complete-registration-pack-with-new-footers-jan-2021_2

 My Health Online Registration – This will allow you to order repeat  Practice Leaflet – An introduction to our practice.. When returning the completed forms to reception, please arran

Dear New Patient,

Please find enclosed everything you should need for registering at our practice

 Registration Form – You MUST have your NHS number to enable us to registeryou

 My Health Online Registration – This will allow you to order repeat

 Practice Leaflet – An introduction to our practice This should tell you

everything you need to know about our practice

When returning the completed forms to reception, please arrange a New Patient

appointment with the Health Care Assistant If you are on repeat medication you MUST

provide a patient summary for us to add your medication

Please note: We ask all new patients to supply a patient summary from your previous surgery detailing medication, allergies & past medical history We kindly ask that you are supplied with 1 months supply of your medication from your previous surgery before

registering

Many Thanks

Acceptable Identification Documents for Registration at the Practice

Please provide two forms of ID one with your name and one showing your permanent address Please provide a copy of your repeat medication

 Current signed full passport

 Current UK driving licence

 Blue disabled drivers pass

 Current benefits or State Pension

notification letter confirming rights to

benefits for the current period

 Current HMRC tax notification eg

PAYE coding, statement of account

(P45’s & P60’s are not official HMRC

documents)

 Shotgun or Firearms Certificate

 Travel documents issued to foreign

nationals granted permission to

remain in the UK

 Current EU/EEA driving licence

 Residence permit issued by the Home

Office to EU nationals

 EU/EEA member state identity card

 Recent utility bill

 Local Authority tax bill for current year

 Credit/Store card statement (but if

produced/ printed from internet requires letter from account manager

If you are unable to provide any of the above documents please speak to a member of the

reception team who will be able to discuss alternative documents.

New Patient Registration

To ensure the process of registering with us goes as smoothly as possible, could we please ask that you get

at least 1 month’s supply of your repeat medication & a patient leavers report from your current surgery

A patient leavers report MUST be provided as part of the registration process This can either be handed in

with your registration form or emailed to Natasha.Dimonaco@wales.nhs.uk

It is your right under the access to records to request this information, but if your current surgery requireswritten confirmation from us before they can release this information, please ask them to email

Natasha.Dimonaco@wales.nhs.uk

Please complete the below to inform us how you have provided the patient leavers report & return this

with your registration forms

Many thanks

Name:………Handed in with registration forms

Emailed by current surgery

Current surgery Email address:………

Staff use only

Received by:………Date:………

Tywyn Health Centre Request for a My Health Online Account

My Health Online is a new online service for repeat prescription ordering, brought to you from NHSWales My Health Online offers patients the convenience of ordering repeat prescriptions using theinternet If you wish to register to use My Health Online please fill in the boxes below You maysend the completed form back to us by email, post, or drop into the Health Centre To protectpatient confidentiality when you next visit us please provide identification, preferably photo ID (e.g.driving licence or passport) You will only have to do this once

Please Note: Each patient will need a different email address You cannot use the same email address as your partner or another member of your family.

Request for a My Health Online Account

Please set up a My Health Online Account and issue me with a letter containing my account

The following checks should be completed before a patient can receive access to My Health Online.

1 Patient’s identity verified by document

Details of documents checked and added to the GP system

………

2 Patient’s name and date of birth checked on this form and updated on the clinical system (if necessary)

3 Registration process and next steps to registration explained

4 Patient Guide and Frequently Asked Questions provided to patient

5 Advise patients to register their online account over the next 24 – 48 hours

NEW PATIENT HEALTH QUESTIONNAIRE

To the patient

Please complete this questionnaire as fully as possible This information will help the nurse to make an initial assessment of your health which will help in your future treatment. Have you been registered with the practice before?

NAME: DATE OF BIRTH

ADDRESS:

HOME TELEPHONE NO:

MOBILE PHONE:

OCCUPATION:

PREFERED LANGUAGE :

ARMY VETERAN :

Tetanus jab in the last 10 years ? Yes / No Have you had any major operation?

Are you on repeat medication? Yes / No MEDICATION – If you are on any repeat medication please ensure you provide us with a patient summary ALLERGIES Please list any allergies:

SMOKING Do you smoke? Yes / No If yes, how many per day?

If you smoke, how old were you when you started?

EX SMOKERS If you used to smoke, how old were you when you stopped?

If you used to smoke, how many did you smoke per day?

PASSIVE SMOKING Are you exposed to smoke at work? Yes / No At home? Yes / No ALCOHOL How many units of alcohol do you drink each week?

(1 unit = half a pint of beer, 1 glass of wine, or a pub measure of spirits) DIET Do you have a special diet? Yes / No If so, please detail

EXERCISE How many minutes do you exercise for at a time?

How many times per week?

FAMILY HISTORY Do you have or is there any of the following in your family (father, mother, brother, sister) before the age of 65? Heart disease (heart attacks, angina) Yes / No Which family member

Stroke? Yes / No Which family member

Cancer? Yes / No Which family member

Site of cancer

Asthma? Yes / No Which family member

Diabetes? Yes / No Which family member

High BP? Yes / No Which family member

Glaucoma? Yes / No Which family member

Other? Yes / No Which family member

CARERS Are you a carer? (Are you responsible for the care of another person?) Yes / No If yes please give details

PATIENTS WITH DISABILITIES

Do you have any disabilities?

If you need help when accessing the building please let us know before your arrival and we will assist in anyway we can

Nurse only

BP Height

Weight

Date:

PATIENT ETHNIC ORIGIN QUESTIONNIARE

This questionnaire follows the recommendations of the Commission for Racial Equality and complies with the Race Relations Act

Please indicate your ethnic origin This is not compulsory, but may help with your healthcare, as some health problems are more common in specific communities, and knowing your origins may help with the early identification of some of these conditions

Choose ONE section from A to E, and then tick one box to indicate your background

Name: Date of birth:

A White

BritishIrishAny other white background please write below:

White and black CaribbeanWhite and Black AfricanWhite and Asian

Any other Mixed background please write below:

C Asian or Asian British

IndianPakistaniBangladeshi Any other Asian background please write below:

D Black or Black British

CaribbeanAfricanAny other white background please write below:

E Chinese or other ethnic group

Chinese Any other please write below:

Patient Rights and Responsibilities Undertaking

The Practice and its employees owe to me as a patient a

duty of care and will aim at all times to provide services

to meet my needs for primary healthcare and treatment.

The Practice and its employees aim to provide health

services that are sympathetic and responsive to my

individual needs within the resources that are available.

The Practice and its employees want to deliver

appropriate and effective health care and treatment to

me.

The Practice expects all its employees to treat me with

courtesy and respect.

The practice will only restrict or withdraw my rights to

care in exceptional circumstances when I have failed to

comply with any of my responsibilities in a manner, which

is deemed unacceptable.

Please note that patients are seen by appointment only;

further information is contained in the practice leaflet.

I will treat NHS staff, fellow patients, carers and visitors politely and with respect at all times.

I will not consume alcohol, smoke or take any form of prescribed medication or drugs whilst on the surgery premises.

non-I accept and understand that the practice is obliged to provide a safe and secure environment for its staff and to care for their health and safety

I understand that if I display any aggressive, threatening or violent behaviour towards any member of staff employed at this surgery or put any of the staff or members of public in fear of their own safety, I will be removed from the practice list with the matter referred to the police.

I understand that I need to engage with services I am referred to by the Practice and, if I am unable to engage, I will contact the Practice

in advance to let them know.

Dr M Flannery & Dr T Windsor-Lewis

Health Centre Opening Times

Monday – Friday08:00 to 18:30Please be aware from 12:30 – 13:45pm a telephone message is left giving details of how to get hold of a Doctor or Receptionist, urgent enquiries

Clinic Times

Monday – 08:30 to 11.10 and 15.00 to 17.10Tuesday – 08:30 to 11.10 and 15.00 to 17.10Wednesday – 08:30 to 11.10 and 15.00 to 17.10 Thursday – 08.30 to 11.10 and 15.00 to 17.10Friday – 08:30 to 11.10 and 15.00 to 17.10

There is on only one doctor on call on a Wednesday afternoon These appointments are strictly for

Dr M Flannery BA (Hons) 1983; BMBCh (Oxford 1986) MRCGP, DFSRH trained at the

University of Oxford Dr Flannery is a GP trainer and his special interests include respiratory medicine and palliative care Dr Flannery performs minor cryotherapy and joint injections

Dr Tom Windsor-Lewis MBChB BSc (hons) PGCMedEd Dr (Tom) Windsor-Lewis

studied medicine at Warwick Medical School and spent his early junior doctor years working mainly in the acute sector at University Hospital Coventry & Warwickshire and South

Warwick General Hospital He trained as a general practitioner in Aberystwyth, joining the practice as a partner in February 2018

He was awarded a postgraduate certificate in medical education in 2014 and has examined medical

students at finals and intermediate levels since 2013

His interests lay in pre-hospital care (BASICS), motorsport medicine, remote & rural general practice and undergraduate education He acts as the practice cluster lead and joint undergraduate lead tutor alongside

Dr Taylor

Dr Louise Hyde, MB ChB (Aberdeen 2003), DRCOG, MRCGP, DFSRH Dr Hyde is experienced

in rural general practice, and believes in empowering patients to lead the healthiest lives they can She also volunteers on the GP committee for the campaign group, Doctors’ Association UK

The Nurses

Sr Gwawr Flannery, Senior Nurse Practitioner – RGN/RM DIP, BSc (Hons), SPA

Sister Gwawr specialises in Triage, Minor Illness, Respiratory diseases Sister Gwawr can assist with many conditions in her minor illness clinic and is qualified to issue prescriptions When consulting with Gwawr she is able to liaise with the Doctor if she feels it is necessary

Sr Carole Carroll, Practice Nurse, RGN, Dip BSc Hons

Sister Carole specialises in treating general treatment room aliments including wound care, smoking

cessation, and contraceptive review She now offers advice on the management of diabetes

Nurse Bethan James, RGN

Bethan specialises in Triage and Minor Illness, and helps assist the GPs with home visits When consulting with Bethan she is able to liaise with the Doctor if she feels it is necessary She is currently studying to become a prescriber

Brenda Jones, Health Care Assistant

Brenda has a special interest in BP monitoring, ECG and general medication review to update your

prescription

Susan Wright, Phlebotomist - Susan takes blood samples and blood pressures

Beverley Williams - Practice Manager, BA (Hons), Chartered MCIPD

Administration

Annie French-Shaw - Operational Manager

Mandy Owen - Administrator

Lisa Gardner - Research & Development Officer, BSc (Hons)

Lauren Paterson - Practice Administrator & Trainer, Cert RBCB

Natasha Dimonaco - Records Clerk, Cert Nat Sci Open

Katie Munro - Medical Secretary

Dispensary Team

Rebekah Hickman - Dispensary Supervisor, BSc (Hons)

Gaynor Weir - Dispensing Assistant

Renee Barr - Dispensing Assistant

David Williams - Dispensary delivery driver

Reception

Sarah Roberts - Reception Manager

Delyth Jones - Receptionist

Beverley Stevenson - Receptionist

Jayne Sheil - Entry Control Receptionist

Other Health Centre Users & Primary Health Care Team

Gaynor Jarvis - Clinical Specialist Physiotherapist MCSP SRP MSc

Gaynor manages mostmusculo-skeletal problems with advice, exercises, investigations, steroid injections, medication and onwards specialist referral

Counsellor

Geoffrey M Hooper - MBE, MA, MBACP (Accred.) UKRCP Reg Ind Counsellor /

Psychotherapist

Hope Marshall - Primary Care Mental Health Worker

Eryl Gilliland - Chiropodist BSc (Hons) DPodM MChS Cert HSM

Nia Ellis-Brown - Health Visitor RGN Paeds BSc Hons

Fiona Jones - RGN, DN BSc (Hons) Community Sister,

Tracey Hammond - HCA Community Health Care Assistant

Liz Kinsman - Hospice at Home Nurse

Jackie Horton - Hospice at Home Nurse

Nasima Valli - Prescribing Pharmacist

Appointment System

We have up to 9 different types of appointments each day

1 Triage Appointments – All requests for appointments are to be triaged by the nurses, you will

receive a telephone call from the Triage nurse to assess the patient’s symptoms further If our triage nurse decides you require an appointment or home visit you will be provided with details of your appointment during the telephone call

2 On the day appointments are for urgent must-be-seen conditions Each doctor has a certain

amount of these appointments each day These appointments are allocated by our Triage nurses from 8.30am onwards on the day Please telephone for these appointments

3 Emergency appointments with the Doctor on-call that day These will be arranged via the Triage

Nurse

4 Daily GP routine appointments These appointments allow you to see the doctor of your choice for

routine conditions, or if your doctor has recommended that you see him/her Routine appointmentsmay be made from two to up to four weeks in advance We recommend you arrange a routine appointment if you are over the age of 75 or haven’t seen a doctor in over 3 years

5 Daily minor illness appointments with Sr Gwawr or nurse Bethan who treat minor illness

6 Daily appointments are also available with our practice nurses.

7 Daily appointment with our Health Care Assistant for BP and ECG monitoring, and your general

medication review These can be booked via the contact form on our website

www.tywynhealthcentre.org

8 Daily appointments with our Phlebotomist, for blood tests and monitoring INR’s These can be

booked via the contact form on our website www.tywynhealthcentre.org

9 Home visits are available on request These will be arranged via our Triage Nurse and are only

available for house bound patients The Practice is unable to assist in transport arrangements If you think you need a home visit please telephone before 10am

The doctors have asked our receptionists to gather from patients a brief description of the medical issue to ensure that they are triaged quickly and effectively and are seen by the most appropriate clinician

Please note it takes a Doctor at least four times longer to see you at home than in the Surgery The

Community Nurse can also visit you