The Alverton Practice
Statement of Purpose
The name and address of the registered provider is:
The Alverton Practice
Dr John Ryan and Partners
Main Surgery Branch Surgery
7 Alverton Terrace 3 New Road
TR18 4JH TR18 5PZ
Registered Manager: Dr Matthew Boulter
Practice Manager: Mrs Alison Hanley
Alverton Practice is the main surgery premises which is a converted house and has been a doctors surgery since 1950’s
Our Branch Surgery is also a converted house that has been recently renovated into a doctors surgery. We run all services from both bulidings for equality.
Under the Health and Social Care Act 2008 (The Care Quality Commission (Registration)
Regulations 2009 Part 4), the registering body (The Alverton Practice) is required to provide
to the Care Quality Commission a statement of purpose.
Our Aims and objectives:
· Provide a high standard of Medical Care
· Be committed to our patients needs
· Act with integrity and complete confidentiality
· Be courteous, approachable, friendly and accommodating
· Ensure safe and effective services and environment
· To improve as a patient centred service through decision making and
· To maintain our motivated and skilled work teams
· Through monitoring and auditing continue to improve our healthcare services
· Maintain high quality of care through continuous learning and training.
· To guide our employees in accordance with diversity and equality.
· To ensure effective and robust information governance systems
· Treat all patients and staff with dignity, respect and honesty.
Our purpose is to provide people registered with the practice with personal
health care of high quality and to seek continuous improvement on the health
status of the practice population overall. We aim to achieve this by developing and
maintaining a happy sound practice which is responsive to people’s needs and
expectations and which reflects whenever possible the latest advances in Primary
The Primary Health Care Team
The 4 Partners:
Dr John Ryan (m)
BM (Southampton 1982), MRCGP, DRCOG, DFFP
Dr Richard Cheyne (m)
MB ChB (Birmingham 1994), MRCGP
Tracey Hembrough (f) (Nurse)
RN (Truro 1989), MSc, Nurse Practitioner (Exeter, 2000) PGCert(Med)Ed
Dr Matthew Boulter (m)
TD, BSc(Hons), MB ChB, (Leeds 2000), PhD, MRCS(Ed), MRCGP, DipIMC(RCSEd)
Dr Sandra Treleven (f)
BSc, MB BS (London 1996), MRCGP, DRCOG, DFSRH
Dr Andrew Boorne (m)
BSc, MB BS (London 1997), DRCOG, DTM&H, MRCGP (Exam)
RN, DIPLOMA (asthma, diabetes Coronary Heart Disease & COPD), Family Planning Certificate, Minor illness Certificate, Cervical Cytology
RN, Travel Health. Sharon also runs diabetic, respiratory and CHD/Stroke clinics and undertakes cervical cytology.
Health Care Assistant
Maureen Simister, Julie Anderson, Emily Ryan
Our HCA’s run an appointment service for blood taking, INR monitoring, blood pressure, pulse and urine
checks, as well as ECGs, 24 hour blood pressure, healthy living screening and breathing tests that include peak flow and spirometry and simple dressings. They also assist the doctors with procedures.
Alison Hanley is the Practice Manager who is in overall charge and is responsible for the smooth running of the practice.
We have two team leaders Helen Praed and Julie Richardson.
The reception / administration team man the reception desk, arrange various appointments, pass on information (such as blood results), explain our services and answer the emergency telephone line.
All staff are able to answer patient enquiries concerning communications between the
Practice and other agencies, e.g.Hospitals.
They are responsible for updating and summarising patients’ medical records, for the repeat prescribing service, for organising the specialised clinics, for ensuring that our IT Systems are functioning properly, and undertake regular audits of our achievements.
Each team have a full knowledge of the services the practice has to offer.
All members of the staff are happy to assist you with any enquiries.
The Alverton Practice covers Penzance and Newlyn and surrounding areas.
We provide services from both sites to the whole practice population, including those patients with learning disabilities or autistic spectrum disorder, patients with mental or physical health issues. Older people, younger adults, children aged 0-18 years, disabled patients, patients with sensory impairment, dementia and people who misuse drugs and alcohol
All requests for this service will be processed by the Duty Doctor
Please make requests for this service before 10.00am to enable us to provide an efficient service. Wherever possible try to attend the surgery; this will often mean you will be seen quicker, and better facilities are available for your treatment. If you need an urgent visit please make this clear in order that the doctor receives the correct message and can take the appropriate action.
Out of Hours
When the surgery is closed, if you require urgent medical advice or attention, please telephone SERCO on the normal surgery telephone number 01736363741, this is our out of hours service provider.
SERCO provides an EMERGENCY service at all times when the surgery is closed. It is available between 6.30pm - 8.00am Monday to Thursday and 6.30 Friday until 8.00am Monday. It also covers all Public Bank Holidays.
SERCO have a number of bases around Cornwall. The Penzance base is in the local Hospital. All Out of Hours calls are answered at the SERCO Headquarters in Truro. The calls are then passed to a GP, who will ring you back and decide on the best course of action – a telephone consultation, an attendance at the nearest SERCO base or a home visit.
Telephone 01736363741 and reception staff will help you.
We have routine bookable appointments Monday to Friday from 8am until 18.30pm with doctors, nurses and health care assistants. Extended hours are until 20.00hrs every Tuesday and alternate Saturday mornings from 09.00-12.00 hrs
Telephone consultations are also available every day.
Translators are bookable on request.
The surgery offers extended hours on:
Tuesday evening to 8pm
Alternate Saturday morning
These appointments are especially beneficial to those patients who find daytime appointments difficult.
The general surgery phone is not open during these extended hours.
We take into account that not all illnesses are planned. We therefore have same day urgent
appointments available mainly in the afternoon. Please ring at 08.15hrs to request an appointment on the day. The morning GP appointments start at 08.00 am and are generally booked in advance.
As you can imagine 8am and 12pm can be very busy times on the surgery phones and although we have 5 receptionists answering the calls sometimes this can incur a delay in getting to your call.
If calling for a routine appointment it is therefore advised not to call at these times.
We aim to give patients an appointment within 48 hours to see a doctor and 24 hours to see a health care professional in line with the government's 'Access Plan'.
Authorised prescription requests will be dealt with, within two working days using the repeat order sheet.
Patients are asked to make certain they tick the medication they require on the request form, insert the date, and sign the form before forwarding it to an approved pharmacist. Alternatively you can post it to us with an enclosed stamped addressed envelope or placing it in the appropriate ‘drop off’ box at reception. Our patients are now able to order repeat medication through our website or via our personally manned dedicated telephone line which is 01736 330199 open between 3pm and 5pm Mondays, Tuesdays, Thursdays and Fridays.
The Regulated Activities under CQC
General medical services and routine medical checks involving an holistic approach.
Management of chronic disease
This encompasses a wide range of conditions which require long term treatment and care. Our priority is to ensure this care is on-going and appropriate; to this end we shall endeavour to review patients’ medication on an annual basis. Diabetic, Stroke, CHD, Respiratory clinics are regularlyheld throughout the year.
General nursing care
Our nurses provide wound care, contraceptive services, minor illness, smoking cessation advice, well person checks, new patient checks, blood pressure monitoring and travel advice; they also perform vaccinations, ear syringing and smear tests.
Midwife clinics are held regularly at the surgery every Thursday morning. The doctors also provide ante-natal and postnatal care.
This service is provided by specially trained nurses.
Family Planning and Contraceptive services
This is provided by doctors and nurses.
Child health surveillance
Baby checks are completed by the Doctors.
Vaccinations and immunisations
The Alverton Practice strongly supports childhood immunisation programme. All routine childhood immunisations are performed at the surgery by a nurse following an automatic invitation from the Local Health Authority. The Alverton Practice offers all ‘at risk’ patients the seasonal influenza vaccine from September to January every year.
Foreign Travel Health Advice
Our nurses have been trained to provide an up to date service that includes vaccinations if
necessary (please note that there is a charge for some vaccinations).
Prior to appointment patients may need to fill in a 'Travel Risk Assessment Form' which can be printed from our website or picked up from reception. This form is to be filled in by the patient and brought to the nurse appointment.
We also recommend www.fitfortravel.scot.nhs.uk website.
We have the services of a part-time NHS counsellors who offers up to six
sessions per patient.
Weight Loss clinic
Appointments are lead by our nurse team to offer help, support and advice to patients who want to lose weight and maintain a healthier lifestyle.
We do not have a smoking cessation but our Health Care Assistants will see patients during any clinic which operate every weekday for smokers who wish to quit.
Clinics are held every morning morning. Our Health Care Assistant will also do more urgent blood tests in the afternoon
Drug & Substance Misuse
The Alverton Practice has a Drugs and Substance GP specialist (GPWsi) Dr Richard Cheyne who works alongside a specialist nurse Liz Midwinter.
The Alverton Practice has 2 GP specialists Dr John Ryan and Dr Sandra Treleven who run a clinic for level 2 sexual health services every Tuesday evening
Well persons check
These are carried out by the practice nurses or HCA’s
We are a recognised training practice for general medical practitioners and often have GP Registrars attached to the practice. A GP Registrar is a qualified doctor who has worked for some years in hospitals. They are invited to join us for up to 12 months to gain valuable experience in General Practice. Registrars participate in weekly joint surgeries with a partner, as well as holding their own surgeries when they are ready. You will be told if any appointment offered is for a joint surgery. Please feel free to ask to see only one doctor if you prefer. As part of the training process consultations may be recorded on video from time to time.
On occasions, we accommodate medical students from the Peninsula Medical School to enable them to gain insight into general practice. You will be informed if this affects your consultation. This will always be a joint clinic where the medical student will see you first and then one of our GPs will see you after with the student. These appointments usually take about 20mins.
Access to Patient Information
All patient information is considered to be confidential and we comply fully with the Data Protection Act. All employees have access to this information in relation to their role and have signed a confidentiality agreement. Information may be shared, in confidence, with other NHS organisations in the interests of patient care.
Confidential patient data will be shared within the health care team at the practice and with other health care professionals to whom a patient is referred. Those individuals have a professional and contractual duty of confidentiality.
Confidential and identifiable information relating to patients will not be disclosed to other individuals without their explicit consent, unless it is a matter of life and death or there is a serious risk to the health and safety of the patients or it is overwhelmingly in the public interest to do so.
In these circumstances the minimum identifiable information that is essential to serve a legal
purpose may be revealed to another individual who has a legal requirement to access the data for the given purpose. That individual will also have a professional and/or contractual duty of confidentiality. Data will otherwise be anonymised if possible before disclosure if this would serve the purpose for which data is required.
Data Protection Policy
The Practice is committed to security of patient and staff records.
The Practice will take steps to ensure that individual patient information is not deliberately or
accidentally released or (by default) made available or accessible to a third party without the
patient’s consent, unless otherwise legally compliant. This will include training on Confidentiality issues, working security procedures, and the application of
Best Practice in the workplace.
The Practice will undertake prudence in the use of, and testing of, arrangements for the backup and recovery of data in the event of an adverse event.
The Practice will maintain a system of “Significant Event Reporting” through a no-blame culture to capture and address incidents which threaten compliance.
DPA issues will form part of the Practice general procedures for the management of Risk.
Specific instructions will be documented within confidentiality and security instructions and will be promoted to all staff.
Patients Rights and Responsibilities
You have a right to expect a high standard of care from our practice and we will try at all times to provide the very best care possible within the resources available.
In order to assist us in this we require that you take full responsibility for ensuring that you do not abuse the service. For example, it is your responsibility to ensure that you keep medical
appointments and follow the medical advice given. In addition, if you feel that your medical problem is complicated, or you have more than one problem to discuss with your doctor, we would suggest that you consider making more than one appointment. Please remember that your appointment is for you alone and your doctor will not be able to give medical advice to anyone accompanying you unless they have made a separate appointment.
Very occasionally a practice/patient relationship breaks down completely. In this situation the
patient may choose to register with a different practice. The practice also has the right to remove that patient from their list. This would generally only follow a warning that had failed to remedy the situation and we would normally give the patient a specific reason for the removal.
You have the right to express a preference of practitioner when you make an appointment.
Violent Patients – Zero Tolerance
The NHS operates a Zero Tolerance Policy with regard to violence and abuse and the practice has the right to remove violent patients form the list with immediate effect in order to safeguard practice staff, patients and other persons.
Violence in this context includes actual or threatened physical violence or verbal abuse which leads to fear for a person’s safety.
In this situation we are obliged to notify the patient in writing of their removal from the list and
record in the patient’s medical records the fact of the removal and circumstances leading to it.
Cornwall and Isles of Scilly NHS is then responsible for providing further medical care for such patients.
Comments, suggestions and complaints
We welcome comments and suggestions on our service. If we fail to provide the highest care
possible, please make any observations known to our practice manager who will, where
appropriate, use our complaints procedure to try to correct the problem.
All our staff are here to help you.
Access to Health Records
The Data Protection Act allows you to find out what information about you is held on computer.
This applies to your health records. If you want to see them, you should make a written request to the Practice. You are entitled to receive a copy, but should note that a charge will be made.
A carer is someone who, without payment, provides help and support to a partner, child, relative, friend or neighbour who could not manage without their help. This could be due to age, physical or mental illness, substance misuse or disability. Anyone can become a carer, carers come from all walks of life, all cultures and can be of any age.
Please inform our reception staff if you are a carer or are cared for by another person. This will alert us to your possible needs in this role.
Website: www.nhs.uk/carersdirect or call 0808 802 0202 for free confidential advice.
Change of personal details
Patients are asked to notify the Practice as soon as possible of any change of name, address or telephone number; not forgetting to indicate all the persons involved in this change. In an emergency this could be absolutely vital.
Should you need a professional chaperone present at a consultation or procedure then please alert reception staff who can ensure that Teresa, our health care assistant, is available for the appointment. A joint appointment will be booked.
As you are aware, we ask you for personal information in order that you can receive appropriate care and treatment. This information is recorded on a computer; consequently, we are registered under the Data Protection Act.
The Practice will ensure that patient confidentiality is maintained at all times, by all members of the practice team. However, for the effective functioning of a multi-disciplinary team, which is what we are, it is sometimes necessary that medical information about you is shared with other members of the team.
Policy on Environmental Management
We recognise the need to minimise any adverse environmental effects caused as a result of its activities or products, achieving our business objectives in a manner that reflects the changing environmental priorities of our patients and the community. It acknowledges responsibility for and a commitment to protection of the environment at all levels. We will comply with applicable environmental regulations, laws and codes of practice whilst committing to continuous improvement of our environmental management performance and the prevention of pollution. We recognise that our key adverse environmental impacts are energy, fuel consumption and waste generation.
Patient Participation Group
The Alverton Practice is committed to continually improve our services by learning from and listening to our patients.
We now have a Patient Participation Group and we are always looking for new members, please ask reception for a form or submit the form on our website.
The Alverton Practice Statement of Purpose
Date: October 2013
Review Date Sept 2014
Signed: Alison Hanley