All patients receiving prescriptions for drugs of dependency will be expected to make planned reductions in their use with the ultimate aim to stop them altogether. Practice policy is that drugs of dependency will not routinely be prescribed, and that drug dependency problems are treated in conjunction with NHS Ayrshire and Arran addiction services.

• If you are not already attending this service you will be referred to it.
• We are guided in your treatment by this service for any prescribing appropriate to your drug problem. 
• If it is deemed appropriate by us and the addiction services prescribed medication may be given from the surgery. 
• This will be supplied with the instructions that the medication be issued by the pharmacist in 3 day quantities. 
• At no time will these instructions be altered. 
• If you go on holiday or have to be in another area you will be given a letter detailing your treatment. You should register temporarily with a doctor in that area and hand the letter in to that surgery. 
• You will be expected to attend the same doctor for treatment here at the surgery on an appointment basis. 
• An emergency appointment for drug prescriptions is not acceptable. 
• You are responsible for the prescriptions you are given. 
• Lost or stolen prescriptions will not be reissued. 
• Unauthorised alteration or tampering of prescriptions is a criminal offence and will result in police action.

The results of smoking kill nearly 40 people a day in Scotland alone, and ½ of all smokers will die of a disease related to it. Stopping is the single most effective thing you can do to make a positive change to your health. The practice policy is to provide initial advice and help you access the Quit Your Way Programme to help you give up. They are able to prescribe and assist with all methods and techniques. 

To contact Quit Your Way you can email/phone them at:

 QYWAyrshire@aapct.scot.nhs.uk

Freephone 0800 783 9132

A special message for teenagers: if you are interested in or worried about Contraception, Emergency Contraception, Pregnancy Concerns or Sexually Transmitted Diseases, please make a CONFIDENTIAL appointment with one of the Practice Nurses who can give advice, including addresses for appropriate web sites, and telephone numbers for useful contacts. 

Further information is available at: 

www.ruthinking.co.uk (“Are You Thinking” – Tel: 0800 282930), 

www.fpa.org.uk (Family Planning Association – Tel: 0141 576 5088) 

or www.shayr.com (Ayrshire Sexual Health).

These services are the heart of the GPs’ contract with NHS Ayrshire and Arran. All practices provide these services in core hours to their registered patients and persons accepted as temporary residents. They are available by contacting the practice in the normal way and are:

• Management of those persons ill with conditions from which recovery is generally expected.
• Management of those terminally ill.
• Management of those suffering from chronic disease.
• Provision of advice in relation to health, including health promotion.
• Referral of patients for other services.
• The immediately necessary treatment for a patient to whom the GPs have been requested to provide owing to an accident or emergency in the practice area.
• Primary Medical Services for a limited period to those not registered elsewhere in the area or is in the area for less than 24 hours.

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Additional Services (Further Details Available on Request)

These services are those that the GPs have agreed to provide over and above the basic level of care in essential services. They are:

• Cervical Screening.
• Contraceptive Services (including Emergency Contraception (The “Morning After Pill”).
• Child Health Surveillance Services.
• Maternity Medical Services (please ask if you would like a detailed additional leaflet)
• Enhanced Services (Further details available details available on request)

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The practice also performs the following services as agreed with NHS Ayrshire and Arran:

• COPD and Diabetes management.
• Minor Surgery (Joint Injections and Invasive Procedures) and Minor Injury Service.
• IUCD Coil Fittings and Reviews. 
• Cardio-Vascular disease monitoring.
• Anti-Coagulation Monitoring (Patients on Warfarin). 
• Osteoporosis monitoring.
• Monitoring of Second Line Disease Modifying Drugs (e.g. for Rheumatoid Arthritis).
• Enhanced Medical Services for Residents of Care Homes, and Palliative Care Patients.
• Register and review of patients with learning disabilities. Services for Carers.
• Breath testing for Helicobacter Pylori infection.