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Missed appointments & New Text Message Service The doctors and reception staff at Lincoln House Surgery understand that it can sometimes be frustrating getting an appointment within a timely manner. The surgery has tried to make it easier for patients by creating more appointments and making it easier to book appointments online. However, we would also like the pa tients to play their part. Every month we lose at least 100 Doctor and nurse appointments by patients not at tending. This equates to over 16 hours of lost time. It also means that other patients who need appointments are unable to access them. We therefore kindly request that patients cancel their appointments as soon as possi ble if they know they are unable to attend. It is impossible to rebook appointment slots when a patient does not inform us in advance that they will not be attending. Even if you cancel a few hours in advance, we can usually Gill the appointment by of fering it to somebody else. To try and help the patients, we will be launching a text reminder service where pa tients can receive a text message to remind them of advanced appointments. This will be an "OPT IN" system so texts will only be sent to patients who consent to this. We will initially trial the system for appointment reminders only but in future may be able to send reminders for other matters such as medication reviews etc. Please be assured that this service will not be used to convey any conGidential medical informa tion. Further information and forms to register for this new service will be available at reception and via our website. Welcome to the second edition of the Lincoln House Surgery Newsletter. Following the excel lent feedback we have received from the Girst newsletter, we will be publishing further newsletters on a twice yearly basis. NEWSLETTER LINCOLN HOUSE SURGERY SPRING 2014 PAGE 1

NEWSLETTER · “PATIENT” VIEW ! I’m$not$a$patient$man$but$I$am$a$patient.$ I$remember$having$to$go$to$the$original$Lincoln$House$in$Apsley$where$I$sat$in$a$dim,$

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Page 1: NEWSLETTER · “PATIENT” VIEW ! I’m$not$a$patient$man$but$I$am$a$patient.$ I$remember$having$to$go$to$the$original$Lincoln$House$in$Apsley$where$I$sat$in$a$dim,$

Missed  appointments  &  New  Text  Message  Service  The   doctors   and   reception   staff   at   Lincoln   House   Surgery   understand   that   it   can  sometimes   be   frustrating   getting   an   appointment   within   a   timely   manner.     The  surgery  has   tried   to  make   it  easier   for  patients  by  creating  more  appointments  and  making  it  easier  to  book  appointments  online.    However,  we  would  also  like  the  pa-­‐tients  to  play  their  part.  !Every  month  we  lose  at  least  100  Doctor  and  nurse  appointments  by  patients  not  at-­‐tending.    This  equates  to  over  16  hours  of  lost  time.    It  also  means  that  other  patients  who  need  appointments  are  unable  to  access  them.  !We  therefore  kindly  request  that  patients  cancel  their  appointments  as  soon  as  possi-­‐ble  if  they  know  they  are  unable  to  attend.    It   is  impossible  to  re-­‐book  appointment  slots  when  a  patient  does  not   inform  us   in  advance   that   they  will  not  be  attending.    Even  if  you  cancel  a  few  hours  in  advance,  we  can  usually  Gill  the  appointment  by  of-­‐fering  it  to  somebody  else.  !To  try  and  help  the  patients,  we  will  be  launching  a  text  reminder  service  where  pa-­‐tients  can  receive  a  text  message  to  remind  them  of  advanced  appointments.  This  will  be  an  "OPT  IN"  system  so  texts  will  only  be  sent  to  patients  who  consent  to  this.    We  will   initially   trial   the   system   for   appointment   reminders   only   but   in   future  may   be  able  to  send  reminders  for  other  matters  such  as  medication  reviews  etc.    Please  be  assured  that  this  service  will  not  be  used  to  convey  any  conGidential  medical  informa-­‐tion.    Further  information  and  forms  to  register  for  this  new  service  will  be  available  at  reception  and  via  our  website.  

Welcome  to  the  second  edition  of  the  Lincoln  House  Surgery  Newsletter.    Following  the  excel-­‐lent  feedback  we  have  received  from  the  Girst  newsletter,  we  will  be  publishing  further  

newsletters  on  a  twice  yearly  basis.

NEWSLETTER LINCOLN HOUSE SURGERY! SPRING 2014

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!“PATIENT” VIEW !

I’m  not  a  patient  man  but  I  am  a  patient.  !I  remember  having  to  go  to  the  original  Lincoln  House   in  Apsley  where  I  sat   in  a  dim,  dismal  waiting  room  and  was  eventually  called  through  to  see  a  Doctor.    I  was  young(er)  and  got  extremely  frustrated  by  delays,  I  was  busy  and  it  seemed  to  me  that  Doctors  and  Dentist  didn’t  care  that  I  was  waiting  beyond  the  appointed  time.    However,  it  did  matter  if  I  was  late  and  the  Doctor  was  on  time;  the  focus  was  on  the  Doctor  not  Patients!  On  the  plus  side  I  was  young(er)  and  I  didn’t  need  to  go  to  see  the  Doctor  very  often  so  did  it  really  matter?  !I’ve  survived   through   the  move  of  Lincoln  House   to  Wolsey  Road  and  back   to  London  Road,  Apsley  and  have  seen  a  complete  change  of  Doctors  in  the  process.    Now  I  am  old-­‐er,  I  see  the  Doctor  more  often  and  Gind  that  my  impatience  is  lessening  and  I  can  toler-­‐ate   delays  more   readily.     I   understand   that   some   appointments  with   the  Doctor   only  take  a  few  minutes  and  some  take  a  lot  longer  so  on  balance  maybe  a  few  delays  are  ac-­‐ceptable.  !The  surroundings  I  wait  in  are  inGinitely  better  and  more  comfortable,  I  can  avoid  delays  at  reception  by  telling  the  Doctor  I  have  arrived  on  a  touch  screen  and  I  can  see  on  a  big  long  screen  when  and  where  I  have  to  go  to  see  my  Doctor.    I  can  avoid  delays  by  book-­‐ing  and  appointment  or  a  repeat  prescription  online.  !Talking  of  Doctors,  do  you  think  they’ve  changed?     I  do.    Who  would  of   thought  years  ago  that  the  Doctor  (beyond  question!)  would  have  sought  the  views  of  his/her  patients  on  the  niceties  of  running  a  surgery  to  improve  patient  services?    Well,  Lincoln  House  Doctors   have   formed   a   Patient   Participation   Group   (PPG)   that   is   independent   of   the  Doctors  inasmuch  that   it  puts  forward  its  own  views  and  opinions  on  the  way  Lincoln  House  operates  and  suggest  areas  where  improvements  could  be  made.    And  the  Doc-­‐tors  listen.  !I  know  it  is  impossible  to  please  all  of  the  people  all  of  the  time  but  I  think  our  Doctors,  and   their   support   staff,  have  moved   in   the   right  direction  and  are  providing  a   service  that  I  appreciate  and  rate  highly.  I  feel  I  am  treated  like  an  individual  and  my  health  is-­‐sues  are  not  just  important  to  me  but  my  Doctor  cares  as  well.  !What  do  you  think  about  the  service  our  surgery  gives?    Are  you  an  impatient  patient  like  I  used  to  be?    I’ve  changed  –  now  I’m  just  a  grumpy  OAP  but  I’m  Ginding  my  visits  to  the  Lincoln  House  Surgery  are  a  much  better  experience  than  they  have  ever  been.    Just  as  well  as  now  I’m  old(er)  I  need  to  see  my  Doctor  more  frequently!  !By  Christopher  Cook  (Patient  and  PPG  member  at  Lincoln  House)  !

Why  not  join  the  PPG?    You  can  sign  up  by  emailing  the  PPG  at  [email protected]  or  ask  for  a  sign  up  form  at  the  Surgery  reception.  

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Repeat  Prescriptions  

!We  would   like   to   remind   patients   about   ordering  repeat  prescriptions   in  a  timely  manner.    We  have  been  having   increasing  urgent   requests   for   repeat  medication   having   to   be   dealt   with   by   the   emer-­‐gency  doctor  which  can  put  an  incredible  strain  on  our   service.   Ordering   of   repeat   prescriptions   can  usually  be  planned  for  so  please  try  to  give  at  least  48  working  hours  notice  when  requesting  a  repeat  prescription.    Repeat  prescriptions  can  be  request-­‐ed   in   writing   at   the   surgery,   through   our  website  and  also  by  your  local  chemist.

New Staff Members!!Kirsty  Cosford  has  joined  the  surgery  as  part  of  the  secretarial   and   adminis-­‐tration  team.      

Deborah   Backhouse   and  Caroline   McPherson   are  new   additions   to   the   re-­‐ception   staff.   We   would  like   to   extend   a   warm  welcome   to   them  all   and  hope  they  settle  well  into  their  new  roles.

!Questionnaire !

We  have  been  asked  by  Herts  Valley  Clinical  Commissioning  Group  to  seek  the  views  of  patients  with  long  term  health  conditions  and  Gind  out  about  the  care  they  have  been  provided  and  their  ability  and  con-­‐Gidence  to  manage  self  care.    !The  long  term  conditions  involved  include:  Hypertension,  Coronory  Heart  Disease,  Diabetes  and  COPD.    We  will  shortly  be  handing  out  questionnaires  to  patients  suffering  from  these  long  term  conditions  and  would  be  very  grateful  if  patients  can  take  the  time  to  complete  these.   The   questionnaire   is   very   short   and   should   only   take   a   few  minutes  to  Gill  out.    

LINCOLN HOUSE SURGERY! SPRING 2014

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Patient  Survey  2014  In  January  this  year  the  Surgery  carried  out  another  survey  seeking  patient’s  opinions  of  key  activities  within  the  Practice  and  this  year  we  received  317  responses.    The  re-­‐sponses   have   been   analysed,   discussed  with   the   Patients   Participation   Group   (PPG)  and  a  series  of  objectives  are  being  considered  or  pursued.  !This  year’s  survey  was  aimed  at  building  on  previous  progress  and  taking  a  more  fo-­‐cused  view  on  the  remaining  key  areas  for  improvement.    In  broad  terms,  the  aim  was  to  prepare  a  plan  that  would  enable  us  to  concentrate  our  efforts  on  what  our  patients  thought  were  important  issues.      !Of  all  the  areas  highlighted,  those  listed  below  were  the  most  frequently  raised.  !

•   Whilst   there   was   a   marked   improvement   in   telephone   response   and   the  making  of  appointments  these  areas  were  still  a  concern  

•   Parking  remained  a  problem  for  some  

•   Communicating  extended  waiting  times  and  awareness  of  health  issues  was  sometimes  felt  to  be  unsatisfactory  

•   Communicating   items   of   general   interest,   newsletters   and   PPG   activities  was  viewed  by  some  to  be  lacking  

•   Some  respondents  thought  that  obtaining  repeat  prescriptions  via  email  be  of  help  

•   Not   all   respondents   were   aware   of   the   online   facilities   to  make   appoint-­‐ments  and  order  repeat  prescriptions  

!Regarding   parking   the   surgery   has   tried   various   potential   solutions   but   there   is   no  additional  space  to  increase  patient  parking.    However,  patients  who  need  to  park  as  near  as  possible  because  of  mobility  needs,  children  etc  can  now  pull  up  to  the  surgery  car  park  barrier  and  request  access  to  park.  !!Of  the  remaining  items  raised  the  Surgery  has  agreed  the  following  with  the  PPG:  

•   The  feasibility  of  using  TV  screens  to  provide  information  in  the  waiting  ar-­‐eas  has  previously  been  considered  and  will  now  be  further  evaluated  for  suit-­‐ability  and  possible  installation  

•   Consideration  will  be  given  to  the  use  of  text  messaging  to  advice  patients  of  imminent  reviews,  appointments  etc.  

•   Investigate   if   email   can   be   used   for   requesting   prescriptions   in   a  manner  similar  to  the  existing  online  facility  

LINCOLN HOUSE SURGERY! SPRING 2014

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Patient  Survey  2014  (continued)  

•   The   Surgery   has   a   large   database   of   patient’s   email   addresses   but   only  communicates  with  the  PPG  via  email.    We  intend  to  extend  this  form  of  com-­‐munication  to  all  patients  who  have  registered  their  email  address.    This  will  signiGicantly  improve  contact  with  our  patients  and  we  will  be  able  to  offer  an  “opt  out”  option  if  patients  feel  it  is  unsuitable  for  them.  

!In  addition  to  the  agreed  actions  we  will  continue  in  our  efforts  to  improve  our  per-­‐formance  regarding  telephone  response  and  appointment  making.    As  a  result  of  pre-­‐vious  surveys  we  have  already  increased  the  number  of  appointments  available  at  our  Surgery  and  offered  more  appointments  online.    These  initiatives  are  constantly  be-­‐ing  reviewed  and  where  appropriate  improved.  If  you  would   like  more  detail  of   the  survey,   the  PPG  or  our  services  please  visit  our  website  or  contact  reception  for  a  copy  of  the  survey.  !(Article  written  by  PPG  member)  

Hay fever !

Hay  fever  is  a  common  allergic  condition  that  affects  up  to  one  in  Give  people  at  some  point  in  their  life.  

Who  is  affected?  

Hay  fever  is  one  of  the  most  common  allergic  conditions.  It  is  estimated  that  there  are  more  than  10  million  people  with  hay  fever  in  England.  Hay  fever  usually  begins  in  childhood  or  during  the  teenage  years,  but  you  can  get  it  at  any   age.     The   condition   is   more   common   in   boys   than   in   girls.   In   adults,   men   and  women  are  equally  affected.    Hay  fever  is  more  likely  if  there  is  a  family  history  of  aller-­‐gies,  particularly  asthma  or  eczema.  !Symptoms:    !Symptoms  of  hay  fever  include:  

•   sneezing        

•   a  runny  nose        

•   itchy  eyes        

The  symptoms  of  hay  fever  are  caused  when  a  person  has  an  allergic  reaction  to  pollen.  Pollen   is   a   Gine   powder   released   by   plants   as   part   of   their   reproductive   cycle.   Pollen  contains  proteins  that  can  cause  the  nose,  eyes,  throat  and  sinuses  (small  air-­‐Gilled  cavi-­‐ties  behind  your  cheekbones  and  forehead)  to  become  swollen,  irritated  and  inGlamed.

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You  can  have  an  allergy  to:  •   tree  pollen,  released  during  spring        

•   grass  pollen,  released  during  the  end  of  spring  and  beginning  of  summer        

•   weed  pollen,  released  any  time  from  early  spring  to  late  autumn        !Many  people  Gind  that  their  symptoms  improve  as  they  get  older.  Around  half  of  people  report  some  improvement  in  symptoms  after  several  years.  In  around  10%-­‐20%  of  peo-­‐ple  symptoms  go  away  completely.  !Treatment  

There   is  currently  no  cure   for  hay   fever  but  most  people  are  able   to  relieve  symptoms  with  treatment,  at  least  to  a  certain  extent.  !In  an  ideal  world,  the  most  effective  way  to  control  hay  fever  would  be  to  avoid  exposure  to   pollen.   However,   it's   very   difGicult   to   avoid   pollen,   particularly   during   the   summer  months  when  you  want  to  spend  more  time  outdoors.  !Treatment  options  for  hay  fever  include  antihistamines,  which  can  help  prevent  an  aller-­‐gic  reaction  from  happening  and  corticosteroids  (steroids),  which  help  reduce  levels  of  inGlammation  and  swelling.  !Many  cases  of  hay   fever  can  be  controlled  using  over-­‐the-­‐counter  medication  available  from  your  pharmacist.   If   your   symptoms  are  more   troublesome   it’s  worth   speaking   to  your  GP  as  you  may  require  prescription  medication.  !For  persistent  and  severe  hay  fever  there  is  also  a  type  of  treatment  called  immunother-­‐apy  where  you  are  exposed  to  small  amounts  of  pollen  over  time  to  build  up  a  resistance  to  its  allergic  effects.  However,  this  can  take  many  months  or  even  years  to  be  effective.  !Self-­‐help  tips  

It  is  sometimes  possible  to  prevent  the  symptoms  of  hay  fever  by  taking  some  basic  pre-­‐cautions,  such  as:  

•   wearing  wraparound   sunglasses   to   stop  pollen   getting   in   your   eyes  when        you  are  outdoors  

•   change  your  clothes  and  take  a  shower  after  being  outdoors  to  remove  the        pollen  on  your  body  

•   try  to  stay  indoors  when  the  pollen  count  is  high  (over  50).          

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…a Pharmacist is available everyday of the year until 10pm including all bank holidays.

We offer:-• FREE Emergency

contraception*• FREE Stop smoking service *• FREE Chlamydia Screening• FREE Chlamydia Treatment• FREE Blood Pressure Testing* subject to certain criteria

OPENING HOURSMon - Fri: 7.30am to 10pmSaturday: 8.00am to 10pmSunday: 8.30am to 10pm

FREE

MedicX Pharmacy 161 London Road Apsley HP3 9SQT: 01442 818181E: [email protected]: www.medicxpharmacy.com

Registered Office Paddock Business Park 2 Paddock Road West Pimbo Skelmersdale WN8 9PL Registered in England and Wales 6431213

Weight Management Consultation

Consultations are available every day from 7.30am until 8.30pm. Speak to a member of your pharmacy team to arrange a suitable time for you...

LINCOLN HOUSE SURGERY! SPRING 2014

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