PLEASE DO NOT TELEPHONE THE PRACTICE UNLESS YOU ARE IN URGENT NEED – our telephone system is not coping with the high volume of calls being received and the GPs need to be able to contact patients by telephone.
PLEASE DO NOT COME INTO THE PRACTICE FOR ANY OTHER REASON THAN HAVING A CONFIRMED APPOINTMENT. THERE ARE BOXES IN THE LOBBY AREA FOR DROPPING OFF OF PRESCRIPTIONS, REGISTRATIONS, LETTERS, ETC. DO NOT COME INTO THE PRACTICE TO GIVE THEM TO A RECEPTIONIST.
PATIENTS CONSIDERED AT HIGH RISK – Patients who are considered at very high risk will receive a letter by 29th March, please DO NOT contact the surgery to see if you qualify. These letters, although appearing to come from us are being sent centrally and at this stage we are unable to provide any further information than is otherwise available on the NHS website.
Covid and Fit notes
We have received a number of queries regarding requests for Fit notes. There is guidance available for employers and employees here:
- COVID-19: guidance for employees
- Online isolation notes launched – providing proof of coronavirus absence from work
1. Patients in the ‘very high risk’ group who have received a shielding letter should use that letter as evidence for employers. Patients who are not on this list but feel that they should be added can contact their specialist. At the time of writing it remains the case that general practice has been asked not to add patients to this group nor to send out any additional ‘shielding’ letters. Further guidance on this is awaited.
2. People who are in isolation either because they or someone in their household is symptomatic should download an ‘isolation note’ from the 111 website.
3. For those in the ‘vulnerable’ (‘flu jab eligible’ or over 70y) group, employers and employees should discuss their working arrangements and employers should take every possible step to facilitate working from home… or ensure that employees are able to follow PHE guidelines (on social distancing etc) when at work. Employers are specifically asked not to trouble GPs for fit notes or other evidence. In essence it is a matter between the employer and the employee.
GUIDANCE FROM NHS ENGLAND HAS BEEN UPDATED. PLEASE DO NOT COME TO THE PRACTICE IF YOU HAVE ANY SYMPTOMS OF A COUGH, COLD OR TEMPERATURE. You should stay at home, self isolate for 14 days and if you feel unwell with the symptoms contact NHS111. If you have symptoms but do not feel unwell, please do not contact the Practice, stay at home and self isolate. The Practice is prioritising patients with urgent medical needs. If you do need to speak with a Doctor, telephone the Practice and a GP or our Paramedic Practitioner will call you back. If they feel you do need to be seen, they will arrange an appointment for you. Our phone lines are extremely busy so please bare with us.
NHS 111 has an online coronavirus service that can tell you if you need medical help and advise you what to do.
Use this service if:
- you think you might have coronavirus;
- in the last 14 days you’ve been to a country or area with a high risk of coronavirus;
- you’ve been in close contact with someone with coronavirus.
Do not go to a GP surgery, pharmacy or hospital. Call 111 if you need to speak to someone.
Like the common cold, coronavirus infection usually occurs through close contact with a person with novel coronavirus via cough and sneezes or hand contact. A person can also catch the virus by touching contaminated surfaces if they do not wash their hands.
Testing of suspected coronavirus cases is carried out in line with strict guidelines. This means that suspected cases are kept in isolation, away from public areas of GP surgeries, pharmacies and hospitals and returned home also in isolation. Any equipment that come into contact with suspected cases are thoroughly cleaned as appropriate. Specific guidance has also been shared with NHS staff to help safeguard them and others. Patients can be reassured that their safety is a top priority, and are encouraged to attend all appointments as usual.
Everyone is being reminded to follow Public Health England advice to:
- Always carry tissues with you and use them to catch your cough or sneeze. Then bin the tissue, and wash your hands, or use a sanitiser gel.
- Wash your hands often with soap and water, especially after using public transport. Use a sanitiser gel if soap and water are not available.
- Avoid touching your eyes, nose and mouth with unwashed hands.
- Avoid close contact with people who are unwell.
To keep all of our patients and staff safe, we have suspended all on-line booking of appointments in line with NHSE guidelines.
We appreciate that this may be inconvenient for some of our patients, however our priority has to be the safety of all patients and staff and this will enable us to better manage the appointment demand.
We are introducing more telephone consultations and you may be called by a GP who will make a clinical decision as to whether you need to be seen at the Practice.
If you are experiencing any cough, cold, fever or flu symptoms or have been in contact with anyone who has, DO NOT COME INTO THE PRACTICE. You should self-isolate and stay at home.
The Practice thanks you for your consideration during this time. We will keep our website updated.
Get an isolation note
Use this service if you have to stay at home because of coronavirus and you need a note for your employer.
If you have to stay at home but feel well enough to work, ask your employer if you can work from home. If you can work from home, you will not need an isolation note.
You can also use this service for someone else.
Click here to follow the link: https://111.nhs.uk/isolation-note/
ASTHMA RESCUE PACKS
We appreciate that this is a worrying time for all those with a respiratory/chest condition. We have had a number of queries from patients who have asthma to see if they can have a standby pack of antibiotics or steroids in case they get symptoms. We have no current evidence that antibiotics or steroids make any difference to coronavirus. However, there are clearly all the normal seasonal viruses and bacteria going around. Currently, it is our practice policy to not give you a stand by emergency pack. If you get symptoms of wheeze and tight chest, and you are not managing with your usual asthma emergency treatment, ie stepping up on your inhalers, then please call the practice/111 for advice. As the situation progresses, we may change this policy, but this is the current standpoint in our practice.
There are some exceptions, and this is usually more relevant to those with COPD, another lung condition; some of those patients will have been using emergency packs for years and know clearly when to use them and when it is not safe to do so, we will still issue these packs. However even in this group, if you are unwell and not managing with your usual treatment, you must phone the surgery or 111 for advice.
GUIDANCE on SELF-ISOLATION and SOCIAL DISTANCING for COVID 19
This has been written to help you understand the difference between self isolation and social distancing and who is being advised to do which. We strongly suggest that you read this and work out which applies to you as an individual. It would be really sensible to discuss this with everyone who lives in the same house as you, your line manager at work and those who you would normally wish to socialise with. If need be, print this off & show it to them. Your Doctors are busy trying to save lives, so please DO NOT contact them asking for letters which justify your need to Self-Isolate or Social Distance. The flow chart below shows what you should be doing and what paperwork is available:
What is SELF ISOLATION and what should I do or not do? You MUST stay at home and NOT leave the house. If possible, you should not go out even to buy food or other essentials. If you need to leave the house to do some exercise, it must be at a safe distance from others (more than 2 metres away).
More info here:
What is SHIELDING and what should I do or not do? You are strongly advised to stay at home at all times and avoid any face-to-face contact, with anyone, for a period of at least 12 weeks. This period of time may change.
More info here:
Hospitals and GP surgeries have been given this additional information:
What is SOCIAL DISTANCING and what should I do or not do? Please note that this applies to EVERYONE who is not in self isolation or shielding.
1. Avoid contact with someone who is displaying symptoms of coronavirus (COVID-19). These symptoms include high temperature and/or new and continuous cough.
2. Avoid non-essential use of public transport when possible.
3. Work from home, where possible. Your employer should support you to do this.
4. Avoid large and small gatherings in public spaces, noting that pubs, restaurants, leisure centres and similar venues are currently shut as infections spread easily in closed spaces where people gather together.
5. Avoid gatherings with friends and family. Keep in touch using remote technology such as phone, internet, and social media.
6. Use telephone or online services to contact your GP or other essential services.
More info here:
Additional Information from the World Health Organisation: