👋 Welcome to Nightingale Surgery. Keep this page open during your shift.
Key Info: Key contacts, WhatsApp support, and clinical tools to start your shift.
Workflow: Tasking the Admin Team, Secretaries, and handling Urgent Follow-ups.
Prescribing: Mandatory safety rules and policies for excluded patient groups.
⚠️ Exclusions/ Do not process ⚠️: Asterix GPs must not process results for patients younger than 2 years, or for patients with any safeguarding code, a learning disability (LD), palliative / end-of-life care (EOLC) status, or complex needs.
Full SOP: Nightingale Surgery SOP - reference this for detailed pathology workflow guidance.
Key Info
Practice Details | Key Contacts | Clinical Tools |
Clinical System: EMIS Org ID: 6150 | Main contact / Ops Lead Karan Kalucha |
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Bypass: 020 3831 2757 | GP Lead / Safeguarding Lead Dr Sarah Hawxwell | |
Hours: Mon-Fri 08:00–18:30 |
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Workflow
Task | How | Notes |
Reviewing lab results | Abnormal results only, oldest first. | Cervical smear results → nursing team |
Pathology requests | TQUEST → Lewisham Hospital | Notify patient via AccuRx (Routine Blood Test Monitoring Due or Blood Test Due template) |
Scans & Imaging | TQUEST → Lewisham Hospital | Notify patient via AccuRx (no template). X-rays also available as walk-in service at Lewisham. |
ECG referrals | Complete referral form → AccuRx patient to collect from Reception → task Reception to print | Patient can collect and arrange ECG appointment using the form |
Further info for QRISK score | Advise patient to attend reception or submit outstanding info via AccuRx → EMIS diary entry, e.g. "Blood pressure monitoring", dated 4 weeks out | Diary entry must state what's needed and why, e.g. "BP needed for calculation of QRISK3 - please calculate when data received or contact patient if not done", so admin team can action via weekly safety-netting search without GP follow-up. Admin calculates QRISK3 once data received: <10 → lifestyle advice; statin indicated → refer to pharmacist. |
Repeat tests/monitoring | Add follow-up diary entry: test due, what it is, and indication | |
Referrals | Complete relevant form (DXS or EMIS docs). If not found, use Basic Referral template in EMIS → task Clinical Admin |
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2-Week Wait (2WW) | As per above ('Referrals') Safety Netting Template (Updated 2024) PH→ complete Suspected cancer referrals tab
Mark task to Clinical Admin as ⚠️ urgent. |
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Consultations | Initiate via X-on
| Use consultation checklist for phoning patients
Inform pt the call is being recorded |
Interpreter | DA Languages | Record: language, interpreter used, interpreter ID/reference in consultation notes. Confirm safety-netting advice back through interpreter before ending call. |
Routine follow-up appointment | AccuRx patient with date and time window (morning or afternoon) | |
Urgent same-day FU | Call patient - min 2 attempts, 15 mins apart. If F2F needed: urgent task to Reception.
| Before 5pm, no answer → text patient to contact practice urgently.
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No answer (routine) | 2 call attempts, 15 mins apart → text patient → task to Reception to book with Nightingale GP | Document all attempts |
Safeguarding | On shift: contact Duty Doctor Safeguarding Lead: Dr Sarah Hawxwell
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Texting patients | Use templates where possible. Max 3 fragments per message | |
⚠️ Exclusions/ Do not process | Send task to Reception to pass to Nightingale GP | Do not process the following patients:
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Prescribing
Task | How | Notes |
⚠️ Controlled Drugs | New CDs (schedule 2 & 3) must follow a consultation | |
Repeat prescribing | Via EMIS (EPS) | Confirm nominated pharmacy is correct before issuing. Review and act on OptimiseRx recommendations. |
🦠Antibiotics | Narrow-spectrum wherever possible ⚠️Always follow local antimicrobial guidelines |
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