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									    MILL STREAM SURGERY
           BENSON
     Promoting Good Health




             Opening hours:
    Monday to Friday 8.30am to 6.00pm
         (except Bank Holidays)
      Saturday 8.30am to 10.45am

       Out of Hours: 0845 3458995


       Telephone: 01491 838286
      www.millstreamsurgery.nhs.uk

1
Doctors
       Dr Peter Rose
M.A., M.B., B.Chir., F.R.C.G.P., D.C.H.,D.R.C.O.G.(Cambridge
1977)
       Dr Lucy Jenkins
B.Med.Sci., B.M., B.S., M.R.C.G.P., D.C.H., D.R.C.O.G.,
D.F.F.P . (Nottingham 1995)
       Dr Stephen Harper
M.B., B.C.H., M.R.C.G.P, D.G.M, D.C.H., D.R.C.O.G., Cert
Med Ed (Cardiff 1996)
       Dr Sarah Morris
M.B.B.S., M.R.C.G.P. (London 1988)

Practice Manager
       Fran Butler

Practice Nursing Team
       Alison Richmond R.G.N. 1986
       Pamela Alcorn S.R.N. 1982 R.M. 1985
       Carol Saxby Health Care Assistant

Administrative Team
     Data Quality Officer         Linda Saunders
     Secretary                    Jane Oliver
     Administrative Assistant     Karen Bateman
     Receptionists                Carol Buckley
                                  Anne Goff

Community team
District Nurses Sally Kidd
                Stella Mitchell
Auxillary Nurse Wendy Marsden
Health Visitors Pam Norton
                Gill Brown
Clerk            Karen Collins
2
INDEX
Introduction ........................................................ 5
   The Primary Health Care Team ................................................. 5
   Accessibility .............................................................................. 6
   Practice Website ........................................................................ 6
How to Register at the Surgery .................................... 7
   Continuity of Care ..................................................................... 7
Opening Hours ..................................................... 8
Appointments ...................................................... 8
   Urgent Appointments................................................................. 8
   Minor Injuries ............................................................................ 9
   Home Visits ............................................................................... 9
   Telephone Consultations ........................................................... 9
   Emergency out-of-hours cover .................................................. 9
Laboratory Test Results.......................................... 10
Private Medicals ................................................. 10
Repeat Prescriptions ............................................. 11
Practice Nurses and Health Care Assistant ...................... 12
   Want to give up smoking? ....................................................... 13
District Nurses ................................................... 14
Health Visitors ................................................... 14
Maternity Services ............................................... 15
Other Services.................................................... 16
   Psychology............................................................................... 16
   Physiotherapy .......................................................................... 18
   Carer Support ........................................................................... 18
   Depression Fellowship............................................................. 18
   Benson and Wallingford Volunteers ....................................... 19
   Foot Care ................................................................................. 19
   Health Walks in Benson & Ewelme ........................................ 19
Hospitals ......................................................... 20
   Referrals ................................................................................... 20
   Admissions to and Discharge from Hospital ........................... 20
   Hospital Correspondence ......................................................... 21
   Wallingford Community Hospital ........................................... 21

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Patient Records................................................... 21
  Confidentiality ......................................................................... 21
  Change of Name or Address .................................................... 22
Research .......................................................... 22
Suggestions, Complaints and Compliments ..................... 23
  Suggestions .............................................................................. 23
  Complaints ............................................................................... 23
  Compliments ............................................................................ 23
Patient Panel ..................................................... 23
Oxfordshire Primary Care Trust (PCT) ......................... 24
Telephone Numbers.............................................. 25




4
Introduction

Welcome to Mill Stream Surgery

We hope the information in this booklet will be
useful to you and inform you of the services we
provide.

The Primary Health Care Team We are a team of doctors,
practice nurses, district nurses, health visitors, supported by the
administration staff. The Practice Partners are Dr. Rose, Dr
Jenkins and Dr Harper. Dr Morris is an assistant to the
partnership. The Practice Manager is Fran Butler.

From time to time due to holiday, study leave or illness the
practice employs qualified locum doctors to hold surgeries.

The Practice has been approved for the training of GP registrars
and the teaching of Medical Students. GP Registrars are qualified
doctors who wish to become GPs. They have completed their
training in hospitals and spend between one and two years
working at the surgery. Medical students are currently undergoing
their 6 years of undergraduate training to become doctors and will
spend anything up to six weeks in the practice.

We endeavour to maintain the smooth, efficient running of this
practice for the benefit of patients. All the staff work hard and
even at difficult times they are trying to do their best for you so,
please, treat them with dignity and respect.




5
 Accessibility
There is wheelchair access into the surgery. The toilet is equipped
for disabled patients


Practice Website
If you wish to book or cancel appointments, request repeat
prescriptions you can use our website
www.millstreamsurgery.nhs.uk

This provides a secure connection to our system. Please ask at
reception and we will give you a password and PIN. Each
member of the family needs to have their own password and PIN
for confidentiality reasons. The system is simple once you have
registered your details and you will be able to use it 24 hours a
day.

Our website also provides links to other websites that have a lot
of useful information about medical conditions.
www.patient.co.uk for instance, is an excellent resource.




6
How to Register at the Surgery

You are welcome to register with the practice if you live within
the practice area. The surgery covers the villages of Benson,
Berrick Salome, Roke, Rokemarsh, Ewelme, Brightwell
Upperton, Brightwell Baldwin, Oakley Wood, Crowmarsh
Gifford, Preston Crowmarsh, Mongewell and Swyncombe.

We will ask you to complete a form allowing us to request your
medical records from your previous GP surgery. You are
welcome to select the doctor you would prefer to see and this will
become your usual doctor.

Patient telephone numbers and next of kin
It would be a great help to us if you would kindly provide us with
this information in case we have to contact you for any reason.


Continuity of Care
At Mill Stream Surgery we think it is important that you get to
know one doctor (or nurse). Research shows that if people see one
doctor on a regular basis they get better care and have better
health as a result. Now we know this isn’t always easy, doctors,
like other people, have to have holidays, work part time etc.
However as we think continuity is important we would really
encourage you to get to know one doctor and to try to see that
particular doctor. At short notice if you have acute problems you
may need to be seen by another doctor if your usual doctor is not
available.




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Opening Hours
Reception is open from 8.30am until 6.00pm on weekdays and
8.30am until 10.45am on Saturday. The surgery is closed on
occasional Wednesdays from 12.45pm – 1.45pm for staff training.
The surgery is closed on Sunday and bank holidays.

Appointments

All consultations are by appointment. You may make an
appointment on the telephone, in person or on the website through
EMIS access. There are appointments available to book in
advance and on the same day. Normal appointments are 10
minutes long.

Our aim is to run all surgeries to time but delays can occur. We
will inform you if the doctor or nurse you are seeing is running
late. Please help us by arriving in good time for your appointment
so that the patients after you are not kept waiting.

Please cancel any appointments you no longer need even if this is
at short notice. Another patient may benefit from the release of
that appointment.


Urgent Appointments
If you feel you need to be seen on the same day you will be
offered an appointment or the opportunity to discuss your
problem on the phone with the duty doctor.




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Minor Injuries
These can be dealt with at the surgery when it is open. The
nearest Minor Injuries Units are at:

Abingdon Hospital (7 days a week 10.00am-10.30pm)
01235 208730

Townlands Hospital, Henley (7 days a week 9am – 8pm)
01491 637435



Home Visits
We are happy to visit people at home if they are housebound or
unable to come to the surgery because they are too unwell. Please
telephone the surgery before 11.00am if you require a home visit.


Telephone Consultations
Doctors are happy to discuss any problem on the telephone.
Please ring before 11.00am to book a telephone consultation for
the same day. You will usually be called back after morning
surgery.


Emergency out-of-hours cover
The emergency number to call is 0845 345 8995.
When the surgery is closed there is always emergency cover by a
duty doctor. Your call will be taken by an experienced call
handler and the duty doctor contacted on your behalf.
NHS Direct, a 24 hour nurse led advice line, is available on
0845 4647. This is useful for non-urgent medical problems and
health advice out of surgery hours.

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Laboratory Test Results
We ask that you telephone after 2pm one week after your tests
were done, to confirm that your results are back. Please do not
wait for us to contact you.

The results of all cervical smear tests will be sent to you by post.

Private Medicals
The doctors will carry out private medical examinations (e.g. for
Life Assurance, the DVLA) upon request. Please speak to the
receptionists.




10
Repeat Prescriptions
Requests for repeat prescriptions may be made in the following
ways:
    by telephone after 10.00am
    by leaving the prescription request form at the surgery
      (we have a post box in the lobby for them),
    on line at www.millstreamsurgery.nhs.uk
    by leaving the prescription request form at Benson
      Pharmacy (please allow an extra day if you do this),
    or through a postal service run by Pharmacy2U.

Prescriptions can be collected from the surgery by Lloyds
Phanrmacy in Benson or Boots in Wallingford
                       OR
your medicine can be collected from Lloyds Phanrmacy in
Benson after 3.30pm the following day. Lloyds also runs a home
delivery service. Please ask at the Pharmacy for more details.

Pharmacy2U posts medication out within 24 hours.

If you need to order your medication early because you are going
away on holiday please add a note to the request form.

Ask for a leaflet from reception that gives more information about
ordering repeat prescriptions.




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Practice Nurses and Health Care Assistant
Alison Richmond
Pam Alcorn
Carol Saxby

The practice nurses Alison and Pam share many of the nursing
procedures such as wound care, cervical cytology (smears), blood
pressure assessment and reviews, new patient health checks,
travel advice, blood tests and ECGs. They also have some
separate areas of responsibility as follows:

Alison
Asthma & Chronic Pulmonary Disease Alison will assess and
review patients, including exercise and lung function tests,
checking inhaler use etc.
Family Planning &Emergency Contraception
Diabetes Support and education of patients with newly diagnosed
or established diabetes to help prevent complications and advice
regarding medication including insulin use.

Pam
Baby immunisations We offer 2 clinics run each week. Babies
should see the doctor for their 6 week before making an
appointment for their immunisations.
Ear irrigation please ask for a leaflet from reception about treating
your ear wax before booking an appointment with Pam
Osteoarthritis Clinic Pam started this clinic in June 08 with a view
to helping people to manage their condition. A holistic approach
is taken and an opportunity to discuss lifestyle issues. A series of
group classes are also offered throughout the year. Contact the
surgery for the next class dates.




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Hypertension Pam is running a clinic for patients on treatment for
high blood pressure. This is an opportunity to review your blood
pressure and tablets. Lifestyle factors that affect your blood
pressure will be discussed


Travel appointments
Appointments can be made for a telephone call with the Practice
nurses to assess what, if any, vaccines or malaria tablets may be
needed for foreign trave –such a call can prevent an unnecessary
appointmentt. The earlier you consult the better, ideally 8 weeks
before departure date.

If 3 or more countries are to be visited we request that you visit
website www.masta-travel-health.com which provides a ‘Health
Brief’ at a cost of £3.99 for this online service. This is invaluable
for the traveller with complicated needs such as a GAP year
student.

Carol (Health Care Assistant)
Carol works each morning in the week. She takes most of the
blood tests in the surgery, does blood pressure readings (not blood
pressure reviews), ECGs and fits the 24 hour blood pressure
monitor.


Want to give up smoking?
We provide a special clinic to help people who want to give up
smoking. The clinic will offer a personalised plan, nicotine
replacement therapy and ongoing support during the first 3
months after a person has given up. The clinic is run by Carol
Saxby and you can book appointments directly with her.




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District Nurses
District Nurse: Sally Kidd
Community Nurse: Stella Mitchell
Health Care Assistant: Wendy Marsden
The District Nurse team works alongside the GPs and can be
contacted via the surgery from 8.30am - 4pm weekdays. The
District Nursing service is designed for patients who cannot
attend the surgery. Often we visit patients until they can come to
the surgery to facilitate rehabilitation. This is so we can see
patients who are most in need of our service. We are happy to
help during periods of ill health or unforeseen circumstances.
Please feel free to discuss it with us.
Tel. 01491 838286

Cancer Support Group
This is an informal group to support cancer patients, their friends
and family wherever possible and share their experiences. Anyone
is welcome from Benson and the surrounding villages, either to
come and listen or participate. For more information please
contact either the District Nurse team on the surgery number or
Maureen George on 01491 835209 / 07780903845.

Health Visitors
Pam Norton, Gill Brown
Clerk: Karen Collins

Health visitors are mainly concerned with the development of
children under 5 years. Regular baby clinics are held at the
surgery. Please ask the health visitors or receptionists for details.
Health Visitors also deal with health education, diet,
immunisations, safety in the home and social problems for all age
groups.
A health visitor is usually available between 9.00am and 10.00am
on weekdays for telephone consultations and visit requests. There
is a telephone answer phone at other times.
Tel. 01491 832000
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Maternity Services
Midwife Sandra Whitehouse

Initially, all pregnant women should see one of the doctors at a
routine surgery appointment. You will then be asked to make a 1
hour booking appointment with the midwife at 9-10 weeks of
pregnancy. This appointment includes discussion of the tests
available, diet, parent education classes etc. Women may choose
to have their baby at home, at a small midwifery led unit in
Wallingford (St Georges Ward) or in the Consultant Unit at the
John Radcliffe Hospital, Oxford.
Sandra’s antenatal clinics are on a Thursday morning at Mill
Stream Surgery, otherwise she is contactable at St Georges Ward,
Wallingford on Tel 01491 826037.




15
Other Services
Psychology
This service, which started in April 2007, is to offer psychological
help to people with common mental health problems at the Mill
Stream Surgery. The service is run by Mabel Martinelli, a
psychologist and CBT therapist, who offers a range of
interventions from self-help literature to brief one-to-one therapy
sessions. The service is based on the evidence that many people
can solve their own problems if they are given appropriate advice
and support, without needing to get involved with formal
psychiatric services.

Who is it for?
The service is aimed for people with mild to moderate mental
health problems. People with more complicated problems may
need to be referred to the local Community Mental Health Team
as usual. Your GP will be able to advise you about whether your
particular problems might be helped by this approach, but some
examples include
   Any form of anxiety, including panic attacks, social anxiety
    and agoraphobia
   Obsessional problems (e.g. washing or checking too much)
   Depression
   Eating disorders
This is not a complete list, so talk to your GP if you have a
different problem which you think might benefit from attending
this service.

What kind of treatment?
The main intervention offered is based on a form of treatment
called cognitive behaviour therapy, or CBT for short. The basic
idea behind CBT is that you can overcome mental health
problems by making changes in the way you think and behave.
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Research has shown that CBT is probably the most effective form
of treatment for many common mental health problems. People
benefit from this form of therapy in different ways, from reading
self-help literature to attending therapeutic groups or seeing a
therapist for one-to-one sessions. Research has shown that many
people can do CBT for themselves, without needing to have full-
blown therapy, if they have the necessary advice and support.

Who will I see?
The service is run by Mabel Martinelli, a psychologist who also
works in the Primary Care Counselling and Psychology service
and Community Mental Health Teams, and who is experienced in
CBT.

What happens in the Service?
You will be seen initially for an assessment session of
approximately forty minutes, when Mabel will find out a bit about
your problems, check that they are likely to be helped by this
service, and answer any questions you have. If you both agree that
this looks like a promising approach, then you will discuss
options that may be of help for you. These options would range
from reading self-help literature, accessing other community
services (such as therapeutic groups) or attending a number of
one-to-one therapy sessions with Mabel. The length and/or
frequency of further appointments would be set according to your
needs. A typical follow up session is of approximately twenty
minutes. There is no pre-set limit to how many times you can see
Mabel, but most people typically need 2 – 3 sessions.

What next?
If it sounds like this service might help you, please discuss it with
your GP who would be able to advice you on how to book for an
appointment.
The service runs on Friday afternoons only, with appointments
available between 2.20pm and 5.40pm.

17
Physiotherapy
A physiotherapy session is held at the practice each Monday
afternoon. Other physiotherapy facilities are available at
Wallingford Community Hospital. Referrals are made by the
doctor.


Carer Support
Caring for someone is an important and valuable role in the
community. It is often a 24 hour a day job that can be very
demanding and isolating for the carer. If you are a carer we would
like to support you. One way is to discuss it with one of the
district nurse team. Give them a ring on 01491 838286


Depression Fellowship
Tel: 0161 926 8480 for confidential help.




18
Benson and Wallingford Volunteers

These services will try to find a volunteer to help with certain
jobs; shopping, transport, gardening etc., for people who require
it.

Benson Volunteers which is available for people living in Benson
and Ewelme, may be contacted between 9.00 and 11.00am
Monday to Friday on 01491 825992.

Wallingford Volunteers cover the whole practice area; they may
be contacted between 9.30am and 11.30am, Monday to Friday on
01491 836345.


Foot Care
We often get asked for information about chiropodists or
podiatrists. We do not suggest anyone in particular but would
recommend you use a podiatrist who is state registered.


Health Walks in Benson & Ewelme
Walking is the sure safe way to health and fitness. It is a chance
to meet people and make friends. Regular walks run throughout
the year, and they are free. Margaret Wiggall is running these -
pick up a leaflet from the surgery to find out more about Health
Walks, or telephone Margaret Wiggall on 01865 890730.




19
Hospitals


Referrals
If you need referring to a consultant for further investigations
your doctor will write a letter.

The referral may be made through computer software called
Choose and Book. This involves sending your details to the NHS
spine. The NHS spine is a secure central NHS computer database.

Once your appointment is booked your chosen hospital will
access the NHS spine to download the referral letter from your
doctor. If it is possible for your referral to be made through
Choose and Book you will be asked if you agree to your details
being sent to the NHS spine.


Admissions to and Discharge from Hospital
The surgery is not always kept informed when a patient is
admitted to hospital. Likewise, the surgery is not always informed
of a patient’s discharge. Please do not assume that we know about
your progress whilst you are in hospital or your discharge from
hospital. If you feel that there is something we should know,
especially if you require a visit or medication, tell the surgery as
soon as possible.




20
Hospital Correspondence
The practice receives a large number of letters from hospitals
each day and it is not possible to contact everyone when
correspondence about them has arrived. Most letters are not
received until 2 or 3 weeks after the hospital appointment. Please
do not assume that the surgery will contact you when a letter is
received. If you wish to know the contents of a letter, contact the
surgery.


Wallingford Community Hospital
There is a maternity unit, and an in-patient ward. There are a few
specialist out-patient clinics. There is also a day care ward for the
elderly and a physiotherapy department.


Patient Records


Confidentiality
We respect the confidentiality of all our patients, whatever their
age or circumstances. We will not discuss any aspects of your
care with anyone, including your relatives, without your express
permission. There is a leaflet available from reception
that explains more about confidentiality and patient data.

The approval process to become a training practice involves the
inspection of patients’ medical records at intervals, by doctors
from outside the practice. They treat the contents of these records
as strictly confidential. If for any reason you object to your own
records being viewed in this way, please inform the receptionist.

To aid the teaching process, the registrars and medical students
will regularly make a video recording of their consultations. This

21
is only shown to other GPs as an aid to improve consultation
skills. The focus of the video is the doctor, not the patient.
Intimate examinations are not recorded.

Patients will always be advised that this is to happen and will
have the option of refusing to have their consultation recorded.
Patients will be asked to sign a consent form before and after the
consultation and may ask for the recorder to be switched off at
any time during the consultation.


Change of Name or Address
If you change your name, address or telephone number please tell
us as soon as possible, so that we can update your records.



Research
We are often asked to participate in research projects by doctors
working in the Oxford Hospitals or the University of Oxford. We
never take part in a project unless it has been approved by the
Research Ethics & Research Governance Committee. You will be
asked to give written consent before any information is passed to
the researcher.




22
Suggestions, Complaints and Compliments


Suggestions
We are keen to improve the services we offer. Suggestions are
welcome and should be made to the doctors or the practice
manager. Confidentiality will be respected and a reply will be
made as soon as possible.


Complaints
If you have a complaint about any aspect of the service within the
surgery, please speak to the practice manager. Your complaint
will be acknowledged and will be dealt with in the strictest
confidence.

Compliments are always appreciated and often help us to see
things in a different light.


Patient Panel

A Patient Panel has been formed to facilitate two-way
communication between the Primary Health Care Team and the
practice population. As a result, the practice aims to improve the
quality of decision making, as well as improve communication
with patients. The Panel has a Statement of Intent which outlines
the aim, objectives, membership and meetings of the panel. Dates
of meetings are published in the Benson Bulletin. For more
information contact the surgery.




23
Oxfordshire Primary Care Trust (PCT)

Mill Stream Surgery comes into the Oxfordshire PCT area. The
PCT holds the NHS budget for the local population. The trust
directly provides services such as health visiting, district nursing,
school health nursing and community hospitals. It runs the Out of
Hours service. It also works with the GP surgeries in its area to
provide good quality primary health care.

For more information about the PCT you can access their website
at www.oxfordshirepct.nhs.uk or phone 01865 336800.

There is a Patient Advice and Liaison Service (PALS) which
offers help and advice to patients, their carers and families. This
service can be contacted on Freephone 0800 0526088.

A useful website for finding healthcare services, for instance
pharmacies that are open out of hours across Oxfordshire, is at
www.oxfordshirepct.nhs.uk

If you would like to know more about the NHS there is a website
at www.nhs.uk.



Violence against staff working in the NHS is a crime. This
practice has a zero tolerance of violence against its staff and any
incident where staff are abused, threatened or assaulted will result
in the patient being reported to the police and no longer allowed
to receive medical services from this practice.




24
Telephone Numbers

Emergency: After the surgery has closed, ring 0845 345 8995. A
call handler will take your call and contact the duty doctor on
your behalf.
If the patient is unconscious or you suspect a heart attack,
ring 999 for an ambulance and then contact the doctor.
NHS direct is available for information or advice at any time
on 0845 4647 (www.nhsdirect.nhs.uk)

Abingdon Minor Injuries Unit 01235 208730
Henley Minor Injuries Unit 01491 637435

Churchill Hospital,Oxford            01865 741841
John Radcliffe Hospital,Oxford       01865 741166
Nuffield Orthopaedic Centre,Oxford   01865 741155
Manor Hospital                       01865 307777
Warneford Hospital,Oxford            01865 741717
Wallingford Community Hospital       01491 208500
South & Vale Carers Centre           01235 510212

Oxfordshire Primary Care Trust    01865 226900
Wallingford Volunteers            01491 836345
Benson Volunteers                 01491 825992
Dental Emergencies, Oxford        01865 842609
Social Workers, Abingdon          01235 814411
Health Visitor                    01491 832000
District Nurse                    01491 838286
       Mill Stream Surgery, Benson, Oxon OX10 6RL
              www.millstreamsurgery.nhs.uk
                    01491 838286

July 2008
25
        MILL STREAM SURGERY
               BENSON

            Promoting Good Health




Dr Peter Rose
Dr Lucy Jenkins
Dr Stephen Harper              Dr Sarah Morris
Practice Manager Fran Butler




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