Brockwood Medical Practice

 

BROCKWOOD MEDICAL PRACTICE
Tanners Meadow, Brockham, Betchworth, Surrey RH3 7NJ
Tel: 01737 843259

NEWDIGATE SURGERY
Rusper Road, Newdigate, Surrey RH5 5BE
Tel: 01306 631242

NORTH HOLMWOOD SURGERY

1 Bentsbrook Close, North Holmwood, Surrey RH5 4HY 01306 885802

PRACTICE INFORMATION

For emergencies when the practice is closed, please call NHS on 111.

We are a training practice and offer a wide variety of services in a modern and friendly environment.

The Partners

Dr Jonathan D Richards MB, BS (London 1986), DRCOG, MRCGP, DPD
Dr Justin Thompson MB, BS (Nottingham 1985), B.Med. Sci, MRCGP, DCH
Dr Robin Gupta MBBS (London 2002), MRCP, MRCGP, DFSRH
Dr Lucy E Rawson BSc, MB, BS (London 1989), DRCOG, DCH, MRCGP
Dr Tamsin A Sevenoaks MB, BS (London 1989), DFFP, RCOG

 

Surgery Opening Hours
Brockham
Monday, Tuesday, Thursday and Friday 8.00am to 6.30pm
Wednesday 8.00am to 5.00pm
Newdigate
Monday, Wednesday, Thursday and Friday 8.00am to 6.30pm
Tuesday 8.00am to 5.00pm
North Holmwood
Mon, Tues, Weds, Fri 8.00am to 6.30pm
Thursday 8.00am til 4.00pm


Our Primary Health Care Team

The Doctors
When one of our five partners is on leave their duties will be covered by the remaining partners or one of our six salaried GP's.

Surgery Manager ( Brockham)
Sue Igglesden

Sue is responsible for the day to day running of the surgeries and staff

Nurse Practitioner
Julie Hampshire has advanced clinical nurse skills and can therefore offer an alternative to the doctors as a first point of contact for patients. She can manage minor illnesses, infections, injuries, chronic conditions (like diabetes and asthma), health education and family planning. Julie can be seen within booked routine or same day emergency appointments.

Practice Nurses
Amanda Oakes-Smith, Jane Ferguson, Sheena Jenkins, Sue Lopez and Polly James are available by appointment for general advice and routine procedures. They offer appointments for well man, well woman (including cervical smears), immunisations, travel vaccinations and advice, family planning, HRT, warfarin monitoring, diabetes, asthma, coronary heart disease monitoring, diet, weight counselling and hypertension.

Healthcare Assistant
Pauline Fowler (at Brockham) and Sue Druce (at Newdigate) and Polly James (at North Holmwood) offer appointments to take blood, blood pressures and ECGs, smoking cessation and new patient health checks.

District Nurses
Our district nursing team offers care for the house-bound in their homes.

Health Visitors
The Health Visitor team can be contacted between 9am and 5pm from Monday to Friday on 01306 743341. They are available to give advice and support to families with young children. We aslo run baby clinics at all the surgeries.

Midwives
Our midwifery team provide help and advice throughout the pregnancy and postnatal period.

Receptionists
Our receptionists will assist you to make the best use of the services available.

New Patients
We are pleased to accept any new patients living within our practice area. We cover an area with boundaries including parts of Reigate and Dorking in the north, extending to Capel, Rusper, Faygate, Ifield and Charlwood in the south. We therefore include North and South Holmwood, Beare Green, Newdigate, Betchworth, Leigh and Norwood Hill. Please check with either surgery if you are unsure whether your address is included. We register patients either at the Newdigate or the Brockham surgery depending on their address. All new patients are requested to attend for an initial health check with the practice nurse.

You may request to be registered with a particular GP, but this does not affect the service we provide for you. We do not choice to only their registered GP, which means patients can choose to see any of our doctors and may even choose to see different doctors for different problems.

Consultations
Consultations with the doctors and nurses are always by appointment only. Appointments can be made by telephoning Brockham surgery on 01737 843259 or Newdigate surgery on 01306 631242 or North Holmwood surgery on 01306 885802. Patients with urgent medical problems will always be seen the same day by the duty doctor. We cannot offer appointments the same day for patients for social convenience. As you are in the best position to make an initial judgement, please let our receptionist know if you feel that your medical problem means that you need to be seen the same day. If you are unable to keep your appointment please let us know so that we can offer it to someone else.

Telephone Advice
If you need some advice from the doctor over the telephone then please speak to reception who will take your details and nature of the query for the doctor to call you back.

Emergencies
A doctor is available 24 hours a day to help you. If the surgery is closed telephone NHS 111 and your call will be transferred to the out-of-hours service.

Home Visits
Other than in an emergency, please request your home visit before 10.30am. If at all possible please make every effort to attend the surgery, as our practice covers a large area and the doctor can see several patients in the time it takes for one visit. Home visits are only available for the house-bound or those too ill to attend surgery.

Repeat Prescriptions
You can request your repeat prescription online or in writing to any of the surgeries. SystemOnline is our online facility that allows you to securely order repeat medication, view, book and cancel routine doctor's appointments from home, work or on the move - wherever you can connect to the internet - 24 hours a day. Before you can start using SystemOnline you will need to be provided with a unique login username and password which you can obtain by contacting your surgery.

Results
Results are sent back to the GP/Nurse for review. A large number of these tests require NO ACTION (as many are for monitoring purposes only). To reduce the number of calls patients have to make to the surgery to enquire about their results, the Practice will ONLY contact those patiensts whose results require some form of ACTION. If the results require NO ACTION then the Practice will not contact the patient. Patients can request a copy of their results for self-montoring purposes, in writing, in person at the surgery or through our generic email address: SDCCG.BrockwoodMedicalPractice@nhs.net stating which surgery they wish to collect the results from.

Samples You will have been given either a bottle with a white or red lid - this is for urine samples only or a bottle with a blue lid - this is a general bottle for stool or sputum. Urine, sputum and stool samples should be brought in a clearly labelled bottle with your name, date of birth, date and time of sample before 13.00. They are then collected and taken to the laboratory at East Surrey Hospital.

Confidentiality
Your medical records are held in strictest confidence. Information is only passed on with your consent, within the confines of the NHS, by law, or in the public interest. The practice is computerised and all details of your medical records are kept on computer. These are strictly confidential and the practice is registered with the Data Protection Act

Freedom Of Information - Publication Scheme
The Freedom of Information Act 2000 obliges the practice to produce a Publication Scheme. A Publication Scheme is a guide to the classes of information the practice intends to routinely make available. This scheme is available from reception.

Disabled Patients
All of our surgeries have easy access for disabled patients and all our consulting rooms are on the ground floor. All our surgeries have toilets specially designed for disabled patients.

GP Training
The practice has been accredited since August 1997 as being suitable for the training of those doctors intending to become general practitioners. This means that the practice and doctors have had to achieve a number of standards which have been assessed by the GP Deanery for Kent, Surrey and Sussex, acting on behalf of The Joint Committee for Postgraduate Training in General Practice. Dr Richards and Dr Rawson are approved trainers.

Information About GP Registrars
Doctors training to become GPs are called GP Registrars.

The GP Registrar is a fully qualified doctor who is likely to have a lot of experience of hospital medicine.

Any doctor who wishes to become a GP must undergo specific training. Usually this training takes three years, including one year in general practice and four six-month sessions in different specialities at the local hospital.

You can expect to receive from the GP Registrar the same quality of service you would receive from your own GP.

In order for the GP Registrars to successfully complete their training, they need to be assessed on their consulting skills. This is done by the appointed assessors viewing a video of the Registrar's consultations. You may be asked for your permission to have your consultation recorded in this way. If you agree, you will need to give your written permission. You will be offered a consent form, available at reception. If the doctor appears to be recording your consultation and you have not signed a consent form, then you should indicate this to him or her immediately. The recording will be used for educational purposes only. Further information about this process, and the confidentiality of it, can be obtained from the reception staff.

To ensure that the practice continues to meet the standards for training in the KSS Deanery, the practice and the doctors will be subject to regular inspection visits (normally every three years). At this inspection another doctor will assess the quality of the patients records. If you do not want your own record to be available for inspection then please inform the practice of your wishes and they will be respected. Please ask any member of the reception staff for further information if needed.

Comments/complaints
If you wish to make any comments about our service then please approach either one of the doctors or the manager. We have a practice-based complaints system, so if you want to make a complaint then please put it in writing and we will reply promptly. We wish to continue to improve the service we offer, so we are always pleased to hear your views.

Clinics & Services

Asthma & COPD Clinic - we offer appointments with our asthma specialist nurses for monitoring symptom control and medication together with support and advice on management according to individual needs. All asthma patients are advised to see the practice nurse for an annual review.

Blood - if your doctor or nurse has requested you have a blood test, we run a clinic every morning. We offer the first appointment to those patients who are having fasting bloods. Fasting bloods mean you cannot eat or drink, except plenty of water, for 12 hours before your blood test. If you do, then this could produce an inaccurate result necessitating a retest. All blood samples are taken in the morning so that they can be collected at 13.00 an taken to the laboratory at East Surrey Hospital - this is also the case for urine, stool and sputum samples.

Counselling - we offer in-house counselling services at Brockham and North Holmwood surgeries.

Diabetes - It is important to monitor the progress of diabetes to reduce the risk of complications to your health. We offer regular reviews and check-ups to monitor blood glucose, kidney function, blood fats, weight, leg and foot assessment, eye assessment and lifestyle issues.

Antenatal - we offer an early five to six week appointment to discuss your care options and choices for delivery. If you choose to have your baby at East Surrey Hospital you are offered a first booking appointment. Routine follow-up appointments with a midwife from East Surrey Hospital are by appointment for all patients regardless of where you have chosen to have your baby.

Postnatal - All new others and babies are seen post-delivery at home by the midwife. We also offer a 10 day postnatal check-up for mother and baby with a doctor, We will contact you to make this appointment for you to come into the surgery approximately 10 days following delivery. If you have had a caesarean birth, we will organise a home visit.

Baby Clinic - we offer an eigth week baby check, first immunisations and a general advice clinic with the health visitor at each surgery, all by appointment. Please bring your child's red book with you. Sue Start Children's Centre, Dorking Nursery School, West Street, Dorking, telephone 01306 882397 also provides a range of services for families in the Dorking area. For general telephone advice, contact the Health Visitor 0-19 Team on 01306 743341. For an appointment to see a health visitor for general child health on a Tuesday at the Medwyn Centre or Rural Playlink Centre at St John's School ring 01306 748901.

Family Planning - we provide a full range of family planning. Our practice nurses are trained in family planning and see patients by appointment. Dr Tamsin Sevenoaks is a specialist in family planning and in her clinic fits and removes coils and contraceptive implants.

Minor Surgery - Many minor operarions are easily and more conveniently performed at hte surgery by Dr Richards and Dr Thompson who have undergone training to perform more advacned minor surgery.

Physiotherapy - we offer a Physiotherapy clinic on a Friday at Brockham surgery for patients who have been referred to see a Physiotherapist.

Travel clinic - advice for travellers is provided by the practice nurses who are specially trained.  They can provide all vaccinations including yellow fever.

Healthcare Assistants - our Healthcare Assistants offer daily appointments for blood tests, Warfarin (INR) checking, blood pressure monitoring, ECG's, minor dressings, suture removal, smoking cessation, and new patient health checks. They offer appointments late morning-early afternoon for blood pressure monitoring and ECG's.

DORKING HEALTHCARE

Dorking Healthcare was formed in 2005 with the aim of providing high quality, timely Consultant led outpatient services for the patients of the practices in the Dorking area. It only operates NHS contracts for these services. The organisation was set up to manage the financial risk of running medical services (e.g. insurance, equipment and premises costs) and to invest in service developments. Each of the Partners of Dorking Healthcare has an equal financial interest in the partnership. Below is a list of the current Partners of Dorking Healthcare:

Brockwood Medical Practice Drs Jonathan Richards, Justin Thompson, Lucy Rawson, Tamsin Sevenoaks, and Robin Gupta
Leith Hill Practice Drs Graham Blockey, Stephen Jeffries, Juliet Bower and Louise Keene
Dorking Medical Practice Drs Muna Qureshi and Andre Beattie
Medwyn Surgery Drs Chris Monella, Louise Tomei, Stewart Tomlinson, Raj Sekhon and Anne-Marie Quirk
Michael Arnaud (Business Manager)

Self Treatment of Common Illnesses and Accidents

Many common aches and pains can be simply treated at home without the need to consult a doctor.

Ears
Ear wax can often be cleared by lubricating the affected ear ( s) with 1-2 drops of olive oil once or twice a day for a week. If this does not work, please make an appointment to see a nurse to have your ears checked and possibly syringed.

Back Pain
Back pain causes 13 million working days to be lost in Britain each year. The spine supports the whole weight of the upper body so it is understandable that it sometimes goes wrong.

Because of the complex nature of the spine it is advisable to consult your doctor if back pain persists for more than a few days. If, as is usual, the pain has been caused by abuse ie lifting too heavy weights etc, be sensible and take things easy. Take care to sit as upright as possible with a support for the small of the back.

Take aspirin or paracetamol which will not only relieve the pain but will help to relieve inflammation. Your doctor may well prescribe stronger drugs, heat treatment, gentle exercise or some kind of supportive corset. Aspirin should not be given to children under 16 years of age.

Burns
Apply large quantities of cold water to the affected area as soon as possible and maintain this until the pain subsides. This may take as long as 15 minutes! If the skin is unbroken but blistered, apply a loose, dry dressing.

If the burn is larger than four or five inches in diameter or if the skin is broken, consult your doctor as soon as possible.

Colds
Even in this day and age there is still no magic cure for the common cold. Go to bed, take plenty of drinks. If you have a headache or are feverish, take aspirin or paracetamol. Do not bother to take antibiotics as these will have no effect! Aspirin should not be given to children under 16 years of age.

Diarrhoea
In an adult, diarrhoea is usually caused by a viral infection and is therefore unable to be treated directly. The symptoms can usually be eased by the traditional kaolin and morphine mixture or by medicines containing codeine.

Holiday diarrhoea is often due to bacteria. Again, kaolin and morphine can be taken.

Consult a doctor if the symptoms persist for more than a few days.

Diarrhoea in very young children and babies need careful attention. Most babies have loose bowel action during their first six month due to their predominantly liquid diet. Sudden bouts of unusually watery diarrhoea should be treated by taking the baby off solids and feeding them a cooled solution of boiled water with a teaspoon of sugar and half a teaspoon of salt to the pint. If the symptoms persist for more than 24 hours, or are accompanied by vomiting or weakness, consult a doctor.

Nosebleeds
Sit in a chair, lean forward with your mouth open, and pinch your nose just below the bone for approximately 10 minutes, by which time the bleeding should have stopped. Avoid hot drinks or hot food for 24 hours. If the symptoms persist, consult your doctor.

Minor Cuts And Grazes
Wash the wound thoroughly with water and a little soap. To stop bleeding apply a clean handkerchief or dressing firmly to the wound for about five minutes. Cover with a clean dry dressing.

Sunburn
Treat as for other burns with cold water to remove the heat. Calamine lotion will relieve the irritation whilst paracetamol will also help. Children are particularly susceptible to sunburn and great care should be taken to avoid over-exposure to the harmful effects of the sun.

Insect Bites And Stings
Antihistamine tablets can be obtained from the chemist without prescription and will usually relieve most syptoms. Note: bee stings should be scraped away rather than plucked in order to avoid squeezing the contents of the venom sac into the wound.

The Family Medicine Chest
Here is a list of useful medicines and dressings with a description of their uses. All are quite cheap and worth stocking at home in readiness for minor illnesses. Keep them in a box or cupboard with a lock - or store them well out of reach of children.

Soluble Aspirin Tablets
For adults and children over 16 years old. Good for headaches, colds, sores throats and painful bruises.

Paracetamol Mixture
For relief of pain or fever in young children.

Sedative Cough Linctus
For dry or painful coughs - but not coughs caused by common colds.

Menthol Crystals
Add to hot water to make steam inhalations for treating catarrh and dry or painful coughs.

Vapour Rub
Again for steam inhalations. Also useful for children with stuffy noses or dry coughs. Rub on the chest and nose.

Antiseptic Solution
One teaspoon diluted in warm water for cleaning cuts and grazes.

Antiseptic Cream
For treating septic spots, sores in the nose and grazes.

Calamine Lotion
For dabbing (not rubbing) on insect bites, stings and sunburn.

Dressing Strips
For minor cuts - 3" Wide Crepe Bandage. To keep dressings in place. To support sprained or bruised joints.

Cotton Wool
For cleaning cuts and grazes.

Thermometer
For fevers.

Tweezers
For removing splinters. Remember that your local chemist can give you advice about medicines.

Smoking
Why Give Up?

  • Over 100,000 people die each year in the UK from smoking-related diseases.
  • Every cigarette you smoke can shorten your life by an average of five and a half minutes.
  • Babies of smokers are, on average, 200 grammes smaller than those of non smokers.
  • Smokers smell!

How To Give Up

Stopping smoking is all about motivation. Without the real desire to give up you are unable to succeed. You must want to give up rather than feel you should give up.

Set a date a week or so in the future when you intent to stop.

Tell all your friends, relations and work colleagues that you�re giving up on that day and ask for their support and encouragement. If at all possible, find someone to give up with you.

When the big day comes, plan it carefully with plenty to keep you occupied. Avoid situations where the desire to smoke will be strongest such as whilst drinking.

Finally, carefully put the money you would have spent on cigarettes on one side, each day, to save up for some special treat as a reward.

If you�ve tried everything and failed but are still keen to give up, seek help from your doctor.

Preventing A Relapse

Whenever you feel the need for a cigarette, go back to the procedure which helped you give up in the first place. Avoid complacency and remember that you�re a non smoker! Think how unpleasant smokers smell now that you�ve given up.

Do you want to smell like them?

Alcohol
A Little Of What You Fancy....

Alcohol is a depressant which has the affect of dulling the brain and nervous system.

In small quantities, alcohol can actually be beneficial to health. In large quantities, on a regular basis, it can have a very serious negative effect on health. At one extreme it can kill.

CIRRHOSIS of the liver, for instance, is killing an increasing number of people, as are drivers who are over the limit. At the other end of the scale, excess consumption of alcohol can lead to poor co-ordination, impaired vision, a weakening of the immune system, impotence and obesity.

What Is A Safe Limit?
An accepted safe limit is 28 units a week for men and 21 units for women, a unit being approximately a glass of wine, half a pint of beer or a single measure of spirit. The recommended maximum presumes that the consumption is spread throughout the week and not consumed all at once in a 'binge'.

A man's liver can process only eight units of alcohol within a 24 hour period and can take 72 hours to recover fully. It is easy to see how easy it is to damage this vital organ.

How To Cut Down
How about a bottle of mineral water instead of wine with your lunch? Always drink water alongside wine with a meal and try a spritzer (wine mixed with mineral water) instead of a straight glass of wine.

How To Avoid A Hangover
The most effective way to avoid a hangover is not to drink too much! Failing that, if you have overindulged, drinking large quantities of water before going to bed is very effective in warding off the worst effects.

A Healthy Diet
You Are What You Eat...

If your diet is lacking, your body has ways of letting you know. For example, you may be overweight or underweight or you may have a spotty complexion or constipation. Ultimately, a bad diet can lead to serious problems such as heart disease. A good diet helps fight off disease and makes you look and feel good.

Eight Steps To A Healthier Diet 1. Reduce your consumption of refined carbohydrates such as white flour and white sugar. Your daily consumption of sugar should not exceed two ounces - and that includes all the sugar already present in food, particularly processed food!
2. Eat plenty of fresh fruit and vegetables. Aim to make them over 80% of your daily intake of food.
3. Cut down on your fat intake. Choose lean meats or trim off fat. Use low fat spreads and cooking oil which is low in saturates.
4. Choose wholemeal bread in preference to white.
5. Try nuts and dried fruit as a treat instead of sweets and chocolates.
6. Drink at least two pints of water every day.
7. Avoid the British habit of overcooking vegetables. It causes a massive loss of minerals and vitamins. Steaming or microwaving is a much better way of cooking vegetables. than boiling them.
8. Cut down on your salt intake. Never, for example, add salt to your food before tasting to see whether it is needed.

Exercise
It helps to reduce weight
It helps to reduce strokes
It makes you feel and look better
Once you have found a form of exercise you enjoy, do it:
Often enough - two or three times a week for 20 - 30 minutes
Hard enough - to make you fairly breathless
Long enough - it must become part of your life for good
Remember: if you are not used to exercise start slowly and build up gradually
Both doctors and nurses will be happy to advise you and your family about these important factors in achieving and maintaining a healthy lifestyle.


USEFUL TELEPHONE NUMBERS
Dorking Hospital Outpatients 01306 646238
East Surrey Hospital 01737 768511
Epsom General Hospital 01372 735735
Crawley Hospital 01293 600300
NHS 111
Social Services (Dorking Locality) 0300 2001005
Department of Social Security 0845 6043719
Police 0845 125 2222
Dental Emergency Service 01737 768511
Registrar of Births, Deaths & Marriages (Mole Valley) 0300 2001002
Relate Marriage Guidance 0845 1304010
Relate (Reigate Branch) 01 737 245212
National Drugs Helpline 0800 776600
Cruse Bereavement Care 0844 477 9400
Samaritans 0845 7909090
NHS Choices has a useful website for up to date health information www.nhs.uk

Please check with either surgery if you are unsure whether you live within our practice area.

Sue Igglesden
Surgery Manager