Practice Leaflet

 
  WELCOME TO PARTNERSHIP PRIMARY CARE CENTRE
 
Registering at Partnership Primary Care Centre
A map of our practice catchment area is available at the reception desk. This area includes most of the N7 postcode area west of Holloway Road. If you live in the practice area and would like to apply to register with us please telephone or call at reception to discuss making a registration appointment. When patients are applying to join the practice list we do not discriminate on the grounds of race, gender, social class, age, religion, sexual orientation, appearance, disability or medical condition. Delays in the registration process can be avoided if you have your NHS number with you at the time of this appointment. You should also bring your passport All newly registered adult patients will be asked to complete a questionnaire and have a consultation with our Healthcare Assistant or Practice Nurse within two weeks of registering. Patients on regular medication will need to see the doctor at time of registration. 
 
Personal doctoring
Once registered you can ask to see any doctor of your choice when booking an appointment in advance. For urgent same day appointments you will need to see the doctor on duty as all our doctors work at different sites on different days.
 
How to arrange to see a doctor or nurse
The surgery is run on an appointment system. Each routine appointment with the doctor or nurse is for 10 minutes. You can make an appointment up to two weeks in advance by telephoning or calling in at the surgery. We also reserve a small number of same-day appointments for patients who phone between 8.45am and 9.15am. For advance appointments you may ask to see any of the doctors working in the practice, though for any ongoing problem we advise trying to see one doctor consistently. You can also make appointments to see the practice nurse. If you feel you need an appointment for longer than 10 minutes please ask to discuss this with the receptionist in private. 
 
Urgent medical problems
We appreciate that sometimes you may have a medical problem which you do not feel can wait until an appointment is available. We do therefore keep a number of emergency slots during each surgery and will see any patient with an urgent problem on the same day. We are sure you will understand however that people with booked appointments will take precedence, and extra patients will have less time with the doctor/nurse and may have to wait to the end of surgery. If you feel you are too unwell to wait that long, please ask to explain your circumstances to the receptionist in private.
 
Out of hours emergencies
If you have an urgent medical problem when the surgery is closed and you do not think this can wait then there is always medical advice available via telephone. The surgery’s out of hours emergency telephone number is 111.  At certain times advice may be provided by a nurse or duty doctor who does not work in this practice during normal hours. All duty nurses and doctors have wide experience in general practice but their role is only to deal with immediate, urgent medical problems. If you need to be seen you will be asked to attend a Primary Care Out of Hours Centre, or if it seems that an immediate face to face consultation is not necessary you will be given appropriate advice over the telephone. This is to enable efficient use of resources and is in line with National Health Service policy on out of hours care.
 
Home Visits
Wherever possible we will always encourage patients to come to the surgery to see a doctor in the appropriate surroundings. Remember that the doctor can see at least four patients in the time it takes to make one visit and there are better facilities for examination and treatment in the surgery. If the patient has a temperature or a rash, coming to surgery will do no harm - if there is the possibility that the patient has an infectious illness the receptionist can arrange for a safe waiting area upon arrival. Home visits are however available in emergencies for people who are genuinely too ill or disabled to get to the surgery. If you think you may need a home visit please phone the surgery before 10 am to discuss this with a doctor. Please remember that if parking restrictions apply in your area you will need to arrange a visitors’ parking permit for the doctor if a home visit is arranged.
 
Talking to a doctor or nurse on the telephone
If you do not feel you need a face to face consultation but would like to have a telephone consultation with a doctor or nurse this can be arranged. Please phone the surgery between 0900 and 1000 leaving your name and number. A doctor or nurse will call you back after surgery on the same day. Please note that different doctors consult on different days so if you want to speak to a particular doctor they may not be able to return your call on the same day but will always do so when they are next available in the practice.  
 
Family Planning Services
All our doctors and nurses are trained to give family planning advice. Appointments to discuss family planning can be made during any routine surgery. We do not at present have IUCD (coil) fitting facilities but this can be arranged with a local Family Planning Clinic. Please note that women must see a doctor or nurse for each issue of a prescription for the oral contraceptive Doctors will provide information and contraception to those who are under 16 years, as recommended by the 1985 House of Lords ruling in the” Gillick” case. The prescribing of such contraception is applicable providing the doctor feels that the patient is capable of understanding the nature and possible consequences of the procedure and includes the potential risks and benefits of contraception. The doctors will encourage minors to discuss contraception with their parents, however, in practice if this does not occur the rights of confidentiality remain just as strict respecting the patient’s confidence as if the patient were over 16.
 
Antenatal Care
We provide shared antenatal care throughout pregnancy in partnership with our local midwives and obstetricians. You should make an appointment to see a doctor as soon as you think you may be pregnant.
 
Child Health Surveillance
We can arrange 8 week baby checks at the surgery and childhood immunisations are given according to the recommended national schedule. Other child development checks are provided by our attached Health Visitor, At present she holds clinics for children who are registered at this practice at the Goodinge Health Centre, North Road, London N7 Tel: 020 7530 4900. Once we are settled into our new premises we hope baby clinics will take place at Partnership Primary Care Centre itself.
 
Screening and Health Promotion
We recommend that all women between 25 and 65 years old have regular cervical smear tests unless they have been told it is not necessary in their case. We are happy to see patients to check blood pressure, urine and weight and for advice on smoking, alcohol, diet, weight loss, exercise and healthy living.
 
Travel Immunisations & Advice
A travel advice service is offered through the practice nurse. Ideally you should make an appointment to see her 6 weeks prior to travel to decide which travel vaccines or antimalarial medication may be needed. All travel vaccines require14 days to take effect and antimalarials also need to be started before you leave the country. Vaccines are free at this surgery, except for Meningitis ACWY which does carry a fee for the prescription. We do not have facilities for yellow fever vaccination which can only be given at specialist centres. Some antimalarial tablets are available over the counter at a chemist, but some require a private prescription.Travel advice and immunisations are also available at The Travel Clinic at Mortimer Market Centre, Mortimer Market (off Capper Street), London WC1E 6AU. For an appointment call: 020 7388 9600 or for general travel advice call the Travel Health Line on 09061 337733. Also the Royal Free Hospital has a Travel Health Centre Tel: 020 7830 2885. UK residents travelling within the European Union are advised to apply for a free European Health Insurance Card (EHIC via https://www.ehic.org.uk/InternetPROD/home.do or telephone 0845 606 2030. 
 
Sexual Health for Teenagers & Adults
Doctors and nurses at the practice can provide general advice on sexual health matters and screening for common sexually transmitted infections (STIs). We also have specialist clinics nearby. The Archway Sexual Health Clinic can be contacted directly on 020 7530 5800 for appointments or 020 7530 5804 for general advice. This clinic provides a free, confidential service covering all sexual health matters including check ups for sexual infections, contraception, emergency contraception, pregnancy tests, free condoms, HIV testing, advice and counselling.  Also “Pulse N7” is a unique multi-agency centre based at 164, Holloway Road and offering a range of services to support young people under the age of 21 including sexual health advice. Telephone 020 7527 1300 for times of Pulse N7 walk in clinics.
 
Quit smoking advice
Are you a smoker? Smoking is the UK’s greatest cause of preventable illness but it is never too late to stop and we can help you. All the evidence shows that people are more likely to quit permanently if they have specialist advice and support. Our nurses and our Health Care Assistant are trained as specialist advisers in smoking cessation and have excellent results in helping people stop once and for all. Please just ask for an appointment. The NHS also offers a Smoking Helpline on 0800 169 0 169 and website with further information at www.givingupsmoking.co.uk.
 
Alcohol Advice
The recommended weekly limit of alcohol intake is 21 units for men and 14 units for women. A unit is half a pint of beer, a glass of wine or a single measure of spirits.  Research in 2005 suggested that almost 1 in 5 Islington residents were drinking more than the recommended weekly limit. If you are worried that you or someone you know may be drinking too much we can arrange for you to meet a specialist alcohol adviser at our monthly PPCC alcohol advice clinic. Local residents may also contact Camden & Islington Alcohol Advisory Service which offers assessment and treatment for people with alcohol related problems. For more information contact: Alcohol Advisory Service, 309 Gray’s Inn Road, London WC1X 8QF. Tel: 020 7530 5900
 
Advice on drug problems
We do not currently have in-house drug advisors at PPCC but if you are worried that you or someone in your family may have a problem with drugs advice and support is available from North Islington Drug Service, 592 Holloway Road, London N7 6LB. Tel: 020 7530 2002. Also, for young people under 21, Pulse N7 is a unique multi-agency centre based at 164, Holloway Road offering a range of services including advice about drugs problems. Telephone 020 7527 1300 for times of Pulse N7 walk in clinics.
 
Test results
Please call the surgery between 1100am and 1145am if you wish to ask for any test results over the telephone. 
 
Repeat Prescription Service
If you take medication on a long term basis this may be provided through our computerised repeat prescription service If an item is authorised by the doctor for a limited number of repeats you will receive a tear-off slip with your prescription. You may order your repeats by either dropping in or posting your tear off slip having ticked those items which you require. Please allow 48 hours for repeat prescriptions to be ready for collection or posted back to you in an SAE. If you need a further prescription for an item which is not on the repeat service please make an appointment to discuss this with a doctor as only they can authorise such prescriptions. All patients on repeat medication will need periodic review by the doctor to check that the medication is still necessary, effective and not causing unwanted side effects.
 
Special nurse-led clinics available
  • Asthma/COPD clinics
  • Diabetic Clinic
  • Cervical smears
  • Childhood immunisation
  • Family Planning
  • Heart Disease/Stroke Prevention
  • Well person checks
 
Interpreting services
We have some members of staff who can speak a second language, however if you need an interpreter for your own language this can usually be arranged with notice
 
Medical studentsandjunior doctors
On occasions student doctors from Royal Free & University College Medical School undertake placements at the surgery. You may be asked if they can sit in on your consultation or if you are willing to speak to them before you see the doctor. This is an important part of their training and we hope you will sometimes be willing to talk to them. At certain times we also have junior doctors working with our team. These “Foundation Doctors”, sometimes referred to as F2 doctors, are fully qualified medical practitioners spending 4 months working in general practice as part of their postgraduate training.
 
Carers’ needs
About ten percent of the population cares for someone else. It is important that we identify as many carers as possible to help them receive support in their role. Many people do not consider themselves as carers and carry out this work unaware of help which they may be entitled to. If you are a carer please let us know so that we can discuss local advice and support which may be available.
 
Patient Rights and Responsibilities 
When you join any GP surgery, there are certain services, referrals to other services, treatment, and redress you can expect as a right.  You are entitled to receive health care on the basis of your clinical need rather than how much you can afford. The Patients Charter (copy available at reception) outlines these rights but please note that all patients have responsibilities as well as rights, towards the practice, towards the other patients and towards the staff.
 
Confidentiality and patient information
All the doctors, nurses and all other members of staff at this practice and within the NHS operate a strict policy of patient confidentiality and you have our assurance that your health records, both written and on computer, will be kept confidential other than in exceptional circumstances, for example, when the health or safety of others is at risk. You should therefore feel comfortable in disclosing any information you think is important in the knowledge that all information is protected and will not be released to anyone without your consent. If you wish to discuss something of a private nature at Reception, please let the receptionist know and a separate room can be made available.It is very important that we always have the correct information about our patients so if you change your name, address or telephone number, please let us know as soon as possible. Incorrect information could result in inability to contact you to alter an appointment or to arrange follow-up if we receive abnormal test results.
 
Chaperoning
All patients have the right, if they wish to have a chaperone present during a consultation, examination or procedure, as this can be stressful and/or embarrassing for the patient. The doctor may also wish to have a nurse available in some instances. Patients wishing a chaperone should inform the Practice prior to the consultation, examination or procedure whereupon a mutually suitable person (usually a nurse) will be asked to help.
 
Access to Personal Health Information
You are entitled to access your clinical records or any other personal information held about you.  If you want to see your records at this practice, you should make a written request to us. Please note that a small charge may be made for the administration and time involved in providing such access. A charge will also be made for any photocopies requested. Should the doctors decide that seeing your records might put your health at risk, or if your notes contain references to third parties, you may only be shown part of your records or your request may be declined.
 
Opting out of NHS Central Databases
All patients should be aware that the Government is currently proposing to collect all the nation’s medical records into central NHS databases. GPs are being asked to create a ’summary care record’ from your medical notes and upload this to the NHS ’Spine’. The summary will contain only your current prescriptions and any allergies. The intention however is to upload the rest of your record (the ’detailed care record’) in the future. The Department of Health (DoH) has argued that by having your details uploaded to the NHS ‘spine’, they will be available in an emergency when you may be seen by medical teams who do not know your history. You may indeed wish to consider this if you have complex medical problems or a condition such as diabetes or penicillin allergy, although you can be reassured that all doctors do work to established clinical protocols for patients for whom they have no medical history available.
 
Patients should be aware that they have the right to opt out of uploading. If you wish to do so please ask one of our receptionists for an “opt out leaflet” which you can complete and return to us.
 
Access to Information about the Practice
The Freedom of Information Act 2000 recognises that members of the public have the right to know how public services are organised and run, how much they cost and how decisions are made. We therefore have a Practice Publication Scheme (copies available at reception) which explains how you can access such information about this practice.
  
Protecting our staff, patients and premises     
Whilst it is understood that stress levels can rise at times of illness the practice cannot accept behaviour which may cause harm to our staff, patients or premises. We therefore have zero tolerance of any incident that may causes abuse, hurt, alarm, damage or distress. Appropriate action will be taken by the practice which may involve removal from the practice list and/or involvement of the police.
 
Any comments, complaints or compliments?
We try to run a friendly and helpful surgery and if you have any ideas on ways in which our services might be improved, we would be happy to hear from you. If you have any complaints about our service please do not hesitate to let us know and we will try our best to help. We believe it is important to deal with complaints swiftly, so wherever possible you will be offered an appointment for a meeting to discuss the details within ten days of informing us of a complaint. You may bring a friend or a relative with you to the meeting. We will try to address your concerns and discuss any actions that may be needed. If you do wish to make a complaint, please initially telephone or write to our Practice Manager, Rashidul Hasan (tel: 020 3817 4431). If you still feel we have not dealt with the issues you have raised as you would wish, you can write to the Complaints Manager at Islington Primary Care Trust (see address below). The Primary Care Trust also operates a Patient Advice and Liaison Service (PALS) which can often help resolve any problems before they become formal complaints. To speak to the PALS team ring 020 7288 5551
 
Other local NHS services
 
As well as our practice, there are many other local NHS services you can contact for health advice, information or treatment.
  • For free expert NHS health advice and information 24 hours a day you can call NHS Direct on 0845 4647  (calls charged at local rates). Or log onto www.nhsdirect.nhs.uk
  • In addition, the NHS Direct self-help guide ‘Not feeling well?’ is available at the back of all new Thomson Local telephone directories.
  • Your local pharmacist will be able to give you free health advice and you don’t need an appointment. Many pharmacies operate extended hours on a rota basis. For details call NHS Direct on 0845 4647.
  • For minor injury/illness a nurse-led walk in clinics is also available locally at the Whittington Hospital, Highgate Hill, London. Opening times: 0800 -2230 daily (Tel: 020 7272 3070)
 
Accident or Emergency the nearest Accident & Emergency Department is at Whittington Hospital, Highgate Hill, London N19
Ambulance Service. Please remember that this service is only to be used in life threatening situations. If you or someone you are with has for example a serious accident, collapse, severe chest pain, acute breathing difficulty, heavy loss of blood or serious physical injury you can telephone 999 and ask for an ambulance. If you are not sure whether an ambulance is necessary or not you can ring NHS Direct on 0845 4647 for advice.
Dental services: Dentists look after your teeth and gums. You can find a local dentist via www.nhs.uk or by ringing 020 3317 3003. For information on out of hours dental care in Islington, please contact 020 7391 6365
 
Before contacting ay of these services please remember that you can self-treat many minor ailments such as colds, coughs and indigestion by keeping a well-stocked medicine cabinet at home. We suggest you keep the following:
· Paracetamol and aspirin (children under 16 and people with asthma should not take aspirin)
· Mild laxatives
· Rehydration mixture
· Indigestion remedy (for example, antacids)
· Travel sickness tablets
· Sunscreen – SPF15 or higher
· Sunburn treatment (for example, calamine)
· Tweezers and sharp scissors
· A thermometer
          Plus a selection of plasters, non-absorbent cotton wool, elastic bandages and dressings.
 
  
Remember
· Keep the medicine chest in a secure, locked place out of reach of small children.
· Always read the instructions and use the suggested dose
· Watch expiry dates – don’t keep or use medicines past their sell-by date
· Take all unwanted and out-of-date medicines back to the pharmacy
 
Your local Primary Care Trust (PCT)
 
The area served by Partnership Primary Care Centre is in the district covered by Islington Primary Care Trust. The Primary Care Trust is responsible for ensuring you get all the services you need. For details of all primary care services in the area, look at Your PCT Guide to Primary Care Services” at www.islingtonpct.nhs.uk or get the information you need at www.nhs.uk. You can contact Islington PCT at:
 
Islington Primary Care Trust
338-346 Goswell Road
London
EC1V 7LQ
Tel: 020 7527 1000