Caythorpe SurgeryTel: 01400 272215
Ancaster SurgeryTel: 01400 230226
Closure for Training: To enable the doctors and staff to keep up to date the practice will be closed for staff training from 12.30pm to 4:00pm on Wednesday 12th September 2018 & 12th December 2018.
Closures for Bank Holidays 2018: 1st January, 30th March, 2nd April, 7th May, 28th May, 27th August, 25 & 26th December.
Patient Group: We are looking for additional patients who may be interested in joining the practice patient group. Follow the link "Have your say" for further information.
Appointments can be booked either in person, by phone or online. If you wish to utilise the on-line service please contact a receptionist so that a username and password may be set up.
As a Practice we provide on average each week 400 appointments to see a doctor. 150 appointments to see a nurse and 180 appointments to see a Health Care Assistant (HCA). Most of these take place within the surgery with a number of home visits taking place each day. The Practice employs a very highly skilled nursing and HCA team who are able to deal with many diagnostic and monitoring procedures that would traditionally have been dealt with by a doctor e.g. 24 hour ambulatory blood pressure monitoring. This helps to relieve some of the pressure on doctor appointments.
The vast majority of appointments booked by patients are for ongoing / long term medical conditions and therefore booked anywhere from a few days to a few weeks in advance. Approximately 80% of appointments are booked in this way. The remaining 20% are kept for acute or urgent need. When you ring for an appointment the receptionists have been trained to ask a few key questions to ascertain the urgency of the situation. Examples of a situation deemed to be urgent would be a suspected chest infection or acute pain. If a patient feels their condition is truly urgent and requires assessment that same day then we will try and facilitate this. Please note that you will be offered the next available appointment with the doctor/s consulting on that day and so you may not be seen by your usual doctor.
Urgent appointments are kept un-bookable until the same day. This is to allow patients with genuine acute/urgent problems to have access to them. They are released at 8:30am for morning appointments and 3.00pm for afternoon appointments. We constantly monitor the use of acute appointments to try and ensure that we offer adequate numbers of acute appointments. The reception team are trained to sign-post patients with specific symptoms to the most appropriate service - for example patients with a suspected heart attack should ring 999, thereby accessing the most appropriate care in a timely manner.
Wherever possible we will try to give patients access to their doctor of choice. Occasionally due to holidays, busy schedules etc. this may not be possible within a time scale that the patient feels is appropriate for their need. In that instance they will be offered an alternative clinician. There are obviously a finite number of clinical hours available but as a practice we have one of the highest doctor/patient ratios in the country with under 1,500 patients to each doctor. In some areas of the UK this figure is closer to 3,000 patients per doctor.
We will always try to accommodate a patient's schedule and book a time and date that suits them. Sometimes this just isn't possible and we do ask that patients are as flexible as possible when it comes to appointment times.
We recognise that for some patients it can be very hard to access the surgery during traditional working hours. To help with this situation we have added a doctor led clinic running on a Tuesday night from 6.00pm to 8.30pm at Ancaster Surgery. These appointments can be booked up to one month in advance.
All patients are entitled to have a chaperone present during any examination where they feel that one is required - for example during an intimate examination. The purpose of the chaperone is to act as a safeguard not only for the patient but also the doctor or nurse. It would be usual for a female member of staff to act as a chaperone for a female patient and likewise for a male member of staff to chaperone for a male patient.
It is recommended that this should usually be an appropriately trained member of practice staff but, on occasion, a family member or friend may be appropriate.
All members of the nursing and health care assistant team, together with some members of reception and secretarial staff, have appropriate training to act as chaperones.
Patients are encouraged, whenever possible, to ask for a chaperone at the time of booking an appointment. This ensures that there are minimal delays during an examination, rather than having to wait for a chaperone to become available.
You can now register to receive information by text message on your phone regarding appointments and health care.
If you wish to register for this messaging service please fill out the consent form.
Whilst we encourage our patients to come to the surgery, where we have the proper equipment and facilities available, we do appreciate this is not always possible. In this respect, if you do need a home visit, you can help us by calling reception before 10:00am.
You may only request a home visit if you are housebound or are too ill to visit the practice. Your GP will only visit you at home if they think that your medical condition requires it and will also decide how urgently a visit is needed. Please bear this in mind and be prepared to provide suitable details to enable the doctor to schedule house calls.
You can also be visited at home by a community nurse if you are referred by your GP. You should also be visited at home by a health visitor if you have recently had a baby or if you are newly registered with a GP and have a child under five years.
Treatment is now available at Sleaford Minor Injuries and Minor Illness Service . Minor injuries will be seen any time from 8.00am – 8.00pm, and minor illness when your GP practice is closed.
Sleaford Medical Group provides an urgent care service at weekends and Bank Holidays. In addition they provide a minor injuries service from 8:30am to 8:00pm daily. The unit is based at the Riverside Surgery, Boston Road in Sleaford. This service has been commissioned by South West Lincolnshire Clinical Commissioning Group to provide an alternative service for minor injuries rather than having to attend a local Accident & Emergency Unit. The Unit, run by a team of experienced GPs and nurses will be available 7 days a week but will be closed on Christmas Day, Boxing Day and Easter Sunday. On arrival, patients are assessed and the injury treated by a trained nurse or doctor as appropriate, however in some cases it may be necessary to refer patients on for further treatment at a hospital.
They will be able to treat a range of conditions including the following; however this list is not exhaustive:
Monday - Friday 6:30pm - 8:00pm
At weekends and public holidays (except Christmas Day, Boxing Day, Easter Sunday): 8:00am - 6.00pm
However, they cannot provide care for serious injuries, major accidents, severe chest pains, serious breathing problems, severe pain of any description (e.g. likely appendicitis), road traffic accidents, anaphylactic reactions or collapse.
The services are available to patients whether or not they are registered with a GP, and can provide care for those not living in Sleaford or the surrounding area. The unit can care for patients attending with both minor illnesses and injuries and is a walk in service. The patients’ own GP will receive a summary of the care received following the consultation so their notes can be updated accordingly. Any patient who cannot be treated will be referred as appropriate.
Sleaford Medical Group, Boston Road, Sleaford, NG32 3PP
Telephone: 01529 419100
Sleaford Minor Injuries Unit
You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.
If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).
It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.
You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.
The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.
For more information see the DirectGov website (where this information was sourced).
The practice is very committed to training the next generation of General Practitioners.
We have a long tradition of GP training and were one of the first practices in Lincolnshire to be a training practice.
We work under the umbrella of the Lincolnshire GP Training Programme which is affiliated to the East Midlands Education & Training Board in providing GP training. Prospective GPs join the Lincoln General Practice Specialty Training Programme combining hospital experience of various specialties with a specific focus on general practice.
Dr Robinson, is approved as a GP Trainer. All of the other doctors in the practice are involved with the supervision of our GP Specialist Trainees (often referred to as GP registrars).
GP Specialist Trainees are fully qualified and registered with the General Medical Council. They work under the direct supervision of an experienced doctor while gaining further experience in General Practice. They are deliberately given more time than usual, i.e. > 10 minutes, to consult with patients so that they can develop their consultation skills. At the end of each surgery they are debriefed by an experienced doctor who will not only check that safe practice has been followed, but also mentor and teach them the principles of good general practice.
To become an independent General Practitioner in the UK, a doctor must undertake at least three years of GP Specialty Training (GPST), normally including 18 months in an approved training practice with a further 18 months in approved hospital posts, have achieved a Certificate of Completion of Training and passed the qualifying examinations to become a Member of the Royal College of General Practitioners (MRCGP).
Our GP Specialist Trainees will have completed two foundation years of core medical training in a hospital setting before being selected as suitable for GP training. They then spend four months in the practice before going back to selected hospital posts so that they can widen their exposure to key medical specialities. They then return to the practice for a more extended period to complete their GP training.
As part of their training, GP Specialist Trainees are required to video record a number of consultations. The reason for doing so is so that they can develop their communication / consultation skills. If a GP Specialist Trainee is intending to video record a consultation your written consent will always be sought both before the consultation to ensure that you agree to the recording, and also afterwards to ensure that you are willing to allow it to be viewed for teaching purposes. You are quite entitled to decline to have your consultation video recorded either before your consultation or to withdraw your consent afterwards. All recordings are destroyed after being used for teaching purposes.
If you have any concerns or feedback regarding any of our GP Specialist Trainees then please discuss this with our GP trainer.
You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website .
For any illness lasting longer than seven days you will need to see the doctor for him/her to issue a 'Fit Note' and for any subsequent renewal of the certificate. If your employer insists on a sickness certificate for 7 days or less a charge will be levied.
PLEASE NOTE THAT IT IS NOT CLASSED AS AN EMERGENCY TO HAVE YOUR FIT NOTE REVIEWED. PLEASE DO NOT BOOK AN EMERGENCY APPOINTMENT FOR THIS.
On the 6 April 2010 the sick note was replaced by the fit note.
Evidence shows that work is generally good for your health and that often going back to work can actually aid a person’s recovery. On the other hand, staying off work can lead to long-term absence and job loss with the risk of isolation, loss of confidence, mental health issues, de-skilling and social exclusion.
The new fit note can help. Doctors are able to advise people who are on sick leave for over 7 days whether, with extra support from their employer, they could return to work earlier.
For more information visit http://www.direct.gov.uk/en/Employment/Employees/Sicknessabsence/DG_187161
This data is being collected on behalf of the Department for Work and Pensions in order to:
The data collected is anonymised data, including information such as: the type and duration of the fit note; recommendations for adjustments to enable a return to work; diagnostic codes; geographic area and gender.
The collection will be made using the services of the four main primary care principal clinical system suppliers, under the General Practice Systems of Choice framework contract. The data collected will be published on the HSCIC iView portal on a quarterly basis starting in April 2016.
Under the Health and Social Care Act 2012, Section 259, the HSCIC has the authority to collect data from public bodies such as GPs, hospitals and adult social care services. HSCIC has issued a Section 259 notice to collect this data. This means that general practices are legally obliged to provide this information.
Follow the links below to find out about Statutory Sick Pay and company sick pay rights.
Company sick pay rights (employment section)
Statutory Sick Pay (money, tax and benefits section)
Like many other practices in the UK, we work to a 10 minute consultation interval. This 10 minutes includes meeting and greeting time, time for record keeping and administration e.g. issuing prescriptions as well as face to face consultation time. We consider this 10 minute period to be less than ideal for many complex situations but, given the resources available (and in particular the number of general practitioners in the UK), we are obliged to work to the best of our ability within these constraints.
There are two overall types of appointments; acute and routine.
Much of our work is concerned with the management of long term conditions (approximately 80+ %) which is coordinated through the use of review dates which appear on all repeat prescriptions. A much smaller proportion of our work is concerned with acute or semi-acute problems.
We try and see any patient with a problem that they consider to be acute on that same day. We retain a specific number of appointments for such situations.
When you ring for an appointment the receptionists have been trained to ask a few general questions to ascertain the urgency of the situation. Examples of a situation deemed to be urgent would be a suspected chest infection or acute pain. If your situation is considered to be acute you will be offered the next available acute appointment - please note this may not necessarily be with your usual or preferred doctor. If the receptionist is unsure about how to respond in allocating an acute appointment, then they will liaise with a doctor for advice or take a telephone number so that the duty doctor can phone you back to assess your situation.
If your situation is considered to be less acute you will be offered the next available routine appointment. This will usually be within a few days. If you need to see a doctor with a specific area of expertise e.g. contraception, this may mean a slightly longer delay depending on their availability. If you request to see a named doctor then you may have to wait longer compared with seeing the first available doctor.
Much of our work is concerned with the management of long term conditions e.g. diabetes, high blood pressure and asthma. Any patient with a long term condition who is on medication will have a review date which is recorded on their repeat prescriptions. Reviews are often referred to as medication reviews but are in fact an opportunity for the doctor and you to review the overall care of your long term condition as well as review your medication. Rather than trying to book for an appointment "on the day", we would encourage you to plan ahead so that not only will you be able to see your preferred doctor, but you will usually be able to book an appointment at a time and date that fits with your other commitments.
If you consider that you have a complex problem that cannot adequately be assessed in a ten minute consultation please ask the receptionist for a double i.e. 20 minute appointment. Please note that if there are no back to back consultation intervals available this may require you to wait slightly longer for your appointment.
Please try and prepare for your consultation so that you can get as much out of the consultation time as possible. For example, consider what you wish to achieve at the consultation. It may help to write down a check list of areas that you wish to discuss. While the doctor will try and cover as many of your concerns as possible within the time available there may be occasions in which your problems cannot be fully assessed and you may be requested to book a further appointment.
For further advice about how to make best use of your appointment click here.
You and your doctor - Information from the Patient Association about making effective use of your consultation time.
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