Llanfyllin Group Practice Overview Llanfyllin is a small town nestling in the foothills of the Berwyn Mountains, an ideal base for exploring the Shropshire and Mid Wales Countryside. Llanfyllin group Practice is a 3 site practice covering 760 square miles. It currently has 3 sites to provide GMS services to its 11,000 patients. We dispense to the majority of these patients. The practice is paper light and uses the Vision Clinical system linked to Pharmacy manager. There are 7 GP Partners at the practice, one of whom Dr Melanie Plant is the Business Lead. There is also 1 part-time salaried GP. The Partners and parts of the team meet weekly on a Monday afternoon, which allows us to plan for the future, discuss clinical cases, as well as enjoying regular educational sessions. The Partners all have responsibility for different aspects of the practice work. There is a strong ethos of training both registrars and medical students led by Dr Adrian Weston, Dr Chris Breese and Dr Ajith Kartha. Dr Alun Lovell is a GPSI in Dermatology and leads on QOF and I.T.. Dr Sarah Breese supports dispensing. Local swimming The Primary care team Administration support QOF/new contract lead Leanne Durkin is responsible for recalling patients for QoF and ensuring LES quarterly reports are up to date for submission. Leanne oversees all QoF and LES work, identifying areas where we need to improve. Llanfyllin Group Practice Overview Business Pharmacist Alastair Carmichael is looking at providing patients with an excellent service re: supply and demand of medicines as well as looking at how to maximise the Practice income from the Dispensary. Medicines Management Lead Ruth Gittins is our very experienced and skilled Medicines Management Lead whose time is spent developing and improving our medicines management skills across the practice. Operations Lead Juliet Nixon is our Operations Lead who oversees the day to day running of the Practice. Juliet is based at our main site in Llanfyllin Supervisors Each Branch surgery has a supervisor-Helen Reith in Llanrhaeadr and Tracey Reynolds in Four Crosses. The main surgery has 2 dispensing supervisors, Julia Rogers and Corby Bailey. There is a large team of receptionist/dispensers who also undertake scanning, phoning patients for recalls and admin work as needed Nurses We have 6 nurses who provide minor illness clinics on our main site as well as minor injuries. They all have specialised areas of expertise for chronic disease clinics and are led by Enid Ellis. We have a minor illness nurse working on a daily basis to provide support for the duty doctor We have 3 part-time HCAs who provide phlebotomy, spirometry, ECGs, BP checks Secretarial team We have 2 medical secretaries, Lisa and Helen as well as 2 dedicated read coders – Mair and Linda plus 2 part-time secretarial support staff responsible for childhood immunisations and supporting when either secretary is away. It is a large team, partly as a result of the complexity of running 2 branch sites and dispensing to such a large number of patients. Llanfyllin Group Practice Overview Local View Primary Health Care Team All members of our well-integrated team are invited to a monthly Multi-Disciplinary meeting held at Llanfyllin surgery. It is attended by Powys Health Care Team staff, Practice Nurses and available GPs. Our PHCT is a little more complicated than some because of the distribution of our patients: a small minority in Shropshire with the majority being in Powys. Our responsible Health Authority is Dyfed/Powys Medical Facilities in the Area For DGHs we use mainly the Royal Shrewsbury Hospital (RSH) and The Maelor Hospital (WMH) in Wrexham. For psychiatric patients Shelton Hospital adjacent to RSH is the usual choice. Ophthalmology and ENT is performed at RSH. Casualty work is sent to RSH. Robert Jones & Agnes Hunt Hospital (RJAH) in Gobowen near Oswestry is famous for Orthopaedics and is the site of much expertise in bone metabolism. Pathology Services There is a daily collection service at lunchtime, taking our speciments to the Royal Shrewsbury Hospital. Llanfyllin Group Practice Overview X-Ray Facilities We have direct access to MRI and CT scanning at the Robert Jones and Agnes Hunt orthopaedic hospital. Most of our routine xrays are done at Welsphoopl Cottage hospital, we have direct acess to the images by computer link. .