CORONAVIRUS (COVID-19) - LATEST UPDATE

 

Care at Moatfield Surgery

Our objective over the coming weeks and months is to look after you and your families in the best way possible, given the circumstances. We also have to protect our staff and their health and ability to provide a service for you. We have been instructed to minimize footfall into GP surgeries, aid social distancing and prepare for the next few weeks and months. Please be patient with us. The NHS has never faced such a challenge.
 
We would like to reassure you that we are working in a coordinated way across the local area, to ensure that your health needs are met. Over the next few weeks this may mean that you are asked to attend an alternative local surgery, or that a Health professional from one of our local teams is temporarily involved in your care. Our website will be kept up to date with any changes
 

Revised 15/10/2020

Contents

 

Our appointment system

We are therefore, in accordance with advice from NHS England, moving to a Telephone First appointment system for most of your care.  You will be able to book some telephone appointments in advance online as well as on the day if you require advice. We will arrange to see you if necessary or organise a video-consultation where appropriate.
We can arrange to see you provided you do not have any cold or flu-like symptoms.
 

Routine care you may have been receiving:

We have been directed by NHS England and our local clinical commissioning group to suspend a range of non-urgent activities until further notice including:
  • Travel clinics
  • Minor Surgery and steroid injections
  • NHS Health Checks
  • Routine blood tests unless for specific medication monitoring or where a clinician deems it essential for diagnostic purpose or management of patients condition are not stable.
  • There are likely to be long delays in being able to book insurance and other private medical examinations for reports. DVLA may at some point issue guidance on what to do if you are experiencing delays. Please check https://www.gov.uk/ for further information.
 
  • Medication reviews will be conducted by telephone.
  • Essential mental health reviews will be conducted by telephone or where we have the facility, by video call where appropriate.

 

COVID19 Talking to Children - Returning to School

Evidence from the UK and internationally tells us that COVID-19 is generally milder in children than in adults: most infected children present with mild symptoms or are asymptomatic, and few very rarely develop severe or life threatening disease.
 
It is also important to consider that schools play a key role in promoting children’s health, social and mental wellbeing. They also provide the setting from which children can access health surveillance, support and advice as well as individual and group therapeutic programmes
 
The RCPCH have put together a guidence for parents concerned about returning to school in the current pandemic.
 

COVID-19 - talking to children and families about returning to school: guiding principles

 

Your wellbeing and self referral

Throughout this difficult time we want you to feel supported. You may feel the pressure of holding anxiety for your family and you may equally feel it for yourself. You may be experiencing increased trauma and grief and this can create an extra burden on you.
DHC Talking Therapies is now able to offer psychological therapies which have been specifically developed to meet the challenges of the pandemic.  Therapy is available via video, phone or through online modules which are supported by a therapist.

 

Sickness certificates

To reduce the burden on GP practices a new online system, created by the NHS and the Department for Work and Pensions, is now live for patients to be emailed a digital isolation note.
 
Isolation notes provide patients with evidence for their employers that they have been advised to self-isolate due to coronavirus, either because they have symptoms or they live with someone who has symptoms, and so cannot work.
 
As isolation notes can be obtained without contacting a doctor, this will reduce the pressure on GP surgeries and prevent people needing to leave their homes.
 
The notes can be accessed through the NHS website and NHS 111 online. After answering a few questions, an isolation note will be emailed to the user. If they don’t have an email address, they can have the note sent to a trusted family member or friend, or directly to their employer.
 
The service can also be used to generate an isolation note on behalf of someone else.
 
 

Travel insurance certificates / form

If you have had to cancel or postpone a trip due to the risk of catching COVID19 or because of travel restrictions imposed by the Foreign and Commonwealth Office or flight and holiday cancellations by travel companies, we cannot complete travel insurance certificates or forms.
If you have been ill or a family member has been ill and this has directly resulted in cancellation of travel plans, then we are able to complete insurance forms.
 

High Blood Pressure monitoring

We would encourage people to obtain or use an available home blood pressure monitoring machine. We would discourage people from using our waiting room blood pressure machines so as to minimise the risk of spread of infection.
Your blood pressure control is, in general, deemed to be well controlled if:
  • your blood pressure is below 135/85 mmHg for adults aged under 80 or    
  • below 145/85 mmHg for adults aged 80 and over.
Your doctor or nurse may have set a different target depending on your specific circumstances.
If your blood pressure is raised but below 150/90 then please recheck it by taking it 3 times at rest each day over 3 days and email your blood pressure readings to :hsccg.moatfield.surgery@nhs.net.
If your blood pressure is consistently above 150/90 over at least 3 separate sets of readings, then please contact the surgery via email or telephone.
If your blood pressure is above 180/100 over 3 readings at the same time, then please contact the surgery urgently.
 

Baby immunisation clinics and postnatal and infant 6-week checks

We will continue to provide 6 week mother and baby checks baby immunisations appointments but will ask you to sit in a designated waiting room
Wherever possible, please do not to bring siblings to nursing appointments.
  • All children and parents will be screened for viral symptoms and asked to rebook for a telephone call if appropriate.
 

Urgent wound dressings and reviews

Urgent wound dressings will continue if necessary, with a view to extend intervals and promote self-management where possible.
 

Nurse appointments

All other nurse appointments will be subject to initial telephone assessment
 

Some useful websites for further COVID19 related issues

General health advice –all conditions:      https://www.nhs.uk/
COVID19 – need advice:                  https://111.nhs.uk/covid-19
What parents need to know about coronavirus: https://what0-18.nhs.uk/popular-topics/coronavirus
Isolation pack for the over 70s: Click here
 

Long-term health conditions and COVID19 advice:

Asthma:           https://www.asthma.org.uk/
COPD:            https://www.blf.org.uk/
Parkinsons Disease:         https://www.parkinson.org/blog/tips/Coronavirus
 

Visitors Guidance for Hospitals/Care Homes

The most up-to-date visitors guidance is here.  The public are being asked to limit visiting and to consider other ways of keeping in touch, like phone calls.
                 
Visitors must be immediate family members or carers.  We are asking people to limit to one person, per patient unless:
  •    the patient is receiving end-of-life care
  •    the visitor needs to be accompanied – accompanying visitors should not stay in patient, ward or communal areas, and this applies to inpatient and outpatient settings
  •    they are a partner and birthing partner accompanying a woman in labour.
 
Hospitals and other health and care settings will restrict visiting to one hour per day at designated visiting times. Slightly different rules apply to children and newborns – two visitors are allowed and this may include a child under 12.  Paediatric trusts can use their own discretion on visiting hours.
 

Patient Shielding

NHS England are centrally identifying patients are the very highest risk harm from COVID19.  This is not being done by the practice.
 
This register does not include all people eligible for the flu jab – only a very specific sub-set of people are considered to be at the highest risk of severe illness and hospitalisation.
 
MOST people will have received a shielding letter and/or text but NHS England are continuing to identify people and letters are being sent out centrally from the NHS at this stage.
 
The practice has only received the list of first wave patients who have already received a letter.
 
The next search for the second wave of patients is being run by NHS England from Good Friday onwards. We will not know who is in the group until we receive this information from NHS England.
 
AFTER this has been completed, we are directed to check this list and add or take people off this list as deemed necessary.
 
Please be patient with our staff at this busy time for the NHS as this process is being managed by NHS England and not by our team.

 

Routine or planned hospital care including operations

Every hospital in England has now been asked to suspend all non-urgent planned operations from 15 April for at least three months.
 
Urgent and emergency cases and cancer treatments will be carrying on as normal, but we know many people waiting for treatment will be disappointed or worried, and hospitals will be contacting everyone affected as soon as possible. You can book an initial telephone consultation for your health needs. A&Es are open for emergencies. Your local pharmacy is there for advice.

Published: Mar 19, 2020