The average pay for delivering NHS services to patients for GP’s working in Aylesham Medical Practice & Wingham Surgery in the last financial year was £58,103 before tax and NI. This is for three full time Doctors who have worked in the practice for more than six months.

Practice Profile 2017

Our Practice Values

Aylesham Medical Practice and Wingham Surgery Leaflet

Medical Reports and Sickness Certificates

On occasions insurance companies and employers and some other organisations may ask your doctor to write a report regarding your medical history for insurance purposes and fitness for employment. The provision of medical reports is governed by The Access to Medical Reports Act, 1988.

The Act covers the following points.

• A report cannot be provided without your consent

• You are entitled to see the report before any third party and you have a right to ask the doctor to make amendments if you feel it is incorrect or misleading. Should the doctor not agree to this you may write a note and attach it to the report before it is sent.

• You have a 21 day period to view the report before it is sent off to the third party. A report can be sent off after 21 days without your viewing provided you consented to the preparation of the report for the third party.

• A doctor must hold a copy of your report for at least six months. You can request to view the report during this time by arrangement with the doctor. A fee will be charged to cover the cost supplying a copy.

• A doctor can decline to reveal elements of the report to you if he/she feels it would be severely detrimental to your physical or mental health

Sickness Certificates

If you are absent from work for less than 7 days a self certificate is required, these can be obtained from your employer.

It is not a statutory right for your employer to ask for a Medical Certificate if you have been absent from work for less than 7 days, if they insist, they can pay for the cost of a Private Certificate which your doctor can provide.

If you are sick for more than 7 days you will need to see your doctor before a Medical Certificate is issued, he/she will need to see you again each time a further certificate is required.

Medical Certificates for absence from school, college or any other place can only be issued as a Private Certificate for which there will be a charge.

FEES FOR NON-NHS SERVICES

COUNCIL TAX EXEMPTION

NO FEE

DVLA

VOC GP CERTIFICATE

£12.50

GP SERIES 2

£40.00

GP EXAMINATION

£85.00

MEDICAL REPORT FORM – no examination

£89.50

PRIVATE SICK NOTE

£45.00

VACCINATION CERTIFICATE

£10.00

HOLIDAY CANCELLATION CERTIFICATE

£45.00

FITNESS TO TRAVEL CERTIFICATE

£45.00

FIT FOR EXERCISE REPORT

£45.00

CLAIM FORMS (BUPA/PPA ETC)

£45.00

SICKNESS/ACCIDENT BENEFIT CLAIM FORMS £45.00

HGV/PSB PRE-EMPLOYMENT MEDICAL £80.00

ENG1 MEDICAL

£115.00

OFFSHORE OPERATORS MEDICAL/UKOOA £80.00

CHILD MINDER HEALTH FORMS

£87.50

FOSTERING MEDICAL

Form 1HA £60.00

Form AH £100.00

STRAIGHTFORWARD CERTIFICATES OF FACT

£18.00

Any letters required to provide information or to support applications £10

Common Ailments in Children and Adults

Please click on the following link for information regarding Common Ailments

Health Centre – Childhood Illnesses and Common Ailments

We have a zero tolerance policy towards violent threatening and abusive behaviour or aggression in any form at this surgery. Violent threatening and abusive behaviour or aggression may lead to police involvement and removal from the surgery register.

Patients are entitled to see their notes at a small fee, If you need more information please telephone the surgery and ask to speak to the secretary.

The following web site will give you all the information you will need to know on how to access your medical records.

If you have any further questions please telephone your surgery and ask to speak to the secretary.

http://www.bbc.co.uk/dna/actionnetwork/A1181657

Medical examinations such as insurance, employment and driving medicals etc. are undertaken at the surgery. A fee will be payable and our secretary will be happy to answer any questions you may have.

Please Print off this Well Person Questionnaire and bring it with you to the surgery

Click here for form

When you register with the surgery you will be asked to complete a questionnaire regarding your personal history. This gives us some knowledge prior to your notes arriving from your previous doctor. You will also be asked to make an appointment for a health check. Please bring any medication that you are taking with you.

All prescriptions are computer generated for safety and clarity.

We are not a dispensing Practice so you will need to take your prescription to the pharmacist; there is no charge for prescriptions if you are exempt. If you require many medicines on a monthly basis it may be cheaper to purchase a pre-payment certificate for a twelve month period. Your pharmacist will be able to answer any questions you have regarding this.

Repeat Prescriptions

Repeat prescriptions are given for medicines you need to take on a long term basis, sometimes for life. On the right hand side of the prescription is a list of your current medications, please tick the ones you need and return the slip to the surgery when you have 10 working days worth of medication left. Also on the right hand side of the slip you may find a message from the doctor. We do not accept orders for prescriptions over the telephone as this can lead to mistakes. You may also sign up to our on-line services which will allow you to order your repeat medication on-line. Please ask at reception you will need to provide photographic ID at the time of registering.  Prescriptions will not be handed to anybody under the age of 14 years. 

Nominated Pharmacy

We have arranged a prescription ordering and collection service with Boots in Ash, Canterbury Whitefriars and Aylesham. Please speak to the pharmacist for further information.

Medication Reviews

Once or twice a year the doctor/nurse will need to see you for a medication review, through this review the doctor will be able to see if your medication needs to be increased, decreased, changed or maybe stopped as well as monitoring you condition.

If you need a doctor out of hours (evenings, weekends and bank holidays), please call 111 where you will receive medical advice/assistance. This service is for problems that cannot wait until the surgery re-opens.

If you need a doctor out of hours (evenings, weekends and bank holidays), please call 01304 840415 where you will be diverted to Stourcare. Stourcare provide a service to deal with problems that cannot wait until the surgery re-opens. You will need to provide full information about your problem to the specially trained nurse who takes your call and if she feels you need to speak/see a doctor she will ask him to call you as soon as possible.

If you are too ill to come to the surgery, terminally ill, very sick or are housebound, please telephone the surgery as soon as possible in the morning, before 11.00am, to arrange a home visit. When you telephone the surgery the receptionist will need to ask you some questions regarding the visit so the doctor can judge its urgency and prioritise accordingly.

The Practice endures that all healthcare professionals who are employed by the Practice are currently registered with the relevant professional body on the appropriate part(s) of its register(s) and any employed general practitioner is a member of a recognised medical defence organisation and registered on a care performance list.

• All professions working at the practice are covered by appropriate insurance

• All doctors have an annual appraisal

• Batch numbers are recorded for all vaccines administered

• The premises, equipment and arrangements for infection control and decontamination meet the national standards.

Soluble Aspirin

Aspirin is good for headaches, colds, sore throats and general aches and pains.

Aspirin should not be given to children under 16 years of age

Paracetamol or Ibuprofen

For pain relief and fever in young children

Sedative cough linctus

For dry painful coughs

Vapour Rub

For steam inhalers, good for children with stuffy noses and dry coughs, rub on chest.

Antiseptic Solution

Diluted (1 teaspoonful) in warm water for cuts and grazes

Antiseptic cream

For treating septic spots and grazes

Antihistamine Tablets

For Hay fever

Calamine Lotion

For dabbing on sunburn, stings and bites.

Bandages (different Sizes)

To support strains and keep dressings in place

Cotton wool

For cleaning cuts and grazes

Thermometer

For taking temperature,

Tweezers

For removing splinters

Plasters

For minor cuts

Click on the following link for all information regarding emergency contraception

Click Here For More Information

You can either use this form to drop your new details in at the surgery

Change of details form

or fill in this online form

Please notify us of any changes to your address or contact numbers. It is also important to register new born babies as soon as possible.

You can either fill in this form or print off a copy and drop it in the suggestions box in the surgery

Click here for suggestions form

We endeavour to offer high standards of medical care within the Practice. Patients should expect, and be given, a courteous and prompt response at all times and be offered contact with a doctor within 24 hours. Patients have the choice to see any doctor they wish, although we recommend they try to stay with the same doctor if there is an ongoing problem. Patient’s can expect complete confidentiality and involvement with the treatment they are undergoing.

It is the patient’s responsibility to keep appointments and arrive on time, if for any reason an appointment cannot be kept, the surgery should be informed as soon as possible by telephone so it can be offered to somebody else. We actively monitor patients who do not attend or arrive late for appointments.

The surgery does not tolerate abusive or threatening behaviour to any member of our staff and reserve the right to remove patients from the register who behave in this manner.

The Health Service has decided that that the following holiday vaccines can no longer be supplied under the National Health Service. The charges payable in advance will be as follows:
Vaccine	Northern Europe, Australia & New Zealand	All other areas
Hepatitis A Adults	£59.70	free
Hepatitis A Children	£51.10	Free
Hepatitis A & B	£116.55	Free
Hepatitis A + typhoid	£124.50	Free
Hepatitis B course & blood test	£131.25	£131.25
Booster & Blood Test	£65.00	£65.00
Japanese B Encephalitis	Not Needed	£104.90
Meningitis ACWY	£30.85	£30.85
Rabies	£103.72	£103.72
Tick bourne Encephalitis	£86.90	£86.90

Net Doctor

The following links will provide you with lots of information should you need to administer first aid.

St Johns Ambulance First Aid

Aylesham Medical Practice and Wingham Surgery are registered with the Data Protection Registry. All patient information is obtained and processed within the law and all information is confidential. No information will be disclosed by doctors, nurses or administration staff without prior consent from the patient, this includes patients under the age of 16.

In extreme circumstances where the doctor feels the patent is at great risk of harm he/she may need to disclose information to a third party.

All patient information held at the practice is confidential. It may sometimes be necessary to share information with other healthcare individuals involved in your case. No information shall be disclosed without a patient’s permission unless there is a very exceptional case where the patient is at grave risk of harm.

Written consent is required preferably from a parent or guardian.

The injections are given in the thigh for babies and an arm for older children unless stated nasal. Please tell the nurse if your child has had any reaction to previous vaccines.

The current programme is:

Immunisations Given and When
Birth	2 Months	3 Months	4 Months	12- 13Months	2,3 & 4 years plus school year one & two
Targeted Hepatitis B and BCG	Diphtheria	Diphtheria	Diphtheria	Hib/Men C booster	Nasal flu (annual)
	Tetanus	Tetanus	Tetanus	Measles
	Whooping Cough	Whooping Cough	Whooping Cough	Mumps Rubella
	Polio	Polio	Polio
	Hib	Hib	Hib
	rotavirus	rotavirus	Men C
	Pneumococcal Conjugate		Pneumococcal Conjugate	Pneumoccocal
	Men B	Men C	Men B	Men B

Girls aged 12 – 13 years – HPV

Age 13-18 years Diphtheria, Tetanus and polio booster – Men ACWY vaccine

Side effects are few, occasionally there is soreness and redness at the injection site. A cool pad will reduce swelling. Some children develop a raised temperature a few hours later in which case we recommend a dose of Calpol be given.

You will be asked to wait for 10 minutes on the premises after the immunisations to make sure your child has no immediate ill effects. Side effects are very rare.

It is very important that children are protected as early as possible, so please do keep appointments. If on the day, your child has a raised temperature or is feeling unwell the vaccination should be postponed until they are better. If you are unsure please check with the practice nurse or duty doctor, and make sure you cancel your appointment.

Please bring your child health record book along with you, as the nurse will need to complete it for you.

How we deal with Complaints

 

• A sign in the reception area indicates that anyone wishing to make comments, suggestions or complaints should ask to speak to the Practice Manager. The Receptionist shall contact the Practice Manager (or a designated deputy where the Practice Manager is absent.)

IN-HOUSE PROCEDURE

• The Practice Manager shall interview the patient/complainant in a private area.

• Listen to what the complainant has to say without interruption. Take notes and before responding make an assessment as to whether this is an informal complaint or a formal complaint. In either circumstance complete a Complaint Form and at the end of the interview invite the patient/complainant to check and sign it.

• An informal complaint will be something that can be resolved there and then or that the Practice Manager can undertake to resolve quickly. Such matters can be dealt with by telephone or by sending a follow-up letter.

• If it is considered to be a formal complaint, advise the complainant that there will be an investigation as part of the NHS Complaints Procedure and provide a copy of the complaints leaflet as well as a leaflet about the Mediation Service and a consent form if the complainant is not the patient.

The following points should be included during the discussion:

• the investigation will be started immediately
• an acknowledgement will be sent within 2 working days
• a formal response will be provided usually within 10 working days, unless an extension is agreed. 
• an opportunity to meet those involved may be offered
• the Complainant can request an Independent Review if the outcome is not satisfactory.

If you have a complaint or concern about the service you have received from the doctors or any of the staff at our surgery, please let us know. We have a procedure as part of a NHS system for dealing with complaints.

Our fist action will be to try to resolve the complaint quickly and easily at the time it arises. If you would like to take it further we would ask you to put your complaint into writing and send it to the Practice Manager who will deal with the matter very promptly.

We will acknowledge your complaint within two working days. Within two weeks you will either receive a letter of explanation or an invite to attend a meeting at the surgery with the people involved where it will be discussed and hopefully resolved.

The surgery will always welcome any suggestion you may have that will improve our services, you may write in or use the suggestion box at the reception.

All patients have been allocated an accountable GP although you may continue to see the GP of your choice. All patients have been informed of this but if you are unaware please note that patients whose surname begins with A-L are allocated to Dr Collyer and those M-Z are allocated to Dr Zadeng.

From the 1st of April the Accessible Information Standard is a new law to make sure that people who have a disability, impairment or sensory loss are given information they can easily read or understand. This applies to all NHS and adult social care organisations.

For more information please follow the link below:

The_Accessible_Information_Standard_leaflet

If you have any information or communication needs and how we can meet these please inform the practice in order for us to update your medical record. If appropriate, please use the link Patient questionnaire to notify us of how we can help to support you. This should be printed, completed and returned to the surgery.