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Over 65's Saturday Morning Flu Clinic. ( posted on Sep 3, 2019 )

 

Please contact the surgery to make an appointment.

 

 

CLOSURE OF SURGERY DUE TO STAFF TRAINING ( posted on Aug 22, 2019 )

MACMILLAN CANCER SUPPORT ( posted on Aug 22, 2019 )

( posted on Aug 13, 2019 )

 

The NHS has been directed to remove fax machines by 31st March 2020.  It is widely acknowledged that using a fax to transmit patient information is an outdated method of communication which can jeopardise patient safety due to data security risks.

 

We as a surgery will aim to remove our fax machine.

AXE THE FAX NHS ( posted on Aug 13, 2019 )

Active Norfolk ( posted on Aug 8, 2019 )

( posted on Aug 6, 2019 )

Click on the link below to access an NHS Website which contains helpful information for patients.

 

 https://www.nhs.uk/oneyou/

Primary Care Network ( posted on Jul 15, 2019 )

We have joined a Primary Care Network to help us deliver better service, for more information please click

 

HERE

Free Annual Health Check ( posted on Jul 15, 2019 )

Carers ( posted on Jun 6, 2019 )

NEW NHS APP ( posted on Apr 11, 2019 )

'Try the new NHS App' THIS WILL BE AVAILABLE FROM THE END OF APRIL 2019

If you’re a patient at our practice you can now use the new NHS App, a simple and secure way to access a range of NHS services on your smartphone or tablet.

You can use the NHS App to check your symptoms and get instant advice, book appointments, order repeat prescriptions, view your GP medical record and more.

If you already use systmonline you can continue to use it. You can use the NHS App as well.

For more information go to www.nhs.uk/nhsapp

 

URGENT MEDICATION INFORMATION ( posted on Mar 27, 2019 )

 

 

 

 

 

 

IMPORTANT INFORMATION FOR OUR PATIENTS

 

Please allow 48 hours – 2 working days – for your repeat prescriptions to be processed.

 

Please we have encountered situations where patients are putting our reception team under stress for "urgent prescriptions" which haven’t been ordered in a timely manner, we wish to inform you that,

 

ONLY MEDICATIONS FOR THE FOLLOWING CONDITIONS WILL BE AUTHORISED SOONER – BUT NOT IMMEDIATELY:

 

Inhalers

Epilepsy medication

Parkinsons medication

Hydrocortisone for Addisons

Insulin

Anticoagulants

GTN spray

 

The above medications will be processed at the earliest convenience of the GPs – please do not put our reception team in a difficult situation by demanding the items immediately.

 

ALL OTHER MEDICATIONS WILL HAVE TO WAIT THE USUAL TWO WORKING DAYS. PAIN RELIEF WILL NEED TO BE OVER THE COUNTER MEDICATIONS.

 

Please allow 48 hours – 2 working days – for your repeat prescriptions to be processed.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Excellent Service ( posted on Mar 11, 2019 )

 

 

EXCELLENT SERVICE

 

 

FEEDBACK FROM A SATISFIED PATIENT

 

5year MOT ( fantastic service throughout)

 

Received a text about having 5year blood pressure check. Phoned and made an appointment, confirmed with a text. Day before visiting received a text reminder, brilliant service (no reason to miss the appointment, text cancel if unable to attend). Arrived on time, 2mins later, called, ( that’s efficiency). During blood pressure check, I mentioned about blood tests (not that I enjoy needles at any time), this along with weight check was carried out. Full health check (MOT) done in very swift time by very reassuring, kind and helpful staff, couldn’t be in better hands. Thanks again for your wonderful concern and help. So pleased I’m on your books. Be proud of yourselves, keep up the good work you are doing. Over the past 6years, always had brilliant service from this GP surgery.

 

Visited in March 2019. Posted on 07 March 2019

 

Mr B Allen.

CHILD HEALTH ( posted on Feb 12, 2019 )

 

Your Child's Health Is Important

 

Please click on the link below to take you to a really useful and informative wesite regarding your child's developement.

 

 

 

https://www.justonenorfolk.nhs.uk/childhood-development-additional-needs

Type - 2 Diabetes ( posted on Jan 28, 2019 )

Get Me Out The Four Walls ( posted on Jan 22, 2019 )

Get Me Out The Four Walls ( posted on Jan 22, 2019 )

 

 

 

 

 

 

 

Information for Patients Management from AVF bleeds ( posted on Dec 4, 2018 )

 

 

 

Information for Patients

Arteriovenous fistula (AVF) or graft

Important facts you should know

 

 

 

 

 

 

 

 

 

Haemodialysis Treatment

In order to have regular haemodialysis treatment, dialysis staff requires access to your bloodstream. This is known as ‘Vascular Access’ and will require a surgical or specialised procedure.

The three most common types of vascular access;

 Arteriovenous Fistula (AVF) – Usually referred to as your Fistula

 Arteriovenous Graft (AVG) – Usually referred to as your Graft

 Central Venous Catheter (CVC) - Usually referred to as your ‘Line’

 

Arteriovenous Fistula (AVF)

An arteriovenous fistula is formed during an operation to join two blood vessels, a vein and an artery, together in your arm. This forms an accessible blood vessel that gives the increased flows of blood that are required for haemodialysis. Once the fistula is formed it usually takes 6-8 weeks for it to enlarge sufficiently to be used for haemodialysis.

Arteriovenous Graft

This is similar to a fistula but instead of the artery being connected directly to the vein a synthetic tube is used to link the two together. This is called a graft. This may be used if the blood vessels are unsuitabe to be connected directly. Grafts are usually ready to be used for dialysis more quickly than a fistula

Formation of a fistula or graft

The formation of a fistula or graft may be arranged some months before dialysis starts, to ensure it is ready when it is needed. Prior to the formation of access (fistula or graft), the surgeon may arrange for a scan to be taken. The fistula or graft is formed in surgery usually using a local anaesthetic. You will be awake but unable to feel the operation. If this isn’t possible, it may be formed using a general anaesthetic, when you will be asleep. The nurse will give instructions on taking care of the arm until it is healed. Page 3

 

Haemodialysis via a fistula or graft.

To use the graft or fistula for dialysis, two needles are placed into the vessel some distance apart by either the nurses or yourself. These needles connect to the dialysis lines and blood flows out through the lower needle (often termed the arterial needle) around the dialysis machine and is returned back via the upper needle (often called the venous needle).

At the end of dialysis the needles are removed and bleeding stopped by applying pressure to the needle site.

Care of fistula/graft

Taking care of your fistula/ graft helps keep it working well;

Keep the skin over your fistula/graft clean. Once the arm has healed following surgery, wash it daily with soap and water and always wash it before dialysis.

Check the ‘buzz’ or ‘thrill’ daily. The nurses will show you how to do this. Report any loss of flow immediately to your unit

Do not obstruct the flow of blood

o Don’t allow blood pressure to be taken on this arm

o Avoid wearing tight clothing or jewellry, including watches on this arm.

o Don’t loop shopping bags over your fistula/graft arm.

o Avoid sleeping on your fistula or graft..

Avoid carrying heavy loads with this arm.

Avoid injury to the fistula/graft arm.

Do not allow anyone to take blood (unless during dialysis) or put a cannula in your fistula/graft arm.

Possible complications

A fistula or graft is the preferred vascular access for dialysis because there is less likelihood of problems. However you should be aware of problems that can occur and report new or changing problems to dialysis staff, so they can be acted on quickly.

Bruising or swelling; This can occur due to the needle piercing the fistula wall after insertion resulting in swelling or bruising. This is less likely as the fistula matures. All bruising or swelling should be reported to dialysis staff so they can investigate the cause.

 Redness or heat, sometimes accompanied by swelling; this can be a sign of infection. Please contact your renal unit immediately if you experience pain, redness, swelling around your fistula or graft or if it feels hot.

Allergies: If your fistula becomes red, itchy or sore after applying anaesthetic cream or following cleaning, let your nurses know.

Aneurysm: This is a swollen area which can occur over time due to the needles being put in the same small area. Please rotate needling sites to prevent this (buttonhole needling can also avoid this). If skin becomes thin and shiny or you can see a pulse under the skin in an aneurysmal area please tell renal staff.

Steal syndrome: This occurs if your hand on your fistula arm is not receiving enough blood supply because it is being used by your fistula. Let renal staff know if you experience pain, coldness or tingling in the fingers or hand on your fistula/graft arm.

Reduction in blood flow: Inform your renal doctor or nurses immediately if you cannot feel the usual buzzing over the fistula or if it weakens. This can occur due to a narrowing or blood clot.

Scab: If a scab over your needle site does not heal quickly or gets larger let nursing staff know as a non-healing scab puts you at risk of bleeding.

bleeding during dialysis: if blood oozes around your needles during dialysis let nurses know immediately, also if it starts taker longer than usual for bleeding to stop after needles are removed.

 

 

Bleeding Emergency from Fistula or Graft

Occasionally a fistula may bleed a little after the plaster is removed at home, if this happens it should stop quickly when pressure is applied.

However although it is a very rare occurrence you should be aware of the actions to take if profuse bleeding occurs from a fistula or graft site unexpectedly between dialysis sessions. This is a medical emergency.

 

   

 

 

 

  

Seek help urgently from anyone who is around. The blood flow can be fast and make you feel faint so do not delay in alerting others.

Dial 999 and report “excessive bleeding from a dialysis fistula”.

Apply firm pressure over the bleeding site, use gauze and two fingers, or a bottle top or similar can help localise pressure over the bleeding site.

 

Do not use too large a dressing: For example a towel may stop you applying enough pressure in the right place.

If the bleeding is not controlled by you pressing on it then lay down and ask someone to help by supporting your arm over your head. Check you are pressing in the right place.

Stay calm; Bleeding can usually be stopped with enough pressure in the right place. It may take more pressure than usual if the bleeding is not easily controlled.

If bleeding stops before help arrives it is important that your fistula is still checked urgently as bleeding should not happen between dialysis sessions. You should attend hospital so your fistula can be checked by a fistula surgeon. Also tell your unit.

 

Please be aware this is a rare occurance but it important that you and your family know how to act if it should occur. Being aware of signs of complications and reporting these promptly should ensure you do not experience a bleeding emergency. Page 6

 

 

( posted on Dec 4, 2018 )

Times are changing! ( posted on Oct 8, 2018 )

Pilot Scheme ( posted on Sep 25, 2018 )

 

 

 

 

 

 

Our Practice is currently engaging in a pilot scheme providing inproved access to healthcare professionals.  Working within a group of local practices, we will be offering additional apointments each weekday between 2pm and 8pm and during selected times at weekends and bank holidays, to registered patients.  Please contact our reception team for more details.

Flu 2018 ( posted on Sep 20, 2018 )

 

 

 

 

 

Change of appearence for old NHS choices wesite. ( posted on Aug 23, 2018 )

Please click on link below to take you to what was the old NHS choices website, this is the new website address.

 

http://www.nhs.uk

HIV ( posted on Aug 7, 2018 )

Respect Us ( posted on Aug 7, 2018 )

Research ( posted on Aug 2, 2018 )

Over the Counter Medication ( posted on Jul 19, 2018 )

Blood in Pee ( posted on Jul 18, 2018 )

iCasH Sexual Health Service ( posted on Jul 17, 2018 )

Get More Physically Active ( posted on Jul 10, 2018 )

( posted on May 23, 2018 )

Your Medical Records ( posted on May 23, 2018 )

SUBJECT ACCESS REQUEST POLICY

 

A)     AIM

You have a right, under the General Data Protection Regulation, to access the personal data we hold on you. To do so, you should made a subject access request, and this policy sets out how you should make a request, and our actions upon receiving the request.

 

B)     DEFINITIONS

“Personal data” is any information relating to an identifiable person who can be directly or indirectly identified in particular by reference to an identifier, including your name.

 

“Special categories of personal data” includes information relating to:

a)  race

b)  ethnic origin

c)  politics

d)  religion

e)  trade union membership

f)   genetics

g)  biometrics (where used for ID purposes)

h)  health

i)   sex life or

j)   sexual orientation.

 

C)     MAKING A REQUEST

Although subject access requests may be made verbally, we would advise that a request may be dealt with more efficiently and effectively if it is made in writing. If you wish to make a request, please use the Subject Access Request form.

 

Requests that are made directly by you should be accompanied by evidence of your identity. If this is not provided, we may contact you to ask that such evidence be forwarded before we comply with the request.

 

Requests made in relation to your data from a third party should be accompanied by evidence that the third party is able to act on your behalf. If this is not provided, we may contact the third party to ask that such evidence be forwarded before we comply with the request.

 

D)     TIMESCALES

Usually, we will comply with your request without delay and at the latest within one month. Where requests are complex or numerous, we may contact you to inform you that an extension of time is required. The maximum extension period is two months.

             

E)     FEE

We will normally comply with your request at no cost. However, if the request is manifestly unfounded or excessive, or if it is repetitive, we may contact you requesting a fee. This fee must be paid in order for us to comply with the request. The fee will be determined at the relevant time and will be set at a level which is reasonable in the circumstances. In addition, we may also charge a reasonable fee if you request further copies of the same information.

 

F)   INFORMATION YOU WILL RECEIVE

When you make a subject access request, you will be informed of:

 

a)     whether or not your data is processed and the reasons for the processing of your data;

b)    the categories of personal data concerning you;

c)     where your data has been collected from if it was not collected from you;

d)    anyone who your personal data has been disclosed to or will be disclosed to, including anyone outside of the EEA and the safeguards utilised to ensure data security;

e)     how long your data is kept for (or how that period is decided);

f)     your rights in relation to data rectification, erasure, restriction of and objection to processing;

g)    your right to complain to the Information Commissioner if you are of the opinion that your rights have been infringed;

h)    the reasoning behind any automated decisions taken about you.

 

 

G)  CIRCUMSTANCES IN WHICH YOUR REQUEST MAY BE REFUSED

We may refuse to deal with your subject access request if it is manifestly unfounded or excessive, or if it is repetitive. Where it is our decision to refuse your request, we will contact you without undue delay, and at the latest within one month of receipt, to inform you of this and to provide an explanation. You will be informed of your right to complain to the Information Commissioner and to a judicial remedy.

 

We may also refuse to deal with your request, or part of it, because of the types of information requested. For example, information which is subject to legal privilege or relates to management planning is not required to be disclosed. Where this is the case, we will inform you that your request cannot be complied with and an explanation of the reason will be provided.

 

 

 

 

Diabetic Eye Screening Missed Appointments. ( posted on May 21, 2018 )

Breast Screening ( posted on May 3, 2018 )

 

 

A number of women aged between 70 and 79 are being offered the opportunity for a breast screen, after some women did not receive an invitation for their final screen, as part of the routine NHS Breast Screening Programme.

Most women can be reassured that they will have received their final invitation but all women under 72 years old who are affected, will receive an appointment letter from Public Health England and the NHS by the end of May 2018 informing them of their time and date.

Women aged 72-79, will receive a letter providing clear information on what to do next if they choose to have a screen and will be asked to contact the helpline who will link with their local Breast Screening Service to arrange an appointment and invitation letter.

Women, aged 70 -79, currently registered with a GP, who do not receive a letter from PHE can be assured they are not affected and do not need a catch-up screen.  

However, if you are not currently registered with a GP and believe you did not receive an invitation for a screen sometime between your 68th - 71st birthdays then we advise that you get in touch with the helpline:  0800 169 2692.

 

Excellent Practice review from one of our patients. ( posted on Apr 26, 2018 )

Excellent practice

 

The staff are very professional and genuinely interested in your health. Reception staff always have a smile on thier face and are happy to help. My whole family use this practice and we are able to get appointments when we need them. I highly recommend this medical practice to anyone.

Visited in April 2018.

 

Posted on 25 April 2018

Debbie.

Screening for Atrial Fibrillation ( posted on Jan 22, 2018 )

Domestic abuse ( posted on Dec 14, 2017 )

Self Care ( posted on Jul 13, 2017 )

 

 

 

 

 

 

 

 

 

 

 

Enhanced Summary Care Record ( posted on Jun 8, 2017 )

  •  DO YOU HAVE AN ENHANCED SUMMARY CARE RECORD?

  

  • IF YOU HAVE TO CALL AN AMBULANCE OR GO INTO HOSPITAL ANYWHERE IN ENGLAND THEY WILL BE ABLE TO ACCESS KEY HEALTH AND CARE INFORMATION ABOUT YOU WHICH COULD HELP THEM TREAT YOU MORE EFFECTIVELY.

  

  • IF YOU NEED TO CALL 111 OR OUT OF HOURS ANYWHERE IN ENGALND THEY WILL BE ABLE TO ACCESS INFORMATION ABOUT YOU.

 

  • HAVING AN ENHANCED SUMMARY CARE(ESCR) RECORD MEANS YOU DON'T HAVE TO REMEMEBER ALL OF THE DETAILS OF YOUR PAST CARE EPISODES.

  

  • IT IS QUICK,SECURE AND SAFE FOR HEALTH STAFF TO ACCESS YOUR ESCR ACCESS TO THIS INFORMATION COULD MAKE A REAL DIFFERENCE TO YOUR CARE AS CLINICIANS HAVE ALL OF THE INFORMATION THEY NEED.

 

 

Your Summary Care Record is a short summary of your GP medical records. It tells other health and care staff who care for you about the medicines you take and your allergies. This means they can give you better care if you need health care away from your usual doctor's surgery:

  • in an emergency
  • when you're on holiday
  • when your surgery is closed
  • at out-patient clinics
  • when you visit a pharmacy

You can add more information by asking your doctor. This could include:

  • health problems like dementia or diabetes
  • details of your carer
  • your treatment preferences

When you are treated away from your usual doctor's surgery, the health care staff there can't see your GP medical records. Looking at your SCR can speed up your care and make sure you are given the right medicines and treatment. Staff will ask your permission to look at it (except in an emergency where you are unconscious, for example) and only staff with the right levels of security clearance can access the system, so your information is secure. You can ask an organisation to show you a record of who has looked at your SCR - this is called a Subject Access Request.

 

OPTING IN WITH ADDITIONAL INFORAMTION:

 

 https://digital.nhs.uk/summary-care-records/additional-information#Resources

 

 Please access the above link and in fill in consent form. This can be returned to the surgery so we can update your preference.

Opting out

SCRs improve care, but if you don't want to have one you can opt out. Tell your GP or fill in an

SCR opt-out form [245.92KB] and give it to your GP practice.

More information on your health records

Read more about your medical records at your health records - NHS Choices.

Have a question? Call us on 0300 303 5678 or contact enquiries@nhsdigital.nhs.uk.

Tell us what you think of the new website beta.

National Diabetes Audit ( posted on Jun 8, 2017 )

 

 

 

Postive Feedback ( posted on Jan 23, 2017 )

January 19/01/2017

An Appreciative patient

 

My family have moved around quite a bit over the last few years and I have experience of several other surgeries, this practice is by far the best and I have every confidence in the staff who are always professional and courteous. I find it straightforward to get an appointment when I need one and both the GP's that I have seen have listened, involved me in the decision making process and I have left feeling confident that my treatment was the best option for me. The reception staff are also very professional and don't go beyond asking for basic information in relation to your appointment, which is a particular bug bear of mine at previous surgeries. I would not hesitate to recommend this surgery to anyone.

Meningitis in babies ( posted on Jan 10, 2017 )

Postive Feedback ( posted on Nov 15, 2016 )

 

Postive feedback from a very appreciative patient.


 

I need Dr McNeilly to know that her decision to make me go to hospital on Friday, following my 10 minute visit asking for a laxative, which she turned into a thorough check and referred me immediately to the hospital has 100 % saved my life. The next doctor referred me for a CT and my blood count was 7. I was in surgery by 10 am sunday after an emergengy transfusion. The scariest truth about this is they changed surgeons as the original one referred to a more senior consultant to give me a chance as the Colon was the most distended he had ever seen and would have ruptured by the end of the weekend. Full surgical solution Achieved. I will forever be in your debt. There is nothing else to say. I am somewhat emotional.

 

 

 

Cancelled appointments ( posted on Nov 10, 2016 )

Systmonline ( posted on Nov 7, 2016 )

 

REGISTER FOR OUR ONLINE SERVICE TO REQUEST PRESCRIPTIONS MAKE APPOINTMENTS AND VIEW YOUR DETAILED CODED RECOED. PLEASE ASK AT RECEPTION TO REGISTER YOU WILL BE ISSUED WITH A USERNAME AND PASSWORD.

 

 

 

 

 

Named GP ( posted on Aug 4, 2016 )

Summer News ( posted on Apr 14, 2016 )

 

 

 

GET ACTIVE

 

Why should I get active?

  • There are some fundatmental benefits you will feel from exercise.
  • Lowers blood pressure
  • Gives you more energy
  • Help you meet people inprove yourself of well being.

 

 

WHAT DO YOU MEAN BY REGULAR EXERCISE.

 

  • All you have to do is build up just half an hour of moderate physical activity for five days every week.
  • It doesn't have to be all at once it can be a accumulation of minutes.
  • A fast walk instead of taking the bus counts.
  • Increase the tempo of your house work.
  • A spot gardening. 

 

 

Are you thinking of having a baby? ( posted on Jan 25, 2016 )

Electronic Prescriptions Service ( posted on Dec 9, 2015 )

( posted on Sep 3, 2015 )

Virtual Patient Participation Group ( posted on Jun 4, 2015 )

 

Virtual patient participation group

 

 

 

 

 

 

Our Patient Participation Group at Prospect Medical Practice is encouraging patients to give their views about how the practice is performing. We would like to be able to ask the opinions of as many patients as possible and we are asking if people would like to provide their e-mail addresses so that we can contact you by e-mail every now and then and again to ask you a question or two.  If you are happy to be contacted periodically by e-mail please complete your details below.

 

                                                                  Press HERE!

 

 

 

                                                                     

                                                                       

iCASH clinic Norfolk ( posted on Apr 16, 2015 )

Health Check ( posted on Jan 6, 2015 )

Healt

Access to your records. ( posted on Sep 29, 2014 )

 

 

"Our practice is offering our patients the facility to view areas of their records online.  The areas patients will be able to access will include a summary of information relating to medications, allergies and adverse reactions and also if requested a detailed coded record. The data that will be included will show the Gps who make entries to your record and other names that appear will be surgery staff will a legitimate reason to add data.   As well as viewing this information, there will be the facility to download and print it.  This will be available from the 1st of April 2016.  If patients do require online access to their detailed coded record they will need to request access through systmonline via account management or speak with the practice to facilitate this."

 

“We share your medical records with other services involved in your health and care.  For full details, please see our sharing leaflet on our website.  If you do not have access to the internet, please ask at reception.”

Friends and Family NHS test? ( posted on Sep 23, 2014 )

 

 

 

 

Caring in the NHS ( posted on Oct 16, 2013 )

Text messaging ( posted on Aug 22, 2013 )

We can now send appointment reminders to your mobile phone via SMS texting.

 

Please ensure we have your up-to-date number!

 

(If you'd rather not recieve reminders please let us now!)

 

 

 

 

 

Research ( posted on May 7, 2013 )

 

We are a active research practice .......... join a study......... take part and make a difference.

Record Sharing ( posted on Oct 22, 2012 )

  

 

 

 

 

 

 

 

 All consultation, records and test results will be kept completely confidential however, we will share your records with other units who you are receiving care from in order that those treating you have the most up to date information available to them regarding your medical condition.

 

If you have a sensitive consultaiton which you do not want to be seen by other units please ask your GP or Nurse to mark it as High Privacy.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How to Register ( posted on May 3, 2012 )

How do I register?  You will need to collect some forms from reception.  When returning the form you will need to bring a form of photographic identification ie passport or driving licence with  you.  It would also be helpful if you could provide proof of your new address.  Where possible these forms should be completed as fully as possible and returned after 11am.

Our New Website ( posted on May 26, 2011 )

Welcome to our new GP Website, we hope you find it useful.
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