After the end of March Dr Parsons leaves the practice after 30 years at Oakhill. As you will be aware there is a national shortage of GPs, 40 % of Practices in England have at least 1 GP vacancy, Oakhill will now join this growing number as we have been unable to recruit a replacement GP and from April we will have considerably less GP appointments available.
For this reason we ask that you are considerate in booking GP appointments, we can only deal with need not want.
The receptionists will decide if you need a GP appointment or not using protocols devised by the Doctors here in order to ensure that the limited amount of appointments we have go to the patients that are most in need.
We have had to apply for permission to close our list to new patients to reduce demand on GP appointments.
We hope that this situation will change and we will keep you informed if and when there is any news.
Making a GP appointment
From 29 August reception staff will be asking why patients want a GP appointment rather than just booking them as we have done in the past. We are making this change as like most practices, demand for GP time is much greater than we can possibly supply, however audits have found that 25-30% of appointment booked are unnecessary, the top reasons are for:
Self-limiting conditions such as sore throats, coughs and colds, bowel problems, insect bites, morning sickness etc for which patients can self care or see a pharmacist.
Things that are NOT in the GP contract such as letters for schools/Insurance companies/Employers/DVLA etc. This is private work, should be requested from the Administrator or Practice Manager and a fee will be payable.
Research Projects, if you have received a letter about Research, this should be discussed with the Research team as mentioned in the letter NOT a GP.
Medical matters that other members of the Primary Care team deal with such as Practice Nurse, Health Visitor, Healthcare Assistant, Counsellor, physiotherapist, Midwife etc.
This is going to be quite a challenge but it is necessary in order to use the finite number of GP appointments we have as effectively as we possibly can. We will be evaluating this and naturally patient satisfaction will be a big part of the evaluation
Nasal Spray Flu Vaccination
Ages 2-4 (not in school) can have this at the practice. Under 18s with a Long term condition such as Diabetes can have this at the practice.
All other school age young people will be done by the schools vaccination team.
Please contact reception to make an appointment
Care Quality Commission
Oakhill Medical Practice was inspected on 2 August and we received our draft report on 20 December!
CQC have awarded us a "Good" rating.
Home Visit Requests
We only do home visits for people who cannot get out of the house at all and will not improve. We have recently had requests from patients who have been out and about all day and suddenly fall ill and from families with flu who feel they are too tired to get to the practice, these are inappropriate Home Visit requests and a drain on GP time and NHS resources. Please note Home Visits are only for patients we have registered as housebound, people who are never going to improve and people who are at the end of their lives.
School Aged Vaccinations
Please note that the contract to provide vaccinations to young people aged 5-16 was awarded to Derbyshire Community Health Services in September 2015. All vaccinations from that date will be done in schools, they have access to you child's medical records so will be able to check the status of all vaccination schedules, if you have any enquiries you can contact them on 01283 707170.
If you require a copy of your vaccination history there will be a charge of £5 or you can access this via Online Services.
We have an increasing problem with people failing to attend for appointment booked earlier on the same day, this is very frustrating as we could have given their appointment to another patient that needed it. We now have a voicemail for you to leave cancellation messages, call reception and press option 3. Please give us enough notice to call other patients to offer the cancelled appointment to them,
The crisis in General Practice
There is a major crisis in General Practice-unless you never read the papers or watch the TV news or catch up on the internet we are sure that everyone is aware of this.
Yet despite this having been headline news for a long time now, we still have many complaints about not being able to see a certain GP at a certain time on a certain day or that our appointment system is 'a lottery' or that GPs don't give patients enough time.
Virtually every practice in the country has the same problems, our Doctors work very long hours, many unpaid, and do our very best to provide a safe, efficient service with more & more work coming in and less resources to deal with it. In future we will not be doing any work that isn't contractual or funded to try to enable us to do our job safely and efficiently.
To help us manage demand wee ask you to consider the following before booking an appointment.
How long have you been ill? Do you have something that might go away by itself in time maybe with self care or help from the local pharmacy such as a viral infection, cough, cold, eye infection, constipation, diahorrea, back pain, headache, migraine, eczema, acne, heartburn, indigestion?
There is information on self care on this website or at http://www.selfcareforum.org/
DNAs (Did not attend)
Even at this current time of crisis many appointments are wasted in by patients not turning up and not having the courtesy to let us know they didn't need their appointment so that we can offer it to someone else.
If you need to cancel your appointment please call us or do so online.
This practice currently offers the facility for patients:
to book, view, amend, cancel and print appointments online
to order online, view and print a list of their repeat prescriptions for drugs, medicines or appliances
to view online, export or print summary information from their record, relating to medications, allergies, adverse reactions and any other items agreed between the practice and individual patient. We will publicise and promote our online services to our practice’s patients through the practice website, practice waiting room leaflets, posters and the Patient Participation Group by 31.3.16.
Publication of GP Earnings
All GP practices are required to declare the mean earnings (e.g. average pay) for GPs working to deliver NHS services to patients at each practice. The average pay for GPs working in Oakhill Medical Practice in the last financial year ending March 2018 was £70724 before tax and national insurance. This is for 2 full time GPs and 2 part time GPs who worked in the practice for more than six months
Named Accountable GP
All patients have a named accountable GP, if you don't know who yours is please ask.
You are eligible to have this if you were born between 1.9.91-31.8.98
If you are 70,71,72, 73, 78 or 79 on 1 September 2016 you are advised to have a shingles vaccine which is a one off and can be given at the same time as you flu jab.
If you are 40-74 and don't have a Long Term Condition such as Diabetes or Heart Disease we can offer you a free 20-30 minute Health Check to assess your risk of developing a Long Term Condition along with advice on Healthy Lifestyles.
(Site updated 20/03/2018)