A repository of forms used by the practice and other organisations.
- Cancer Genetics Questionnaire
- Carers Self-Assessment Form
- Complaints Form
- Home Blood Pressure Measuring Table
- PCAMHS Referral
- Prescription Home Delivery Registration
- Statutory Sick Pay
- Travel Risk Assessment Form
New Patient Forms
Islip Medical Practice formed its Patient Participation Group in 2005. Initially people with particular interests were invited to attend. The group began with 12 members and our numbers have tended to fluctuate over the years. Meetings have been held twice yearly and were chaired in rotation by each partner in the practice. In 2011 we decided to re-launch the group and offer a virtual patient reference group. A text message was sent to all patients who have provided us with a mobile telephone number inviting them to join an on line patient reference group (VRG). The initial response was very encouraging and around 230 patients expressed an interest to participate (including those who had responded via leaflet/letter).
In an effort ensure fair representation we randomly selected a further 50 patients across all categories who were not otherwise included and wrote inviting them to participate.
Furthermore, we produced a poster in reception to advertise together with invitation leaflets which were distributed through reception. We continue to use our practice newsletter to keep patients informed and invite them to join. We are always delighted to welcome new members to the group and you can find contact information and the answers to some frequently asked questions here. We are very pleased to report that Claire Tasker and Geoffrey Mills have been appointed Islip Patient Group Representatives. If you would like to contact them, please let us know and we will inform them.
PRG Survey and Report 2011-12
In October 2011 we emailed all 250 contacts the results of our GP patient survey dated April 2010-March 2011 inviting them to offer any views, feedback or suggestions they felt would help us to improve our services. All email responses were collated for consideration. From the responses we were able to prioritise the views expressed and take the majority forward into a practice survey via Survey Monkey. The following areas were identified.
- Insufficient information being received from Practice Nurses.
- What format would further information from Practice Nurses be preferred?
- Awareness of text messaging service/appointment reminders.
- On line access to medical records.
- Access to GP telephone consultations.
- Confidentiality of reception and dispensary area.
- Practice Website.
PRG Survey and Report 2012-13
In the light of these findings, and taking into account comments on car park access and the music in the waiting room, we have, over recent months, conducted a follow-up survey, containing eight questions and encouraging other free text comments. The survey was then emailed to our 210 PRG members and 50 paper copies were handed out to patients via reception. We received 126 replies, 76 by email and 50 paper copies, and these reponses can be viewed here. The overwhelming majority of responses rated their overall experience of the practice as exceptional or very good.
In February 2013, we emailed the PRG asking them for feedback following the survey, and have also sought feedback via the website and in the waiting room. To date, we have had nineteen comments and suggestions.
Our proposed action plan, in light of the review, is summarised below. A full copy of the report can be found here.
|Accessing medical records on line||Over a third of those surveyed were aware of this service. We will continue to advertise it to the PRG, on the website and in the next newsletter.|
|Verbal advice from nurses||Our survey suggested that patients would like more verbal advice from our practice nurses. We have added some prompts to our clinical templates to remind our nurses about this. We have also introduced additional training for our new nurse to encourage this.|
|Telephone consultations||We have changed our clinical system and have introduced specific slots for booking telephone consultations with doctors and nurses. We included a feature in our last newsletter in November offering this improved service.|
|Feedback re new website||We propose to add more of the information suggested by the survey: more clinical information, organisational features, a news area and links. We will continue to seek feedback (eg. through the newsletter) as more people use the new website.|
|Car parking||Despite our fears that other users might be causing our own patients difficulties, this did not seem to be a major concern. We will continue to observe the use of car park spaces and keep this under review. We will also advertise in the waiting room that patients with pre-school children may park their car so as to occupy two spaces, thus allowing more space to get the children in and out of their car seats.|
|Radio playing music in waiting room||Most respondents liked this. We will continue to monitor the volume of the radio in the waiting room and also try Classic FM rather that Radio 2, following suggestions from two patients.|
Results and further information
Here is some advice on how to deal with many common ailments and conditions.Please note that any advice on our website is for registered patients only. Please do seek further advice from your GP if symptoms are not settling or if you have any further questions.
Many acute strains and sprains will respond to a few days' rest and paracetamol taken for the pain.
An anti-inflammatory such as ibuprofen, available over the counter, may also be useful (but you must check with your chemist that you have no contraindication to taking an anti-inflammatory). With backache, it is generally recommended to remain as mobile as possible within the limitations of the pain, but to avoid heavy lifting or other activities which are likely to exacerbate the condition. If the symptoms continue, you should consult your GP.
If you have blood pressure problems it is sensible to watch your weight, cut down on salt, limit alcohol, exercise regularly and stop smoking. You may like to discuss these issues with the practice nurse.
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. For adults, if the burn is larger than four or five centimetres in diameter (ie. larger than the palm of your hand) or if the skin is broken, consult the practice nurse or your doctor. We are always happy to assess children with burns at surgery.
On the first day, a rash appears with small red spots about 3-4mm wide. Within a few hours these develop small blisters at the centre. During the next three or four days further spots will appear and the earlier ones will turn crusty and fall off. Calamine lotion may be applied to help the itching. The most infectious period is two or three days before the rash appears and until the last crusts have formed dry centres, usually seven to ten days after the rash started. Children may return to school as soon as the last crusts have dropped off. For healthy children it is generally a relatively mild condition and it is not usually necessary to see a doctor. It may be appropriate to seek medical advice for a child with other medical problems, and definitely for an adult. Please seek medical advice if you come into contact with chickenpox whilst pregnant.
These usually start with a runny nose, cough, temperature and aches. They are caused by viruses and antibiotics are of no use in their treatment. Treatment consists of taking recommended doses of paracetamol for the temperature and aches and drinking plenty of fluids. Do not worry if you do not eat for a few days, you will come to no harm.
Inflammation of the bladder is common in women. Typically there will be a burning sensation on passing water, you will need to go more frequently and the urine may be offensive. Drink plenty of fluids; a teaspoon of bicarbonate of soda in water may relieve the pain. Paracetamol may also help. If the problem persists for more than 24 hours consult your doctor and bring a sample of urine with you.
In adults and older children, diarrhoea and vomiting will usually get better on its own. Treatment consists of replacing the fluid that you have lost and resting the digestive system by having nothing solid to eat for 24 hours. Sachets of powders such as Dioralyte and Rehidrat, which can be made into a drink, are available from the chemist. If the diarrhoea contains blood or there is severe pain or high fever, you should discuss it with your doctor. Diarrhoea and vomiting in small babies and young children should be treated with caution and the doctor will be happy to advise you about this over the telephone and arrange to see you if necessary.
Regular checks are advisable, but there are certain groups of patients particularly at risk:
- children with a family history of a squint or "lazy eye";
- patients with diabetes or high blood pressure;
- patients with a family history of glaucoma.
Can you read this? H V O A P N R S T
If you can’t read this from 50cm (18 inches) in front of your eyes to arm's length you may need glasses and should consult an optician.
You may be exempt from examination charges if you are in one of the following categories:
- under 16;
- under 19 and in full-time education;
- receiving Income Support;
- receiving Family Credit or the partner of someone receiving Family Credit;
- registered blind or partially sighted;
- suffering from glaucoma, or have a family history of glaucoma and you are 40 or over.
Occasionally you may notice the sudden appearance of blood over the white of the eye. This is a subconjunctival haemorrhage caused by a broken vessel. It is not a danger to your sight, but it is worth getting a non-urgent appointment for the doctor to check your blood pressure.The blood itself will naturally absorb like a bruise.
Even very young children can have a sight test. They do not need to be able to read or recognise letters to be tested adequately.
The rash appears during the first day of the illness and usually covers the body, arms and legs in small pink spots about 2-4mm across and does not itch. There are usually no other symptoms apart from occasional aching joints. It is infectious from two days before the rash appears until the rash disappears in about four or five days. The only danger is to unborn babies and it is important to avoid pregnant women. Children are now routinely immunised as part of the MMR immunisation programme.
Wash the wound thoroughly with water and a little soap. If bleeding, apply a clean handkerchief firmly to the wound for about five minutes. A dry dressing for a day or two will keep the wound clean and protect it from irritating clothing. A tetanus jab lasts 10 years.
These creatures prefer clean hair and are not a sign of poor hygiene. Medicated shampoos can be obtained from the chemist without prescription. It is important for all members of the family to be treated.
Most of these need no treatment. Antihistamine tablets can be obtained from the chemist without prescription and will relieve most symptoms.
The rash is blotchy and red and appears on the face and body on about the fourth day of feeling unwell and is often accompanied by a cough. It is most infectious two or three days before the rash appears until eight or ten days afterwards. Immunisation can prevent this disease.
If you have a stress or mental health-related problem and want some information about local resources available, you can contact the Mental Health Resource Centre on 01865 728981. Help is also available from our local Talking Space and they can be contacted either via their website or by phone on 01865 901222.
The symptoms are swelling of the salivary gland in front of one ear often followed a couple of days later in front of the other ear; glands under the chin may also swell. It is infectious for two or three days before the swelling starts until ten days after. If the pain is severe, you should consult your doctor. Immunisation can prevent this disease.
All the above infections are caused by viruses and usually require no treatment from the doctor. However, if your child appears particularly unwell or you are worried, your doctor will be happy to give you advice.
Sit in a chair (leaning forwards with your mouth open) and pinch your nose just below the bone for about 10 minutes by which time the bleeding usually stops. If bleeding continues, consult your doctor.
It is very important to keep all medicines and toxic material out of the reach of children, preferably in a locked cabinet. Children should also be taught which plants are safe to handle. In the event of poisoning, consult your doctor or the accident and emergency department immediately and let them know what has been taken, providing a sample of the substance if possible.
First apply a cold compress containing ice for 15 to 30 minutes to reduce the swelling. Apply a firm crepe bandage and give a sprain plenty of rest until all the discomfort has subsided.
Most attacks are not serious and are usually caused by indigestion or wind. A hot water bottle will often relieve the symptoms and in the case of indigestion a teaspoon of an antacid such as Milk of Magnesia will help. If the pain lasts for longer, consult your doctor.
Treat as for other burns with cold water to remove the heat. Calamine lotion will relieve the irritation. Children are particularly susceptible to sunburn and great care should be taken to avoid overexposure to the harmful effects of the sun.
A temperature occurs commonly even with mild infections. In small children it is important to stop the temperature rising too quickly and children should be given paracetamol syrup, which may be bought from the chemist. If they still appear hot, they should be gently sponged with tepid water in order to cool them. If a temperature is very high and does not come down with the above treatment, you should consult your doctor. A child or adult with a temperature will not come to any harm being wrapped up and brought by car or by pram to the surgery.
Thrush is a yeast infection that affects many women at some time in their lives. It is commoner in women who are pregnant, on the pill, diabetic or on antibiotics. It usually affects the vaginal area and causes intense itching and a white discharge. It usually requires antifungal agents to clear it up, but you can reduce the risk of getting repeated attacks by wearing loose airy clothing and avoiding nylon underwear, tight jeans and tights.
This is a common problem which may be eased by taking aspirin or, for children under 16, paracetamol.
Always seek further advice from your own dentist or from the Emergency Dental Service based at the John Radcliffe Hospital (tel 01865 741166).
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 the reach of children.
- Soluble Aspirin Tablets
For adults and children over 16. Good for headaches, colds, sore throats and painful bruises.
- Paracetamol Mixture
For relief of pain or fever in children under 16.
- 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.
For removing splinters.
We dispense medicines for all our patients unless they live within one mile of a chemist. The dispensary is closed between 1pm - 2pm. Repeat prescriptions may still be collected but no new items will be dispensed during this time. Prescriptions issued during surgery appointments are dispensed immediately although patients may have to wait a short while for this to be done. Occasionally some medicines may have to be ordered from the wholesaler, so we ask that you give us at least 2 working days notice before collecting any requested medication.
Repeat prescriptions can be ordered by :-
- handing in your repeat prescription slip in person or by post to the dispensary at least 48 hours before the prescription is required;
- an online request (please ask a receptionist to issue a PIN number for you);
You will need to make an appointment with your doctor to review your medication from time to time. Patients for whom we cannot dispense may collect a written prescription from surgery or enclose a SAE with their request.
Home Delivery Service
You may be able to take advantage of our home delivery service for repeat prescriptions if you live in one of the following villages: Islip, Bletchingdon, Kirtlington, Lower Heyford, Charlton-on-Otmoor, Merton, Murcott, Fencott, Horton-cum-Studley, Beckley or Chesterton. This service is free of charge and deliveries are made about every fortnight. You need to register for this service. This involves filling in the registration form and returning it to the surgery. The form, which also contains further details of the service, can be downloaded here or copies are also available from reception or dispensary.
Dispensary Contact Details