THE ROXTON PRACTICE Pilgrim Primary Care Centre, Pelham Road, , North East DN40 1JW Tel: (01469) 572058 Fax: (01469) 573043 The Health Centre, Pelham Crescent, , DN41 8EW Tel: (01469) 560202 Fax: (01469) 560858 View, Weelsby View Health Centre, Ladysmith Road, , North East Lincs DN32 9SW Tel: (01472) 255200 www.theroxtonpractice.nhs.uk

Practice Booklets are published by Neighbourhood Direct Ltd. 01253 608014 Ro The xton P P C C Practice HISTORY OF THE PRACTICE The Roxton Practice has provided medical services for more than 60 years to Immingham, Keelby, and the surrounding villages (including , Healing, , , Irby, , Limber, , , , , , North and and Ulceby). The practice has grown in keeping with the expansion of the population in the area and now consists of five partners, an associate partner and several salaried general practitioners. We offer the widest range of medical services to the local population as well as a comprehensive range of services to local industry and to the shipping which uses the . MAIN SURGERY The Roxton Practice, Pilgrim Primary Care Centre, Pelham Road, Immingham DN40 1JW Appointments and Queries Tel: (01469) 572058 Repeat Prescriptions Tel: (01469) 573837 Fax: (01469) 573043 BRANCH SURGERIES The Health Centre, Pelham Crescent, Keelby DN41 8EW Weelsby View, Ladysmith Road, Grimsby DN32 9SW Tel: (01469) 560202 Tel: (01472) 255200 Fax: (01469) 560858

DOCTORS Dr Peter M Opie MBBS ( 1981) DRCOG MRCGP BSc Dr Anne E Spalding MBChB (Sheffield 1985) DGM DRCOG MRCGP Dr Peter J Melton MBBS (London 1987) MRCGP Dr Sean A Thrippleton MBBS (London 1987) MRCGP DRCOG Dr Arun K Nayyar MBBS (Dayanand 1992) MS FRCS DRCOG MRCGP Dr David J Lansley MBChB (Bristol 1983) DCH MRCGP Dr Ekta Elston MBBS (Newcastle upon Tyne 2002) DRCOG MRCGP Dr Guest MBBS MRCGP Dr Tucker MBBCh MRCGP Dr Cheema MBBS (Islamia University 1999) Dr Jethwa Dr Cunningham MBChB MRCGP DISABLED ACCESS - IMMINGHAM All patient services are provided at ground-floor level. Wheelchair access to the building is via the main entrance on Pelham Road. DISABLED ACCESS - KEELBY All patient services are provided at ground-floor level. Wheelchair access to the building is via the main entrance. DISABLED ACCESS - GRIMSBY All patient services are provided at ground-floor level. Wheelchair access to the building is via the main entrance. APPOINTMENTS At our Immingham, Keelby and Grimsby surgeries patients are normally seen by appointment which can be made by telephoning or calling at the appropriate surgery. You may also book an appointment online by registering for SystmOnline service, see reception for details. If you turn up without an appointment you may have to come back later. Non-urgent appointments are bookable up to four weeks in advance. We would ask that you attend punctually for appointments and that you cancel an appointment if you are unable to attend. We would further request that you do not ask for an urgent appointment for a routine matter. Have cataracts Do you or a and in need of family member treatment? need care and Why wait? want to stay in Many clinics offer a quick and efficient your own home? lens replacement service that is suitable for many people with cataracts. This type of decision can be difficult for families. Contact a local clinic today and get a Contact a local care agency to discuss your new view on life! needs today.

Care and Support you can rely on + Providing home carers to support you in your own home. + Helping you with any personal care needs you may have. + Managing your nutrition, whether this is preparing meals for you or coming in regularly to assist you to eat your meals. + Support you to have prescribed medications. + We are local, flexible & friendly. Call 01472 350011 FREE or 07845 919086 CONSULTATION [email protected] www.rexshihealthcare.co.uk Rexshi Ltd, The Ice House, Victor Street, Grimsby DN32 7QN

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All surgeries employ an urgent care team for urgent on the day problems. Please telephone the surgery first as this is not a walk in service. A request for an urgent surgery appointment or home visit will be put through to our urgent care team who are trained both to decide on medical priorities and to give appropriate medical advice. A member of the urgent care team will telephone you back to discuss your problem. If offered an urgent appointment you may express a preference to see a certain practitioner but, because the doctors consult at three surgery sites on a rota basis, we ask that patients, whenever possible, book in advance to see the doctor of their choice. In an emergency, patients will be seen by the attending doctor. Children under the age of 15 should be accompanied by an adult, whenever possible. SURGERY OPENING TIMES Immingham Monday 8.00am - 7.30pm Tuesday 8.00am - 7.30pm Wednesday 8.00am - 6.00pm Thursday 8.00am - 7.30pm Friday 8.00am - 6.00pm Keelby Monday to Friday 8.00am - 6.00pm Grimsby Monday to Friday 8.00am - 6.30pm OUT OF SURGERY HOURS For urgent medical problems after 6.30pm weekdays and weekends please call 01472 256256. Please telephone first as this is not a walk in service. PARTNERS All the doctors in the practice cover all surgeries and provide personal medical services for a colleague when not available. The doctors practise together as a non-limited partnership. STAFF The managing director, chief operating officer, operations manager, front of house manager, facilities manager, administrative assistants and practice secretaries are all based at the main surgery in Immingham. Practice Nursing Team This is made up of 20 nurses - 4 nurse practitioners, 8 practice nurses and 8 healthcare assistants. The team covers all sites and provides a wide variety of services including telephone triage, the management of diabetes, cardio-vascular and respiratory disease, sexual health advice, contraception, the assessment of minor illness and injury and general health checks. The nursing team strives to provide good evidence based care for all our patients and welcomes all feedback. Generate more business with a Pay - Monthly website from OPG We will design and launch a top quality bespoke business-generating website for you, update it regularly at your request and provide on-going advice and support every working day. from £26 per month There is no up-front payment and no extras, with an option to choose a pay-as-you-go, stop-when- you-like service. To find out more simply call 0800 612 1408 OPG - HELPING THE SMALL BUSINESS GROW FOR OVER 40 YEARS or email us at [email protected]

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Operations Manager The operations manager will be pleased to receive patients' comments on the services provided. We have, altogether, 18 part-time reception/ dispensing staff (based at the respective surgeries) who are available for general advice and for making appointments.

District Nurses District nurses are among the attached staff who attend the surgeries at regular intervals.

Health Visitors Health visitors are qualified nurses with further specialised training and are experienced in child health, health promotion and health education. Every family with children under five years has a named health visitor.

TRAINING We are a training practice. GP registrars are fully qualified medical practitioners who come from a hospital to gain further qualifications.

HOME VISITS Patients are requested to ask for a home visit only if it is impossible to attend at the surgery. All requests should be made by 10.00am and will be assessed by our urgent care team. Please state clearly the patient's name, address and telephone number. In the event of an emergency during office hours, please contact the appropriate surgery. Out of surgery opening hours, if you need a GP urgently please telephone the OUT-OF-HOURS SERVICE on 01472 256256. Please note that NHS is responsible for all home visits to patients residing outside of our Practice Area. Please see the Inside Back Cover for details of our practice area.

REPEAT PRESCRIBING If your doctor has allowed you to obtain repeat prescriptions, please request these by one of the following methods: 1. By post, enclosing a stamped, addressed envelope. 2. By telephoning your surgery between the following times: 9.30am - 3.30pm Let our practice publications promote your business for you! To place a business building advertising feature in our vitally important Practice Booklets and Appointment Cards simply phone Veronica Smith now on 0800 612 1516

3. In person between: • Immingham 8.00am - 6.00pm • Keelby 9.00am - 6.00pm Please give two working days notice for prescriptions before collection. YOU CAN ORDER YOUR REPEAT MEDICATIONS ONLINE AT ANY TIME OF THE DAY OR NIGHT ON www.theroxtonpractice.nhs.uk Please give two full working days’ notice for prescriptions before collection. Our reception staff will be pleased to assist you to register for this service. ONLINE SERVICES You can order your repeat prescriptions and book GP appointments online. You will soon be able to view your coded medical records, results and vaccinations. To sign up for this service visit reception with a current form of photo identification. DISPENSING Rural patients who consult at Immingham and Keelby may have their prescriptions dispensed from the surgery. Please hand your prescriptions to the receptionist/dispenser. Please allow two full working days for repeat prescriptions to be collected. SERVICES The doctors, practice nurses and staff will provide you with all the family/primary healthcare services. Information and appointments for the following clinics, which are held on a weekly basis, may be obtained from reception staff: Full Family Planning Service Well Baby Clinic Chronic Disease Management Clinics (Coronary Heart Disease, Diabetes etc) Well Person Clinic Vaccination/Immunisation and Travel Vaccination Clinic Minor Surgery Clinic Medical Examinations (non NHS) (Driving, HGV, PSV, Pre-employment, Insurance, Occupational Health etc) CONFIDENTIALITY All staff in the practice are bound to maintain patient confidentiality. Any proven breach of this will be treated extremely seriously. Confidentiality also extends to your family members and medical information relating to you will not be divulged to them without your written consent. HOW TO REGISTER WITH THE PRACTICE Please enquire at reception for advice on how to register with the practice. DETAILS OF PRIMARY MEDICAL SERVICES IN THE AREA These may be obtained from the North East Lincolnshire Clinical Commissioning Group on 0300 3000 400. MINOR INJURIES UNIT Pilgrim Primary Care Centre, Pelham Road, Immingham DN40 1JW Opening Hours - Weekdays only 9.00am to 4.30pm Telephone - (01469) 570722 A walk-in centre, manned by nurse practitioners, providing an emergency minor injury/illness service to the local area. NON DISCRIMINATION The Equality Act 2010 makes it unlawful for staff to discriminate directly or indirectly on the grounds of age, disability, race, religion or belief, sex, sexual orientation, gender reassignment, marriage and civil partnership, pregnancy and maternity. Patients should expect to be treated with respect and courtesy. We would ask that the same level of respect and courtesy is afforded to all members of the practice and to recognise that verbal or physical abuse will not be tolerated. CONTRACT OF CARE The care of patients is fundamental to the service we provide and, as a partner, it should be recognised that the patient has a responsibility for their own wellbeing. We may prescribe treatments to aid a particular complaint or condition and may make recommendation for changes and/ or modifications in lifestyle to promote the patient’s wellbeing. We would ask that you comply with any treatment recommended or prescribed and try to live as healthy a lifestyle as possible and ask for help and advice if necessary. ACCESS TO RECORDS Patients may request to see their medical records. Such requests are by appointment and may be subject to an administration charge. No information will ever be released without your consent unless we are legally obliged to do so. We would ask that your written consent accompanies any request you have authorised for medical information.

INFORMATION FOR PATIENTS WISHING TO MAKE A COMPLAINT We always try to give you the best service possible, but there may be times when you feel this has not happened. The following explains what to do if you have a complaint about the services we provide for you.

Complaints Procedure A friend or relative can accompany you at any stage of the complaints procedure. You can complain informally in person, by telephone or in writing to the operations manager. All complaints will be passed to the relevant departments to inform them of problems and to modify systems and make improvements where possible. If requested, the result of the investigation and any resulting outcomes will be communicated in writing to the person making the complaint, so long as this does not break any conditions of confidentiality. You may also voice your concerns about care to the Care Quality Commission by telephoning 03000 616161.

FREEDOM OF INFORMATION – PUBLICATION SCHEME The Freedom of Information Act 2000 obliges the practice to produce a Publication Scheme. A Publication Scheme is a guide to the ‘classes’ of information the practice intends to make available routinely. This scheme is available from reception.

ZERO TOLERANCE We strongly support the NHS policy on zero tolerance. Anyone attending the surgery who abuses the GPs, staff or other patients be it verbally, physically or in any threatening manner whatsoever, will risk removal from the practice list. In extreme cases we may summon the police to remove offenders from the practice premises. SELF TREATMENT OF COMMON ILLNESSES AND ACCIDENTS Many common aches and pains can be simply treated at home without the need to consult a doctor. Back Pain Back pain causes 13 million working days to be lost in Britain each year. The spine supports the whole weight of the upper body so it is understandable that it sometimes goes wrong. Because of the complex nature of the spine it is advisable to consult your doctor if back pain persists for more than a few days. If, as is usual, the pain has been caused by abuse ie lifting too heavy weights etc, be sensible and take things easy. Take care to sit as upright as possible with a support for the small of the back. Take aspirin or paracetamol which will not only relieve the pain but will help to relieve inflammation. Your doctor may well prescribe stronger drugs, heat treatment, gentle exercise or some kind of supportive corset. Bed Sores Bed sores are far easier to prevent than cure. They are caused by prolonged pressure to certain parts of the body when lying in bed for long periods. They can be prevented by encouraging the patient to shift position as often as possible. Take care to smooth out creases in the bottom sheet to avoid irritation. If red marks appear at the pressure points such as heels, elbows, buttocks and hips, inform the doctor before they get worse. Sore Throats Four out of every five sore throats are caused by viruses and therefore antibiotics are useless. If your throat is sore but you are otherwise okay there is no need to see the doctor. Simply give children paracetamol syrup and fluids (aspirin should NOT be given to children under 16). For adults, gargling with soluble aspirin is the most effective remedy. Dissolve two aspirins in one inch of warm water in a glass. Take sips of the solution and gargle with each sip for as long as you can without swallowing. If you are very hot and unwell and can see white spots on your tonsils you may have a true tonsillitis and you should come and see us at the surgery. Burns Apply large quantities of cold water to the affected area as soon as possible and maintain this until the pain subsides. This may take as long as 15 minutes! If the skin is unbroken but blistered, apply a loose, dry dressing. If the burn is larger than four or five inches in diameter or if the skin is broken, consult your doctor as soon as possible.

Colds Even in this day and age there is still no magic cure for the common cold. Go to bed, take plenty of drinks. If you have a headache or are feverish, take aspirin or paracetamol. Do not bother to take antibiotics as these will have no effect! Diarrhoea In adults, diarrhoea is usually caused by a viral infection and is therefore unable to be treated directly. The symptoms can usually be eased by the traditional kaolin and morphine mixture or by medicines containing codeine. Holiday diarrhoea is often due to bacteria. Again, kaolin and morphine can be taken. Consult your doctor if the symptoms persist for more than a few days. Diarrhoea in very young children and babies needs careful attention. Most babies have loose bowel action during their first six months due to their predominantly liquid diet. Sudden bouts of unusually watery diarrhoea should be treated by taking the baby off solids and feeding them a cooled solution of boiled water with a teaspoon of sugar and half a teaspoon of salt to the pint. If the symptoms persist for more than 24 hours, or are accompanied by vomiting or weakness, consult your doctor. Gastroenteritis Gastroenteritis describes a group of diseases affecting the stomach or part of the intestine. Symptoms are often diarrhoea, sickness and stomach ache. Because the lining of the stomach is likely to be inflamed medicines are often immediately vomited up. Large quantities of water, orange juice or thin soup should be taken to counter the effects of dehydration. Consult your doctor if symptoms persist for more than a day or, in the case of babies or young children, six hours. Stomach Ache Most attacks are not serious and are usually caused by indigestion or wind. A hot water bottle will often relieve the symptoms and, in the case of indigestion, a teaspoon of bicarbonate of soda in half a glass of water will help. If the pain lasts for longer than eight hours or increases in intensity you should consult your doctor. Sprains Treat with a cold compress, containing ice if possible, for 15 to 30 minutes to reduce the swelling. Then apply, firmly, a crepe bandage and give the sprain plenty of rest until all discomfort has subsided. Further strain will inevitably lead to further swelling and a longer recovery period. Nosebleeds Sit in a chair, lean forward with your mouth open, and pinch your nose just below the bone for approximately 10 minutes, by which time the bleeding should have stopped. Avoid hot drinks or hot food for 24 hours. If symptoms persist, consult your doctor. Minor Cuts And Grazes 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. Cover with a clean dry dressing. Sunburn 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 and great care should be taken to avoid overexposure to the harmful effects of the sun. Insect Bites And Stings Antihistamine tablets can be obtained from the chemist without prescription and will usually 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. Head Lice These creatures, contrary to popular belief, prefer clean hair and are, therefore, not a sign of poor personal hygiene. Medicated head lotion can be obtained from the chemist without prescription. Chickenpox On the first day a rash appears as small red patches about 3-4mm across. Within a few hours of these developing, small blisters appear in the centre of these patches. During the next three or four days further patches will appear and the earlier ones will turn ‘crusty’ and fall off. 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 appears and up to five days after this date. Children may return to school as soon as the last ‘crusts’ have dropped off. German Measles (Rubella) The rash appears during the first day and usually covers the body, arms and legs in small pink patches about 2-4mm across and doesn’t itch. No other symptoms are usually present apart from occasional aching joints. It is infectious from two days before the rash appears, until the rash disappears in about four or five days from that date. The only danger is to unborn babies and, therefore, it is important that all contacts are informed in order that anyone who may be pregnant can contact their doctor. Immunisation can prevent this disease. Measles 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 days after that date. Immunisation can prevent this disease.

Mumps Symptoms are swelling of the gland in front of one ear often followed, after a couple of days, by swelling in front of the other ear. It is infectious from two or three days before the swelling appears until eight or ten days after that date. If the pain is severe you should consult your doctor. Immunisation can prevent this disease.

A PLAN OF OUR PRACTICE AREA Please note NHS England is responsible for home visits for patients living outside of our Practice Area.

Goxhill Immingham Dock

THE ROXTON Ulceby PRACTICE

Immingham

Stallingborough Brocklesby Healing Great Coates Keelby

Limber KEELBY HEALTH CENTRE

Laceby Irby

SR/DP 05.19 (e-book) K42413W-25 USEFUL TELEPHONE NUMBERS

OUT OF HOURS EMERGENCY CENTRE...... 01472 256256 Diana Princess of Wales Hospital...... 01472 874111 St Hugh’s Hospital Grimsby...... 0800 250070 (Free phone) or 01472 251100 Hull Royal Infirmary...... 01482 328541 North East Lincs Clinical Commissioning Group, 5 Saxon Court, Grimsby DN31 2UJ...... 0300 3000 400 Lincolnshire (Teaching) Primary Care Trust...... 01522 513355 District Nurses...... 01469 570700 Health Visitors...... 01469 571001 Community Midwives (General Enquiries)...... 01472 302550 Adult Social Care Services (A3 Team)...... 01472 256256 or 0300 3000 400 NHS Direct...... Freephone 111 or 0845 4647 NHS Direct online...... www.nhsdirect.nhs.uk Care Quality Commission...... 03000 616161

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. Practice Booklets are published by Neighbourhood Direct Ltd. 01253 722142 Practice Booklets are published by Neighbourhood Direct Ltd. 01253 608014