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Practice Information for all Patients

A message to all our patients:

We wanted to update our website to tell you about some of the changes that have been put in place since the coronavirus (COVID-19) outbreak. We also want to share some advice and resources that you may find helpful. As we are sure you appreciate, this is a rapidly changing situation and whilst we endeavour to keep this site under review, we cannot guarantee that any web links will always be up to date. If new government announcements are made, please follow that advice as it emerges.

Thank you for your patience and cooperation during these unprecedented times.

The Hucknall Road Medical Centre Team.

Is the surgery open?

Yes! We are open and we have been working really hard to make sure that we have everything in place to be able to continue to give you high quality medical care both now and if the situation with COVID-19 escalates over the coming weeks.

 But! We are not operating in the usual way, so PLEASE DO NOT WALK INTO THE SURGERY TO ASK FOR APPOINTMENTS AS WE ARE ONLY MAKING APPOINTMENTS OVER THE PHONE. Please see the information below that outlines the reasons why we have changed our systems and how they operate.

We would like to reassure you that in the currently unlikely event that the surgery would need to close at any point in the future (for example due to staff shortages), we work closely with a number of neighbouring practices and together we will continue to provide medical care for you and your families.

How should I access healthcare?

If you have a new continuous cough and/or high temperature (37.8 degrees or above) then you advised to self-isolate at home. YOU SHOULD NOT GO TO A GP, PHARMACY OR HOSPITAL.  You should only call 999 if you are seriously unwell and feel it is a medical emergency.

The following NHS website is regularly updated with the latest advice:

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

It also provides information about self-isolation, including practical advice and recommendations about how long this should last.

If you need to seek medical advice initially then please use 111 online:

https://111.nhs.uk/covid-19

If you have any other medical related problem that requires advice please consider approaching this in the usual way whilst remembering social distancing measures:

Seek advice online from 111 https://111.nhs.uk

Phone 111

Phone pharmacy if appropriate

Phone GP surgery if required

Please use all services responsibly and appropriately

Can I get a test for COVID-19 (coronavirus) at the surgery?

No. Testing is not currently available in the community other than in very specific circumstances (and this service is not run by GP surgeries).

How do I contact the surgery and how will the surgery contact me?

The surgery has temporarily suspended all pre-booked appointments and online bookings. We have moved to a fully telephoned triaged system. This means that if you wish to make an appointment you will need to telephone a member of staff first. Please do not come into the surgery to make an appointment..

If the surgery needs to contact you, it is likely that we will use our text messaging service more frequently over the coming weeks, as this is an instant way to keep in touch with you. If we telephone you from the surgery it may appear as an unknown number on your phone, so please ensure that if you are expecting a call back you answer.

Why has the surgery changed the appointment system and access?

You will have heard of the need for everyone to be socially distancing themselves from others and this advice is especially important in doctors’ surgeries. With COVID-19 now circulating in the community, patients coming to the surgery have the potential to spread the virus to staff who can then go on to infect others, some of whom will be very vulnerable to infections. In addition, we could very quickly see large numbers of staff self-isolating leading to real gaps in service provision. We hope you can, therefore, understand why we don’t want you coming to the surgery unless it is absolutely necessary, however if you do need to visit us we will make it as safe as possible for you to do so.

We will try to deal with as many queries as possible over the phone or in some cases, via video consultation. You will be advised of the process for this if required. Some routine work, such as chronic disease reviews, may need to be postponed, but some of our usual work will continue. We are looking to do this without you needing to come into the surgery wherever practical. A good example of this would be ordering repeat prescriptions, please see below for more details.

Of course, some patients may have to come to the surgery during the next few weeks, either for routine care which cannot be postponed, for example childhood immunisations and others will need to be seen with more urgent illnesses. We have processes already in place to ensure that our staff knows who does need to be seen and what work can be deferred. These decisions have been made by doctors, nurses and other members of our clinical team, so please do not hold the reception staff accountable for this.

What will happen if I do need to come to the surgery and why?

If you do need to come to the surgery we have systems in place to prioritise your safety and the safety of our staff. Firstly, we aim to keep anyone who has any possible symptoms or signs of any general infection away from others and therefore we have a special appointment system in place for these patients. They should not be sitting in the general waiting areas.

We also want to ensure that we enable other patients to follow social distancing guidelines even within the surgery. For that reason we ask that you aim to keep 2 metres distance from others in the waiting room wherever practical. This is particularly important for those in the ‘at risk’ groups and they will be given additional advice accordingly. We have a special appointment system to protect these potentially vulnerable patients as much as possible.

As you might imagine, these processes are evolving all the time, so please listen carefully to the instructions you are given by a member of staff if you are given an appointment.

Our staff may need to wear protective equipment during the consultation, such as gloves, a gown and a facemask. Please do not be alarmed by this. If bringing a child it may be helpful to warn them of this in advance.

Please do not approach reception unless absolutely necessary. On arrival please use wash your hands or use the hand gel available.

Repeat Medication requests

How to order:

If you already order your prescriptions online then please continue to do so in the usual way. If you do not already use electronic prescribing it is quick and easy to set up via the following link https://www.nhs.uk/using-the-nhs/nhs-services/the-nhs-app/ If you are unsure how to do this then please ask a relative to do this for you. This is the safest and most efficient way to get your prescriptions to you.

If this is not possible then please contact the surgery, after 10am, for further advice.

Please allow 3 working days for us to process your prescription requests at this time.

What to order:

Please be aware that the current medical advice for those people with any long-term conditions is to continue taking your usual prescribed medication unless advised to stop by a health professional. In line with government guidelines, we respectfully ask that you DO NOT REQUEST EXTRA QUANTITIES OF YOUR MEDICATION at this time. We will continue to process prescriptions promptly.

Request for medical certificates

There have been some recent changes to the medical certificate and benefits systems to ease pressures for both users and service providers during these busy times. Please see link to latest government advice regarding current guidance for all claimants during COVID-19 outbreak:

https://www.gov.uk/government/news/coronavirus-support-for-employees-benefit-claimants-and-businesses

Remember that you can always self-certify for up to 7 days for any reason. 

During the COVID-19 outbreak, 111 are providing an easy online service to obtain certificates for if you are isolating relating to either personal illness from coronavirus or following advice to protect others. The online certificates can be issued for longer than 7 days. Please note that we have been advised that self-isolation is regarded as illness for employment purposes. This service has been created to avoid unnecessary administrative work for surgeries during this extremely busy period and therefore this will be the only way to obtain certification for isolation at the present time.

 https://111.nhs.uk/isolation-note/

If you need a medical certificate for any other reason (beyond 7 days duration) then you will need to telephone the surgery, after 10am, to request it. It is likely that you will be emailed the certificate, so please have your email address to hand.

Request for non-NHS work for example insurance reports

We will be very unlikely to be able to process these types of requests at this time due to volume of workload and prioritising patient care. This is the position we have been advised to take by local bodies. Please consider whether this request can be postponed if at all possible.

Working together to provide high quality medical care

We want you to know that we are here for you. We know that if we all work together as a team of patients and staff then we will be able to continue to look after you to the best of our ability.


Coronavirus At Risk Groups Guidance

The government and media talk a lot about patients in ‘at risk’ groups. For those people whom this applies to, it can be an even more worrying time. This collection of resources provides some useful information for many patients who find themselves in one of these groups.

At Risk Groups Covid-19:

Who is in an ‘at risk’ group?

https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults

Heart disease and Stroke:

People with Heart/circulatory disease

https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health

People affected by Stroke

https://www.stroke.org.uk/news/coronavirus-information-people-affected-stroke

Lung disease:

Underlying lung disease including COPD (British Lung Foundation)

https://www.blf.org.uk/support-for-you/coronavirus

People with Asthma

https://www.asthma.org.uk/advice/triggers/coronavirus-covid-19/

Diabetes:

People with Diabetes

https://www.google.co.uk/amp/s/www.diabetes.org.uk/about_us/news/coronavirus%3famp.

Sick day rules T1 diabetes

https://trend-uk.org/wp-content/uploads/2019/01/A5_T1Illness_TREND_FINAL.pdf

Sick day rules T2 diabetes

https://trend-uk.org/wp-content/uploads/2018/12/A5_T2Illness_TREND.pdf

Children/young people T1 diabetes

https://jdrf.org.uk/coronavirus-covid-19-information-for-people-living-with-type-1-diabetes/

Cancer:

People with cancer 

https://breastcancernow.org/about-us/media/statements/advice-coronavirus-people-cancer

Pregnancy:

Pregnant women

https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/covid-19-virus-infection-and-pregnancy/

Over 70s: 

Older people

https://www.ageuk.org.uk/information-advice/health-wellbeing/conditions-illnesses/coronavirus/#

Autoimmune Diseases/Supressed immunity:

People with Rheumatoid Arthritis

https://www.nras.org.uk/news/coronavirus-what-we-know-so-far

People with inflammatory bowel disease

https://www.crohnsandcolitis.org.uk/news/updated-wuhan-novel-coronavirus-advice

People with rheumatological disease (NOT osteoarthritis)

https://www.rheumatology.org.uk/News-Policy/Details/Covid19-Coronavirus-update-members

People with coeliac disease

https://www.coeliac.org.uk/information-and-support/coeliac-disease-and-coronavirus-covid-19/

Neurological Illnesses:

People with Parkinson’s disease 

https://www.parkinsons.org.uk/news/understanding-coronavirus-and-parkinsons

People with Multiple Sclerosis

https://www.mssociety.org.uk/about-ms/treatments-and-therapies/disease-modifying-therapies/covid-19-coronavirus-and-ms

People with epilepsy

https://www.epilepsysociety.org.uk/news/epilepsy-and-coronavirus-09-03-2020#.XnD_g8CnyEc

Kidney and Liver disease:

People with liver disease and liver transplant

https://britishlivertrust.org.uk/coronavirus-covid-19-health-advice-for-people-with-liver-disease-and-liver-transplant-patients/

People with kidney disease including dialysis

https://www.kidneycareuk.org/news-and-campaigns/coronavirus-advice 

Other patient groups:

Pituitary/ adrenal insufficiency (including steroid sick day rules)

https://www.endocrinology.org/news/item/14050/Coronavirus-advice-statement-for-patients-with-adrenal%2fpituitary-insufficiency

People living with HIV

https://www.tht.org.uk/news/coronavirus-covid-19


Coronavirus resources

Please find below some resources about social distancing, self-isolation and mental health and wellbeing.

Hand washing

Hopefully we all know how important this is in slowing the spread and protecting yourself and others. Here is a little reminder:

https://www.nhs.uk/live-well/healthy-body/best-way-to-wash-your-hands/

Advice for social distancing and self-isolation

Self-isolating:

https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance/stay-at-home-guidance-for-households-with-possible-coronavirus-covid-19-infection

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/869144/Self-isolation_poster_for_patients.pdf

Social distancing :

https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults

Caring for your pet

https://www.rspca.org.uk/whatwedo/latest/blogs/details/-/articleName/how-to-care-for-your-pets-if-you-re-ill-or-have-to-self-isolate-due-to-coronavirus

Tips for keeping well in those socially distancing or feeling isolated:

https://www.rcot.co.uk/staying-well-when-social-distancing

Mental Health Advice

Young people with anxiety

https://youngminds.org.uk/blog/what-to-do-if-you-re-anxious-about-coronavirus/

Adults with anxiety

https://www.mind.org.uk/information-support/coronavirus-and-your-wellbeing/

Depression

https://www.mentalhealth.org.uk/publications/looking-after-your-mental-health-during-coronavirus-outbreak

Useful BBC article about protecting your mental health (16.3.20)

https://www.bbc.co.uk/news/health-51873799


Group Consultations

We are very excited to share that we have started to offer a new and exciting way of delivering your diabetes review in the form of a group consultation.

Research shows that one to one sessions are not as productive for patients or clinicians but a group appointment consisting of a clinician delivering a session to a group of patients is more enjoyable and knowledgeable for patients and can reduce hospital admissions and A&E attendance.

If you are diagnosed with diabetes and are due your review, you will automatically be invited to the group session. You will be asked to attend a 20 minutes appointment with the healthcare assistant and then booked in for the group session 1 week later. The purpose of seeing the healthcare assistant is so the nurse can tailor the session based on your results.

We have already carried out a couple of sessions which both went well and patients appeared to really benefit from the session. We received the following feedback from patients:

“'I feel motivated to change my lifestyle. Hearing from people whose diabetes is in remission has helped”

“The group was really well. Learn a lot more”

“It is very informative and valuable. The staff are very good and clarify our doubts”

Our aim is that this will become the norm way to conduct reviews so we encourage patients to try it if they receive an invitation. Our Practice Nurse, Margot is happy to speak to patients who would like more information.  


Social Prescriber

 

Our Primary Care Network (Bestwood & Sherwood) now has its own practice-based named social prescriber, her name is Michaela. Speak to reception if you would like to be referred into this service.

You can find more information on our


Appointment Availability

Due to the impending half term and unexpected sickness we apologise that we have a shortage of pre-bookable appointments.

We will continue to address all urgent medical needs on the day.

There are GP appointments available at GP+ in the evening and at the weekends which reception can book you directly into.

Over the next few weeks we will have a new nurse practitioner, paramedic practitioner and GP joining the team.

We thank you for your patience during this time.  


ADVANCE NOTICE: Reduction in appointment availability with Dr Crowe

From 1 July, Dr Crowe will be starting a new role as Clinical Director of Bestwood & Sherwood Primary Care Network.

In order to accommodate the new role, Dr Crowe will no longer be available at the practice on Wednesdays.

Other GPs will be available on Wednesdays. The total number appointments offered by the practice will remain the same.

If Dr Crowe is your usual GP, this change could mean that it is more difficult to get an appointment with him, and some of his regular patients will need to change to another GP at the practice.

Please be assured that provision of care will not be affected.


NHS App

If you’re a patient at our practice you can now use the new NHS App, a simple and secure way to access a range of NHS services on your smartphone or tablet.

You can use the NHS App to check your symptoms and get instant advice, book appointments, order repeat prescriptions, view your GP medical record and more.

If you already use SystmOnline you can continue to use it. You can use the NHS App as well.

For more information go to www.nhs.uk/nhsapp or visit the NHS App page on our website, under 'Online Services'


Park Run

Hucknall Road Medical Centre has become a Park run uk practice. Our local park run is Bestwood Country Park, they meet every Saturday at 9am Bestwood Country Park NG6 8UE. Please find a description of the event from the organisers below:

“Bestwood Village parkrun is a FREE weekly 5km event for runners of all standards, which takes place every Saturday at 9:00am in Bestwood Country Park, Park Rd, Bestwood village, Nottingham, Nottinghamshire, NG6 8UE. It is not a race against other runners, but a 5k timed run and it can really be whatever you want it to be, whether that's for fun or as part of a training plan.” (from park run website)

We plan to attend once a month. If you would like to join us, please contact reception who will put you on a waiting list to be contacted when we have set a date. Alternatively you can join an event now. You MUST register before you go https://www.parkrun.org.uk/register/form/

Visit http://www.parkrun.org.uk/ to find the location of all the Park Runs in the area and find out more about joining.


Cancer Awareness Session

Dr Bradbury, one of our GP Partners hosted a one-off cancer awareness session on 4th September for a select group of patients.

The aim of the session was to educate patients on their personal risks of developing cancer and how to reduce them. The session was supported by Cancer Research UK.

It was a great success! The following feedback was provided by some of the attendees:

“I think this is a fantastic initiative provided by the surgery and would like to thank all involved for giving me the opportunity to attend”

“It was nice to know the doctors here care enough to hold these sessions”

“I enjoyed the session. Thanks”

“A good information session”

“Great idea to promote prevention this way”


GP+ Nottingham City – extended hours access for patients  

Offering evening and weekend appointments bookable through your GP practice, patients registered at this practice are able to access additional routine appointments during evenings and weekends through the new GP+ service.  

Appointments are available to see GPs, Practice Nurses, Clinical Pharmacists and Physiotherapists in a fully equipped accessible location on Upper Parliament Street in Nottingham City Centre.  

Opening hours are:  

16:00-20:00 Monday – Friday

9:00-13:00 Saturday & Sunday  

This is not a walk-in service, appointments are required and booked through the reception team at the surgery.  For more information visit: www.ncgpa.org.uk/gpplus


“Missing Appointments Matter” Video

Please view this video, which explains why all appointments are for a reason and missing this opportunity can result in not having access to appropriate care and support.

Click here to view the video


Happy 70th Birthday to the NHS and Hucknall Road Medical Centre

Today (5th July 2018) the country is marking the NHS's 70th Birthday.

Hucknall Road Medical Practice has existed from Day 1 - originally in a house the other side of the ring road before moving to our present building 18 years ago.

The nature of healthcare has changed dramatically since the beginning of the NHS.

Through all these changes over seven decades we have provided uninterrupted high quality care. We have grown to be the largest non-university practice in the City, and have constructive relationships with, and a positive influence on, the wider NHS

Thousands of people over the years have come through our doors, walked up to the desk, and put their trust in us to be there for them and their families - often when at their most vulnerable

I'm biased of course, but I think as an organisation we are a shining example of the good work that the Health Service is capable of.

Everyone here works very hard to maintain that tradition and each of us should feel very proud to be part if this long history.

Our practice and the team is ever evolving but the core values and traditions always remain.

Happy birthday NHS

Dr Crowe


Evening and weekend appointments now available!

Patients registered at this practice can now access additional routine appointments at our new city centre NHS service, GP+ Nottingham City.

Speak to our reception team to book.

Find out more at www.ncgpa.org.uk/gpplus


Oncall changes

We will no longer be able to inform you which doctor is oncall. This is because there has been a change in the on-call system and currently there isn’t a specific named GP who shall be calling you back as the on-call is being shared by all GPs.


Walking Group

Our walking group trial on 31st May was a great success. We now have a route planned and hope to make it a weekly walk with someone from the practice joining once month.. Thank you to the PPG members who attended.

If you are interested in coming along, I will be posting the next date here on our website, our Facebook page (https://www.facebook.com/hucknallroadmedicalcentre/) and Twitter (https://twitter.com/HucknallRdMedC ) Everyone is welcome!

Here are some pictures from the walk.

Route 

Group

Group




Online Consultation Safety – RCGP Guidance

The Royal College of GPs of just released some guidance which lists  a number of questions which patients, GPs and commissioners should consider before using or utilising online GP services.

This is becoming more prevalent in our busy, modern culture so we wanted to share this guidance to help patients make a more informed, safer decision.

Click here for the guidance



Dementia and Hucknall Road Medical Centre

Hucknall Road Medical Centre has signed up to become dementia-friendly. We will be working with Alzheimer’s Society during the coming year and our staff will be participating in General Practice specific dementia awareness sessions. We will also be carrying out an assessment of how dementia-friendly we are and take steps to improve areas that need attention.

We welcome any feedback about how we are doing from patients, families and carers.

Included here are some useful contacts and links for support or advice if you are living with dementia or caring for someone with dementia.

Alzheimer’s Society Dementia Support Service (Nottingham and Nottinghamshire): Tel: 0115 934 3800
Alzheimer’s Society website (for anyone affected by dementia): https://www.alzheimers.org.uk/ 
Dementia Connect: https://www.alzheimers.org.uk/info/20011/find_support_near_you#!/search 
National Dementia Helpline: 0300 222 11 22


Public Wi-Fi

Free public Wi-Fi is now available in the surgery. The landing page will guide you through the connection process and contains details of how to access their helpdesk.


Research

Join Dementia Research is a new service that helps people to take part in dementia research studies.

It aims to accelerate the pace of dementia research by allowing people with and without dementia to register their interest in studies, helping researchers find the right participants at the right time.

The Join Dementia Research website offers a secure and easy way for someone to register their interest, discover studies that interest them, and ultimately connect with researchers to take part in their studies.

Anyone aged 18 years or over can sign up themselves, or on behalf of someone else, either by registering online or by contacting the helplines of Alzheimer’s Research UK (0300 111 5 111) and Alzheimer’s Society (0300 222 1122).

Join Dementia Research is a collaboration between the National Institute for Health Research (NIHR), Alzheimer’s Research UK, Alzheimer’s Society, Alzheimer Scotland and UCL Partners, and has been funded by the Department of Health and NHS England.


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