Dr Susan Galloway will be retiring from Bruntsfield Medical Practice on 31st March 2012 having been a partner in the practice for 26 years.

We will all miss her very much but I am sure you will join with us in wishing her a happy and well deserved retirement.

All patients previously registered with Dr Galloway will be transferred to Dr Susie Carswell, who has been appointed as our Salaried GP from 1st April 2012. If you regularly see one of the other doctors in the Practice then you may choose to see the doctor of your choice.

Some of you may already know Dr Carswell, who has worked with us for some time as a locum for both Drs Calvert and Boyd. We are delighted that she has agreed to join the team.

Dr Caroline Calvert has been appointed as a partner from 1st April 2012, and will commence this role on return from her maternity leave on 13th June 2012. In the meantime we are arranging to appoint a new locum to cover her leave from April.

Patients currently registered with Dr Galloway need take no further action but be aware that Dr Galloway will no longer be available from April 2012 onwards.

Please phone or ask at Reception should you have any queries.

Winter 2011/12 Newsletter The Winter 2011/12 issue of the Bruntsfield Medical Practice newsletter is now available to read online, a little later than planned because of the computer downtime last week, but here eventually.
In this issue you can read a little more about the trip Dr Uytman took in November down the Amazon, and why it’s important to understand the implications of taking antibiotics.

Due to essential work being carried out on our computer systems on Wednesday 14th and Thursday 15th December, the Doctors and Nurses within the Practice will not have access to any of the information we have stored electronically.

This means they will have no access to your medical records, test results, and it will limit their ability to issue prescriptions.

It will also not be possible for our reception staff to book future appointments, or to advise on test results on Wednesday 14th December, due to lack of access to the computer systems.

It is accepted that patients may have to be seen in an emergency on this day.

You should also be aware that our ability to run a normal repeat prescription service will be limited, and we will be unable to meet our normal deadlines during this week, unless received by the morning of Tuesday 13th December.

It may be the following week before we return to our normal service, and while we will endeavour to do what we can when we have an active system, please bear this in mind when ordering your repeat medications.

Hopefully if all goes well, a nearly normal service will return on Thursday 15th, with only a few individual computers still down.

A completely normal service is expected to return from Friday 16th December.

We apologise for the disruption this essential work may have on your continuity of care, and thank you for your understanding and patience during the down time.


PRACTICE CLOSURE

The Practice will be closed for staff training from 12.30pm onwards on Wednesday 30th November. We will be open again from 8am on Thursday 1st December.

In an emergency, you can still phone us on 0131 228 6081. Follow the instructions given to get through to the Duty Doctor, who will advise you further.


PENDING STRIKE ACTION

Blood Tests & Sample Collection

Because of a pending strike action, also on 30th November, there will be no collection of blood tests or samples to go to the Laboratories. This means we will not be able to make any appointments for blood tests, or accept any samples that morning.

Out-Patient Appointments

If you, or someone you know, has an out-patient appointment scheduled for 30th November, you should check with the hospital or clinic department concerned to ensure the appointment will go ahead as planned.

Article by Dr Emma Rankin
All graphics courtesy of the European Antibiotics Awareness Day 2011 campaign

Antibiotic resistance is becoming more common, and not just something that happens in hospitals. Bacteria are very clever! Because they multiply so quickly they can adapt to survive against antibiotics faster than new ones are discovered. Widespread use of antibiotics is causing this to happen at a fast rate.

Over time, resistance becomes more common, and bacteria have the capability of becoming resistant to several antibiotics, making them a ‘superbug’ such as MRSA.

The best way of stopping this from becoming a problem is to only take antibiotics if necessary. You can discuss this with your doctor, who will advise what’s best for you.

What does this mean for you?

Patients visiting the GP practice are at risk of being affected by bacterial resistance. Did you know that even a single dose of antibiotics can lead to greater risk of resistant bacteria in that person for up to a whole year? The more antibiotics a patient has in a year, the greater chance they will have resistant bugs in their body. We do not want this to happen as it may make treatment of chest infections and urine infections much harder to treat.

What can you do to help

  • Take your doctor’s advice if antibiotics are not required. Remember most illnesses are caused by viruses, and antibiotics do not help against these.
  • We are well into the flu season now. Some studies show that people believe that antibiotics will help with the common cold and flu, but research has proven this is not the case. Rest at home, fluids and paracetamol are the best treatment for the common cold.
  • If your doctor does recommend antibiotics, remember to take the whole course, even if you are feeling better.

Overall, antibiotics are still a very effective treatment when used carefully against certain infections. By only using them when they are really needed, we can reduce resistance and ensure that that they remain an effective treatment.

If severe weather strikes us again this year, as it did last year, are you prepared at home, on the road, and in your community?

It just takes a few simple steps to get ready for winter, with a good first step being to visit www.readyscotland.org.

They have lots of advice on how to prepare for, and deal with the effects of severe winter weather, and how to make a plan for your home, travel or business.

You can also be the first to find out about emergencies and receive alerts and advice by following their twitter and facebook accounts, or by subscribing to updates via email or sms.

Be safe and well this winter, and be ready.


This week is Alcohol Awareness Week, and the Practice is urging all of our patients to be a little more aware of their alcohol consumption to encourage a healthy and safe lifestyle.

If you have an appointment with a GP or Practice Nurse this week, you may be given a questionnaire by our Reception team to fill out while you wait. This is to give our clinical staff an idea of your current consumption, so we can concentrate our efforts and give advice to those who need it.

How much is too much?

Everyone is different, and alcohol affects us all in slightly different ways, depending on factors such as your weight and how frequently you consume alcohol. As a rule though, women cannot tolerate as much alcohol as men, because they usually weigh less, their bodies contain less water, and they have different metabolisms or body chemistries.

However, medical experts have drawn up useful guidelines on sensible drinking, based on the available evidence to date, to help people keep their alcohol consumption within safe limits.

The recommendations are that men should drink no more than 21 units of alcohol a week, and that women should have no more than 14 units.

To protect against the risks from alcohol, your drinking should also be spread over the week, rather than saved up for the weekend – so men should aim to drink no more than 3 to 4 units a day, and women 2 to 3 units, with at least a couple of alcohol free days a week.

What’s in a Unit?

Unfortunately you can’t just count each drink as a unit of alcohol. The number of units depends on the different strength and size of each drink, so it can vary a lot.

NHS Choices have created a calculator to help you plan a night out, or help you work out how much you drank last night: Units Calculator

You can also use the poster below as a guide to how many units are in your drinks (click for larger size).

Scotland has the highest level of consumption and harm in the UK. Over the past year, Scots drank almost 51 million litres of pure alcohol – that’s 1,190 units per year or 22.8 units per week. This is the equivalent of every person over the age of 16 drinking 119 bottles of wine.

  • 25 people die in Scotland every week as a direct result of their drinking.
  • Accident and emergency units treat an average of 4 alcohol-related cases every hour. (1)
  • Alcohol misuse in Scotland costs £3.5billion every year – equivalent to £900 for every taxpayer.
  • At least 65,000 children in Scotland live with a problem drinking parent (2) and
    it is estimated that 30% of children in the UK live with at least one binge drinking parent (3)
  • Half of Scottish prisoners and 77% of young offenders were drunk at the time of their offence.
  • During 2009, Scottish hospitals dealt with 39,278 alcohol-related discharges. Of these, 36,121 were emergency admissions.
  • In the 25-34 age group, more than half of men (53%) and 44% of women exceeded recommended daily limits on their heaviest drinking day.

Ref: All statistics from Alcohol Statistics Scotland 2011, ISD Scotland Publications with the exception of 1-3 below

(1) Calculated from Alcohol Statistics Scotland 2011. ISD Scotland.
(2) Changing Scotland’s relationship with alcohol: a framework for action. (2009) Scottish Government.
(3) Manning, V et al (2009) New estimates of the number of children living with substance misusing parents: results from UK household surveys, BMC Public Health 9.

If you would like more information about alcohol, or need to contact someone about your drinking or someone else’s, the following sites might help you:
Alcohol Focus Scotland
Alcoholics Anonymous
Alcohol Information Scotland

Are you in one of the at risk groups for flu? Have you been putting off coming in to get your vaccination?

We still have flu vaccination appointments available to be booked, including some on Thursday after 6pm if you are unable to come in to the practice during normal working hours.

The sooner you’re vaccinated, the sooner you will be protected against the major flu viruses for the year. It’s quick, it’s safe and it could save you weeks of misery as well as prevent the complications that can exacerbate or worsen an existing condition.

Call us today on 228 6081 to book your appointment!

Flu Poster

Our attention has been brought to the following two alerts. Please be aware and act with caution if you are approached in the same way.

Bogus callers offering flu vaccination
An elderly patient in the Muirhouse area was approached in her home regarding her flu injection. When she said that she was going to get it done at the surgery, the person indicated that she could have it right there and then if she would prefer. The patient declined as they had no ID, and when advised that she would check with the surgery, the caller asked her not to. They left when the patient closed the door. The incident has been reported to the Police.

Practices have been asked to warn patients regarding this incident and advise that they contact the Police immediately if approached in this manner.

Scam by Company Specialising in Beds & Aids for Elderly and Infirm People – Relief Healthcare, Blantyre
A patient was approached by the above company who made an appointment. They allegedly specialise in beds and aids for the elderly and infirm. They apparently were aware that this particular patient had recently been in hospital, although the patient is not aware of how they got this information.

Starting on Thursday 13th October, and available to book from next week, the practice will have a few flu vaccination appointments available during our Thursday late opening between 6pm-7:20pm.

We hope that these appointments will be useful for those who aren’t able to come in during the day because of work, or other responsibilities, and we are prioritising them as such. If you are able to attend during normal working hours please book your appointment for then. We have plenty of flu vaccination appointments with our Practice Nurses.

As with the nurse flu vaccination appointments, the Thursday late flu clinic appointments are shorter than standard consultations, and are for getting your flu jab only! If you have other health matters to discuss with your GP you will need to make a separate appointment.

Remember, the practice is only able to vaccinate our patients who are in the Scottish Government defined at risk groups for flu – you can read our practice Flu Vaccination Programme for all the details.

Did you know?

ASTHMA affects more than 5 million people in the UK. It is estimated that 1 in 4 people with severe asthma experience symptoms that could be relieved if appropriately managed. Asthma check appointments are available with your practice nurse or GP.
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