Staff

Our team at The Milton Surgery

Doctors

The Partners (Who Practice Together As A Non-Limited Partnership)

Dr Chris A Chubb
BSc MB ChB (Bristol, July 2004) MRCP MRCGP DRCOG

Dr Ozlem Cilasun
MB BS (London, 1991) DRCOG MRCGP

Dr Penny J Edrich
MB ChB (Liverpool, 1996) DRCOG MRCGP

 

Our Salaried Doctors

Dr Lucy Azimzadeh

Dr Elizabeth Clausen

Dr Katie Dixion

Dr Mike Bennett

All patients have a named GP who is responsible for their overall care at the practice. If you don’t know who that is you can contact us to know who this is, and if you have a preference as to which GP that is, we will make reasonable efforts to accommodate this request. We do not restrict you to ‘only’ seeing your named GP, nor can we guarantee the availability of a specific GP on the days when you are seen.

The named accountable GP will take lead responsibility for the coordination of all services required under our contract with NHS England and ensure they are delivered to each of their patients where required (based on the clinical judgment of the named accountable GP). They will also coordinate your care with all the other providers involved in your care.

 

GP Registrar and Trainees

We are a training practice and we regularly have other Doctors training at the practice. A Registrar is a fully qualified doctor undertaking specialist vocational training as a GP and generally is with us for a 6 or 12 month period.

We also train F2 doctors from Weston General Hospital. These are qualified doctors on a 4 month rotation through various hospital posts and at this GP surgery for further training.

From time to time will be hosting visiting Medical Students.

 

Advanced Nurse Practitioner

We have three wonderful Advanced Nurse Practitioners working at Milton Road Surgery, and depending on your query, you may be allocated to speak or see one of them.

 

What is an Advanced Nurse Practitioner?

“An Advanced Nurse Practitioner (ANP) is an experienced and highly educated Registered Nurse who manages the complete clinical care for their patient, not solely any specific condition. Advanced practice is a level of practice, rather than a type or speciality of practice. ANPs are educated at Masters Level in advanced practice and are assessed as competent in this level of practice. As a clinical leader they have the freedom and authority to act and accept the responsibility and accountability for those actions. This level of practice is characterised by high level autonomous decision making, including assessment, diagnosis, treatment including prescribing, of patients with complex multidimensional problems. Decisions are made using high level expert, knowledge and skills. This includes the authority to refer, admit and discharge within appropriate clinical areas. Working as part of the multidisciplinary team ANPs can work in or across all clinical settings, dependant on their area of expertise.” (Chief Nursing Officers Directorate, 2017)

The term can be confused with our Practice Nurse team. A Practice Nurse is a Nurse who runs clinics for conditions like asthma, diabetes, heart problems and skin disorders; apply dressings, treat wounds and take samples of blood and urine; carry out infant injections, vaccinations and travel immunisations; help patients to manage long term conditions.

 

What can an Advanced Nurse Practitioner do?

The core clinical competencies of the ANP are to:

  • Take a comprehensive history
  • Perform a clinical assessment (a comprehensive physical clinical examination of all systems and a mental health assessment)
  • Formulate differential diagnoses
  • Request, interpret and act on diagnostic tests and investigations
  • Formulate an action plan for the treatment of the patient and prescribe within their competency
  • Admit, discharge or refer a patient dependent on patient need at time of review

 

Why do we have Advanced Nurse Practitioners?

As people live longer, with increasingly complex long-term health conditions, the scope of practice for nursing has adapted to the health needs of the UK population. In primary care, the role of the ANP was developed to work in tandem with GPs. In part, it was designed to relieve some of the pressure on GP practices by giving experienced nurses more autonomy to treat and diagnose their own patients. They are not aimed at replacing GPs, rather than offering an alternative clinician who can manage many of the issues patients may present with.

 

Who are the Milton Advanced Nurse Practitioners?

Mandy Garland

I have worked in primary care for the last 25 years. I see patients from the age of 2 upwards with a variety of health issues.

My main area of interest is women’s health, I hold the British Menopause Accredited Certificate and the FRSH contraception certificate, so can fit and remove Implants.

I also undertake home visits for those unable to get to the surgery.

 

Anthony Tromans MSc; BSc, Dip HE, RGN

For the last 20 years my area of care has been in care of the elderly. I see patients over the age of 18 with a variety of health issues. My area of interest is frailty and patients with multimorbidity, I am the Dementia lead nurse and Palliative care lead Nurse. I have an interest in Heart Failure previously working as a Heart Failure nurse. I also work closely with the care homes in our area providing care and reviews for the people living there and do home visits. I am a member of the British Geriatric Society.

 

Dan Wagstaff

I have worked within primary care for the last two years, with the out of hours team and since April 2023 with Milton surgery. Previous to this I have worked across 3 hospitals in the last 14 years as a ward manager and a advanced nurse practitioner. I work with patients above the age of 18 at present, however I am currently undertaking further studies to work with children. My area of interest is all things cardiology having been a ward manager for a cardiac ward for a number of years. I also have a keen interest in veterans health as the lead for Milton surgery. I also undertake home visits for those unable to get to the surgery.

 

What do our patients say about our Advanced Nurse Practitioners?

“Very Quick service. Advanced practitioner understood my needs and saved me a very painful visit to GP practice”

“The nurse practitioner was absolutely excellent first class. Thank you very much for your help.”

“ANP was excellent in his approach, advice, patience and treatment plan. Reception lady was also excellent. Thank you”

“Excellent communication, Nurse practitioner showed respect and sympathy for my health issue, felt extremely confident with what was advised, thank you so much”

 

Nurses and Healthcare Assistants

Sister Sarah Webb – Lead Nurse
RGN

Helen Ford
Nurse

Jennie Day
Nurse

Michelle Stewart
HCA

Charlotte Gadd
HCA

Pamela Hudson
HCA

In addition to providing general nursing, our Nurses also perform blood pressure checks and take samples for lab, perform smear tests, ear syringing and childhood immunisations etc.

They run a variety of health promotion clinics including: chronic heart disease, weight reduction, diabetes, Cardiovascular and respiratory. Please ask reception if you would like to attend one of these clinics. If the nurse/HCA detects a problem at a clinic they will liaise with a doctor.

Our Nurses can also give advice on foreign travel as well as administering the necessary vaccinations with the exception of yellow fever. A charge is made for some travel vaccinations.

The practice nurses are supported by a health care assistant (who takes certain clinics, changes dressings, blood pressure checks and blood tests) and a phlebotomist (blood tests).

 

Practice Manager

Shirley Smith

The practice manager is responsible for the efficient administration of the practice. All our Receptionists and Medical Secretarial Support staff are fully trained. Their job is to help you and to ensure that the doctor can see you with as few interruptions as possible. Please be patient if you have to wait a few minutes at the reception desk or for the telephone to be answered.

 

Community Nurses

A team of community nurses, (including Community Ward leads, District Nurses and Rapid Response and Recovery nurses all supported by HCA’s), provide general nursing care such as injections, dressings, bathing and advice on all medical matters for those Housebound patients unable to attend the surgery. They can be contacted through Care Connect on 01934 888 801 between 8.00am and 6.00pm.

 

Other Services

The NHS also commission community nursing, health visitors, midwifes, dieticians, Screeners Pharmacists, Care Coordinator and Counsellors who all work with and in the surgery.

 

Health Visitors

A team of health visitors, deal with a variety of health problems with particular emphasis on health promotion and preventative medicine. They provide postnatal care and also give advice to the elderly and handicapped. Their telephone number is 01275 885601 between 9.00am and 5.00pm.

 

Midwife

The midwife runs our antenatal clinics and looks after the mother before and just after the baby is born. Appointments for the midwife are made at reception.