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Important Changes to ordering repeat prescriptions

from 1st January 2019

From 1st January 2019 we will no longer be able to accept requests for repeat prescriptions by telephone.  Please help the Practice by registering asap and ordering your repeat prescriptions by our preferred option, online via our website www.foyers or by handing in or posting your repeat prescription slip to the surgery.  These are the only ways we will be taking any orders for medication after the 1st January 2019

If you are having problems registering with the online service, please contact the surgery and we can offer you a time and date to pop in, and one of the Practice team can talk you through the straight forward process.

Many thanks





If you wish to call regarding results - please call after 2pm.  Many thanks

Repeat Medication 

Whenever possible, please order online using the prescriptions tab on this website, or hand in or post your repeat prescription slip.

Please allow at least 2 working days from ordering to collecting your medication.


Loch Ness & Strathnairn Medical Practice is proud to be and accredited teaching Practice

We are delighted to have Medical students, Junior Doctors, and Registrars, working alongside the GP’s in the Practice.

If you do not wish to be seen by a trainee or have one present during a consultation, please inform the Reception staff.   Many thanks. 


EBOLA and other Viral Haemorrhagic Fever infections

Public Health has requested that we ask anyone who has travelled in the last 21 days from an at risk area for Ebola/Viral Haemorrhagic Fever infections to telephone first for any appointment so their risk can be assessed, if they wish to see a doctor or visit the Medical Centre. Even if you have travelled to the Medical Centre you should still return home and then telephone, if you have travelled in the last 21 days from an at risk area for Ebola/Viral Haemorrhagic Fever infections.



Duty of Candour Annual Report 2018/2019



All health and social care services in Scotland have a duty of candour. This is a legal requirement which means that when unintended or unexpected events happen that result in death or harm as defined in the Act, the people affected understand what has happened, receive an apology, and are informed by the organisation what has been learned and how improvements for the future will be made.


An important part of this duty is that we publish an annual report which describes how NHS Highland has operated the duty of candour procedures during the time between 1 April 2018 and 31 March 2019.


About NHS Highland


Foyers Medical Practice serves a population of 952 people across in a large area on the Eastern shores of Loch Ness from Dores and Inverarnie in the North to Whitebridge in the south.


Our aim is to provide high quality care for every person who uses our services.

How many incidents happened to which the duty of candour applies?


Between 1 April 2018 and 31 March 2019, there were 0 incidents where the duty of candour applied. These are unintended or unexpected incidents that result in death or harm as defined in the Act, and do not relate directly to the natural course of someone’s illness or underlying condition.


Foyers Medical Practice identifies incidents through a system of Multi-disciplin clinical meetings where Significant Event Analyses are shared and discussed collectively. Over the time period for this report we carried out and concluded 6 significant event analyses. These events include a wider range of outcomes than those defined in the duty of candour legislation as we also include adverse events that did not result in significant harm but had the potential to cause significant harm.  Significant event analyses are also undertaken where there is no harm to patients or service users, but there has been a significant impact to service or care delivery.

We identify through the significant event analysis process if there were factors that may have caused or contributed to the event, which helps to identify duty of candour incidents.


 Table 1. – Not Applicable as no Duty of Candour incidents to report.

Type of unexpected or unintended incident (not related to the natural course of someone’s illness or underlying condition)

Number of times this happened (between 1 April 2018 and 31 March 2019)

A person died


A person incurred permanent lessening of bodily, sensory, motor, physiologic or intellectual functions


A person’s treatment increased


The structure of a person’s body changed


A person’s life expectancy shortened


A person’s sensory, motor or intellectual functions was impaired for 28 days or more


A person experienced pain or psychological harm for 28 days or more


A person needed health treatment in order to prevent them dying


A person needing health treatment in order to prevent other injuries as listed above





To what extent did Foyers Medical Practice follow the duty of candour procedure?  

N/A - no incidents


Information about our policies and procedures


Every SEA event is reported through our local reporting system. Through our SEA management procedures we can identify incidents that trigger the duty of candour procedure.


Each adverse event is reviewed to understand what happened and how we might improve the care we provide in the future. The level of review depends on the severity of the event as well as the potential for learning.


Recommendations are made as part of the adverse event review, and identified members of the team take action to implement these recommendations. These are followed up until conclusion.


Staff receive training on adverse event management and incident reporting as part of their induction. Discussions took place throughout 2018 to highlight the procedures for escalating cases which had the potential to meet duty of candour. The clinical team meets every week to oversee the investigation of SAEs.


We know that adverse events can be distressing for staff as well as people who receive care. We have support available for all staff through our line management personnel, colleagues and via NHS occupational health.


What has changed as a result?


Not applicable





Other information


This is the first year of the duty of candour being in operation and it has been a year of learning and refining our existing adverse event management processes to include the organisational duty of candour requirements. We have a lead clinician for Duty of Candour and our SEA templates have been amended to reflect this requirement and trigger further appropriate action.


As required, we have submitted this report to Scottish Ministers and we have also placed it on our website.


If you would like more information about this report, please contact us using these details: Tel : 01456 486224

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