From 1st October 2018, patients are able to book routine evening and weekend appointments with GPs, Nurses and Health Care Assistants via the Improved Access Service. This is a new service provided by the West Cambs GP Federation available to all patients in the area 7 days a week at four different sites, Acorn Surgery, Buckden Surgery, Cornerstone Surgery in March and Cromwell Place Surgery in St Ives. You can make an appointment at any of these 4 sites, and not just the one you are registered at or is nearest to home. To book an appointment, contact us on 01480 483100 and we will book this for you at your preferred site. The clinicians who will be working these evening and weekend sessions will have access to your medical record and will feedback the consultation to your own GP Practice.
At the Acorn Surgery we run Primary Care services in General Practice. We work within multidisciplinary teams (MDTs) supporting the holistic care of any patient. This includes Advanced Nurse Practitioners, Nurses, Midwives, Health Visitors, Assistant Practitioners, Healthcare Assistants, Community Opticians and Physiotherapists (via physio direct).
More than 40% of a Doctor's consulting can now be done over the telephone rather than in face to face encounters, with the shift to using different media is likely to expand in the future.
Practice Nurses have become significantly more skilled over recent years and are now providing services to patients that were previously delivered by GPs.
Training and development initiatives within the nursing profession have led to the creation of roles such as Nurse Practitioners and Independent Nurse Prescribers.
We have appointed two Advanced Nurse Practitioners to share the workload with the GP’s.
According to Pulse magazine (http://www.pulsetoday.co.uk/home/finance-and-practice-life-news/gps-have-almost-twice-the-safe-number-of-patient-contacts-a-day/20035863.article), GPs in the UK have an average of 41.5 patient contacts every day – 60% more than the number considered safe by European GPs.
At the Acorn, GP’s have on average more than 60 daily patient contacts, including face-to-face and telephone consultations, home visits and e-consultations.
Some days GPs have up to 70 patient contacts a day. A leading European GP forum has recommended no more than 25 contacts a day.
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We initially offer same day and advance booking telephone consultations with a qualified clinician. This enables us to offer the most appropriate care for our patients with the most appropriate clinician. Enabling the patient to see the clinician of their choice with some flexibility on when and where.
The clinician on duty will ring the patient back and conduct a consultation with them over the phone. If the clinician needs to see the patient, they will book a face to face appointment on the same day if necessary or at a later date as appropriate.
Telephone consulting prevents patients having to attend the surgery when they don't need to and can be much for convenient, particularly no examinations required
However, all patients are able to have a face to face appointment if they prefer and the doctor will be happy to make this during the consultation on the phone.
We work closely with our colleagues at Hinchingbrooke Hospital to ensure that NHS services and funds are used appropriately. Please only use the A&E department if you have a genuine emergency or accident which cannot be dealt with by the Acorn Surgery doctors. Unless you have a life-threatening emergency—when you should dial 999— if you need care during normal surgery hours, please contact us first and we will either see you promptly at the surgery or offer appropriate advice.
If you hurt yourself or have an injury (for example, scald, minor burn, cut, graze, sprain, bruise, bite or sting) you can be treated promptly in the surgery without the need to go to the A&E Department.
For minor ailments, you may be best treated by a Community Pharmacist who can assist with a broad range of conditions. Staff at the Acorn Pharmacy will be available to provide help, advice and treatment where necessary.
Whilst we encourage our patients to come to the Surgery, where we have the proper equipment and facilities available, we do appreciate this is not always possible. In this respect, if you do need a home visit, you can help us by calling reception before 11:00.
You may only request a home visit if you are housebound or are too ill to visit the Practice. Your GP or a clinical colleague will only visit you at home if they think that your medical condition requires it and will also decide how urgently a visit is needed. Please bear this in mind and be prepared to provide suitable details to enable us schedule house calls.
You can also be visited at home by a community nurse if you are referred by your GP. You should also be visited at home by a health visitor if you have recently had a baby or if you are newly registered and have a child under five years.
You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.
If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay). It takes 48 hours for your sickness certificate to be processed by the surgery, once it is done you can come and collect it and give it to your employer.
It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.
You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.
The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.
For more information see the DirectGov website (where this information was sourced)
We became a Training Practice in 2002. Doctors who want to become GPs continue their training with us and work in our Clinical Team as part of this training. All are qualified doctors and whilst they are with us are fully supervised by our GP Trainers. You may be offered an appointment with one of our training doctors. We regularly have medical students at the Practice, together with student nurses and occasionally pharmacy students part of their specific professional training; you may be asked if a student can sit in on your consultation and you can, of course, decline this request but we will always ensure we have your consent.
We are a 'Research Active Practice' involved in national studies and research projects and you may be asked if you wish to take part in a research study of some kind. This offers our patients the opportunity to become involved in a range of areas of research and can benefit from such involvement. You are completely at liberty to decline any request to take part in a research trial and your full consent will always be obtained before being included in a study.
Patients who require non-emergency transport to appointments should contact the East of England Ambulance Service who have been commissioned to provide this service. The number to contact is 0845 603 8117
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