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Skerryvore Practice Profile

New Scapa Road
KIRKWALL
Orkney

01856 888240
01856 888068 FAX

Skerryvore is an expanding 5 partner practice situated in Kirkwall, the county town of the Orkney Islands. We have a relatively low list size of 4900 patients that allows us to provide services in the Balfour Hospital: We provide medical input to Maternity, Acute Medical and McMillan units.

Within the practice, 2 part-time practices nurses help us with Diabetic, Well Woman and Heart Clinics as well as providing a full range of general nursing services. We have a multiskilled office team headed by our practice and office 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.

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.

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Partners

Dr Steven Beaven

MB ChB, DRCOG, FRCGP
Edinburgh 1978
Steven Beaven

Other Appointments
GP Trainer
Hospital Practitioner Obstetric Team
McMillan Lead GP
MCA Medical Examiner

Clinical Interests
Consulting and Communication Skills
Palliative Care
Obstetrics

Other Interests
Running, Cycling, hill walking and climbing

Dr Peter Fay

BSc, MB ChB, DRCOG, DCH
St Andrews 1979
Manchester 1982
Peter Fay

Other Appointments
Hospital Practitioner Obstetric Team
MCA Medical Examiner
Skerryvore Software Ltd (Director)

Clinical Interests
Diabetes
Obstetrics
IT in General Practice

Other Interests
Sea kayaking, software development, french horn, DIY

Dr Anne Nicolson

MB ChB, DRCOG, MRCGP
Aberdeen 1990
Anne Nicolson

Other Appointments
Lead Clinician Sexual Health

Clinical Interests
Contraception
Psychiatry
Gynaecology

Other Interests
Travelling, Painting and Drawing,

 

Dr Mhari Linklater

MB ChB, DRCOG, MRCGP
Aberdeen 1995
Mhari Linklater

Other Appointments
Hospital Practitioner Medical Team
Hospital Practitioner Obstetric Team
Deputy Trainer
SHO Mentor

Clinical Interests
Prevention of Coronary Heart Disease
Gynaecology

Other Interests
Walking, Swimming, Cycling, Cooking

Dr Sarah Stevenson

MB,ChB DFFP MRCGP
Glasgow 2002
Sarah Stevenson

Other Appointments
None

Clinical Interests
General Practice

Other Interests
Golf, Entertaining

 

 
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General Information

  • 5 partners
  • List size 4900
  • 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
    • Active program for adult immunisation
  • Well Women clinic run by Practice Nurses
    (nGMS cervical cytology targets achieved)
  • Minor surgery performed
  • Weekly cryotherapy clinic
  • Practice Diabetic Clinic (established 1990)
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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
  • Extensive practice library
    Computer catalogued and indexed by "A General Practice Library"
  • Variety of accomodation locally available
  • WWW Access

Our registrars are involved in all aspects of the practice both clinically and administratively.

Each teaching programme is developed to meet each registrar's individual needs.

Since 2008 we have been involved in the Aberdeen University Undergraduate Teaching program taking Medical Students in 2 blocks each year.Top of Page

Balfour Hospital

Maternity

  • Around 60% of our antenatal patients deliver in the Balfour Hospital
  • Drs Beaven, Fay and Linklater 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

  • 5 Remote and Rural SHOs at the Balfour Hospital are supervised by GP Acute Medical Team
  • Dr Linklater is part of the 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.
  • Dr Beaven is Lead Clinician for Palliative Care but 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 5 Remote and Rural SHOs.
  • 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.

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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

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Skerryvore Practice History

 
  • Dr Sydney Peace - single handed practice
1983
  • Expansion to 2 partners
  • Dr Steven Beaven joins Sydney Peace in the practice
  • List Size 3000
1984
  • Dr Sydney Peace retires
  • Dr Eleri Roderick joins practice replacing Dr Sydney Peace
1985
  • Summarization of notes and conversion to A4 format completed
1986  
1987  
1988
  • Dr Peter Fay replaces Dr Eleri Roderick
  • List Size 3500
1989
  • Approved as a training practice
  • Dr Steven Beaven trained in obstetric ultrasound
1990
  • First computer in practice - the start of extensive computerisation of practice
  • Practice diabetic clinic launched
1991  
1992
  • Expansion to 3 partners
  • Dr Douglas Deans joins practice
1993  
1994
  • Computer terminals in consulting rooms
1995  
1996
  • Expansion to 4 partners (3.5 WTE)
  • Dr Anne Nicolson (previous GP Registrar in this practice) joins practice as additional part-time partner
1997
  • Practice name changes to Skerryvore Practice
  • List Size 3800
1998
  • Approved as IT Demonstration Practice
  • Practice networked
  • Skerryvore WWW site launched
1999
  • Linked to NHSnet
2000
  • Referral program "2nd Opinion" implementing SIGN guideline 31, developed within the practice, adopted by GPASS to be distributed nationally.
2001
  • Appointment of Practice Nurses replacing treatment room beginning development of nursing services within practice
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
2003
  • Skerryvore Patient Fund launched
  • Plans for New Health Centre
  • List size 4025
  • Dr Steven Beaven appointed Macmillan GP Facilitator
2004
  • February - Decision to return to providing OOH cover for own patients
  • February - Provision of MacMillan, Rehabilitation and Continuing Care for patients of Scapa Medical Group, South Ronaldsay and Shapinsay.
  • Dr Mark Feeney employed by NHS Orkney to help in Skerryvore Practice and Medical Unit.
  • September - Change of clinical software to InPractice Vision
    (GPASS used prior to this).
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
2006
  • Shared Out of Hours Cooperative with new Heilendi Family Practice
  • 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
  • Heilendi Family Practice withdraws from out of hours cooperative
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
2008
  • First block of Phase IV Medical Students from Aberdeen University
  • Skerryvore Practice requested by NHS Orkney to take over management of Scapa Practice for 3 months