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LATE SUMMER 2008

Chlamydia Screening
You may not know that you have it. You don't have to be examined and the test is simple, painless, totally voluntary. It is available to anyone who is a patient of the practice, sexually active and under 25 years old.

The test is available now in the practice so ask the receptionist, doctor or nurse for a testing kit and they will tell you what to do.

If you want to know more about chlamydia or the test go to www.chlamydiascreening.nhs.uk/index.htm

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Arm against cervical cancer
From September 2008, the HPV vaccine will be offered routinely to 12- to 13-year-old girls (school year 8). Over the next three years there will also be a catch-up programme for older girls aged 13-18 starting with 17- to 18-year-olds this autumn. Oxfordshire PCT has decided to deliver the vaccine via a school-based programme for the 12 to 13 year-old girls.

For more information follow this link
http://www.immunisation.nhs.uk/Vaccines/HPV

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PATIENTS' Survey
It's time again for our annual patients' survey and so if you are coming into the surgery you may be asked to complete a questionnaire. We will be running the survey from 15 September until 3 October and will post the results in our newsletter and here on the website.

You can see the results from last year's survey against the benchmarks that were set here.

Click here to download Benchmark Data compared with Cropredy SurgeryPDF file

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Is your Electric Blanket Safe?
Oxfordshire County Council is offering FREE safety checks for your electric blanket in Banbury on Thursday 9 October or Bicester on Thursday 23 October.

You will need to contact Trading Standards trading.standards@oxfordshire.gov.uk  to arrange an appointment or you can call 01865/815607. This scheme operates on a first come, first served basis so book your appointment as soon as you can.

GP-led Health Centre
The plans for a new GP-led Health Centre (often called a Darzi Clinic) in Banbury are going ahead with an intensified consultation for patients and the public. Meetings have been held for professionals and the public to find out more and put forward their views.

If you would like to have more information or offer your views about the plans visit the British Medical Association website http://www.supportyoursurgery.org.uk/ or the Oxfordshire Primary Care Trust website http://www.oxfordshirepct.nhs.uk/news/equitable-access.aspx

Ballot Result
The recent ballot of patients for the Oxfordshire Local Medical Committee shown on our website and in paper version in the surgery reception, had 7103 (95%) respondents across Oxfordshire against the new GP-led Health Centre in Banbury and 255 patients in favour out of 7467 received (109 respondents did not specify their preference).

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Keeping Cool in a Heatwave
Most of us enjoy sunny weather, but extreme heat can seriously damage your health. During a heatwave, when temperatures stay really high day after day, it can sometimes be fatal.

Some people are more at risk than others such as, babies and young children, older people, those with mobility problems or the physically active, like manual workers, and sportsmen and women.

Keeping out of the heat especially between 11am – 3 pm, keeping cool by staying in the coolest rooms, splashing your face and the back of your neck with cold water several times a day or taking cool baths or showers, will all help.

Drink lots of fluids even if you don’t feel thirsty. Avoid alcohol, tea and coffee as they make dehydration worse and try to eat more cold food like salads and fruit, which contain water.

Seek advice from your doctor, a pharmacist or NHS Direct if you are worried about your health during a heatwave.

If anyone you know is likely to be at risk during a heatwave, help them to find the advice and support they need. Older people living alone should be visited daily to check that they are OK.

The Department of Health has produced a leaflet offering advice on who is at risk, what to do if there is a heatwave and how to help others. There are copies of the leaflet in the surgery waiting room or you can contact NHS Direct on 0845 4647 www.nhsdirect.nhs.uk for advice about heat stroke and heat exhaustion.

If you want advice on protecting your skin during hot weather you can contact the Cancer Research UK SunSmart campaign website at: http:/info.cancerresearchuk.org/healthyliving/sunsmart/

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Prescription Charges' Rise
Prescription charges will rise on 1 April from £6.85 to £7.10 per item.

Some patients qualify for exemption from charges. These include:

  • Children under 16 years of age
  • Full time students aged 16, 17 or 18
  • Anyone aged 60 or over
  • War pensioners with a valid certificate
  • Anyone in receipt of Income Support or income-based Jobseekers Allowance
  • Anyone with a partner in receipt of Pension Credit Guarantee Credit
  • Anyone with one of a range of exemption certificates

Certain medical conditions also entitle a patient to exemption. Discounts are available for patients requiring longer courses of medicines, via "Prepayment Certificates". For more information visit the Department of Health website.

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Extended opening hours
Extended opening hours for GPs has received much media coverage and debate. In deciding whether to increase the hours that we open we have considered the responses from our patients in last year’s survey.

There were 200 respondents to the survey and 85% of our patients said that they were satisfied or very satisfied with our opening hours 8.00 am to 6.30 pm Monday to Friday.

The extended opening would be one hour a week for a surgery of this size requiring a doctor, a nurse, a receptionist and a dispenser to open for that time. Since we have only two GPs working here, when one of them was away it would be extremely difficult for the other to run an effective practice.

The other ‘behind the scenes’ work done by the GPs such as writing referral letters, visiting patients and reviewing laboratory results, still have to be completed even when there is only one GP here covering the work of two.

The cost of extending the hours for this surgery in staff time, additional utility bills and security on top of the practical difficulties, has led us to decide not to open for longer hours at present. If this changes at some future point then we will of course let you know.

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The NHS Spine
One thing that is always consistent in the development of the NHS computer system is that it is constantly changing. In our previous newsletter we explained that patients who do not want their personal information to be added to the national system, may opt-out by writing to the practice manager. There are now discussions underway as to whether the system should be changed to patients opting-in so that each patient has to give his or her consent before details are uploaded.

For more information about the system please visit http://www.connectingforhealth.nhs.uk/

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NHS Constitution
The Government is proposing to introduce a set of principles and values that should guide everything that is done in the NHS. It includes a commitment to providing a comprehensive service, available to all without discrimination, and based on clinical need not the ability to pay. This is what has been described as the Constitution. There is a consultation period that ends on 17 October after which the Constitution will be finalised.

Some of the main points for patients contained in the proposed Constitution are as follows:

  • Your right to drugs approved for use if recommended by your doctor, and to an explanation of all decisions made about funding your treatment
  • Your right to make choices about your NHS care and to be given the information that you need to do so
  • Your right to have your say in the planning and development of local services

You can find out more from www.dh.gov.uk/consultations obtain copies from www.orderline.dh.gov.uk by email from dh@prolog.uk.com, by ringing 0300 123 1002, or by post from PO Box 777 London SE1 6XH

Comments are invited to nhsconstitution@dh.gsi.gov.uk or by post to NHS Constitution Room 611aRichmond House79 WhitehallLondon SW1A 2NS

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Decided to give up smoking in 2008?
If you are thinking that this is the time to give up smoking we can help. We have three smoking cessation advisers who can give you information on the free support that you can have from the NHS.

Janet, Sue and Siobhan are our trained smoking cessation advisers at the surgery and they will be able to support you. Nicotine replacement therapy is also available on prescription.

So call 01295 758372 or ask at reception for more information.

You can also call 0800 169 0 169, visit http://gosmokefree.nhs.uk/ or www.smokefreeoxfordshire.nhs.uk to get unhooked.

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Accessing our Services Online
EMIS Access is a new way of ordering prescriptions, booking routine appointments with the doctor, phlebotomist (for blood samples) or the dispensary manager for reviews of the use of medicines (DRUMs). You can also let us know if you change your address or other contact details.

Click here to read more on this service.

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Beating the DRUM for patients' medicines
As part of our dispensing service we are offering a Dispensing Review of Use of
Medicines (DRUM) to some of our patients.

This review is a face-to-face meeting with Kate our dispensary manager and is an opportunity better to understand your medicines and their uses.

You may be invited in when you collect your medicines or you could make an
appointment with Kate at a time to suit you.

This is an extra service that we offer and not a replacement for seeing the
doctor or the nurse so you should still come along for your regular
appointments.

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Do you have a Hospital Appointment?
Patients who do not keep their hospital appointments and who do not call to
cancel, cost the Oxford Radcliffe Hospitals up to £1/2million or around 37,000
appointments a year.

In an effort to contain the problem, from 1 January 2007 a new policy is to be
introduced. If a patient does not attend their appointment and does not contact
the Hospital to let them know, they will be given seven days to call to arrange
another appointment. If they do not make contact within the seven days, they and their GP will be told that the patient has been removed from the waiting list.

This will not apply to cancer patients and other urgent referrals.

Maternity cases will be offered one further appointment.

There are many appointments within the surgery that are also lost because people do not let us know that they are not coming. If we do know, it allows us to offer the appointment to someone else and cuts down the time people have to wait to see the doctor or nurse.

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Childhood Immunisations
There were important changes to the childhood immunisations schedule in 2007 intended to give young children the best protection against serious, vaccine-preventable diseases.

One significant change is the introduction of a new vaccine to protect against
pneumococcal infection. All children born after 4 September 2006 will be invited
to the surgery to receive the immunisation.

Those children who are born before 4 September are being offered the
vaccinations through our 'catch-up' system.

If you would like more details on the changes or the catch-up campaign, leaflets
are available at the surgery.

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