Ludham & Stalham Green Surgeries

Practice Information

Disabled Access

Ludham and Stalham Green Surgeries have access for disabled patients. Both surgeries also have a hearing loop system for patients who are hard of hearing. Sign language interpreters can also be arranged.

Freedom Of Information Act 2000

The Freedom of Information Act 2000 requires all public service providers to make available to the public information about the services provded and how they are run. The practice information is available by request from the practice manager.

Teaching Practice

We are a Teaching Practice and from time to time have the benefit of a GP Specialist Trainee or newly qualified doctor during their general practitioner attachment working in the practice. They work under the supervision of the Partners.

GP Specialist Trainees are qualified doctors who are undertaking specialist training to become a fully qualified General Practitioner, this training lasts three years and covers all aspects of General Practice in the surgery and at home.

The Practice is part of the Norwich VTS and applications for training should be directed through the Eastern Deanery in Cambridge. The practice has been training new GPs since 1985. The Specialist Trainee works either in Ludham or Stalham Green Surgery and there are joint tutorials with our colleagues in Staithe Surgery at Stalham too.

On occasions doctors may use a video for recording consultations. This will only be done with full patient consent, intimate examinations will not be recorded and the camera will be switched off on request.

In addition, other health care professionals may be present in the Practice to learn their skills, these include

  • Nurse Practitioner,
  • Foundation Doctors,
  • Pharmacy students or others.

You may be asked if they can sit in whilst you see the Doctor or Nurse but you can choose whether they stay or not.

Information Governance

Information Governance ensures necessary safeguards for, and appropriate use of, patient and personal information.

Information within health records is confidential. Within the Practice health information is protected by a number of system access controls.

This includes:

  • tight control over who is able to register for a 'Smartcard' to gain access to the NHS patient records
  • role-based access controls, which limit what people can do on the system according to their job role,
  • 'legitimate relationships', which prevent people who are not involved in your care from gaining access to your sensitive personal information, and
  • ongoing confidentiality and secure information governance training for all practice staff

Please click here to view a patient leaflet that explains the practical methods, policies and producers that are used within the Practice to ensure that NHS Information Governance principles are upheld and that all Health Records are stored, accessed and used in appropriate ways.

Practice Infection Control Statement:

 

We aim to keep our practice clean and tidy and offer a safe environment to our patients and staff.

If you have any concerns about cleanliness or infection control, please report these to the Practice Manager.

Our GPs and Nursing staff follow our Infection Control Policy to ensure the care we deliver and the equipment we use is safe.

We take additional measures to ensure we maintain the highest standards:

  • Encourage staff and patients to raise any issues or report any incidents relating to cleanliness and infection control.  We can discuss these and identify improvements we can make to avoid any future problems.
  • Carry out an annual infection control audit to make sure our infection control procedures are working.
  • Provide annual staff updates and training on cleanliness and infection control
  • Review our policies and procedures to make sure they are adequate and meet national guidance.
  • Maintain the premises and equipment to a high standard within the available financial resources and ensure that all reasonable steps are taken to reduce or remove all infection risk.
  • Use washable or disposable materials for items such as couch rolls, modesty curtains, towels etc, and ensure that these are laundered, cleaned or changed frequently to minimise risk of infection.
  • Make Alcohol Hand Rub Gel available throughout the building
  • The Infection Control Policy is reviewed and updated annually if appropriate and updated on an ongoing basis as current advice changes.

2015 Annual Statement:

1.      PURPOSE 

In line with the Health and Social Care Act 2008: Code of practice on prevention and control of infection and its related guidance, this Annual Statement will be generated each year in December. 

It will summarise:
Any infection transmission incidents and any lessons learnt and action taken

  • Details of any infection prevention and control (IPC) audits undertaken and any subsequent actions taken arising from these audits
  • Details of any issues that may challenge infection prevention and control including risk assessment undertaken and subsequent actions implemented as a result
  • Details of staff IPC training
  • Details of review and update of IPC policies, procedures and guidance

 2.      INFECTION CONTROL LEAD 

The Infection Control Lead will enable the integration of Infection Control principles into standards of care within the practice, by acting as a link between the surgery and local CCG Infection Control Team. They will be the first point of contact for practice staff in respect of Infection Control issues. They will help create and maintain an environment which will ensure the safety of the patient / client, carers, visitors and health care workers in relation to Healthcare Associated Infection (HCAI).

The Infection Control Lead, assisted by the Infection Control Champion and the Practice Manager,  will carry out the following within the practice:

  • Increase awareness of Infection Control issues amongst staff and clients
  • Help motivate colleagues to improve practice
  • Improve local implementation of Infection Control policies
  • Ensure that practice based Infection Control audits are undertaken
  • Assist in the education of colleagues
  • Help identify any Infection Control problems within the practice and work to resolve these, where necessary in conjunction with the local Infection Control Team
  • Act as a role model within the practice
  • Disseminate key Infection Control messages to their colleagues within the practice

Practice Infection Control Lead: Dr E Christie (GP Partner)

Practice Infection Control Champion: Elise Mitchell (HCA)

Cleaning and Decontamination Lead: Laura Halls (Practice Manager) 

3.      SIGNIFICANT EVENTS

There have been no significant events reported regarding infection control issues in the period covered by this report.

4.      AUDITS / RISK ASSESSMENT

The following audits/ assessments were carried out in the practice:

Infection Prevention Solutions (an external expert company) audited both sites in July 2015. These visits resulted in an action plan for each site of improvements that could be made. These action plans are currently being implemented as financial restraints allow.

The main issues that are being addressed are:

  • A new infection control manual was created for each site in July 2015, this will be reviewed annually.
  • A legionella risk assessment report (including the recommendations for legionella control in the premises & testing procedures) is in the process of being created for each site by an external specialist contractor 
  • Public information should be available for the practice's approach to infection prevention and control: this is the purpose of our annual statement being published on the practice website.
  • Ensuring that all supplies stored in clinical rooms are in sealed plastic containers: ongoing project. Treatment room at Ludham completed 1/12/15.
  • Infection control and cleaning to be added to the practice meeting as a regular agenda item e.g. incidents, results of audits, updates of protocols.
  • Reviewing and updating all Infection Control policies as we make improvements / changes.
  • Staff procedure on handling specimens reviewed. Introduced new plastic storage containers with lids and handles to aid with the safe disposal of urine.
  • All disinfectants and cleaning products must have a COSHH data sheet available to staff: this is in the process of being drafted and checked by our H&S consultant.
  • All inappropriate items and clutter should be cleared away and stored in appropriate storage spaces, to leave surfaces clear for effective cleaning: ongoing project for all clinical areas.
  • All chairs/furniture used service users should be covered in an impermeable material and be wipeable: All new chairs ordered are made of have antibacterial, wipe clean material. All chairs will be gradually replaced as finances allow.
  • All ointments, lubricating gels and creams must be used for single patient use only: all clinical rooms now stocked with single use versions.
  • Additional blood and body fluid spillage kit should be available – ordered Dec 2015.
  • Staff should be aware of the need to complete a certificate of decontamination for all re-usable clinical equipment, prior to repair or service – new form created and send to appropriate staff with explanation 28/08/15.
  • Disposable plastic aprons should be worn for urine analysis: disposable apron dispensers mounted to the wall of each clinical room in November 2015.
  • All cleaning equipment should be colour coded and staff made aware of their responsibilities for compliance – new mops and buckets introduced in October 2015.
  • The power supply for the vaccine fridges should be switchless so that it cannot be accidently switched off – quote obtained from electrician to hard wire in all fridges, to be completed in early 2016.

Environmental cleaning audit

  • Audit period. This is done on an ad hoc (but at least monthly) basis by the Practice Manager. (No current issues)

5.      STAFF TRAINING

  • All staff completed training sessions in July 2015 with an external expert trainer. A more detailed session for clinicians and a  basic level training session for all other staff.
  • All new recruits have in house infection control training as part of induction.
  • All staff undertake the NHS core online learning infection control course.

6.      POLICIES, PROTOCOLS AND GUIDELINES

The Policies below have been updated in December 2015. They are reviewed annually or earlier when appropriate due to changes in regulations and evidence based guidance.

  • Infection Control Policy
  • Ludham Surgery Infection Control Manual
  • Stalham Green Surgery Infection Control Manual
  • Clinical Waste Protocol
  • Contagious Illness Policy
  • Patient Isolation Protocol
  • Decontamination of Re-usable Instruments Policy
  • Decontamination Training Policy and Register
  • Hand Hygiene Policy and Audit
  • Infection Control Biological Substances Incident Protocol
  • Infection Control Inspection Checklist
  • Laundering of Linen, other Fabric Materials and Uniforms Policy
  • Needlestick Injuries Policy
  • Personal Protective Equipment (PPE) Policy
  • Cleaning Plan

Date of the report: 1st December 2015

Author: Laura Halls (Practice Manager)

Dispensary & Prescriptions

We are a dispensing practice and so are able to provide all medication to those patients who do not live within a mile of a chemist. 

Ordering Repeat Prescriptions

Please order your repeat medication in good time and before they run out, at least 72 hours in advance of when you require them.  This will allow Dispensary time to make sure you have the replacements with no gaps.

You can order your repeat prescriptions by

  • Phone 01692 678 102 Ludham 01692 584 919 Stalham Green
  • In Person - Please place your repeat slip in the boxes provided by the font doors of both surgeries, this will save you having to queue up to hand the slip in.
  • Online via a Patient Access Account Please speak to Reception to enquire about applying for a Patient Access Account. This will allow you to log in to a secure and personal web page with your repeat prescription details listed and the ability to select the ones you require. 

Please allow 3 full working days  

Please allow a full 72 hours for repeat prescriptions.  We would like to ensure you dont have to incur an extra journey to pick up any items that take the full 72 hours to obtain.  

Collection of Prescriptions

Please collect your repeat prescriptions after 11am, this is because  dispensaries have a delivery each morning at 8.30am and any items that we may have to order for you will dispensed during this period.  This will ensure that your repeat medications are ready and waiting for you to collect.

During particularly busy periods, such as just before (and just after) a bank holiday, please allow 4 days for repeat prescriptions.

Our Opening Hours

Monday to Friday 08.30am to 6.00pm, other than the following:

  • Ludham Surgery closes at 1.00pm each Wednesday
  • Stalham Green Surgery closes at 1pm each Thursday

Our Practice Area

Welcome to Ludham and Stalham Green.

Our practice area includes the parishes of: Ludham, Stalham, Potter Heigham, Hickling, Catfield, Sutton, Ingham, Sea Palling, Waxham and Brumstead.

If you have moved / moving to this area, please see our New Patients section.