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Thursday afternoon closure

The practice will be closed from 13:00 on Thursday 24th September for staff training.

Influenza Clinics

This year it is highly recommended that all patients who fall within the influenza at risk groups attend for their vaccination.

Patients at risk of flu are:

  • All patients aged 65 or over on 31st March 2021
  • Patients with Diabetes
  • Patients with Heart Disease
  • Chronic Liver Disease
  • Suffered Stroke or TIA
  • COPD or Severe Asthma
  • Immunosuppression
  • Pregnant
  • Obesity (BMI greater than 39)
  • Patients who live in residential or nursing homes
  • Are a carer or live with someone advised the shield for COVID or work in a care home
  • Children aged 2 - 3 years (born between 1/9/16 & 31/8/18)

The government has also recommended patients aged 50 - 64 may need a vaccination this year.  These vaccinations will not take place until all at risk patients have received the option of attending for their vaccination - further details will be available for this group of patients towards the end of November/December.

This year we will be running joint Saturday clinics with the other practices within the building.  To help keep you COVID safe these clinics will be for specific groups, at the moment the following 2 clinics are available for booking:

Saturday 19th September - aged 65 and over only

Saturday 26th September - aged 65 and over only

Saturday 3rd October - aged 65 and over only

Saturday 10th October - aged between 18 - 64 years at risk only

Saturday 24th October - aged 65 and over only

Further clinics will be available for booking throughout October and November.

There will be appointments available within the working week and all children's vaccines will be booked during the week.  If you are attending the practice for your health check then please ask if you can have your flu vaccination while attending the practice - we will try and accommodate you as much as possible.

When attending clinics please follow these simple instructions to ensure you, other patients and our practice team stay COVID safe:

  • Arrive at your given appointment time.
  • Wear loose clothing under your coat, preferably short sleeves (adults only)
  • You will be required to wear a face mask if over the age of 11 years - this can be a mask, scarf or visor as long as your nose and mouth are covered.
  • If you have a high temperature, new cough, loss of sense of smell or taste or have been asked to isolate please do not attend the appointment and follow the COVID or NHS 111 isolation advice you have been given.

Exemption letters for face masks

The Government guidance suggests there is no requirement for evidence for exemption. It should be sufficient for you to declare that you are eligible for an exemption direct with the shop keeper or bus driver.

Practices are not required to provide letters of support for those who fall under the list of exemptions, or to those who do not fall under the list of exemptions.

Some bus companies are already providing their own evidence of exemption for example this link takes you to the exemption information for First Bus https://www.firstgroup.com/help-and-support/coronavirus-information/face-coverings

If you are concerned check with the local bus company or shop about their exemption process. 

What makes a person exempt from wearing a face covering:

  • young children under the age of 11
  • not being able to put on, wear or remove a face covering because of a physical or mental illness or impairment, or disability
  • if putting on, wearing or removing a face covering will cause you severe distress
  • if you are travelling with or providing assistance to someone who relies on lip reading to communicate
  • to avoid harm or injury, or the risk of harm or injury, to yourself or others
  • to avoid injury, or to escape a risk of harm, and you do not have a face covering with you
  • to eat or drink, but only if you need to
  • to take medication
  • if a police officer or other official requests you remove your face covering

How we are protecting you in the practice from COVID-19

We understand you may be concerned about attending during the COVID-19 pandemic especially if you have been asked to shield but it is important you continue to attend so we can monitor your other medical conditions. To help protect our patients and employees we have put some precautions in place:

  • You can now only book your appointment over the phone and on the day you wish to attend; this is so we can control the number of patients entering the building and to ensure you have not developed any COVID symptoms.
  • Everyone entering the building for an appointment will have their temperature checked at the front door.
  • The self-check-in has been switched off and there is now a motion sensor on the reception desk so a receptionist can attend to check you in.
  • Seating in the waiting room has been spread out and reduced.
  • Clinical staff will be wearing protective equipment during appointments.
  • We have an isolation area which is on the ground floor and uses a separate entrance for any patients we need to see who have possible symptoms of a respiratory nature.
  • We will aim to complete as many of your medical checks in one appointment as we can, the initial part of your check may also be done over the telephone, reducing the time you need to spend within the practice.

COVID-19 Prevention

As a response to the current outbreak, the practice is changing the way we operate. To protect both our patients and our staff, who are critical in the management of this situation, we are moving to a Total Triage System, so that traffic in and out of the building is reduced significantly.  

Therefore we will not be offering standard face to face appointments for the foreseeable future, all appointments will be initially done via telephone. Whilst HCAs and nurses are still seeing patients, those appointments will be booked in advance and patients will be screened by reception to ensure they are fit enough to attend. If you are asked to come into the practice, before visiting the reception desk or entering a consulting room please wash your hands at the public facilities.

Appointments

GPs appointments – all appointments will now be by telephone, if the GP then feels you need an examination or tests they will arrange for you to come into practice.

Nurses and HCA appointments – As we cannot be sure of our staffing levels on a daily basis and as all patients need to be screened for COVID-19 before seeing a clinician, our nurses and HCAs appointments will be done by booking on the day.

It is important patients continue to attend for:

  • Child immunisations
  • Adult immunisations (pneumonia, shingles and whooping cough for pregnant ladies)
  • Hormone injections
  • Injections for mental health
  • Smears
  • Blood monitoring for medications
  • Contraception (Implants, Coils, New Pill – repeat pill checks can be done over the phone)
  • Medication Review (these will be done over the phone where possible)

Paracetamol – paracetamol will not be prescribed. Pharmacies are allowed to sell their back of house stock to ensure people do not go without.

Inhalers – Extra inhalers will not be prescribed, if children do have an inhaler at school please ask for this back during the school closures.

Order and Collecting Medications

Repeat medications – you can order your repeat medication by phone or online, we are not issuing medications early (more than 10 days in advance - this has been increased due to delays at the pharmacy) or providing extra as this will cause shortages of medications at pharmacies.  You may be moved to an alternative drug if shortages do start to occur.

Online ordering is best; if you are not already registered you can register by using the free NHS App available from iTunes App Store or Google Play.

You can continue to order your medication by phone or use our dedicated e-mail address nel.b81031-prescriptions@nhs.net . If you choose to use the e-mail in order to process your request we do need clear medication names and two individual identifiers on the e-mail – name, DOB, address, patient ID or NHS number – for cyber security it is safer to use the online services if you can.

Collecting your prescription – when you order your medication, ask us to nominate a pharmacy close to you and your prescription will be sent to them electronically, this will mean you do not need to attend the building to collect your prescription. It is still 48 working hours for us to process your prescription and your pharmacy may also need added time.  If you do need to come to the practice to collect your prescription, you will now find these on the ground floor.

Collecting your medication – talk to your pharmacy of choice about whether or not they can deliver to your door.

Fit notes

GPs cannot issue fit notes for patients who are advised to self-isolate either because of symptoms or because they live with someone with symptoms. If your employer requires a fit note for self-isolation you can get a note from the NHS website https://111.nhs.uk/isolation-note/

GPs cannot issue fit notes for patients on the at risk group who have been advised to take social distancing measures. If you are in this group, you need to contact your employer and discuss any mitigating measures to ensure you reduce your social contact.

Health and wellbeing – if you have any health or wellbeing concerns during this time please call the practice and we will help you in any way we can or signpost you to a service who can.

Remember the best way to prevent infection is to wash your hands regularly for 20 seconds and catch coughs and sneezes in tissues.

Conversation, taking regular exercise and fresh air are all important for our mental health, social distancing is about staying away from large crowds especially in enclosed places.  If you are socialising keep your group small, sit at least 2 meters apart and take sensible precautions such as washing hands, do not share food from the same plate, do not shake hands or other forms of affectionate greeting.

If you have any symptoms of COVID-19 or a member of your household has symptoms it is very important you self-isolate for the recommended time.  If you need medication or general supplies during this time ask someone to drop these at your door – do not go to the pharmacy or out in pubic yourself.

Relevant Links

NHS 111 coronavirus symptom check & isolation-note - https://111.nhs.uk/covid-19

Government coronavirus response and advice - https://www.gov.uk/government/topical-events/coronavirus-covid-19-uk-government-response

North East Lincolnshire Council coronavirus advice - https://www.nelincs.gov.uk/covid-19-advice-and-guidance/

Government guidance on shielding - https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19

Help in the community

Domestic abuse support

Prescribing changes

From 1st April 2020 pharmacies will no longer be able to order your medication for you.  Patients can order their medication from the practice in the following ways:

  • Online - registration forms are available from reception (proxy access can be given to family or carers with the patients consent - see the receptionist for details)
  • NHS App - you can register to use the NHS App this is another form of online access.
  • In person - drop your request into the reception desk or through the post box found on the ground floor (this is emptied at least twice a day)
  • By post - send your request in the post along with stamped addressed envelope if you would like us to post it back to you
  • By telephone - the order line is currently open from 11am - 4pm

If none of these options are suitable please talk to the receptionists about an alternative - REMEMBER we need 48 working hours to process your request.

We will still be able to send your prescription electronically to your nominated pharmacy - this is not changing.

Coronavirus

The links below will take you to the latest information published by Public Health England and the Government.

https://www.nhs.uk/conditions/coronavirus-covid-19/

https://www.gov.uk/guidance/coronavirus-covid-19-information-for-the-public

Advice for those returning from Northern Italy

Infection Control Prevention

Following these simple steps can help prevent the spread of colds, flu and other respiratory infections:

  • Cough or sneeze into a clean tissue, not into your hands.
  • Dispose of the tissue immediately into the nearest waste bin.
  • If you so not have a tissue, cough or sneeze into your upper sleeve.
  • Always clean your hands after coughing or sneezing, using soap and warm running water, alcohol hand sanitiser or hand wipes if soap and water are not available.
  • Try to avoid close contact with people who are unwell

DO NOT touch your eyes, nose or mouth if your hands are not clean

Seasonal Flu Vaccination (2019)

Our seasonal flu vaccinations are now in stock.  We will be running Saturday clinics by appointment on:

  • 14th September 2019 from 08:30 - 12:00 for patient aged 65 and over as of 31st March 2020.

  • 12th October 2019 from 08:30 - 12:00 for patients aged 18 years and over.

Further clinic times are available by calling reception on 01472 254600 or booking on-line.

Patients at risk of flu are:

  • All patients aged 65 or over on 31st March 2020
  • Patients with Diabetes
  • Patients with Heart Disease
  • Chronic Liver Disease
  • Suffered Stroke or TIA
  • COPD or Severe Asthma
  • Immunosuppression
  • Pregnant
  • Obesity (BMI greater than 39)
  • Patients who live in residential or nursing homes
  • Are a carer or work in a care home
  • Children aged 2 - 3 years (born between 1/9/15 & 31/8/17)

If you are unsure if your are eligible for a flu vaccined please contact reception for details.

There are three different vaccines this year, children up to 18 years of age will be offered the nasal vaccine (we have not received a delivery date for these vaccines yet, so all parents will be contact with details of child vaccine clinics at a later date). A vacine for those aged 18 - 64 years (QIV) and a vaccine for those age 65 and over on 31st March 2020 (aTIV)

Prescribing of over the counter medicines is changing

From 1st August 2019 your GP will not generally give you a prescription for certain medicines that are available to buy in a pharmacy or supermarket.

Why does the NHS need to reduce prescriptions for over the counter medicines?

The NHS has been spending around £136 million a year on prescriptions for medicines that can be bought from a pharmacy or supermarket, such as paractamol.  By reducing the amount the NHS spends on over the counter medicines, we can give priority to treatments for people with more serious conditions, such as cancer, diabetes and mental health problems.

See the 'Prescriptions' heading on our website for further information.

Stoma Prescribing Review

In May and June 2019 the practice is taking part in a joint Medicine Optimisation exercise along with North Lincolnshire and Goole Hospital, North East Lincolnshire CCG and North Of England Commissioning Support (NECS) to review all patients who are prescribed Stoma products. 

The first part of the review is data collection but following this review identified patients will be called in for a prescribing review by the stoma nurses.

We would like to notify patients who have a stoma that their prescribing records will be reviewed and shared with the stoma nurses and the data collection will be completed by a Medicine Optimisation Technician from NECS.  If you have any concerns about this review please contact us on 01472 254600.

Freshney Pelham Federation Patient Participation Group Meeting

The next PPG meeting will be on Wednesday 27th March at 18:30 - the link below will allow you to view a copy of the agenda, if you would like to attend then please come along.

Agenda for PPG on 27th March 2019

Rescheduling of Gabapentin and Pregabalin as Schedule 3 Controlled Drugs 

From 1 April 2019, gabapentin and pregabalin will be reclassified as Schedule 3 controlled drugs under the Misuse of Drugs Regulations 2001, and Class C of the Misuse of Drugs Act 1971.
As controlled drugs are not allowed to be sent to your pharmacy electronically anyone on these medications will now need to come to the reception desk and sign for collection of your prescription 48 hours after ordering.

Extended Access to Primary Medical Services

*** Evening and weekend appointments now available ***

From 1st October 2018 everyone in England will benefit from access to general practice appointments in the evenings and weekends at a time that is most convenient to them. This is part of a national drive to help improve access to general practice and get the best possible outcomes for patients. Further information is available at https://www.england.nhs.uk/gp/gpfv/redesign/improving-access/.

Patients who are registered at this practice can now book an appointment to see a range of clinicians including GPs and nurses on weekday evenings (after 6.30pm) or at the weekend (on Saturday and Sunday). Appointments will take place at a range of NHS settings across North East Lincolnshire. Talk to the practice receptionist to discuss an appointment.

Seasonal Flu Vaccination (2018)

Our seasonal flu vaccinations have now arrived.  We will be running Saturday drop-in clinics on:

  • 22nd September 2018 from 08:30 - 13:00
  • 20th October 2018 from 08:30 - 12:00

These clinics are for patients age 18 years and over only.

Patients at risk of flu are:

  • All patients aged 65 or over on 31st March 2019
  • Patients with Diabetes
  • Patients with Heart Disease
  • Chronic Liver Disease
  • Suffered Stroke or TIA
  • COPD or Severe Asthma
  • Immunosuppression
  • Pregnant
  • Patients who live in residential or nursing homes
  • Are a carer or work in a care home
  • Children aged 2 - 3 years

If you are unsure if your are eligible for a flu vaccined please contact reception for details.

There are three different vaccines this year, children up to 18 years of age will be offered the nasal vaccine (we have not received delivery of these vaccines yet, so all parents will be contact with details of child vaccine clinic at a later date). A vacine for those aged 18 - 64 years (QIV) and a vaccine for those age 65 and over on 31st March 2019 (aTIV)

Practice Closed for New Registration

The practice is currently closed for the registration of new patients, this will remain so until the end of October 2018.

Practice Closed for Staff Training 

Please note that the practice will be closed for  the area wide Protected Learning session on Thursday 25th of Ocotber from 13:00 to 18:30. During that time, emergency service will be provided by the Out of Hours Team on 01472 256256.

Patient Feedback

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Have your say - join our Patient Group

Patient Participation Group Meeting

The next meeting of the group is  Wednesday 31st October 2018 at 17:30 here at Freshney Green Primary Care Centre.

All patients/ carers are welcome

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