BOUNDARIES SURGERY

Named GP

From 1 April 2015, practices are required under the contract to allocate a named, accountable GP to all patients (including children). Currently patients aged 75 or over are notified of their named GP by the practice. Any patient under the age of 75 are invited to contact the practice if they would like to know who their named accountable GP is.

Dispensing

This is a dispensing practice. Patients living more than a mile from a pharmacy can obtain their medicines direct from the surgery.

This excludes most patients living in Four Marks, Alton and Alresford.

Private prescriptions.

When a patient is seen by a private specialist they will often be given a private prescription so they can start a new medication immediately. We would ask that patients have these dispensed at the hospital or clinic where they have been seen, or take the script directly to a local chemist. You will be charged for the medication costs on a private prescription.

We do not reissue private prescriptions as NHS prescriptions but it will usually be possible for us to issue ongoing prescriptions if they are required on a repeat basis.

Home Visits

Your doctor is happy to visit patients at home if their illness is such as to reasonably prevent them from attending the surgery. However, there are better facilities at the surgery for examination and treatment. Most ill patients, particularly children, can travel to the surgery without any harm.

The district nurses will visit if there are blood tests, dressings or other nursing care required for patients who are house bound. The surgery will arrange a district nurse visit if this is appropriate.

Telephone Appointments

If you have a telephone appointment with a Doctor please ensure that you will be available at the number you provide and note that when the Doctor calls the number will be withheld. Our Doctors endeavour to call you back as soon as possible. Please note if you are unavailable when the doctor calls and unless you have given consent to leave a message on the number you have provided a voicemail message will not be left.

Repeat Prescriptions

If you are on regular treatment, the doctor will give you a repeat prescription form. Please allow two full working days (5 full working days for an Alton pharmacy) to allow for your prescription to be written and checked and dispensed. Items that we dispense which need to be specially ordered may take a few days.

We accept written requests for repeat prescriptions, preferably using the order form issued with your prescription. We also take requests over the internet using our appointments online service. Please note that we are unable to take telephone requests for repeat prescriptions as the volume of calls relating to prescriptions can make it difficult for patients trying to get through to make appointments or needing medical advice. If any individuals have difficulties with finding a suitable method of ordering, please contact Kevin Evans the Practice Manager.

The doctor will need to see you at intervals to review your medical condition. This is indicated by the date on your repeat prescription order slip - please make an appointment for review before this date. Thank you.

It is our usual practice to issue prescriptions for a one month supply of medication. In special circumstances where you require a different amount than usual, please let us know why so we can issue extra prescriptions (e.g. an extra month to cover a holiday).

If you want your prescription to be sent to a particular pharmacy, please mark this on the repeat request form.

Travel Vaccinations

If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required.

It is important to make this initial appointment as early as possible - at least 8 weeks before you travel - as subsequent appointments may be required with the practice nurse to actually receive the vaccinations.  

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 this form and email to NHCCG.BoundariesSurgery@nhs.net.

Campaign on Sepsis

In August, the UK Sepsis Trust produced this leaflet, promoting a life-saving awareness campaign on Sepsis.

Questions about the Meningitis B vaccination

The two most common questions we are asked in the practice are:

  • Why is the NHS only providing the Meningitis B (MenB) vaccination for babies?
  • Can I pay privately to have my older children vaccinated against Meningitis B?

The short answers are:

  • Babies are at the greatest risk from this devastating disease
  • GP surgeries are not permitted to offer the vaccination privately to patients who are not eligible. There are private clinics offering vaccination for children outside of the eligible age group, but there is currently a shortage of vaccine and whilst supplies for the NHS programme are assured, the vaccine manufacturer has advised private clinics to avoid starting new courses of vaccine.

The detail behind these answers comes from NHS England, the organisation Meningitis Now that is campaining for a more comprehensive vaccination programme, and from Glaxo Smith Kline, the manufacturer of the Meningitis B vaccine.

General background

Since September 2015, the NHS programme in England has offered babies aged from two to nine months the MenB vaccine as part of their routine vaccination programme. Whilst not diminishing the serious nature of meningitis, it should be noted that there are a number of different strains and for some there is already a comprehensive vaccination programme. When the nationwide MenB vaccination programme was introduced last year, England became the first country to protect babies from this devastating disease.

Why only babies?

When any new immunisation programme is introduced, there has to be a date to determine eligibility. This decision based is on the best independent clinical recommendation to ensure those most at risk are protected. The Department of Health is advised on immunisation matters, including the effectiveness and cost-effectiveness of new vaccines by the independent expert body, the Joint Committee on Vaccination and Immunisation (JCVI) The JCVI advised that the Meningococcal B vaccination programme should aim to protect infants before they reach five months of age because this is when the risk is greatest. The vaccine is first offered to children from 2 months of age. The Department of Health says: "When any new immunisation programme is introduced, there has to be a cut-off date to determine eligibility. We recognise that families with children outside the eligible age groups will be naturally disappointed, but there is no other way of realistically starting new programmes. At the same time, the number of children vaccinated will continue to increase as the programme grows and by next year, one year olds and many two year olds will also be protected by the vaccine."

Can parents or guardians whose children don't fall into the eligible age groups get their child vaccinated against MenB? If so, how?

The Department of Health comments: "We realise that parents are very likely to approach practices requesting private administration of the MenB vaccine. It should be noted that GPs cannot administer vaccines on a private basis to patients on their own practice lists. Children can be vaccinated through a private clinic that is able to obtain the vaccine from the manufacturer. However, parents or guardians should be aware that they will be responsible for the full cost of the vaccine. It is not appropriate for NHS England to advise of or signpost to any private suppliers of these vaccines as these suppliers act outside of the NHS and we cannot therefore assure that they are following the required standards for the safe storage, supply and administration of these medicines. There is also currently a shortage of supply of the MenB vaccine, and although this does not affect supply to the national vaccination programme, it may affect access to private supplies."

GlaxoSmithKline, manufacturer of the MenB vaccine, Bexsero, has issued the following statement:

"Due to unexpected global demand for Bexsero during 2015, we are experiencing supply constraints during the first half of this year. Although vaccination through the NHS childhood programme has been prioritised and is unaffected, we have unfortunately had to ask private clinics temporarily to not start new courses of vaccination. Children who have already started their course of the vaccine privately should still be able receive their follow up doses. We know the unexpectedly high demand for the vaccine reflects the importance parents have placed on protecting their children from meningitis B. We hope to have improving supply from summer 2016 and we are working hard to increase capacity in 2017."

Sue Davie, CEO, Meningitis Now, commented:

"We are aware of the supply constraints of Bexsero in some private clinics, but are satisfied that this will not affect the NHS immunisation schedule. We are however concerned that those wishing to pay for the vaccine may not have access to it at this time and hope that this issue can be resolved quickly."

Details of the current vaccination programme

MenB immunisation was introduced from 1 September for those babies who are due to receive their primary immunisations starting at 2 months of age on or after 1 September 2015 (ie those born on or after 1 July 2015), with a one-off catch-up programme for those infants born from 1 May 2015 to 30 June 2015. Children who are now aged up to 9 months should have been offered the vaccine.

Care Quality Commission Report

Our recent CQC report can be found here.

Average Pay for GPs

All GP practices are required to declare the mean earnings (e.g. average pay) for GPs working to deliver NHS services to patients at each practice. The average pay for GPs working in Boundaries Surgery in the last financial year was £56,662 before tax and National Insurance. This is for 1 full time GP, 2 part time GPs and 1 locum GP who worked in the practice for more than six months. However, it should be noted that the prescribed method of calculating earnings is potentially misleading because it takes no account of how much time doctors spend working in the practice and should not be used for any judgement about GP earnings, nor to make any comparisons with other practices.