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At Orchard Medical Practice, we have a Facebook page that provides a range of useful information for our patient population.

This practice has a duty to maintain patient confidentiality and to safeguard vulnerable patients. You can help us to achieve this by adhering to the code of conduct outlined in this guidance.

Patients are expected to always adhere to the following code of conduct:

1. The organisation requires all users of portable devices to use them in a courteous and considerate manner, respecting their fellow patients. Portable devices are not to be used during consultations, except when agreed with your clinician.

2. Patients are not permitted to disclose any patient-identifiable information about other patients unless they have the express consent of that patient.

3. While not encouraged, patients may record their consultation but this should be agreed with your clinician. This recording will solely be for your own purpose.

4. Patients must not post any material that is inaccurate, fraudulent, harassing, embarrassing, obscene, defamatory or unlawful. Any such posts on any of the practice’s social media pages will be deleted and the post reported.

5. Patients are not permitted to take photographs in any area where other patients are present, nor is it permitted to take photographs of staff.

6. Patients must not post comments on social media that identify any staff.

7. Patients can leave an official review about the practice on NHS Reviews Find out how to leave a review of an NHS service – NHS or email the practice on nnicb-nn.patient-orchard@nhs.net as this will enable the Practice Manager to respond appropriately. Reviews left on unofficial sites will not be responded to.

8. Defamatory comments about our team are not to be shared on any social media platform. Legal advice may be sought and the appropriate action taken against any patient who posts defamatory comments.

Patient complaints on social media

We have a separate Complaints Procedure that patients are to use should they wish to make a complaint. We will only respond to complaints made to the organisation in accordance with practice policy.

If a complaint is made on a social media platform, it will not be acknowledged and you will be requested to delete it.

Updated May 2025

In April 2023, a joint safety alert was issued by the British Menopause Society, the Faculty of Sexual and Reproductive Health, the Royal College of General Practitioners, and the Royal College of Obstetricians and Gynaecologists. This alert highlighted concerns about an increasing number of women being prescribed high doses of oestrogen that exceed licensed product limits.

Oestrogen should not be routinely prescribed at doses higher than those established and tested in clinical research. The upper recommended limits are:

• Estradiol 0.06% gel:Maximum of 4 pumps
• Estradiol patch:Maximum of 100 mcg
• Oral Estradiol tablets:Maximum of 2 mg

We are aware that some private providers may prescribe oestrogen above these recommended limits. However, our practice policy is that we cannot prescribe any medication that would contribute, even in part, to an overall treatment dose exceeding these limits, as this would constitute prescribing beyond established safety guidelines. This decision was made with careful consideration, as prolonged use of excessive oestrogen doses may pose significant health risks.

Therefore, if you are receiving oestrogen above the recommended limits, we request that you obtain your full medication supply privately. Alternatively, you may choose to reduce your prescribed oestrogen dose. If you feel unable to lower your dose and are unable to fund private treatment, please speak with us about the possibility of referral to an NHS complex menopause clinic for further management.

If you believe you may be taking a dose higher than the recommended limits or a combination of different oestrogen products (excluding vaginal oestrogen cream 0.1% or pessary 10 mcg), we strongly advise booking an appointment with our clinical pharmacist. This will allow us to review any potential risks and ensure your HRT regimen is safe.

Excessive oestrogen intake may increase the risk of uterine (womb) cancer, as well as potentially raising the risk of breast or ovarian cancer.

For further details, please refer to the British Menopause Society news update. The full technical statement can be accessed via the following link:

https://thebms.org.uk/2023/04/joint-bms-fsrh-rcgp-rcog-sfe-and-rcn-womens-health-forum-safety-alert/

Updated:15.04.25

At Orchard Medical Practice, we have a practice Facebook page which provides a range of useful information for our patient population.

This practice has a duty to maintain patient confidentiality and to safeguard vulnerable patients. You can help us to achieve this by adhering to the code of conduct outlined in this guidance.

Patients are expected to always adhere to the following code of conduct:

1. The organisation requires all users of portable devices to use them in a courteous and considerate manner, respecting their fellow patients. Portable devices are not to be used during consultations, except when agreed with your clinician.
2. Patients are not permitted to disclose any patient-identifiable information about other patients unless they have the express consent of that patient.
3. Whilst not encouraged, patients may record their consultation but this should be agreed with your clinician. This recording will solely be for your own purpose.
4. Patients must not post any material that is inaccurate, fraudulent, harassing, embarrassing, obscene, defamatory or unlawful. Any such posts on any of the practice’s social media pages will be deleted and the post reported.
5. Patients are not permitted to take photographs in any area where other patients are present, nor is it permitted to take photographs of staff.
6. Patients must not post comments on social media that identify any staff.
7. Patients can leave an official review about the practice on NHS Reviews Ratings and reviews – Orchard Medical Practice – NHS as this will enable the practice manager to respond appropriately. Reviews left on unofficial sites will not be responded to.
8. Defamatory comments about our team are not to be shared on any social media platform. Legal advice may be sought and the appropriate action taken against any patient who posts defamatory comments.

Click here to view our Patient Registration and Health check policy

From 1 April 2015, practices are required under the contract to allocate a named, accountable GP to all patients (including children).

Unless you have specified an alternative GP your named accountable GP will be the doctor you are registered under. This will in no way effect your care from the Practice and you will be seen by all GPs who have equal access to your medical records.  Unless you pre-book your appointment in advance you will be allocated a GP subject to availability on that day.

Your GP Practice is committed to operating in a way that complies fully with the provisions of the General Data Protection Regulation (GDPR) and the Data Protection Act 2018. We recognise that the personal data legitimately required in order to carry out our business must be collected, processed, stored and disposed of fairly, lawfully and with due regard to confidentiality. We fully respect your privacy.

If you have any questions about your data or how we deal with it please contact the practice and get in touch with us by clicking on the Contact Us links available on this website.

At Orchard Medical Practice we aim to treat all our patients promptly, courteously and in complete confidence. We aim to deliver a “Best Practice” standard of care by providing suitable patient consultations to establish an appropriate diagnosis, treatment and care plans – a service which is further enhanced by patient participation, continuous improvement and staff involvement. We offer a family friendly service.  In order to achieve this, the following objectives have been set:

• To provide a full range of access options to ensure patients get appropriate, timely, high quality care as detailed by the GMS contract.
• To provide a service that incorporates patients’ suggestions.
• To respect the individuality of patients.
• To respond positively to feedback from patients.
• To continuously seek ways in which services can be improved.
• To protect patients and staff from hazards and abuse.
• To build and retain a stable, committed and highly trained workforce.

Orchard Medical Practice is a well established, respected surgery, situated in newly refurbished and modern premises within Mansfield Community Hospital, Stockwell Gate, Mansfield. We are a forward thinking and enthusiastic practice and are constantly looking at ways to improve and offer new services.

Our PMS (Primary Medical Services) practice serves just over 19,000 patients, making it the largest practice in the Mansfield & Ashfield area.

We are a 9 Partner Practice, 4 of the Partners are female. We are also a training practice taking on Registrars on a quarterly rotatation basis. Registrars are fully qualified Doctor’s under the supervision of our GP Trainers, Dr James Mills & Dr Kathryn West are responsible for all our Registrars

The Practice also employs a Management Team,Nurse Practitioner, seven Practice Nurses, two Health Care Assistants, two Phlebotomist’s, a team of Receptionists, Secretaries and Admin staff and is supported by Care Trust staff, including a Midwife, Health Visitors, a Pharmacist, District Nurses and counsellors.

The Practice offers a wide range of Enhanced Services including minor surgery and sexual and reproductive health, minor injuries, extended hours on a Tuesday evening and a Saturday morning.

To improve care your GP information will be made securely available to other authorised health professionals involved in your care.  This is called implied consent , this means that when you see another health professional such as a hospital doctor or a community nurse they will ask your permission the view your GP record, if you say ‘Yes’ your GP record will be available for them to view. If you say ‘No’ they will not be able to view your GP record, this is in line with our local CCG sharing policy.

For more information about sharing your GP record please click on the link to view the patient leaflet.

Click here for information on Sharing your GP record

If you would like to give explicit consent share your GP record then please download the consent form and drop it in the practice and your record will be amended.

Click here to view the Consent form to Share GP record