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02.06.2020



Covid Government update for patients in the shielding group.



 



Morning everyone.  It's been a while since we had any news to give you.  I posted the full Government guidelines last night when it came through but thought I would post this summary of what the changes mean for those of you who have been self isolating for what must seem like an eternity now.



 



" The update from Government comes into effect from 1st June. In summary the changes are:



 



o The advice for people identified as clinically extremely vulnerable is that they should continue to shield until at least the 30 June but from 1 June, they can spend a short period of time outdoors each day with members of their household, still maintaining 2m distance from others.



 



o If the shielded person lives alone, the Government is advising they can meet one other person from a different household, maintaining strict social distancing. The advice is that this be the same person each time.



 



o Important aspects of Government’s policy and guidance remain the same. Apart from going outside once per day, a shielded person should continue to avoid all non-essential face to face contact. This means they should still not go shopping or to pharmacies.



 



o The support for shielded people remains in place and unchanged.



 



The Government has also confirmed that it will be reviewing shielding guidance alongside wider changes to social distancing, including plans to write to those on the shielding patients list with information about next steps on shielding after the next review on 15 June. "



________________________________________________



 



We aren't out of the woods by a long way yet and still need to be extremely careful about hand washing and keeping 2m distance from others. 



 



If you are asked to come into the surgery you will be requested to wear a mask or, if you don't have one,  wear something that you can cover your nose and mouth with, ie a snood or a scarf.  This is not compulsory but it will help to keep you and the doctor/nurse safe while you are in the building.



 



Thanks and enjoy your day.



13.05.2020  Patient information


FACE TO FACE APPOINTMENTS WITH THE NURSE OR DOCTOR


Morning everyone. It looks as though we are going to have some showery and cold days until Friday.


There's no shelter outside the building and we can't erect one because of the length it would need to be for social distancing. Can we therefore suggest that, if you are arriving by car and have a mobile phone that you call reception 01668 281740 and tell them that you're here for your appointment and then they'll ring you back when the doctor or nurse is ready to see you so you can come straight in rather than stand in the cold and wet. This system can also be used at any time for the elderly or infirm, mum's with babies and young children or anyone who would prefer to wait in the car to aid social distancing.



For others, I'm afraid at the moment there's no alternative apart from wearing a warm coat and bringing an umbrella - sorry.





11.05.2020  Patient Information



 



Following the briefing by the Prime Minister yesterday nothing changes at Glendale from an operational point of view and we will continue to operate a total triage system. 



 



If you require medical or administrative advice from the surgery please complete an E-Consult form, the link being on the home page of the website.
 



Where medical advice is needed, a clinician will call you back in the first instance and has the option of telephone and video consultations or if a face to face appointment is needed will arrange this with you.



 



The surgery doors remain locked but we are here for our patients so please contact us if you need to, don't put things off.



 



Thank you for your support in these very challenging times and our best wishes to you all. 





BULLETIN


This bulletin is aimed at people  in the 'VERY HIGH RISK' groups (clinically extremely vulnerable) and the 'HIGH RISK'(clinically vulnerable) groups.   These were previously classed as High Risk and Moderate Risk but the Government has re-named these groups which has caused some confusion. 






VERY HIGH RISK GROUP



From information received this morning, the Government is now advising people in this group to shield until at least the 30th June.  Further information about shielding will be published in due course by the Government and individuals who are currently shielding will be notified.



 



For people in this group who have registered on the Government website for support and have not received it, the Government is working on this to resolve the issue but you should re-register ensuring you have entered your NHS number and your name and address as used in your NHS records.   



 



As a reminder, the people in the Very High Risk group are those who:



*  have had an organ transplant



*  are having chemotherapy or antibody treatment for cancer,



        including immunotherapy



*  are having an intense course of radiotherapy for lung cancer



*  are having targeted cancer treatments than can affect the



         immune system



*  have blood or bone marrow cancer (such as leukaemia,



         lymphoma or myeloma)



*  have had a bone marrow or stem cell transplant in the past



          6 months or are still taking immunosuppressant



          medicine



*  have been told by a doctor that they have a severe lung



          condition (such as cystic fibrosis, severe asthma or



          severe COPD)



*  have a condition that means they have a very high risk of



          getting infections (such as SCID or sickle cell)



*  are taking medicine that makes them much more likely to



          get infections (such as high doses of steroids)



*  were born with a serious heart condition and are pregnant



 



 



HIGH RISK (previously moderate risk) GROUPS



 



The change in names has caused confusion among those who follow the Government updates and who are asking if they should also be shielding now.  The answer is NO but they do need to be aware that they are in this group and carry out strict Social Distancing rules.  We have been asked to code all these patients so that they can be easily identified when lock-down restrictions are lifted as they may be given different guidance to those who are at low risk.   We have not been given any information about what the differences for this group may be. 



 



This Group includes people who:



*  are aged 70 or older



*  are pregnant



*  have heart disease (such as heart failure)



*  have a lung condition that's not severe (such as asthma,
         COPD, emphysema or bronchitis)



*  have diabetes



*  have chronic kidney disease



*  have liver disease (such as hepatitis)



*  have a condition affecting the brain or nerves (such as



         Parkinson's disease, motor neurone disease, multiple



         sclerosis or cerebral palsy)



*  have a condition that means they have a high risk of getting



         infections



*  are taking medicine that can affect the immune system 
         (such as a low dose of steroids)   



*  are very obese (with a BMI of 40 or above)  



 


 



Latest News

****     CORONAVIRUS - 16.04.2020- IMPORTANT PRACTICE INFORMATION   ********

You may have seen the large yellow signs outside the building saying 'Covid Assessment Unit'. Just to avoid any confusion, we are not a testing site so you can't be tested here for the virus.

The signs have been erected by NHS Property Services as we have two 'hot' rooms in the building which could be used to see suspected patients in if demand outweighs the capacity in the local hospitals and this would be via NHS 111.

If you have a new cough or temperature over 37.8 then please do not come into the surgery. Call NHS 111 for advice.

From Monday 16th March, we are offering a telephone triage service where, if you request an appointment, the doctor will call you back and arrange to see you if he/she thinks its necessary.

Please do not come into the building unless you have a pre-booked appointment, to collect medication or pre-arranged documentation.

If you require repeat medication, we will only accept this by telephone or online ordering. If you are not registered for online services, please call reception and ask to be registered.

Thank you.

_________________________________________________________________________________________

 

NEW MONTHLY SUPPORT PLANNER SERVICE


We will be having a Support Planner in the building on the 3rd Wednesday of every month from 15th January. The sessions will be drop-in sessions between 1.30pm - 4pm so no appointment needed. These workers can help patients with social care matters, see some of the examples below:

  • Social Isolation – Advice on activities, groups and befriending services in the local community and offer advice on transport solutions to be able to attend.
  • Advice around private services such as gardening, Domestic Help, Ironing, Handy Person.
  • Link client in with specific groups for example MS, Visually Impaired and Alzheimer's.
  • Advice around respite options (care home)
  • Advice and support around rehousing, social housing, sheltered accommodation
  • Support with completion of forms including Attendance Allowance and raise awareness
  • Link clients in to Voluntary Sector – The Alnwick Gardens, Bridge Project support with volunteer opportunities and to support people back in to paid work.
  • Referrals to other Social and Healthcare professionals when required i.e. Physio, OT, Care Manager, Social Worker.
  • Advise about care options available to people

CHECK YOUR OWN BLOOD PRESSURE, HEIGHT AND WEIGHT

You can now check your own blood pressure and weight yourself in the waiting room and hand the results to the receptionist (we're waiting for the height measure to be fitted).  This could save you from having to come in for routine checks and, for those patients whose blood pressure goes up when they see the doctor or nurse, it could help with this 'white-coat hypertension', though the doctors don't wear white coats these days!  The BP machine prints out your blood pressure reading to hand in to the receptionist and there are also slips on the table to record your height, weight and other information to keep your records up to date.   The equipment has  been bought from the Wooler Doctors' Medical Equipment fund for use by us and Cheviot Medical Group so we'd like to thank everyone who makes donations to the fund.

WOOLER CARER GROUP MEETINGS

The group will meet each 3rd Tuesday of the  month in the meeting room between 10am and 12 noon.  If you care for someone, or know someone who is a carer, you are invited to come along for coffee and a chat.  It's all very informal but you will meet with other carers and there will be speakers invited during the year and the opportunity to have days away organised by Carers Northumberland.

 

HEALTH TRAINER SERVICE

A health trainer works with the practice each Wednesday offering lifestyle advice including healthy eating, weight management, alcohol awareness, support to access physical activity and smoking cessation. The sessions are open to all patients by referral from the doctor/nurse or you can also self-refer and referral forms are available in reception.

The health trainer can also offer services to patients in group sessions, ie health walks, cook and eat (eating healthily on a budget with fresh ingredients supplied).

They are also looking for volunteer 'Health Champions' to work in the community with the health trainer if anyone is interested. If you are, please leave your name and contact details with reception and we will get the health trainer to contact you.

 

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