This is a message from SystmOnline:
From Monday 7th July 2014 TPP will be making some security upgrades to SystmOnline (where you order repeat prescriptions and book appointments). Most people will not be affected by this, however if you are running older versions of Windows (for example Internet Explorer on Windows XP before SP3) you may experience difficulties accessing the service. If you experience any issues, please DO NOT contact your GP practice, you should try using a different browser or upgrade your operating system.
SAVE OUR SURGERY
Your GP Cares (BMA Campaign)
WE NEED YOUR HELP! Please share this link as far and wide as possible. The BMA are running a national campaign ‘Your GP Cares’. The campaign explains the crises that General practice is currently facing and the fact that we are aware of the problems that patients are having at present with regards to getting an appointment. The campaign explains the reasons why we can’t “just get another doctor” and why that is not the long-term solution. We need you, as patients, to have your say by contacting local MPs and getting involved in the campaign. Please support us in our attempt to help save General practice.
View the campaign website
View the campaign video
The RCGP is running a campaign called "Put Patients First"
They are lobbying the government to increase funding for General practice to 11% by 2017. Please sign the e petition below:
The BMA is running a campaign called "Your GP Cares" and is asking patients to sign an e petition to require the Government to improve investment in general practice. Please sign this petition via the link below:
There is also a paper version in the Surgery
We currently hold a Personal Medical Services Contract (PMS) with NHS England and have done since 2003. At its inception we were able to apply for growth money to expand our clinical workforce and provide services in addition to a General Medical Services contract (GMS)
This growth funding enabled us to increase our appointments to around 80,000 a year (2013/14) which is just above a ratio of 6.2 per registered patient. We employ a Mental Health nurse to monitor all patients within this group. She also provides Hypnotherapy and group counseling sessions.
As a result of having this resource our patient list size has increased by over a 1000 in the last ten years.
We have funded a GP partner to gain his Dermatology and Dermoscopy diplomas. This has enabled us to hold two skin clinics and one Minor Surgery Clinic per month.
We currently have two HCAs (Health Care Assistants) whose primary role is health promotion and screening, but for the last three years, they have run our INR (warfarin) clinics. We manage 98% of all our patients on warfarin and see them at regular intervals. This amounts to 189 patients and over 3000 appointments for the year 13/14. Negating the need (and inconvenience) for these patients to attend the hospital.
We funded a GP and two nurses to gain their Diabetic Diploma and currently run ten diabetic clinics a month which again negates the need for these patients to attend the hospital by bringing the service more closely to their home.
All the above innovation has made savings for the NHS as a GP appointment costs a lot less than a Hospital one, but from April 2014 the government announced they want this funding withdrawn.
This WILL mean a loss of staff, services and more importantly patients as it will not be clinically safe to manage what we currently do on less income. We are carrying out a review of our services with NHS England at a local level, but are not expecting to win.
The sad fact is that the people who will suffer when our funding is removed are the patients, yet interestingly the business plan for NHS England is entitled “Putting Patients First.”
Dr Chaand Nagpaul (Chair of the British MedicalAssociation): 'General practice is not just in crisis; it is imploding'
Read the speech in full here:
I stand before you for the very first time as chair of the BMA’s GP committee, proud to represent 46,000 dedicated GPs working tirelessly across the UK.
Today nearly a million patients will visit their GP surgery – put into perspective that’s 16 times more than those who’ll attend accident and emergency – UK general practice is truly the pulse and life blood of the NHS, and that which keeps it alive.
It’s admired globally, independently evaluated as having highest levels of quality personalised care, cost effectiveness, and equity. We provide the totality of first point of contact services, unlike parts of Europe where GPs for example don’t see maternity, gynaecological conditions or children. UK GPs manage demand with 19 out 20 patient contacts concluded in primary care itself.
Whilst this should be cause for celebration, it’s tragic that within our own shores, NHS general practice has been systematically devalued, attacked and defunded, leaving it in a parlous state, with the quadruple whammy of a crisis in workload, workforce, premises and morale.
We’re seeing record numbers of patients in general practice - 40 million more annually than five years ago, the greatest rise in any sector of the NHS, set to increase relentlessly with a growing older population, and tranches of care moving out of hospital
Yet despite this escalating workload, we’ve seen brutal disinvestment, with general practice’s share of the NHS budget dwindling in a decade from above 10% to now less than eight, and a real terms reduction of £450m in 3 years, and now MPIG and PMS funding cuts which threaten the viability of many GP surgeries nationally.
We’ve similarly seen a relative reduction in the GP workforce, with the number of GPs as a proportion of all doctors in England reducing from 34% to 26% in two decades.
The simple fact is that demand has far outstripped our impoverished capacity, denying patients the care and access they deserve. GPs are struggling to square an impossible circle to manage the multiple complex physical and mental health needs of patients in the bare bones of a 10 minute consultation- an insensitive insult to so many of our most ill patients. We’re forced into providing conveyor belt care at breakneck speed, up to 60 times in a day, added to by an open-ended volume of phone calls, home visits, repeat prescriptions, results, reports and hospital correspondence. This is unmanageable, exhausting and unsustainable and puts safety and quality at risk.
It’s therefore no surprise that even a Government commissioned report last year showed GPs suffering record levels of stress, and a BMA survey showing that 6 out of 10 GPs intend retiring early.
These intolerable pressures have butchered the joy and ability of GPs to care for their patients, leading younger doctors to shun general practice in favour of a career in hospital, with a 15% reduction in GP training applications last year, and 451 places unfilled. Ministers ignore this workforce crisis at their peril which seriously risks leaving patients bereft of a GP service in some areas.
Nor do we have the space to care. With no dedicated funding for GP premises in over a decade, were struggling to provide 21st-century care from dated buildings designed for a past era, without the rooms for GPs to consult, patients to wait or staff to work in.
And whilst the government has announced £650m to ease winter NHS pressures, can you blame GPs for feeling aggrieved that the crisis affecting 90 % of patient contacts in the NHS which is in general practice is given zilch, showing a callous disregard for the plight of a profession on its knees.
Therefore amidst all the headline grabbing pressures in the NHS, I urge Ministers to open their eyes and wake up to the fact that general practice is not just in crisis, it’s imploding. And if the building blocks of the NHS crumble, the NHS collapses too. Not alarmist, not scaremongering. Just fact.
There are 340m consultations in general practice annually compared to 21m in A&E - itself under pressure. The fact is that if you destabilise general practice, it would only take us to see 6% fewer patients to double the numbers attending casualty if they went there instead, with drastic consequences.
Therefore I call upon Government to finally stop denigrating GPs as the problem, and to see us as the solution. That in an NHS paralysed with cash constraints, it’s logical to invest in the unarguable cost effectiveness of general practice. GPs are a bargain at the price - just over £70 per patient per year pays for unlimited appointments, home visits, telephone advice, and so forth - a fraction of the tariff cost of a single outpatient appointment.
And that’s why we’ve launched our campaign ‘Your GP cares’, calling for more GPs, nurses, staff and buildings. To provide us with more time and tools to care for patients, which would reduce hospital pressures, improve the nation’s health, and release cost efficiencies in a cash strapped NHS - we would all gain from this investment.
In conclusion, I urge you to support us in our fight for the very survival of UK general practice and in doing so for the survival of the NHS itself.
Sign the petition online or in the Surgery and write to our local MP Simon Burns at:
Click below for the results of our latest survey
We are introducing a new feature to SystmOnline:
Online Appointment Booking.
If you would like to have access to this facility and have not already signed up to SystmOnline, come into the surgery and obtain your username and password. You need to do this in person (proof of identity may be required and if you send a representative we will need your written consent). This username and password will enable you to login to SystmOnline and view your repeat medication list, order repeat prescriptions, amend your telephone number, view previous appointments and book future appointments with a GP.
Once you have your username and password use the link below to access SystmOnline. Once you are logged in you will also be able to change your password.
Child Immunisation Clinic
Changes to Tuesday's Child Immunisation Clinic. From the 11th of February this clinic will be by appointments only. Please speak to reception to book an appointment.
CHANGES TO OUT OF HOURS.
From the 5th of November you will no longer automatically be re-directed to the Out of Hours service when the surgery is closed. Instead you will be asked to dial 111 and your call will then be allocated to the most appropriate service. There is no charge for calls to this number.
We are now sending text confirmation of your appointment, plus a reminder two days beforehand (if booked far enough ahead). PLEASE ensure that the reception team have your current mobile phone number for this purpose.
For children under 12 we will be texting the parent whose number is on that child’s record.
Patient Representative Group
We currently hold a Patient Representative meeting every 6-8 weeks. The minutes are posted on this website. If you are interested please contact the practice manager at the surgery.
Patient Information Leaflets
You can find out information about medical conditions and diseases through our patient information leaflets
On line Repeat Prescriptions now available
You will need to come into the surgery in person to obtain a username and password (proof of identity may be required). If you send a representative we will need your written consent. Please note that this username and password will give access to your repeat medication list.
When you have your username and password use the link below to access online ordering and systmonline. Once you are logged in you will also be able to change your password.
(Site updated 18/07/2014)