NORTHIAM AND BROAD OAK SURGERIES
ANNUAL REPORT
1.4.13 - 31.3.14INDEX
Page
Introduction 3
Doctors’ details - Dr P M James 4
- Dr R Albardiaz 5
- Dr S Parnell 6
- Dr L P Waters 7
Practice staff 8
Premises 13
Practice Profile 14
Morbidity and Mortality 15
Patient contact 16
Consultation Rates 17
Minor operations 18
Histology Specimens 19
Practice meetings 20
Achievements 2013-2014 22
Plans and Targets 2014-15 23
Patient Participation Group Report 2014 24
Conclusion 27
Introduction
The annual report is prepared each year incorporating data which used to be required by the Primary Care Trust and information we feel is useful to report. Last year’s figures appear in brackets. Thanks go to everyone who helped prepare the report and a special thanks to Sheila Winton for collating all the data.
This year the practice list size has grown with an increase of 50 patients mostly in the 65-74 year age group. In keeping with national trends we have also had a 9% increase in births from 35 to 41, while the number of deaths remains stable at 70.
Consultations rates have increased and total patient contacts are up nearly 500 compared to last year. In particular telephone rates have increased 870 from 2676 to 3546. The practice aims to see patients who request to be seen on the same day. Use of the telephone allows patient queries to be addressed on the same day and improves communication with relatives and other agencies.
We continued to carry out minor operations and corticosteroid injections. Two basal cell carcinomas were identified and referred on. The number of patients receiving cryotherapy treatment for sun damage had increased. We are very grateful to the Patient Participation Group (PPG) for purchasing a new cylinder for liquid nitrogen, allowing us to continue this service locally for our patients.
We scored well in the QOF gaining 890 out of 900 available points and are pleased to be offering new services this year. We can now carry out point of care testing for deep vein thromboses, dermatoscope analysis of skin lesions and have started vaccinating against shingles in specified age groups.
We always strive to provide an excellent service for our patients and have worked closely with the PPG, reflecting on the results of the patient survey. We value our excellent team of staff and have introduced a start of the day meeting to maintain a good working environment. This year we said good bye to our receptionist, Anne Dalleywater, one of our longest serving staff members after 25 years.
In the coming year we will continue to prepare for our Care Quality Commission inspection and aim to expand the services available to patients including cardiac event monitors, contraceptive implant insertion and on site memory assessment,
DOCTOR’S DETAILS
Name: Philip Margrave James
Age: 52
Qualifications: MBBS, MRCGP
Years in General Practice: 24 years
Clinical Interests: Elderly care
Minor surgery and joint injections
Therapeutics
Cardiology
Appointments held: School Medical Officer at Frewen College
G.P. Trainer
EDUCATION
Cardiology Update ½ day
Diabetic Update ½ day
Trainers Workshop 1 day
Palliative Care 1 day
GP update Course 1 day
Sexual Health 1 day
Safe guarding children training ½ day
PRACTICE PROJECTS
Training
Management of dispensary
Management of IT
Staff Management
Patient Participation Group
DOCTOR’S DETAILS
Name Richard Albardiaz
Age 37
Qualifications MA, MB BChir, DRCOG, MRCGP,
PG Cert Business Admin, PG Dip in Medical Education
Diploma in Development Management
Years in General Practice 9 years
Clinical Interests Holistic General Practice
Medical Education
EDUCATION
Diabetes ½ day
Cardiology ½ day
Respiratory update ½ day
Safe guarding children training ½ day
E-learning modules Variety of learning modules done throughout the year
PRACTICE PROJECTS
CQC lead
Child protection lead
Practice based commissioning
APOINTMENTS HELD / ACHIEVMENTS
LMC member
I was pleased to have a letter published in Education for Primary Care, Humanism and linguistic skills.
I enjoyed being involved in this with the television programme ‘Health freaks’ and even had five seconds of fame!
DOCTOR’S DETAILS
Name: Sally Parnell
Age: 35
Qualifications: MA BM BCh MRCP DRCOG MRCGP
DFSRH
Years in General Practice: 7 years
Joined Northiam surgery October 2010
Clinical interests: Holistic General Practice
ENT
Minor Surgery
EDUCATION
Respiratory update ½ day
Cardiology update ½ day
Basic life support 1 hour
Primary Care Forum Updates ½ day
Diabetes Update ½ day
Safe guarding children training ½ day
Contraceptive implant Training 4 hours
PRACTICE PROJECTS
Compilation of Annual Report
Clinical Commissioning Group lead
Prescribing lead
Achievements
Introduction of contraceptive implant service
DOCTOR’S DETAILS
Name: Lelly Penrose Waters
Age: 52
Qualifications: MBBS
Years in General Practice: 23 years
Joined Northiam Surgery in November 2003
Clinical Interests: Family medicine
Minor surgery
Dermatology
EDUCATION
Cardiology Update ½ day
Diabetes Update ½ day
GP Refresher Course 2 day
Dermatoscope Training ½ day
Ophthalmology workshop 1 day
Child protection update 4 hours
Prostate Cancer Update 1 day
PRACTICE STAFF (as at 31.3.2013)
Name: Mrs Jayne Avann
Title: Dispenser/Receptionist
Hours worked: 40.25
Length of service: 14 years
Qualifications: Customer Services Manager – Nationwide Building Society
Training: In-house training (Reception and Dispensing)
Medical Terminology
BTEC Diploma in Dispensing
Computer Networking & Troubleshooting
Name: Mrs Bobbie Boud
Title: Phlebotomist/Healthcare Assistant
Hours worked: 9
Length of service: 14 years
Qualifications: Venepuncture training
NVQ in Care – Level 3
Name: Angela Carter
Title: Medical Secretary/Receptionist
Hours worked: 22
Length of service: 2 years
Qualifications: Previous secretarial & administrative roles in general practice & Hospitals
Information Governance training
Name: Mrs Helen Clarkson
Title: Dispensary Assistant
Hours worked: 28
Length of service: 7.5 years
Training: In-house training in Dispensary procedures
Repeat Prescribing Module – Buttercups Training
Name: Mrs Christine Cooper
Title: Dispenser
Hours worked: 22
Length of service: 3 years
Qualifications: HNC in Business Studies
Training: In-house training
NVQ Level 2 Dispensing Diploma
Name: Mrs Linda Cox
Title: Practice Manager
Hours worked: 39
Length of service: 32 years
Qualifications: M.A.
AMSPAR Diploma in Practice Management
RSA III Typing RSA II Shorthand
LCC Commercial French & German
Training: First Line Management Course
PMD Course
Communication Skills
Excel Spreadsheet/Word training
Computer Networking & Troubleshooting
Name: Mrs Anne Dalleywater
Title: Receptionist
Hours worked: 16.75
Length of service: 25 years – retired March 2014
Qualifications: RSA Typing
Training: PRP I/PRP II
Practice Computer Training
Reception Skills
Name: Mrs Anita Davie
Title: Receptionist/Dispenser
Hours worked: 20.75
Length of service: 9 years
Qualifications: NVQ in Child Care
RSA Secretarial Diploma
Training: In-house training in Reception work and Dispensing
B-Tec Dispensing Diploma
Name: Jane Halliday
Title: Dispensary Assistant
Hours worked: 21
Length of service: 4 years
Qualifications: Previous GP surgery experience
Training: In-house dispensary training
Name: Flic Hayward
Title: Dispenser
Hours worked: 14
Length of service: 6 years
Qualifications: RSA Typing and shorthand
IPD Training & Development Award in Supervisory Management
Assessor Awards
Customer Care
Health & Safety in the workplace
Training: NVQ Level 2 in Pharmacy Services
Name: Emily Heard
Title: Dispensary Assistant
Hours worked: 28
Length of service: 4 years
Qualifications: Secretarial training
NVQ – Level 2 Dispensing Doctors Assistant course
Training: In-house dispensary/reception training
Name: Mrs Aimee Howell
Title: Healthcare Assistant
Hours worked: 12
Length of service: 9 months
Qualifications: NVQ Level 2 and NVQ Level 3 in
Health & Social Care
Phlebotomy
Training: ECG
Spirometry
NHS Health checks
Name: Mrs Jenny Ilsley
Title: Receptionist
Hours worked: 30.5
Length of service: 7 years
Qualifications: B.A.
Basic Information Technology Skills
Previous experience in customer services
Training: In-house Reception training
Name: Mrs Paula Johnson
Title: Healthcare Assistant
Hours worked: 12
Length of service: 5 years – retired December 2013
Qualifications: Community Nursing Auxiliary B Grade
Training: In-house training in phlebotomy, ECGs, audiometry
NVQ Level 3 Healthcare
Name: Mrs Molly Leggo
Title: Receptionist
Hours worked: 15
Length of service: Started April 2014
Qualifications: Previous Receptionist training
Training: Medical Terminology
In-house training
Name: Mrs Liz McNaughton
Title: Receptionist
Hours worked: 14
Length of service: 3.5 years
Training: In-house Receptionist training
Reception Procedures
Name: Mrs Jan Morris
Title: Dispenser/Dispensary Manager
Hours worked: 30
Length of service: 34 years
Qualifications: Dispensing Diploma
Training: PRP II
BTEC Dispensing Diploma
Communication Skills
Name: Mrs Michelle Murrell
Title: Healthcare Assistant
Hours worked: 12
Length of service: 3 months
Qualifications: Phlebotomy training
NHS Health checks
Training: ECG
Suture removal
INR testing
In-house training for Spirometry
Name: Mrs Gay Quearney
Title: Practice Nurse
Hours worked: 27
Length of service: 15 years
Qualifications: SRN
Training: Practice Nurse Induction Course
Cervical Smear Course
Travel Medicine Course
Practice Nursing update courses
Name: Mrs Anita Robins
Title: Dispensary Assistant
Hours worked : 21.5
Length of service: Started 3rd March 2014
Qualifications: NVQ Level 2 in Health & Social Care for the Elderly
Training: In-house dispensary training
Medical Terminology
Name: Mrs Joanna Rowe
Title: Receptionist/Dispenser
Hours worked: 20.75
Length of service: 9 years
Training: In-house training in Reception work and Dispensing
NVQ – Level 2 Dispensing Doctors Assistant course
Name: Cedric Utley
Title: Clinical IT Manager
Hours worked: 10
Length of service: 9 years
Qualifications: Finance & Administration Manager
Training: In-house training in medical computing
Name: Karen Wall
Title: Dispensary Assistant
Hours worked: 20.5
Length of service: 3 years – resigned January 2014
Qualifications: Previous office experience
Training: In-house dispensary/reception training
NVQ – Level 2 Dispensing Doctors Assistant course
Name: Mrs Sheila Winton
Title: Clinical Manager
Hours worked: 18.25
Length of service: 17 years
Qualifications: Basic Book-keeping AAT Foundation
Training: Receptionist in-house training
Medical Terminology
Computer networking and troubleshooting
Name: Mrs Dawn Young
Title: Practice Nurse
Hours worked: 27
Length of service: 4 years
Qualifications: Registered Nurse
Registered Midwife
Training: Travel Medicine
Diabetes
Cervical Cytology
Basic Life Support
Regular Practice Nursing updates
PREMISES
Address: The Surgery, Main Street, Northiam
Facilities: 4 Consulting rooms
1 Treatment room
1 Diagnostic room
1 Healthcare Assistant’s room
1 Dispensary
1 Dispensary Reception
1 Reception area
1 Practice Manager’s room
1 Waiting room
1 Common room
1 Attached staff room
1 First floor office area
Branch: The Surgery, Reedswood Road, Broad Oak.
Facilities: 2 Consulting rooms
1 Treatment room
1 Dispensary
1 Administration area
1 Waiting room
12
PRACTICE PROFILE
We are a rural Practice with surgeries in Northiam and Broad Oak. The breakdown of our Practice list on 31.3.14 was as follows:-
Northiam
Total No. Under
Registered 5 5 – 64 65 – 74 75+
Dr P James 1944 (1983) 56 ( 67) 1277 (1311) 334 (328) 277 (277)
Dr S Parnell 1973 (1875) 89 ( 75) 1299 (1249) 319 (289) 266 (262)
Dr L Waters 723 ( 750) 20 ( 26) 514 ( 535) 123 (124) 66 ( 65)
Total Northiam 4640 (4608) 165 (168) 3090 (3095) 776 (741) 609 (604)
Broad Oak
Total No. Under
Registered 5 5 – 64 65 – 74 75+
Dr R Albardiaz 1348 (1325) 52 ( 37) 859 ( 848) 268 (266) 169 (174)
TOTAL OF
PRACTICE: 5988 (5933) 217 (205) 3949 (3943) 1044 (1007) 778 (778)
General Practice Statistics
% of people over 65 30.4% (30% )
% of children under 5 years 3.6% ( 3.4% )
Number of births 41 ( 35 )
Number of deaths 70 ( 73 )
Number of temporary residents 225 ( 257 )
Eligible women 25-64 who have had a
cervical smear in last 5 years 93.7% (94%)
Children under 7 with up-to-date
immunisations
Children 1 – 2 Primary course 93% ( 98%)
Children Primary MMR 90% ( 92%)
Children 4 - 5 Pre-school booster 98% ( 90%)
Last year’s figures in brackets
MORBIDITY AND MORTALITY
Morbidity
We keep a number of computerised disease registers at the practice in order to help us with audit. The largest ones as at 31.3.14 are:
Numbers % of practice
list
Hypertension 871 (918) 14.5 (15.5)
Cancers 204 (193) 3.4 ( 3.2)
Asthma 472 (465) 7.9 ( 7.8)
Ischaemic Heart Disease 262 (260) 4.4 ( 4.4)
Diabetes mellitus 301 (290) 5.0 ( 4.9)
Anti-coagulant patients 184 (183) 3.1 ( 3.1)
Mortality
We also put the cause of death for all practice patients who die:
Cancers 17 (30)
Pneumonia 10 (10)
Ischaemic Heart Disease 9 ( 5)
Heart failure 3 ( 5)
Old age 3 ( 4)
Cerebro-vascular accident 7 ( 2)
Pulmonary embolus 1 ( -)
Infection 1 ( 2)
Dementia 2 ( 1)
Liver Disease - ( 1)
Other causes 5 ( 6)
Aneurysm - ( 1)
Renal Failure 3 ( -)
Myocardial Infarction 2 ( 2)
Intracerebral Haemorrhage - ( 1)
COPD 1 ( 3)
Sepsis 3 ( -)
Ischaemic Bowel 1 ( -)
Pulmonary Fibrosis 2 ( -)
Total 70 (73)
Last year’s figures in brackets
PATIENT CONTACT
All the practice consultation figures are now entered on the computer.
Turnover Rate of Patients
Patients who
New Patients have left Turnover Rate
Dr P M James 123 (122) 166 (164) 4.8% (4.8%)
Dr S Parnell 229 (249) 127 (125) 5.9% (6.3%)
Dr R Albardiaz 142 (132) 116 (112) 4.3% (4.1%)
Dr L Waters 31 ( 14) 61 ( 64) 1.5% (1.3%)
Practice total 525 (517) 470 (465) 16.6% (16.5%)
Consultation rates: No. of patient consultations/No. of patients on list
Dr James 3.26 (3.1)
Dr Parnell 3.75 (1.4)
Dr Albardiaz 3.35 (3.4)
Dr Waters 3.96 (3.7)
Practice Nurse Consultation rates: No. of patient contacts/No. of patients on list
Practice Nurse &
Phlebotomist/Healthcare Assistant 1.95 (2.0)
CONSULTATION RATES
Annual Total 2013/2014
Dr James / Dr Parnell / Dr Albardiaz / Dr Waters / GP Registrar / GP Registrar / GP RegistrarSurgery / 5366 (5295) / 5749 (2100) / 3875 (4010) / 2470 (2508) / 2015 (2344) / 3913 (3537) / 3537 (2737)
Visits / 130 (110) / 233 (100) / 105 (119) / 45 (53) / 50 ( 34) / 53 ( 37) / 37 (39)
Telephone / 845 (787) / 1435 ( 472) / 540 (402) / 353 ( 251) / 149 (253) / 330 (267) / 267 (142)
Locum Practice Phlebotomist/ Nurse HealthcareAssistant
Surgery 1609 (5117) 6350 (6941) 5304 (4880)
Visits 54 ( 139)
Telephone 224 (511) 66 (64)
Annual Total 2013/2014
All Doctors Practice Nurse/Phlebotomist/Healthcare Assistant