North Brink Practice
Positive changes at North Brink Practice
The way we deliver your care is changing.
To meet growing demand in Primary Care, North Brink Practice is improving the way we meet the needs of our patients. By adopting a team-based approach, we are able to move away from a telephone based system to deliver more face-to-face appointments with a clinician. These changes are a better use of the limited availability of GP time, and provide greater access to the care that is needed.
The key changes are:
- Our GPs will adopt a more specialised role, overseeing the operation of a professional multi-skilled healthcare team.
- Supported by our GPs, our Nurse Team will lead in the assessment and treatment of all acute and chronic conditions in the Same Day and the Pre-Bookable clinics.
- Same Day Clinics are for anyone wanting to be seen the same day – a team of 4 nurses and 1 GP work side-by-side to offer up to 4x’s as many appointments as a GP working alone. In this way our GPs are involved in far more face-to-face appointments than before.
- Pre-Bookable Clinics are for patients wishing to book ahead – comprising 3 nurses and 1 GP with appointments that are slightly longer. This is to accommodate the sometimes more complex nature of conditions which patients normally bring.
- Also supported by our GPs, our Advanced Nurse Practitioners will lead our Emergency Team and handle phone enquiries for patients requiring urgent same day help and advice.
- Supported by our Nurse Team, our Health Care Team will assist in the delivery of specific treatment routines, for example anti-coagulation clinics, health checks and smoking cessation.
- Supporting our clinicians, our Patient Services Team will handle all administration including:
- appointment booking and enquiries
- referrals for further treatment
- blood test results
- medication requests
- The Patient Services team will be the first people to help you when visiting or phoning the practice and will need your help in directing you to the correct clinician.
- Our Dispensary and the North Brink Pharmacy* will continue to dispense medicines, provide medication advice, and help with Self Care. Alternatively you may use the pharmacy of your choice.
* North Brink Pharmacy is open 7 days a week: Mon-Sat 7am to 10pm; Sunday 8am to 6pm
Why has the GPs role changed?
Across the NHS, the role of the GP is changing. With practices becoming generally larger and more sophisticated, the role of the GP is becoming more specialised.
Their time is spent increasingly on leading teams of multi-skilled healthcare workers, and on focusing on patients with the most complex conditions.
This does not mean that patients will never see their doctor, but it provides an explanation of why your GP is not as available on a one-to-one basis as you might like, or expect them to be.
As well as providing individual consultations to patients, North Brink Practice GPs will typically be involved in:
- Supervising the nurse-led clinics
- Supporting our Advanced Nurse Prescribers in the delivery of emergency care to patients and care homes
- Reviewing and organising blood and other test results
- Initiating referrals to hospitals and other care providers
- Managing care for patients with chronic conditions and writing management plans to ensure continuity of care
- Instructing Patient Services staff in the management of patient medical records and associated administration
- Supporting our Clinical Pharmacists with regular reviews of prescription medications
- Overseeing the quality of care in the practice by providing regular training to staff
- Undertaking clinical audits
- Practice development and new services
How do I book an appointment?
You can book an appointment in either of 3 ways:
- At the Reception desk
- By calling 01945 660460 during opening hours Mon-Fri 8am-6.30pm
- Using on-line access (requires pre-registration for password)
When you call, the Patient Services Team member will always ask you to give a description of the reason why you are calling. They treat this information privately, but have access to your medical record so that they can allocate you to the most appropriately skilled clinician who can meet your needs.
We appreciate that some conditions may be considered sensitive or personal, but please be reassured that our Team Members understand that all conditions have the potential for embarrassment, and will handle your call appropriately.
Can I book for a telephone call, rather than a face-to-face consultation?
Yes. Your call will be returned by either the Emergency Team or your registered GP
How does the Same Day Clinic work?
In much the same way as the previous 10-minute consultation with your GP did.
The first contact will be with the Nurse. Our Nurses are trained to identify and deal with a wide range of acute conditions and treatment. If the Nurse can deal with the issue entirely, there will be no need to call the GP. But where the Nurse decides some advice or support is required, the GP is available to call upon. The GP will provide help and reassurance to both Nurse and patient.
In this way, the GP is able to see up to 4-times as many patients as in the traditional GP-led clinics.
(Since its introduction in October 2014, these Nurse-led clinics have successfully handled over 50,000 appointments. The operation of these clinics and the training within them was rated as Outstanding when inspected by the CQC in June 2015.)
What if I need a follow-up appointment?
If you need a follow up, the Nurse will book that appointment for you in a pre-booked clinic that is supervised by either your own GP, or the GP you have just seen.
Can I ask for an appointment with my favourite GP?
Yes, but only in a pre-booked clinic. However, if you already have a clear management plan in place, or the nurse is able to meet your needs, there may be no requirement to call the GP into your appointment on that occasion.
Please remember that once you have been seen, the GP is aware of your condition. If you have any specific need for treatment outside of these arrangements, your GP will arrange it.
What do patients think of these new arrangements?
Our patients provide regular feedback to us via the Friends and Family test. The test helps North Brink Practice understand whether our patients are happy with the service provided or where improvements are needed. It is a quick and anonymous way for patients to give their views after receiving care or treatment from us.
Since its launch in 2013, North Brink Practice has regularly scored between 4 and 4½ out of 5, together with providing important comment on our services. One key area where we need to improve is by offering more appointments to our patients.
Is there an alternative if I don’t like these arrangements?
We always encourage patients to provide us with feedback on your own experiences. Where we can, we may be able to adjust the way in which you receive your own care. We are not able to replace your care with access to your own GP, but please be reassured that your GP can and will adjust your care to meet the needs of your condition.
Unfortunately, our practice may not suit everybody and cannot deliver what everybody wants. In this case, there are other GP surgeries in Wisbech or in villages near to where you live. We hope it may not be necessary, but if you choose to, a transfer to one of these surgeries is a straightforward process.