Protected Learning Time / Practice Meeting - 13 June 2018 (13:00 - 17:00)
Patient Group Meeting - 4 September 2018 - 18.00 - 19:30
Bank Holiday Closures - Summer BH (27 August 2018)
GDPR - Came into effect on 25 May 2018 - see our page for more information (Link)
In addition to general medical consultations the practice offers a comprehensive range of clinics and healthcare services.
If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse at least TWO months prior to travelling to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required.
There is further information about countries and vaccinations required on the links below
It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.
Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.
Travel Health Questionnaire
To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.
Travel Health Questionnaire
IMPORTANT NOTE: Failure to give sufficient time prior to travel (TWO MONTHS) may require you to attend a travel clinic for vaccinations. The closest to Billinghay Medical Practice is located in Lincoln. They can be contacted on 01522 542304.
Some vaccinations may incur a cost to the patient. You will be informed at the time of the appointment.
Travelling in Europe
If you are travelling to Europe a very useful booklet has been published with advice and guidance to help you get the most out of your holiday. To visit please click:- http://ec.europa.eu/publications/booklets/eu_glance/86/en.pdf (this is a large document and may take a minute or two to view)
If you sustain a minor injury such as a burn, scald, minor cuts that may need stitching or a minor head injury, there is a walk in centre at Sleaford Medical Group (47 Boston Road, Sleaford, Tel. 01529 303301). The clinic is open 08:30 - 20:00 Monday to Friday. The injury must have happened within 48 hours prior to attending.
If you had a minor injury in the previous 48 hours, please book in at reception. The length of your wait will depend on the seriousness of your condition, but there may also be a wait depending on the availability of the nurse – the nurses have pre-booked clinics they must also attend to, but can prioritise urgent cases.
Link to the Minor Injuries Poster
Sleaford Medical Group are providing an urgent care service at weekends and Bank Holidays.
In addition we will be extending our Minor Injuries Unit hours to 8.00pm Monday - Friday and 6pm on Saturdays, Sundays and BHs. The Urgent Care Unit is based at the Sleaford Medical Group Riverside Surgery (47 Boston Road, Sleaford, Tel. 01529 303301).
The Unit, run by a team of experienced nurses and GPs will be available seven days a week but will be closed on Christmas Day, Boxing Day and Easter Sunday. On arrival, patients will be 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 to further treatment at a hospital.
Links to the Urgent Care Service Poster and Leaflet
We are able to treat a range of conditions including the following, however this list is not exhaustive:
Minor cuts and grazes Chest infections
Minor cuts requiring stitches Skin infections
Acute sprains and strains Joint and Limb pain/stiffness
Acute sports injuries Animal and human bites
Removal of foreign bodies Genito-urinary infections, including STIs
Minor burns Abdominal pain without fever
Minor neck injury Insect stings
Whiplash Diarrhoea and vomiting
Foreign bodies in eyes Coughs (for less than four weeks)
Breathing related problems including (asthma, bronchitis and COPD)
However, we cannot provide care for serious injuries, major accidents, severe chest pains, serious breathing problems, severe pain of any description (ie likely appendicitis), road traffic accidents, anaphylactic reactions or collapse.
The service is 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.
Dr Vindi Bhandal, Chair South West Lincolnshire CCG said, “With ever-increasing pressure in A&E, we are encouraging patients to make use of the extended hours offered by the unit in Sleaford. By using the services offered at the practice, we can ensure patients receive the right care locally, first time.”
Not all services are free on the NHS. There is a range of non-NHS services for which GPs can charge a fee which is based on the time and effort involved.
Why do GPs charge fees?
The NHS provides most health care to most people free of charge, but there are exceptions e.g. prescription charges. There are a number of other services for which fees are charged. Sometimes the charge is made to cover cost of treatment e.g. travel vaccinations, dental treatment. In other cases the service is not covered by the NHS e.g. medical reports for insurance companies, claims on private health insurance and other letters and forms which require the doctor to review the patients medical records.
GPs are not employed directly by the NHS and are self-employed and have to cover costs e.g. staff, building, heating, lighting etc. in the way as any small business.
The NHS pays the GP for specific NHS work, but not for non-NHS work. Time spent completing forms and preparing reports takes the GP away from the medical care of his/her patients. Non-NHS work must be undertaken outside of NHS contracted time. When a doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true. Therefore in order to complete even the simplest of forms the doctor will need to check the medical records.
From the 25 May 2018, in most cases, patients can request access to their medical records (Subject Access Request - SAR) free of charge, including when a patient authorises access by a third party such as a solicitor. A reasonable fee can be charged if the request is manifestly unfounded or excessive. If the request is for a medical report (rather than a SAR) then this falls under the Access to Medical Reports Act (AMRA) and will be handled in the usual way. The General Data Protection Regulation (GDPR) does not change the AMRA.
Examples of non-NHS services for which GPs can charge:
You may contact the surgery to enquire about fees that are currently charged.
Current Fees List as of May 2018 (Link)
The aim of the NHSBCSP is to reduce mortality from bowel cancer. This will be achieved by delivering evidence-based, population-based screening programmes.
Men and women aged 60-74 years are sent invite a faecal occult blood test (FOB) through the post every two years. Those with a positive FOB are offered colonoscopy.
For the Lincolnshire Bowel Screening Programme 52,589 were sent FOB kits of which 31,269 were returned (59% uptake). Of the 31,269, 595 were positive (1.9%) and 484 people underwent a colonoscopy. 28 cancers were detected.
Billinghay Medical Practice is ranked 15 out of 19 practices returning bowel screening data in NHS South West Lincolnshire CCG. The coverage for your practice is 59.8%, compared to the CCG average which is 60.8%.
NHS Choices Link
The aim of the NHS Cervical Screening Programme is to reduce the incidence of and mortality from, cervical cancer by delivering a systematic, quality assured population-based screening programme for eligible women.
This is achieved by inviting eligible women for screening six months before their 25th birthday, then at three-yearly intervals between the ages of 25 and 49 years. Thereafter, between the ages of 50 and 64, women will be invited at five- yearly intervals.
The standard is > 80% coverage of women in the eligible population.
The coverage for your practice is 78.5%, compared to the CCG average which is 80.9%.
The major aim of the NHS breast screening programme is to reduce mortality from breast cancer. This will be achieved by delivering evidence-based, population-based screening programmes by inviting women in the target age group 50 – 70 every 3 years.
Breast screening is a method of detecting breast cancer at a very early stage. The first step involves an x-ray of each breast - a mammogram.
The standard for breast screening is: minimum > 70% of invited women to attend for screening, achievable 80%.
The coverage for your practice is 69.4%, compared to the CCG average which is 75.8%, and the national target of 70%.
The aim of the National Diabetic Screening Programme is to reduce the risk of sight loss amongst people with diabetes by the prompt identification and the effective treatment if necessary of sight threatened by diabetic retinopathy, at the appropriate stage during the disease process.
The population eligible for screening is: all persons diagnosed with diabetes aged 12 and over who have light perception or better in at least one eye.
Screening is undertaken annually by digital photography.
For the Lincolnshire Diabetic Eye Programme 46,748 were invited and 38,067 were screened (81%). Of those screened a total of 105 (0.2%) went on to receive potentially sight saving treatment. Of these, 50 needed urgent referral for their treatment.
The uptake for your practice is 84.8%, compared to the CCG average which is 83.3%, and the achievable uptake of 80%.
The aim of the NAASP is to reduce AAA related mortality by providing a systematic population-based screening programme.
The population eligible for screening is: The male population during their 65th year and, on request for men over 65. Screening is undertaken by means of an abdominal ultrasound of the aorta.
For Lincolnshire AAA programme in the cohort of eligible men, 3,926 were screened, 53 were found to have an AAA that measured between 3cm -5.4cm and entered onto the surveillance programme. 6 had an AAA larger than 5.5cm and were directly referred for surgery.
The uptake for your practice is 84.8%, compared to the CCG average which is 83.3%, and the achievable uptake of 100%.
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