Carrington House Surgery

Important Announcement from Carrington House Surgery – withdrawal of unfunded service

For some time, we have been providing an unfunded post-operative wound care service for the convenience of our patients, despite the funding to provide post-operative wound care being received by the hospitals.

This service has been especially valuable for those needing regular care but struggling with the travel distance to the relevant hospitals.

We regret that, due to increasing demands on our nursing team and financial pressures on NHS General Practice overall (https://www.bma.org.uk/…/responding-to-the-new-gp…), we can no longer continue to provide this service for which the hospital receives payment as continuing to do so compromises our ability to deliver our core General Practice Services.

What does this mean for you?

• From 31st August 2024 we will no longer offer post-operative wound care to any new post operative patients. This includes post-operative wound care from all private and NHS services including dermatology, surgery, and urgent care. Patients will be required to receive ongoing wound care from these services directly.

• We cannot offer dressings or wound care for wounds obtained via trauma or other injury, as the surgery does not have contract to provide care for Minor Injuries.

• Patients currently receiving wound care will continue to be offered a maximum of two dressing changes per week until they are healed and discharged.

• Patients who are housebound will be able to receive post-operative wound care from the local District Nursing service. This should be arranged by the hospital service directly at the time of discharge.

• We will continue to offer post-operative clip/suture removal as this is a separate contracted service.

Thank you for your understanding and support.

Investigations and test results

Online access to your practice investigations

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If you already have online access, you can
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How to obtain online access to your test results

Online access to your medical record can allow you to book and change appointments, order prescriptions, review any test results and review your notes. This is easy to arrange, and we explain the benefits and how to do it under

Booking an investigation outside the practice

You may have an investigation (test) undertaken outside the practice. This might include a blood test, X-ray, or other test. Local guidance on how your test is booked, including what you need to do can be found under:

Practice process for follow up of any test generated by a practice clinician

Obtaining your blood test results

You can obtain your practice test results in a number of ways:

  • Online: This is the quickest and simplest way of viewing your results and there is information on how you can do this under online access to your records. You will be able to view your results as soon as they come into the practice and have been commented on. If you are already registered, you can log in above.
  • By telephoning reception: You can speak to reception about your results. It is best to call after 13:30 when our reception staff are more likely to have more time to deal with your request.
  • In person with the clinician who ordered your tests: You may have agreed with the clinician who ordered your tests that you would review the results together.
  • The surgery ringing you directly: If the test results are significantly abnormal, we will contact you.

Responsibility to check results
It is your responsibility to check your results and to make an appointment to discuss them with your doctor if you are advised to do so. We explain below “What the doctor’s comments mean for your blood tests and results”.

Timescales for availability of test results

Results need to be processed by the hospital and commented on by the practice. Timescales for this is 2 days for blood test results (some take longer), and 3-5 days for X ray results. So, we recommend you do not contact the surgery unless these timescales have been exceeded or a clinician has requested you do this at an earlier time.

Smear Results
Smear test results take 6-8 weeks on average and are posted out to patients.

Proxy access

We can only provide results to the patient for whom the test was organised for. If you want to arrange another person to access and discuss your results, then you have to formally arrange this. This is explained further under Proxy Access and you can complete a practice form to obtain access under

Further information

Other relevant information can be found below.

Doctor’s comments

Normal, No Action – This means that the doctor has looked at the result and deemed it to be within the normal range for the test and so no further investigation or treatment is needed.

Minor Variation, Not Significant – This means that the doctor has looked at the result and deemed it to be very close to the normal range for the test and the result is not concerning. Some patients have consistently out of range results that are “normal” for them.

Abnormal, Continue on Current Medication – This means that the result may be within or outside the normal range but there is no reason to change current treatment according to test result(s).

Stable, To Monitor – This means that the doctor has looked at the result and deemed them stable and the result is not concerning so will just monitor result(s) and patient.

Abnormal, Make GP Appointment for Review – Not Urgent – This means the doctor would like to speak to you to explain the result(s) but it is not urgent.

Abnormal, Make GP Appointment Soon – This is similar to the above but the doctor wishes to explain the result(s) as soon as possible. The practice will also try to contact you.

Abnormal, Make Nurse Appointment for Review – Not Urgent – This is similar to the above but the doctor wishes for the nurse to explain the result(s) as it may just be for your chronic disease monitoring.

MSU – On correct treatment – This means infection has been confirmed but you are already on the correct treatment.

MSU, Prescription Issued to Collect – Infection confirmed, need to collect medication from your usual place of choice.

Abnormal, Please Repeat Test – This is because the test is inconclusive therefore a second test is necessary to compare.

Appointments

Many ultrasounds, some echocardiograms and 24-hour ECGs, and a few MRI scans are organised by GPs. Once the GP has done the referral, they get no further information until the result comes back. To ensure there are no problems with your appointment consider:

  • Ensuring the appointment is communicated correctly by updating your personal contact details if there have been any changes before attending your GP practice (this is easily done see under update your personal details)
  • Contacting the service provider after 3 weeks if you have not heard about an appointment date (contact details of some of the common service providers are included below)
  • If you have to miss an appointment, cancelling the appointment with the provider yourself (thus allowing someone else to have your appointment) and organising a new appointment. Failure to do so can otherwise result in you been discharged and having to start the process all over again with your GP practice, substantially delaying your appointment.
  • If you decide you do not need the appointment telling both the service provider and your GP practice.

Reporting of results

The timescale for results coming back is variable as they all need to be reported on by the service provider (e.g., hospital x-ray department) and this is staff dependent. It will often take at least 1 week even for the quickest results, but you can check with the service provider when you have the test. Do not assume the result is normal if you hear nothing from the practice it maybe that they have not received the result. You can check with the practice if they have received the result in the suggested timescale and if they have not received the result, you should phone the service provider to check there is a genuine delay in the result been processed. You can find how to contact the common providers of diagnostics below.

Contact details

Local contact details can be found under

This includes links to the contact details for

  • Local diagnostic services (including x-rays, scans and cardiology tests) completed by community services (e.g., physiotherapy) and hospital departments.
  • Local hospitals.

Printing your results

It is simple to obtain online access to your notes, when you can obtain a printed copy of any results yourself. Information on how to obtain online access to your notes can be found under

Follow up of any test generated by a hospital or community clinician

The follow up of hospital generated tests is covered in detail, including what to do if you have any difficulties, see under

  • Hospital – see section on “after your appointment”

In brief, after you have had a test organised by a hospital or community clinician, they will normally feedback the result in the next appointment they have with you or write to you with the result. This also applies to tests organised by community services such as physiotherapists. Your GP will only receive a copy of the result when the hospital or community service has fully explained the result and any associated actions to you. Your GP has no control over this process, so it is always best to contact the relevant service provider directly.

Your two options

You have two options

  • Wait for the outpatient appointment to receive your results.
  • If you are concerned there has been some delay in this appointment you should contact the hospital or community department directly. Some of the common contact details are provided below:

Contact details

You can often find direct contact details on your outpatient letter or alternatively you can go through switch board to find the relevant department for any hospital, see under

This includes links to the contact details for

  • Local hospitals
  • Local community services (e.g., community physiotherapy who may undertake diagnostic tests)

Are investigations, including blood tests, always helpful?

Many tests have real value in ensuring the best quality care for patients but not all and this has potential costs for patients and to the NHS. This is explained further under

Understand investigations and test results

There is local and national information on test results, see under

This includes

  • Local support self-referral which includes how online access to your test results can help you and the practice
  • General guidance which includes how to understand your practice online results and what the reference (normal) range means
  • Test result abnormalities includes common test result abnormalities and what they mean
  • Tests for specific conditions includes common tests for specific conditions and why they are done
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