwife Answering Service 07817107949

The doctors at this Medical Practice offer antenatal and postnatal care. They do not offer care for delivery at home.

 Monday   2 pm  Dr Langridge
                 9-30am  Booking Clinic (Midwife) 
Tuesday 9-30    Midwife
Tuesday   2 pm Dr Small
                   2 pm  Dr Ledger
Wednesday 2-30 pm Dr Hamilton
Thursday 2-00 pm Dr Jenkinson, Dr O'Donoghue and Dr Wood

Health Visitors

Jane Dingley   (Full Time)  
RGN. BSC(Hons)N.Studies.   
 BSC(Hons) Community HealthNursing ( Health Visiting).  
Specialist Practitioner Public Health/ N. 
Prescribing Practice Educator ( Health Visitor)

Jane qualified as a nurse in 1986 and worked on medicine, surgery, vascular, haematology and ear, nose and throat departments at Leicester Royal Infirmary.  She obtained her nursing studies degree in 1992 and her health visiting degree in 1996.  Since then she has worked as a health visitor at Keyworth and has also undertaken the practice teacher course.  Jane is a mentor and facilitator to H.V degree students during their 10 months degree course.  Finally Jane is also a registered nurse prescriber.   

Alison Lochrie SEN  ( Health Care Assistant)  (Works 2 days a week Mon & Tues)
 Working with Health Visitor in child health clinic and New Mums Group
Qualified as an enrolled nurse in 1983.
Originally working in coronary care and then returning after having a family, nursing the elderly in the private sector.
Recently qualified in basic sports injury and massage.

Ruth Sabin (3 days a week)   
NNEB qualified Nottingham 1985
IAIM (International association of infant massage) 1998
Foster mother of 'Chernobyl children' (Nottingham branch of Chernobyl Children's Life Line)
Family worker for social services with a family centre
Education authority- within an Early Years Unit and Infant School in the City of Nottingham
Special needs support assistant within an infant school/nursery unit
Last 6 years working with under 16s and their children in a young mothers unit in Nottingham
Married with 2 children.

Family health visitors  (Public Health Practitioners)
Walk in clinic Mon 2.00pm – 4.00pm

The health visitors are available to advise on child development, immunisations and childcare.  Baby weighing facilities are available.  Jane is an approved nurse prescriber and is able to issue prescriptions for some childhood ailments. Please do not bring ill children to these clinics as it may pass infection on to others.   Welfare foods are available at the clinic. 

The health visitor can be contacted on 0115 8837000 to make an appointment for a private consultation on a variety of issues, for example toileting, Sleep management, behaviour management, immunisations, health promotion, post – natal depression, feeding advice, weaning etc. 

Health Visitors also have a duty to protect children and are therefore trained in child protection issues. 

On Wednesday afternoons there is a post-natal group for new mothers and their babies.  Invitations are sent to all new mothers by the health visitor inviting them to attend a 5-7 week post-natal group.  Subjects include, play, weaning, sleep management, safety, baby massage, minor ailments in babies etc. 

Nicky Such and Jane Dingley do antenatal classes on Wednesday afternoons.

The health visitors can be phoned on weekdays for advice on (0115) 8837000 If they are unavailable a message will be taken (until 4-30pm) and they will phone back when they return to the office.
Parents can also ring NHS direct for advice on 08454647

Scheduled medical checks (such as the 6 week old baby check) are done by Dr Jenkinson on routine surgery appointments.  They can also be done at the same time as The Maternal Post-natal check for his and Dr Langridge's antenatal patients.  (Dr Jenkinson, Dr Langridge and Dr O'Donoghue are approved to undertake Child Health Surveillance).

Chiropody

This service is provided by Nottingham Community Trust. Referral to a chiropodist has to be done through your doctor in the first instance, but if you are under treatment you can arrange your next appointment with the Keyworth Primary Care Centre Manager. She is at the ground floor reception in the Primary Care Centre. Alternatively you can ring the clerk  for an appointment on 8837000 .

Chiropodists provide a wide range a advice and treatments for foot problems at all ages. Some chiropodists even do surgery for bunions (under local anaesthetic).

Chiropodists like it to be pointed out that they do not provide a nail cutting service under the NHS

Repeat prescriptions

 If you are prescribed regular medicines, your Doctor may sanction a repeat facility. This enables you to obtain further prescriptions by handing the prescription counterfoil in at reception, or by posting it to us, or by telephoning 9373141 between 2.00 pm and 4.00 pm.

Please read the counterfoil instructions if you are handing or posting it in.  Each item you require must be marked with a tick in the box next to the drug.  If nothing is marked we assume nothing is required. If you are on regular medication that is not listed on the counterfoil, you must discusss this with your doctor. A phone call may suffice.

Please allow TWO working days for the processing of your prescription request, after which, it can be collected, or it will be posted back to you if you enclose a stamped, addressed envelope. If you request, all your prescriptions can be delivered to the Gordon Davis chemist in Keyworth. You can also hand the counterfoil in at the local chemist, but it will take THREE working days. 

In an emergency prescriptions can be produced quickly. We need to produce it, then get it checked and signed by a doctor. This would normally take no more than a couple of hours.

We think the best way is to send your request to the chemist and collect the medication from there 3 working days later, (You will have to sign a form at the chemist to get started) or to use the email system.

The above does not apply to patients who live outside Keyworth. Such patients usually made arrangements for the Keyworth Medical Practice to dispense their medication when they registered.

All repeat prescriptions are recorded by computer and form an important record and check on your treatment. Your consumption of medications is checked regularly by the responsible doctor and inconsistencies will be discussed with you. We normally issue sufficient for at least a month. If you have had a prescription and are requesting another before you have used the previous supply you should tell us the reason, otherwise we may be unable to issue another until the due date.

 

Repeat prescriptions by email

We have been doing this for some time now and are pleased to say that it works well. It is important, however, that you follow the rules set out below, because with drugs we can leave nothing to chance. With the usual counterfoil system all the information we need is on it and all you have to do is tick the box(es). If you prepare yourself an email to send with all the information we request you can send it unchanged every time. You do not need to keep redoing it!

The rules are listed below.  They must be complied with before we can guarantee to process your request.  We also ask you to understand that if things do not function as you think they should then it is your responsibility to revert to a standard method of obtaining a repeat.  Nevertheless we will do our best to make sure it works.  

When we receive your email you will get an automated reply that we have received your request provided the subject says 'prescription'. We will maintain the highest level of confidentiality of information we receive in keeping with the normal standards once we have received it.  If information goes astray before we get it, or is intercepted en route, it is your risk.

Email Rules
1. Please do not send attachments; we will not open them because of the risk of viruses.

2.  In the header of the email put "prescription" in the 'Subject' line.  In the 'To' line the address is patient.prescriptions@gp-c84048.nhs.uk   In the message section of the email  state your full name, date of birth, and address.

3.   Beneath these personal details please list the drugs with a separate line for each. Please put full name of the drug as it appears on your counterfoil. This must  include the form, eg tabs, caps, etc and the strength. We will assume the quantity and dosage as previously.  If you wish to use the same email repeatedly listing all your medications and putting "yes" or "no" on the line according to whether you want it this time, that is ok.  Please look at our example emailscriptexample.txt  you can copy and paste this template into your own email for guidance.

4. If you are requesting something that would not appear appropriate please give an explanation. eg if you get a 4 week supply and you are re-ordering after 2 weeks because you are going on holiday.

5. We collect our emails once a day Monday to Friday. Please allow 2 working days before collection in the usual way.

We acknowledge receipt of every email. If you do not get a reply within one working day, you should assume we have not received it.

Please do not include any matter other than a clear request for an authorised repeat medication.

Dispensing

Those patients living in the villages outside Keyworth can choose, when they register, to have their prescriptions dispensed at the Medical Practice. The dispensary is open daily from 8.30 am to 1.00 pm and 2pm to 6-30pm Monday to Friday. We can also dispense for any patient who is registered temporarily with us even if their address is in Keyworth.

Generic prescribing policy

 Drugs have a trade name and a generic name. The trade name is a brand name and so there can be several trade names for a single drug if several manufacturers make it. Doctors are expected to prescribe drugs by their generic name because branded drugs like other branded products tend to be more expensive. We believe in this policy at Keyworth Medical Practice. But fortunately, unlike most branded and unbranded products, drugs have to meet a quality standard to ensure there is no difference in their effectiveness.Confusion can arise if you are used to getting your drug in a branded form and then find you are dispensed the product of a different manufacturer. THE DRUG DISPENSED will be exactly the same. Only the name will be different and maybe the physical appearance of the tablet or capsule.PLEASE REMEMBER that NHS doctors are expected to prescribe generically as this saves millions of pounds that can be spent on other things. AND that the pharmacist is obliged to dispense what is on the prescription.THEREFORE the responsibility is that of your doctor, not the pharmacist. If you have a problem with a generic product you must discuss it with your doctor. But we cannot change you to a branded product without a good medical reason, as it is part of NHS policy to reduce costs by generic prescribing.

NB. Where there are known to be significant benefits in prescribing a branded drug this is none automatically.

Hearing Aid Services

A hearing aid repairs service is held every Thursday from 2pm to 5pm. By appointment only. To make an appointment please ring 0115 9485525.

 

Travel advice, immunisations and malaria prevention

Modern travel to other countries can be a major health risk. Countries differ in the diseases you might catch and the type of holiday, hotel or backpacking can make a difference too. Even different parts of the same country can have different risks, as can the season you travel in.

We offer all travellers who are registered with us, up to date advice on immunisations and malaria and other precautions advised according to their destination. We follow the advice of the World Health Organisation and other authoritative bodies when we advise you.

If you think you need travel advice please make an appointment to see one of our nurses who will check what you need according to the most up to date information and work out a programme for administering the immunisations that are required. Most are free but some that are not available under the NHS are charged for.

Because a course of injections may need to be spread over several weeks it is most important that you see us at least 6 weeks before your departure.

Anti malaria tablets are not allowed on NHS prescriptions and need to be purchased from a chemist or from the Keyworth Medical Practice if you are on our dispensing list.

Cervical smears and contraception

Cervical smears are taken in Practice Nurse Clinics . Smears are advised for all women aged 20 to 64 every three years. Women in this age group are automatically notified that they are due for a smear. This is because all women need a smear unless told otherwise by a doctor. Patients should ring Keyworth Medical Practice if they are registered and book an appointment as soon as they become aware they need a smear. The smear result is notified by post also. The result is either normal, abnormal or technically inadequate. If normal you will be told when the next one is due (normally 3 years ahead) and it is up to patients to ensure they arrange it when due. If the result is technically unsuitable you will have to return for another. (many smears are technically unsuitable because of the high standard required before a smear can be reported as normal). If the result is abnormal then another smear is requires after an interval of 3 to 12 months. An abnormal smear does not mean cancer. It means there are slight changes in the cells which might become cancerous. If repeated tests show the same abnormal changes these cells are removed by laser before they can become a problem. This is why the screening programme is so important and why it works so well to prevent deaths from cervical cancer.

Female nurses do the smear test. They will also give advice on contraception. Intra-uterine contraceptive devices (IUCDs), diaphragms (sometimes called caps) and pills etc . 

More information about the NHS Cancer Screening Programme is available at www.cancerscreening.nhs.uk 

For contraceptive advice and prescriptions generally, all the doctors and nurses are able to do this during a normal surgery or nurse clinic. If you need just a routine check and pill prescription the best way is simply to book an appointment with a nurse. We normally issue a prescription for a 6 month supply at a time, or sometimes 12 months if several 6 monthly checks have been normal and there are no adverse risk factors such as smoking (smoking greatly increases the very small risks associated with the combined oral contraceptives).

Advice on breast self-examination is also available.

Minor surgery

All doctors undertake minor surgical procedures at the Keyworth Medical Practice. Arrangements are made during normal consultations and will include things like the removal of cysts from the skin under local anaesthetic, insertion of hormone implants, removal of ingrowing toenails and other skin lesions that need removal. We also inject joints with steroids for severe arthritis and other problems, and sometimes take fluid off joints or other parts.

These operations are done at special times when our minor operations room is set up for the purpose with nurse assistance.

We do not remove skin lesions for purely cosmetic purposes. This can be arranged by us by referring you to a private skin or plastic surgeon.

Asthma/COPD clinic

 This is run by a specially trained asthma/COPD nurse (Liz Lewis), under the supervision of Dr Jenkinson. We in principal follow the asthma/COPD management guidelines of the British Thoracic Society. There are approximately 300 patients under regular supervision. She advises on the proper monitoring and management of asthma/COPD and how to get the best out of the prescribed  treatments.  She also makes sure inhalers are being used correctly and that peak flow meters for measuring wheeziness are provided and used to their best advantage. If treatment needs changing Liz is able to do this. Patients may be referred by a doctor to the asthma/COPD clinic or patients may request an appointment for the clinic without having seen a doctor first. Anyone who is on regular asthma/COPD medication needs a regular check at the clinic.  

Asthma is a common problem that causes coughing and wheezing of varying degrees of severity. It can be quite disabling if it goes on day after day or comes on every time you exercise. Sometimes it can become very severe and if not adequately treated it can kill. Most of the problems and dangers of asthma can be avoided or reduced by two areas of action. The first is to understand how to recognise when asthma is becoming a serious problem, and know what to do about it. And the other is to know how to get the best out of the drugs that we use to keep it under control. Both these things are taught at our asthma clinic. Indeed it is the purpose  of the clinic. But because asthma varies from month to month or year to year or simply by individuals being different, periodic checkups are necessary, often every 6 months.

Why treat asthma? The reason is simple. If it is left untreated or inadequately treated it can damage the lungs permanently, leading to breathing problems in middle or old age. The aim of our treatment is to keep asthma at bay, keep asthmatics out of hospital (by preventing severe asthma), and prevent permanent lung damage.

COPD (Chronic obstructive pulmonary disease) is a lung disease that is mainly caused by smoking. It tends to come on after the age of 45 when the damage of 25 years of smoking finally shows up.  It caused wheezing, coughing and breathlessness as asthma does, and treatment with inhalers is usually necessary as well as regular checks and lung function tests.  Some people have both lung problems, and the treatment is similar.  This is why we deal with both in the same clinic.  Although COPD cannot be cured (that is one reason you should not smoke).  The disability is causes can be reduced by modern treatments.

Diabetes Clinic

This provides supervision, advice and monitoring of blood sugar levels, kidney function, cholesterol levels, diet and many other things for patients with diabetes who are not under hospital care.  This is usually non-insulin dependent diabetics.  It is run by Liz Lewis (Nurse Practitioner). The aim is to prevent complications of this condition.  New patients are booked into the clinic and thereafter sent for by Liz every 6 to 12 months or according to need. Currently there are approximately 200 patients receiving regular supervision at this clinic.

Website contents

Below is the contents page of our website. You will see that there is more there than here. Why not have a look for yourself?