Your GP Guide to & Medical Practice

The Green Brailsford DE6 3BX Phone: 01335 360328 Why have a guide?

The information in this guide is designed to help you easily see what the practice has to offer you and your family, and how well the practice is performing. We know that having reliable information is particularly important when people move house, or when they want to change practice, or when they have just been diagnosed with an illness. At present many people do not have very much information about their local general practices. We hope that you will find the information in this guide both interesting and useful. What is in the guide?

In Section A of the guide, the practice tells you about its services and staff. Section B tells you how well the practice is performing. Section C tells you how to get more information. Where does the information in the guide come from?

The guide has been produced as part of an ongoing project to make local information available. Practice staff, patients and Primary Care Organisations (PCTs in and LHBs in Wales - the organisations that oversee provision of local health services) have all contributed ideas and information. An independent research team from the University of Manchester and the University of Wales, Swansea, has provided advice and put the guide together. All the practices taking part in the project have agreed to use the same format for their guides so you can easily compare their services.

- 2 - Section A: About the practice Page Our approach to your healthcare...... 4 Who's who in the practice...... 6 How to contact us...... 10 Other sites for this practice...... 13 Clinics and services...... 14

Section B: How well is the practice performing? Why might practices vary in their performance?...... 18 Some performance facts and figures...... 19 Two views of the practice...... 21 What does the practice say about itself?...... 21 What do patients say about the practice?...... 21

Section C: How to find out more information Further information...... 23

- 3 - Section A: About the practice

• Our approach to your healthcare The Brailsford and Hulland Medical Practice is a partnership practice providing care for some 6,000 local residents. Our particular strength lies in our friendly, open approach to our patients' care - we aim to keep relationships between our patients and our staff relaxed yet professional, putting you at ease while continuing to deliver the clinical excellence which you expect from us.

We are committed to: • providing high-quality medical care to all of our patients • responding efficiently to the acute and long-term needs of our patients • ensuring that our staff are courteous and respectful towards our patients at all times • working in harmony with each other and with other healthcare professionals for the benefit of each of our patients • ensuring that no member of the practice, patient or member of the public attending the surgery will be discriminated against You can help us achieve our aims by: • treating our staff politely at all times • keeping and arriving on time for any appointments that you make • notifying us immediately if you know that you will not be able to attend your appointment • keeping us updated on changes to personal details • ordering your medication in good time and, where possible, booking appointments in advance • respecting that home visits and emergency appointments are reserved for the housebound and the acutely ill respectively • taking responsibility for your own health by listening to advice on how to live a healthier lifestyle We would like you to be aware that:

- 4 - • you have the right to view your own medical record. If you wish to do so at any time, you must submit a written and signed request. You may then either choose to view your record at the surgery under the supervision of a member of our staff, or alternatively receive a photocopy of your record (for which a charge of up to £50 may apply) • comments or complaints should be addressed to our Practice Manager, Jane Shooter, or to our Assistant Practice Manager, Marion Jones • all of our staff have access to your medical record under strict confidentiality guidelines in compliance with the Data Protection Act. From time to time, it may be necessary to share medical information with other healthcare professionals - under such circumstances, anyone who receives information is also legally obliged to keep it confidential • in line with the NHS zero-tolerance policy on violent behaviour, we reserve the right to remove any patient from our list who demonstrates threatening or abusive behaviour Above all, we ask for your understanding and compliance. We are here to help you and are dedicated to providing you with a professional, accessible and reliable service. We welcome your feedback and we try to do everything we can to continuously improve your care.

- 5 - • Who's who in the practice Doctors

Dr Brenda Bates (Female) • Qualifications: MB, ChB, MRCGP, DRCOG • Special interests: Diabetes, Women's health, Family planning, Children's health • Notes: Dr Bates is a GP partner at our Practice and qualified in 1980 at Manchester.

Dr John Wedgwood (Male) • Qualifications: MB, ChB, MRCGP, DRCOG • Special interests: Psychiatric illness, Undergraduate tutoring • Notes: Dr Wedgwood is a GP partner at our Practice and qualified in 1983 at Leeds.

Dr Robert Tatham (Male) • Qualifications: MRCGP, DCH, DRCOG, MBBS • Special interests: Minor surgery, Musculoskeletal disorders • Notes: Dr Tatham is a GP at our Practice and qualified in 2001 at Nottingham.

Dr Carolyn Sadler (Female) • Qualifications: BMedSci, MBBS, DCH, DRCOG • Special interests: Women's health, Family planning • Notes: Dr Sadler is a GP at our Practice and qualified in 1982 at Nottingham.

Some doctor's qualifications explained • MB ChB and MB BS are all basic medical degrees. • DCH and DRCOG are professional diplomas or certificates. • MRCGP is a specialist qualification (membership of the medical Royal College of General Practitioners).

Nurses Tina Eaton (Female) - Practice Nurse • Qualifications: RGN • Special interests: Hypertension, Strokes, Chronic Heart Disease

- 6 - Hilary Herridge (Female) - Practice Nurse • Qualifications: RGN, BSc • Special interests: Diabetes, Smoking Cessation Advice Kate Thomas (Female) - Practice Nurse • Qualifications: RGN • Special interests: Asthma, COPD Some nurse's qualifications explained • RGN - Registered General Nurse • MSc - Master of Sciences research degree • SRN - State Registered Nurse Other clinical staff Hayley Allsopp - Dispenser • Providing dispensary services, issuing repeat and acute prescriptions and liaising with other medical staff. Catherine Bancroft-Howson - Midwife • Providing maternity services, supported by the Derbyshire County Midwifery Team. Helen Betts - Community Nursery Nurse • Supporting the Health Visitor in her role. Liz Bird - Dispenser • Providing dispensary services, issuing repeat and acute prescriptions and liaising with other medical staff. Jane Calladine - Health Care Assistant • Carrying out blood tests, registration health checks and blood pressure checks. Anita Clough - Senior District Nurse • Providing nursing care to patients during periods of illness/incapacity, usually in their own homes. Patients may include those who are housebound, the elderly, the terminally ill, the disabled and those who have recently been discharged from hospital. Dominie Edwards - Physiotherapist • Treating a range of physical problems resulting from illness, injury, disability or ageing. Treatment programmes comprise manual therapy, movement, exercise and the application of technological equipment, e.g. ultrasound.

- 7 - Coral Greville - Practice Counsellor • Offering an individual, confidential counselling service. Elizabeth Griggs - Physiotherapist • Treating a range of physical problems resulting from illness, injury, disability or ageing. Treatment programmes comprise manual therapy, movement, exercise and the application of technological equipment, e.g. ultrasound. Jess Heard - Dispenser • Providing dispensary services, issuing repeat and acute prescriptions and liaising with other medical staff. Kay Lengyel - Pharmacist • Providing specialist pharmacist advice and support to the Practice, including reviewing patients' medication. Ann Morrell - Senior Dispenser • Providing dispensary services, issuing repeat and acute prescriptions and liaising with other medical staff. Karen Moss - District Nurse • Providing nursing care to patients during periods of illness/incapacity, usually in their own homes. Patients may include those who are housebound, the elderly, the terminally ill, the disabled and those who have recently been discharged from hospital. Julie Parsonage - Podiatrist • Treating a range of problems of the foot. Fiona Phipps - Health Visitor • Primarily caring for children between the ages of 0 and 5, including ante-natal care and looking after the extended family. Karen Watson - Community Health Care Assistant • Carrying out blood tests, blood pressure checks and supporting the District Nurses in providing nusing care to patients during periods of illness/incapacity, usually in their own homes. Ptients may include those who are housebound, the elderley, the terminally ill, the disabled and those who have recently been discharged from hospital Kate Westcott - Chiropody Clinical Assistant • Assisting with patients' foot care.

- 8 - Ann Williams - Health Care Assistant • Carrying out blood tests, registration health checks and blood pressure checks. Alison Yates - Relief Dispenser • Providing dispensary services, issuing repeat and acute prescriptions and liaising with other medical staff. Practice manager Jane Shooter - Practice Manager Marion Jones - Assistant Practice Manager The reception team Susan Hunt - Receptionist Leah McFarlin - Receptionist Marie Hadson - Receptionist Jane Calladine - Receptionist Jayne Wilkinson - Receptionist Jill Stanton - Receptionist Jane Orton - Relief Receptionist Lesley Paxton - Relief Receptionist The administration team Sharron Cooper - Relief Medical Administrator Rosalie Bower - Secretary Sue Payne - Secretary Linda Williams - Medical Administrator

- 9 - • How to contact us When is the practice open?

Opening hours Reception Monday 8am to 6.30pm Tuesday 8am to 6.30pm Wednesday 8am to 6.30pm Thursday 8am to 6.30pm Friday 8am to 6.30pm Surgery Monday 9am to 11am 3.30pm to 5.30pm Tuesday 9am to 11am 3.30pm to 5.30pm Wednesday 9am to 11am 3.30pm to 5.30pm Thursday 9am to 11am 3.30pm to 5.30pm Friday 9am to 11am 3.30pm to 5.30pm

These opening times are for our Brailsford Medical Centre; for please click on the left-hand tab 'Other Sites'.

The Surgery is open to make enquiries, appiontments, and for collection of medicines during Reception Opening times. How do I make an appointment? For appointments please telephone Brailsford on 01335 360328 or Hulland Ward on 01335 370482 during Reception opening hours.

Patients can be seen at either surgery, please tell the receptionist at the start of the call if you require an appointment at Brailsford or Hulland Ward. You may express a preference for a particular practitioner when making your appointment and we will try our best to accommodate you. Advise the receptionist if your choice of day, person or surgery is most important to you. Try to book your appointment at least one day in advance; often only medical emergencies can be seen on the same day. Usually, appointments can be booked up to six months in advance.

- 10 - What do I do in an emergency? During surgery hours, please ring 01335 360328 in an emergency.

If the surgery is closed, your call will be diverted to our out-of-hours service. You may be asked to attend the Primary Care Centre at Duffield Road, . Please note that calls to the out-of-hours service are recorded.

You can also contact NHS Direct on 0845 4647 online access: www.nhsdirect.nhs.uk How do I arrange a home visit? Home Visits are for patients who are physically unable to attend surgery in person. If you require a home visit please telephone the surgery before 10:30am. How do I get my test results? You can telephone Reception on 01335 360328 (Brailsford) or 01335 370482 (Hulland Ward) to enquire about your results once they have been reviewed by a member of our medical staff. It is generally advisable to leave between 7 and 10 days between your test and telephoning for the result, since the results can take some time to come back.

Please note that Reception staff may be unable to comment on your results if they are complicated in any way or if they have not yet been reviewed. For confidentiality reasons, results can only be given to the patient who has had the test.

If you wish to see the doctor to discuss your results, we ask you to check that the result has come back when you telephone to make the appointment; however, please be assured that the doctor will contact you if he/she has any concerns whatsoever about the test result. How do I get a prescription? New prescriptions (ie. those which are not issued to you on a regular, 'repeat' basis) must be written out by a doctor, usually following an appointment.

If you live more than 1 mile from a chemist, your prescription will be dispensed in the surgery. If not, a paper prescription slip will be issued which you can take to your local chemist to collect your drugs.

- 11 - How do I get a repeat prescription? Repeat prescriptions can be ordered by posting or handing in the slip provided when you last received your medication.

Alternatively, you may telephone on 01335 361060, between 8.15 - 5.30 on Mondays and 8.15-1.30 Tuesday to Friday, to order your prescription.

We now also run an email ordering service for repeat prescriptions. Forms can be collected from the surgery to register for this.

Please: • allow at least 2 working days before collection and collect within 2 weeks of ordering • confirm when ordering if you want to collect your prescription from Brailsford or Hulland Ward • specify the names of the drugs you require when ordering • avoid Monday and Tuesday mornings if possible, as these are our busiest times • ensure that you bring enough money (£7.10 per item, cash or cheque) or proof of exemption with you when you collect your drugs How can I register with the practice? We accept new patients from the area around Brailsford and Hulland Ward, bounded by the villages of Boylestone, Dalbury, Mackworth Village, Kedleston, Windley, Idridgehay, Brassington, , Osmaston and Yeaveley.

If you are unsure as to whether or not your area is served by our practice, we will be happy to advise you.

To register with our practice, please collect a registration form and new patient questionnaire from either surgery. The questionnaire includes space for you to express a preference as to which surgery you use and which doctor you normally see.

- 12 - • Other sites for this practice This practice also has another site at: Hulland Ward Medical Centre Main Road Hulland Ward Ashbourne Derbyshire DE6 3EA General telephone: 01335 370482

Opening hours Reception Monday 2pm to 6pm Tuesday 8.30am to 12 noon Wednesday 8.30am to 12 noon Thursday 8.30am to 12 noon Friday 2pm to 6pm Surgery Monday 3pm to 5.30pm Tuesday 8.30am to 11am Wednesday 8.30am to 11am Thursday 8.30am to 11am Friday 3pm to 5.30pm

- 13 - • Clinics and services If not specified, clinics take place at the Brailsford Medical Centre.

• Other services • Care for children's health • Care for women's health • Care for patients with chronic (long-term) conditions

Other services 'Fresh Start' Smoking Cessation Clinic Health Care Assistant Clinic Clinic for blood tests, routine health checks, ECGs and blood pressure checks. Chiropody / Podiatry Clinic Clinical footcare service available via self-referral and assessment process - collect form from Reception. Counselling clinic Confidential service available via doctor referral. Physiotherapy Clinic Service available via doctor referral. Medication Review Clinic Our pharmacist carries out ongoing review of patients on long-term medication and will contact patients for appointments if required. Care for children's health Baby clinic Clinic for ongoing care of babies and very young children, including growth development and immunisations. Care for women's health Midwifery Clinic Care for patients with chronic (long-term) conditions Chronic Disease Management Clinic - Brailsford This nurse-run clinic is for patients with chronic diseases needing regular follow-

- 14 - up: asthma, COPD, CHD, hypertension. Chronic Disease Management Clinic - Hulland Ward This nurse-run clinic is for patients with chronic diseases needing regular follow- up: asthma, COPD, CHD, hypertension. Diabetic clinic Doctor and nurse-run clinic for patients with diabetes mellitus.

- 15 - Clinics at a glance

Clinic Day Time Held by

Baby clinic BRAILSFORD - Thurs; BRAILSFORD - 1.00-3.00 Health Visitor, Fiona HULLAND WARD - 1st and PM; HULLAND WARD - Phipps 3rd Friday of the month 3.00 PM onwards

Chiropody / Podiatry Tues, Wed, Thur Appointment by Chiropodists Clinic arrangement

Chronic Disease Mon - Fri 9.00-12.30 3.00-5.00 Practice Nurses Management Clinic - Brailsford -

16 Chronic Disease Mondays and Thursdays Mon early PM, Thurs late Practice Nurses

- Management Clinic - AM Hulland Ward

Counselling clinic Tuesdays and Thursdays Appointment by Practice Counsellor, arrangement Coral Greville

Diabetic clinic Tuesdays 1.30 - 3.30 PM Dr Bates and Practice [appointment by Nurse Hilary Herridge arrangement]

'Fresh Start' Smoking Thursdays 11.00 AM - 1.00 PM Hilary Herridge, Practice Cessation Clinic Nurse

Health Care Assistant BRAILSFORD - Mon-Fri; mornings Health Care Assistants Clinic HULLAND WARD - Wed Medication Review Fridays 10.30 AM - 1.00 PM Pharmacist, Kay Clinic Lengyel

Midwifery Clinic Thursdays and Fridays mornings Midwife, Catherine Bancroft-Howson

Physiotherapy Clinic Tuesdays and Thursdays Appointment by Physiotherapists arrangement - 17 - Section B: How well is the practice performing?

• Why might practices vary in their performance? We know that practices are not all good or all bad. We know that some practices do some things well and other things less well. It is not easy to explain why the standard of services differs between practices - there are many reasons why this might happen. It might be because some practices have put more into improving the service that they provide. However, there are other explanations. • Patient choice - some people might choose not to take their doctor's advice, or might not be willing to take part in programmes to promote good health. • Different health needs of the practice patients - some practices may look after a lot of elderly patients, or be in areas where certain types of illness are common. • Quality of information - it is not always easy to sift and analyse data to make sure it is accurate and understandable. Different practices have different recording systems. We have used information that the practice and the PCT (Primary Care Trust - the organisation that oversees provision of local health services) use to monitor and improve services. • Investment - some practices may have been given more money and other help than others to invest in their services.

- 18 - • Some performance facts and figures The information in the graph was taken from the Quality and Outcomes Framework (QOF), introduced in April 2004. Practices score QOF points for achieving certain targets in caring for patients. The graph gives some idea about how well the practice is giving good-quality care to prevent illness and to monitor illness. Each item on the graph shows the points scored as a percentage of the total possible (100%). The graph compares this practice with the average performance of other practices in the PCO area. However, measuring the quality of patient care is not a simple process. Please note that when you compare practices against an average, half the practices will always be below the average, and half the practices will be above the average.

The graph shows the overall QOF score for the whole of the clinical domain. It includes practice performance in caring for people with a chronic (long-term) disease. It includes conditions mentioned specifically below, and others such as epilepsy, cancer and mental health problems. It does not include any indicators for acute illness, a common reason for many people to visit their GP. For more information about QOF see www.yourgpguide.org.uk

- 19 - The graph shows practice performance for four specific disease areas. We chose them because they are the most common chronic diseases in England and Wales. • Hypertension (raised blood pressure) is the most common, affecting 11.3% of people. • Asthma is the next most common chronic disease • Coronary heart disease (CHD) is the third most common • Diabetes affects 3.3% of the population. N.B. Practices are allowed to exclude patients from the count, known as 'exception reporting'. This could be done, for example, if a patient does not tolerate a medication or does not agree to investigation or treatment ('informed dissent'). The overall score for the organisational indicators has been included. This area is included in QOF to encourage practice development. It includes record keeping, information for patients, education and training, practice management and medicines management.

- 20 - • Two views of Brailsford & Hulland Medical Practice 1 What does the practice say about itself? Both the QOF medical care performance statistics and the results of the 2006 IPQ patient survey are highly encouraging indicators of our Practice's performance.

The QOF statistics relate to clinical data, and it is pleasing to see proof of the effectiveness of the processes that we have put in place to try and ensure that all of our patients' care is as good as it can possibly be. Please help us to maintain and improve on this high standard of care by: • attending for reviews and blood tests when invited • informing us if you will not be able to make your appointment, and making another one immediately so that you do not forget • reminding the health care assistant, nurse or doctor if you have any other outstanding reviews or tests • completing a written dissent form (available from Reception) if, having weighed up the risks and benefits, you decide not to have a particular review or test • letting us know if you have any ideas for how we can improve the process The IPQ survey was completed by 153 patients at Brailsford, who responded to 27 questions covering the doctor, the staff and the practice plus an opportunity to comment on how the practice and/or the doctor could improve. We achieved an overall score of 71% against a national average of 62% and above average on all but one question. Naturally, the areas where we scored less highly are the areas on which we are now focusing our attention, such as improving telephone contact with the Practice, waiting time and the comfort of the waiting room. We hope that you are beginning to see the results of the procedures we have implemented to address these issues!

We aim to deliver the best possible service to our patients and pride ourselves on always making our patients and their health our very top priority, working closely together and with other medical professionals to ensure that we continue to provide an excellent standard of care. 2 What do patients say about the practice? The information in the graph below comes from a survey (called IPQ - Improving Practice Questionnaire) of patients chosen at random. Patients rated different aspects of their care on a scale of 1 (poor) to 5 (excellent). These ratings were then shown as a percentage. The graph shows the practice’s scores compared with the IPQ national average. - 21 - How can patients have their say in the practice? If you have any queries, concerns or comments about the Practice, please contact Jane Shooter, Practice Manager or Marion Jones, Assistant Practice Manager, who are based at our Brailsford Medical Centre.

- 22 - Section C: How to find out more information

• Further information More details about primary medical services in the area can be obtained from the Derbyshire County Primary Care Trust. Their headquarters are at: Scarsdale Hospital Nightingale Close Off Newbold Road Chesterfield Derbyshire S41 7PF Tel: 01246 231255 Website: http://www.derbyshirecountypct.nhs.uk

The following list contains other contact information which we feel may be of use to our patients: • Derbyshire Royal Infirmary - 01332 347141 (http:// www.derbyhospitals.nhs.uk) • Derby City Hospital - 01332 340131(http://www.derbyhospitals.nhs.uk) • St Oswald's Hospital, Ashbourne - 01335 342121 • The Nuffield Hospital Derby - 01332 517891 (http:// www.nuffieldhospitals.org.uk)

- 23 - • Directions and access • Driving through Brailsford on the Main Road (A52) from Derby towards Ashbourne, the Surgery is reached by taking the last left turn before leaving the village of Brailsford, onto The Green. • Driving through Hulland Ward on the A517 from Ashbourne towards , the Surgery at Hulland Ward is reached by turning right directly before the petrol station. Both centres are served by public transport on the A52 and A517, have private car parks, are accessible by wheelchair, and have facilities in place for the deaf or hearing impaired.

We have tried to make sure the information in this guide is accurate. However, we do not take responsibility for any information that is not accurate or has been omitted, or for how it is used. Your GP Guide does not accept liability for the results of any action you may take after reading this guide. For more information look at the Your GP Guide website at www.YourGPGuide.org.uk