KMP Spring 2019 (Print double-side, landscape)
EXCITING TIMES FOR GENERAL PRACTICE (Primary Care)
General Practice in Scotland is changing. The Primary Care Team will be expanding and there will be changes in the way some services are delivered over the next few years.
We recognise that for many patients change may be daunting. We’ll give an explanation of what changes are taking place and why they have come about.
General Practice has changed considerably over the last 25 years and how we delivered our service in the past is very different to how we do now and into the future.
Many people are living longer with multiple illnesses. There is a drive to treat more patients and manage their conditions within the community. Unfortunately fewer young doctors are choosing to become GPs so the number of GP-trained doctors is considerably less than it was 10 years ago.
In April 2018 a new GP Contract was agreed to support the GPs in providing the best possible care to our patients. The Government has recognised that GPs are highly skilled doctors (called Expert Medical Generalists) but that their skills should be best employed in dealing with patients with more complex problems in longer appointment times, if required.
New Health Care Professionals for Primary Care
Many of the conditions that we see in General Practice could be managed very well by other health care professionals (AHPs).
Other AHPs that you may see in the Practice over the next few years could include a Physiotherapist, who would see patients with musculoskeletal problems, a Mental Health Specialist Nurse who would see patients with conditions such as stress and anxiety, or an Advanced Nurse Practitioner who would deal with minor illnesses. These AHPs are all skilled in consulting and prescribing for many conditions that patients would usually see their GP about.
Although these AHPs will consult in the Practice they are not directly employed by the doctors but by NHS Forth Valley.
GP Practice Nurses will continue to offer the review of many ongoing medical conditions.
We already advise people to attend the Optician for eye problems or go to a Pharmacy for many minor ailments.
There are also some services which are best delivered by Public Health rather than GPs e.g. childhood and flu vaccinations and these services will change over the next few years.
These new changes are not going to happen overnight and may take 3-4 years to fully implement.
Changes Happening Soon
In order to ensure you see the right person at the right time in the right place, when you phone for an appointment, our reception staff will ask you for a little bit of information about why you feel you are looking to be seen.
This is not about being nosey. It has been agreed they should ask patients for a little more information and all our staff are bound by confidentiality.
You will, of course, be able to see a doctor if you feel that is the best person to help with your problem.
Mental Health Specialist Nurse
An experienced Mental Health Nurse Specialist, Terri Carmichael, has recently joined our team. Terri will be see patients who are feeling low in mood, anxious or stressed, or struggling with bereavement.
Other Healthcare Professionals
Over the next few months we should have an Advanced Nurse Practitioner (ANP) who will see patients with minor illnesses or feel their problem needs dealt with urgently that day.
There will also be a Physiotherapist who will see patients with musculoskeletal (MSK) problems.
The days and times these AHPs will be available will vary as we will be sharing these colleagues with other Practices.
We are all keen to embrace this way of working as we recognise this is the way forward for the future of General Practice and to improve services in Primary Care for our patients.
We ask for your patience and understanding whilst these changes are being rolled out.
Drs Spencer, McTaggart, Bartie and Munro.
There is a 48 hour turnover for us to generate a signed prescription. If you hand this in to us on a Friday, it will not be ready for pickup until Wednesday morning from the surgery.
If your prescription requests are managed by a pharmacy on your behalf, you will need to factor in additional time over and above the 48 hours the Practice needs. They need time to get your request to the Practice if they do this for you. They need to collect your prescription from us and dispense this for you. Your pharmacy can advise you of the time they require you to add on.
There are many medications which can be missed for a day a two without coming to any harm. An urgent request because you have run out of a medication may not always be deemed urgent by the GP and can be left to the normal prescription processing system.
If your medication is on repeat, the pharmacy can give you an emergency prescription when the surgery is closed.
Community District Nursing Services
The Community District Nursing services now work out of Bo’ness Health Centre and are contacted there.
If you require a District Nurse or a Treatment Room appointment you will need to contact them on 01506 827701 between 8.30am and 4.30pm. If you require a District Nurse out with these hours you need to contact NHS 24 on 111.
Please be aware that in future, when you make an appointment to be seen by a Treatment Room Nurse, you may be appointed to be seen either at the Kinglass Centre or the Bo’ness Health Centre on Dean Road. Our Practice reception staff no longer have a link to Treatment Room Nurse appointments so are unable to assist you with making these.
Newsletter Issue March 2019