If you are about to start a placement in General Practice why don’t you check out where you will be going for the next six to twelve months.
Ashville Medical Practice is based in a purpose built, high quality premises at Oaks Park Primary Care Centre Kendray. We are fortunate to share the building with the district nursing and health visitor teams, outreach clinics such as mental health clinics, along with a number of private enterprise medical companies. We have a cafe in the building that provides refreshments and a wide menu of lunch items. The centre has a large conference room utilised by many organisations.
Our practice area offers registrar’s a diverse range of socio-economic groups with a predominantly working class population. . The general poverty within the area provides the opportunity to gain invaluable experience dealing with medical issues interlinked with significant social problems. Our practice population has high morbidity rates for cancer, heart disease, diabetes, COPD and the registrar will gain a good working knowledge of dealing with poly-pharmacy and holistic care. We also have a high number of patients with substance misuse issues, providing their own unique medical and social challenges.
Ashville Medical Practice has 4 GP partners, 2 Salaried GP’s and an associate partner who is a Nurse Practitioner. In addition we have 2 practice nurses, a healthcare assistant and a phlebotomist.
The established trainer is Dr Margaret Scargill who has been a trainer since 2003, and is supported by trainer Dr Helen Rainford.
Dr Debra Ainsworth is a prospective trainer and is completing the post graduate certificate of medical education.
We are a busy and hard working practice. We pride ourselves on our integrity and work ethic. At Ashville we provide a high standard of diverse training involving all of our team including reception staff, general office staff, the practice manager and the whole of the nursing team.
We will be more than happy to show any of you around the building and hope your time with us will be happy and productive.
This a compact PMS practice on the northern edge of Sheffield, about 15 minutes drive from Barnsley District General Hospital. The area is mainly urban with deprivation levels lower than most of Sheffield. There is little local employment so most people travel to work. The practice looks after 3 local nursing/care homes and a fair amount of sheltered accommodation. Housing is generally modest, with council provision as well as several estates of owner-occupied housing.
About 16,500 patients are split between the two purpose-built surgeries, and looked after by 8.75 wte doctors (7 partners, 3 salarieds) and up to 6 GP registrars. The total extended team now runs to around 70: health visitors and district nurses have offices in the surgery. A pharmacy is housed in the High Green surgery building. Chiropodists, physiotherapists and counsellors/mental health workers hold sessions in the practice.
Enjoying your career and delivering excellent care as a GP depends on feeling confident. Confidence relies on being up-to-speed with the job, and knowing that you are doing your best. We will help you along a learning path where evidence and audit are used as essential clinical tools, laying the basis for a career enlivened by constant curiosity and high-level service delivery. You will be intellectually challenged with the issues of the day, and by the end you will know how good you already are, and how much better you are going to be.
The Trainer as a Doctor
I am a graduate of Sheffield Medical School and the Barnsley VTS. I have been a full-time GP since 1981. I was awarded my MRCGP in 1981, FRCGP by assessment (FBA) in 1998 and a postgraduate certificate in medical education in 2007.
The Training Practice
The practice has been fulfilling the criteria as a Training Practice for the last 30 years. It holds the Commitment to Quality award. The practice administrative team are highly efficient, and great care is taken to ensure that things are as well run as possible.
All staff members are committed to the practice’s training responsibilities. There are two other trainers in the practice, taking GPRs from the Sheffield scheme. Another partner is an Associate Postgraduate Dean with responsibility for assessment of performance, appraisal, and continuing professional development. He is also a senior RCGP examiner and was involved nationally in compiling the nMRCGP.
The Trainer as Teacher
I have been training continuously since 1986. Being re-approved as a trainer requires regular attendance at trainer workshops and educational courses. I now teach regularly on training courses and for the last two years have tutored the local Prospective Trainers Course. I have written five books on GP education and the consultation and contributed to a further two. Before its demise I wrote 67 articles for Update, and have written 31 others for a number of GP journals/newspapers and Practice Nurse journal.
The Training Programme
There is a comprehensive induction programme tailored to the registrar’s needs.
The full-time registrar is time-tabled for 8 surgeries a week over 5 days. There is always time to attend VTS sessions. You will on average be on-call for 1 day a week, 08.00 to 18.00. Occasionally you will be involved in Extended Hours surgeries: Saturday mornings, and evening until 20.00. Official Out of Hours sessions are organised by the Barnsley scheme.
The registrar is never left in surgery or on-call alone. The number of patients seen per surgery is adjusted according to need: most registrars start with 6 over two hours, and then increase the number as they feel confident to do so. You can expect about 2 home visits a day, but on-call can mean another 2 to 6. Registrars are expected to involve themselves in the family planning and baby clinics.
The teaching programme includes private study time, educational supervision, debrief sessions (with all the practice doctors – but not all at once), video sessions, and sitting-in. Tutorials are held either individually or jointly with the other registrars: topics are chosen by the registrars and they are also strongly urged to produce their own learning objectives.
The first training practice in Worsbrough was set up in 1743 by apothecary and surgeon Dr William Elmhirst (1721-1773) at Genn House, on Genn Lane. In addition to his fees for medicines, surgery, vetinary work and tooth-pulling, he earned extra income selling ‘fat oxen’ to a Barnsley butcher, and letting out property to one of his clients, a ‘constipated tallow-chandler’.
The terms of an apprenticeship stipulated that those studying under him ‘readily and chearfully (sic) obey’ and conduct themselves ‘with all due diligence, honesty, sobriety and temperance’. Elmhirst met an untimely death when he was thrown from his horse at the nearby Hangman-Stone toll-bar.
Dr Herbert Arthur Luke Banham (1870-1954) trained at Sheffield School of Medicine and London, qualifying in 1896, and set up practice at Rockley Dene, Worsbrough Bridge. Dr Banham prepared and dispensed his own medicines (red mixture for coughs, white for stomach upsets, clear for influenza). A groom was employed to transport him on home visits in a horse and trap.
In 1930 he took on a new partner, Dr Jeannie Helen Ritchie from Scotland. The Scottish theme continued through the 1950s with a succession of Edinburgh graduates to the practice, which now relocated to The Hollins on Sheffield Road, and later to Knowle Road; Dr Gordon Lorimer Watt joined, succeeded by the Drs Murdoch (husband and wife). Dr David Durie and the Drs Stewart (again husband and wife) followed in the 1960s. The practice moved again to a purpose-built Health Centre in the Elmhouse area, where it remained until 2004 when new premises were built off West Street, overlooking the Dove Valley; hence the new name Dove Valley Practice.
Dr Jim Walker and Dr Linda Sykes took over the practice in the early nineties, joined by Dr Gareth Sutton in 2002, and more recently we have added more Barnsley VTS-trained colleagues, Dr Cath Liley, Dr Roopa Ganguly and Dr Clare Bannon. We hope to live up to the example set by our illustrious predecessors over three centuries!
The trainer is Dr Trudi Cherry.
We are one of the largest practices in the Barnsley both in numbers of doctors, patients, and geographical size. Currently we have 8 GP partners, 4 salaried GP’s and a number of training grades including GPRs, PRHOs and medical students. The surgery covers around 150 square miles, made up and rural and semi-rural areas, and a list size of approximately 15,000 patients. The practice area covers a number of smaller villages, hamlets and a large number of farms, centred on the market town of Penistone. We have only 3 sets of traffic lights in the area, so driving around the practice is a delight! We also have two branch surgeries at Silkstone and Thurgoland.
We have been a training practice for member years and have a strong tradition in teaching. The surgery has undergone expansion to add on two new purpose built registrar consulting rooms. The practice has 3 trainers at the present prime along with a Course Organiser on the Barnsley Vocational Training Scheme.
Our large number of GP’s means that the practice has wide and varied interests amongst the doctors
|Dr Dave Gallagher||Ex-trainer|
|Dr Dave Lindop||Dermatology, Spent 2 years as GPSI at Barnsley Hospital|
|Dr Steve Ball||Trainer and PEC member. Previously Acting Deputy Dean in Yorkshire and the Humber SHA. Interested in a wide range of educational and governance issues. PMETB partner and GMC Foundation programme Assessor.|
|Dr Jon Griffin||Trainer and Interests in sports medicine and cardiology|
|Dr Gavin Rhodes||Interests in Minor Surgery and General Medicine|
|Dr Helen Morris||Trainer. Interest in women’s health|
|Dr Gordon Gibbons||Interests in dealing with alcohol and substance misuse.|
|Dr Stuart Vas||Trainer and interests in General Medicine|
|Dr Kat Revitt.||Salaried GP|
|Dr Lisa James||Salaried GP|
|Dr Claire Stansfield||Salaried GP|
The PHCT and equipment
We have a large nursing team and run regular chronic disease management clinics in all the main clinical areas. The surgery is well equipped with a minor ops suite, ECG, spirometer, ambulatory blood pressure monitors and sigmoidoscope.
The GPR week
Your week includes one day one call, one half day for personal study and release to Barnsley VTS. Teaching occurs once a week, for a whole afternoon. There are daily debriefs after each surgery. We are keen to encourage the use of joint surgeries and video surgeries. We have a special interest in the teaching of communication skills. OOH training is arranged through the trainer and VTS and is supervised by a doctor with appropriate training in providing GPR support.
We are a ‘paper light’ practice and fully computerised. We operate EMIS LV system for consultations and prescribing. All incoming letters are scanned for ease of access and control. All lab results are received electronically. We use shared files to store protocols, audits and educational material including the GPRs learning plan and educational log. All of this information is accessible from any practice PC. Each PC is connected to the NHS net.
We have weekly 2-hour clinical meetings that are based around the criteria for revalidation and aid the development of both practice and personal development plans. The meetings are open to all clinical staff including the GPR, PRHOs and medical students. We review hot topics, audit and protocol work, SEAs, referral patterns and even review each other’s consultation videos. We have 2 monthly multidisciplinary team meetings with the extended PHCT. Regular meetings occur with the nurses for the ongoing development of the chronic disease clinics. Business meetings occur monthly. The GPR is welcome to attend all these meetings.
|Personal Trainer Profile – Dr Steve Ball Steve joined Penistone Practice in 1986 after being a trainee on Barnsley VTS. He became a Course Organiser and a trainer on the VTS. Leaving this he joined the Deanery as an Adviser in General Practice with the responsibility of starting Summative Assessment locally, subsequently serving as a National Assessor. He became an RCGP examiner for some five years and served on the Exam Board. He contributed to a couple of the College curriculum statements. He became Deputy Director for General Practice Education, during which time he helped develop the National GP recruitment process. Leaving this to take up an Associate Dean post that looked at Secondary care training, he developed a pilot of the Foundation Programme. He was the Associate Dean responsible for Specialty Recruitment and all doctors experiencing difficulty in training under the Postgraduate Dean. He decided to leave the Deanery after serving as Deputy Dean during the last reorganisation – time to develop a new career interest! He remains fascinated by Medical Education but is becoming interested in how General Practice will sustain itself over the next decade.
|Personal Trainer Profile – Dr Jon Griffin I have been at Penistone practice since 1995. I was a GP trainee at the practice and was fortunate to be offered a job! I have been a trainer for the since 2005. I have in the past been a Program Director on the Barnsley scheme but have now moved onto other things. I have particular interests in cardiology. I quite enjoy audit and communication skills, so be prepared for lots of videoing!!! Personal Trainer Profile – Dr Helen Morris I have been a GP for 13 years having trained on the Chesterfield Rotation. I joined Penistone 12 years ago initially full time but then dropped to ¾ time. I have special interests in rheumatology (I was a clinical assistant for 2 years), family planning, and GUMed. (Clinical assistant at Barnsley) I became a trainer 7 years ago partly because that is the thing you do at Penistone, partly as a challenge. I am supported well by all the practice in this. I have not looked back since and enjoy the stimulation of working with a GP registrar. Whatever I lack in knowledge I make up for in enthusiasm, so be warned. Oh and I was one of Steve Balls’ first medical students!- scary thought hey?|