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Important Information for Patients July 2017

Dear Patient

Horsefair Surgery recruitment update

As you are aware, the practice has recently undergone a change in management following the departure of the GP partners. We would therefore like to confirm the following staff recruitment that will be joining the team on a permanent basis:

July ‘17

Dr M Hollands (f) – part-time salaried GP

Dr O Adekanmbi (f) – part-time salaried GP

August ‘17

Dr T Meddows (m) – full-time salaried GP

September ‘17

Dr E Halliday (f) – part-time salaried GP

Dr S Chery (f) -  part-time salaried GP

Advance Nurse Practitioner – full-time (f)

We continue to actively recruit both GP’s and Nurses to join the practice; in the interim we will be covering the clinical sessions with regular locums to maintain continuity of care.

Horsefair Surgery

Dear Patient

Due to the recent events and media coverage at and about Horsefair Surgery patients are possibly feeling uncertain about the Surgery.  We are receiving a high volume of calls enquiring about what is happening, this is causing the phone lines to be jammed and preventing patients with urgent medical needs getting through to speak to us. Please rest assured that it is business as usual and our main focus is still Patient Care. Unless you are calling about an appointment or results please don't call. If you are calling about results please call after 2pm each day.

Thank you

Di Kennard

Practice Manager

We are writing to inform you of changes that are happening at Horsefair Surgery. For a number of personal reasons the three longstanding GP Partners, Dr Williams, Dr Alcock and Dr Dawson are leaving the practice at the end of June. We thank them all for their hard work and dedication supporting and caring for their patients and we wish them all the very best for their future. We are also very grateful to the team for ensuring that the patients of Horsefair Surgery have continued to receive safe and sustainable care, despite the pressures we have faced over the last two years.

We want to reassure you that healthcare services at the practice will not be affected. Horsefair Surgery is already working to recruit new partners and salaried GPs. It is being supported by the current Doctors, the Staff, the Patient Participation Group and NHS Oxfordshire Clinical Commissioning Group.

We understand that you might be concerned about these changes. We can assure you it will be business as usual as we continue to deliver quality healthcare to our 16,000+ registered patients. Our priority is to ensure a smooth handover when new Doctors are appointed, without any interruption to your care.      

We’ll keep you informed of any developments as they arise. You might have questions to ask us and contact details are at the end of this letter and will be on the surgery website  We are due to meet with the Horsefair Surgery Patient Participation Group and will be liaising with them regularly to keep them informed of our progress.  

Horsefair Surgery has a clear vison for the future to meet the challenges facing Primary Care. We are determined to build on the good work the team has already started at the surgery, which has included the introduction of Emergency Care Practitioners, Advanced Nurse Practitioners, Pharmacy Technician and a Pharmacist to ensure you get care from the most appropriate professional.

We’re also planning to introduce other innovative measures as part of our vision to provide excellent patient care. These include a more clinically focussed system for dealing with patients when they first contact the practice to ensure they are cared for by the most appropriate member of the team.

If you have any concerns or questions please contact us at or the Patient Services Team at NHS Oxfordshire Clinical Commissioning Group on free phone number: 0800 052 6088 or email: or write to OCCG’s Patient Services Team, Jubilee House, 5510 John Smith Drive,  Oxford Business Park South, OX4 2LH.


We thank you for your continued support.


Yours faithfully


Horsefair Surgery


Horsefair Surgery Update Friday 30th September 2016

The Running of Horsefair Surgery Going Forward

Important Announcement about Middleton Cheney Horsefair Surgery

Dr Debbie Neville

Patient Update August 2016

Welcome to Horsefair Surgery

Please note that appointments may currently only be booked either by telephone or presenting to the reception desk.

Horsefair Surgery Media Statement - June 2017

Horsefair Surgery in Banbury has faced significant pressure over the last two years in its efforts to ensure patients get good quality services. In December 2016 the practice partnered with Integrated Medical Holdings to provide the business administration support at the practice and bolster resilience. For a number of personal reasons the three longstanding GP Partners, Dr Williams, Dr Alcock and Dr Dawson are leaving the practice at the end of June.

Oxfordshire Clinical Commissioning Group and Horsefair Surgery have been working closely together to recruit new GPs to ensure continued safe and effective care for patients.

A Care Quality Commission inspection in August last year found a number of areas for concern at the practice which all staff, the Patient Participation Group (PPG) and OCCG have been working to address.

Some improvements have been made over the last six months, but a follow-up CQC inspection in May rated the practice ‘inadequate’ overall. OCCG, the staff and the PPG are committed to ensuring the practice continues to improve for the benefit of its patients.


Julie Dandridge, Head of Primary Care at Oxfordshire Clinical Commissioning Group (OCCG), said:

“OCCG recognises the efforts already made to improve services at Horsefair Surgery over the last few months, and will continue to support the practice to ensure patients get safe, good quality care and to find effective and long lasting solutions to the concerns still highlighted by the CQC.

 “OCCG recognises the challenges facing general practice across the country, which includes the recruitment and retention of GPs, but Horsefair Surgery has a clear vision to continue to build on work done so far to support its GPs and other staff to provide high quality patient care.

“The practice has undergone a significant period of change over the last few months and the CCG has been working with the practice to ensure that the necessary actions are taken following the CQC inspection and that there is a smooth transition when the three long standing GPS leave the practice.

Patients have been kept informed during this time and the practice has also worked closely with the Patient Participation Group. “


Dr Liz Dawson, one of the three GPs who are leaving Horsefair Surgery, said: “Drs Alcock, Williams and I are very grateful for the incredible and ongoing support we have had from our staff, colleagues and patients. We are thankful for the input we have had from Oxfordshire Clinical Commissioning Group during a very difficult time. We are immensely proud of the hard work that everyone at Horsefair surgery has put in to ensure we continue to deliver safe and responsive care to our patients.

“We are confident that Horsefair Surgery and Oxfordshire Clinical Commissioning Group will continue to work hard to ensure that our patients receive the best care possible with an improved CQC rating following the next inspection. It is with great sadness that we leave but we wish everyone well for the future.”


Eric Woodhouse, Chair of the Horsefair Surgery Patient Participation Group, said: “The PPG has been fully supportive of the practice and all the steps being taken to improve the quality of services to patients. We will continue to support all the staff and patients during the changes taking place and are confident all the points raised by the CQC Inspectors will be addressed. We are planning to hold a drop-in day at the practice in August for patients to meet us and discuss the developments which are taking place.”


Horsefair Surgery has a population of 16,572 registered patients.


This overview is intended to help you understand how the appointment system works at Horsefair. You will be aware of the National challenges within Primary Care and the NHS as a whole, with more than 90% of all medical care being provided in Primary Care we decided to put something together for our patients so that you can understand how we work.


Our aim is to see any patient who has a health problem within a timespan that is appropriate for that problem. As a practice, over the last 12 months we held at least one consultation with 10,643 patients. Some of these consultations were for new illnesses whilst others were for continuing problems. With growing demand on the service it can be a massive challenge to match the needs of individual patients to the supply of appointments.  


Appointment Types

We have several different types of appointment aimed at meeting the needs of the majority of patients:

Over the Telephone. A telephone call can often save time for both patients and doctors, telephone consultations can be used as a means of improving efficiency.

Urgent (same day). These are intended for problems that need to be dealt with as a matter of medical urgency.

Routine. These can be booked in advance and are best suited to follow-up of continuing problems with a Doctor of your choice.

Advanced Nurse Practitioner (ANP). These are available for on the day appointments and the ANP can deal with all Minor Illnesses. The ANPs are fully qualified and behave like a Junior Doctor. They can prescribe and onward refer as necessary.

Practice Nurse Our nurses can deal with a range of common problems including monitoring long term health conditions. These are pre-bookable appointments

Healthcare Assistant (HCA). Our HCAs can deal with phlebotomy, blood pressure, ECG, Ear Irrigation, Injections etc. these are pre-bookable appointments

Home visits. Given that a doctor can see three or four patients in surgery in the time that it takes to do a single visit, home visits are restricted to patients who are genuinely housebound and are usually managed by our Emergency Care Practitioner or the Early Visiting Service



Tips to help you to get the most out of the Appointment System


Is it ‘urgent’? Please don’t request an urgent (same day) appointment unless you consider your problem to be medically urgent. If you are not sure then you can ask to leave a message for one of the doctors to phone you back to assess your situation. Inappropriate requests for same day appointments mean that it is more difficult for patients with genuine urgent problems to be seen. If you consider it to be urgent please be happy to see ‘a’ clinician, being flexible is likely to get you seen quicker

Think ahead. If you have a long term medical condition or you take regular medication then you will need to be seen periodically for review, usually every six or twelve months. Please try to book these review appointments well in advance and not just before you run out of medication so that it becomes urgent. The Pharmacy Technicians let you know when you need to take action before you can have more medicine

Turn up … or cancel. Please don’t miss an appointment that you have booked. This is wasted time that could have been used for another patient. If you can’t make an appointment or need to change it then let us know.

Can anyone else help? Before you make an appointment please think about whether there are any other services that might be more appropriate. For example, remember that pharmacists are trained to give advice about minor health problems and answer any questions about your medicines and treatment. The NHS 111 system is also available to guide you to appropriate sources of advice.

What’s the problem? Understandably patients are sometimes reluctant to tell a receptionist about the reason that they want an appointment. However our reception staff are more likely to be able to guide you in the right direction if you give them a rough idea about your problem. All staff have a responsibility to treat your information confidentially. If it is personal please tell the receptionist that. We are in the process of rolling out a new intelligent system that prompts the receptionist to ask questions, the outcome of the question and answer conversation will give a timescale in which you need to be seen.

Telephone calls. If you have a simple problem or question then it may be possible to sort this out over the telephone. Please ask the receptionist to take a message and we can call you back.  *Please check that we have your correct phone number and let us know if there is a best time to call. The surgery number  01295 259484 is visible when we call you, so you will know when we have called you back

Continuing care. If you have an ongoing problem then please try to see or speak to the same doctor. This means that you don’t have to keep on repeating your story, and enables the doctor to build up a better picture of what is going on. If you have been for a consultation and been told that you need a follow-up appointment then try to make it before you leave the surgery with the same Doctor. We do realise that this isn’t always possible

Multiple problems. A routine appointment is for 10-15 minutes. During that time the clinician needs to read up on your records, fetch you from the waiting room, deal with your problem, and write up the records. If you have more than one problem then it won’t be possible to deal with it in a single appointment. Ask the receptionist if you think that you may need more time.

Be patient. Please understand that everyone is trying to meet the needs of thousands of patients, each of whom is very important. Although we want to offer personal, patient-centred care, we are often stretched to the limit. Please try to be understanding if things are not completely to your satisfaction.


Finally please make sure that we have your up to date telephone number, calls to and from the surgery are always difficult on a Monday

Thank you


Thank you

Advanced Nurse Practitioner - A Patient’s Guide

We are confident that our website will provide clear and concise help and give our patients the information they require in an easy and convenient format. It has been designed with the patient’s needs at the forefront of everything, from checking surgery times to letting us know what you think of us.

Serving You

Our dedicated team are here to treat those minor ailments that occur as well as providing specialist management of long-term conditions and clinics covering a wide range of healthcare issues. The technology also means you can now do a lot of things from the comfort of your home such as order a repeat prescription or cancel an appointment.

Partners in Care

Patients and healthcare professionals work together to ensure the most appropriate care is provided. This partnership philosophy extends even further and our active patient group exists to make sure that patient needs and the practice offering are always heading in the same direction.



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