Victoria Medical Centre Overview
VICTORIA MEDICAL
CENTRE
CQC Inspection 14.4.2016
Housekeeping
Introductions
Toilets
Fire alarms - nearest exits
Reception ext 221/222
Alison ext 224
Shivani 07788582595
Christine ext 230
Practice Background
Practice well established approximately 100 years
in Hebburn
2-3partner practice historically
Following retirement of last partner Dr Allen in
1987, became a husband-wife led partnership for
the following 28 years
Third partner joined 2011(initially salaried) and
VMC was a family run practice
Dr Veena recently retired to leave 2 partners and a
salaried GP
Purpose built Premises built in 1994
Small branch surgery added in 1996
Meet the Team
Practice Set Up
List size approx 2,980
IT system EMIS Web
EPS
Online access for patients
All path links and clinical data stored
electronically
Registering new patients
Appointments
Morning and afternoon clinics GP and
Nurse led
Varying times to provide flexibility
Extended opening hours once a week
Mix of same day appointments and pre-
bookable up to 2 weeks GP, 4 weeks nurse
Recent changes to respond to demands to
number of same day slots, additional
clinic and emergency GP only slots
Drop in phlebotomy clinic 4 days a week
Daily telephone list
Advantages
Flexibility and advantages of being a
small practice, able to fit in
appointments at times that suit patients,
extra appointments and emergencies
In house phlebotomy service
In house warfarin clinic
In house midwife clinic
In house Drug and Alcohol services
Flu vaccinations-home visits/drop in
clinics/opportunistic/no appointment
needed
Challenges
Branch surgery
Partner coming up to retirement
Recruiting another partner
Expansion of list anticipated due to
new housing, closure of neighboring
practice list pending
Increasing demands on NHS and
General practice as a whole, GP
recruitment crisis, workload increases,
funding
Working with other agencies
Regular MDT meetings with attendance
from district nurses, community matrons,
health visitor, palliative care nurse
Attendance at clinical meetings from
agencies promoting new services or
updates on current services
Minutes of all meetings distributed
Meeting patients needs
Six population groups
Chronic disease, learning disability,
cancer and palliative care registers
Health care plans
Home visits from nurses and HCA
Instant reminder call for parents if DNA
baby clinic so can rearrange
Reminders for chronic disease clinic as
longer appointment times to avoid DNA
Phone reminders to patients known to be
forgetful
Patient feedback
“This practice has done
more for me and been
more supportive than
where I was”
- KW age 34
“Your words mean so
much, thank you for
the call”
- Relative of patient
suddenly bereaved
“Thank you for
fitting us in so
quickly”
- Mother of 4month old
seen same day as extra
“I cant fault the NHS or
the staff here for the
care I have received,
11/10”
-
JT age 76
Older People
Named GP for all over 75’s
Over 75 health checks in clinic and at home
Health promotion particularly around flu vaccinations
Link care home with weekly GP visits and new patient checks by nurse
Flexibility with appointment times
EHCP where appropriate
E
x
a
m
p
l
e
:
w
h
e
r
e
i
t
i
s
f
e
l
t
a
p
a
t
i
e
n
t
w
o
u
l
d
b
e
n
e
f
i
t
f
r
o
m
s
e
e
i
n
g
a
n
o
t
h
e
r
p
r
a
c
t
i
t
i
o
n
e
r
,
e
v
e
r
y
e
f
f
o
r
t
i
s
m
a
d
e
t
o
a
c
c
o
m
m
o
d
a
t
e
t
h
i
s
w
i
t
h
i
n
t
h
e
s
a
m
e
v
i
s
i
t
t
o
s
a
v
e
t
h
e
m
h
a
v
i
n
g
t
o
c
o
m
e
b
a
c
k
r
e
p
e
a
t
e
d
l
y
.
A
n
e
x
a
m
p
l
e
m
a
y
b
e
w
h
e
r
e
t
h
e
y
h
a
v
e
b
e
e
n
n
o
t
e
d
t
o
n
e
e
d
a
d
r
e
s
s
i
n
g
c
h
a
n
g
e
o
r
a
p
p
l
i
e
d
w
h
e
n
i
n
w
i
t
h
t
h
e
G
P
,
a
n
d
t
h
e
n
u
r
s
e
o
n
s
i
t
e
w
i
l
l
f
i
t
t
h
e
m
i
n
t
o
t
h
e
i
r
c
l
i
n
i
c
,
o
r
i
f
t
h
e
y
n
e
e
d
a
b
l
o
o
d
t
e
s
t
b
u
t
t
h
e
b
l
o
o
d
c
l
i
n
i
c
i
s
o
v
e
r
,
t
h
e
p
h
l
e
b
o
t
o
m
i
s
t
w
i
l
l
s
t
i
l
l
d
o
t
h
e
b
l
o
o
d
s
t
h
e
s
a
m
e
d
a
y
.
People with Long term
conditions
Named GP
Register for chronic disease, cancer, palliative care
Recall diary system
NP specialist in COPD, Asthma and Diabetes
Individualised management plans
In house phlebotomy, shared care for DMARDS
E
x
a
m
p
l
e
:
R
e
c
e
n
t
c
a
s
e
o
f
p
a
l
l
i
a
t
i
v
e
p
a
t
i
e
n
t
w
i
t
h
M
S
.
T
h
i
s
c
a
s
e
f
o
c
u
s
e
d
o
n
p
a
t
i
e
n
t
c
e
n
t
e
r
e
d
c
a
r
e
a
n
d
s
h
a
r
e
d
d
e
c
i
s
i
o
n
,
s
t
a
r
t
i
n
g
w
i
t
h
m
u
l
t
i
p
l
e
d
i
s
c
u
s
s
i
o
n
s
a
r
o
u
n
d
r
e
f
e
r
r
a
l
t
o
a
n
M
S
s
p
e
c
i
a
l
i
s
t
a
f
t
e
r
n
o
t
h
a
v
i
n
g
b
e
e
n
i
n
t
h
e
i
r
c
a
r
e
f
o
r
m
a
n
y
y
e
a
r
s
.
S
h
e
r
e
c
e
n
t
l
y
d
e
t
e
r
i
o
r
a
t
e
d
.
T
h
e
r
e
h
a
s
b
e
e
n
r
e
g
u
l
a
r
d
i
s
c
u
s
s
i
o
n
s
w
i
t
h
i
n
t
h
e
p
r
a
c
t
i
c
e
a
r
o
u
n
d
h
e
r
c
a
r
e
,
o
n
e
l
e
a
d
G
P
i
s
r
e
g
u
l
a
r
l
y
v
i
s
i
t
i
n
g
a
n
d
t
h
e
o
f
o
f
l
i
f
e
c
a
r
e
p
a
t
h
w
a
y
i
s
i
n
p
l
a
c
e
.
F
r
e
q
u
e
n
t
j
o
i
n
t
v
i
s
i
t
s
w
i
t
h
t
h
e
D
i
s
t
r
i
c
t
N
u
r
s
e
t
a
k
e
p
l
a
c
e
a
s
t
h
e
r
e
h
a
v
e
b
e
e
n
c
o
m
p
l
e
x
i
s
s
u
e
s
t
o
a
d
d
r
e
s
s
w
i
t
h
t
h
e
f
a
m
i
l
y
.
T
h
e
p
a
t
i
e
n
t
a
n
d
f
a
m
i
l
y
a
r
e
w
e
l
l
k
n
o
w
n
a
n
d
h
a
v
e
b
e
e
n
w
i
t
h
t
h
e
G
P
f
o
r
m
a
n
y
y
e
a
r
s
.
A
n
t
i
c
i
p
a
t
o
r
y
m
e
d
i
c
a
t
i
o
n
w
a
s
p
u
t
i
n
p
l
a
c
e
i
n
t
i
m
e
.
O
O
H
a
r
e
a
w
a
r
e
a
n
d
D
N
A
C
P
R
c
o
m
p
l
e
t
e
d
w
i
t
h
t
h
e
p
a
t
i
e
n
t
s
b
e
s
t
i
n
t
e
r
e
s
t
b
u
t
a
l
s
o
i
n
d
i
s
c
u
s
s
i
o
n
s
w
i
t
h
h
e
r
f
a
m
i
l
y
.
Families, Children and Young
People
Contraception advice and prescribing
Smears and family planning advice
Baby immunization clinics, baby check and postnatal
check booked together
All staff keep up to date with safeguarding training
Identification of families at risk or in need
Babies and toddlers seen same day after triage
E
x
a
m
p
l
e
:
A
f
a
m
i
l
y
w
i
t
h
c
o
m
p
l
e
x
n
e
e
d
s
w
a
s
i
d
e
n
t
i
f
i
e
d
w
h
e
n
t
h
e
y
r
e
g
i
s
t
e
r
e
d
t
h
e
w
i
t
h
p
r
a
c
t
i
c
e
.
4
o
f
t
h
e
6
c
h
i
l
d
r
e
n
a
r
e
o
n
t
h
e
a
u
t
i
s
t
i
c
s
p
e
c
t
r
u
m
d
i
s
o
r
d
e
r
a
n
d
t
h
e
y
w
e
r
e
n
e
w
t
o
t
h
e
a
r
e
a
.
R
e
f
e
r
r
a
l
s
h
a
d
n
o
t
b
e
e
n
m
a
d
e
f
r
o
m
t
h
e
a
r
e
a
t
h
e
y
m
o
v
e
d
f
r
o
m
,
a
n
d
w
e
c
o
o
r
d
i
n
a
t
e
d
a
p
p
o
i
n
t
m
e
n
t
s
i
n
t
o
s
e
c
o
n
d
a
r
y
c
a
r
e
a
n
d
h
i
g
h
l
i
g
h
t
e
d
t
h
e
f
a
m
i
l
y
t
o
l
o
c
a
l
h
e
a
l
t
h
v
i
s
i
t
o
r
t
e
a
m
s
f
o
r
s
u
p
p
o
r
t
a
n
d
a
w
a
r
e
n
e
s
s
.
A
n
a
l
e
r
t
w
a
s
p
u
t
o
n
t
h
e
i
r
s
c
r
e
e
n
t
o
h
i
g
h
l
i
g
h
t
t
h
e
y
a
r
e
a
f
a
m
i
l
y
w
i
t
h
c
o
m
p
l
e
x
n
e
e
d
s
,
t
h
o
u
g
h
t
h
e
r
e
a
r
e
n
o
s
a
f
e
g
u
a
r
d
i
n
g
i
s
s
u
e
s
c
u
r
r
e
n
t
l
y
i
n
p
l
a
c
e
.
T
h
e
y
a
r
e
d
i
s
c
u
s
s
e
d
i
n
m
e
e
t
i
n
g
s
,
a
n
d
t
h
e
a
d
m
i
n
i
s
t
r
a
t
i
v
e
s
t
a
f
f
a
r
e
a
l
s
o
a
w
a
r
e
o
f
t
h
i
s
f
a
m
i
l
y
.
Working age people
Extended hours once weekly
Varied appointment times
Health promotion via NHS health checks
Online services, EPS
Option of phone call if can not make it to surgery
Student and travel immunisations
Vulnerable People
Personalised care plans
Alerts on screen for those with needs
Named safeguard lead GP and nurse
Learning disability register with annual review
Discussion with carers at reviews and identification of
carer needs
E
x
a
m
p
l
e
:
A
f
a
m
i
l
y
w
e
l
l
k
n
o
w
n
t
o
t
h
e
p
r
a
c
t
i
c
e
w
i
t
h
a
d
a
u
g
h
t
e
r
w
h
o
h
a
s
a
s
e
v
e
r
e
l
e
a
r
n
i
n
g
d
i
s
a
b
i
l
i
t
y
b
u
t
g
r
e
a
t
r
e
l
a
t
i
o
n
s
h
i
p
w
i
t
h
s
t
a
f
f
a
n
d
G
P
s
w
a
s
o
v
e
r
d
u
e
f
o
r
h
e
r
m
e
d
i
c
a
t
i
o
n
r
e
v
i
e
w
a
s
g
e
t
t
i
n
g
b
l
o
o
d
s
i
s
a
s
t
r
u
g
g
l
e
.
A
n
a
p
p
o
i
n
t
m
e
n
t
w
i
t
h
t
h
e
G
P
t
o
d
o
t
h
i
s
w
a
s
p
l
a
n
n
e
d
t
h
r
o
u
g
h
e
f
f
e
c
t
i
v
e
c
o
m
m
u
n
i
c
a
t
i
o
n
a
n
d
a
b
u
i
l
d
u
p
o
f
t
r
u
s
t
o
v
e
r
t
i
m
e
.
A
t
i
m
e
a
n
d
d
a
t
e
w
a
s
a
g
r
e
e
d
w
i
t
h
t
h
e
p
a
t
i
e
n
t
t
o
c
o
m
e
a
n
d
h
a
v
e
b
l
o
o
d
s
t
a
k
e
n
b
y
t
h
e
G
P
s
h
e
w
a
n
t
e
d
a
s
p
r
o
m
i
s
e
d
,
a
n
d
f
o
r
h
e
r
m
u
m
t
o
h
a
v
e
b
l
o
o
d
s
t
a
k
e
n
a
t
t
h
e
s
a
m
e
t
i
m
e
b
y
t
h
e
H
C
A
.
T
h
i
s
w
a
s
d
o
n
e
o
u
t
s
i
d
e
o
f
t
h
e
c
l
i
n
i
c
t
i
m
e
s
t
o
s
u
i
t
t
h
e
p
a
t
i
e
n
t
a
n
d
m
o
t
h
e
r
,
w
i
t
h
a
t
e
a
m
e
f
f
o
r
t
,
t
e
a
r
s
f
r
o
m
t
h
e
p
a
t
i
e
n
t
b
u
t
a
b
i
g
h
u
g
t
o
t
h
e
G
P
a
f
t
e
r
w
a
r
d
s
.
T
h
i
s
e
x
a
m
p
l
e
h
i
g
h
l
i
g
h
t
s
c
o
n
t
i
n
u
i
t
y
o
f
c
a
r
e
,
b
u
i
l
d
u
p
o
f
t
r
u
s
t
,
f
l
e
x
i
b
i
l
i
t
y
t
o
s
u
i
t
a
p
a
t
i
e
n
t
a
n
d
d
o
i
n
g
a
b
i
t
e
x
t
r
a
,
b
u
t
k
e
e
p
i
n
g
t
h
e
i
r
h
e
a
l
t
h
n
e
e
d
s
a
t
t
h
e
f
o
r
e
f
r
o
n
t
k
n
o
w
i
n
g
t
h
a
t
t
h
e
b
l
o
o
d
s
w
e
r
e
e
s
s
e
n
t
i
a
l
t
o
p
r
o
v
i
d
e
s
a
f
e
o
n
g
o
i
n
g
c
a
r
e
a
n
d
p
r
e
s
c
r
i
p
t
i
o
n
s
.
Mental Health
Named MCA champion
Screening in chronic disease reviews
Identification of at risk patients
Early signposting to mental health services
Early referral to memory clinic with screening
E
x
a
m
p
l
e
:
A
P
a
t
i
e
n
t
i
n
h
e
r
4
0
s
p
r
e
s
e
n
t
e
d
w
i
t
h
s
o
m
e
d
i
f
f
i
c
u
l
t
y
r
e
m
e
m
b
e
r
i
n
g
t
h
i
n
g
s
a
n
d
b
e
i
n
g
f
o
r
g
e
t
f
u
l
a
t
w
o
r
k
.
S
h
e
w
a
s
w
o
r
r
i
e
d
g
i
v
e
n
h
e
r
f
a
m
i
l
y
h
i
s
t
o
r
y
.
T
h
e
p
a
t
i
e
n
t
a
n
d
h
e
r
f
a
m
i
l
y
a
r
e
w
e
l
l
k
n
o
w
n
t
o
t
h
e
p
r
a
c
t
i
c
e
,
a
n
d
t
h
e
f
a
m
i
l
y
h
i
s
t
o
r
y
o
f
A
l
z
h
e
i
m
e
r
’
s
s
t
r
o
n
g
a
n
d
e
s
t
a
b
l
i
s
h
e
d
.
E
a
r
l
y
r
e
f
e
r
r
a
l
w
a
s
m
a
d
e
t
o
t
h
e
m
e
m
o
r
y
c
l
i
n
i
c
a
n
d
s
h
e
h
a
s
a
n
e
s
t
a
b
l
i
s
h
e
d
d
i
a
g
n
o
s
i
s
i
n
4
0
s
.
G
i
v
e
n
h
e
r
a
g
e
a
n
d
s
t
r
o
n
g
f
a
m
i
l
y
h
i
s
t
o
r
y
,
t
h
e
c
a
s
e
i
s
o
f
t
e
n
d
i
s
c
u
s
s
e
d
a
n
d
u
p
d
a
t
e
d
i
n
c
l
i
n
i
c
a
l
m
e
e
t
i
n
g
s
,
a
n
d
p
a
r
t
i
c
u
l
a
r
a
t
t
e
n
t
i
o
n
p
a
i
d
t
o
h
e
r
1
3
y
e
a
r
o
l
d
d
a
u
g
h
t
e
r
w
h
o
a
s
a
r
e
s
u
l
t
h
a
s
h
e
r
o
w
n
e
m
o
t
i
o
n
a
l
n
e
e
d
s
o
f
t
e
n
m
a
n
i
f
e
s
t
i
n
g
i
n
p
h
y
s
i
c
a
l
p
r
o
b
l
e
m
s
.
W
e
p
r
o
v
i
d
e
a
h
o
l
i
s
t
i
c
a
p
p
r
o
a
c
h
t
o
t
h
e
p
a
t
i
e
n
t
s
a
n
d
t
h
e
i
r
f
a
m
i
l
i
e
s
a
n
d
c
a
r
e
r
s
a
n
d
e
n
s
u
r
e
t
h
e
y
g
e
t
s
u
p
p
o
r
t
o
r
a
r
e
s
i
g
n
p
o
s
t
e
d
a
p
p
r
o
p
r
i
a
t
e
l
y
.
Future Plans
Closure branch surgery
Recruitment of new partner/retirement
Continue to engage patients in particular
to join PPG
Continue to respond to patient feedback
Look to use pharmacist for medication
reviews
List size increase and provision of services
accordingly
Any Questions?
THANK YOU
Victoria Medical Centre is a well-established practice in Hebburn, operating for approximately 100 years. The practice has evolved from a partnership to a family-run set-up with a purpose-built premises. Meet the team consisting of clinical and non-clinical staff, and explore the practice's setup, appointments, advantages, and challenges faced. View images and details of housekeeping, introductions, team members, and services provided.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
VICTORIA MEDICAL CENTRE CQC Inspection 14.4.2016
Housekeeping Introductions Toilets Fire alarms - nearest exits Reception ext 221/222 Alison ext 224 Shivani 07788582595 Christine ext 230
Practice Background Practice well established approximately 100 years in Hebburn 2-3partner practice historically Following retirement of last partner Dr Allen in 1987, became a husband-wife led partnership for the following 28 years Third partner joined 2011(initially salaried) and VMC was a family run practice Dr Veena recently retired to leave 2 partners and a salaried GP Purpose built Premises built in 1994 Small branch surgery added in 1996
Meet the Team Clinical Staff 2 GP Partners 1 Salaried GP Nurse Practitioner Practice Nurse HCA Non-clinical Staff Practice Manager 4 Receptionists including Reception manager Secretary Cleaner
Practice Set Up List size approx 2,980 IT system EMIS Web EPS Online access for patients All path links and clinical data stored electronically Registering new patients
Appointments Morning and afternoon clinics GP and Nurse led Varying times to provide flexibility Extended opening hours once a week Mix of same day appointments and pre- bookable up to 2 weeks GP, 4 weeks nurse Recent changes to respond to demands to number of same day slots, additional clinic and emergency GP only slots Drop in phlebotomy clinic 4 days a week Daily telephone list
Advantages Flexibility and advantages of being a small practice, able to fit in appointments at times that suit patients, extra appointments and emergencies In house phlebotomy service In house warfarin clinic In house midwife clinic In house Drug and Alcohol services Flu vaccinations-home visits/drop in clinics/opportunistic/no appointment needed
Challenges Branch surgery Partner coming up to retirement Recruiting another partner Expansion of list anticipated due to new housing, closure of neighboring practice list pending Increasing demands on NHS and General practice as a whole, GP recruitment crisis, workload increases, funding
Working with other agencies Regular MDT meetings with attendance from district nurses, community matrons, health visitor, palliative care nurse Attendance at clinical meetings from agencies promoting new services or updates on current services Minutes of all meetings distributed
Meeting patients needs Six population groups Chronic disease, learning disability, cancer and palliative care registers Health care plans Home visits from nurses and HCA Instant reminder call for parents if DNA baby clinic so can rearrange Reminders for chronic disease clinic as longer appointment times to avoid DNA Phone reminders to patients known to be forgetful
Patient feedback This practice has done more for me and been more supportive than where I was - KW age 34 I cant fault the NHS or the staff here for the care I have received, 11/10 - JT age 76 Thank you for fitting us in so quickly - Mother of 4month old seen same day as extra Your words mean so much, thank you for the call - Relative of patient suddenly bereaved
Older People Named GP for all over 75 s Over 75 health checks in clinic and at home Health promotion particularly around flu vaccinations Link care home with weekly GP visits and new patient checks by nurse Flexibility with appointment times EHCP where appropriate Example: where it is felt a patient would benefit from seeing another practitioner, every effort is made to accommodate this within the same visit to save them having to come back repeatedly. An example may be where they have been noted to need a dressing change or applied when in with the GP, and the nurse on site will fit them in to their clinic, or if they need a blood test but the blood clinic is over, the phlebotomist will still do the bloods the same day.
People with Long term conditions Named GP Register for chronic disease, cancer, palliative care Recall diary system NP specialist in COPD, Asthma and Diabetes Individualised management plans In house phlebotomy, shared care for DMARDS Example: Recent case of palliative patient with MS. This case focused on patient centered care and shared decision, starting with multiple discussions around referral to an MS specialist after not having been in their care for many years. She recently deteriorated. There has been regular discussions within the practice around her care, one lead GP is regularly visiting and the of of life care pathway is in place. Frequent joint visits with the District Nurse take place as there have been complex issues to address with the family. The patient and family are well known and have been with the GP for many years. Anticipatory medication was put in place in time. OOH are aware and DNACPR completed with the patients best interest but also in discussions with her family.
Families, Children and Young People Contraception advice and prescribing Smears and family planning advice Baby immunization clinics, baby check and postnatal check booked together All staff keep up to date with safeguarding training Identification of families at risk or in need Babies and toddlers seen same day after triage Example: A family with complex needs was identified when they registered the with practice. 4 of the 6 children are on the autistic spectrum disorder and they were new to the area. Referrals had not been made from the area they moved from, and we coordinated appointments into secondary care and highlighted the family to local health visitor teams for support and awareness. An alert was put on their screen to highlight they are a family with complex needs, though there are no safeguarding issues currently in place. They are discussed in meetings, and the administrative staff are also aware of this family.
Working age people Extended hours once weekly Varied appointment times Health promotion via NHS health checks Online services, EPS Option of phone call if can not make it to surgery Student and travel immunisations
Vulnerable People Personalised care plans Alerts on screen for those with needs Named safeguard lead GP and nurse Learning disability register with annual review Discussion with carers at reviews and identification of carer needs Example: A family well known to the practice with a daughter who has a severe learning disability but great relationship with staff and GPs was overdue for her medication review as getting bloods is a struggle. An appointment with the GP to do this was planned through effective communication and a build up of trust over time. A time and date was agreed with the patient to come and have bloods taken by the GP she wanted as promised, and for her mum to have bloods taken at the same time by the HCA. This was done outside of the clinic times to suit the patient and mother, with a team effort, tears from the patient but a big hug to the GP afterwards. This example highlights continuity of care, build up of trust, flexibility to suit a patient and doing a bit extra, but keeping their health needs at the forefront knowing that the bloods were essential to provide safe ongoing care and prescriptions.
Mental Health Named MCA champion Screening in chronic disease reviews Identification of at risk patients Early signposting to mental health services Early referral to memory clinic with screening Example: A Patient in her 40s presented with some difficulty remembering things and being forgetful at work. She was worried given her family history. The patient and her family are well known to the practice, and the family history of Alzheimer s strong and established. Early referral was made to the memory clinic and she has an established diagnosis in 40s. Given her age and strong family history, the case is often discussed and updated in clinical meetings, and particular attention paid to her 13 year old daughter who as a result has her own emotional needs often manifesting in physical problems. We provide a holistic approach to the patients and their families and carers and ensure they get support or are signposted appropriately.
Future Plans Closure branch surgery Recruitment of new partner/retirement Continue to engage patients in particular to join PPG Continue to respond to patient feedback Look to use pharmacist for medication reviews List size increase and provision of services accordingly
THANK YOU Any Questions?
