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Written by Ellen Kitching on . Posted in Uncategorised.

Sedation for MRI and CT scanning

Sedation for MRI and CT scanning

We do NOT prescribe sedatives for patients undergoing radiological procedures eg CT scans or MRI scans

Patients often ask if sedatives can be prescribed before radiological procedures (e.g., CT or MRI scans). It is important to note that it is not safe for GP practices to prescribe sedatives for this purpose.

Safe and Effective Sedation

Sedation and analgesia should only be provided by a trained and credentialed team that has access to anaesthetics, pre-procedure assessment, a sedation plan and checklist, appropriate monitoring, and resuscitation equipment, along with reversal agents, as outlined in the Royal College of Radiologists’ guidelines for sedation, analgesia, and anaesthesia in the radiology department.

Safety Concerns

Sedated patients should be monitored regularly. There have been instances where a sedative prescribed by a GP was not followed by proper monitoring, leading to severe consequences such as respiratory arrest in an MRI machine.

Considerations for GP Practices

GP Practices are not required to prescribe sedatives

  • Ineffective Sedation: A 2mg dose of diazepam (benzodiazepine) is typically sub-therapeutic for most adults and may not effectively sedate the patient. Furthermore, anxiolytics can have idiosyncratic responses in patients, and even small doses may cause agitation in certain individuals.
  • Timing Issues: Patients might take a sedative an hour before the procedure, only to find that the procedure has been delayed, making the sedative timing less effective.
  • Lack of GP Expertise: GPs are not regularly trained or appraised in sedation techniques.
  • Hospital Consultants’ Role: Hospital consultants, who request and perform imaging, have the same prescribing capabilities as GPs. If a patient requires medication to proceed with an investigation, the consultant is better positioned to prescribe it, either through the hospital pharmacy or a hospital prescription.

Guidelines from the Royal College of Radiologists

The Royal College of Radiologists makes no mention of GP involvement in the provision of low-dose anxiolytics. The College stresses the importance of well-trained staff and proper patient monitoring, as detailed in their guidelines:

“Safe and effective analgesia and sedation should be delivered by an appropriately trained and credentialed team with good access to anaesthetics, pre-procedure assessment, sedation plan and checklist, with appropriate monitoring and availability of resuscitation equipment and reversal agents.”

Conclusion

To avoid situations where patients are inadequately sedated or unmonitored, particularly when the sedation provided by general practice is not known to the procedure team, we decline all requests for sedative prescriptions, even if the hospital suggests doing so. When making a referral for imaging, it may be helpful to indicate on the referral form that an assessment for additional support during the procedure by the radiology team may be beneficial.

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Written by Aimee Toohey on . Posted in Uncategorised.

Surrey Docks HC Info

Patient information
Surrey Docks Health Centre

Address: 12-13 Blondin Way (Off Downtown Road), London SE16 6AE.

Telephone: 020 3930 1930.

Website: Surrey Docks Health Centre | London Health Centre

 

Contact details:

  • Address: Surrey Docks Health Centre, 12-13 Blondin Way (Off Downtown Road), London, SE16 6AE
  • Closest bus stop: Bus routes C10 and 381. 
  • Closest Underground station: Canada Water, 15 mins
  • Telephone number: 020 3930 1930
  • Website: nexushealthgroup.nhs.uk/surrey-docks-health-centre

Opening hours:

GP Partners: Dr Grant Su
Cluster Service Manager: Nosheen Sethi
Site Manager: Megan Moore

Appointments and Admin Support

If you need an appointment, or have an administrative query you can request here on our website, or on the NHS app. Our team will review your request and get back to you with an appointment or information. If you cannot fill in the form online, telephone us or visit your GP practice and the team will complete the form for you.

Repeat Medication

You can order repeat medication at your pharmacy, via the NHS App or on the form below.
Click here for repeat medication.

As a Nexus Health Group patient, you can be seen at any of our GP practice sites in Southwark

  • Artesian Health Centre
  • Decima Street Surgery
  • Dun Cow Surgery
  • Harold Moody Health Centre
  • Manor Place Surgery
  • Princess Street Practice
  • Sir John Kirk Close Surgery
  • Surrey Docks Health Centre

Accessibility matters. All Nexus Health Group sites:

  • Are wheelchair/pram/buggy accessible.
  • Have closed hearing loops in reception.
  • Have access to translators including BSL.
  • Strive to make our patient information clear
    and easy to understand.

Your care directory

  • Requesting an appointment

    • Choose your appointment type here. The team will review your request and contact you the same day with an appointment or information.
    • You can also fill our online form via the NHS app.
    • If you cannot complete the form online, please telephone us, or visit your GP practice who will complete the form for you.

  • Getting repeat medication

    • If you are looking for a repeat medication, you can ask your local pharmacy to
      register you for the Electronic Prescribing Service. This means your prescription
      will be delivered directly to the pharmacy, so you do not need to come into the
      surgery or make an appointment.
    • You can request medication via this contact form on the website.
    • You can request medication via the NHS app.
    • You can drop a hand written request off to one of the collection boxes on site.

  • Getting a vaccination (you or your child)

    • Request an appointment with the nursing team using our online form, the NHS app, or telephoning your registered practice.
    • If you cannot complete the form online, please telephone us, or visit your GP
      practice who will complete the form for you

    Please note we do not currently offer travel vaccinations. These can be accessed
    via your local travel clinic, or pharmacy.

  • Changing your personal details

    • Please use our online form.
    • Or you can write a letter to your registered practice.

  • Getting self-help and self-referrals

  • Join the Patient Participation Group

    • You can fill in this form on the website
    • You can visit your local practice as ask to join.

  • View your medical record and test results

    • You can access this information via the NHS app. Contact reception for help registering with this service.

  • Fees for services

    • Your NHS treatment is free. There are charges for some services which are not covered by the NHS for example medical or insurance reports, requests for letters and private sick certificates.

  • Feedback and complaints

    We value your feedback

    • Find information on feedback and complaints here.
    • You can speak to any member of the practice staff in person.
    • You can email the Site Manager at your registered practice.

  • Chaperones

    • You are entitled to have a formal chaperone join you for any consultation, examination or procedure. This will be a trained member of our staff. Please let us know when you request an appointment if you would like a chaperone to join you for your appointment. You are also welcome to have a family member or friend accompany you for your appointment if you wish however this is not a formal chaperone. Your healthcare professional may also require a chaperone to be present for certain consultations in accordance with our chaperone policy.

  • HIV opt-out screening

    There is an extremely high rate of diagnosed HIV in Southwark. We are working with partners to increase the detection of undiagnosed HIV (Human Immunodeficiency Virus). If we take a blood test for any reason, we will automatically add on a HIV screen to the sample (if there has been no recent screening). If you wish to opt out of this programme, please speak to reception or your clinician.

Our multidisciplinary team

As well as a multidisciplinary clinical team, we also have HR, IT and Finance specialists.

  • General Practitioners (GPs)

    Our GP Partners are supported by a team of salaried General Practitioners. They lead our clinical and non-clinical multidisciplinary teams to delivery holistic care to our patients. Our GPs see patients face to face, but also offer telephone consultations.

  • GP registrars

    Fully qualified medical doctors who are completing their specialist training in General Practice. They work under the supervision of their allocated trainer.

  • Physician Associates (PAs)

    Physician Associates are medically trained, generalist healthcare professionals, who work alongside doctors and provide medical care as an integral part of the multidisciplinary team. Physician Associates are dependent practitioners working with a dedicated medical supervisor, but are able to work autonomously with appropriate support.

  • Paramedics

    Our team of Paramedics work across all Nexus sites and are highly trained in dealing with acute medical issues. The usually perform acute home visits for our housebound patients.

  • Nurses

    We have a full nursing team across all our sites who have all done further training to become competent in skills needed for General Practice. Practice nurses can carry out cervical smears, immunisations, contraception reviews, wound care and chronic disease management such as asthma, COPD and Diabetes.

    Health care assistants work with the nursing team and are trained in adult immunisations, phlebotomy, wound care, ear syringing, NHS health checks, 24 hour BP monitoring and some annual reviews.

  • Pharmacists

    Pharmacists are responsible for the safe prescribing of complex and high risk medicines. They respond to central medicine alerts and conduct prescribing safety audits and adjust medication charts post hospital discharges.

  • Physiotherapists

    Physiotherapists are available at a number of our sites and you can book an appointment via reception to see them.

  • Mental Health Practitioners

    Mental Health Practitioners work with our clinical team providing specialised mental health support. Your clinical team can arrange an appointment for you.

  • GP assistant (admin)

    General Practice Assistants are an administrative function (non-clinical) responsible for sorting and signposting clinical post, and extracting important information from letters for coding.

  • Care Coordinators (admin)

    Care coordinators help navigating care for patients with more complex heath and care needs and bringing multidisciplinary teams effectively together to support these patients. 

QHS: Our Primary Care Network

Nexus Heath Group is part of the North Southwark Primary Care Network QHS. Read the NHS England PCN FAQs. QHS is a GP Federation providing Healthcare services within and on behalf of north Southwark. The Federation is a membership
organisation that brings together healthcare services. Fourteen GP practices in north Southwark came together as a Primary Care Network with Quay Health Solutions Community Interest Company.

You may receive text message from QHS regarding vaccinations and other services they are carrying out on behalf of North Southwark GP Practices.

About Nexus Health Group

Nexus Health Group was founded in 2016 with the coming together of a number of long established, like-minded local GP practices. We are one of England’s largest provider of NHS Primary Care Services, serving a diverse list of approximately 75,000 patients from 8 GP practices all based in South East London.

We are a well-recognised training organisation for GPs, nurses and allied health professionals.

Around 200 employees make up our multidisciplinary teams of GPs, Advanced Nurse Practitioners (ANPs), Paramedics, Physician Assistants, Nurses, Pharmacists, Health Care Assistants (HCAs) and local administration teams. We are focused on the development of our workforce and our services.

In addition to our clinical and administrative practice teams, we also have centralised back office functions providing finance, HR, administration, and data/IT support. Our organisation is led by our GP Partners and our Senior Management Team.

Our GP Partners
Our GP Partners manage and work within the organisation. Our GP Partners are:

• Dr Kenny Chan
• Dr Anna Kedian
• Dr Stefan Lipinski
• Dr Neal Murphy
• Dr Olufemi Osonuga
• Dr Robin Rastogi
• Dr Ben Sangowawa
• Dr Chris Damant
• Dr Mo El Labib
• Dr Grant Su

Our Management Team
Our Senior Management Team works alongside the GP Partners to deliver services across the organisation:

• Steven Hunt: Director of Services and Operations
• Claire Lannie: Nurse Manager
• Kasia Surga: Senior Operations Manager
• Mus Chowdhury: Finance Manager
• Sabrina Sithanen: Human Resources Manager
• Ellen Kitching: Business and Communications Manager

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Written by Aimee Toohey on . Posted in Uncategorised.

Sir John Kirk Close Surgery Info

Patient information for Sir John Kirk Close Surgery

Contact details:

GP Partners: Dr Kenny Chan, Dr Ben Sangowawa,
Dr Neal Murphy and Dr Chris Damant
Cluster Service Manager: Sharon Coleman
Site Manager: Annabel Philmoore & Ann Gibson

Appointments and Admin Support

If you need an appointment, or have an administrative query you can request here on our website, or on the NHS app. Our team will review your request and get back to you with an appointment or information. If you cannot fill in the form online, telephone us or visit your GP practice and the team will complete the form for you.

Repeat Medication

You can order repeat medication at your pharmacy, via the NHS App or on the form below.
Click here for repeat medication.

As a Nexus Health Group patient, you can be seen at any of our GP practice sites in Southwark

  • Artesian Health Centre
  • Decima Street Surgery
  • Dun Cow Surgery
  • Harold Moody Health Centre
  • Manor Place Surgery
  • Princess Street Practice
  • Sir John Kirk Close Surgery
  • Surrey Docks Health Centre

Accessibility matters. All Nexus Health Group sites:

  • Are wheelchair/pram/buggy accessible.
  • Have closed hearing loops in reception.
  • Have access to translators including BSL.
  • Strive to make our patient information clear
    and easy to understand.

Your care directory

  • Requesting an appointment

    • Choose your appointment type here. The team will review your request and contact you the same day with an appointment or information.
    • You can also fill our online form via the NHS app.
    • If you cannot complete the form online, please telephone us, or visit your GP practice who will complete the form for you.

  • Getting repeat medication

    • If you are looking for a repeat medication, you can ask your local pharmacy to
      register you for the Electronic Prescribing Service. This means your prescription
      will be delivered directly to the pharmacy, so you do not need to come into the
      surgery or make an appointment.
    • You can request medication via this contact form on the website.
    • You can request medication via the NHS app.
    • You can drop a hand written request off to one of the collection boxes on site.

  • Getting a vaccination (you or your child)

    • Request an appointment with the nursing team using our online form, the NHS app, or telephoning your registered practice.
    • If you cannot complete the form online, please telephone us, or visit your GP
      practice who will complete the form for you

    Please note we do not currently offer travel vaccinations. These can be accessed
    via your local travel clinic, or pharmacy.

  • Changing your personal details

    • Please use our online form.
    • Or you can write a letter to your registered practice.

  • Getting self-help and self-referrals

  • Join the Patient Participation Group

    • You can fill in this form on the website
    • You can visit your local practice as ask to join.

  • View your medical record and test results

    • You can access this information via the NHS app. Contact reception for help registering with this service.

  • Fees for services

    • Your NHS treatment is free. There are charges for some services which are not covered by the NHS for example medical or insurance reports, requests for letters and private sick certificates.

  • Feedback and complaints

    We value your feedback

    • Find information on feedback and complaints here.
    • You can speak to any member of the practice staff in person.
    • You can email the Site Manager at your registered practice.

  • Chaperones

    • You are entitled to have a formal chaperone join you for any consultation, examination or procedure. This will be a trained member of our staff. Please let us know when you request an appointment if you would like a chaperone to join you for your appointment. You are also welcome to have a family member or friend accompany you for your appointment if you wish however this is not a formal chaperone. Your healthcare professional may also require a chaperone to be present for certain consultations in accordance with our chaperone policy.

  • HIV opt-out screening

    There is an extremely high rate of diagnosed HIV in Southwark. We are working with partners to increase the detection of undiagnosed HIV (Human Immunodeficiency Virus). If we take a blood test for any reason, we will automatically add on a HIV screen to the sample (if there has been no recent screening). If you wish to opt out of this programme, please speak to reception or your clinician.

Our multidisciplinary team

As well as a multidisciplinary clinical team, we also have HR, IT and Finance specialists.

  • General Practitioners (GPs)

    Our GP Partners are supported by a team of salaried General Practitioners. They lead our clinical and non-clinical multidisciplinary teams to delivery holistic care to our patients. Our GPs see patients face to face, but also offer telephone consultations.

  • GP registrars

    Fully qualified medical doctors who are completing their specialist training in General Practice. They work under the supervision of their allocated trainer.

  • Physician Associates (PAs)

    Physician Associates are medically trained, generalist healthcare professionals, who work alongside doctors and provide medical care as an integral part of the multidisciplinary team. Physician Associates are dependent practitioners working with a dedicated medical supervisor, but are able to work autonomously with appropriate support.

  • Paramedics

    Our team of Paramedics work across all Nexus sites and are highly trained in dealing with acute medical issues. The usually perform acute home visits for our housebound patients.

  • Nurses

    We have a full nursing team across all our sites who have all done further training to become competent in skills needed for General Practice. Practice nurses can carry out cervical smears, immunisations, contraception reviews, wound care and chronic disease management such as asthma, COPD and Diabetes.

    Health care assistants work with the nursing team and are trained in adult immunisations, phlebotomy, wound care, ear syringing, NHS health checks, 24 hour BP monitoring and some annual reviews.

  • Pharmacists

    Pharmacists are responsible for the safe prescribing of complex and high risk medicines. They respond to central medicine alerts and conduct prescribing safety audits and adjust medication charts post hospital discharges.

  • Physiotherapists

    Physiotherapists are available at a number of our sites and you can book an appointment via reception to see them.

  • Mental Health Practitioners

    Mental Health Practitioners work with our clinical team providing specialised mental health support. Your clinical team can arrange an appointment for you.

  • GP assistant (admin)

    General Practice Assistants are an administrative function (non-clinical) responsible for sorting and signposting clinical post, and extracting important information from letters for coding.

  • Care Coordinators (admin)

    Care coordinators help navigating care for patients with more complex heath and care needs and bringing multidisciplinary teams effectively together to support these patients. 

QHS: Our Primary Care Network

Nexus Heath Group is part of the North Southwark Primary Care Network QHS. Read the NHS England PCN FAQs. QHS is a GP Federation providing Healthcare services within and on behalf of north Southwark. The Federation is a membership
organisation that brings together healthcare services. Fourteen GP practices in north Southwark came together as a Primary Care Network with Quay Health Solutions Community Interest Company.

You may receive text message from QHS regarding vaccinations and other services they are carrying out on behalf of North Southwark GP Practices.

About Nexus Health Group

Nexus Health Group was founded in 2016 with the coming together of a number of long established, like-minded local GP practices. We are one of England’s largest provider of NHS Primary Care Services, serving a diverse list of approximately 75,000 patients from 8 GP practices all based in South East London.

We are a well-recognised training organisation for GPs, nurses and allied health professionals.

Around 200 employees make up our multidisciplinary teams of GPs, Advanced Nurse Practitioners (ANPs), Paramedics, Physician Assistants, Nurses, Pharmacists, Health Care Assistants (HCAs) and local administration teams. We are focused on the development of our workforce and our services.

In addition to our clinical and administrative practice teams, we also have centralised back office functions providing finance, HR, administration, and data/IT support. Our organisation is led by our GP Partners and our Senior Management Team.

Our GP Partners
Our GP Partners manage and work within the organisation. Our GP Partners are:

• Dr Kenny Chan
• Dr Anna Kedian
• Dr Stefan Lipinski
• Dr Neal Murphy
• Dr Olufemi Osonuga
• Dr Robin Rastogi
• Dr Ben Sangowawa
• Dr Chris Damant
• Dr Mo El Labib
• Dr Grant Su

Our Management Team
Our Senior Management Team works alongside the GP Partners to deliver services across the organisation:

• Steven Hunt: Director of Services and Operations
• Claire Lannie: Nurse Manager
• Kasia Surga: Senior Operations Manager
• Mus Chowdhury: Finance Manager
• Sabrina Sithanen: Human Resources Manager
• Ellen Kitching: Business and Communications Manager

Read more …Sir John Kirk Close Surgery Info

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