Statement of purpose and infection control

The surgery has existed for over 50 years and started as a single building. The practice has been completely remodelled over its history to now consist of purpose built facility within modern premises. The practice also has large onsite parking. We have been a training practice since 2010.

Under the Health and Social Care Act 2008 (The Care Quality Commission (Registration) Regulations 2009 Part 4), the registering body (Thistlemoor Medical Centre) is required to provide to the Care Quality Commission a statement of purpose.

Our Aims and objectives:

• Provide a high standard of Medical Care

• Be committed to our patients needs

• Act with integrity and complete confidentiality

• Be courteous, approachable, friendly and accommodating

• Ensure safe and effective services and environment

• To maintain our motivated and skilled work teams

• Through monitoring and auditing continue to improve our healthcare services

• Maintain high quality of care through continuous learning and training

• Ensure effective and robust information governance systems

• Treat all patients and staff with dignity, respect and honesty

• Ensure that every individual is treated fairly and without discrimination

Our purpose is to provide people registered with the practice with personal

health care of high quality and to seek continuous improvement on the health

status of the Practice population overall. We aim to achieve this by developing and

maintaining a happy sound Practice which is responsive to people’s needs and

expectations and which reflects whenever possible the latest advances in Primary

Health Care.

The Primary Health Care Team

The Partners:

Dr Nalini Modha, GP trainer, Senior Partner

MBBS, MRCGP

Dr Jitendra Modha

MBBS

Dr Neil Modha, GP Trainer

MBBS, MRCGP

BSc (hons) Healthcare management

Dr Azhar Chaudhry, GP Trainer

MBBS MRCGP

Dr Karen Hamilton,

MBCHb, MRCGP

Medical Team

Dr Mehr Ahmed,

Dr Catherine Jones,

Dr Jessica Randall-Carick

Dr Emma Hamilton

Dr Lubna Salim

Dr Muhammed Mukhtar

Dr Taiwo Olufemi

Dr Lubna Akbar

Community Staff (Nurses, Pharmacists and Paramedic)

The practice nurses work to manage chronic disease conditions to empower our patients. They run smear, baby immunisation and health promotion clinics.

Ajmal Razza (lead)

Joanna Kwiatecka

Kamil Klosowicz

Rosie Mahmood

Rebecca Perry

Nadia Batul

Theresa Samel

Ingrida Gruzdaite

Paul Watson

Kanize Panjwani

Natasha Hewerdine

Practice Pharmacists

Katarzyna Lukaszewska

Mohammed Jamil

Timothy Kujiyat

Richard Gater

Health Care Assistants

Healthcare assistants have appointment sessions for venepuncture, blood pressure and pulse measurements, as well as ECGs, healthy living screening and ear syringing. They help the clinical team as physicians assistants and work alongside the nursing team. They also conduct home visits for those patients unable to access the Practice for patients with long term conditions. The HCAs have a diverse set of training including smoking cessation clinics.

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Practice Manager

Ms Paulina Janzcura

Paulina has the responsibility for ensuring the smooth running of the Practice on a day-to-day basis. She is supported by Dr Nalini Modha who works as a clinical manager. She has completed postgraduate training and has an MBA as well as a degree in Health and Social Care.

Practice Staff

The Reception team man the Practice Reception areas in the Health Centre, arrange various appointments, produce patient repeat prescriptions, pass on information to patients, explain our services and answer the telephone lines.

The Secretaries are able to answer patient enquiries concerning communications between the

Practice and other agencies, e.g. Hospitals.

The Clinical Administrative team is responsible for updating and summarising patients’ medical records, for organising the appointment system on the computer and operating a recall system for patients when appropriate.

Each team has a full knowledge of the services the Practice has to offer.

All members of the staff are happy to assist you with any enquiries.

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Home Visits

The Doctors will make home visits for those patients unable to come to the Practice. In order for these visits to be made promptly, we ask that requests for this service are made before 10-11.00am. We ask that wherever possible patients attend the Surgery. This speeds up being seen by the Doctor and provides better facilities for treatment.

Out of Hours

Out of hours care is provided in Peterborough - please phone - 01733 293838 to speak to the service.

This will be daily from 18:30 - 0800 am (Monday to Friday) all day (Saturday, Sunday and Bank Holidays)

NHS 111 Service

NHS 111 – a medical telephone service - is available in Cambridgeshire and Peterborough.

NHS 111 has been introduced to help make it easier for residents to access local health services, advice and information. People living in Cambridgeshire and Peterborough can now call 111 when in need of medical help fast, but it isn’t a 999 emergency. 111 is available 24 hours a day, 7 days a week, 365 days a year and calls from landlines and mobile phones are free.

The 111 service is being provided by Herts Urgent Care, an organisation that has a proven track record in providing the 111 service elsewhere.

Calls to 111 are recorded. All calls and the records created are maintained securely, and will only be shared with others directly involved with your care.

Booking Appointments

The practice runs open-access surgeries where by any patient registered at the Practice will be seen by the Practice team Monday to Friday 8:30am to 10:30am. Patients will be asked for their preferred clinician and where possible they will see this clinician. If this clinician becomes fully booked we will offer an alternative clinician. We pride ourselves with offering appointments on the same day, but this can lead to very busy surgeries and waiting times can increase on such days. Patient choice of clinicians may be restricted at busy times like the days around weekends and bank holidays to try to improve the efficiency of the practice.

The afternoon clinics are pre-bookable and can be accessed by phone or in person. The clinicians often have review slots booked in before and after morning surgeries.

Prescriptions

Our aim is that prescription requests will be dealt with within two working days.

Requests can be made using the right-hand, white side of the last prescription issued and dropping it into the box in the foyer. Patients are asked to make certain they tick the medication they require. A prescription order form from Reception can also be used if the original white side is not available. Requests can also be made by post, posting it to us with an enclosed stamped addressed envelope if we are to post it back.

Local Pharmacies also provide an ordering and collection service.

Our patients are now also able to order repeat medication through our website.

The Regulated Activities under CQC

General medical services and routine medical checks involving an holistic approach.

Management of Chronic Disease

This encompasses a wide range of conditions which require long term treatment and care. Our

priority is to ensure this care is ongoing and appropriate. To this end, we shall endeavour to review

patients’ medication on an annual basis. Diabetic, Stroke, CHD and Asthma reviews are regularly

performed in the Practice as required throughout the year and in accordance with NICE guidelines.

General Nursing Care

Our nurses provide wound care, contraceptive services, minor illness care and advice, smoking cessation advice, well person checks, new patient checks, venepuncture, blood pressure monitoring and travel advice; they also perform vaccinations, ear syringing and smear tests.

Maternity Services

Midwife clinics are held daily for our patients. The local hospital maternity department provides this service with community midwives.

Cervical Screening

This service is provided by our Practice Nurses who are trained in cytology.

Family Planning and Contraceptive Services

This is provided by Doctors and Nurses. Nurses are able to provide follow-up contraception monitoring for all methods initiated by the Doctor. We provide an implant service or the insertion of coils and implants.

We also carry out testing for Chlamydia where appropriate.

Vaccinations and Immunisations

Thistlemoor Medical Centre strongly supports the childhood immunisation programme. Our Practice Nurse Team following an automatic invitation from the Local Health Authority performs all routine childhood immunisations at the surgery.

The Practice also offers vaccinations for young adults against measles if they are not protected.

Vaccination against whooping cough is offered to pregnant women and new mothers.

The Practice offers all ‘at risk’ patients and those over 65 the seasonal influenza vaccine from September to January every year and also vaccination against pneumonia. This is managed by call-recall.

Foreign Travel Health Advice

Our nurses have been trained to provide an up-to-date service however will sign post you to other services for the vaccinations (please note that there is a charge for most travel vaccinations).

Well Person Checks and NHS Health Checks

These are carried out by the Practice Nurses and the Health Care Assistants.

Joint Injections

Therapeutic joint injections are carried out by Dr Neil Modha, Dr Karen Hamilton and Dr Azhar Chaudhry.

Minor Surgery

Minor Surgical procedures are carried out by Dr Azhar Chaudhry, Dr Neil Modha and Dr Karen Hamilton

Access to Patient Information

All patient information is considered to be confidential and we comply fully with the Data Protection Act. All employees have access to this information in relation to their role and have signed a confidentiality agreement. Information may be shared, in confidence, with other NHS organisations in the interests of patient care.

Confidential patient data will be shared within the healthcare team at the Practice and with other healthcare professionals to whom a patient is referred. Those individuals have a professional and contractual duty of confidentiality.

Confidential and identifiable information relating to patients will not be disclosed to other individuals without their explicit consent, unless it is a matter of life and death or there is a serious risk to the health and safety of the patient or it is overwhelmingly in the public interest to do so.

In these circumstances the minimum identifiable information that is necessary to serve a legal purpose may be revealed to another individual who has a legal requirement to access the data for the given purpose. That individual will also have a professional and/or contractual duty of confidentiality. Data will otherwise be anonymised if possible before disclosure if this would serve the purpose for which it is required.

The Practice Caldicott Guardian is Dr. Nalini Modha.

Patients Rights and Responsibilities

Patients have a right to expect a high standard of care from our Practice and we will try at all times to provide the very best care possible within the resources available.

In order to assist us in this we require that patients take full responsibility for ensuring that they do not abuse the service. For example, it is the patient’s responsibility to ensure that they keep medical appointments and follow the medical advice given. In addition, if a medical problem is complicated, or patients have more than one problem to discuss with the Doctor, we would suggest that patients consider making more than one appointment. We ask patients to remember that their appointment is for them alone and the Doctor will not be able to give medical advice to anyone accompanying them unless they have made a separate appointment.

Very occasionally a Practice/Patient relationship breaks down completely. In the event of an eventual breakdown, the patient may then choose to register with a different Practice. The Practice also has the right to remove that patient from their list. This would only follow warnings that had failed to remedy the situation and we would normally give the patient a specific reason for the removal.

You have the right to express a preference of practitioner when you make an appointment.

Violent Patients – Zero Tolerance

The NHS operates a Zero Tolerance Policy with regard to violence and abuse and the Practice has the right to remove violent patients from the list with immediate effect in order to safeguard Practice staff, patients and other persons.

Violence in this context includes actual or threatened physical violence or verbal abuse which leads to fear for a person’s safety.

In this situation we are obliged to notify the patient in writing of their removal from the list and record in the patient’s medical records the fact of the removal and circumstances leading to it.

We will notify the Area Team who is then responsible for providing further medical care for such patients.

Comments, Suggestions and Complaints

We welcome comments and suggestions on our service. We provide a leaflet in Reception entitled “Compliments and Complaints” to make it easy for patients to contact us. If we fail to provide the highest care possible, we ask that any observations are made known to our deputy Practice Manager who will, where appropriate, use our complaints procedure to try to correct the problem.

Our complaints procedure meets national criteria and patients can obtain a copy of it from Reception. We aim to acknowledge a complaint within 3 working days and look into it within 10 working days of the date that it’s raised. We will find out what happened and what went wrong, make it possible for the patient to discuss the problem with those concerned if they would like this, make sure the patient receives an apology where this is appropriate and identify what we can do to make sure the problem does not happen again. If a patient is still unhappy about the response, they also have the right to take the matter to the Ombudsman within 12 months.

General Information

Access to Health Records

The Data Protection Act allows patients to find out what information is held on computer. This applies to health records. If a patient wishes to see them, we ask that they make a written request to the Practice. Patients are entitled to receive a copy, but should note that a charge may be made.

Carers

A carer is someone who, without payment, provides help and support to a partner, child, relative, friend or neighbour who could not manage without their help. This could be due to age, physical or mental illness, substance misuse or disability. Anyone can become a carer. Carers come from all walks of life, all cultures and can be of any age.

We ask that patients inform our Reception or clinical staff if they are a carer or are cared for by another person. This will alert us to possible needs in this role.

Change of personal details

Patients are asked to notify the Practice as soon as possible of any change of name, address or telephone number; not forgetting to indicate all the persons involved in this change. In an emergency this could be absolutely vital. You can do this in person, by post or online through our website.

Chaperone

If a patient requests that a chaperone is present at a consultation or procedure, we will arrange for our Health Care Assistant to be present during the examination.

Confidentiality

We ask patients for personal information in order that they receive appropriate care and treatment. This information is recorded on a computer; consequently, we are registered under the Data Protection Act.

The Practice will ensure that patient confidentiality is maintained at all times, by all members of the Practice team. However, for the effective functioning of a multi-disciplinary team, which is what we are, it is sometimes necessary that medical information is shared with other members of the team.

Because Reception is sited in a public area, we will provide a separate interview room if a patient needs some privacy to discuss something with us. This can be requested at Reception at the time it is needed.

Patient Participation Group

Thistlemoor Medical Centre is committed to continually improve our services by learning from and listening to our patients.

We have a Patient Participation Group who we contact online through e-mails and in person. Any registered patient is invited to join this group through the Practice website or discussion with Paulina Janczura.

Thistlemoor Medical Centre Statement of Purpose

Date: May 2019

Review Date May 2020

Signed by Registered Manager_____Dr Neil Modha________