Grasmere Surgery

Grasmere Surgery Doctors Practice
Leigh Health Centre
The Avenue
Leigh
Lancashire
WN7 1HR

Open Mon - Fri 8am - 6.30pm The practice fully supports the NHS Zero Tolerance Policy.

The aim of this policy is to tackle the increasing problem of violence against staff working in the NHS and ensures that doctors and their staff have a right to care for others without fear of being attacked or abused. This could be physical, verbal or online abuse. GPs and staff have a right to care for others without fear of being attacked, abused or treated badly in any way. To successfully provide our services, a mutual respect between staff and patients has to be in place. All our staff aim to be polite, helpful, and sensitive to all patients’ individual needs and circumstances. We would respectfully remind patients that very often staff could be confronted with a multitude of varying and sometimes difficult tasks and situations, all at the same time. However, aggressive behaviour, be it physical, verbal or online, will not be tolerated and may result in you being removed from the practice list and, in extreme cases, the Police being contacted. In order for the practice to maintain good relations with our patients we would like to ask all our patients to read and take note of the occasional types of behaviour we see that are unacceptable:

O. Using bad language, shouting or raising of voices at practice staff. O. Any physical violence towards any member of our team or other patients. Verbal abuse towards staff or patients in any form including shouting. Racist, xenophobic, sexist, homophobic or other intolerant Language, discrimination or sexual harassment will never be tolerated. Persistent or unrealistic demands that cause stress to staff will not be accepted. Requests will be met wherever possible and explanations given when they cannot be met. Being perceived to bully or manipulate a staff member to obtain something. Causing damage to, stealing or not returning practice equipment from the practice’s premises, staff or patients. Obtaining drugs and/or medical services fraudulently. We understand that ill patients do not always act in a reasonable manner and will take this into consideration when trying to deal with a misunderstanding or complaint. We ask you to treat your doctors and their staff courteously and act reasonably. All incidents will be followed up and you will be sent a formal warning after the first incident or removed from the practice list after a second incident if your behaviour has been unreasonable. However, aggressive behaviour, be it violent or verbal/abusive, will not be tolerated and may result in you being removed from the Practice list and, in extreme cases, the Police will be contacted if an incident is taking place and the patient is posing a threat to staff or other patients, in which case this would result in immediate removal from the practice list. Removal from the Practice List
A good patient-doctor relationship, based on mutual respect and trust, is the cornerstone of good patient care. The removal of patients from our list is an exceptional and rare event and is a last resort in an impaired patient-practice relationship. When trust has irretrievably broken down, it is in the patient’s interest, just as much as that of The Surgery, that they should find a new practice. An exception to this is on immediate removal on the grounds of violence e.g. when the Police are involved. Removing other members of the household
In rare cases, however, because of the possible need to visit patients at home it may be necessary to terminate responsibility for other members of the family or the entire household. The prospect of visiting patients where a relative who is no longer a patient of the practice by virtue of their unacceptable behaviour resides, or being regularly confronted by the removed patient, may make it too difficult for the practice to continue to look after the whole family. This is particularly likely where the patient has been removed because of violence or threatening behaviour and keeping the other family members could put doctors or their staff at risk.

10/10/2025
04/10/2025
If you’re eligible in October ring ahead and book your appt.
17/09/2025

If you’re eligible in October ring ahead and book your appt.

01/09/2025

What happens if you Do Not Attend (DNA) an appointment

We understand that circumstances change, and sometimes appointments are no longer needed. However, forgetting to cancel wastes valuable GP and nurse time and prevents other patients from being seen.

How to Cancel
• Please cancel your appointment as soon as possible, ideally giving at least 24 hours’ notice.
• Appointments can be cancelled via:
 The NHS App
 Grasmere Surgery website
 Replying to the text reminder you receive

Late Cancellations
• Cancellations made less than 24 hours before the appointment will be recorded as a Did Not Attend (DNA), unless Good Cause can be shown.

Missed Appointments (DNA)
A DNA occurs when a patient does not attend and has not contacted the surgery in advance to cancel or rearrange. The impact includes:
• Increased waiting times for routine appointments.
• Reduced availability for patients in genuine need.
• Frustration for staff and other patients.
• Wasted NHS resources (each missed GP appointment costs approximately £30).

Practice Policy on DNAs
Due to the high number of wasted appointments:
• If you miss 2 consecutive appointments within 6 months, you will receive a warning letter.
• If you miss a further appointment after this, you may be removed from the practice list.

Reminder
On average, around 230 appointments are missed each month. By cancelling promptly, you free up vital time for another patient who may urgently need care.

14/08/2025

Please note that we will be closed Bank Holiday Monday 25th August 2025. Please ring 111 if you have any medical issues, or 999 if a medical emergency.

14/08/2025

𝐈𝐦𝐩𝐨𝐫𝐭𝐚𝐧𝐭 𝐍𝐇𝐒 𝐀𝐝𝐝𝐫𝐞𝐬𝐬 𝐂𝐨𝐧𝐟𝐢𝐫𝐦𝐚𝐭𝐢𝐨𝐧 𝐌𝐞𝐬𝐬𝐚𝐠𝐞𝐬

You may receive a letter, email, or text message from NHS England, supported by PCSE, asking you to confirm your home address. This is part of routine NHS work to keep patient records up to date.

👍🏽 Emails come from: NHS Confirm your address

👍🏽 Text messages come from: NHSdetails (no links included – for security)

👍🏽 Letters will be clearly marked as from the NHS

💻 Some patients who receive the email will be able to update their details directly via the NHS at: https://change-your-address.account.nhs.uk (This is a new service currently being tested.)

ℹ️ If you’re ever unsure about a message, you can contact our surgery to check.
We also have examples of genuine NHS messages to help you recognise them.

❌ NHS text messages will never include clickable links ❌

If you already know you're no longer in your GP surgery's catchment area, you should register with a new GP surgery. This takes about 15 minutes and will automatically update your address on your NHS record.

Address

Leigh Health Centre
Wigan
WN71HR

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