Newsletter March 2015

Green Bay Medical Centre newsletter for March 2015


GREEN BAY MEDICAL CENTRE
70 Godley Road Green Bay
Phone 8274075
Newsletter
March 2015

General Practitioners
Dr John McAllister
Dr Cushla Borthwick
Dr William Reyneke
Dr Gina Kaye
Dr Sally McLaren
Dr Deborah Mitchell


Practice Manager: Gwenyth Tilton
Receptionists: Ljubica, Carol, Maree, Bernice, Jacqui, Kate and Kerry

Lead Practice Nurse: Nickie
Practice Nurses: Rosemary, Tracy, Anne, Sarah, Sue, Sally & Gwenyth
Relief Practice Nurse: Judy Relief Receptionist: Janice

Medical Typist: Janice Freeman Clerical/admin: Coryl & Jacqui

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INR MONITORING (for patients on Warfarin)

A $5 monthly fee has been in place, to partially cover the practice cost of providing regular monitoring of ‘INR’ blood results, since mid-2014. (See inside for further details).

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INFLUENZA VACCINE

There is a considerable delay to the supply of the 2015 vaccine due to the necessity to include new Influenza strains - it may not be available until late April. We will keep you updated with information.

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Healthy weight clinic
For those who struggle with achieving and maintaining a ‘healthy weight’.
If individual advice on diet and exercise, tailored to your health needs and lifestyle, is of interest to you, please email
nurse@gbmc.co.nz and we will contact you with details.
This programme is suitable for those who can attend weekly for three months, early afternoons on Tuesdays or on Friday mornings.
A continuing maintenance programme may also be available.

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We will close at 5 p.m. on Thursday 2nd of April prior to Easter weekend:
Urgent Clinic is at 3.45 p.m.

Usual Hours

Days Usual hours: Urgent Clinics Afternoon Urgent Clinics
Monday - Thursday: 8 a.m. to 5.30 p.m. 8 a.m. & midday 4.30 p.m.
Friday 8 a.m. to 5.30 p.m. 8 a.m. & midday
4 p.m.
When we close early in January, and prior to long weekends such as Easter etc., Urgent Clinic is at 3.45 p.m. We will close at 5 p.m. on Thursday 2nd of April for the Easter break.


‘DNA’ appointments: It causes issues when patients do not arrive for their appointments - or cancel at short notice. We are now charging the usual consultation fee for those without a reasonable explanation for not arriving for their appointment.

URGENT CARE: (when are open)
If you, or your child, require urgent attention, please phone the Medical Centre and ask to speak to a Practice Nurse. She will liaise with your doctor regarding your care.


AFTER HOURS: (when we are closed)

In an emergency: please call 111: and ask for the ambulance service.

For non-emergency calls: phone 8274075 at all times. Care for illness or accident is available at Henderson Westcare/White Cross Clinic at 131 Lincoln Rd, Henderson (24 hours) and at Westcare/White Cross Clinic, 2140 Great North Road Avondale.
Our phones are switched over to HML (Home Care Medical) each week day at the scheduled close time. The phone will be answered by a registered nurse who can give advice or suggest being seen at an Accident & Medical Clinic. HML is available when we are closed: on week nights, public holidays and at weekends.
The HML service is unable to make appointments for you or take prescription requests so, if this is what you require, please wait for our phone to be switched back over at 8 a.m. before calling us.

INR MONITORING (for patients on Warfarin)

The patients taking Warfarin medication require regular monitoring of ‘INR’ blood results to ensure the dosage is safe and effective. There is now a $5 monthly fee to partially cover the practice cost of providing this service. The account can be settled when next at the Practice. Any visitors needing INR monitoring will be charged $10 per blood test.

ENROLMENTS: Although our books are officially closed to new patients we regularly have room for family members and sometimes for local residents to join the Practice, as patients move out of the area. Please enquire at reception about the application process.


Primary Health Organisation (PHO) ENROLMENT

We are required to hold a signed form for each patient to confirm enrolment on our Practice Register. We continue to update these forms as the required information is now more detailed. For those patients born overseas, the Ministry of Health requires us to hold documentation proving eligibility for NZ Health Services; generally this involves producing your passport for us to photocopy, which we keep with your Enrolment (or Update) form.

VISITORS who wish to be seen on a casual basis: We will see relatives or friends staying temporarily with Practice families for urgent medical care, however we do not always have the capacity to see casual or transferred patients, so we may direct them to their own G.P.or to a Westcare/Whitecross Clinic.

GP ARRANGEMENTS:

Generally Dr Deborah Mitchell sees patients on Mondays, looks after Dr Kaye’s patients on Tuesdays and Dr McAllister’s on Fridays.
Our other long-term locum, Dr Sally McLaren, is usually at the Practice each Wednesday.

INFECTIOUS DISEASES:
For the protection of staff and other patients, it is essential that patients or parents
PHONE for medical advice if they, or their children, may have an infectious disease. If a consultation is recommended, we will provide a separate area to wait to see the GP.


COMPLAINTS AND PROBLEMS:
Please discuss with your doctor if you have any problems with your treatment or experience at the Medical Centre. If your G.P. is unavailable, or you wish to discuss non-medical matters, please contact Gwenyth Tilton, the Practice Manager.


LABORATORY or XRAY RESULTS: See below for ways to contact the Practice Nurse.

PRESCRIPTIONS: Between regular six monthly consultations with your doctor, repeat prescriptions may be requested from the Practice Nurse. It is essential that you ask for your prescription at least a week before you require more medication, as there may be a delay in obtaining an appointment if you are due to see your doctor. Routine prescriptions will be available on the following working day (at least 24 hours after the request). When possible we ask that you avoid collecting prescriptions on a Friday afternoon - especially if you are required to see the Practice Nurse for blood pressure or other recordings.

See below for ways to contact the Practice Nurse.

CONTACTING the PRACTICE NURSE
Contact the Practice Nurse by phone on 8274075 or email nurse@gbmc.co.nz. Please ensure that the return email will remain confidential, and include your contact details, in case the Nurse has any queries. A Practice Nurse is on phone duty from 9 a.m. to midday and 2.30 p.m. to 4.30 p.m., however at busy times, especially on a Monday morning, our phone lines become overloaded. The phone is often quieter between 11 a.m. and midday or in the afternoon from 3 p.m. to 3.30 p.m. If a Practice Nurse is not free to take your call, the receptionist will take a number for you to be phoned back.


URGENT CLINICS:
A
G.P. is the ‘Duty Doctorto see patients who are acutely unwell at 8 a.m., midday and for the evening Urgent Clinic at 4.30 p.m. on Mondays to Thursdays and at 4 p.m. each Friday. (Please note that the afternoon Urgent Clinic is earlier when we close early).
Urgent Clinic is not available when there is more than one problem to cover, or for

    • three or six monthly appointments for regular medication

    • routine ‘check-ups’, including cervical smears breast examinations

    • Drivers Licence medicals

    • renewal of Work & Income Benefits or ACC off-work certificates

We require that you see your own doctor, at an appointment, for routine matters leaving the ‘Urgent clinics’ for urgent consultations for unwell patients. The standard consultation fee applies for Urgent Clinic consultations.


Changes to the (Work & Income) benefit system

The Work Capacity medical certificate now takes longer to complete, so beneficaries must book an appointment (ahead of time) with his or her own GP (or their locum) to obtain the ‘Job seeker’ Medical Certificate, which replaced the Sickness Benefit.

PRACTICE MEETING:

Regular Practice Meetings are part of Quality assurance: the next meeting will be later in 2015 when we will close over lunchtime for an hour (12.30 to 1.30 p.m.)
We apologise if this causes any inconvenience.

PRACTICE CHARGES
We were not permitted to increase patient fees last year, however Practice costs such as power, rent, wages etc have continued to rise steadily. To partially address this issue, we have introduced some ‘user pays’ fees - including the ‘INR monitoring charge’.
The current enrolled-patient fees of $17.50 (adults) and $11.50 (for children 6 to 17 years) are for standard ten minute
medical consultations with the GP.

Treatment for an on-going illness may require more than one consultation, unfortunately we are not able to discount follow-up consultations.
Fees for a standard 10 minute medical consultation are below, additional charges
will apply for extended consultations and when extra services are provided.



(after the 1st consultation)
(for the first
consultation)


















Patients entitled
to New Zealand Health Benefits

ENROLLED NEWLY
ENROLLED
Visitor CSC HOLDERSVisitors
or non-enrolled

Adult 18 years or older

$17.50

$60$45$60

School Child age 6-17

$11.50

$40$35$40

Children under 6 years

Free GP consultation

Free GP consultationFree GP consultationFree GP consultation

We undertake to provide urgent Medical Services regardless of ability to pay.
We encourage you to pay your account at the time of the consultation and additional charges will apply if payment is not received at the time the service is provided: a $5 non-refundable administration fee will be added automatically.

After the first consultation, fees for medical consultations are discounted for those enrolled with the Practice. We are required to hold a signed form for each patient to confirm enrolment on our Practice Register. Please ask for a copy of the PHO information leaflet which includes a “Health Information privacy statement” regarding data which is routinely shared with other agencies.


ACC Part Charge (ACC provides a partial subsidy)
Under 6 years: free G.P. and Nurse consultations (charges apply for dressings)
For those 6 to 17 years: $20 (plus cost of dressings etc)
Adults 18 years and over: $25 (plus cost of dressings etc)

Prescriptions: free for under 6 years, cost $6 for enrolled children, $14 enrolled adults.
Faxed scripts (within the Auckland area) cost $6 extra, posted scripts cost an extra $3.
Those faxed out of the Auckland free-calling area cost an extra $8.
The prescription fee for
non-enrolled adults is $20, non-enrolled children; $10

INR monitoring: $5 per month for enrolled patients [$10 per blood test for visitors]


PAYMENTS: We welcome payment by EftPos, cash or Internet banking; please ask a receptionist for details. Unfortunately we are unable to process credit card payments.


URGENT CLINICS: A G.P. is the ‘Duty Doctorto see patients who are acutely unwell at 8 a.m., midday and for the evening Urgent Clinic at 4.30 p.m. on Mondays to Thursdays and at 4 p.m. each Friday. (Please note that the afternoon Urgent Clinic is earlier when we close early). See further details inside.

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