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CORONA VIRUS - COVID-19 UPDATE

MAY 2020

Due to current concerns with regards to Coronavirus (Covid-19) with effect from Monday 16th March we will be operating on a telephone triage system only. All pre-bookable appointments have now been taken off the system and we are unable to offer you a face to face appointment on the day without telephone triage first.

If you have a clinical need to be seen by a doctor or nurse please telephone the surgery from 8:30am and the receptionist will put your name on a call-back list for a clinician from the practice to call you back. Due to high volume of calls expected, we might not be able to give you an accurate time for the call back.  

Attendance for the blood clinic will be screened and only those who are well and not displaying signs of respiratory illness would be seen.

Please do not come to the practice unless you have been first contacted by a doctor to attend otherwise we will not be able to see you. Please ensure, you are attending on your own where possible unless there is a need for your carer to attend.

If you need to order a prescription, please use either patient access, our webpage or post the prescription into the letter slot beside front door in Yapton Surgery and along side of the building in Middleton Surgery.  For any patient that does not at present have a nominated pharmacy, for patients living north of A259 the prescription will be sent to Yapton Pharmacy, next door to the Yapton Surgery for you to collect. For patients living south of A259, your prescription will be sent to Lloyds Pharmacy across the road from Middleton surgery. If you do not have patient access, please call our reception teams and they will be able to assist you in setting your own personal log in.

We regret that we have had to take these precautions but it is for the safety of your fellow patients and the staff.

We will notify you ASAP if any changes to this policy occur.

Thank you for your understanding at this time.

To find latest information about Governments action plan for COVID19 please see https://www.gov.uk/government/publications/coronavirus-action-plan

The government has announced that we are moving out of the contain phase and into delay, in response to the ongoing coronavirus (COVID-19) outbreak.

The UK Chief Medical Officers have now raised the risk to the UK from moderate to high.

As per the current advice, the most important thing individuals can do to protect themselves remains washing their hands more often, for at least 20 seconds, with soap and water. Make sure you cough or sneeze into a tissue, put it in a bin and wash your hands.

Travel and contact history are no longer important for diagnosis, which is on the basis of symptoms alone. If people who have travelled do not have symptoms they do not need to stay at home, regardless of their travel history.

We are asking anyone who shows certain symptoms to self-isolate for 7 days, regardless of whether they have travelled to affected areas. This means we want people to stay at home and avoid all but essential contact with others for 7 days from the point of displaying mild symptoms, to slow the spread of infection.

The symptoms are:

a high temperature (37.8 degrees and above)

a new, continuous cough

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days contact NHS 111 online at 111.nhs.uk. If you have no internet access, you should call NHS 111. For a medical emergency dial 999

If advice for you is to self-isolate, you can find more information about this on https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance/stay-at-home-guidance-for-people-with-confirmed-or-possible-coronavirus-covid-19-infection

Home Visits

Doctor's bag

Home visits by a GP or our Paramedic Practitioner are reserved strictly for those patients who are genuinely housebound.

Both community nurses and doctors will visit you at home, but GPs may ask you to come to the surgery if a home visit cannot be justified.

Requests for home visits must be made by telephone, no later than 11am. The doctor will normally call between 11.00am and 3.00 pm, after morning surgery.

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How to make the best use of your Practice (Home Visits)

If you are too ill to come to the surgery, your doctor will visit you at home. This would normally mean you are confined to bed or otherwise physically unable to come to the Practice.

If a visit is required urgently, please make this clear to the receptionist.

The decision on whether a GP visit is appropriate or not rests with the doctor. Community nurses are not employed by the Practice (they work for Sussex Community Trust) and have their own regulations regarding patients who may be genuinely housebound. This may not necessarily be in accordance with the Practice's guidelines.

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GP Visit to Care Homes (Nursing Homes and Residential Homes)

All requests from Care Homes for a GP visit must be accompanied by a completed SBAR form and submitted before 10.30AM.

Information provided on the form will help us to triage the visit. 

The visiting team comprises the Duty Doctor (this responsibility is rotated amongst all of our regular GPs) and Ronnie Redstone, our Paramedic Practitioner. They will a) prioritise each visit and b) allocate it to the most appropriate clinician. 

Any delay in sending completed SBAR forms might cause unnecessary delay in getting appropriate help for patients.

Upon the arrival of our clinician, we request that a member of staff (RGN or Senior Carer) who knows the patient well accompanies the clinician to ensure best possible outcome for our patients.

SBAR form for you to complete and send via email

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GP Visit is Not Usual

In most of these cases, to visit would not be an appropriate use of a GP's time:

  • Common symptoms of childhood: fevers, cold, cough, earache, headache, diarrhoea/vomiting and most cases of abdominal pain. These patients are usually well enough to travel by car. It is not usually harmful to take a child with a fever outside. These children may not be fit to travel by bus or to walk, but car transport is available from friends, relatives or taxi firms. It is not a doctor's job to arrange such transport.

  • Adults with common problems, such as cough, sore throat, influenza, back pain and abdominal pain, are also readily transportable by car to a doctor's premises.

  • Common problems in the elderly, such as poor mobility, joint pain and general malaise, would also best be treated by consultation at a doctor's premises. The exception to this would be the truly bed-bound patient.

After initial assessment over the telephone, a seriously ill patient may be better helped by attendance at hospital - Examples of such situations are:

  • Myocardial Infarction (Heart Attack).

  • Stroke.

  • Severe shortness of breath.

  • Severe haemorrhage.

UPDATED 29/04/2020

 
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