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Skerryvore Practice Profile
New Scapa Road
KIRKWALL
Orkney
01856 888240
01856 888068 FAX
Skerryvore is an 8 partner practice situated in Kirkwall, the county town of the Orkney Islands. We have a relatively low list size of 7200 patients that allows us to provide services in the Balfour Hospital: We provide medical input to Maternity and McMillan units.
Within the practice, 2 part-time practice nurses help us with Diabetic and Well Woman as well as providing a full range of general nursing services. We have a multiskilled office team headed by our practice managers, Paula and Maureen. We work closely with an extended practice team which includes Community Nurses, Health Visitor, Diabetic Specialist Nurse, CPNs, Alcohol and Substance Misuse Nurses, MacMillan Nurses.
We completed RCGP Practice Accreditation in 2002 and achieved the RCGP Quality Practice Award (QPA) in 2006. We have been a training practice since 1989.
The practice aims to provide high quality care to our patients in primary care and the Balfour Hospital. We are keen to promote Remote and Rural Medicine as an interesting and challenging branch of medicine. 
Partners
BSc, MB ChB, DRCOG, DCH
St Andrews 1979
Manchester 1982 |
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Other Appointments
GP Obstetric Team
Honarary Clinical Tutor (Aberdeen Uni.)
MCA Approved Doctor (seamen)
Lifeboat Medical Adviser (Kirkwall Station)
Skerryvore Software Ltd (Director)
Clinical Interests
Diabetes
Obstetrics
IT in General Practice
Other Interests
Sea kayaking, software development |
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MB ChB, DRCOG, MRCGP
Aberdeen 1990 |
Other Appointments
Lead Clinician for NHSOrkney Sexual Health Service
Clinical Interests
Sexual Health
Psychiatry
Gynaecology
Other Interests
Travelling, Painting and Drawing, |
MB ChB, DRCOG, MRCGP
Aberdeen 1995 |
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Other Appointments
GP Obstetric Team
Clinical Interests
Prevention of Coronary Heart Disease
Gynaecology
Other Interests
Walking, Swimming, Cycling, Cooking
|
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MB,ChB DFFP MRCGP
Glasgow 2002 |
Other Appointments
GP Trainer
Clinical Interests
General Practice
Other Interests
Golf, Entertaining |
Dr Iain Craighead
MB,ChB DRCOG MRCGP
Aberdeen 1992 |
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Other Appointments
None
Clinical Interests
Other Interests
running
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Dr Angus Rickman
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MB,ChB DRCOG MRCGP
Leicester 1994 |
Other Appointments
None
Clinical Interests
Other Interests
Sea Kayaking |
Dr Huw Thomas
MB,ChB DRCOG, MRCGP
Aberdeen 2004 |
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Other Appointments
GP Obstetric Team
Clinical Interests
Dermatology
Other Interests
Running
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Dr Anje Haut
MD, MRCGP, DRCOG, DFFP
Leipzig 2004 |
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Other Appointments
GP Obstetric Team
Clinical Interests
Sexual Health
Other Interests
Sea Kayaking
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General Information
- 8 partners
- List size 7200
- Practice area covers a large part of the east
mainland of Orkney
- "Paperlite" Complete electronic
patient records
using InPS Vision and DocMan
- Out of Hours Primary care provided by NHS 24
- Full range of contraceptive services
(including fitting of IUCDs, Diaphragms and Implants)
- Immunisations
- childhood immunisations (nGMS targets achieved)
- Travel vaccination service
- Active program for influenza immunisation
- Well Women clinic run by Practice Nurses
(nGMS cervical cytology targets achieved)
- Minor surgery performed
- Weekly cryotherapy clinic
- Practice Diabetic Clinic (established 1990)
Teaching
The practice was first approved as a training practice in 1989 and we have
had 12 registrars since then.
- Unparalleled breadth of clinical experience available
- Residential registrar courses based in Inverness
- 4 one hour teaching sessions timetabled each week
- Plenty of opportunities for informal discussion
- All partners involve in teaching
- Variety of accomodation locally available
Our registrars are encouraged to be involved in all aspects of
the practice both clinical and non-clinical.
Each teaching programme is developed to meet each registrar's
individual needs.
University of Aberdeen Accredited Teaching Practice
Since 2008 we have been involved in the Aberdeen University Undergraduate Teaching program taking Medical Students in 2 blocks each year.
Balfour Hospital
Maternity
- Around 60% of our antenatal patients deliver in the Balfour Hospital
- Drs Fay, Linklater, Thomas and Haut are part of the GP Obstetric team who, along with the midwifery staff, provide intrapartum care for all of Orkney at the Balfour Hospital.
- Caesarians performed by surgeons locally
- Almost no requests for home confinement
- Any patient for whom a specialist unit delivery is indicated will be transferred
to Aberdeen at an appropriate stage in the pregnancy.
Acute Medicine
- Remote and Rural GPSTs at the Balfour Hospital are supervised by GP Acute Medical Team
- Much acute medicine is managed entirely at the Balfour Hospital
- Patients may be transfered on to the Aberdeen hospitals by air ambulance (or scheduled flight) for more intensive management or for investigations not available in Orkney.
Palliative and Cancer Care
- 4 bed Macmillan unit.
- All partners have interests
and responsibilities here
- Protocol based chemotherapy
- Integrated Macmillan team (community/hospital)
- Community syringe drivers
Continuing Care
- Access to rehabilitation and assessment on Piper and St Ninian Wards
(Skerryvore Practice has no clinical
responsibilities on the Piper ward)
Surgery
- A wide variety of surgery is performed here by the 2 local Consultant Surgeons
"General" Surgery really means general surgery here - Dynamic Hip Screws to Caesarian Sections!
- 3 Consultant Anaesthetists
- Lists are also performed by visiting ENT, Gynaecology, Dental and Ophthalmology
Surgeons
- Staffed by 2 Staff Grade Surgeons and Remote and Rural GPSTs.
- Skerryvore is not directly involved in the surgical ward although we do
maintain close contact with patients and staff..
We have a good working relationship with the visiting consultants
who carry out regular outpatient clinics.
Orkney
Orkney is an archipelago of relatively low lying islands lying off the north
coast of Scotland. It has a fascinating coastline of dramatic
sea cliffs and sandy
beaches. Prehistoric
and later archeological sites are prolific and well preserved.
The Pickaquoy Centre has extensive sports facilities and a cinema. Good opportunities for water sports
and fishing. Swimming pools. Local schools with excellent reputation. Low house
prices. Full range of Christian churches. Some excellent restaurants. Nightclub
("Fusion").
Visiting professional theatre and musical groups. Various amateur music and
drama groups.
Orkney Folk
Festival (May).
Orkney Drama Festival (one act Plays).
St Magnus Festival (June).
Orkney Science Festival
Jazz Festival
Orkney Blues
Festival
Skerryvore Practice History
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- Dr Sydney Peace - single handed practice
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| 1983 |
- Expansion to 2 partners
- Dr Steven Beaven joins Sydney Peace in the practice
- List Size 3000
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| 1984 |
- Dr Sydney Peace retires
- Dr Eleri Roderick joins practice replacing Dr Sydney Peace
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| 1985 |
- Summarization of notes and conversion to A4 format completed
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| 1986 |
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| 1987 |
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| 1988 |
- Dr Peter Fay replaces Dr Eleri Roderick
- List Size 3500
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| 1989 |
- Approved as a training practice
- Dr Steven Beaven trained in obstetric ultrasound
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| 1990 |
- First computer in practice - the start of extensive computerisation
of practice
- Practice diabetic clinic launched
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| 1991 |
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| 1992 |
- Expansion to 3 partners
- Dr Douglas Deans joins practice
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| 1993 |
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| 1994 |
- Computer terminals in consulting rooms
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| 1995 |
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| 1996 |
- Expansion to 4 partners (3.5 WTE)
- Dr Anne Nicolson (previous GP Registrar in this practice) joins practice
as additional part-time partner
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| 1997 |
- Practice name changes to Skerryvore Practice
- List Size 3800
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| 1998 |
- Approved as IT Demonstration Practice
- Practice networked
- Skerryvore WWW site launched
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| 1999 |
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| 2000 |
- Referral program "2nd Opinion" implementing SIGN guideline
31, developed within the practice, adopted by GPASS to be distributed
nationally.
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| 2001 |
- Appointment of Practice Nurses replacing treatment room beginning
development of nursing services within practice
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| 2002 |
- Rationalisation of inpatient services with development of separate
- Medical
Team of GPs
(supported by 4 Remote and Rural SHOs)
- Obstetric Team of GPs
- List Size 3870
- Launch of Skerryvore Software Ltd
- Dr Mhari Linklater rejoins practice as additional partner
- RCGP Practice Accreditation
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| 2003 |
- Skerryvore Patient Fund launched
- Plans for New Health Centre
- List size 4025
- Dr Steven Beaven appointed Macmillan GP Facilitator
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| 2004 |
- February - Provision of MacMillan, Rehabilitation and Continuing
Care for patients of Scapa Medical Group, South Ronaldsay and Shapinsay.
- September - Change of clinical software to InPractice
Vision (GPASS used prior to this).
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| 2005 |
- 1048/1050 Quality Points under nGMS Contract
- Working towards QPA (Quality Practice Award)
- Decision to continue providing OOH service by GPs from within Skerryvore
Practice
- Dr Mhari Linklater begins sabbatical in
Northern India
- List Size 4399
- Dr Heather Jamieson joins practice for year as Rural
Fellow
- Dr Nicolson takes on new role as Lead Clinician
Sexual Health
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| 2006 |
- Quality Practice Award (RCGP)
- Practice area redefined (now excluding Burray)
- Dr Linklater returns from sabbatical in Northern India
- Maximum nGMS
Quality points (1050)
- List Size 4600
- Complete electronic record (Paperlite)
- Dr Deans moves to practice in Nairn after 14 years with Skerryvore
Practice
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| 2007 |
- Dr Sarah Stevenson joins Skerryvore Practice as GP partner (part time)
- List Size 4900
- Out of hours primary care responsibility passed to NHS 24
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| 2008 |
- First block of Phase IV Medical Students from Aberdeen University
- March: Skerryvore Practice requested by NHS Orkney to take over management of Scapa Practice for 3 months
- Dr Huw Thomas continues with practice as Rural Fellow
- September: Patients with Scapa Practice are transferred to Skerryvore list bringing practice list size to 7200
- Dr Beaven leaves practice after 25y moving on to Aberfeldy
- Dr Iain Craighead appointed as new partner
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| 2009 |
- With practice expansion, we were pleased to welcome Dr Angus Rickman, Dr Huw Thomas & Dr Antje Haut as additional partners.
- Both Dr Huw Thomas & Dr Antje Haut were also recruited to the GP Obstetric Team
- Dr Linklater resigns from GP acute medical team
- New inhouse IT Developments
- Laboratory results automatically entered in Vision record
- NHS24 reports automatically entered in Vision record
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| 2010 |
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Dr Anne Nicolson takes on new role as Lead Clinician for NHSOrkney Sexual Health Service
- Dr Iain Craighead and Dr Sarah Stevenson appointed as GP Trainers
- Dr Huw Thomas completes Diploma in Dermatology
- Upgrade of Health Centre premises
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