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An overview of the organisation of general practice in the UK (England) TOWN END SURGERY UK England - HOST PRACTICE Morden Hall Medical Centre 256 Morden Road London SWI9 3DA Telephone: +44 181 540 0585, Fax: +44 18~ 542 4480 Dr Robert Bettridge Dr Amir Akhtar Dr Fiona Gibbs Dr Paul Alford Our practice is situated in a suburban residential area close to the shops and tube station. There is easy access to central London. The premises owned by the partners and were previously owned by the London Borough of Merton and were used as a Library. The adjoining part of the building belongs to the Community Trust who use it for child health , dentistry and chiropody. We have five full time partners, one part time partner as well as one Retainer and two GP Registrars. (A new partner will join the practice in May). Our practice is part of a Primary Care Trust and a Primary Care Organisation along with six other practices. We run Asthma, Diabetic, Travel and other clinics in house as well as minor surgery. We are a Hub practice for the St George's Hospital Medical Student teaching programme. The Registrars attend the St George's Hospital Vocational Training Scheme for half day a week. There are 12,700 patients registered here with a slightly higher than average proportion of elderly patients. The practice area has a mixture of private and council housing. There are no unusual demographic features. Our building consists of two floors. On the ground floor are our nine consulting rooms, Reception area and waiting room, treatment rooms, psychologists' room and our admin. offices. Upstairs we have a meeting room, which will accommodate up to seventy people, a computer and administration room and our community nurses offices. With adequate warning it may be possible to arrange accommodation for short periods. UK England - HOST PRACTICE The Woodcote Group Practice Dr Joyce Carlisle Dr Peter Newlands Dr John Linney Dr Barbara Counsell Dr Howard Hawker Dr Howard Cohen 32 Foxley Lane PURLEY Surrey CR8 3EE Telephone: +44 181 660 1304 Fax: +44 181 660 0721 PRACTICE PROFILE We are a training practice in Coulsdon and Purley in Surrey, with two female and four male full-time doctors. Two of the partners are Trainers. We have approximately 16,000 National Health Service patients. About 5% Merton Sutton and Wandsworth Health Authority area 6% in Surrey HA and the rest in the Croydon HA area. Approximately 10% of our patients are over the age of 65. We have very few private patients. The doctors have two half days off per week in addition to non-duty weekends. On duty rota consists of one evening per week and weekends in rotation usually either Saturday or Sunday 7 am until 1 pm. Each day the doctor on duty for that night is responsible for visit requests from 7 am until 8.30 am then from 12 noon (if possible speaking to the caller when they ring in) until 7 pm when CROYDOC the deputizing service takes over. Patients telephoning out of hours are answered by an ansaphone machine, which instructs them to ring the CROYDOC number. They in turn bleep the doctor on duty on a radio pager who phones in to receive the message. Each doctor has six weeks holiday per year at times suitable to the practice, so that as far as possible only one doctor is away at a time. The partners and the Practice Manager and Assistant Practice Managers meet alternate Wednesdays at 12.30 for a sandwich and working lunch. They have a clinical meeting once a month together with the Practice Nurses. The partners have a monthly open-ended evening meeting, usually on the first Wednesday in the month. The doctors and all ancillary staff have a meeting once a quarter. We have two surgeries, the main surgery is purpose built and was completed in July 1992 tinder the Cost Rent scheme. The branch surgery consists of two adjoining terraced houses with connecting archways upstairs and downstairs. These premises were modernised in 1992 with the help of an Improvement Grant and for which we receive Notional Rent. There are antenatal clinics in both surgeries when the attached midwives are in attendance. Post-natals are carried out in ordinary surgery time by appointment. Family Planning Clinic is held at the main surgery on Wednesday evening 5.30 pm until 8 pm with a doctor and FP trained nurse. Cryotherapy clinics for warts etc., and minor operations are held fortnightly. A Child Health Surveillance clinic is held in both surgeries with a doctor, Health Visitor and practice nurse in attendance. We have a Diabetic Clinic run by a doctor and trained nurse. We also run a Dietetic Clinic in both surgeries run by a Health Authority Dietician. A Relate Counsellor holds a clinic weekly at our main surgery. Our ancillary staff consists of four part-time secretary-receptionists, nine receptionists, one administrative-secretarial assistant, one computer clerk, a practice manager and two assistant practice managers. We have 6 practice nurses and one phlebotomist. These are all employed by the practice and Croydon Health reimburses 70% of their salaries. We have attached two midwives and two district nurses assisted by state enrolled and auxiliary nurse, two health visitors and a community psychiatric nurse and a counsellor. The Health Authority pays their salaries. UK England - HOST PRACTICE UK England - HOST PRACTICE DEER PARK HENFIELD WEST SUSSEX BNS 9JQ Telephone.: +44 1273 492255 Fax: +44 1273 495050 DR. ANNA HAYLETT DR. J ROBIN NORMAN DR. MALCOLM MCLEAN DR. PATRICK READE DR. KAREN CRAWFORD CLARKE DR. JOHN DERRETT PRACTICE PROFILE Henfield Medical Practice is a 6 GP training practice which operates from two sites, the main surgery at Henfield and a branch surgery at Partridge Green. The practice area is mainly rural and has a growing population due to local development. The current list size is 8400. Henfield practice operates from new 6 year old premises and these have been extended to give additional consulting and counselling rooms and a purpose built physiotherapy suite. The practice has on site chiropody, physiotherapy and speech therapy and weekly sessions are also held by a counsellor, clinical psychologist, social worker, midwife and geriatric psychiatrist. Three part time nurses are employed to cover both surgery sites and in addition at Henfield a nurse practitioner holds well woman clinics and a phlebotomist is also employed. The practice nurses already hold asthma, diabetes, travel, hypertension clinics etc: and it is our aim for the practice nurse role to be further developed over the coming years. This will include nurse run open surgeries run along side the open surgeries already held daily by the duty doctor. District nurses and Health Visitors are based on site and complete the nursing team. Clinical staff are supported by a team of 12 ancillary staff. The practice is fully computerised using Emis clinical software and is now "paperless". It is linked to the H/A through GP links, and has HEAI.IX software and links to the BMA medline, internet, and E-mail. The practice library has a wide range of GP texts, journals and video tapes. There is a very active patient participation group who have helped build a good relationship between the surgery and patients. They produce a quarterly newsletter and help patient education by arranging regular consultant talks. They also help to raise funds for a local trust set up to assist with the purchase of equipment at the surgery. TRAINING IN HENFIELD Dr Malcolm McLean took over the training from Dr Robin Norman in 1997. The practice has therefore been a training practice for approximately 20 years. Partners, staff and patients are completely familiar with the concept of training. The GP-Registrar has a dedicated consulting room with a PC for their sole use. During an introductory programme of about three weeks the new registrar is familiarised with the process of general practice and gets to know the partners and all the staff of the primary health care team. During this time they start seeing patients in their own surgeries; the consultation length starts at 30 minutes and reducing to 10 minutes during the following months as their confidence increases. Tutorials are currently held for 2 hours once a week, and cover subjects determined by the needs of each registrar. Heavy emphasis is put on consultation skills using video. The practice has its own camera and video recorder. Henfield is equidistant from Brighton, Worthing and Haywards Heath and registrars could attend day release sessions in any of these three schemes. UK England - HOST PRACTICE Lime Tree Surgery Lime Tree Avenue Findon Valley Worthing West Sussex BN14 ODL Telephone: +44 1903 264101 Fax: +44 1903 695494 This is a seven doctors, (three part time), suburban practice on the South Coast at the North end of Worthing some 18 miles west of Brighton. The Partners are: - Drs. Edwin Cameron, David Mannings, Maurice Shipsey, Karen Patel, Paul Daniels, Iwona Pagoda, and Katja Palan. The Practice has been established for over 30 years. It serves a patient list of 11,500 living mainly in Worthing and Findon Valley but also has patients in some of the Downland villages. The practice population has over 25% of over 65's but there are an increasing number of children and young families moving into the area. The area is largely affluent with small pockets of deprivation. We practice from our own purpose built surgery with attached district nurses, health visitors, midwife, counsellor, community psychiatric nurse, and ancillary staff. The surgery also houses its own pharmacy. We have been a training practice for GP registrars for five years. We also accommodate medical students from Imperial College. The practice is committed to the current Government changes and has representation on the local Primary Care Group board. There is also Practice representation at the Local Medical Committee and at various local education groups as well as being involved with local maternity service developments. The Practice fulfils all current NIIS primary care quality criteria and strives hard to anticipate and accommodate change in the most beneficial way for our patients. Further details are available by phone from myself David Mannings +44 1903 264101. UK England - HOST PRACTICE THE CANBURY MEDICAL CENTRE Dr. Josephine Boxer Dr. Michael D'Souza Dr. Judy Kane Dr. Sean Hilton Dr. Mary Lourdusamy Dr. Dhiren Shah 1 Elm Koad, Kingston-upon-Thames, Surrey KT2 6HR Telephone: +44 20 8549 8818 Fax: +44 20 8547 0058 PRACTICE PROFILE We are a 5-Partner, 2-Registrar Practice, with input from The Professor of General Practice at St. George's Hospital, Tooting, London, 5W17, on three mornings per week. The Partners have a wide range of clinical interests, from Depression & Allergy to Cardio-vascular Medicine, Acupuncture and Hypnosis. Special Clinics and services include: Ultrasound, Cryotherapy, Diabetes, Child Health Surveillance, Dysthymia, Counselling (adult and paediatric), Ante-natal and Hypertension. The Partners are attached to the Dept. of General Practice at Imperial College, London, and the research is managed by Dr. Michael D'Souza. The Practice is situated in a South-West London suburb, with the usual mix of patients, both in terms of age and social class. There is a small representation from various ethnic groups, and a local drug rehabilitation day centre provides a number of patients with drug and alcohol problems. We work from our own purpose-built premises, which were updated & extended in 1996. The Practice is within easy reach of trains and buses, and local amenities include the River Thames, Richmond Park & Hampton Court. Heathrow Airport is half an hour away. We are well staffed with Nurses and Receptionists, Health Visitors, etc. and the team spirit is terrific! | ||||
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