Noticeboard

PHONE CALLS may be recorded for your protection.

Sickness Certificates

The first 7 days of sickness do not require a certificate from your GP. If your employer insists on a sickness form, complete a Self-Certification form, which can be found here

Please ask staff to issue the usual sick notes, NOT the GP's.

Sick Notes do NOT need to be SIGNED. We will text them to you. You can print them or email them to your employer.

Keep Your Details up to Date
Please do update your contact details ("Your Contact Details" box at the bottom of screen) with home & mobile & email. You will receive appointment reminders and occasional requests for information by text.

 

Primary Care Networks

GP practices are working together with community, mental health, social care, pharmacy, hospital and voluntary services in their local areas in groups of practices known as primary care networks (PCNs). To find out more, click here and here. So far, being part of the PCN has allowed us to to have an in-house pharmacist, social prescriber, health coach and physiotherapist!

 

 

Dr.DITRI updates

 

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annual leave : back on Mon 15Aug

The website has become a little cluttered with all the new information this year, and things are constantly changing. But if you compare with other local practices, you will find much more detailed advice here. We don't have the manpower and skills and budgets of large advertising firms! It's mostly myself who adds information. 
so I've been given my own page to update my own patients. The views of the other GP's aren't always the same as my own & we work in different ways.

Doctors don't cure patients: they give them medical advice so that patients can make their own informed decisions & take responsibility for those decisions. I always respect patients decisions even if i think it's unwise, as long as they've listened & are willing to review that decision.

Up to date mobile numbers & emails. I will often text, as it's quicker & provides a written reminder of my advice.
For older patients, if they don't text, i'll also need the mobile number of a smartphone of an adult child next of kin, and consent to send them personal medical information, because i'll text internet links and letters.
When things go wrong, it's generally down to poor communication, or patients forgetting  even if they've understood.
Also, I'll send brief questionnaires about social situation/carers, next of kin, which will be invaluable in helping me help older patients.

On the medical record, there is a Summary, so that I can see your important medical conditions at a glance:  in the very short time we have, a good summary may make the difference between life & death when helping you make important decisions about your health, under time pressure. You can imagine that for most patients there are pages and pages of consultations & hundreds of hospital letters, so a good Summary is essential.

PANDEMIC CONSULTING

Demand is very high: GP's are getting 40-50 calls per day. There simply isn't the time to consult as we used to. We are coping by trying to be as efficient as possible. We ring you according to how urgent we feel the reason you gave the staff. Receptionists will often pass your query to our nursing team or in-house experienced pharmacist. 

I will often start by texting to get more information: some things can be dealt with by texting. If you're unable to text back or prefer talking, just ring reception back, and i'll try ringing later  when i get some time.

Sometimes, VIDEO consultations are very helpful. Lots of examinations can be achieved by instructing you and your partner on video. Some patients don't seem to be able to manage the official video method, and will be happy to accept the small risk of WhatsApp.
If an examination is necessary, i'll arrange a visit to the surgery, making sure there's not more than 2 people in the waiting room. Timing in surgery is essential, so if we don't have time to finish talking,  we can do so later by telephone.

Examinations: i prefer to examine, it gives a much better assessment. But it's balancing the risk of spreading covid to you, from you to other patients and to myself! I already caught Covid in March from a patient, and was ill enough to have to go to hospital! I'll have mask, visor, apron (gloves if you prefer), door open, fan on. 

I've trained & educated my patients over 25years to take some responsibility for their health. They should have a thermometer, Blood pressure machine & Pulse Oximeter (if on BP meds or over 65). I can't do everything for you! I expect you to manage your long term conditions, with written care plans, and take responsibility for timing of monitoring blood tests. I give advice, and your responsible for following it, or making an informed decision to choose not to. An informed decision it not based on misinformation gathered on facebook.

APPOINTMENTS
I have to fit in with the rest of the practice. There are a limited number of telephone appointment slots & they get booked up quite quickly. There are many more online slots.
But i will, if i get a chance, text triage patients who've been given appointments several days ahead.
And many patients do send me messages using the Contact Form on www.chesser.biz
Those patients emailing my nhs.net address, do be aware that most of it unfortunately is programmed to go to Junk, or even deleted before it gets to my mail box.

REALISTIC EXPECTATIONS of Patients

this is a communication from our Medical Union:
"We are concerned that inappropriate expectations of general practice from the public, stirred up by negative media messaging,
is being fuelled by the oft-repeated "Business As Usual" mantra,
and the focus on the need to return to economic normality sooner rather than later.
The resulting conflict and disconnection from the realities of the pandemic is undermining confidence and trust amongst some patients,
and morale and resilience amongst some practitioners"

What you can reasonably expect from me, during these difficult times:

1-Immediate access. Where some surgeries are offering 2week tel appointments

2-Efficiency: it's the only way I can deal with such a large demand in a timely manner.
 This means we need to communicate quickly & thoroughly, and I need you to take more responsibility for looking things up & for changing your health. I don't provide cures,  just medical advice. Which you can choose to take or leave.
Instant access means that not everything needs to be sorted in the few minutes we have: we can try things & speak the next day.

3- Disinterest if moan about how long everything is taking at the hospital. I can do nothing about it, and your transferring your negative baggage to me only wears me down and affects other patients too. I can understand that you're all frustrated. I am too. But any drama, and I'm obliged to cut the consultation short so that you can speak to me the next day.  I'm literally doing 12hour days, which can be evidenced, at high speed  & every minute counts.

Some patients get very upset & complain when the doctor has a different point of view to them. Maybe they are the sort of patients who jump up and down in M&S for a refund, and no one tells them that this is wrong, which just reinforces their childish behaviour.
I'm human: for me to remain interested & compassionate in your health, there needs to be professional respect from both sides.
If I rush you during our precious few minutes, it's because I also have the responsibility & Duty of Care to help other patients.

Ultimately, the GP's have different consulting styles & if you wish to try one of my learned colleagues, it's no problem. What's most important is that you remain healthy, and secondly that you're 'satisfied'.

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COMMON CONDITIONS
please scroll down to the specific Number that I've directed you to.
Note: if the advice isn't working, or making things worse, please ring me!

1    MUSCLE & SKELETON

if we suspect a muscle or ligament problem, there are a few websites with information on how to cure it with self physio. You may not remember spraining it, or it might be an overuse injury (Repetitive Strain). Basically the treatment is:

Rest that part of the body & ice/heat pack.
Take a 2week course of anti inflammatory tablets
Take Analgesic PainKillers only when you need them
Do specific exercises to rehab that particular muscle/tendon/ligament
Only very occasionally do you need to self refer to Musculoskeletal Clinic for consideration of injection or operation (which may have complications!)

Physio  



 
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