AINTREE PARK GROUP PRACTICE The Orrell Park Surgery The Old Roan Surgery 46 Moss Lane Oriel Drive Liverpool Liverpool L9 8AL L10 6NJ Tel: 0151 295 8350 Tel: 0151 295 8350 Fax: 0151 286 8923 Fax: 0151 286 9616

‘Working With Patients To Achieve Excellence In Local Healthcare’

Dear Patient

Welcome to the Aintree Park Group Practice. If reception was busy you may not have been told the following information which will be relevant to you as a new patient. It is important that you complete the attached forms to enable us to provide safe and effective care for you.

PLEASE COMPLETE THE ATTACHED QUESTIONNAIRE AND REGISTRATION FORM, PLEASE NOTE WE CAN ONLY ACCEPT YOUR REGISTRATION FORMS AFTER 2PM MONDAY - FRIDAY

SURGERY SITES - We have two sites Moss Lane Surgery and Oriel Drive Surgery. You are able to book appointments at either site, appointments permitting. The GP’s rotate between sites, the Practice has two Nurse Practitioners (Minor Illness Nurse), two Practice Nurses and two Health Care Assistant. For routine blood tests you may be required to attend a local community clinic. Any appointments for blood tests or blood pressures should be booked with the Health Care Assistant and NOT with the nurse.

OPENING TIMES

Moss Lane Oriel Drive Monday 08:00 - 18:30 08:00 - 18:30 Tuesday 08:00 - 18:30 08:00 - 18:30 18:30 - 19:30 (appointments only) Wednesday 08:00 - 16:30 08:00 - 18:30 Thursday 08:00 - 18:30 08:00 - 16:30 Friday 08:00 - 18:30 08:00 - 18:30 Saturday closed 8.15 - 11.30 (appointment only) Sunday closed closed

APPOINTMENTS

We offer an appointments system which means you can pre-book appointments up to four weeks in advance. If you do not have an appointment and need to be seen for an acute illness and can’t wait for a routine appointment, we will offer you an appointment within 24 hours. However, you will not be able to see a specific doctor. When you telephone for an on the day urgent appointment we would be grateful if you could provide the receptionist with brief details of your problem so that you can be offered an appointment with the most appropriate member of our team. This may be with the Nurse Practitioner or Practice Nurse.

………….. Continued The Nurse Practitioners (Minor Illness Nurse) specialises in Minor Illness and Minor Injuries and will see all patients who present with the following minor conditions. They are able to make a diagnosis, prescribe and refer to another care provider were appropriate eg GP or Hospital.

Minor injuries Bites, Stings Boils

Cellulitis / skin infections Coughs / Colds / Flu

Chest Infections Diarrhoea and vomiting

Ear Ache / Sore throat Emergency Contraception (Morning after pill)

Foot problems including Infected Ingrowing Toenails Sore Eyes / Eye Infections

Head lice / Worms Hayfever

Migraines Skin problems - Rashes / Eczema / Psoriasis / Scabies Sinusitis Sprains, Strains, Back Pain

Thrush Tonsillitis

Warts and Verrucas Water Infections

Repeat Prescriptions

If you take regular medication please attach the right hand side of your prescription to the questionnaire and we will contact within 7 working days if you need to be seen before we can issue your medication, when you hand in the right hand side with the questionnaire this will not be treated as a prescription request. Please note we do not take prescription requests over the phone. You will need to request your repeat prescription at the surgery, via Patient Access or via the local chemist. All repeat prescription requests take 48 hours.

NOMINATED CHEMISTS – Electronic prescriptions

If you have previously nominated a chemist for Electronic prescriptions once you have registered with us you may need to nominated a new chemist to prevent any of your prescriptions from going to the wrong chemist or a chemist out of the area. Please allow 7 days from registering at the surgery before going to the chemist of your choice to re-register your nomination, ask your local chemist for further information.

We hope that you will be happy with us as a patient and that if you have any further enquiries please do not hesitate to contact us.

………….. Continued Summary Care Records

Summary Care Records are being introduced to improve the safety and quality of patient care. The Summary Care Record is an electronic record, it will give healthcare staff faster, easier access to essential information on you, and help to give you safe treatment during an emergency or when your GP surgery is closed.

A Summary Care Record is an electronic record that's stored at a central NHS location. As the name suggests, the record will not contain detailed information about your medical history, only important health information, such as whether:

 you're taking any prescription medication  you have any allergies  you've previously had a bad reaction to any medication

Your consultations with the GP remain private and can’t be seen on the Summary Care Record

Access to your Summary Care Record will be strictly controlled. The only people who can see the information will be healthcare staff directly involved in your care who have a special smartcard and access number (like a chip and pin credit card).

Healthcare staff will ask your permission every time they need to look at your Summary Care Record. If they cannot ask you – e.g. because you're unconscious – healthcare staff may look at your record without asking you. If they have to do this, they will make a note on your record. By law, everyone working for the NHS or on our behalf must respect your confidentiality and keep all information about you secure.

You can choose not to have a Summary Care Record and you can change your mind at any time by informing your GP practice. If you DO NOT want a Summary Care Record please ask reception for an Opt out form. If you do nothing we will assume that you are happy for us to create a Summary Care Record for you.

Children under 16 will automatically have a Summary Care Record created for them unless their parent or guardian chooses to opt them out. If you are the parent or guardian of a child under 16 and feel that they are old enough to understand, then you should make this information available to them. In some circumstances the GP may feel it is in your child’s best interest to have a Summary Care Record.

The Doctors at Aintree Park Group Practice would like to encourage you to have a Summary Care Record to allow healthcare staff to treat you faster and safer during an emergency or when your GP surgery is closed.

Yours sincerely

AINTREE PARK GROUP PRACTICE

PLEASE NOTE WHEN PHONING THE SURGERY FOR A ROUTINE APPOINTMENT OR ENQUIRY PLEASE RING AFTER 10.30AM AS THE PHONE LINES ARE MUCH QUIETER

Go to The Practice Website for further information - www.aintreeparkgrouppractice.nhs.uk

………….. Continued Aintree Park Group Practice – New Patient Questionnaire We WILL NOT be able to complete your registration with the Practice unless this questionnaire and GMS1 FORM are FULLY COMPLETED, this may result in an unnecessary delay in you receiving treatment

Date: ......

Name: ...... Date of Birth: ......

Address: ...... Tel No: ......

...... Postcode...... (Essential) Mob No: ......

Have you been registered here before? YES / NO

In which country where you born? ...... Religion: ......

First Language: ...... Main Read Language: ......

Ethnic Background: ...... Interpreter required? YES / NO (e.g. Asian, Black African, Chinese, White, Mixed White/African etc)

Medical History Do you have a history of any of the following conditions (please tick yes or no) Condition NO YES Hypertension Diabetes Mellitus Type 1 IF YOU HAVE ANSWERED YES TO Diabetes Mellitus Type 2 ANY OF THESE CONDITIONS YOU Heart disease MUST MAKE AN APPOINTMENT Stroke WITH OUR NURSE OR HCA, THE Significant renal disease RECEPTIONIST WILL ADVISE YOU Asthma WHO YOU NEED TO SEE COPD

Height Metres Feet and Inches Weight Kilograms Stones and Pounds Blood This measurement can be taken by yourself or by your local Chemist Pressure 40 yrs & over

Do You Have Any Disabilities?

Any Allergies or Reactions? (eg to: medicines, vaccinations, eggs, medical dressing or food)

Any Other Relevant Medical History:

Medication ………….. Continued If you take medication regularly (including contraception, tablets, cream and inhalers) please attach the right side of your prescription to this form and we will contact you within 7 working days if you need to be seen before we can issue your medication. Please note all repeat prescription request take 48 hours.

Smoking status

Have you ever smoked? YES / NO

If yes – Do you smoke now? YES / NO Cigarettes per day: ...... Pipe/cigars: ......

Would you like help to stop smoking? YES / NO - If YES please ring FAGENDS on 0800 195 2131

Alcohol – in an average week how many units of alcohol do you drink (1 unit= half pint of beer, 1 small glass of wine, 1 single spirit) Units per week = Your Questions Score: How often do you have a drink Never Monthly 2-4 times 2-3 times 4+ times that contains alcohol? or less per per week per week month How many standard alcoholic drinks do you have on a typical 1-2 3-4 5-6 7-8 10+ day when you are drinking? How often do you have 6 or more Never Less Monthly Weekly Daily or standard drinks on one occasion? than almost monthly daily Score: 0 1 2 3 4 Scoring: A total of 5+ indicates hazardous or harmful drinking. If you would like to discuss this with a Doctor please make an appointment

Carers Are you a carer? YES / NO (Someone who regularly looks after or supports a person who is ill, disabled, frail or in need or emotional support)

Are you cared for? YES / NO (Do you need a friend or relative to help you live your day-today life?)

ONLINE SERVICES (only available to patients age 16 and over)

You are now able to order repeat prescription and book appointments online with Patient Access (information enclosed). If you are interested in signing up for this free service, please sign below and your PIN number will be sent to you in the post. Signed……………………………………… The Practice uses a Text messaging service to send out reminders please ensure with always have the correct mobile phone number. Mobile number ……………………………………..

FREE NHS HEALTH CHECK – If you are aged 40 – 74 Years we would like to invite you to have a free NHS health check, please indicate below. However if you have or had any of the following condition you do not need to have this as you are already having regular check-ups, Diabetes, Heart Disease, Stroke or TIA, Kidney Disease or raised Cholesterol.

I DO / DO NOT want to have a Free NHS HEALTH CHECK. Sign ……………………………….

………….. Continued

FOR OFFICE USE ONLY

CHECKLIST FOR RECEPTION

NAME OF ALLOCATED GP DR ………………………………………………. I HAVE GIVEN THE PATIENT A LETTER INFORMING THEM WHO IS THEIR ALLOCATED GP

ALL RELEVANT FIELDS ON GMS1 COMPLETED

NEW PATIENT QUESTIONNAIRE COMPLETED

RECEPTIONIST NAME ……………………………………………………….

CHECKLIST FOR ADMIN

USUAL GP ADDED AS STATED ABOVE

CODES ADDED FOR ALLOCATED GP - VIA TEMPLATE

MOBILE PHONE NUMBER ADDED