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The Church of St. Mary, Long Sutton THE SUTTONS MEDICAL GROUP Long Sutton and Sutton Bridge A GUIDE TO OUR SERVICES AND STANDARDS

East Bank Lighthouse, Sutton Bridge Telephone: Long Sutton Medical Centre 01406 362081 Sutton Bridge Medical Centre 01406 350217 www.suttonsmedicalgroup.co.uk WELCOME TO THE SURGERY MEDICAL CENTRE OPENING TIMES

There have been medical practices in Long Sutton and Sutton Bridge since time LONG SUTTON - Trafalgar Square, Long Sutton, Lincolnshire immemorial but they were officially joined in the mid 1960s and are now working as MONDAY...... 8.00AM - 6.30PM the Suttons Medical Group. TUESDAY...... 8.00AM - 6.30PM WEDNESDAY...... 8.00AM - 6.30PM The doctors, health visitors, district nurses and staff of this practice work closely together THURSDAY...... 8.00AM - 6.30PM as a team to provide a high quality service that is sensitive to your needs and have FRIDAY...... 8.00AM - 6.30PM agreed to the following standards: Our Commitment To You SUTTON BRIDGE - Railway Lane, Sutton Bridge, Lincolnshire • Patients will be treated confidentially and with courtesy. MONDAY...... 8.00AM - 6.30PM TUESDAY...... 8.00AM - 6.30PM • We will keep you informed of the services we offer, your rights and any information WEDNESDAY...... 8.00AM - 6.30PM that directly affects your health and treatment. THURSDAY...... 8.00AM - 6.30PM • Referral to a specialist acceptable to you when the doctor thinks it necessary. FRIDAY...... 8.00AM - 6.30PM • Patients have a right of access to their health records subject to any limitation in law. DOCTORS’ SURGERY TIMES

DOCTORS LONG SUTTON AND SUTTON BRIDGE Dr A Rudd MB ChB BSc MRCGP DGM MONDAY...... 9.00 - 11.30AM...... 4.00 - 6.00PM TUESDAY...... 9.00 - 11.30AM...... 4.00 - 6.00PM Qualified Birmingham 1986, joined the practice in 1993. Special Interests: Pharmacology. WEDNESDAY...... 9.00 - 11.30AM...... DUTY DOCTORS ON CALL DR AR Gleave MB ChB MRCGP DFFP THURSDAY...... 9.00 - 11.30AM...... 4.00 - 6.00PM Qualified Leicester 1994, joined the practice in 2000. FRIDAY...... 9.00 - 11.30AM...... 4.00 - 6.00PM Dr A Chabbria MBBS MRCGP Consultations by appointment, which can be made at the surgery or by telephoning Joined the practice June 2010. 01406 362081 for Long Sutton patients and 01406 350217 for Sutton Bridge patients. Dr R Hossany MRCGP MRCP (UK) DRCOG DFFP (Salaried GP) joined the practice January 2011. PRACTICE NURSES DR K Hill MBBS MRCGP DRCOG The nurses are on duty as follows: (Locum GP) Joined the practice July 2014 DR E N Ramamoorthy MBBS ARDMS ACSM LONG SUTTON MONDAY, TUESDAY, THURSDAY, FRIDAY...... 9.00AM - 1.00PM (Salaried GP) Joined the practice July 2016 WEDNESDAY...... 9.00AM - 12 NOON DR L Arion MD MONDAY...... 4.00 - 5.40PM (Salaried GP) Joined the practice September 2017 TUESDAY...... 4.00 - 5.40PM DR G Buia MD THURSDAY...... 4.00 - 5.40PM FRIDAY...... 4.00 - 5.40PM (Salaried GP) Joined the practice September 2017

Drs Chabbria, Hossany and Arion are mainly based at Long Sutton surgery whilst Drs Rudd, SUTTON BRIDGE Gleave, Ramamoorthy and Buia are mainly based at Sutton Bridge. Dr Hill works between MONDAY, TUESDAY, THURSDAY, FRIDAY...... 9.00AM - 1.00PM both Long Sutton and Sutton Bridge surgeries as required. WEDNESDAY...... 9.00AM - 12 NOON All doctors are on the minor surgery and child health surveillance lists. MONDAY...... 4.00 - 6.00PM TUESDAY...... 4.00 - 5.40PM

www.suttonsmedicalgroup.co.uk www.suttonsmedicalgroup.co.uk OUT-OF-HOURS CALLS Gum disease is 1 person in the UK The practice is a member of NHS Lincolnshire Out-Of-Hours service. known as the develops dementia If you need a doctor in an emergency between 6.30pm and 8.00am weekdays and from silent disease every 3 minutes. 6.30pm on Fridays to 8.00am Mondays, please telephone 111 or ring the practice line Did you know that if gum disease is left 01406 362081 for advice on how to contact emergency out of hours cover. untreated, it can rob you of your smile? Take action – set up a Lasting Power After your details have been taken, the doctor on call will contact you and assess your problem. Gum disease is also associated with other of Attorney before you lose mental You may be given advice or asked to come and see the doctor at the nearest emergency illnesses such as diabetes, cardiovascular capacity and it’s too late. out-of-hours. disease and rheumatoid arthritis. If the doctor feels your condition is critical, an ambulance may be dispatched immediately Your local dentist can help you to A local solicitor will provide the help, by the on-call doctor. protect your smile & your health. guidance and expertise you need. The out-of-hours service is for MEDICAL EMERGENCIES only and all minor, routine or non- urgent matters should be dealt with during normal surgery hours. Crescent Dental Practice At night and weekends, in the case of a medical emergency, you may need to contact a doctor. 9 The Crescent, Spalding, Lincs PE11 1AE Your phone call will automatically be diverted to the emergency doctors call centre where Tel: 01775 723051 Hygienist • Orthodontics • Veneers & Crowns • Whitening your details will be taken. If for any reason you cannot get through to the emergency call Dentures & Bridges • All Dental Treatments • Denplan Welcome centre, dial 999 or attend the nearest casualty department. Free exam call and quote: Crescentdental-bk57. NHS Direct is available for 24-hour advice by calling 111. Mon, Thurs & Fri: 9.00am – 5.30pm Wed: Closed Tues: 9.00am – 1.00pm HOME VISITS Home visits are at the discretion of the doctor. Please do not ask the doctor to call unless the patient is genuinely too ill to come to the surgery. If the patient has a temperature or rash, coming to the surgery will do no harm and will not www.crescentdentalpractice.com endanger others, but please inform the receptionist on arrival. When the condition of the patient does require a home visit, please try to give notice before NENE PHARMACY LTD You can only set up a lasting power of 184 Bridge Road SUTTON BRIDGE attorney while you have mental capacity. 11.00am on the same day the visit is required. Once you have lost capacity it is too late. Tel: 01406 351166 APPOINTMENTS So if you think your own decision making ability may fail, contact a local Will Writer Appointments can be made by using the online appointment booking system, by telephone or who will be qualified to advise you. in person at either surgery. If you would like access to our online booking system please ask We provide the professional for an application form at one of our reception desks. If your problem requires immediate expertise you need in treatment, arrangements will be made for you to be seen on the day. We work as a team at · FREE REPEAT PRESCRIPTION COLLECTION Lasting Powers of Attorney. the practice offering the first available appointments with our clinical professionals. We will & HOME DELIVERY SERVICE Wills. Inheritance Tax Advice. · Residential & Nursing Home Service Trusts. Administering Estates Please contact us to make an always advise you if for any reason your appointment is unavoidably delayed. · Care in the Community Medication System offered 10% Discount on Lasting appointment on: 01775 722261 · Providing Help & Advice on Medicines & Common Ailments Powers of Attorney & Wills [email protected] EXTENDED ACCESS APPOINTMENTS

to The Local Community Home visits available www.maplessolicitors.com with this advert We are pleased to be able to offer our patients access to routine appointments at evenings and weekends. The new service is part of an extended access service which has been Your own superb business To encourage our patients to commissioned by NHS South Lincolnshire Clinical Commissioning Group. Appointments are generating website from just become your clients for pre-bookable non-urgent appointments and are available between 6.30pm and 8.00pm PER or customers, advertise your Monday to Friday, and 9.00am to 12 noon on Saturdays and Sundays. Appointments will also £26 MONTH business now through our be available on bank holidays and across the Easter, Christmas and New Year periods. The service sees practices across the area working closely together to provide convenient high with no up-front practice booklets, quality care and may mean that you can take advantage of an appointment with a health payment and no extras. appointment cards and website. professional from another local practice. To arrange an appointment or for more information Simply call 0800 612 1516 on when and where appointments are available please speak to your practice as usual. Please Call 0800 612 1408 note that these are pre bookable appointments and can only be booked during your practice’s or email us at [email protected] for more information. normal opening hours.

To advertise your business to our patients on low cost, easy payment terms call 0800 0234 196. www.suttonsmedicalgroup.co.uk CANCELLATION OF APPOINTMENTS REPEAT PRESCRIPTIONS If you cannot keep an appointment please inform us as soon as possible so that it can be used SUTTON BRIDGE AND LONG SUTTON for another patient. Please help us to help you and others by ensuring that valuable appointment Both of our practice dispensaries dispense medications for patients who live more than one time is not wasted. Patients who persistently book appointments and do not keep them (without mile from the chemist, and who are on our current dispensing list. There is a chemist in both good reason) may be considered for removal from the practice list. Appointments which are Sutton Bridge and Long Sutton. Prescriptions can be ordered using our online ordering system. booked using the online appointments system can be cancelled via the online system. If you would like to use the online ordering system please as a member of the reception team for an application form. Or alternatively please post or hand in the computerised repeat slip PRACTICE STAFF with the appropriate items ticked. We do not normally accept telephone requests for repeat prescriptions unless in exceptional circumstances and with prior arrangement. Please allow The practice employs practice nursing staff who carry out chronic disease management clinics two WORKING days (48 hours) for the practice to process your repeat prescription, or three and open access minor injury or minor illness clinics. There are also health care assistants WORKING days (72 hours) when the week includes a Bank Holiday. Particularly busy times who support the nurses in many roles including taking of blood and ECGs. are both the Easter and Christmas holidays; please hand in your repeat prescription in good The practice also employs a practice business manager, practice administrator, reception staff, time to ensure continuity of your medications. The practice dispensaries are open between dispensary staff, medical secretarial staff, note summarisers and domestic staff. the hours of 8.30am and 6.00pm from Monday to Friday. The Lincolnshire Community Health Services care team provide the services of a health EMERGENCY CHEMISTS ROTA visitor and a nursery nurse who monitor children's health and provides health promotion and education for patients of all ages. Nene Pharmacy, Sutton Bridge is open: 9.00am - 12 noon on Saturdays Alliance Pharmacy, Long Sutton is open: 9.00am - 5.00pm on Saturdays Midwifery services are provided inthe practices. Sainsbury’s Pharmacy in Spalding is open: Until 11.00pm every week night/Saturdays The district nursing team, also employed by LCHS, provide nursing care in the home to patients until 1.00pm/& Sundays 10.00am - 4.00pm with mobility difficulties as well as some surgery based services, for example a wound clinic. For emergency medication advice patients can contact NHS Direct on 111. CONTACT DETAILS FOR THE DISTRICT NURSE TEAM (COVERING BOTH LONG SUTTON & SUTTON BRIDGE MEDICAL CENTRES) TELEPHONE ADVICE The district nursing team can be contacted on 01406 364071. Telephone advice is available from the doctors should you require it. Please contact the receptionist who will advise you of when the doctor will be free to speak with you. WELL BABY CLINICS ARE HELD AT SUTTON BRIDGE SURGERY AS FOLLOWS: TEST RESULTS/RESULTS OF INVESTIGATIONS Thursdays 2.00 - 4.00pm with a doctor. SUTTON BRIDGE Please ring wherever possible between 11.00am and 12 noon Monday to Friday on SEEING THE DOCTOR AND APPOINTMENTS 01406 350217. Although you are registered with a specific doctor you are free to consult any of the doctors LONG SUTTON or a member of the nursing team. Please ring wherever possible between 10.00 and 11.30am Monday to Friday on It is obviously an advantage to see the same person regularly or for any one complaint so that 01406 362081. progress can be assessed and continuity of treatment maintained. OTHER SERVICES Consultations are by appointment only and our receptionists will endeavour to give you a convenient appointment with the doctor of your choice. MINOR SURGERY Patients will be seen by a doctor as follows: The practice undertakes minor operations, to help save long waits for hospital treatment, by appointment. Please contact the receptionist for further details. In an emergency: The same day (any GP or first available) ANTENATAL CLINICS On an urgent matter: The same day (any GP or first available) LONG SUTTON AND SUTTON BRIDGE - By appointment with the midwife. A routine problem: Within three working days by any GP or next available During the course of your pregnancy you will have shared care between the hospital and the appointment by your GP practice. You will be seen regularly by our attached community midwife at our practice-based We will always give you an explanation if your appointment is delayed for any reason. antenatal clinics and attend hospital for a scan. www.suttonsmedicalgroup.co.uk www.suttonsmedicalgroup.co.uk WELL BABY CLINICS (PAEDIATRIC SURVEILLANCE) CHRONIC OBSTRUCTIVE PULMONARY DISORDER HEALTH NO APPOINTMENT NECESSARY PROMOTION There is a doctor in attendance and vaccinations are given by the practice nurse. We recommend On joining the practice all patients' registration forms will be screened. a full immunisation programme and developmental checks for all pre-school children. Our The practice holds approval for health promotion in: health visitors or practice nurses can advise you on the requirements. ASTHMA MANAGEMENT CYTOLOGY CLINICS Please ask at reception for further details regarding our Baby Clinics. DIABETES MANAGEMENT SMOKING CESSATION The recommended regime is as follows: The aim of the practice is to encourage and support its patients in living a healthier Routine childhood immunisations Autumn 2018 life. Anyone who wants an appointment should ring Long Sutton Medical Centre on When Diseases protected against Vaccine given and trade name Usual site 01406 362081 or Sutton Bridge Medical Centre on 01406 350217. The nurses who organise Diphtheria, tetanus, pertussis (whooping cough), polio, Haemophilus DTaP/IPV/Hib/HepB Infanrix hexa Thigh and participate in these clinics are fully qualified in recognised and approved courses of influenzae type b (Hib) and hepatitis B Health Promotion Training. Eight weeks old Meningococcal group B (MenB) MenB Bexsero Left thigh Rotavirus gastroenteritis Rotavirus Rotarix By mouth Pneumococcal (13 serotypes) PCV Prevenar 13 Thigh ADULT IMMUNISATIONS Diphtheria, tetanus, pertussis, polio, DTaP/IPV/Hib/HepB Infanrix hexa Thigh Twelve weeks old Hib and hepatitis B This is dealt with by the practice nurse. We recommend that all adults have a tetanus booster Rotavirus Rotavirus Rotarix By mouth Diphtheria, tetanus, pertussis, polio, every seven to ten years. If you have never had a tetanus injection it is important for you to DTaP/IPV/Hib/HepB Infanrix hexa Thigh Hib and hepatitis B Sixteen weeks old have a course of three injections. Please note however that a patient who has had 5 doses MenB MenB Bexsero Left thigh Pneumococcal (13 serotypes) PCV Prevenar 13 Thigh during their lifetime would be considered to be fully covered. Hib and MenC Hib/MenC Menitorix Upper arm/thigh Any woman who might be thinking of having children should consider having a blood test to One year old Pneumococcal PCV booster Prevenar 13 Upper arm/thigh (on or after the Measles, mumps and rubella MMR MMR VaxPRO2 or Priorix Upper arm/thigh check that she is protected against rubella (German measles). child’s first birthday) (German measles) MenB MenB booster Bexsero Left thigh Eligible paediatric Live attenuated influenza Influenza (each year from September) Fluenz Tetra2, 3 Both nostrils TRAVEL VACCINATIONS age group1 vaccine LAIV2, 3 Three years four Diphtheria, tetanus, pertussis and polio DTaP/IPV Infanrix IPV or Repevax Upper arm We also provide travel immunisation as required. Please try to plan these well in advance as months old or soon MMR (check first dose Measles, mumps and rubella MMR VaxPRO2 or Priorix Upper arm you may need a course of vaccinations over a period of six weeks or more. after given) Cervical cancer caused by human Girls aged 12 to papillomavirus (HPV) types 16 and 18 HPV (two doses 6-24 Gardasil Upper arm 13 years (and genital warts caused by types months apart) FLU VACCINATIONS 6 and 11) Td/IPV (check MMR In October and November of each year, we offer “flu” injections to patients who are at particular Tetanus, diphtheria and polio Revaxis Upper arm Fourteen years old status) risk. This includes the frail, the elderly and those with long-standing chest complaints (eg (school year 9) Meningococcal groups A, C, W and MenACWY Nimenrix or Menveo Upper arm Y disease asthma), cardiac conditions and diabetes. 1. See Green book chapter 19 or visit www.gov.uk/government/publications/influenza-the-green-book-chapter-19 or www.nhs.uk/conditions/vaccinations/child-flu-vaccine/ 2. Contains porcine gelatine. 3. If LAIV (live attenuated influenza vaccine) is contraindicated and the child is in a clinical risk group, use inactivated flu vaccine. FAMILY PLANNING Selective childhood immunisation programmes All aspects of family planning are catered for. Patients requiring oral contraceptives are seen Target group Age and schedule Disease Vaccines required during routine surgeries. Babies born to hepatitis B Hepatitis B At birth, four weeks and 12 months old1,2 Hepatitis B infected mothers (Engerix B/HBvaxPRO) Infants in areas of the country At birth Tuberculosis BCG REGISTERING AS A PATIENT with TB incidence >= 40/100,000 Infants with a parent or Please ask at the reception desk for a registration form. The receptionist will be happy to give grandparent born in a high At birth Tuberculosis BCG incidence country3 you any further advice you need to register with the practice. LAIV or inactivated flu vaccine if contraindicated At risk children From 6 months to 17 years of age Influenza to LAIV or under 2 years of age NEWLY REGISTERED PATIENTS During flu season Pregnant women Influenza Inactivated flu vaccine All new patients will be asked to complete a registration questionnaire form which will be At any stage of pregnancy dTaP/IPV Pregnant women From 16 weeks gestation Pertussis screened by the nursing team. If necessary, the patient may be called for a patient screening check. (Boostrix-IPV or Repevax) 1. Take blood for HBsAg at 12 months to exclude infection. 2. In addition hexavalent vaccine (Infanrix hexa) is given at 8, 12 and 16 weeks. 3. Where the annual incidence of TB is >= 40/100,000 – see www.gov.uk/government/publications/tuberculosis-tb-by-country-rates-per-100000-people CARERS All vaccines for use in the childhood programme are available free of charge from www.immform.dh.gov.uk except for monovalent Hepatitis B vaccine Published by Public Health England 2018 as a pdf only. copyright 2018. Available © Crown If you have a carer who looks after you on a regular basis, or you yourself are a carer for someone please do let us know, we can then record this on your medical record and this will

The safest way to protect children and adults allow the practice to offer you further support with your health needs if necessary. www.suttonsmedicalgroup.co.uk www.suttonsmedicalgroup.co.uk NON-NHS EXAMINATIONS items of equipment which provide enhanced services and care to our patient population. Medical examinations for special purposes eg elderly drivers, HGV medicals, PSV medicals, The PPG welcomes comments and suggestions for improvements to the services provided pre-employment medicals, fitness to undertake sports, fitness to travel etc, are not undertaken by the practice. Suggestion forms and posting boxes are available in both of the practice during surgery times. Please note that these are non NHS standard services and a fee these reception areas – please feel free to leave any suggestions or comments you may have. type of appointments is payable. As non NHS funded clinical time is set aside for this type If you would like to be involved with PPG activities, or become a member of the group please of appointment then the appropriate fees will be payable to the practice in advance of the contact the practice and ask to speak with the Practice Manager for further details. appointment. PARKING CHANGE OF ADDRESS OR OTHER PERSONAL DETAILS There are designated parking areas next to the surgeries. Please do not park in the spaces Please keep us informed of any change of personal details for example, name, address, marked for doctors and staff and do leave easy access to this area. telephone number etc. If you move out of the practice area you will be required to register If at busy times the car parks are full and you need to park on the road, please do so safely with another GP practice. and respect our neighbours' access to their properties. ASSIGNMENT OF AN ‘ACCOUNTABLE GP’ The practice has a requirement to assign an ‘Accountable GP’ to all patients on the practice list. All ACCESS FOR DISABLED patients will be assigned to a GP in the practice and this will be recorded on their medical record as As purpose-built medical centres we are fully equipped with facilities for the disabled with their ‘Usual GP’. Patients will be advised of who their Assigned/Usual GP is when they join the practice. access ramps, double doors and disabled toilet facilities. All currently registered patients are to be advised of their Assigned/Usual GP in such a manner as is considered appropriate by the practice. In circumstances where a patient’s Assigned/Usual GP is not able ACCESS TO MEDICAL RECORDS to carry out the duties of accountable GP for any significant period of time (other than normal periods Under the Data Protection Act 2018 and the General Data Protection Regulations (GDPR) 2016 of leave) then the practice will be required to assign patients to a replacement Accountable/Usual GP and in accordance with relevant legislation you are entitled to have access to your medical and to give patients notice of the assignment accordingly. Should a patient express a preference as to records. If you require copies of your medical records, please contact the practice secretaries which general medical practitioner within the practice they would prefer to have as their Accountable/ for further information. Patient medical records can also be accessed on-line, please ask at Usual GP then the practice will make reasonable efforts to accommodate the request. Requests to our reception desks for an application form. Please note that you will be required to provide change an assigned GP should be made in writing to the practice manager. proof of identity before being issued with an access code for the viewing of` your on-line PATIENT CONFIDENTIALITY AND DATA PROTECTION medical record. Further details about the information we hold is available from the practice. We ask you for personal information so that you can receive appropriate care and treatment. This THIRD PARTY ACCESS TO MEDICAL RECORDS information is recorded on computer and we are registered under the Data Protection Act. The There may be occasions when your medical details are communicated to a third party, eg practice will ensure that patient confidentiality is maintained at all times by all members of the insurance companies; this will be done only with your written consent. practice team. However, for the effective functioning of a multi-disciplinary team it is sometimes necessary that medical information about you is shared between members of the practice team. COMPLAINTS GDPR (GENERAL DATA PROTECTION If you have a complaint or concern about the services you have received from the doctors or REGULATIONS) any of the staff in this practice, please let us know. We operate a practice complaints procedure as part of the NHS system for dealing with complaints. Please let us have your complaint in Our practice complies with the General Data Protection Regulations. We hold your medical writing wherever possible. Complaints should be addressed to the practice manager. In the record so that we can provide you with safe care and treatment. For further information about majority of cases, concerns can be resolved quite easily. However, if you feel we have not the information which we hold about our patients and how we keep the information safe dealt with the issues you have raised as you would wish, you can write to: please contact our reception team and ask for a copy of our GDPR patient advice leaflet. The Complaints Manager, NHS England PO Box 16738, Redditch B97 9PT. PATIENT PARTICIPATION GROUP (PPG) COMMENTS AND SUGGESTIONS The Suttons Medical Group Patient Participation Group (PPG) is a group of volunteer patients who Patient comments are welcomed as a means to help the practice to monitor and improve the are registered at the practice and who have an interest in the provision of local health services. services we provide. Please present your views in writing addressed to the practice manager. The PPG meets regularly to discuss the services we provide to the local patient population Suggestion boxes are provided and are located in both reception areas for your convenience. and to make suggestions for possible enhancements and improvements. The PPG also raises funds for the practice equipment fund which enables the practice to purchase non-standard

www.suttonsmedicalgroup.co.uk www.suttonsmedicalgroup.co.uk ZERO TOLERANCE BURNS We aim to treat our patients courteously at all times and expect our patients to treat GPs Apply large quantities of cold water to the affected area as soon as possible and maintain and staff in a similarly respectful way. We take seriously any threatening, abusive or violent this until the pain subsides. This may take as long as 15 minutes! If the skin is unbroken but behaviour and, along with other practices in Lincolnshire, adopt a zero tolerance policy on blistered, apply a loose, dry dressing. If the burn is larger than four or five inches in diameter, violent or abusive behaviour against any member of our practice team, or towards other or if the skin is broken, consult your doctor as soon as possible. patients on our premises. If a patient is violent or abusive we may exercise our right to take action to have them removed, immediately if necessary, from our patient list. COLDS Even in this day and age there is still no magic cure for the common cold. Go to bed, take In extreme cases we may summon the police to remove offenders from the practice premises. plenty of drinks. If you have a headache or are feverish, take paracetamol. Do not bother to VISIT OUR WEBSITE - www.suttonsmedicalgroup.co.uk take any antibiotics you may have in the house - these will have no effect! The surgery website is a most effective way of giving our patients access to help and the latest CHICKENPOX information 24 hours a day, seven days a week. It contains complete information about all On the first day a rash appears as small red patches about 3-4mm across. Within a few hours the services we offer. It also details how the practice is organised and introduces our doctors, of these developing, small blisters appear in the centre of these patches. other medical and administrative staff and describes their various responsibilities. For easy, convenient access to our website, either ‘bookmark’ or place our website address in your During the next three or four days further patches will appear, and the earlier ones will turn favourites folder today. ‘crusty’ and fall off. Oily calamine lotion may be applied to soothe the often severe itching. Cool baths may also help.The most infectious period is from two or three days before the rash NHS ENGLAND appears and up to five days after this date. Children may return to school as soon as the last Suttons Medical Group contracts to NHS England to provide the services outlined in this ‘crusts’ have dropped off. booklet. NHS England is responsible for ensuring you get all the services you need and can be MINOR CUTS AND GRAZES contacted at NHS England, PO Box 16738, Redditch B97 9PT. They are also able to provide full details of general medical services in the area on request. Wash the wound thoroughly with water and a little soap. To stop bleeding, apply a clean handkerchief or dressing firmly to the wound for about five minutes. SELF-TREATMENT OF Cover with a clean dry dressing. COMMON ILLNESSES AND ACCIDENTS DIARRHOEA Many common aches and pains can be In adults, diarrhoea is usually caused by a viral infection and is therefore unable to be treated simply treated at home without the need to consult a doctor. directly. The symptoms can usually be eased by the traditional kaolin and morphine mixture BACK PAIN or by medicines containing codeine. Back pain causes 13 million working days to be lost in Britain each year. The spine, being Holiday diarrhoea is often due to bacteria. Again, kaolin and morphine mixture can be made up of 24 fragile bones and associated cartilage and tendons, supports the whole weight taken. In both the above cases, consult your doctor if the symptoms persist for more than a of the upper body, and therefore it is understandable that it sometimes goes wrong. Because few days. Diarrhoea in very young children and babies needs careful attention. Most babies of the complex nature of the spine it is advisable to consult your doctor if back pain persists have loose bowel action during their first six months, due to their predominantly liquid diet. for more than a few days. If, as is usual, the pain has been caused by abuse, ie lifting too Sudden bouts of unusually watery diarrhoea should be treated by taking the baby off solids heavy weights etc, be sensible and take things easy. Take care to sit as upright as possible with and feeding it either a cooled solution of boiled water with a teaspoon of sugar and half a a support for the small of the back. teaspoon of salt to the pint, or Rehidrat (alternatively Dioralyte). Again consult your doctor Take paracetamol, which will not only relieve the pain but will help to relieve inflammation. if symptoms persist for more than 24 hours. Your doctor may well prescribe stronger drugs, gentle exercise or supportive corset, or refer GERMAN MEASLES (RUBELLA) you for further advice. The rash appears during the first day and usually covers the body, arms and legs in small pink BEDSORES patches about 2-4mm across and doesn’t itch. No other symptoms are usually present, apart Bedsores are far easier to prevent than cure. They are caused by prolonged pressure to certain from occasional aching joints. It is infectious from two days before the rash appears, until the parts of the body when lying in bed for long periods. They can be prevented by encouraging rash disappears in about four or five days from that date. the patient to shift position as often as possible and taking care to smooth out creases in The only danger is to unborn babies, and therefore it is important that all contacts are informed the bottom sheet which could lead to localised irritation. Keep your eye open for red marks in order that anyone who may be pregnant can contact their doctor. appearing at the pressure points such as heels, elbows, buttocks and hips. If they begin to Immunisation can prevent this disease. appear, inform the district nurse before they get worse.

www.suttonsmedicalgroup.co.uk www.suttonsmedicalgroup.co.uk MEASLES USEFUL TELEPHONE NUMBERS The rash is blotchy and red and appears on the face and body around the fourth day of illness. It is at its most infectious from two or three days before the rash appears until eight or ten Long Sutton Medical Centre...... 01406 362081 days after that date. Sutton Bridge Medical Centre...... 01406 350217 Immunisation can prevent this disease. NHS Direct...... 111 MUMPS Registrar of Births, Marriages & Deaths...... 01406 363874 Symptoms are swelling of the glands in front of one ear often followed, after a couple of days, NHS England...... 0300 311 2233 by swelling in front of the other ear. It is infectious from two or three days before the swelling NHS Lincolnshire...... 01522 513355 appears until eight or ten days after that date. If the pain is severe you should consult your doctor. Queen Elizabeth Hospital...... 01553 613613 Immunisation can prevent this disease. Pilgrim Hospital...... 01205 364801 North Cambs Hospital...... 01945 585781 NOSEBLEEDS Sit in a chair (leaning forward with your mouth open) and pinch your nose just below the bone Police Station (Boston)...... 01205 366222 for approximately 10 minutes, by which time the bleeding should have stopped. If symptoms South Holland District Council...... 01775 761161 persist, consult your doctor. Social Services...... 01522 782155 SPRAINS Samaritans (Grantham)...... 01476 591551 First, apply a cold compress, containing ice if possible, for 15 to 30 minutes to reduce the Relate...... 01476 592921 swelling. Apply, firmly, a crepe bandage, and give the sprain plenty of rest until all discomfort Citizens Advice Bureau...... 01775 769693 has subsided. Further strain will inevitably lead to further swelling and a longer recovery period. Library (Long Sutton)...... 01406 362944 SUNBURN Library (Sutton Bridge)...... 01406 350915 Treat as for other burns with cold water to remove the heat. Calamine lotion will relieve the irritation, whilst paracetamol will also help. Children are particularly susceptible to sunburn Midwife...... (via surgery) and great care should be taken to avoid overexposure to the harmful effects of the sun. Cruse Bereavement Care...... 0870 1671677 Parentline...... 0808 8002222 HEAD LICE These creatures, contrary to popular belief, prefer clean hair and are, therefore, not a sign of Childline...... 0800 1111 poor personal hygiene. Medicated head lotion can be obtained from the chemist without a NSPCC Child Protection Helpline...... 0808 8005000 prescription. The practice is no longer able to provide solutions for this treatment via NHS Alcohol Advice Line...... 0800 9178282 services. Drugs Helpline...... 0800 776600 INSECT BITES AND STINGS National Debtline...... 0808 8084000 Antihistamine tablets can be obtained from the chemist without prescription and will usually Victim Support...... 0845 3030900 relieve most symptoms. Note: bee stings should be scraped away rather than ‘plucked’ in order to avoid squeezing the contents of the venom sac into the wound. PRACTICE BOOKLETS ARE SPECIALLY PREPARED BY Neighbourhood Direct Ltd

Barons Gate, Graceways, Whitehills Business Park, Blackpool, Lancs FY4 5PW Tel: 01253 608014 Fax: 01253 608015 Website: http://www.opg.co.uk Email: [email protected]

COPYRIGHT WARNING: All rights reserved. No part of this publication may be copied or reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopy, recording or otherwise without the prior written permission of the publisher. The practice would like to thank the various advertisers who have helped to produce this booklet. However, it must be pointed out that the accuracy of any statements cannot be warranted, nor any products or services advertised, be guaranteed or endorsed. www.suttonsmedicalgroup.co.uk SR/JC 6.19 S62135T - 29 THE SUTTONS MEDICAL GROUP LONG SUTTON MEDICAL CENTRE Trafalgar Square, Long Sutton, Spalding, Lincolnshire PE12 9HB Telephone: 01406 362081 SUTTON BRIDGE MEDICAL CENTRE Railway Lane, Sutton Bridge, Spalding, Lincolnshire PE12 9LP Telephone: 01406 350217 FOR EMERGENCIES OUT OF HOURS TELEPHONE: 01406 362081 Cover Artwork © Mr JR Barker

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