mynydd isa branch closure roseneath medical practice is due to move into new custom built premises...

Mynydd Isa Branch Closure

Roseneath Medical Practice is due to move into new custom built premises in early 2015. The Practice wishes to ensure that all patients are given the

best possible service.


In order to do this as effectively as possible the Practice wishes to move

away from old out of date premises that are not fit for purpose. As a consequence the Practice has formally applied to Betsi

Cadwaladr University Health Board to close the branch surgery at Mynydd Isa.


The utilisation of the branch surgery at Mynydd Isa was never considered

a long term solution and was only needed due to the lack of room

space in the existing Health Centre in Buckley.


The new Buckley Medical Centre was expected to be available much

sooner than has actually happened. The project has been beset by delay

after delay.


The new Buckley Medical Centre will provide more than adequate room space for the entire Practice team.


The reason for the proposal is that there are longstanding problems

associated with the operation of the branch surgery.


Schedule 1 of the National Health Service (General Medical Services – Premises Costs) (Wales) Directions

2004 sets out the minimum standards for Practice premises. Both of the

current surgery premises do not comply with the minimum standards required.


The branch surgery is not equipped to the same level as the main

surgery. There is no ECG machine at the branch surgery so if a patient is

seen there and requires an ECG they have to go to the main surgery.


There is also no nebuliser facility at the branch surgery. The mains

powered ophthalmoscope/auroscope used at the main surgery are far more

effective than the battery powered ones used at the branch surgery.


There is only one telephone line at the branch surgery and a clinician

attempting to make calls can often find the line in use by patients or the

receptionist. This can also be frustrating for patients trying to get

through when the line is in use.


Stock levels at the branch surgery are lower than at the main surgery with running out a frequent occurrence.


The computers at the branch surgery are less reliable, problems often

occurring due to roaming profiles and setup issues. Printers frequently

cause problems due to profiles and setup.


There is no onsite IT support so problems take longer to resolve with IT staff having to travel from the main

surgery to the branch surgery to address any problems.


IT problems can result in clinicians having to hand write patient records and prescriptions which have to be entered into the computer record

later increasing the workload.


It is often difficult for the IT helpdesk to resolve IT problems due to having

only one phone line. There is no mobile signal at the branch surgery.


Documentation, referral letters, prescriptions may be left at the

branch surgery when they should be brought to the main surgery.


If a document has not been scanned or notes have not been summarised there is no access to this information

at the branch surgery. This is especially relevant for new patients

who have little data recorded.


Patients and clinicians frequently go to the wrong surgery. Clinician’s time

is lost travelling too and from the branch surgery.


There is effective clinical peer support at the Buckley surgery but clinicians are often on their own at

the branch surgery.


There is only one receptionist at the branch surgery so a lone worker

policy had to be put in place.


The appointment book is complicated by having the branch surgery. It is much more difficult to cope with unexpected absence due to sickness at the branch surgery.


The above longstanding problems associated with the branch surgery

impact directly on service to our patients. Patients can be

inconvenienced by the lack of equipment and by IT problems.


The full range of patient services is not available at the branch surgery which is to the disadvantage of the

patients attending there.


Consolidating the Practice team on one site following the move to the new Buckley Medical Centre will

result in significant benefits.


Full range of services available to all patients attending the surgery

Fully Disability Discrimination Act compliant premises to meet all patients

needsMore efficient use of clinicians time

being in one location


Effective clinical peer support, this is where the doctors support each

other and discuss cases.More effective equipment and stock

managementFull access to all patient information


We understand the impact this may have on some of our patients so before any

decision is made we welcome any comments both positive and negative. If

you would like to put forward any comments, please write to the Practice Manager or drop off your response at

reception.


If you prefer, you can contact in confidence, the Community Health Council which is the independent health watchdog representing the

interests of patients and the public in North Wales.


You can do this by emailing Mrs. Carol Williams, Deputy Chief Officer at

[email protected] telephone 01248 679284 or by post at Betsi

Cadwaladr Community Health Council, 11 Chestnut Court, Parc Menai, Ffordd

y Parc, Bangor, Gwynedd, LL57 4FH.

mailto:[email protected]


Please aim to return any comments to the Practice Manager by 30th June

2014. Thank you


A Patient Information Leaflet is available from reception.

The information is also available on the Practice website at

www.wales.nhs.uk/roseneath

http://www.wales.nhs.uk/roseneath

mynydd isa branch closure roseneath medical practice is due to move into new custom built premises...

Documents

branch surgery

main surgery

current surgery premises

practice premises

longstanding problems

new buckley medical

date premises

entire practice team