NHS Protect Communications and Engagement Report Eden Terrace and Old Forge Patient engagement June 2016 FINAL Page 1 of 29 NHS Protect Contents Introduction ..........................................................................................................................3 Communications and engagement objective(s) ...................................................................4 Summary of activity..............................................................................................................4 Feedback from engagement activities .................................................................................6 The survey findings ..............................................................................................................6 Conclusion .........................................................................................................................13 Appendix 1 – Old Forge letter to patients...........................................................................15 Appendix 2 – Eden Terrace letter to patients .....................................................................16 Appendix 3 – Patient Information Sheet ............................................................................17 Appendix 4 – Patient Survey..............................................................................................20 Appendix 5 – Stakeholder Briefing .....................................................................................27 Page 2 of 29 NHS Protect Introduction Two GP practices in Sunderland are proposing to merge into one practice to ensure their future sustainability to deliver high quality and safe primary health care to their patients. Eden Terrace Surgery and Old Forge Surgery would like to merge their practices together, with Eden Terrace services moving into the Old Forge Surgery site. The main reasons for this is that the Eden Terrace Surgery premises have extremely poor facilities, with no disability access or disabled toilets, and this is not the environment that is best to deliver modern healthcare. The practice would like to offer more GP appointments to meet patient demand, and provide these by both GP Partners working each day but unfortunately at present there is only one GP consulting room. This, coupled with the difficulties being faced across the country with GP recruitment, has prompted the discussions between the two practices about how they can secure services to their patients and make them fit for the future. Old Forge Surgery offers more modern facilities with room to accommodate all Eden Terrace staff. Eden Terrace is a Victorian terrace with no ability to modernise. By coming together and combining workforces, they are able to gain significant economies to deliver care for a combined registered list size of 10,000 patients. Old Forge practice has 7,700 patients two GPs and one Nurse Practitioner Eden Terrace has 3,000 patients and two GPs Distances by bus and nearest Metro station from Eden Terrace Surgery: To Distance by car Time to walk* Bus numbers Nearest Metro station Old Forge Surgery 1.2 miles 1.1 m (22 minutes) 8,10,11,18,20, 99,700 Pallion Pallion Health Centre 1 mile 0.9 m (17 minutes) 2, 2A,8, 16,20, 35, 39, 78, 99 700, 701 Millfield Park Lane Practice 0.6 mile 0.6 m (13 minutes) 20, 20A, X21, 22, 23, 36, 60 Park Lane Chester Road Surgery 0.6 mile 0.5 m (10 minutes) 78 *distances taken using Google maps Both practices would very much prefer that their patients would stay registered with Eden or Old Forge; however patients would be able to register with another practice of their choice. Page 3 of 29 NHS Protect Eden Terrace also serves a high ethic population. The register shows that: 42% speak English 20% Bengali 8% African 5% Asian/Chinese 1% Polish 1% Russian 1% Arabic Also students make up 20% of the patients. Communications and engagement objective(s) To inform patients of the situation and to reassure them that services will continue to be provided To gather patient experience, suggestions, questions and concerns in a systematic way and respond to them To explain how patients can continue to be registered with their current GP practice and move premises, however, they do have a choice to leave and register with another local neighbouring practice To meet NHS legal duties for engagement, equality duties and best practice engagement and communications To counteract concerns that decisions will be made on purely financial/resource terms rather than reflecting on patient concerns/feedback. Summary of activity Patient information sessions and visit/open events These sessions were held as follows: Session one: Wednesday 25 May 2016 between 6 – 8pm at the Old Forge surgery and was attended by members of the Old Forge PPG group, HealthWatch and patients from Eden Terrace who had an opportunity to look round the premises. Page 4 of 29 NHS Protect Session two: Thursday 26 May 2016 between 6pm – 8pm held in Eden Terrace Surgery. Dr Mandal and Lisa O’Keefe - Practice Manager, held a forum type evening where patients were able to ask about the decision to move to the Old Forge practice. Members of Eden Terrace PPG were in attendance. Sessions three and four: These were held during the afternoons of 8th June at Eden Terrace between 12 - 2pm and Old Forge Monday 6th June between 11.30-1.30pm for those who were unable to attend an evening session. Open event: An open event was held at Old Forge practice on 1st June, inviting patients from Eden Terrace to look round their premises prior to the merger. These were promoted in the patient letters, on the website and posters in the waiting room. Letter to all registered patients Separate letters were sent to each household for each GP practice (Total: 5,795): o o Eden Terrace patients (1,500) Old Forge patients (4,295) The letter clearly described the proposed changes and the options patients have. It included a paragraph asking them to ensure that all members of the household registered with these practices were aware of its content. They were provided with a paper copy, patient information sheet and survey which included the freepost address. Copies of these letters can be found in the appendices: Appendix one – Old Forge letter Appendix two – Eden Terrace letter Survey A short survey was provided on both paper and online for patients with a list of questions designed to give people the opportunity to share their views on the proposed change. (Copy of this survey can be found at appendix four) Paper copies were provided in the mailshot to all households while the online survey was hosted on the practice websites and on communication material. Copies of the survey were available in the two practices. Page 5 of 29 NHS Protect Stakeholder engagement Media relations and stakeholder management planning carried out by NECS communications team and briefings provided to the practice mangers and CCG staff to carry out stakeholder briefings. A copy of the stakeholder briefing is included as appendix five. Briefings took place with: o o o o o o Overview and Scrutiny Committee Healthwatch Local Medical Committee Neighboring practices Secondary care Local Councilor’s Feedback from engagement activities Feedback from information sessions and visit/open events Questions mainly covered: Why this was happening? Would patients from Eden Terrace be able to get an appointment with their existing GP? Would all the staff be going to Old Forge? People commented about how happy they were with the existing service and concerns about how to access appointments in the future. There were also examples of where they were less happy with aspects of local services. The survey findings The total number of responses received by the close of the survey period was 70. This is a response rate of 1% based on the total number of patients over 16 at the time of the mail-out (5,795). These were uploaded onto the online survey portal. Paper copies sent to the Freepost address were by far the most effective method of collecting responses (53 received). 17 surveys were completed online. Not all respondents chose to answer all the questions in the survey. Some patients made more than one comment in response to some questions, so total number of comments may exceed the total number of patients responding to each question in some cases. Page 6 of 29 NHS Protect All percentages relate to the total number of respondents and have been rounded to one decimal place. A summary of the characteristics of people taking part in the survey, such as age, gender and ethnicity, is set out below. Individual details were not recorded as there was potential to identify patients from the patient information sessions. We asked participants - What is important to you about your GP service? These are some of the responses we received: Friendly atmosphere and convenience Prompt and quick appointment Nice staff, approachable, GP Not too far to travel Being able to get appointment within a week to see GP you want. Enough time to be able to talk to GP It is very friendly, the staff actually care about you. You are not a number they talk to you as a person To get first class patient care To be able to see GP within 24 hours To get appointment quickly and a good Doctor I can trust Having a good level of service and time with doctors and also emergency appointments Convenience of where it is situated. Getting an appointment easy. Opening hours very good Being able to get an appointment with the Doctor you wish to see . Near where we live, walking distance since I don't have a car Friendly caring GPs and staff, efficient services, convenient access Convenience (locality), being able to get an appointment on the day I ring - not in two weeks’ time when I should be better! Of main importance is being able to see a doctor quickly and having easy access to the services offered. Something that is of great importance is quick and easy referrals to e.g. hospital or social services. Being able to see the doctor/nurse/staff member etc of your choice. Continuity of care and patient plans. Due to my disability easy access to the building and rooms inside is of major importance Page 7 of 29 NHS Protect We asked participants - What they thought we could improve upon? These are some of the answers we received: Parking I agree with the move to more spacious treatment rooms for both doctors, and Nurse's area. It would benefit everyone. No problem getting to the Old Forge surgery Appointments could be quicker Less waiting time on appointments sometimes have to wait a week when very ill Open earlier on morning and Saturdays to accommodate working people. Better premises Current premises not suitable for delivering modern healthcare. Availability it is very difficult to get appointment with GP Offering appointments a day or two after you call Better premises with more facilities Clearer speech for patients hard of hearing (not louder!) so better confidentiality Keeping 'our' practice personal while being based in much larger premises. Taking advantage of what Old Forge can offer as 'extras' Improve on making appointments times suit patients that work full time 9-5 that can't get time off work, also getting an appointment without waiting nearly up to three weeks when symptoms could change by time getting seen be a professional GP Continue in same premises and both partners should do surgery same day so that patients will not have to wait to see doctor Both doctors on duty during surgery hours would be fantastic Keeping to appointment times as 95% of the time I'm waiting 30mins longer than my appointment I am more than happy with the surgery as it is, very disappointed Eden Terrace has to merge. I feel I get a personal service and the staff are brilliant We asked participants – How do you get to your current GP? Out of the 68 people who completed the question: 27 patients walked to the practice (40%), 9 people travelled to the practice by car (13%) 8 people took public transport to get to the surgery (11%) 35 % of patients took a combination of mode of travel including taxi or mobility scooter Page 8 of 29 NHS Protect We asked patients if they would like to register with another practice or would like help or support changing their GP. This is how patients responded: Answer options Response % 21.3% Information about how to register 0.0% I need information in a different way or format 17.0% I don’t need any support I care for someone who would need help to re0.0% register I am not planning to register with another 61.7% practice Please make any other comments that you may have below answered question skipped question Response count 10 0 8 0 29 24 47 23 We asked participants – Do you have any concerns about getting to the Old Forge Surgery site? These are some of the answers we received: Driving in the future I feel it is too far away Yes, 3 buses every hour to get to Eden Terrace but only one an hour for old forge, it's really awkward Yes it is really too far! I would have to get a bus or change my doctors. BUT I do not want to change my doctors At present no, but if I had mobility problems this may become a problem Distance, difficult to visit, having to use a poor bus service; unable to take early appointments as unable to use bus pass No, I've done a dummy run - it's quite easy to get to I won't be coming to Old Forge, it will be too difficult for me to get there by public transport as I don't drive I would have to change to a different practice which I'm reluctant to do as I 'm happy with Eden Vale practice Walking to the Old Forge in the winter down roads with no shelter from the elements. Infrequent bus service - No 18 (half hourly only) Yes. From where I live it will be difficult to travel to the proposed site, particularly as there will be major road works along one of the routes for some considerable time. We would not have any concerns as we drive. It is a longer distance to travel. However the concerns are not related to distance to travel for ourselves I am concerned about the proposed merge with another surgery. This would mean more patients registered and possibly less appointments for us. Or a change in how appointments are given. It is inevitable that merging the two surgeries would impact upon patients I don't have any concerns, however I am more than happy with things how they are. What a shame this has to change. Also there is a higher crime rate in Page 9 of 29 NHS Protect the Pallion area so more chance of patient's vehicles being tampered with yes it over subscribed as it is and you can’t get to see a GP None when going by car. Walking would be a lot further and two buses would be required if going a public transport We asked participants – Do you want to register with another practice – what support or help would you need to help you? The chart below shows the results of what people have said. Your choiceIf you do want to register with another practice, we would like to know what support or help you or your family might need.What sort of support might you need to help you register with another practice? Information about how to register I need information in a different way or format I don’t need any support I care for someone who would need help to re-register I am not planning to register with another practice This shows the majority of patients (61.7%) are happy to stay with their GP. Some patients were concerned about travel by public transport and liked the convenience of Eden Terrace being on their doorstep. 17% said they did not need any support and 21.3% would like information about registering with another practice. Demographics of respondents Questions at the end of the survery were asked to find out if there were any demographic information that highlighted any of the Protected groups under the Equalities Act which needed to be considered (should any changes to services be made). The demographics of those responding to the survey were as follows: Answer Options Male Female Prefer not to say Other (please specify) Three patients did not answer the question. Page 10 of 29 Response Percent Response Count 35.8% 56.7% 1.5% 6.0% 24 38 1 4 NHS Protect Age groups: the following pie chart shows the age range of the 64 patients who stated their age in the response. The majority of patients who completed the survey were over the age of 75 (36%) and only 3 people (4.69%) were under the age of 25. Under 18 18-25 26-35 36-45 46-55 56-65 66-74 75+ Rather not say Marital status: how people described their marital status is shown in the table below. What is your marital status? Answer Options Married Single Divorced Widowed Separated Civil Partnership Other (please specify) Response Percent Response Count 47.6% 17.5% 9.5% 23.8% 0.0% 1.6% 30 11 6 15 0 1 2 answered question skipped question 63 7 Ethnicity - how respondents described their ethnicity is shown below 60 people completed this question. The majority of people were British White 55 (79%) 3 people were Bangladeshi, 1 person was British Indian,1 person was Black African (7%) and 10 people missed this question.(14%) Page 11 of 29 NHS Protect Religion How people responded to their religion is detailed below: How people described themselves Church of England Christian Muslim Catholic Atheist Islam Hindu Responses to the question No response/ preferred not to say Total Number Percentage 18 10 2 6 13 1 1 63 7 25.71% 14.29% 2.86% 8.57% 18.57% 1.43 1.43 90% 10% 70 Description of sexuality: respondents mainly described their sexuality as heterosexual or straight (61 – 93.8%), with 1 (1.5%) stating they are gay or lesbian. The remaining respondents either preferred not to say or did not answer. 93.8% 0.0% 1.5% 3.1% 1.5% Heterosexual or straight Bisexual Gay or lesbian Prefer not to say Other (please specify) answered question skipped question 61 0 1 2 1 65 5 Carers: 8 (13.3%) of respondents said they care for someone with either a longstanding illness or disability.. Parents or guardians: 3 (4.8%) said they are a parent or guardian (or grandparent) who generally has to accompany a child or young person to their GP appointment. Pregnant or with a child under 2: 35 (7.9%) said they were either pregnant at the time of the survey or had a child under 2 years old. Gender reassignment: no respondents said they had undergone gender reassignment. Page 12 of 29 NHS Protect Where people lived: 60 people completed this question. The greatest number of respondents lived in the SR2 postcode area (22 - 36.6%). 10 people did not complete the question. Area SR1 SR2 SR3 SR4 SR5 SR6 SR7 Number 3 22 12 19 1 2 1 Percentage 5% 36.67% 20% 31.67% 1.67% 3.33% 1.67% Three people called to express their thoughts on the merger. o Patient from Eden Terrace who was in complete favour of the merger and thought it was a very good outcome o Patient from Old Forge who stated: “I think it’s a very good idea, and the best possible thing to do in the circumstances. Why should we see one practice go to the wall when it’s such a simple solution? As long as I can still get to see a GP without waiting weeks, I think you should just crack on and do it. o One lady expressed concern about the reduction in staff and that bringing more patients to Old Forge will have a detrimental effect on the quality of the surgery Conclusion In the main, patients recognise the issues with the accommodation at Eden Terrace and that a move into Old Forge would be beneficial. Comments included current premises not being suitable for delivering a modern healthcare and that both doctors on duty during surgery hours would be ‘fantastic’. Most live near to both practices and travel time is quick, although there were some comments and concerns about travelling further afield for those who would use public transport. This was in relation to both ill-health and disability for accessibility and continuity. Also areas of concerns included parking and having to use an infrequent bus service. There were also specific comments about particular circumstances or conditions where knowledge of the healthcare professional is important. A strong theme was around the need for flexibility for appointments and in particular for those who worked 9-5. This meant the move was seen to be positive as it would provide flexibility for more appointments. Page 13 of 29 NHS Protect There were a few comments about people being disappointed that the practices would merge, however, this was based upon the GPs at Eden Terrace who were held in high regard by their patients rather than any strong objection to the plans. They were mainly concerned with appointment availability and that merging two surgeries would impact upon patients. Respondents felt that it was positive to be able to see both GPs from Eden Terrace when the practices merge and felt it was important to be able to specifically book to see them to ensure continuity of care. Page 14 of 29 NHS Protect Appendix 1 – Old Forge letter to patients Dear patient Important information about The Old Forge Surgery I am writing to you as a patient with The Old Forge Surgery, to update you on important information about your practice. Please share this letter with anyone in your household who is registered at this surgery. We are committed to providing the best possible service for our patients, and it is proposed to merge our surgery with the nearby Eden Terrace practice to ensure that both practices are sustainable for the future. This change would see the GPs, staff and patients from Eden Terrace joining us at the Old Forge site, which would create a stronger team, allow us to offer you more appointments and provide a wider range of healthcare services. The Eden Terrace premises are not the best environment for modern healthcare, with limited parking facilities and no disabled access. As you may be aware, The Old Forge Surgery has modern facilities as well as the space needed to accommodate the additional staff and patients. This proposed merger will make it possible to increase the number of permanent doctors (from two full-time GPs to three full-time and one part-time), as well as other staff joining us from Eden Terrace. This could enable us to offer more flexibility with appointments in the future. Your views are important to us, so if you have any questions and/or comments, or would like further information, please come and see us at one of the patient information sessions listed on the enclosed information sheet. We will be more than happy to answer any questions you may have. A drop in session has been arranged at Old Forge surgery on Wednesday 25 May between 6-8pm. Alternative day time drop in sessions will be arranged at both venues and dates and times will be advertised in each practice. If you do have questions or would like further information, please come and see us at one of the patient information sessions. There is also an opportunity to feedback online at https://www.surveymonkey.co.uk/r/G2DNSZG or call us on 0191 2172670 You may also want to be aware of Healthwatch Sunderland, which listens to, advises and speaks up for users of health and social care services. If you have any concerns or would like to discuss these changes with Healthwatch, please call 0191 514 7145, email [email protected] or go to www.healthwatchsunderland.com. The decision will be made on 27 July after considering the patient feedback we receive, the financial information and the business case. Yours sincerely Janet Willoughby – Practice Manager Page 15 of 29 NHS Protect Appendix 2 – Eden Terrace letter to patients Dear Householder Important information about your GP practice – Eden Terrace Practice I am writing to you as you are a registered patient or householder with Eden Terrace Practice to update you on important information in relation to your practice. All GP practices in England and Wales hold a contract to deliver health care to local patients in the community. You will be aware that our premises are in a poor state with no disability access or toilets, and are not the ‘environment’ that is best to deliver modern healthcare. We are unable to offer any parking facilities at the current location. The practice would like to offer more GP appointments to meet patient demand, by both GP Partners working each day, but unfortunately at present we only have one GP consulting room. We would also like to provide modern treatment room facilities including nurse’s being able to provide more appointments. In order to ensure we sustain our services for the future are proposing to merge with the Old Forge Surgery and move into the Old Forge Surgery site, which is situated at Pallion Park, Sunderland SR4 6QE We are considering the option as Old Forge Surgery offers more modern facilities with room to accommodate the additional Eden Terrace staff. They are also able to provide the up to date facilities that Eden Terrace is unable to, such as example having more GPs and appointments with nurses, a modern reception, waiting area and treatment rooms. We would very much like you to continue to be registered patients as we propose to move to the Old Forge premises. However, should you wish you may prefer to register with another practice of your choice – a list of these are available in the patient information included with this letter. If you do have questions and/or comments, or would like further information, please come and see us at one of the patient information sessions and complete the enclosed survey. There is also an opportunity to feedback online at https://www.surveymonkey.co.uk/r/G2DNSZG or call us on 0191 2172670 Healthwatch Sunderland is the statutory independent consumer champion for users of health and social care services. It listens to, advises and speaks up on behalf of consumers. If you have any concerns or would like to discuss these changes with Healthwatch, please call 0191 5147145, Email: [email protected] or go to www.healthwatchsunderland.com. Lisa O’Keefe Practice Manager On behalf of Eden Terrace Practice Page 16 of 29 NHS Protect Appendix 3 – Patient Information Sheet Patient Information Sheet Background The main reasons for this is that the Eden Terrace Surgery premises have extremely poor facilities, with no disability access or disabled toilets, and this is not the ‘environment’ that is best to deliver modern healthcare. The practice would like to offer more GP appointments to meet patient demand, we would like to provide these by both GP Partners working each day but unfortunately at present we only have 1 GP consulting room. Eden Terrace Surgery and Old Forge Surgery would like to merge their practices together, with Eden Terrace services moving into the Old Forge Surgery site. This, coupled with the difficulties being faced across the country with GP recruitment, has prompted the discussions between the two practices about how they can secure services to their patients and make them fit for the future. Old Forge Surgery offers more modern facilities with room to accommodate all Eden Terrace staff. Eden Terrace is a Victorian terrace with no ability to modernise. By coming together and combining workforces, they are able to gain significant economies to deliver care for a combined registered list size of 10,000 patients. We would like you to continue to be registered patients as we propose to move to the Old Forge or alternatively you may wish to register with another practice of your choice. What does it mean for me as a patient? You will have a choice to remain a registered patient in our proposed new premises or choose to register with another practice as detailed in the patient information sheet above. Whatever happens, there will be no changes to the main range of services you receive as all GP Practices need to deliver these services within their contract. There are also other practices in the area of Eden Terrace who would be happy to add you to their list if you did not want to transfer to the new premises. These are: Pallion Health Centre Park Lane Surgery Chester Road Surgery Millfield How can I have a say as a patient? You can complete the online survey https://www.surveymonkey.co.uk/r/98KJYT9 and attend one of the sessions below: Please let us know if you have any special Page 17 of 29 NHS Protect requirements. Additional support to ensure everyone can have their say If you or someone you know wants to provide face to face feedback but are unable to attend planned drop-in sessions or focus groups due to mobility, accessibility or transport reasons, please send the details to [email protected] or ring 0191 2172670. Drop in sessions and a visit to Old Forge Surgery You may have some questions about these changes, or you might want to come and have a look at Old Forge. We have arranged the following sessions that you may wish to attend. Patient Information Sessions Session 1 Wednesday 25 May 6 – 8pm Old Forge Session 2 Thursday 26 May 6 – 8pm Eden Terrace Open event to visit the premises for Wednesday 1 June 6 – 8pm Old Forge Eden Terrace patients There will also be alternative day time drop-in sessions – dates to be confirmed. These dates will be advertised in both practices. Page 18 of 29 NHS Protect If you would like to attend one of the above patient information sessions, please register your attendance by telephoning 0191 2172670 or email [email protected] Please let us know if you have any special requirements. If you are emailing us please state Eden Terrace in the subject line. We will make arrangements to contact you or the person you inform us about to ensure all patients can have their views heard. What happens next? We will write to patients following the engagement period with an update of what is happening together with a summary of key themes from the information sessions. Page 19 of 29 NHS Protect Appendix 4 – Patient Survey Page 20 of 29 NHS Protect Page 21 of 29 NHS Protect Page 22 of 29 NHS Protect Page 23 of 29 NHS Protect Page 24 of 29 NHS Protect Page 25 of 29 NHS Protect Page 26 of 29 NHS Protect Pemberton House Colima Avenue Sunderland Enterprise Park Sunderland SR5 3XB Appendix 5 – Stakeholder Briefing Healthwatch Sunderland Sunderland Council Overview and Scrutiny Committee Sunderland Health and Wellbeing Board Health and Wellbeing Board LMC Merger of GP practices – Eden Terrace Surgery and Old Forge Surgery Background Two GP practices in Sunderland aim to merge into one practice to ensure their future sustainability to deliver high quality and safe primary health care to their patients. From 1 August 2016, Eden Terrace Surgery and Old Forge Surgery will be merging their practices together, with Eden Terrace services moving into the Old Forge Surgery site. Reasons to merge Eden Terrace Surgery premises have extremely poor facilities, with no disability access or disabled toilets, based in an aging building. It is obvious that this is not the environment in which modern, effective healthcare can be delivered. Additionally, Eden Terrace Surgery has only a single consulting room, which limits the number of GP appointments that can be offered each day. This, coupled with the difficulties being faced across the country with GP recruitment, has prompted the discussions between the two practices about how they can secure services to their patients and make them fit for the future. Old Forge Surgery offers more modern facilities with room to accommodate all Eden Terrace staff. Eden Terrace is a Victorian terrace with no ability to modernise. By coming together and combining workforces, they are able to gain significant economies to deliver care for a combined registered list size of 10,000 patients. Patient engagement Page 27 of 29 NHS Protect Patients registered with both practices have been notified of the merger in writing. A survey has also been provided as a physical copy and weblink, which will allow the patients to share their views on the proposals. The online survey is available at https://www.surveymonkey.co.uk/r/G2DNSZG Two drop-in sessions have been arranged where patients can ask any questions relating to the merger: 25 May, 6 – 8pm 26 May, 6 – 8pm Old Forge Surgery Eden Terrace Surgery An open event has also been arranged for 1 June 2016 which will allow patients from Eden Terrace to visit the Old Forge premises. What it means for patients Patients will have a choice to remain as a registered patient in the new proposed new premises or choose to register with another practice. Whatever happens, there will be no changes to the main range of services that patients receive as all GP practices need to deliver these services within their contract. As part of the information given to patients who will be affected, other practices in the area of Eden Terrace have been contacted and they would be happy to accept new patients. These are: Pallion Health Centre Park Lane Surgery Chester Road Surgery Millfield Page 28 of 29 NHS Protect Post-merger Both practices would very much prefer that their patients would stay registered with Eden or Old Forge, however patients would be able to register with another practice of their choice. There will be no changes to the main range of services that are delivered. For more information on this merger, please contact Helen Fox, Senior Communications Manager, on 0191 217 2670 or by emailing [email protected] Page 29 of 29
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