I am writing on behalf of the practice to reassure you that we are continuing to offer general medical services although not in the traditional way of face to face appointments due to the Covid 19 outbreak.
All face to face appointments have been converted to either e-consultation or telephone appointments to protect both patients and staff from contracting the virus.
The practice continues to provide and arrange routine & urgent blood tests, Smear Test, Child vaccine via HCA and Nurse face to face appointments.
We carried out a risk assessment and this was the only way we could continue to remain operational and deliver care to our patients.
Over the coming weeks and months the NHS will be put under a great deal of pressure, please work with us through this time of national challenge.
I will keep you posted of developments at the practice as they evolve .
With very best wishes
COVID-19 Vaccine Information!!!
Who should have the COVID-19 vaccines
The Joint Committee on Vaccination and Immunisation (JCVI), an independent expert group, has recommended that the NHS offers these vaccines first to those at highest risk of catching the infection and of suffering serious complications if they catch the infection.
This includes older adults, frontline health and social care workers, care home residents and staff, and those with certain clinical conditions. When more vaccine becomes available, the vaccines will be offered to other people at risk as soon as possible. For more information click on the link
Please do not contact the practice to ask for a COVID-19 vaccination. You will be contacted when you are eligible.
We have been asked by NHS England to start delivering the COVID-19 mass vaccination programme from 15 December. This will be done by working together with other local GP Practices (called a Primary Care Network) to provide the vaccines, rather than doing vaccinations here at the practice.
To enable everyone to get the vaccine in a safe and controlled way, a prioritisation list has been established so the vaccine can be delivered to groups who need it first.
We will contact you when you are eligible to receive the vaccine and provide you with information about location and date, so please do not contact the practice to ask for a vaccine before then.
We are working hard to plan the delivery of COVID-19 vaccinations, while continuing to deliver the largest ever flu vaccine campaign and supporting our patients with routine and urgent health requests. On that basis, we are unable to answer additional questions about the COVID vaccine.
However, to help answer your likely questions, we have tried to summarise the key information you need to know about the upcoming COVID-19 vaccination campaign, along with sharing details of the way patient groups will be prioritised:
- The vaccine will be given in order of priority to those at highest risk first.
- We will be in contact with you with information about where and when you will need to receive the vaccine.
- Please act on your invite when it comes, and make sure you attend your appointments when you arrange them.
- Please continue to abide by all the social distancing and hand hygiene guidance, which will still save lives.
We have to work as a Primary Care Network (PCN) to deliver this program, so will be working together with Harness North & South PCNs www.myharness.org Between our 20 surgeries, we look after 140 000 patients.
Our PCN is working hard on coming up with the best solution to delivering the programme to our patients. We are exploring all options. We will be running the vaccination programme from Wembley Centre for Health & Care and from Park Royal Medical Centre (based inside Central Middlesex Hospital). We have decided to run this from these locations so we can continue to provide GP services in our own practices.
We have access to some limited additional funding to hopefully recruit some additional short term clinical and support staff to help us with this huge programme – however, we will still have to divert our own GPs, nurses, healthcare assistants, pharmacists, to complete this programme.
It will be tough, but we are keen to get started, and know that we can count on your understanding and support in the months to come.
Why is this programme different to the annual seasonal flu campaign?
While we still have no specifics about the characteristics of these new vaccinations, we do know that they won’t initially be delivered to us in single, pre-filled doses, as they do for flu vaccinations. Each vaccination has to be reconstituted and individually drawn up – which slows the process down. Each patient will have to have 2 doses at minumum 21 days apart.
Clinics will still have to be held on a socially distanced basis, and patients driving themselves to their appointment, have to wait 15 minutes post vaccination before they can leave the surgery/vaccination site. So logistically challenging!
Why work as a PCN – why not as individual surgeries?
The reasoning behind this is that the first vaccine (Pfizer) to be delivered is likely to be one with 975 doses which need to be delivered in 3.5 days – (195 vials each containing 5 doses). This will come with a diluent and the required needles and syringes. Once diluted the vaccine must be used within 6 hours.
It is unlikely a single practice would have sufficient numbers or clinical capacity to deliver this individually. In addition the package of 195 vials cannot be divided at practice level and shared with other practices due to the regulations related to the distribution of medications. This is also why you will have heard about us having to deliver the programme 7 days a week, from 8am to 8pm – including bank holidays, Christmas day, Boxing Day ect. If we got 975 doses delivered on a Friday, we can’t just put it in the fridge to start using on the next Monday, as the vaccine has to be used up in 3.5 days.
The vaccine will be in short supply and we must try and keep wastage to a minimum.
As the programme progresses, and more vaccine becomes available, we may be able to adjust how we deliver the programme
Which patients will practices need to vaccinate?
The Joint Committee on Vaccinations and Immunisations has recommended the following order:
- older adults’ resident in a care home and care home workers
- all those 80 years of age and over and health and social care workers
- all those 75 years of age and over
- all those 70 years of age and over
- all those 65 years of age and over
- high-risk adults under 65 years of age
- moderate-risk adults under 65 years of age
- all those 60 years of age and over
- all those 55 years of age and over
- all those 50 years of age and over
- rest of the population (priority to be determined) but current vaccines only for those age 18 and over.
Practices do not have any control over this part of the programme
Testing Centre Information
A DHSC new testing site has opened today
The full address is:
Large Car Park
Booking for this site is via the National Portal or Calling 119 or the national portal web address https://www.gov.uk/get-coronavirus-test
It will see adults and children over 5 years
It is open from 8am -8pm 7 days a week
Access is via foot or cycling only (although there are public car parks close by )
Click here for details of other test centres in the area (PDF, 289KB)
Covid-19 help for parents with sick children.
‘Advice for parents during coronavirus’
The attached document guides you on when to call for an ambulance, when to call your GP or 111, and when you can feel able to manage yourself. It has been updated with answers to FAQs such as ‘What does it look and sound like if my child is having difficulty breathing?’. https://www.cc4c.imperial.nhs.uk/~/media/cc4c/documents/icht-advice-for-parents-during-coronavirus.pdf?la=en
‘Is it serious’
This factsheet describes this in a quick reference guide: https://www.cc4c.imperial.nhs.uk/~/media/cc4c/documents/is-it-serious-may-2020.pdf?la=en
‘How to access local emergency services during coronavirus’
If your child is very ill, the attached document describes how children’s care in our part of London has been organised, so you know what to expect from your local A&E:
Click here for more information about how to access local emergency services during coronavirus
‘How to help your unwell child’
This is guidance for under-5s and covers common symptoms, such as coughs, colds, rashes and tummy upsets. There are more local and national tips here:
If you are recovering from COVID-19, you are in a unique position to help other patients with this disease. So we would ask you to consider volunteering to donate your plasma for use in treatment trials. Click here for more information
New rules on face coverings
For details please visit: https://www.gov.uk/government/news/new-rules-on-face-coverings-coming-in-on-monday-will-help-keep-passengers-safe
How to wear and make a cloth face covering: https://www.gov.uk/government/publications/how-to-wear-and-make-a-cloth-face-covering
Getting Help When You Need It During COVID-19
Click here to download an information leaflet (PDF, 81KB)
Test & Trace
Information about testing for coronavirus and what to do if you're contacted by the NHS Test and Trace service.
Help the fight against COVID-19
Has your doctor or nurse said you are likely to have a COVID-19 infection? Or do you have these symptoms?
- Continuous new or worsening cough
- High temperature
And have had them for fewer than 15 days?
Are you aged 65 and above?
Or aged 50 to 64 with any of these illnesses?
- High blood pressure and/ or heart disease
- Diabetes not treated with insulin
- Asthma or lung disease
- Stroke or neurological problems
- Weakened immune system due to serious illness or medication (e.g. chemotherapy).
- Liver disease
Then you could be eligible to join the PRINCIPLE trial and help the fight against COVID-19.
The PRINCIPLE trial aims to find treatments that reduce hospital Admission and improve symptoms for people with COVID-19.
To find out more, please visit: www.principletrial.org
Tel: 0800 138 0880
Coronavirus (Covid19) Guidance
If you have:
- a new continuous cough or
- a high temperature (37.8 degrees or higher)
you should stay at home for 7 days.
Advice about staying at home
- Do not go to work, school, GP surgeries, pharmacy or hospital
- Use separate facilities, or clean between use
- Avoid close contact with other people
- Have food & medication delivered to you
- Do not have visitors
- Keep away from pets
When should I contact NHS 111?
- you feel you cannot cope with your symptoms at home
- your condition gets worse
- your symptoms do not get better after 7 days
How do I contact NHS 111?
You can use the NHS 111 online coronavirus service to find out what to do next. If you cannot access online services you can call 111 (this is a free number to call).
What will happen if I’m worried about my immigration situation?
All NHS services for coronavirus are free for everyone regardless of their immigration status in the UK. This includes coronavirus testing and treatment, even if the result is negative. You will not be reported to the Home Office for coronavirus testing or treatment.
What can I do to help stop Coronavirus spreading?
- Make sure you wash your hands frequently, using soap and water, for at least 20 seconds
- Follow advice about staying at home if you have symptoms
For more information:
To download a copy of the above information please click here for your chosen language.
For further guidance on self-isolation, please click here.
NHS SUPPORT FOR PATIENTS WHO ARE SHIELDING
Since the start of the pandemic, our team has devoted a great deal of time and effort identifying, contacting and advising patients who are clinically extremely vulnerable to COVID19, ensuring they are put on the Shielded Patient List (SPL), and most importantly of all, changing how the practice provides care for this group of patients, who were strongly advised to stay at home. We continue to support these patients and helping to keep them safe and well". Click on the link for more information.
Mental Health Support Resources
Mental Health: How to get help during lockdown
How to cope during the COVID-19 pandemic if you have experienced trauma
Childhood Immunisation Guidance
Guidance to keep you safe when attending your vaccination appointment
Advice for parents about routine vaccinations during Coronavirus
Easy Read Coronavirus Leaflets
Making a plan for your care during the COVID-19 pandemic
Easy Read_At Risk Patient Letter (PDF, 1.92MB)
Easy Read Covid-19 NHS Guidance Common Questions (PDF, 1.25MB)
Easy Read Covid-19 NHS Guidance Immunisation and Screening
Easy Read Covid-19 NHS Guidance Overview
Easy Read Covid-19 NHS Guidance Pregnancy
Easy Read Covid-19 NHS Guidance Shielding
Easy Read Covid-19 NHS Guidance Social Distancing
Easy Read Covid-19 NHS Guidance Stay At Home
Easy Read CETR planner
Getting Help Accessing Services Easy Read