Billinghay Medical Practice
39 High Street, Billinghay, Lincoln, LN4 4AU
It's Monday 7:41 PM — Sorry, we're closed
Telephone: 01526 860490
Fax: 01526 869800
Out of Hours: 111
The role of the Nurse Practitioner is one in which the clinician makes professionally autonomous decisions for which they are accountable. In the role they screen patients for disease risk factors and early signs of illness. The Nurse Practitioner can order investigations and prescribe medication when necessary. Our Nurse Practitioners work collaboratively with the Doctors and Nursing team to provide the best health care possible for our patients.
BSC Autonomous Practitioner and Respiratory degree
Pauline joined the Practice on 23 July 2018 and works Mondays, Thursdays & Fridays.
Pauline works within the role of Nurse Practitioner at Billinghay Medical Practice, seeing patients exactly the same as a GP. The 10 minute appointment is used for history taking, assessment, investigation and diagnosis/treatment. She can prescribe medication, refer to secondary care and carry out medication reviews. Pauline has a special interest in Respiratory (Asthma, COPD and Bronchiectasis) and in a previous role was a respiratory specialist nurse.
Her other areas of interest are family planning and female health alongside Dr Helen Passfield.
Outside of the Practice, I am involved in delivery of education in respiratory to other health professionals.
Advance Nurse Practitioner (ANP) PG Cert ANP, BSc Hons
Ann joined the Practice in September 2017 as a regular locum and works mainly Mondays & Tuesdays.
Ann has a wide range of clinical experience from working in Primary and Secondary care.
Initial Nurse training was completed at Queen Alexandra Royal Army Nursing Corps before studying at South Bank University to become an ANP.
Usual day consists of two clinics (morning and afternoon), with about 14 patients in 10 minute appointments per clinic who present with a variety of ailments. After the morning clinics are finished, home visits are carried out to housebound patients before the afternoon clinic begins.
In addition to diagnosing, ANPs can prescribe medication, refer to secondary care and checks incoming results and hospital letters.
Practice Care Coordinator
Jayne Fisher (RGN)
Billinghay Medical Practice recruited Jayne Fisher as the Practice Care Coordinator. The role is to support the most vulnerable patients and those at risk of ongoing hospital admissions within the Practice community. With over 21 years of experience, Jayne has a background as a Community Case Manager and Palliative Care Community Nurse.
During her tenure, Jayne’s caseload has increased steadily and now over one hundred patients have been identified and actively managed to continue living independently, with the support for those caring for them.
More recently, work has started to identify people who have become very frail and are at risk of falls and self-neglect. This requires good communication between the medical team, family, carers and Jayne to guarantee timely support for those ‘in need’ is effective.
Jayne attends weekly meetings with other care coordinators along with representatives from Adult Social Care, Community Nursing, Hospice @ Home and other specialist nurses to ensure those with complex needs receive the most appropriate care.
Referrals continue to come from the medical team, families, carers and other professionals involved in a person’s care. These referrals need to continue to make certain that the most vulnerable patients are given the opportunity to be fully involved in their healthcare provision and express their wishes for the future of their care.
As the Care Coordinator for Billinghay Medical Practice, Jayne’s work continues to be varied and interesting. Dealing with the pressures from an ever-changing Health and Social care system is challenging and requires everyone to pull together through community projects and neighbourly care. This means that those patients are supported to maintain independence and wellbeing. Work continues…
There are 3 Practice Nurses at Billinghay Medical Practice. Their roles and experience varied and the patients they see through the course of a day are very individual requiring them to continually adapt to the needs of the patient they are seeing.
The nurses normally start their working day at 8.30am and work until 6.30pm every day (with some extended clinics on a Wednesday until 7.45pm).
Their daily routine before the clinics start is:
- Log onto computer.
- Record fridge temperatures and reset (start and end of day).
- Cleaning of room and any equipment needed for the day.
- Ensure enough vaccines are available.
- Get injections from dispensary that may be needed for the day.
Clinic appointments are between 10-50 minutes dependant on the patient and review type.
In treatment room clinics we can typically see patients for the following:
- Dressings including removal of sutures or clips.
- Vaccinations / Injecting of medications.
- Ear irrigation.
- Blood tests including INR – Warfarin monitoring.
- Contraception reviews including removal of coils.
- ECGs (including 24 hour) and BP fitting /removal.
- Travel consultations.
- Patient education.
Two of the nurses also see patients for annual Chronic Disease (Long-term conditions) reviews. These include:
- Spirometry (lung function test)
As required, we are required to assist the GPs with coil fittings, implant fittings, minor surgery and pessary changes.
The Treatment room has the emergency equipment which is used during emergency situations (chest pain, asthma attacks, anaphylaxis etc). When this happens, the nurse stays with the patient and monitors vital signs, whilst waiting for the emergency services to take over.
After the clinics have finished for the day, we carry out various administration tasks that include:
- Travel risk assessments from information submitted on travel forms.
- Act on tasks sent by GPs and contact patients with information.
- Complete electronic letters (usually hospital letters that have procedures that need coding onto records or require us to contact a patient for a procedure).
- Refer to other agencies (District Nurse, Diabetes specialist nurse, retinopathy etc…)
- Check stock levels and order as required ensuring stock is used in strict rotation.
- Clean and tidy the room ready for the following day.
Mrs Sheena Robinson (f)
Lead Nurse (RN)
Teresa Wells (f)
Mrs Lucy Bond (f)
RN – Lucy Joined the Practice in August 2015
We have two Health Care Assistants (HCA) working at the surgery.
The Health Care Assistants (HCAs) at Billinghay Medical Practice normally start work by 08:30. Their routine before they commence their clinic is:
- Recording the fridge temperatures
- Clean room
- Log onto the computer
- Prepare their trolley for the day’s clinic starting at 08:40
- During their clinic they normally see patients in 10 or 20 minutes appointments for:
- Blood tests
- Blood pressure
- Memory checks
- NHS and over 75 Health Checks (normally on Tuesday PM or in the Wednesday extended hours clinic)
- Some injections
In between appointments, the HCA will check the sample boxes throughout the morning, complete tasks from the GP/NP which can include repeating samples and contacting patients to make further appointments. Complete scanned documents (letters) from the hospital requesting treatments to be carried out at the surgery (this requires the HCA to contact the patient and book and appointment).
In addition, we issue / return home BP monitors (when these are returned we average the readings and pass them through to the GPs).
One day a week, we each have admin time to finish tasks and letters and recall patients on secondary care initiated medication (specialised drug monitoring). All blood tests need recording and any abnormal results reporting to the GPs
Prior to finishing, we normally prepare for the following day’s clinic by printing of blood request forms.
Miss Kate Ellis (f)
Kate joined the Practice in March 2014.
Mrs Kirstie Roberts (f)
Kirstie joined the Practice in July 2018.
08:00 - 18:30
08:00 - 18:30
08:00 - 18:30 / 19:45 (Extended Hours)
08:00 - 18:30
08:00 - 18:30