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Bron Derw Publication Scheme

BRON DERW MEDICAL CENTRE

 

Welcome to the Publication Scheme for “Bron Derw Medical Centre” General Practice.

This is a guide to the Publication Scheme for “Bron Derw Medical Centre” General Practice in which each of the following practice as a partnership

Dr Lauren Kraaijeveld, Dr Nina Cakiroglu, Dr Bethan Jones, Dr Richard Alexander Stuart and Dr Manon Gruffydd.

Introduction

This Publication Scheme is a complete guide to the information routinely made available to the public Bron Derw Medical Centre. It is a description of the information about each of the General Practitioners and the Practice itself which we make publicly available. It will be reviewed at regular intervals and we will monitor its effectiveness.

How much does it cost?

The publications are all free unless otherwise indicated within each Class [with £]. Where information is provided at a cost the charges will be calculated as set out in Class 7 and in line with those recommended by the Betsi Cadwalader University Health Board.

How is the information made available?

The information within each Class is [either downloadable from the practice website or from the Wales NHS website www.wales.nhs.uk] available in hard copy from the Practice Manager.

Rights of Access to Information

At the present time, in addition to accessing the information identified in the Publication Scheme, you are entitled to request information about “Bron Derw Medical Centre” General Practice under the Code of Practice on Openness in the NHS issued by the Welsh Office in 1995. Hard copies of the Code of Practice are available free of charge from the NHS Wales Department of the Welsh Assembly Government by contacting

Email: Email: wag-en@mailuk.custhelp.com

Phone: English: 0300 0603300 or 0845 010 3300

                    Welsh: 0300 0604400 or 0845 010 4400

Post: You can contact the Welsh Government at the following address:

Welsh Government, Cathays Park, Cardiff, CF10 3NQ

The information is also available on the Department of Health website www.doh.gov.uk. Sometimes some, or all, of the information cannot be provided and we will explain the reasons why when this happens.

The Freedom of Information Act 2000 recognises that everyone has the right to know how public services, such as NHS Wales, are organised and run, how much they cost and how you can make complaints if you need to. You have the right to know which services are being provided, the targets that are being set, the standards of service that are expected, the results achieved and how decisions are made.

From January 1st 2005 the Freedom of Information Act requires all General Practices to respond to requests about information they hold, and it will create a right of access to that information. The rights to request and access this information are subject to some exemptions which a General Practice has to take into consideration before deciding what information can be released.

The Environmental Information Regulations which came into force in 1993 set the standard for the release of information about the environment in which we live and work. These are likely to be strengthened within the next eighteen months under a European Union Directive. Until the new Regulations come into force, information relating to the Environment can be requested using the existing Regulations and the Code of Practice on Openness.

Under the Data Protection Act 1998, you are also entitled to access your clinical records or any other personal information held about you and you can contact

Mrs Shelagh Price

Practice Manager

Bron Derw Medical Centre

Glynne Road

Bangor

Gwynedd LL57 1AH

In writing to do this.

Feedback

If you have any comments about the operation of the Publication Scheme, or how we have dealt with your request for information from the Scheme, please write to:

Mrs Shelagh Price

Practice Manager

Bron Derw Medical Centre

Glynne Road

Bangor

Gwynedd Ll57 1AH

CLASSES OF INFORMATION

All information at the “Bron Derw Medical Centre” Practice is held, retained and destroyed in accordance with NHS Wales guidelines. Our commitment to publish information excludes any information which can be legitimately withheld under the exemptions set out in the Welsh Code of Practice on Openness in the NHS or The Freedom of Information Act 2000. Where individual Classes are subject to exemptions, the main reasons relate to the protection of commercial interests and personal information under the Data Protection Act 1998. This applies to all Classes within the Publication Scheme.

The information on this Scheme is grouped into the following broad categories:

1. Who we are

We are a five partner Training General Practice based in a new purpose built surgery in the centre of Bangor, Gwynedd, with approximately 8995 patients. We are funded by the North West Wales NHS Trust and Betsi Cadwalader University Health Board, by adhering to the National General Medical Council Contract. Our practice aims to deliver services in line with the National Service for Clinical Excellence guidance and the National Service framework for Wales, both of which can be accessed from the Betsi Cadwalader University Health Board web site at www.bcu.wales.nhs.uk

The NHS is a very large part of the public sector. A full list of local General Practices in Wales can be found on the Betsi Cadwalader University Health Board web site at www.bcu.wales.nhs.uk.

The Bron Derw Medical Centre provides general medical services in the geographical area of Bangor, Bethesda, Aber, Rhiwlas, Y Felinheli, Menai Bridge, Llanfairpwll, Gaerwen and Llandegfan.

Some information will be withheld, including personal, confidential information about individuals which is protected by the Data Protection Act 1998.

A full list of the services provided is set out in Class 2.

The doctors in the practice are :

Dr Lauren Kraaijeveld (female)    BSc, MB, ChB(Manchester 1985), DRCOG, (part- time)                                      MRCGP, MFFP

Dr Nina Cakiroglu      (female) Qualified Medical Practitioner Goettingen, (part- time)                    Germany 1999, MRCGP, DRCOG, MFFP

Dr Bethan Jones           (female)  MBBS 2000 (part- time)

Dr Richard A Stuart     (male)      MB ChB ( Liverpool 1993)   (part- time)

Dr Manon Gruffydd     (female)    MBchB (Manchester 03/07/1989), (part time)                              DRCOG(17/05/1991) MRCGP (31/07/1993)        

Dr Sian Forster (female) - salaried GP part time

Bron Derw Medical Centre also employs the following support staff

Mrs Shelagh Price            Practice Manager

Mrs Sian Lewis                  Deputy Practice Manager/QOF

Mrs Sioned Williams          Administrator

Miss Kara Preston             Administrator

Mrs Stephanie Wynne       Nurse Practitioner

Louise Richardson            Nurse Practitioner

Rachael Perrin                 Nurse Practitioner

Mr Nicholas Moore           Nurse Practitioner

Mrs Jane Ford                    Senior Practice Nurse/Minor Illness Nurse

Mr Richard Newton          Practice Nurse

 

Mrs Glesni Williams           Healthcare Assistant

Mrs Ceri Jones                Healthcare Assistant

We also have a support team of 6 administration staff who carry out various roles within the practice.

On attachment to the practice, and employed by the local NHS Trust we have a team of District Nurses and Midwives.

2.Our Services

The range of services we provide under contract to NHS Wales, include good primary health care for all patients, together with clinics for Diabetes, Asthma, Healthy Heart, Ladies, Child Health, Post Natal, Ante Natal, Implanon fitting and removal, Cervical Cytology, Adult and Childhood Immunisations, Minor Surgery/Liquid Nitrogen/Cautery, New Patient Checks on request. The mission of the practice is to provide good quality service to its patients with a friendly and approachable style.

3. To see a doctor

We are open Monday – Friday 8.30am – 6.00pm/6.30pm. The phones are answered between the hours of 8.00 am and 6.30 pm.

If you need to see a named doctor we will try to offer you a pre-bookable appointment within the next 3 weeks, but as patients are now registered with the practice rather than with an individual doctor, it may not always be possible for you to see your preferred doctor. If you feel that a longer appointment than the standard 10 minutes is required please ask for a double or triple appointment. It is important you give the receptionist as much information as possible when you are booking your appointment to ensure you are seeing the correct clinician. All staff have signed a confidentiality agreement.

An Immediate Care walk in system is in place for Bron Derw patients from 8.30am - 12.30  and 1.30 - 4.00pm to see a clinician not a GP of your choice. This is a nurse led service. Any Bron Derw patient walking in after 4.00pm will be triaged by a clinician who will make the decision as to whether they need to wait to be seen and will have to wait, come back the next day or whether the pharmacist in one of the local chemists could help. When you telephone for a re-bookable appointment or arrive for Immediate Care we would be grateful if you would provide the receptionist with brief details of your problem so that you can be seen by the most appropriate member of our team. Immediate care patients will be offered a form on a clip board to complete to ensure complete confidentiality at the desk. Appointments are still needed for the Nurses and Health care Assistants which need to be booked in advance. We try to run to time as far as possible, but inevitably an appointment can run over time, so please bear with us if you have to wait. To keep surgeries running as smoothly as possible, please remember the following points:

Please arrive on time for your appointment and allow time to park your car

Please let us know if you cannot keep your appointment so that someone else may benefit from the cancellation. We will be writing to patients who do not attend appointments and they will not be allowed to pre-book appointments in future.

Please don’t “squeeze in” other people to your slot

Requests for home visits, where applicable, should be made as early as possible in the morning. This enables the staff and GP on call to prioritise the visits so that the more urgent ones are done first. If you are late for your pre- booked appointment the clinician will be asked if they are able to see you. If you are more than 10 minutes late you may be asked to re-book your appointment.

4.Telephone Advice

Sometimes you may feel you would rather talk to the doctor or nurse on the telephone rather than visiting the surgery for an appointment, which will save both you and us time. Please give the receptionist as much information as possible in order for the doctor or nurse to prioritise your phone call. Unfortunately the receptionist will not be able to give you an exact time or day as to when the doctor or nurse will be able to return your call. If you wish to speak to a doctor urgently asking to speak to the “on call” doctor rather than a “named doctor” who might not be working that day will be the quicker option.

Please note: The surgery telephone system is set up in such a way that the switchboard phone number 370900 is displayed. Patients need to listen to telephone messages as calls from other phones in the surgery will not have the individual number displayed but the caller will leave their name.

We use a text messaging service to remind patients of appointments. Please make sure we have your up to date mobile number. If you do not want to be contacted by text please let us know so that we can code your records accordingly.

5. Home Visits

Requests for Home Visits should be made, where possible by 9.00 am, for visits the same day. Non urgent request received after that time may be forwarded until the next day, depending on the circumstances. Please give the receptionist as much information as possible to allow the doctor to allocate priority to your call. Remember that for every house call, seven patients on average can be seen at the surgery, and therefore, house calls should be for the housebound or severely ill patients only. Children very rarely fall into this category and are easily transported to the surgery. We aim to see ill patients on arrival at the surgery, and not keep you waiting – please make sure that the reception staff are made aware of this on your arrival.

6. Out of Hours Service

The telephone number for the surgery is 01248 370900 Monday – Friday 8am – 6.30pm – outside these hours patients can contract the Out of Hours Service on 03001235566. Patients are asked to restrict the use of the Out-of-Hours service to cases of serious illness. The Out of Hours doctors are based at Ysbyty Gwynedd. The service is provided by Betsi Cadwalader University Health Board. Out of Hours provides emergency cover to give advice, to arrange to see patients at Ysbyty Gwynedd or to see patients at home. The surgery is informed of all contact by our patients with Out of Hours the following working day by email.

7. Repeat Prescriptions

Like all Doctors Surgeries we have a Repeat Prescription Service, the success of which depends on it running very strictly.

Prescriptions are generated by computer, but the accuracy of the prescription requires constant supervision. In order to minimise errors we will only accept request for repeat prescriptions in writing, preferably on the repeat slip provided, or via My Health on Line once registered for this service. Your prescription, when received before 9am, will then be ready for collection from the surgery after 2pm 2 days later, provided these simple steps are adhered to. Please remember our staff do not work over the bank holidays so if a prescription is ordered on-line during that time it will not be actioned until the morning we return to work and then signed by the doctor at lunch time.

Every so often you will be asked to make an appointment to see the doctor in order that the drugs prescribed can be checked and the repeat slip amended if necessary.

Some of the local chemists offer a collection and delivery service for the housebound and immobile. We cannot arrange this for you – you need to contact the chemist of your choice, and complete the form they provide.

You should be aware of your medication running out and leave plenty of time to obtain a repeat prescription – it can be dangerous if you stop taking medication abruptly.

8. Test Results

In general the results of any blood, urine or x-rays will be sent back to the surgery within a few days of you having the test. This are transmitted to us electronically from the laboratory to your personal file held on our clinical computer system. The results are then checked by the doctors, who will decide if any further action is needed. If you wish to phone or call in at the surgery for your results, these will not be available until after 2pm, the results will usually be ready to be given to you, and if you contact the surgery before that time you will be asked to call back later. You will either be told “no action necessary”, which means normal, “make an appointment” or “speak to the doctor or nurse”, to discuss the results. If you are worried about the outcome of the test the receptionist will try to put you through to a doctor or nurse immediately, or arrange for them to call you back as soon as possible.

Other members of the Primary Health Care Team

We have a Midwife whose contact details are passed to ladies on their first booking visit and the District Nurse team is now based at Bethesda surgery and can be contacted there (01248 600212. The Health Visitors are now based at Ty Cegin in Maesgeirchen. The Midwife has a clinic at the surgery on a weekly basis and appointments can be made through our reception and administration staff. Messages for the District Nurse can be left in the surgery in their message book and these are passed on daily.

We also liaise closely with the specialist MacMillan and Hospice Nurses, and have access to facilities offered by Calon Lan, for patients discharged from hospital with heart conditions, where appropriate.

9.Non NHS Medical work

We also offer private medicals for Driving Licences and Insurance Companies, which together with other work not covered by the NHS are charged at the recommended BMA rates, details of which are available from the Practice Manager or reception. Please note that any private work including private prescriptions is at the discretion of the Bron Derw clinicians.   

10. Language

We are a bi-lingual practice, with two doctors, two nurse, both Health Care Assistants and the majority of our administration team being Welsh speaking. We can, where possible, arrange for translation services for other languages, but would require adequate notice for this and there may be a cost involved.

11.Clinical Interests

Dr Kraaijeveld has an interest in women’s health and runs our Ladies Clinic, She also teaches in women’s health and is a trainer in General Practice.

Dr Cakiroglu has an interest in women’s health and is a trainer in General Practice.

Dr Bethan Jones is out finance Partner, and is our lead in mental health and substance misuse. 

Dr Richard A Stuart is our lead in COPD, asthma, diabetes and Palliative Care.

Dr Manon Gruffydd is our lead in learning disabilities.

Dr Sian Forster our salaried doctor has an in interest in minor surgery, dermatology and child health and is the practice lead for Child Protection.

Some of the services we provide may involve sharing information with other agencies, i.e. Child Protection, and this information is only shared as agreed by the Data Protection Act, details are available on request from the Practice Manager.

12.Financial and funding information

We are funded by the Betsi Cadwalader University Health Board, under the “Statement of Fees and Allowances Payable for General Medical Practitioners in England and Wales”. Details are available on request from the Practice Manager.

There may be circumstances where material cannot be released because it is confidential or commercial information of the appropriate office designated for these purposes under the Act has taken the view that it may be prejudicial to the conduct of the Practice’s affairs.

13.Regular publications and information for the public

Guidance and information leaflets, on all aspects of health care are available from the surgery, please ask at reception for a printout. We have four notice boards in reception plus a dedicated leaflet rack for carers.

14.Complaints

The surgery operates a complaints procedure which is based on the NHS model. We welcome the opportunity to deal with any part of our service to you which is a cause for concern. Please contact, Mrs Shelagh Price, the Practice Manager, by letter if you feel you have a problem with the service we provide, giving details of your concern. We aim to respond to all complaints by return post and deal with your complaint as swiftly, and we hope, as efficiently, as possible. Details of our complaints procedure are available from the Practice Manager or our web site. If we are unable to answer your complaint in the normal timescale we will let you know.

15.Our policies and procedures

General policies and procedures are in use within the Practice. We have a staff handbook which is updated as required and all policies are on the network share. More information can be given if required.

16.This Publication Scheme We will publish any changes we make to this Publication Scheme, the criteria on which our information management policies are made and a referral point for all enquiries regarding information management in the General Practice. We will also publish any proposed changes or additions to publications already available and information regarding our policy in relation to charging for information.

17.Cost of Information

For the most part, we will charge you only for hard copies or copying onto media (e.g. CD ROM). Some information is available free, but for others there may be a charge. The charges will vary according to how information is made available. Charges are as follows:

a) Via the General Practice/Local Health Board /Trust Web Site – Free of charge, although any charges for Internet Service provider and personal printing costs would have to be met by the individual.

For those without Internet access, a single print-out as on the website would be available by post from the Practice Manager by personal application.

However, requests for multiple printouts, or for archived copies of documents which are no longer accessible or available on the web, may attract a charge for the retrieval, photocopy, postage etc. We will let you know the cost and charges that will have to be paid in advance. We will not provide printouts of other organisation’s websites.

b) Leaflets and brochures - free of charge on, for example, services we offer to the public. Please ask at reception.

c) E-mail will be free of charge unless it says otherwise.

The charges will be reviewed regularly and be in line with other NHS organisations.

Useful Resources

Web sites:

www.informationcommissioner.gov.uk   This is the web site of the Information Commissioner.

www.lcd.gov.uk  This is the web site of the Lord Chancellor’s Department.

www.wales.nhs.uk/foi This is the web site for NHS Wales Freedom of Information.

www.nhs.foi.uk This is the web site for NHS Freedom of Information.

Publications

Welsh Code of Practice on Openness in the NHS wales.nhs.uk

FOI Act 2000   legislation.hmso.gov.uk/acts2000/2000036.htm

Code of Practice under Section 45 FOI Act 2000 lcd.gov.uk

Code of Practice under Section 46 FOI Act 2000 lcd.gov.uk

Statement of Fees and Allowances payable for General Medical Practitioners in England and Wales.

Copyright

Material available through this Publication Scheme is subject to the General Practice’s copyright unless otherwise indicated. Unless expressly indicated to the contrary, it may be reproduced free of charge in any format or medium provided it is done so accurately in a manner which will not mislead. Where items are re-published or copied to others, you must identify the source and acknowledge copyright status. This permit does not extend to third party material, accessed through the scheme. For HMSO Guidance Notes see www.hmso.gov.uk/guides.htm or contact: HMSO Licensing Division, St Clements House, 2-16 Colegate, Norwich NR 3 1BQ. Tel: 01603 621000.



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