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
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.
IF YOU HAVE COLD OR FLU-LIKE SYMPTOMS
If you have mild symptoms flu-like symptoms such as a headache, sore throat, muscle pains, cough i.e you are coping, doing most of the things you would normally do - then please self isolate for 7 days
If you feel you are not coping and are in difficulty and getting worse or your symptoms do not get better after 7 days, THEN USE THE NHS 111 ONLINE FACILITY or RING 111 if you cannot access help online.
Please do not telephone or travel to the surgery.
It is important to keep hydrated, drink 6-8 glasses a day at least. - your urine should be pale in colour.
Take paracetamol (unless you have been advised by a doctor not to do so) for any fever or pain symptoms. (The use of ibuprofen is currently under evaluation)
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:
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.
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.
People with long-term health conditions
We will suspend long-term health condition reviews for those deemed to have stable conditions. We will organise telephone reviews for people who may have unstable conditions.
If you have a long-term health condition and you notice a deterioration in your condition then contact the surgery for an initial telephone assessment.
Please see below for some useful links to disease related websites for further information.
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 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 :firstname.lastname@example.org.
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.
Urgent wound dressings and reviews
Urgent wound dressings will continue if necessary, with a view to extend intervals and promote self-management where possible.
All other nurse appointments will be subject to initial telephone assessment
Some useful websites for further COVID19 related issues
Long-term health conditions and COVID19 advice:
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.
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