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We are shortly going to have some changes in practice. Sadly we will be losing Dr Tom Holdsworth and Dr Kerrys Clark from the end of March. Both have differing reasons for leaving, and have written leaving messages for you below. They are both leaving with our best wishes for the future.
We are very pleased to announce that we have employed Dr David Munkenbeck as a salaried GP who joined us on 15th February. Dr Munkenbeck has joined the team of GPs in the practice – partners Dr Sara Kellock and Dr Jane Searle, as well as our other salaried GPs Dr Olivia Liddle and Dr Qizhi Huang and our GP Registrars.
Should anyone wish to leave a message for either of the departing GPs, you can email a message to our reception account email@example.com and this will be printed out and stuck into their leaving book.
Message from Tom Holdsworth
As of the end of March 2021 I will be moving on from my job as a GP at Mosborough Health Centre. I’m sure people will understand that this is not a decision that I have taken lightly. I have been at Mosborough Health Centre for eleven and a half years and I have learnt a great deal over this time from both my colleagues and patients at the practice.
I started out at Mosborough in 2009 when I was completing my training in General Practice and I am extremely grateful to all of you who I saw over those first few years who taught me a great deal about how to be a GP. I would also like to say a thank you to those of you who volunteered for teaching sessions I ran with medical students where we trained the next generations of doctors. As well as the general day to day work at Mosborough and the teaching, I also developed particular interests in joint problems and breathing problems. I am grateful to those of you who helped with this and I hope those of you I have spoken to about asthma or who I have seen with knee or shoulder problems have benefited from these skills. Finally, there are the many others of you who saw me over the years and made the role of GP at Mosborough health centre a rewarding one for which I am thankful.
As well as learning a lot from working at the practice I have also worked very hard and I hope that this is evident for those of you who I have met. Especially over the last five years, I have really poured my heart and soul in to the work at Mosborough Health Centre. This makes leaving especially difficult but I hope people will understand that for many people there comes a time in your career where a change is needed.
Some of you may know that I am heavily involved in work in the local ‘primary care network’ which involves local practices working together. The most visible recent success of the network has been the local vaccination service run from Beighton Health Centre where practices have done a fantastic job of rolling out the Covid vaccination. I plan to continue the work of planning clinical services across the local GP network and influencing across the city for our patch of Mosborough and the surrounding area.
Last of all I would like to wish you all well in what has been an extremely difficult year for everyone and to wish you all the best for the future.
Message from Dr Kerrys Clark
It is with sadness that I’ll soon be leaving the patients and team at Mosborough Health Centre. From April, I’ll be stepping back into a more part-time role at another practice for a few years, to help my eldest lad transition to ‘big school’. Swapping evening surgery and late night paperwork for chaotic school pick-ups and homework help (enforcement).
I’ve very much enjoyed working with you all for the past 16 years, and wish to thank you for your patience (keeping within the bounds of a 10 minute consultation is a challenge) and support. For some of you, we’ve shared the ups and downs of life, especially over the last year. It has been a privilege.
And finally a welcome message from Dr David Munkenbeck
Hi, I'm Dr David Munkenbeck and I joined Mosborough Health Centre earlier this month as a salaried GP.
I'll be in clinic on Mondays, Wednesdays, Fridays and some Thursday mornings. I have recently completed my GP training in Sheffield, and I am excited to be joining the team at Mosborough. I will be delivering general clinical care as a GP and also spending half a day week on practice development to bring new ideas and clinical services to the practice as we move forward from the coronavirus pandemic.
At home, my wife is also a GP in Sheffield and we have a 10-month-old daughter and two cats. I also enjoy sport and exercise, in particular, cycling, and also like to challenge myself by taking part in triathlon events.
We are very proud to be part of a national clinical trial for COVID-19, to look for potential treatment for vulnerable people. If you are over 65 or over 50 with a health condition, we are sending you text messages about the study. You can find more information on the website https://www.phctrials.ox.ac.uk/principle-trial or call 0800 138 0880. We are also happy to help you with any questions. Thank you.
Changes we’ve made at Mosborough Health Centre to reduce spread of COVID-19 (Updated Oct 2020)
Thank you for your patience and support over the past 6 months. You will have seen many changes being put in place, and hopefully we will improve on these for the busier winter months.
Because the COVID19 virus is so easy to spread and can have devastating effects, we have had to change much of the way we work to reduce the risk of patients and staff coming into contact with this virus.
The changes include:
- Phone-first consultations. A nurse or doctor will get as much information about your problem as possible, and will arrange an appointment to see you if an examination is required. You will be asked to arrive at your appointment time and attend alone (unless you need a carer, friend or relative to assist you).
- New options to send and receive texts, photos and documents (including sick notes), plus the option for video consultations for those who like to see the clinician they’re talking to.
- Buzzer entry to the surgery. Our reception team will ask questions to check for COVID infection or exposure before entry to the main part of the building.
- Waiting room chairs removed and replaced by 5 plastic chairs, appropriately distanced and cleaned regularly. Leaflets, magazines and toys have been removed. Access to the patient toilet is limited.
- A glass screen at the main reception desk, to keep our reception team safe from exposure to any airborne virus.
- PPE and hygiene. Health care assistants, nurses and doctors will be wearing a mask, plastic apron and gloves when seeing patients at the practice. Aprons and gloves are changed, the furniture sanitised, and hands washed between each patient. All staff wear masks in the building, unless working on their own or more than 2 metres from colleagues. During the day, handrails, door handles, and commonly touched surfaces are cleaned regularly. Our evening cleaning team is ensuring spaces are professionally deep cleaned regularly.
- Face coverings. We are grateful to patients who wear a mask or face covering to attend their appointments. These help to protect us, just as our PPE protects our patients and colleagues.
- Electronic prescribing. Prescriptions are now all being sent to pharmacies by computer link, rather than by the traditional green paper prescriptions.
- New dedicated COVID clinics at Sloan medical centre and in Darnall for patients who may be infected with COVID to be seen. Where this is not possible, there is a dedicated room in the practice, accessed by a fire-door rather than the main entrance, with a strict cleaning procedure after use.
- New paramedic home visiting service. Glen Watson is an experienced clinician, who has worked for Yorkshire Ambulance Service for many years. He is now working for the local GP practices in our area, visiting our housebound patients who need to be examined as part of their assessment. GPs are still visiting patients with more complex needs.
- New local physiotherapy appointments. If you are ringing with a muscular, joint or spinal problem, our reception team will offer you an initial telephone appointment with a physiotherapist - often within a day or two. The physiotherapist can arrange to see, give advice, and refer on as needed. They will direct you back to us if you need a prescription or a GP review.
Problems still to solve:
- Speed of answering the phones. We are now getting many more calls into the practice, and not just in the first couple of hours of the morning or afternoon. Currently we have two receptionists answering the phone, but we recognise the need for more receptionists and phones to deal with the calls more quickly. We have a small reception team and limited office space, so it is a work in progress currently. We are looking to set up a text service. To allow us to text patients that agree to this with their results and what action is needed. This will mean it is very important that we have your current mobile number, if you would like to receive your results by text.
- Managing increased demand. During the early weeks of the pandemic, we had less patients calling for help and unfortunately these people tended to be quite sick. As the months have gone on, we have been catching up with those who have delayed seeking help, as well as managing those waiting for specialist care, and the more normal GP problems including long-term condition checks, medicines monitoring, smears, baby checks, vaccinations. As you can imagine, a lot more people than usual are struggling with low mood, anxiety, and other mental health and social challenges.
- Safe workload. Remote consulting is a lot more demanding than the normal way of seeing and treatment of patients. Each clinician is covering more consultations a day than before the pandemic, but we cannot always deal with all requests the same day people ring in. We are lucky that our reception team are experienced and know most of our patients well. As GPs we have had to cap the number of bookable routine consultations to 26-30 per day per doctor, but each doctor will be doing additional work: calling patients about results and reviews, visiting housebound patients, speaking to hospital and community colleagues, doing paperwork (repeat prescriptions, test results, clinic letters and hospital discharge notes). In addition to this, the on-call doctor will speak to everyone who has an urgent problem (e.g. infections, mental or physical distress). As a minimum we have 3 GPs in a morning and 2 in an afternoon, but most days there are more.
- Staff needing to self-isolate for 14 days. This will be at no notice and can cause problems for other staff having to cover. We do now have a small number of laptops that allow remote working from home, but this can be limited if the staff member is ill or having to care for children or family.
- Zero tolerance to abuse. The vast majority of our patients are very kind, courteous and understanding. We often speak to people who are scared, in pain or distressed, and are trained to try to calm and help people find a solution and receive good quality care. Unfortunately we have had a small but growing number of contacts with angry and frustrated patients, resulting in swearing and threats of violence to reception and clinical staff, and damage to property. We are developing a fair and transparent process to set out what is and isn’t acceptable behaviour. Those patients who repeatedly abuse or threaten will need to re-register at another practice.
We are having to adapt quickly to a rapidly changing serious situation. Please continue to contact us if you have concern or problem you need our help with. We are open, but it is not ‘business as usual’ for the foreseeable future. If your problem could be safely dealt with by e.g. looking at the NHS Choices or government websites; speaking to a community pharmacist; contacting the council, a charity or support group; or other reliable resource, please continue to do this, as it will reduce pressures on the NHS.
Mosborough Health Centre
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(Site updated 06/04/2021)