Information for our patients:
Planned changes from 1stApril 2019.
We have decided to try out some ideas (that have been successfully tried elsewhere) to see if we can come up with some solutions that work well for everybody.
‘Unbooked’ emergency surgery
Our nurses have done a great job over the years but as the system currently stands, there can be from 5 patients to 30 patients turn up within the hour, which can become overwhelming for staffand potentially unsafe for patients. For example, we have had a patient with a heart attack who patiently waited for an hour before he was seen and admitted.
Dr Patel and Dr Mistry are experienced in ‘triage’. This is a skill that is increasingly used in many aspects of the NHS. For example, in A&E the consultants have done more of the immediate checks (‘triage’) on patients as they walk in, as they can immediately spot the patients who need urgent attention. Many other practices use a telephone ‘triage system’ and the feedback, so far, (from here and elsewhere) is excellent – you talk on the phone to a GP and decide between you how best to deal with the problem. You can request a ‘telephone appointment’ through reception in the way you’d book any other appointment.
Working in this way we can also cope better with the space limitations of this building and the increasing list size (due to closure of nearby practices and these patients being shared amongst the remaining surgeries). We are therefore limited in the number of clinicians we can have working here at any one time and the number of appointments we can offer. It would be great to have more clinicians but, until we move into the new building, there are not enough rooms to allow us to provide this.
So, what will be changing and when? All is explained on the next page.
Dr Maya Mistry and Dr Smitesh Patel (GP Partners)
The following changes will begin from Monday 1st April 2019
- The ‘unbooked’ clinic will be called ‘EMERGENCY TRIAGE CLINIC’ and will be available between 9:00-10:00am on our busiest mornings: Monday, Wednesday and Friday.
- Patients should not queue earlier than 9:00am. The GP will begin triage at 9:00am and there is no first come first served basis with regards to appointments as these will be offered based on urgent medical need only.
- The GP will have a private 2-3 minute brief conversation with patients to understand the problem and assess the urgency. Upon which the following outcomes could be agreed:
GP will see immediately if life threatening emergency requiring 999
Patient given a telephone or face to face appointment with a clinician same day
Patient referred for tests e.g. x-ray/ECG before booking follow up appointments
Patient booked a routine appointment
Patient advised to see pharmacist for minor ailment
- More urgent on the day appointments bookable by phone will be available, especially on Tuesday and Thursday when there is NO emergency triage clinic.
- Advanced Nurse Practitioners will be providing 10 routine appointments each week between 7:30am and 8:00am to help working patients
- Karen Simkins (Advanced Nurse Practitioner) will be continuing the Tuesday evening routine clinic between 6:30pm to 8:00pm to help working patients
- GP’s will be providing more telephone appointments in ADDITION to their usual clinics.
As mentioned, these changes will take effect from 1stApril 2019 and will be trialled for 1 month. The practice will continuously review feedback from staff and patients but we aim to formally review this on 29thApril 2019. At that time we will meet with the PPG and share the feedback (good and bad!) to help shape any further changes. We will be sending texts out to anyone who uses the practice for feedback so please help us by completing these or filling out a paper ‘friends and family test’.
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Chelmsford Local Plan
Statement of Common Ground - South Woodham Ferrers Highways and Transport
Chelmsford Planning Strategy to 2036
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Just turn up and if you're eligible for a FREE NHS injection (see NHS Website) you'll be jabbed !
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