Tiptree Medical Centre Open Morning and Engagement Event
Tiptree Medical Centre
Saturday 25th May from 9am
We would like to invite all our patients to attend an open morning at the practice on 25th May to give patients the opportunity to meet with Doctors and staff and allow patients the opportunity to observe what goes on ‘behind the scenes’ at the practice and understand the processes in place for providing primary care to the local community.
The practice will open to patients from 9am until 11am. Our Patient Participation Group will also be on hand to explain their involvement in the decisions made within the practice.
From 11am the senior doctors will be holding some engagement forums. This will give an opportunity for patients to discuss the medical centre services provided and put forward any ideas and suggestions on how the practice can develop in line with a growing local population coupled with the constraints and challenges within the NHS. There will also be a question and answer session where the senior doctors will be happy to discuss any matters raised by patients.
Due to limited space within the practice there will be 3 forums held during the day. If you would like to attend please speak to a member of the reception team who will discuss the times available to attend.
Tiptree Medical Centre is extremely grateful to the Rotary Club for their generous donation of £600 towards the Mircolife WatchBP Cardiovascular management solution Doppler machine.
What can it do
- It reduces the time currently needed for ABI assessments, Currently it takes a 30 minute appointment to perform a ABI assessment
- The whole holistic assessment can be done in 20 minutes, 3 per hour.
- Instead of 2 patients per hour, we can assess 3 patients with the added benefit of multi limb BP reading and AF screening.
This will assist us in diagnosing a range of conditions.
Atrial Fibrillation (AF):
Is the most common cause cardiac arrhythmia
Affects between 1-2 % of the general UK population and is related to 20% of strokes .
High Blood Pressure (hypertension). If left undiagnosed and treated can lead to :
Heart attack, Stroke and Kidney damage
Management and treatment of varicose veins and Leg ulcers and PAD (Ankle Brachial Pressure index):
API assessment must be carried out be for compression hosiery and bandages can be applied to a ulcerated leg. This assessment is used to assess whether further treatment as needed.
What causes peripheral arterial disease (PAD)
The narrowing of blood vessels (arteries) is caused by atheroma. Atheroma is like fatty patches (plaques) that develop within the inside lining of arteries. A patch of atheroma starts quite small and causes no problems at first. Over the years, a patch of atheroma can become thicker. (It is a bit like scale that forms on the inside of water pipes.)
Surgery will be Closed:
Following a CCG directive Tiptree and other surgeries within NEE, will be closed on the following dates for staff training:
Thursday 16th May 2019 from 12 noon.
Thursday 13th June 2019 from 12 noon.
Wednesday 3rd July 2019 from 12 noon.
Wednesday 25th September 2019 from 12 noon.
Thursday 17th October 2019 from 12 noon.
Thursday 14th November 2019 from 12 noon.
Wednesday 22nd January 2020 from 12 noon.
Wednesday 12th February 2020 from 12 noon.
Thursday 26th March 2020 from 12 noon.
The surgery will reopen again the following day at 8am.
In an emergency call 999
If you need advice or need to be seen Call 111 or attend the Walk in Centre at Turner Road Colchester.
From our Flu Day sale of CD’s, DVD’s, Books and Cakes, we raised £60.41, the proceeds will go directly to The Alzheimer’s Society which aid research and supporting people with Dementia.
Thank you to all who kindly contributed.
Extended Hours Service:
The Colte Partnership now offers an extended hours service offering appointments up to 8pm on weekdays and also Saturday and Sunday mornings. These clinics will be held at one of 3 local practices. A range of clinics are available - from GP's to Physiotherapists.
Please speak to a Receptionist who can give you further details on the clinics available and is able to book you an appointment if required.
On 1st June 2017 Tiptree Medical Centre joined 10 other local practices to form "The Colte Partnership". Please be assured that as a patient you will not notice any changes in that you are still registered with Tiptree Medical Centre and the doctors, nurses and other staff at the surgery will be remaining there. www.coltepartnership.co.uk
Local health services are under huge pressure. Please don’t call 999 or go to A&E unless it is a life threatening emergency. For advice call 111, ask a pharmacist or contact us on 01621 816475
After listening to our patients, collating the feedback from our inhouse surveys and friends and family forms, we have adjusted our appointment system to offer our patients more pre-bookable appointments.
You can still request a telephone triage appointment or a pre-bookable appointment.
Detailed patients guide for requesting appointments with a GP.
All patients that would like to request a GP callback will be required to telephone the surgery (816475) on the day. This service will run until we reach full capacity for that day. If you require a telephone or face to face appointment for a future date, please remain on the line and speak to a receptionist. Any patients having difficulty hearing and communicating over the telephone can come down to the surgery and speak to one of our receptionists who will be able to talk to one of the GP’s to arrange a face to face appointment
No GP appointments will be made at reception so please do NOT queue outside first thing in the mornings. Our doors will open at 8am for pre-booked appointments only.
All other services will remain as normal, patients will still be able to book routine Blood tests, Asthma and Diabetic reviews, Family Planning and Smear tests, ECG’s and BP check with a member of the Nursing Team or HCA’s.
With telephone triage appointments GP’s will manage their own bookings by offering and booking follow up appointments and reviews.
Brief details and current telephone numbers will be taken by the receptionist and placed in telephone slots for all GP’s to telephone triage.
Patients will be able to provide mobile numbers so they can be telephoned anytime that day.
PLEASE NOTE: All calls from a GP will be withheld numbers, and unfortunately the GP’s will not be able to repeatedly call patients that do not answer. If there is no answer a voicemail may be left for the patient to re call the surgery the following day and rebook.
GP Telephone triages with patients
GP is able to deal with a problem over the telephone so patient does not require a face to face appointment.
GP offers & books a face to face appointment for that day.
GP books an appointment with a Nurse Practitioner
Home Visit arranged for housebound patient.
Why The Change?
A decision has been made by the partners to look at the way forward for our Surgery
This system will enable and utilise the GP’s resources much more efficiently on a daily basis therefore decreasing patient waiting times and the high amount of the DNA’s we have been experiencing.
As with any new system we are expecting teething problems but we truly believe this is the way forward for Tiptree Medical Centre.
Phlebotomy clinic offers blood tests by appointment only. Please contact Reception who will be happy to make an appointment for you
Calls may be recorded for monitoring and training purposes.
Dementia Friendly accreditation
Tiptree Medical Centre has been recognised as one of the first Dementia friendly practices in Essex.
The honour comes following its participation in the Alzheimer Society’s county-wide Dementia Friendly GP practice project.
The project was funded by the SCN though Mid, West and North East Essex CCGs and surgery staff have worked hard to make a number of dementia-friendly changes. These included staff becoming Dementia Friends, putting up dementia-friendly signage and making double appointments available for patients who are affected by dementia.
COMMUNICATION WITH OUR PATIENTS
We want to get better at communicating with our patients. Please tell the receptionist if you need information in a different format or communication support or email us at
We want to know if you need information in braille, large print or easy read
We want to know if you need a British Sign Language interpreter or advocate.
We want to know if we can support you to lip-read or use a hearing aid or communication tool.
GP National Survey 2018 please click here to view the results https://gp-patient.co.uk/
As a result of the survey we have composed an improvements action plan, if you have any comments or suggestions please let us know by emailing us at Tiptreemedicalcentre@nhs.net
How will this be done
Who will do this
Date to be completed by
Where are we
|Monitor changes to appointment system to improve patient satisfaction||Continue to actively monitor patient feedback from all sources. Ensure receptionists are adequately supported. ||Dr Turner||Ongoing ||Making Progress |
|Continue to review clinician performance – address any concerns raised by patients to ensure patients are well cared for.||To review patient feedback at practice meetings and clinicians appraisals. Address any discontinuity of care by locum GP’s.||The Partners||Ongoing ||Making Progress |
|Recruit and additional Prescription Clerk ||Advertise/Recruit||Practice Manager ||April 2019||Advertised|
Recruit an Advanced Nurse Practitioner or Paramedic
|Completed October 2018|
Painting of Surgery
To obtain quotes
|Completed September 2018|
Adjusted Appointment System
Increase Prebookable appointments, retain some telephone triage appointments, Increase online appointments
Practice Manager/Reception Manager
|Completed June 2018|
Recruit salaried GP
|New Salaried GP started 1st June 2018|
Perform in house survey
Surveys available in reception and waiting room
Practice Manager/Patient Representative Group
Collated and adjusted telephone system to give patient choice
Updating of staff, services and hours
Practice Nurse - increase skills
Cervical Cytology, Childhood Immunisation and Vaccination Course, Lead Nurse as mentor
Practice Manager, Lead Nurse and Practice Nurse
Courses completed and Practice Nurse skills updated.
Encourage patients to nominate a pharmacy for electronic prescriptions. A secure and safe way to prescribe medication.
Practice Manager/Reception Manager
Increased, but still some patients not offered
Perform in house survey
Always have surveys available in reception
Practice Manager/ Patient Representation Group
Ongoing patient survey in waiting room
Update, staff, opening hours, facilities, services. Update in general
Practice Manager / Receptionist
Completed / ongoing
Make more appointments available for on line booking
Doctors and Nurses
Update staff, opening hours, facilities, services
Implement new appointment Telephone Triage System (STOUR)
Instruct all staff
Dr Roberts/ Practice Manager/Reception Supervisor
Review capacity /resources
Partners / Practice Manager
Recruit salaried GP
Recruitment /advertise post
Practice Manager /Partners
Completed, Dr Daniel Eriksson ccommences one year appointment August 2017
Review Phlebotomy Clinic
Change to Appointment only - Posters and advise
Practice Manager / HCAS
Recruit new Reception Manager and new Reception Staff
Practice Manager/ Partners
Completed all in post
Review admin/reception roles
Business cards, for gp to have message for follow up, book apt
Discuss with GP’s
Visit surgery where changes have been made. Jubilee street
Contact PM, Visit surgery
Practice Manager/Nurse Practitioner
1st May,see review of visit
Improve telephone system with call back and queue identifier
Investigate systems and obtain quotes
New system ordered July 30th
Instillation of system aborted
New system to be sourced January 2017
Additional full time Nurse Practitioner
Negotiate with nurse
Nurse Lockhart 30hrs a week as Nurse Practitioner
All prescription queries to Prescription Clerk and only she will forward to on call
Liaise with reception supervisor and prescription clerk Inform staff
Practice Manager/Reception Supervisor /Prescription Clerk
Appointment of Pharmacist to manage all medication queries
Contract with GPPC
Completed Nike Odusote started 1st August
Evening sessions for nhs heatlh checks
Negotiate with HCA
Sessions held in October, more will be planned for the new year
Review housebound patients to access if truly housebound
Searches and patient lists
Practice Manager/ Nursing staff
Completed 50% reduction in home visits
Review HCA sessions
When Nurse practitioner contract is agreed
Practice Manager/Lead Nurse/HCA
ICE, electronic pathlogy requests
All patients are allocated a named GP, however you can continue to request to see the GP of your choice. If you wish to know your allocated GP please ask at reception or email us at Tiptreemedicalcentre@nhs.net
Free Screening for the risk of Heart Disease
If you are aged between 40yrs and 75yrs and do not already suffer from heart disease, diabetes, kidney disease, high blood pressure or have had a stroke (as you should already be under the care of the practice nurse), we can offer you a free check once every 5yrs. The aim of the check is to prevent you from developing long term conditions.