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Theatre Royal Surgery,27 Theatre Street,East Dereham,Norfolk., NR19 2ENTel: 01362 852 800
Scroll down the page to read about the latest happenings at TRS. Any feedback about our website is most welcome - please contact Kirsty, our secretary, with your comments.
December 2018
New Year's Day Clinics - We will be offering telephone appointments available to pre-book only for New Year's Day between 4pm-5pm. Please contact reception on 01362 852800, option 2, for further information.
Christmas and New Year Opening Hours - Our opening hours over the festive period are as follows:
Saturday 22 December - Closed
Sunday 23 December - Closed
Christmas Eve - 8am - 6pm
Christmas Day - Closed
Boxing Day - Closed
Thursday 27 December - 8am - 6pm
Friday 28 December - 8am - 6pm
Saturday 29 December Closed
Sunday 30 December - Closed
Monday 31 December - 8am - 6pm
New Year's Day - Closed
We will be open as usual from Wednesday 02 January 2019 (8am - 6pm)
We wish all of our patients a Merry Christmas and a Happy New Year.
Christmas Day and Boxing Day Clinics - We will be offering telephone appointments available to pre-book only for Christmas Day and Boxing Day between 9am-10am. Please contact reception on 01362 852800, option 2, for further information.
November 2018
Missed Appointments - During the month of November 176 patients failed to attend their appointments at the surgery. This wasted 29.3 hours of our clinicians time and this is time that could have been given to other patients who are in need of an appointment. It also cost your NHS £3268 - this is just the price of one medium sized GP practice!
October 2018
Nasal Flu Clinics 2018 - We are now booking flu vaccinations for children born between 1.9.2014 and 31.8.2016 and children in at risks groups. If you would like to an appointment please ring the surgery AFTER 2pm. For more information visit share good times not flu
September 2018
Flu Clinics 2018 - We will be holding our annual flu clinics on Saturday 13 October and Saturday 03 November this year. If you believe that you are in an at risk category please contact reception on 01362 852800 option 2, to reserve your space!
Maintenance Repairs - Please be advised due to essential maintenance repairs, access to the surgery and pharmacy will be via the Cherry Tree car park at the rear of the surgery only on Wednesday 26 September 2018.
Sincere apologies for any inconvenience caused.
Staff Training Morning - Please be aware that on Wednesday 26 September 2018 the surgery will be closed from 8am until 2pm for a staff training morning.
Theatre Royal Pharmacy will remain open as usual.
Steph Brown - Steph was well known and loved by many of our patients as reception team lead and she has been with Theatre Royal Surgery for 14 years. Following the birth of her daughter she returned to the surgery in a back office role taking on the clinical summaries and auditing among other clerical duties. Sadly 18 September 2018 was her last day with the practice as she feels it is time to move on to pastures new. I know she will be missed by many patients and staff and we would like to thank her for her hard work over the years and wish her the best of luck for the future.
August 2018
Improved Access Appointments - We are pleased to announce that from 01 August we will be offering Improved Access Appointments.
These appointments are currently offered on Monday, Tuesday and Wednesday mornings between 7am and 8am and on Monday and Tuesday evenings between 6.30pm and 8pm.
These appointments are able to be pre-booked and we hope that these appointments will be beneficial to those patients that have difficulty attending during normal surgery hours.
Missed Appointments - During the month of August 150 patients failed to attend their appointments, this means that over 25 hours of appointment time was wasted and it has cost your NHS £2596. Remember that this is the cost for one average sized GP practice.
Please ensure that if you cannot make or no longer require your appointment that you let us know as this can then be offered to someone else.
Improved Access Appointments - We are pleased to announce that from 01 August we will be offering Improved Access Appointments.
These appointments are currently offered on Monday, Tuesday and Wednesday mornings between 7am and 8am and on Monday and Tuesday evenings between 6.30pm-8pm.
These appointments are able to be pre-booked and we hope that these appointments will be beneficial to these patients that have difficulty attending during our normal surgery hours. Thank you.
July 2018
New iCash Service - As of 01 August 2018, if you are aged 16 and over and have no symptoms of an STI, you can order a free test kit via the iCash website. Please follow this link for more information: iCash Norfolk
June 2018
Staff Changes - Our medical secretary Jackie Howard sadly left the practice at the start of the month, she had been with Theatre Royal Surgery for 11 years and will be greatly missed. Kirsty Green, one of our reception team who worked alongside Jackie during her apprenticeship will be taking over the role and we have a new member of staff - Serena Ottaway filling the vacancy left in reception. We wish Jackie the best of luck for the future.
May 2018
Important Information - Change to Practice Opening Hours -As of 4th June 2018 the practice will close at 6pm. After this time should you need urgent medical advice pelase ring the surgery on 01362 852800 for further information
Please note that Theatre Royal Pharmacy's opening hours will remain the same.
Physicians Associates - We said goodbye to Henry and Iman on Thursday 10 May, they have completed their 6 week placement with us and have been holding clinics in the surgery whilst they were with us. We are very grateful for the work they have done with us and wish them the best of luck for their future. Thank you to any patients that helped to support them on their learning journey.
April 2018
Staff Vacancy - Receptionist - We are currently seeking a part time receptionist to join our busy team. Please find more details under the 'NEW! Staff Vacancies' section of our website.
Changes to iCash Services - There have been some changes made to the Integrated Contraception and Sexual Health (iCash) services in Norfolk.
- If you are over 16 and don't have any symptoms but would like to test for STI's (Sexually Transmitted Infections), go online to iCash Express - https://expresstest.icash.nhs.uk/login/ - this is smartphone friendly and available 24/7.
- For face to face appointments call 0300 300 3030 - please be aware that the Norwich Clinic offers face to face appointments 6 days a week (Monday to Saturday, including Tuesday and Thursday Evenings). As of the 7 May 2018 face to face clinics at Kings Lynn, Vancouver House, on Saturday Mornings and Great Yarmouth, Breydon Clinic, on Fridays will no longer be available. Kings Lynn clinics will continue 5 days a week (Monday to Friday, including Tuesday and Thursday evenings) and Great Yarmouth Clinics will continue 5 days a week (Monday - Thursday and Saturday mornings, including Tuesday and Thursday Evenings). Call the above number if you wish to book an appointment.
- If you are under 24 years and want Chlamydia screening and/or condoms - visit www.areyougettingit.com or go to your local GP or Pharmacy (please be aware if you request condoms from the surgery you will need to have a C-Card which you can obtain from either one of the practice nurses via appointment or a registered pharmacy).
- Emergency contraception is available 7 days a week from pharmacies.
Missed appointments - In March 2018 a total of 155 patients failed to turn up for their appointments, this means that over 25 hours of appointment time was wasted. It also means that it cost your NHS £2962. Please remember to cancel your appointment if you can no longer make it/need it.
Community Minor Eye Conditions Service - A new service has been enrolled for patients experiencing minor eye conditions - this service aims to provide access to eye care within the community and is provided by local ophthalmic practitioners who have a range of equipment to facilitate detailed examination of the eye as well as the specialist knowledge and skill to deal with such problems.
Assessment can be carried out for patients presenting with any of the following symptoms: red eyes or eye lids, dry gritty or uncomfortable eyes, irritated or inflamed eyes, eyes with a sticky or watery discharge, in-growing eyelashes, foreign bodies, recent onset or sudden increase in flashes or floaters, lumps and bumps in the vicinity of the eye not suspected to be cancer.
You must be aged 16 years and over and registered with a doctors surgery in the geographical areas of Norwich CCG, North Norfolk CCG or South Norfolk CCG.
The local opticians that are participating in the service for our patients will be Cecil Amey in Dereham. Please contact them directly to make an appointment. The Optometrist will ask questions in order to assess how quickly you will need to be seen which MAY be within 24 hours.
For more providers or information, please feel free to pop into the surgery and collect a leaflet.
March 2018
Newsletter - A copy of our March 2018 newsletter is now available to view online. If you would prefer a paper copy, please feel free to pop in and collect one from the reception desk.
It is available to download here.
Physicians Associates - As some of our patients may remember, last year we had 2 Physician Associate students join us from the UEA. We are pleased to say that we are lucky to have a further two joining us on a 6 week placement again to see how general practice works.
For those who are not sure what a PA is - they are highly trained health practitioners that have all the skills of a doctor but are currently not yet able to prescribe. They are able to see all of the usual problems that a GP will see and any patients who have an appointment with them will be reviewed with the PA and GP after.
We have one male and one female joining us; Henry and Iman, and we look forward to them starting their placement in April. We would be grateful if you could assist us in ensuring that we provide a good learning experience for them. Thank you for your help.
February 2018
Missed appointments - In February 2018 a total of 181 patients failed to turn up for their appointments, this means that over 30 hours of appointment time was wasted. It also means that it cost your NHS £3310. Please remember to cancel your appointment if you can no longer make it/need it.
GP Sickness - Due to GP sickness only a limited number of GP appointments will be available over the next week (w/c 12 February 2018). The majority of our appointments will be with our Emergency Care Practitioner and Minor Illness Nurse. Apologies and thank you for your understanding and cooperation.
Surgery Closure - The surgery will be closed on Wednesday 21 February 2018 between 8am and 2pm for a training morning. Thank you for the cooperation.
January 2018
Winter Pressure Appointments - Theatre Royal Surgery are working with NHS England to offer extra GP appointments. This is because we know that there are times you want to be able to see a GP at short notice. We also know that over winter lots of people have seasonal illness which requires more that a pharmacy but don't need emergency treatment.
The extra appointments are bookable on the day by ringing reception on the usual number.
If you are not able to attend an appointment you have booked, for whatever reason, please let us know. We can then offer that appointment to someone else that needs it.
Missed appointments - In December 2017 a total of 145 patients failed to turn up for their appointments, this means that over 24 hours of appointment time was wasted. It also means that it cost your NHS £2835. Please remember to cancel your appointment if you can no longer make it/need it.
Dr Rice - We were sad to say goodbye to Dr Rice, he has now flown to Australia to start a new life with his family. All of the staff wish him the best of luck for whatever the future may hold and thank him for the years of dedication to the practice. Any patients who were registered under Dr Rice have now been allocated to Dr Patel, Dr Klaus or Dr Rosbergen. If you would like to know your new allocated GP please contact the surgery.
New Year - wishing all of our patients a happy and healthy new year.
December 2017
Dr Pettigrew - As of December Dr Jane Pettigrew will be changing her working day with the surgery from a Tuesday to a Wednesday. Thank you for your cooperation.
Missed Appointments - During the month of November 139 patients failed to attend for their appointments and did not call to let us know and cancel. This has cost your NHS £2491 and has wasted over 23 hours of time. This is the cost for one average size GP practice - please, if you are unable to attend your appointment, call us to cancel.
Goodbye! - At the beginning of the month we were sad to say goodbye to Dr Emilie Slack. She has completed her 4 month placement within a GP practice and has now gone to the Norfolk and Norwich University Hospital to work in Obstetrics and Gynacology as the next part of her training. All of the staff at the surgery wish her the bet of luck for the future.
Welcome - As one door closes, another opens... we are pleased to welcome Dr Krupa Patel to the team. She will be working with us as a 6 session salaried GP starting on 19 December 2017.
November 2017
Carers Matter Norfolk - A new support service for unpaid carers has been put in place across Norfolk. They are all about what matters to you as a carer and are there to help carers throughout Norfolk. To access support and find out more information, live chat with family carer advisors at www.carersmatternorfolk.org.uk, freephone 0800 083 1148 or text 07537 417850.
CQC Inspection - On Tuesday 28th November we will be visited by a team of inspectors who will look at the services we provide and the things that matter to the people who use them. It will be business as usual on the day but if you do have an appointment or are visiting the practice you may be asked to speak to a member of the inspection team to give your feedback on our practice.
Dr Cristina Ghetu - A warm welcome to Dr Cristina Ghetu who will be joining the practice on a 6 month period under the NHS induction scheme. Cristina will be joining us from the Norfolk and Norwich University Hospital where she has been working in Elderley People's Medicine.
October 2017
Wasted Appointments - During October 185 patients failed to turn up for their appointments. This meant that the surgery wasted over 30 hours of appointment time and this cost YOUR NHS £3,340. This is the cost for just one average sized GP practice in one month!
Autumn Newsletter - Our Autumn Newsletter is now available to download here - alternatively you can drop into the surgery and pick up a copy.
Mobile Hearing Aid Clinics - Norfolk Deaf Association has issued their timetable for visits to Morrison's Supermarket Car Park on: 27 October, 24 November and 22 December. Available 10.00 a.m. to 12 noon. They can help with retubing, cleaning and supplying batteries for NHS hearing aids, advice about support groups for sign language, tinnitus, hearing and lip reading and information about assistive listening technology. For further details click here.
Pregnancy Self Referral - From Monday 09 October 2017, you will need to complete an online self referral form before seeing your midwife.
Please be aware that you will still need to book your 8-10 week booking appointment with the surgery, however before/after doing this you will need to complete the online form - ideally this needs to be by 6 weeks of pregnancy. The form is available online at www.nnuh.nhs.uk and click on 'pregnancy self-referral'
Nasal Flu Vaccination - A reminder to all parents with Children born between 1/9/2013 and 31/8/20115 can now book for their nasal flus. Those in school years reception, 1,2, and 3 will be offered their vaccination at school. Children in at risk groups from school years 4 to the age of 18 can also book into one of our clinics. For more information visit sharegoodtimesnotflu.co.uk
September 2017
Dr Jane Pettigrew - We are please to welcome Dr Jane Pettigrew to the Theatre Royal Surgery team. She will be working with us as a locum GP on a Tuesday and looks forward to meeting our patients!
Wasted Appointments - During September 167 patients failed to turn up for their appointments. This meant that the surgery wasted over 27 hours of appointment time and this cost YOUR NHS £3,059. This is the cost for just one average sized GP practice in one month!
Training Morning - Please be aware that the surgery will be shut on Wednesday 27 September between 8am and 2pm for staff training.
Signposting Training - All of our reception staff and a few members of the administration team have attended a training session on 'Signposting'. This means that all of these staff are now fully trained to be able to direct patients to the best source of help. This will hopefully help greatly with freeing up some appointments with GP's that could be seen more appropriately by other healthcare providers, leaving more appointments for people who need to see their General Practitioner.
Patient Participation Group - We are keen to get the Patient Participation Group up and running once again. Steph will be taking over the lead role for this. Please see this short message from her:
'After taking on the role of PPG Co-ordinator I am keen to revamp the group and give it a new lease of life, therefore, I am looking to re-create the virtual panel of patients from a wide range of ages (over 16) & ethnic groups whom would be happy to occasionally receive emails from the surgery asking for opinions on a range of aspects of the surgery, new ideas etc.
If you think this could be you please follow the link on the 'Quick Links' tree on the surgery website and sign up!
I look forward to hearing from you! - Stephanie'
Dr Tim Rice - Some of you may be aware that Dr Rice has announced that he will be leaving the surgery at the end of December this year. He has made the decision to emigrate to Australia to make a new life with his young family and will be leaving the UK at the beginning of next year. All of the staff at the surgery will be sad to see him leave but wish him the best of luck for the future.
Flu Clinics - We are currently booking for this years flu clinics. The dates are set to be Saturday 07 October and Saturday 04 November 2017. If you are in one of the at risk categories please contact reception to book in for yours now!
August 2017
Wasted Appointments - During August 130 patients failed to turn up for their appointments. This meant that the surgery wasted over 21 hours of appointment time and this cost YOUR NHS £1,890. This is the cost for just one average sized GP practice in one month!
New Facebook page - We have created a new Facebook page so that patients can keep up to date with the latest updates from the Surgery. Please go and give us a like and share the page so that others can follow it too! - https://www.facebook.com/theatreroyalsurgery
Welcome - We are pleased to welcome Dr Emilie Slack. She is working with us on an F2 placement to learn more about medicine within the community. Emilie will be with us for a 4 month period and replaces Dr Patel.
Goodbye to Dr. Hitesh Patel - Hitesh has completed his six month placement with the practice and leaves at the beginning of August. His next placement will be at Hellesdon Hospital working in the Mental Health Department.
July 2017
Wasted Appointments - During July 203 patients failed to turn up for their appointments. This meant that the surgery wasted over 33 hours of appointment time and this cost YOUR NHS £3,818. This is the cost for just one average sized GP practice in one month!
MENACWY Vaccinations - A reminder to all patients with a date of birth between 01.09.98. and 31.08.99. ....... remember to book for your MENACWY Vaccination soon! You don't need to be going to university to be eligible and you can have the vaccination done up to your 25th birthday if you've had a gap year. Ask at reception for details if you're not sure.
June 2017
Wasted Appointments - During June 180 patients failed to turn up for their appointments. This meant that the surgery wasted over 30 hours of appointment time and this cost YOUR NHS £3,442. This is the cost for just one average sized GP practice in one month!
Goodbye Val - Our Practice Manager, Val Harvey, will be leaving at the end of the month. Val has worked at the surgery for just over 36 years - 34 of those as our Manager. Her knowledge and experience will be greatly missed but she is looking forward to starting up her own online business. Val won't be completely disappearing as she's working with us on a consultancy basis until the end of September and will be in the practice for 8 hours a week. We've organised an evening party in July to say a proper good bye and thank you.
Welcome - We're pleased to welcome Emma Tilley to our reception team. Emma will be working full time and this will enable Steph. Brown and Nicky Seaton to move out of reception to take on new administrative work. We're also very pleased to welcome Nurse Practitioner Jen Randall to our clinical team. Jen began working with us from 12th June.
Dereham Forget-me-Nots - The new mayor of Dereham, Hilary Bushell, has promoted the new Forget-me-Nots sessions in the town for 2017/18. If you're interested in going along for a cuppa and a chat, the sessions are held every last Tuesday of the month between 10 a.m. and 12 noon at Dereham Library. If you feel at a loose end or would like to get out of the house for a bit, why not pop along (no fees). Download the information sheet by clicking here.
May 2017
Wasted Appointments - During May 189 patients failed to turn up for their appointments. This meant that the surgery wasted over 31.5 hours of appointment time and this cost YOUR NHS £3,628. This is the cost for just one average sized GP practice in one month!
Public Holiday Closures - The surgery will be closed on Monday 1st May and Monday 29th May.
Active Norfolk - This Girl Can - This campaign is designed to get women more physically active and breaking down the barriers that prevent women and girls playing sport and being active. Courses are free or low cost and available throughout Norfolk. Click here for a link to the Active Norfolk web site.
Dementia Awareness Week - From 14th to 20th May 2017.
April 2017
Wasted Appointments - During April 159 patients failed to turn up for their appointments. This meant that the surgery wasted over 26.5 hours of appointment time and this cost YOUR NHS £2,848. This is the cost for just one average sized GP practice in one month!
Carers Trust Relationship Guide - The Carers Trust has produced a new relationship guide for unpaid Carers that covers such issues as coping with the challenges of looking after a parent, husband or wife, dealing with frustrations, coping with family disputes etc. They have a very useful web site - click here for details and to sign up for their newsletter.
Transport Plus - Norfolk - Norfolk County Council provides a community transport service using mostly volunteer car drivers to enable adult members of the public to access essential health, social and wellbeing services. A charge is made for each journey and the service is available to people who are unable to use or access normal public transport services. You need to be able to get in and out of the car unaided. To download the Transport Plus Leaflet, please click here. Volunteer drivers are also needed so if you are interested, follow the link on the Norfolk County Council web site for further information.
Easter Holidays - The surgery will be closed on Good Friday and Easter Monday.
Cervical Smears - Please be aware that the iCash Service in Norwich cannot carry out cervical smear tests as they are not funded to provide this service. We have been asked to remind patients that if they need an NHS smear tests will need to make an appointment with their GP surgery.
March 2017
Wasted Appointments - During March 126 patients failed to turn up for their appointments. This meant that the surgery wasted over 21 hours of appointment time and this cost YOUR NHS £2,525. This is the cost for just one average sized GP practice in one month!
Training Morning Closure - The practice will be closed for Team Training on Wednesday 15th March, 2017. We will open at 2.00 p.m. Theatre Royal Pharmacy is open as normal.
Free Counselling for Veterans - The Aged Veterans Counselling Service is funded by the Ministry of Defence's Aged Veterans Fund. It is a free service to anyone over 65 who has served in the UK armed forces. All UK forces qualify, including National Service and Reservists. Families and Carers who are affected by caring responsibilities can also access free counselling. For further details click here.
Mobile Clinic - Hearing Support Service - Norfolk Deaf Association has issued their timetable for visits to Morrison's Supermarket Car Park on: 24th March, 28th April, 26th May and 23rd June. Available 10.00 a.m. to 12 noon. They can help with retubing, cleaning and supplying batteries for NHS hearing aids, advice about support groups for sign language, tinnitus, hearing and lip reading and information about assistive listening technology. For further details click here.
February 2017
Wasted Appointments - During February 130 patients failed to turn up for their appointments. This meant that the surgery wasted over 21.5 hours of appointment time and this cost the NHS £2,585.
"Our Day Out" - Dereham - Music and dance workshops for older people at Dereham Meeting Point. The opportunity to make new friends, enjoy a cuppa and try something new in a fun and dementia friendly environment. Click here to download the poster with dates.
East Dereham Relief In Need - This local group of charities comes together and may be able to help families in Dereham and Toftwood in times of real need and hardship. To download their information leaflet please click here.
Breast Cancer Support Group - There is a breast cancer support group for those up to three years from diagnosis. This is held on the first Tuesday of every month from 2.00 to 3.30 p.m. at the Big C Centre, Norfolk & Norwich University Hospital. Download their information poster by clicking here or telephone 01603 286 112 or email firstname.lastname@example.com
Staff Changes - There are a number of staff changes this month:
We're pleased to welcome GP Registrar Dr. Hitesh Patel who will be working with us for the next six months and replaces Dr. Adam Hill who left at the end of January.
Leaving this month are salaried doctor Dr. Martin Schede who has been working with us for the last four months, Hayley Hill, one of our cleaning team and locality Nurse Practitioner Michelle O'Driscoll. We wish them all good luck for the future.
January 2017
Goodbye to Dr. Adam Hill - Adam has completed his six month placement with the practice and leaves at the end of January. His next placement will be at the Norfolk & Norwich University Hospital in the Care of the Elderly Department.
Collection for Nelson's Journey - Instead of sending Christmas cards to each other, instead our Team collected £41.36p for the charity Nelson's Journey. The charity is dedicated to supporting bereaved children and young people throughout Norfolk.
Wasted Appointments in December - There were 156 wasted appointments in November, equating to 26 hours of lost clinical time and a cost to your NHS of £3,323
If you cannot get to your appointment please remember to cancel it so that another patient can be seen instead. Thank you!
Dereham Access Group Minutes - Please click here to read the January Dereham Access Group Minutes (large print format).
December 2016
Pharmacies Open During Christmas & New Year - NHS England has provided a comprehensive list of all Norfolk & Suffolk Pharmacies that are open during the holiday period. For details please click here (this is a long document so you will need to scroll all the way through it for information on the various holiday days).
Surgery Closure During Christmas & New Year - Theatre Royal Surgery will be closed on:
Wasted Appointments in November - There were 162 wasted appointments in November, equating to 27 hours of lost clinical time and a cost to your NHS of £3,358 .... which is an even higher cost than October!
Dr. Martin Schede - We're sorry to advise that due to a change in plans, Dr. Schede will not now be joining the practice as a 5 session partner. He will be staying with us as a salaried doctor until the end of February 2017. The practice is currently advertising for another partner under the NHS England Targetted Recruitment pilot scheme (see November's news) and will shortly be advertising for a Prescribing Nurse Practitioner and a second Emergency Care Practitioner.
Welcome New Staff - We're very pleased to welcome our new cleaner, Hayley Hill who replaces retiree, Carol Morton. We also have a new full time receptionist, Michelle Johnson who joined us at the beginning of December.
Goodbye and Thank You - On Thursday 22nd December we shall say a sad farewell to one of our cleaners - Carol Morton. Carol has been with us for 17 years, coming in every weekday evening to keep the practice sparkling clean. There will be a presentation to Carol from the Partners and Staff and we wish her a long and happy retirement.
November 2016
Services moved from NNUH to Community - As from Wednesday 23rd November, patients who are not already scheduled for the following procedures at the Norfolk & Norwich University Hospital, will be treated for these conditions by alternative providers in the community. The conditions are:
This change is a joint decision by the Norwich, North Norfolk South Norfolk clinical commissioning groups and the Norfolk & Norwich University Hospital.
Patient Autumn Newsletter - Please click here to download your copy!
Revisions to Practice Leaflet - We've made a few changes to our Practice Leaflet. Please click here to download a new copy.
Welcome to Dr. Martin Schede - Dr. Martin Schede joined the practice as a 5 session per week partner from 1st November, 2016. Martin is a very experienced GP and we're very pleased to welcome him to our team.
Wasted Appointments - During October 2016 there were 169 wasted appointments when patients did not turn up for their appointments (nor cancel them). This has cost the NHS £3,237 for one surgery in one month!
The Norfolk Directory - The Norfolk Directory is a useful online facility that can be used to find a range of clubs, groups and services in the county. For full details click here.
NHS Targetted Recruitment Pilot - Theatre Royal Surgery has been chosen by NHS England (Midlands & East) to take part in this national pilot aimed at recruiting GP's. As many patients will know, the practice has been trying for a considerable time to replace two full time vacancies and we, like many other surgeries, are finding it very difficult. There are fewer and fewer doctors wanting to work in general practice so we are hoping that being at the forefront of this recruitment project might help attract new doctors into the area.
October 2016
Surgery Celebration Evening - The Partners invited all the surgery staff to a wonderful dinner at Hamptons @ The Barn, Bawdeswell (click here for details) on Friday 14th October. 31 of us sat down to a scrumptious three course meal and we were entertained throughout the evening by the mellow tones of Tommy Winn who serenaded us with music from Frank Sinatra, Michael Buble and the Great American Songbook. After dinner Tommy took requests and there was an opportunity for dancing and chatting before we bid a sad farewell to him and the lovely team at Hamptons. We can highly recommend the venue and the entertainer!
Locality Nurse Practitioner - At the beginning of October we were pleased to welcome Prescribing Nurse Practitioner Michelle O'Driscoll to the team. Michelle is employed by the practice but is part of a team of three NP's (two are being employed by Orchard Surgery) on a twelve month pilot scheme to care for the elderly in care homes and those living in their own homes. The locality practices hope that this will assist the GP's who are currently looking after over 600 patients in care home beds in and around Dereham. To put this into perspective, the Norfolk & Norwich Hospital has about 1200 beds and the local GPs get no extra payment for this work. The 12 month pilot has been jointly funded by South Norfolk CCG and NHS England Midlands & East.
Pilot Scheme - Optimise Rx - During September our practice took part in the Optimise Rx pilot scheme. Optimise Rx is a programme that is tailored to the patient's clinical record and takes into consideration the patient's medications, morbidities, observations and measurements to support prescribers to make the safest, most clinically appropriate prescribing decisions. The pilot seemed to have good feedback and we're waiting to hear whether it will be adopted permanently across our NHS area.
Wasted Appointments - During September 2016 there were 143 wasted appointments when patients did not turn up for their appointments (nor cancel them). This has cost the NHS £2,674.00p for one surgery in one month!
Dr. Rachel Kinnaird Leaving - We're very sad to say that Dr. Rachel Kinnaird will be leaving the practice soon. Her last working day is Tuesday 25th October, 2016. Rachel will be very sadly missed and we wish her and her family the best of everything in the future.
Welcome to our New Apprentice - We're pleased to welcome Alicia Element to the practice on a twelve month apprenticeship studying administration. Alicia has settled in quickly and is already proving a huge help to the team.
SNCCG - Withdrawal of the Admiral Nurse Service - NHS South Norfolk CCG has concluded that it can no longer continue the Admiral Nurse Service. The decision was confirmed at a meeting of the CCG's Governing Body on 27.09.16. The CCG concluded that it was unable to commission an effective and equitable Admiral Nurse Service for the very limited money that it has available. A workshop will be held on 27.10.16. to discuss the outcome of the decision not to continue the service and to help inform the development of support.
If any patients would like to take part in the workshop on 27.10.16. or wish to share feedback about the service, please email email@example.com or call 01603 257 000 to book your place.
September 2016
Electronic Prescription Service - As from 30th September 2016 Theatre Royal Surgery will provide electronic prescriptions. The process has been rolled out all over Norfolk and we are in the last tranche of practices to start using the system. For full details from South Norfolk CCG please click here.
The EPIC-Norfolk Fifth Health Check (5HC) - Our practice has been involved in the European Prospective Investigation of Cancer (EPIC) since it began over 20 years ago. The study is now embarking on it's fifth health check to undertake a follow up assessment of existing cohort participants. If you are part of the study, the team at Cambridge will be in touch with you soon.
Night Sitting Service - South Norfolk CCG has recommissioned the Night Sitting Service and from 1st October this will be provided by All Hallows Healthcare Trust. The service provides support and care for patients at the end of their life , to ensure that they are in comfort throughout the night and that their families and carers have time to rest.
Sexual Health Service - Please be aware that the nearest iCaSH (contraception and sexual health) clinic is at 1a Oak Street, Norwich. NR3 3AE. Contact 0300 300 30 30 or visit their web site by clicking here.
Coil Fittings at Theatre Royal Surgery - Please note that we will no longer be able to provide a coil fitting service after Dr. Rachel Kinnaird leaves in October. If you need advice on this service please ask at reception or alternatively visit iCaSH (see above).
Equal Lives Independent Living Event - This event will take place on 12th October at St. Andrews Hall, Norwich. Free entry. Get to talk to 40+ local organisations, attend free information talks and get your free Independent Living Directory. Click here.
Care Choices (Care Homes) - The 2016 edition of the Norfolk guide is now available. This can be provided free of charge by calling Norfolk County Council on 0344 800 8020 or downloaded by clicking here. There is a hard copy in waiting area 3 at the surgery.
Accessible Building Survey for Equal Lives - Equal Lives is going to provide evidence to the government's Women and Equalities Committee inquiry looking at disability, accessibility and the built environment. They need help to make sure what they say represents the experiences of disabled people. They have created a short survey to collect evidence to use in our response and our work on accessibility. Closing date is 30th September. Click here to take part.
Wasted Appointments - In August patients wasted 135 appointments by not turning up for booked consultations. This has cost the NHS £2,648 from one practice in one month.
Cherry Tree Car Park Closure - As from Monday 12th September the car park adjacent to the surgery is being partly closed to allow for resurfacing and drains to be repaired. Please remember to give yourself extra time to find a parking space and get to your appointment. The work is being done in three stages and we have been advised by Breckland Council there will be disruption until at least mid October. Thank you!
Free Talk - Monday 19th September 7.30 p.m. - Some of our patients may remember Dr. Simon Cooper who was a partner at Theatre Royal Surgery. Simon is now Medical Adviser for the charity Malaika Kids and has organised an illustrated talk at
Dereham Meeting Point. To download the flyer please click Malaika Kids. We look forward to seeing you for what promises to be an interesting evening!
August 2016
Supply of Condoms - We have been advised that GP surgeries will no longer be allowed to provide free condoms to patients aged over 25. Patients over 25 will still be able to get these free of charge from iCash in Norwich or King's Lynn. To find your nearest iCash location click here.
Mid Norfolk Locality Nurse Practitioners - We're pleased to announce that our Mid Norfolk Locality (the Dereham Practices, Elmham, Mattishall and Toftwood) have received funding from NHS England and South Norfolk CCG to provide Nurse Practitioners who will be based at Theatre Royal and Orchard Surgeries. Their role will be to support the GP's in caring for our patients who are in care homes. Two nurses have been appointed and we are currently advertising for a third. It is hoped that the 12 month pilot will eventually be extended so that the nurses are also visiting patients in their own homes as well as those in care.
Dr. Tim Rice - Patients may recall that Dr. Rice reduced his weekly sessions working in the practice from 8 to 4 in April this year. However, we're very pleased to report that he will be resuming 8 sessions each week from 1st August which we hope will help the appointment situation when Dr. Kinnaird leaves in October.
June 2016
Why are there no appointments?- In June 2016 163 patients failed to turn up for their appointments. Total time wasted was 27 hours worth of appointments which cost the NHS £3,476.
Summer Newsletter - Our Summer 2016 Newsletter is available by clicking here.
Norfolk Health Trainer Service to Finish - We've been advised by Norfolk County Council that the contract for the Norfolk Health Trainer Service finishes in September 2016 and will not be re-procured. NCC suggests that as an alternative patients visit the Norfolk Living Well web site (click here) for advice on smoking cessation and keeping healthy or Active Norfolk for information about physical activity courses (click here).
Learn & Share Event - A date for your diary - 22nd September 2016. NHS England's East of England Clinical Network, along with Diabetes UK, Macmillan Cancer Support and the Stroke Association is holding a 'Learn & Share' event for all volunteers and members of support groups for people with long term conditions. The event will run between 9.30 a.m. and 3.30 p.m. at the Hallmark Hotel in Cambridge.
Vital Signs Survey - Norfolk Community Foundation is hosting a 'Vital Signs' survey to understand what issues concern people living in Norfolk and what you think about life in the county and in your community. The survey should take 10 to 15 minutes to complete and will close on 13th July 2016. To access the survey click here.
Norfolk County Council Total Transport Project - NCC are conducting a survey in Breckland as part of their Total Transport Project to find out more about how local people travel, why they might struggle to travel and how they access travel information. If you would like to have your say please click on the link at the bottom of this article. The online survey closes on Sunday 10th July, 2016.
If you do not have access to the internet please telephone the Project Officer on 01603 22 34 83 and they will send you a paper copy of the survey with a Freepost return envelope. Paper surveys need to be returned by 6th July please.
The online survey is at: http://www.tinyurl.com/TotalTransport
Dementia Friendly Dereham Information Point - The Dereham Dementia Friendly Group is made up of volunteers who are based at Dereham Meeting Point. They are able to provide information and guidance for carers and people living with dementia in the local community and are available every Wednesday between 10.00 a.m. and 12 noon at Dereham Meeting Point. For further details telephone 01362 698 866 or visit their web site by clicking here.
National Diabetes Audit - Our practice is taking part in an important national project about diabetes care and treatment in the NHS. To take part, the practice will share anonymous information about your diabetes care and treatment with the NDA. The type of information and how it is shared is controlled by law and enforced by strict rules of confidentiality and security. If you do not want your information to be used, please inform the receptionist or nurse. This will not affect your care.
Dereham Community Car Scheme - The scheme is sponsored by Breckland Council and Dereham Town Council and is available to patients living in the parish of Dereham (including Toftwood). To download their leaflet click here, or to book a car please call 07827 972 163.
May 2016
Spring Bank Holiday - The practice will be closed on Monday 30th May, 2016. Local pharmacies open are: Boots, Market Place Dereham - 10.00 a.m. to 4.00 p.m. and Tesco Pharmacy 9.00 a.m. to 6.00 p.m.
Dr. Rachel Kinnaird - It is with great sadness we advise that Dr. Kinnaird has resigned from the partnership and will be leaving in October. We know that she will be greatly missed by her patients and everyone at the surgery.
Apprentice Cerys Adcock - Cerys leaves the practice on 25th May after a two year apprenticeship with us. She will be joining a Norwich practice as a receptionist and we wish her well in her new career.
Electronic Prescriptions - The Dereham practices will be joining the South Norfolk CCG project to roll out the electronic prescription service. We're scheduled to start using them in September but the training programme begins on 8th June for our doctors, staff and local pharmacies.
Changes to Age Related Hearing Loss Service - South Norfolk CCG has revised the terms for their providers of this service and as a result, age related hearing loss providers are now: Coleman Opticians Norwich, Scrivens, Specsavers and The Outside Clinic (for domicillary care only). Patients who, in the last three years, have had their hearing aids provided by Norfolk & Norwich Hospital should continue to go there or to Norfolk Deaf Association for repairs.
April 2016
Macmillan "HOPE" Course - Macmillan Cancer Support are running this FREE course starting Tuesday 12th April over six sessions. For more information click here.
List Closure Extension - NHS England has agreed to our application to keep the practice list closed for a further twelve months until at least 31st March 2017.
Prescription charges - From 1st April 2016 the NHS English prescription charge is £8.40p per item. If you need more than 13 prescription items per year you could save money by purchasing a Prescription Prepayment Certificate. For more information visit www.nhs.uk/healthcosts.
Dr. Tim Rice - From 1st April 2016 Dr. Tim Rice will be working 4 sessions per week in the practice. He was previously full time working 8 sessions.
Access to records online - From 1st April 2016 patients will have the facility to view additional information in their medical record online. As well as a summary of information relating to medication, allergies and adverse reactions, coded data is also now included. Access to this information requires additional security considerations.
Any patient wishing to use this facility will need to apply in person to our reception team. Your identity will need to be verified by means of photographic documentation and it will be necessary to read and understand an explanatory leaflet before consenting and applying to access your records online.
March 2016
Congratulations to our Practice Manager - Our Practice Manager, Val Harvey, has completed an amazing 35 years working at the surgery on 9th March, 2016 - 33 of those as our Practice Manager. Many congratulations on an impressive achievement.
Easter Wishes - The practice team wishes all our patients a happy and healthy Easter break. We re-open at 8.00 a.m. on Tuesday 29th March, 2016.
Welcome Dr. Jemima Jackson - Dr. Jackson joined the practice from 1st March, 2016 for six months. She is a fully qualified doctor and has been working at the Norfolk & Norwich University Hospital. Jemima is with us to learn more about general practice.
Dr. Tim Rice - Change of Availability - Dr. Rice will be reducing the number of sessions that he works in the practice as from 1st April, 2016. He will change from 8 sessions per week to 4 and will be here on a Wednesday and Friday.
February 2016
Training Day - We will be closed between 8.00 a.m. and 2.00 p.m. on Tuesday 23rd February for team training. For medical emergencies please telephone 01362 699959. Theatre Royal Pharmacy will be open as usual.
Update on training day: The training session was very successful and we covered a wide range of topics including an intensive 'Customer Care' update, Life Support training for our clinical team, a review of our clinical coding and achievement in the year to date and a team briefing on significant events.
Carers Council/Healthwatch Survey - The Carers' Council for Norfolk and Healthwatch Norfolk are asking for your experiences of being a carer and using related support services in the area. Please click here for details.
'Forget me Not' Grants - The Forget me Not Grants will help people with Dementia in the South Norfolk CCG area to maintain suitable and safe homes by providing funding of up to £1000 to make adaptions and improvements to the home. The grants are organised through South Norfolk Council's Handyperson Scheme with SNCCG and Breckland Council. For details click here.
Free Health Walks - Dereham Area - Active Norfolk is promoting free health walks in our area. Click here to view full details (a list of walks is at the end of the document). Suitable for all ages and abilities.
List Closure - Application to extend the closure period - Due to continuing difficulties in recruitment of additional doctors and the demand for appointments, the partners have decided to apply to continue the list closure throughout 2016. Our application was made to NHS England at the beginning of February. We believe this is necessary to ensure an adequate service to patients who are already registered with us and to protect the health and wellbeing of our doctors.
January 2016
Newsletter - The new edition of the surgery Newsletter is now available online or in the surgery. To download your copy click here. To receive future editions please sign up for our newsletter by clicking the link at the bottom of the Home Page.
Crisis in General Practice - Read more about the crisis in general practice and why so many surgeries now have their lists closed to new registrations. Click here for the BBC article published 05.01.16.
December 2015
Thank you - Thank you very much to all of our patient that brought in gifts and Christmas cards for the team - it was very much appreciated.
Team Collections for SANDS (Stillbirth & Neonatal Death) and RNIB - Well done to one of our apprentices - Cerys Adcock - who organised a Christmas Jumper Day at the practice where all the team made donations towards this worthy charity. We also contributed to this instead of sending each other Christmas cards. A total of £110 was raised.
Thank you also to secretary Jackie Howard who co-ordinates the collection of used postage stamps for RNIB throughout the year. We've recently had a letter back from them thanking us for our efforts.
November 2015
Welcome to our new ECP John Bakewell - John has recently joined the team and is working with us in his role as Emergency Care Practitioner. He has many years experience as a paramedic and has worked for the Ambulance Service for the last 14 years. John sees patients for consultations within the surgery and also undertakes home visits. From January he will be working here for five days a week.
April 2015
List Closure - NHS England have agreed to our request to close our list to new patients.
Prescription Charges - Prescriptions charges increase from £8.05p to £8.20p per item as from 1st April, 2015. Fees for Prescription PrePayment Certificates are unchanged. The 3 month Certificate remains at £29.10p and the cost of the annual Certificate is £104. The annual Certificate means that a person can have all the prescribed items they require during the year dispensed for £2 per week.
Reminder - Carers' Event - The Carers' Information Event with trained and experienced listening ears from organisations, charities and companies supporting carers is on Friday 17th April, 2015, from 10.00 a.m. to 1.00 p.m. at the Connaught Hall, Attleborough. NR17 2 AS. For additional information telephone 01603 742185.
March 2015
2015 Care Act - Effective from 1st April - The most significant reform in social care for more than 60 years comes into effect from 1 April 2015. The 2014 Care Act will help to make social care and support more consistent across England. It is also designed to shift the balance towards promoting overall wellbeing and helping people to stay healthy and independent for as long as possible.
Norfolk County Council wants to make sure people have the information and advice they need to make the most of support available in their community, for example by putting them in touch with voluntary organisations and other support networks who can help. For full details about these radical changes, please click here.
CQC Report - Our long awaited second CQC report has now been published. Click here for details - read the report online or download a full copy. We're pleased to report that we have been rated as "Good" in all areas.
Training Morning - We held our training morning on Wednesday 25th March, 2015. A wide variety of topics were covered including reviews of our Palliative Care Patients, a talk from Leeway on Dometic Violence and Abuse, Chaperone Training for some of our administrative staff and our year end clinical meetings.
Diary Date ...... Carers Information Event - A carers Information event with trained and experienced individuals offering help, advice, support and sign posting will be held on Friday 17th April from 10.00 until 13.00. The event will be at Connaught Hall, Station Road Attlebororugh NR17 2AS. For more information click here.
Maternity Leave - Our Reception Team Leader, Stephanie Brown, will be starting her maternity leave on 13th March. We all send her our best wishes and look forward to meeting baby Brown soon!
New Reception Team Leader - Whilst Stephanie is on maternity leave, Emma Beckham will be taking over as Reception Team Leader. Many patients will know that Emma has been with us for a number of years and she tells us that she's looking forward to the new challenge.
New Receptionist - Terry Rollo joins the practice on 9th March as a temporary receptionist, covering Emma's vacant post. We look forward to having her as part of our team.
February 2015
Application to Close List to New Registrations - We submitted our application to NHS England on 23rd February and have been advised by them that we should have a response after 25th March.
Gluten Free Shop - We've been sent information about a new shop at Hellesdon Barns on the outskirts of Norwich, selling entirely gluten free stock that is suitable for those diagnosed with Coeliac Disease and non-coeliac gluten sensitivity. Products range from fresh baked bread and pies to artisan brands, snacks and dried goods. Click here for details. The practice doesn't endorse the company, we just felt it might be a useful resource for patients!
Norfolk SEND Partnership (formerly Norfolk Parent Partnership) - This useful organisation supports parents and carers of children with special educational needs. Click here to go to their web site. Click here to download their Spring 2015 newsletter.
January 2015
New Edition of our Newsletter/Proposed List Closure - Please download a copy of our January newsletter that gives detailed information about our proposed closure of the practice list to new patients. Patients who are already registered with the practice would not be affected. Click here for details.
Dereham & District Access Group AGM - The meeting will take place on Thursday 29th January 2015 at 2.00 - 4.00 p.m. at Elizabeth House, Breckland Council Offices (near Tesco). For further details about the group click here.
Dr. Sarah Stevens - Dr. Sarah Stevens has submitted her resignation and will be leaving the practice at the end of January. As she has annual leave still due, she will be taking this throughout the month and will therefore not be offering consultations during January. We shall be very sorry to see Dr. Stevens leave and wish her well for the future.
December 2014
Christmas and New Year Opening Times - Please go to our Home Page (see left navigation bar) for full details (you will also find a link to the NHS England local Pharmacy Opening times).
Thank You to Patients! - A big thank you to the many patients who have generously given us gifts this Christmas. It's greatly appreciated.
Staff Yuletide Lunch - The staff enjoyed an excellent lunch on 17th December at The Romany Rye. A festive time was enjoyed by all and after lunch the "Secret Santa" gifts were handed out. Thank you to the partners who paid for the treat and who also took over the reception desk so that all the team could attend.
Demand for Appointments - This month the demand for appointments has been huge - not only at Theatre Royal Surgery but in most of the practices in our area. We are regularly having over one thousand face to face consultations a week and on some days over 20 visits. This extraordinary level of demand means that it's very important to cancel your appointment if you no longer need it. We would appreciate patient help in being responsible and please "Keep It or Cancel It". Thank you.
Christmas Charity - This year, instead of sending cards to each other, the team is supporting Great Ormond Street Hospital by filling in their greetings on a poster in the coffee room. Money that would have been spent on cards is being donated. Thank you everyone!
Friends and Family Test - The new NHS Friends and Family Test begins from 1st December. If you wish to take part, please click on the link in the right-hand navigation bar under "Have Your Say".
November 2014
Malaika Kids & Dr. Simon Cooper - The practice recently donated some old equipment to retired partner, Dr. Simon Cooper. Simon has taken up an appointment with the charity "Malaika Kids" which is an organisation promoting the care of orphan children in Tanzania. He and his wife, Dr. Jane Keidan, spent six weeks at the orphanage in Dar-es-salam, finding out more about the work of the charity. To learn more, click here.
Training Morning 26.11.14. - Our bi-monthly training session was full of useful information. This included an update of Palliative Care patients with our community colleagues, a session on the new Friends and Family Test which begins in December, online training for Safeguarding Adults and Children and a financial update.
Goodbye Irene, Welcome Back Lynnette - We were very sorry to say goodbye to Nurse Irene Miloserdovs at the end of October. Irene has worked with us for the past year, covering Nurse Lynnette Wood's maternity leave. Needless to say, we're very pleased to have Lynnette back with us following the birth of her son.
October 2014
Saturday Flu Clinic - 11th October - The annual Saturday Flu Clinic is booking now .... please contact reception for details.
Carers' Event - 6th October - The Care Group Support Association are organising an "Carers Help" event to support "Older Peoples Awareness Week", being held at the Norwich Forum on Monday 6th October. The events are designed to help carers, the cared for, ex-carers, older people, the lonely, and the vulnerable.
September 2014
Patient Transport Service Change - From October 1st, the service will be provided by ERS Medical. ERS Medical is a major force in providing non-emergency ambulance services to the NHS across the country.
The telephone number to book journeys has changed. Patients who believe they may be eligible and who need to make a booking will now call 0333 240 4100.
ERS Medical is already a familiar name in the area as its courier division has been operating around Norfolk since July 2012. The service carries patients who are registered with a GP Practice in Norwich, South, West or North Norfolk, who have a medical need and who are unable to travel without assistance.
August 2014
My Cancer Treatment - This is a new NHS initiative providing an online directory to NHS cancer services across England and which allows you to compare services. Reports are available detailing the quality of services and to give you information so that you can make an informed decision when choosing where you or someone you care for can be treated. Click here to go to the site.
July 2014
Drug Impaired Driving - New Offence from 2nd March 2015 - Existing legislation is being changed to include an offence relating to driving whilst under the influence of certain controlled drugs. To read more about it, click here.
2014 Flu Clinics - We've had our logistics meeting to plan for this year's clinics which will take place in the autumn as usual. Keep an eye out for our advertisements confirming the date and arrangements.
Important: We will be sending text message reminders to patients about the flu clinics if we have their mobile 'phone number. If you would like to have this done, please give your mobile number to one of the reception team. Thank you.
Patient Participation Group - We regret to advise that the surgery Patient Participation Group has disbanded due to an internal issue that arose between the members. The decision to disband was made by the Chairman and Deputy Chairman of the Group. The surgery was very sorry to receive this news and wish to thank the Group Members for the hard work that they put into the PPG and to making it such an integral part of the practice. In particular we wish to thank Chairman Miss Hilary Bushell who was always an enthusiastic advocate of patient participation.
We are taking advice as to whether some form of 'virtual' patient reference group could be set up as an alternative. In the meantime, patients should continue to check back here for our latest news.
Welcome to New Staff - We're very pleased to welcome two new members of staff. Jodie Bailey joins the reception team on a full-time contract and Cerys Adcock is with us for a year as an Administrative Apprentice working full-time.
Farewell Maddy and Emily - Receptionist Maddy Woods and our locum Administrator, Emily Dye, both left on 18th July. Maddy is going to work for her father's business and Emily has now qualified as a Radiographer and is taking up a full time post at a hospital in Leeds. Congratulations to Emily on attaining her BSc. (Hons).
Team Training - Held on 9th July, the training sessions for all doctors and staff covered a wide range of topics including: a review of our palliative care patients, use of the integrated NHS fax system, update on student teaching for 2014/15, review of significant incidents, planning for this year's various enhanced services and a financial update.
June 2014
Named GP for Patients aged over 75 - All of our patients aged over 75 will have received a letter from the practice by the end of June which details their 'named GP'. Some letters will be posted, some are being given out at reception but the majority have been hand-delivered by members of staff.
Alcohol Screening Questionnaire - New patients will find an Alcohol Screening Questionnaire included as part of the New Patient Pack. The NHS is collecting more detailed data on the levels of alcohol consumption and the practice has signed up to the 2014/15 Alcohol Screening Enhanced Service as a result.
New Sessions for Dr. Sarah Stevens - From 1st June Dr. Stevens has reduced her number of sessions in the practice from four to two per week. She will be here on a Monday morning and Thursday afternoon. From time to time she will be assisting Dr. Klaus with teaching the medical students on a Thursday morning during term times.
PPG Meeting - The PPG on 24th June was cancelled due to unforseen circustances. Apologies for any inconvenience.
New Appointment System - In response to the findings in our patient survey, we are completely revamping the way in which our GP consultations are booked. The trial of the new system will involve contacting the practice the day before you need an appointment. We hope that this will reduce the huge number of patients who fail to turn up for their booked appointments. There will still be emergency appointments available for patients who become ill "on the day". Early reports have been very favourable from patients and the new system, although only in its infancy, looks as if it may turn out to be an excellent solution for patients and the surgery.
Goodbye Kimberley - Receptionist Kimberley Brown left on 12th June. She's taking up a new career as a chef and we wish Kimberley every success in her new venture.
May 2014
PPG Meeting - The May PPG meeting is on Tuesday 27th at 6.30 p.m. As well as the normal PPG business there will be a talk by Mr. Conal O'Donnell on The Press and the NHS (which begins at 7.30 p.m.).
Dr. Sarah Stevens - After joining us in January, Dr. Stevens has decided that she will not now become a partner. Instead she will continue working with us as a salaried GP but will reduce her sessions from four to two per week and will also share the teaching of medical students on a Thursday morning in term time.
New Signage - Patients may notice some new signage around the building. We hope that this will make things easier for you when navigating our site.
Goodbye Pam - We'll be very sorry to say goodbye to one of our cleaners - Pam Green - on 23rd May. Pam has worked here for the past ten years and is now going to join her husband, Derek, in what we hope will be a very long, happy and well-earnt retirement. We shall be sorry to see her go!
Team Training - We were closed for training on the morning of Wednesday 14th May. There was a programme of interesting topics covered which included review of our palliative care patients, a session on changes to the NHS pension scheme, a presentation on the work of the NHS Counter Fraud department, planning for the 2014/15 clinical recalls, a session for infection control for clinicians and a demonstration of the new urine collection system provided by the NNUH laboratory. One of the liveliest sessions of the day was a brainstorming session on how to alter our appointment system. Like all practices we continue to face a massive demand for appointments whilst at the same time have consistently high numbers of patients who do not turn up for their booked consultations. This is clearly unsustainable so we are looking at creative solutions to try and alter the situation radically whilst sitll providing a good service.
April 2014
PPG Open Event - The surgery PPG organised a Health Information Open Event on 30th April, 2014, at Dereham Meeting Point.
There were many exhibitors offering advice and information on a wide range of health and social care issues.
Many thanks to PPG Chairman Hilary Bushell and her team of PPG members who worked very hard to put on the event and publicise it throughout the town.
A number of the exhibitors are keen for it to go ahead again in 2015!
Extended Hours - As from 1st April, 2014, we have decided not to take up the enhanced service contract to offer extended hours appointments. This decision is primarily due to workload and difficulties in recruiting new GPs - a problem which is shared by practices throughout the country.
Partnership Change - Dr. James Green officially left the practice on 31st March, 2014.
March 2014
Dr. James Green - Sick Leave - We are sorry to advise that Dr. Green's sick leave has been extended again. He will not now be back at work before his official leaving date of 31st March, 2014.
Team Training 12th March - Our bi-monthly team training morning included a meeting with community nurses and social worker to discuss patients on our Palliative Care Register, online Infection Control training, the 2014/15 Enhanced Services and a tutorial for our administrative team on NHS Health Checks.
CQC Inspection - We had a routine inspection visit from CQC on Tuesday 4th March. Patients, doctors and staff were interviewed and our policies, audits and clinical records were inspected. The report should be sent to us soon but we found it to be a very positive experience and the whole inspection seemed to go well. We were told that we were in the first 20% of GP practices to be visited and were one of the first locally.
February 2014
Welcome - Dr. Rudi Gawens - We're very pleased to welcome Dr. Rudi Gawens to the practice as a six session per week salaried GP. Dr. Gawens is an experienced doctor who has worked in the UK for many years. Rudi is married and he and his wife have two young children and live near King's Lynn.
Out of Hours - Your Views - Members of the surgery Patient Participation Group will be in the surgery over the next couple of weeks collecting your views about the Out of Hours Service provided in this area. This information will be put to MP George Freeman when Dr. Klaus Kock and Mr. Ian Cokayne (PPG Deputy Chairman) visit him in March. Thank you to our PPG members who have given up their time to help with this.
Dr. James Green - Sick Leave - We are sorry to advise that Dr. Green's sick leave has been extended and that he will not now be back at work before his official leaving date of 31st March, 2014.
January 2014
Dr. James Green - Sick Leave - Our sincere apologies for any inconvenience caused by Dr. James Green being on sick leave. He has been off for three weeks this month and we know that patient appointments have had to be changed at short notice. We don't yet know when he'll be back at work so please bear with us - we're doing our utmost to cover his workload.
Update - 30.01.14. - We have just heard that Dr. James Green will be taking a further seven weeks of sick leave, followed by two weeks of holiday, so sadly he will not be back working in the practice before his official leaving date of 31st March, 2014.
TRS Fundraising for Macmillan Cancer Support - Our team raised £35.34p for Macmillan Cancer Support by not sending Christmas cards to each other in 2013. Instead we wrote messages for each other on a poster in our staff room. Well done to receptionist Kimberley Brown for organising it all.
UCL Medical Student - We're pleased to welcome Alexandra Tollit, a student from University College London Medical School. She will be at TRS from 7th to 31st January, 2014, during which time she will have the opportunity to work with our team and to meet some of our patients. Alex is a final year medical student and will be mentored by Dr. Klaus Koch and Dr. Tim Rice whilst she is with us.
December 2013
Goodbye to Drs. James & Kathryn Green - We're sorry to advise that James and Kathryn will be leaving the practice. Kathryn will be leaving on 31st December, 2013 and James will have his last working day on Friday 14th March, 2014. They have issued this statement:
"We have recently made a very difficult decision to leave Norfolk after working in Dereham for a combined total of almost 15 years. We plan to relocate to the North of England in the Spring where we will take up new posts in General Practice there, nearer our extended family. We would like to express our thanks to all our patients, from whom we have learned so much, during a formative time of our careers and family lives. We will be sorry to say goodbye to all the staff at TRS who have supported us and whose friendship and hard work we have valued and will miss greatly.
With best wishes, James & Kathryn"
New Doctors at TRS - Dr. Sarah Stevens will be joining the practice as a half time (four session) partner from 1st January 2014. Dr. Rutiger (Rudi) Gawens will take up a six session post a salaried doctor at TRS from 1st February, 2014. More details and photos to follow soon.
Christmas & New Year Opening Times
Click here to download Theatre Royal Surgery's Christmas opening times.
Click here to download details of the Pharmacies that are open over Christmas and the New Year. PLEASE NOTE: The only pharmacyin the Dereham area to be open during that period is Boots on Boxing Day from 10.00 a.m. until 4.00 p.m. At all other times you will have to travel further afield to get your medication.
November 2013
Poppy Appeal
Thank you to those who contributed. The surgery collected £7.56p towards the Royal British Legion Poppy Appeal this year.
Quiz Victors! - Two teams of four from TRS took part with about 18 other teams in a charity quiz night organised by Adrian Buck, Manager at Boots in Dereham. We enjoyed a fish and chip supper provided by Big Fry at Dereham Conservative Club. There were two games of bingo and a (large!) raffle before we began Adrian's testing quiz. We're proud to report that our two teams were in the top three! Winners were Val and Leo Harvey and Trudy and Emily Dye and in third place were Steph. Manning, Linda Whiteley, Kimberley Brown and Tracy Humphries. Well done everyone!
Driveway Upgrade - The partners have had a new brickweave area put into the driveway. The old surface had been getting worse, with a number of potholes. We feel that the new area is a great improvement. Unfortunately (within two days!) people who've walked their dogs down the drive have allowed them to foul the new area and scrape soil all over the new brickweave. It's disappointing that members of the public feel that they can allow their animals to do this and not clear up after them.
New Chairs - Well, not quite new!
We've had all of our waiting room chairs recovered in vinyl. As you'll see, the chairs are two colours which is to help visually impaired patients find their seating more easily. We have also had vinyl 'wall barriers' made so that patients don't bang the backs of the chairs against the walls and damage the plaster work.
The total cost of the refurbishment was just under £2,000 which was funded by donations.
Goodbye (temporarily!) to Nurse Lynnette - Practice Nurse Lynnette Wood started her maternity leave from 8th November. We're looking forward to meeting her new baby which is due in December.
Second Flu Clinic - Our second Flu Clinic took place on 9th November. 633 Patients were vaccinated and we had 20 non attenders. Thank you again to our PPG Members who helped us during the session.
It's still not too late to get your Flu Jab!........ contact reception for details on 01362 852800
Training Day - Our bi-monthly training morning took place on 6th November. Various topics were covered including sessions on changes to Warfarin monitoring and Electronic Data Sharing as well as referral management and our usual session with the District Nurses, Macmillan Nurse and Social Worker on patients that our on our Palliative Care Register.
October 2013
Flu Clinics - Our First of 2013 - Saturday 19th October, 2013.
Our Flu Banner is up outside and we've also placed an advertisement in the Dereham Times to remind you!
Thanks to the PPG who are supporting us on this day and coming in to help.
Leaving Party - The Partners threw a leaving party for Dr. Antonio Penart at South Green Park, Mattishall, on Friday 4th October. Staff, friends and local colleagues of Dr. Penart were invited to join us for a Spanish themed buffet. Dr. Klaus gave a very entertaining speech and we toasted Dr. Penart and wished him and his family well in their new life in Peterborough. Dr. Penart's last working day with Theatre Royal Surgery is Thursday 31st October.
September 2013
Team Training - We held our bi-monthly training morning on 4th September. Topics covered included: a talk from the new PPG Chairman, Ms. Hilary Bushell, risk profiling, fire evacuation procedures, CQC inspection procedures and palliative care.
Maternity Cover - We're pleased to advise that Nurse Irene Miloserdobs will be joining the practice in October to cover the work of Nurse Lynnette Wood who is going on maternity leave. Irene is a very experienced nurse and we look forward to welcoming her to our team.
New Research Study - We're taking part in the TPP Systmone study analysing the effects of texting patients with reminders for their flu injections.
GP Sick Leave - Apologies for any inconvenience to patients whilst Dr. Kathryn Green is on sick leave. We're doing our best to minimise the disruption and have been fortunate in having Dr. Alexa Thorpe come in for some sessions to help cover the workload. We wish Dr. Green well and hope that she'll be back with us soon.
August 2013
Patient Group - Members of the PPG have kindly volunteered to help the surgery team at our "Flu Saturdays" on 19th October and 9th November. This will be an opportunity for them introduce themselves and to tell other patients more about the work of the PPG.
EPIC Research - Many patients may remember the start of the EPIC (European Prospective Investigation of Cancer. Norfolk was one of the areas selected to take part and the survey (which is still ongoing) is now celebrating it's 20th Anniversary! Click here for more details.
Driveway Repairs - We are planning to have an area of the driveway repaired in the autumn. At present we are waiting for a start date from the contractor but this is likely to be late October.
July 2013
Patient Group - The new Patient Participation Group information leaflet has been produced and is available in racks throughout the surgery.
Online Services Leaflet - Our leaflet has been updated and is available in the reception information rack.
Social Evening - Many of the staff enjoyed an excellent meal at a local Indian Restaurant. Our thanks to receptionist Kimberley Brown for organising a fun night out.
Staff Sickness - Unfortunately a number of staff have been off sick which has meant that our secretarial and cleaning teams have been short-handed. We apologise for any inconvenience to patients and wish our team members a speedy recovery.
Staff Training - Throughout the month staff have been completing the online training for Health & Safety and Safeguarding Children. Well done - everyone has passed! We were closed for our regular morning of team training on 3rd July which included an Information Governance seminar by Ivan Clarke of RPS, and a presentation by Alison Tankard, Lead Physiotherapist at Dereham Hospital as well as our regular session on Palliatvie Care patients with our colleagues from the community team and Priscilla Bacon Lodge.
June 2013
Patient Group - We're delighted to welcome Hilary Bushell as the new Chairman of the surgery Patient Participation Group.
Hand Sanitisers - New wall-mounted hand sanitisers have been located adjacent to our two booking-in machines.
May 2013
Raising Funds for Cancer Research UK
Congratulations to our receptionist, Tracy Humphries, who ran in the Cancer Research UK Race for Life at the Norfolk Showground on Saturday 14th May, 2013, and raised £104 for the charity.
A great effort - well done Tracy!
PPG Resignation - We're very sorry to learn that Mr. Ted Shelton has decided to step down as Chairman of our PPG. Ted has led the Group from the beginning and has been very pro active in encouraging new members and forging links with other groups in the area. We send him our very best wishes and thanks for all that he has done for our patients - he'll be greatly missed.
Bank Holidays - We are closed for the two Bank Holidays on Monday 6th and Monday 27th May, 2013.
New Staff - We're pleased to welcome Maddy Woods and Sarah Leeds to the team. Maddy will be working as an administrator and primarily responsible for scanning documents into the clinical records and producing repeat prescriptions. Sarah is joining Mandy Moll as Health Care Assistant and Plebotomist.
Blue Disabled Parking Badge Applications - We've been advised by Norfolk County Council that applicants for the Blue Disabled Parking Badges do NOT need to seek medical evidence from their GP in order to apply. Download an application form by clicking here or call the Council Service Centre on 0344 800 8020.
Well Done! - Well done to Kimberley Brown who has passed her training to be a Phlebotomist. Many patients will know Kimberley already as she is one of our full time reception team. Kimberley will now be able to hold her own blood taking clinics.
April 2013
Dr. Antonio Penart Leaving - We're very sorry to announce that Dr. Antonio Penart will be leaving the practice on 30th October to take up a new partnership in Peterborough. He and his family have made the decision to move so that his daughter can pursue her ice skating career. We'll be very sorry to see him go.
March 2013
Easter - Easter is fast approaching. Please remember to order enough medication to last over the bank holiday period. We will be closed from 8.00 p.m. on Thursday 28th March and reopen at 8.00 a.m. on Tuesday 2nd April.
Staff Changes - We're very sad to say that Martyn Harrod (Reception and Administrator) and Tracey Proctor (Health Care Assistant) will both be leaving us in March. Martyn is moving to London and a new job in "The City" and Tracey will be going to NNUH.
Nursing Suite - Work began on Monday 4th March and is due to last all month. We apologise for any inconvenience to patients whilst the refurbishment is going on but feel sure that the huge improvement will be worth the wait.
Training Session Closure - We closed for our regular bi-monthly training morning on 6th March. Topics covered included Equality & Diversity training, Infection Control, Palliative Care, Musculoskeletal Overview, CQC Room Standards and a Scanning Masterclass. As you can see, we pack plenty into a morning!
February 2013
Nursing Suite Improvements - We hope to begin our nursing suite building improvements this month. This will involve installation of new sinks and cabinetry, new flooring and total redecoration.
January 2013
Care Quality Commission Registration - 17th January we received notification from the CQC that our application for registration has been successful.
Severe Weather - We are trying our best to maintain a full service throughout the very bad weather. Well done to our team as most have made tremendous efforts to get here from far and wide so that service disruption to our patients has been minimal. A huge thank you to our caretaker, Nigel, who has been here very early in the morning to clear the snow and and salt the paths and generally make sure that the surgery is ready for action at 8.00 a.m. A special thank you to Dr. Klaus who very kindly stayed late on Tuesday to cover Dr. Penart's late surgery as he was stuck at the Norfolk & Norwich Hospital. Dr. Klaus wasn't able to get home to Norwich so kindly volunteered to sleep on a mattress at the surgery ..... above and beyond!
Information Governance - As a result of a session at our Team Training (see below), all our administrative staff have successfully passed the online NHS Information Governance mandatory module. Well done everyone!
Team Training - We are closed for our bi-monthly team training on Wednesday 9th January, 2013. The surgery will be open from 2.00 p.m. until 8.00 p.m. on that day. The training morning is used to discuss patients who are receiving palliative care (not only with our team but with the communicty nurses, social workers, community matron and Macmillan Nurses, as well as undertaking other training sessions on information governance, dealing with significant events, clinical system training and infection control protocols.
Nurse Appointments - We regret any inconvenience to patients who wish to have a nurse appointment this month. Unfortunately there is a shortage of slots as a member of the team is off sick.
Surgery Rear Car Park - Hurrah! The car park has now been resurfaced and lined again and hopefully should cause no further problems.
Christmas Card Collection - Our receptionist, Kimberley Brown, kindly organised a collection for Hearing Dogs for the Deaf. Staff wrote their greetings on a single sheet and donated to this good cause instead of sending individual Christmas cards to each other. £40.20p was raised.
December 2012
Dial 111 - There is a new number to dial for out of hours care when it is less urgent than a 999 situation. 111 is free to call from landlines and mobile telephones.
NHS 111 is a new service that's being introduced to make it easier for you to access local NHS healthcare services. You can call 111 when you need medical help fast but it's not a 999 emergency. NHS 111 is a fast and easy way to get the right help, whatever the time. This is a national system set up via the DoH. For further details click here which will take you to the NHS Choices web site.
Christmas Dinner - The practice team are going out for their Christmas Dinner on Saturday 8th December. It's been another very hectic year so we're looking forward to our celebration. Ho! Ho! Ho! This year we went to Tall Orders Cafe in the market place.
Christmas Opening Hours - Details of our Christmas and New Year Opening times are on the Home Page and the Theatre Royal Pharmacy times can be found in the Prescriptions section (see left side of page).
Light Dragoons Parade - 5th December - Breckland Council are closing the Cherry Tree car park from 6 p.m. on 4th December to noon on 5th December. We have sent text reminders to those patients who have given us their mobile telephone numbers.
November 2012
New Member of Staff - We're pleased to welcome Kim Overson to the practice team. Kim will be working part time and covering several different roles - administrator for the medical student teaching, medical secretarial support and assisting with scanning data into patient clinical records.
Temporary Car Park Surface - We now have the first layer of tarmac on the rear car park and are waiting for the contractors to complete the top coat. Apologies for the inconvenience and please be aware that there is a small ramp where the new surface joins the existing. Apologies again for any inconvenience.
2nd Flu Saturday - Over 620 patients attended the second Saturday Flu Clinic. We were also pleased to be able to collect details from many who came to both the Saturday sessions of their mobile telephone numbers and email addresses as well as interest from over 50 patients who wanted to know more about our Patient Welfare Group.
October 2012
Poppy Appeal - A big thank you to staff and patients who contributed to the Royal British Legion Poppy collection in reception. £15.67p was raised.
Flu Clinic- We held our first 2012 Flu Clinic on 20th October and over 700 patients were vaccinated in 4 hours - we averaged 1 per minute!
July 2012
Rear Car Park - Apologies - We're sorry for any inconvenience to patients who use our rear car park to gain access. Due to a significant problem with the surface of the 'new' car park, the main contractors are having to dig up areas to investigate. Patients may have noticed the growing number of dips and gullies in the new surface and we believe this is due to a problem of the soakaway.
New Signage - The new surgery and pharmacy signage is now in place. Thanks to CIM Signs of Norwich for their work.
Sick Leave - We apologise to patients for any inconvenience whilst Dr. Kathryn Green was off on sick leave for three weeks this month. We're glad to say that Dr. Green is now back at work.
Welcome - We're pleased to welcome Emily Dye on a temporary contract over the next few weeks. Emily will be assisting with administrative work, scanning etc. Some patients may remember her as she worked with us a while back before she began her university course.
June 2012
Clinical Commissioning Group - Our practice (part of the Mid Norfolk locality) is now part of the larger South Norfolk Clinical Commissioning Group. Representing our area, Dr. Antonio Penart has been elected to the Board of the South Norfolk CCG.
May 2012
Staff Leaver - We're sorry to have said goodbye to Louise Spall, one of our medical secretaries. Louise left on 14th May and, having moved to Norwich, will be working in the same role at one of the Norwich GP practices.
April 2012
Prescription Charges - Prescription charges increase to £7.65p per item as from 1st April 2012.
March 2012
Staff Promotions - We are pleased to announce that Trudy Dye has been appointed as Assistant Practice Manager. Trudy will take over from Barbara D'Arts who is retiring at the end of May. Many patients will already know Trudy as our Reception Lead.
Taking over Trudy's postion as Reception Team Leader is another experienced member of our front of house team, Stephanie Mills. We wish both of them every success in their new roles.
Counselling - We're very glad to be able to confirm that the psycho-therapeutic counselling service offered by Paul Thomas has been recommissioned for a further twelve months. Paul sees our patients at the surgery on a Monday afternoon, as well as seeing NHS patients at North Elmham, Mattishall, Orchard Surgery and Toftwood Surgery and holds private clinics around the county and in London.
NHS Mid Norfolk - It looks as if our clinical commissioning group (CCG) will be required to merge with one of the larger groups in Norfolk as from April. At the moment it seems that this may be with either Southern Norfolk CCG or West Norfolk CCG. We will let patients know as soon as we are given a definite decision.
February 2012
Patient Welfare Group - On Tuesday meeting of the new Group took place on 1st February. Dr. Penart and Mrs. Harvey were pleased to welcome along six patients who had kindly volunteered to join. The next meeting is on 28th February when we hope that even more members will be able to attend. Congratulations to Mr. Ted Shelton who was elected as Chairman and Mr. David Gilbert who is Vice-Chairman.
Welcome Mandy Moll - We're pleased to announce that Mrs. Mandy Moll has joined the practice as a part-time Healthcare Assistant. Mandy will work alongside Tracey carrying out our blood tests and other HCA duties.
January 2012
Dr. Tim Rice - On Tuesday 3rd January we were very pleased to welcome Dr. Tim Rice on his first day with us as a full time partner. Already and experienced GP, Tim has joined us from a practice in Salford so that he and his wife and two children can live closer to their family.
Flu Vaccinations - It's still not too late to get your Flu Vaccination done! Please telephone for an appointment as soon as you can.
Training Day Closure (Surgery only) - We will be closed on Thursday 26th January 2012 between 8.30 a.m. and 2.00 p.m. for mandatory training. On that day the practice will be open between 2.00 p.m. and 8.00 p.m.
Please note that Theatre Pharmacy will remain open all day from 7.00 a.m. until 11.00 p.m. - their trading hours are unaffected by our closure.
December 2011
Christmas - A huge thank you to all those patients who kindly sent us Christmas cards and gifts. All of the many tins of biscuits, boxes of chocolates and bottles of wine etc. are shared out so that every member of the team gets something. We really appreciate your thoughtfulness.
Congratulations! - Many congratulationsto our receptionist, Claire and her husband Peter on the safe arrival of baby Harriet on 22nd December. Claire will be on maternity leave for some months to come and tells us that she's very much enjoying being a mum!
November 2011
Pharmacy Building Works - Although the pharmacy is now open, the building works are still ongoing and we hope that everything will be finished by the end of the year. We have just had fire retardent windows installed plus an acoustic door and window in our nurses' treatment room. There is a spiral fire escape to be put in situ shortly and completion of the first floor building works. We apologise for the continuing disruption.
Annual Party & Leaving Party for Dr. Cartledge - We had our annual party at Roundwood Function Centre, Taverham on 12th November. This year it was combined with Dr. Cartledge's leaving party for staff and invited guests. We had a wild west theme, complete with bucking bull (not real !) and games provided by Jammin Entertainments, great food from Roundwood's chef and brilliant music from the Nashville Numbers.
New Senior Partner - From 1st November 2011, Dr. Marinus Rosbergen became Senior Partner of the practice.
October 2011
Dr. Bil
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text:
Key Laboratory of E&M,
Ministry of Education and Zhejiang Province,
Zhejiang University of Technology,
Hangzhou 310014, China
e-mail: email@example.com
Key Laboratory of E&M,
Ministry of Education and Zhejiang Province,
Zhejiang University of Technology,
Hangzhou 310014, China
Key Laboratory of Advanced Manufacturing
Technology of Zhejiang Province,
School of Mechanical Engineering,
Zhejiang University,
Hangzhou 310007, China
Department of Stomatology,
Zhejiang Provincial People's Hospital,
Hangzhou 310014, China
1Corresponding author.
Manuscript received March 14, 2017; final manuscript received August 10, 2017; published online September 28, 2017. Assoc. Editor: Michael Detamore.
The method used in biomechanical modeling for finite element method (FEM) analysis needs to deliver accurate results. There are currently two solutions used in FEM modeling for biomedical model of human bone from computerized tomography (CT) images: one is based on a triangular mesh and the other is based on the parametric surface model and is more popular in practice. The outline and modeling procedures for the two solutions are compared and analyzed. Using a mandibular bone as an example, several key modeling steps are then discussed in detail, and the FEM calculation was conducted. Numerical calculation results based on the models derived from the two methods, including stress, strain, and displacement, are compared and evaluated in relation to accuracy and validity. Moreover, a comprehensive comparison of the two solutions is listed. The parametric surface based method is more helpful when using powerful design tools in computer-aided design (CAD) software, but the triangular mesh based method is more robust and efficient.
Diagrams of triangular mesh and parametric surface: (a) triangular mesh and (b) parametric surface
Procedures involved in FEM modeling. The two solutions are based on both the CT images and the triangular mesh model.
Three-dimensional model of mandible reconstructed from CT images. The mandible was separated from whole tissues by extracting regions of interest: (a) coronal plane, (b) transverse plane, (c) sagittal plane, and (d) 3D view.
Volume mesh created from triangular mesh: the hollow of the surface model with the triangular mesh is filled with the volume mesh, but the internal structure of the bone marrow cavities remain hollow, thereby representing the actual structure of bone geometry: (a) triangular mesh model including 147,506 triangles, from the cut model certain internal structures can be seen and (b) tetrahedron mesh model including 419,296 elements, where the hollow model is filled by volume elements
Fixation of a customized plate was designed using triangular mesh model in 3-matic. There are many limitations in relation to the fixation holes, so a guide curve and a bent plate with two holes at two end sides need to be created directly; the other holes can then be designed based on a sketch, and extruded and merged with the bent plate using the unite operation: (a) guide curve designed on triangular mesh, (b) plate designed along the guide curve and bent with mesh surface, and (c) screw hole created by extruding a sketch and then uniting with plate.
Material properties of jaw bone divided into nine groups and shown using different colors, where each color with different grayscale represents a different density and Young's modulus. Young's modulus of bone is within 14.295 GPa, and the larger values are assigned to the teeth.
Parametric surface model creation: (a) curvature estimated based on triangular mesh (147,518 triangles) to create feature curves and separate initial patches using different colors (or different grayscale), (b) based on these feature curves, more patches created automatically on the triangular mesh for surface fitting (4876 patches), (c) patches were revised manually to obtain high quality for fitting (2183), (d) for each patch, interpolation grids created for fitting, which will determine the control points of each parametric surface, (e) surface model created by fitting of triangular mesh, and (f) parametric surface model compared to original triangular mesh model and deviation obtained
Finite element method mesh based on solid model: (a) seed points inserted into borders of each surface patch to create tetrahedral elements (approximate global size 2 mm) and (b) tetrahedral elements created from parametric surfaces (totally 24,633 elements)
Constraints and loading for numerical simulation. Muscles mimicked by springs, two condyles fixed on six degrees-of-freedom, and 500 N bite force loaded on left first molar.
Results based on triangular mesh FEM model: (a) von Mises stress distribution, (b) strain distribution, and (c) displacement distribution
Results based on parametric surface FEM model: (a) von Mises stress distribution in original model, where two singular areas exist (marked 1 and 2) causing stress concentration, (b) enlargement of singular area 1, (c) enlargement of singular area 2, where the stress peak decreased when singular area 1 was removed, (d) correct von Mises stress distribution of bone when two singular areas were removed from the whole model, (e) strain distribution, and (f) displacement distribution
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subset: commoncrawl


text:
My trials, tribulations and triumphs while attempting to bake my way through Lorraine Pascales book, Baking made Easy, and hopefully proving that yes, it is.
Wednesday, 4 January 2012
Cracked black pepper pasta with creamy sauce
The sauce is very simple, fry bacon/pancetta add mushrooms and stir in cream. Although it turned out we didn't have any cream in the house (I'd used it to make a chocolate sauce the night before, whoops!) so I ended up using the end of a creme fraise tub which was fine, but wasn't quite enough. I made the excuse it was the low fat version which is completely true! The best thing was that the children eat it all, so I don't think I'll make the pasta again, although it was delicious I will definitely be serving up the dish again, the low fat version.
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