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IMPORTANT: Coronavirus

For patients concerned that they may have coronavirus or may have come into contact with someone who has, the NHS 111 online service has created coronavirus pages that tell patients what they should do based on their particular circumstances. 

These can be accessed at: https://111.nhs.uk/service/covid-19

Guidance on shielding and protecting people defined on medical grounds as extremely vulnerable from COVID-19

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Stay at home to stop coronavirus spreading

Everyone must stay at home to help stop the spread of coronavirus.

You should only leave the house for 1 of 4 reasons:

  • shopping for basic necessities, for example food and medicine, which must be as infrequent as possible
  • one form of exercise a day, for example a run, walk, or cycle – alone or with members of your household
  • any medical need, or to provide care or to help a vulnerable person
  • travelling to and from work, but only where this absolutely cannot be done from home

Important

These 4 reasons are exceptions – even when doing these activities, you should be minimising time spent outside of the home and ensuring you are 2 metres apart from anyone outside of your household.

Symptoms and what to do

Do not leave your home if you have either:

  • a high temperature – this means you feel hot to touch on your chest or back (you do not need to measure your temperature)
  • a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)

To protect others, do not go to places like a GP surgery, pharmacy or hospital. Stay at home.

Use the 111 online coronavirus service to find out what to do.

Only call 111 if you cannot get help online.

For information on:

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PATIENT ADVICE AND FREQUENTLY ASKED QUESTIONS

 

Advice for any patient with a fever or new persistent cough is that they should NOT present to the GP Surgery, Pharmacy or Hospital. Use the 111 online advice tool and ONLY call 111 if they cannot cope with their symptoms at home, they are getting worse or their symptoms are not improving after 7 days; 111 will then arrange appropriate care.

 

***REMEMBER – IF YOU ARE UNWELL WITH A SIGNIFICANT ILLNESS, SUCH AS FINDING A BREAST LUMP OR DEVELOPING CHEST PAIN YOU MUST STILL ASK FOR HELP***

PLEASE DON’T IGNORE IMPORTANT SYMPTOMS

 

We are EXTREMELY busy dealing with a lot of understandably worried and anxious people. Please be kind to our staff who are all working flat out under extreme pressure.

You can help us:

  1. By only coming to the practice if you have been asked to or you need to collect medication
  2. By only calling the surgery if you have an urgent need. Make use of EnGage Consult via our website for non-urgent communication
  3. If a clinician asks you to come to the surgery please listen to the instructions carefully as you may be asked to wait in the car or use a different entrance to protect yourself and others
  4. By using Patient Access to order repeat medication. Please contact reception for log in details if you don’t currently have an account for this
  5. By allowing 5 full working days before coming to collect the medication you have ordered
  6. By looking out for friends, family and neighbours, especially if they are elderly

 

 FREQUENTLY ASKED QUESTIONS

 

Can I have my medication early this month and/or can I have 2+ months supply?

 We are following NHS guidance to continue to issue medication under the normal 28-day prescription rule. This is to avoid putting excessive work on to our GP’s, dispensers and pharmacy colleagues and most importantly to avoid a peak in supply leading to medication shortages. Therefore we can’t issue medication early or give multiple month supplies.

 

How do I get my medication if I am self-isolating?

 If you are able to, ask friends, family or neighbours to help. Lots of the villages around the practice have set up volunteer groups to help with this and other individual needs. If you need any support identifying someone who could help you, please ring the surgery and speak to the Healthcoaches who will be able to advise.

 

I’ve sent someone else to pick up my medication, what do they need to know/bring?

When collecting medication for someone else from the dispensary (or from a pharmacy), the person collecting will be asked for the name and address of the person they are collecting for. Other helpful information would be the number of items of medication they are collecting, if there is a fridge item and when the prescription was ordered. The person collecting may also be asked for their name and address and identification depending on the medication given.  They will also need to pay for your prescription if required. Please ensure they know if you have a prepayment card. If the prescription contains controlled drugs, the person collecting will also need identification and we will need to be told in advance who is collecting before we are able to release these.

 

I still have an appointment booked, should I still come?

If you have one of the following appointments you should still attend as close to your appointment time as possible to avoid sitting unnecessarily in the waiting room. Please check in at reception where you will be asked a couple of initial screening questions. Please do not be offended, we are asking everyone.

We are still currently seeing:

 

  • All wound management
  • Stitch removal
  • INR patients
  • Vitamin B12 injections
  • Prostap, Denusomab and other hormone injections
  • Childhood Immunisations
  • 6 week mother and baby checks
  • Clinically indicated blood tests for those undergoing treatment

 

Diabetic, Asthma and COPD reviews will be conducted over the telephone/video with patients. Please do not come to the surgery. The nurse will phone you at your appointment time.

 

For the time being we are no longer doing:

  • Spirometry
  • Ear Syringing
  • Minor Operations and Cryotherapy
  • Some cervical smears

 

I’m self-isolating for the 14 day period because myself or someone I live with has symptoms can I have a sick note for work?

We are not able to issue sick notes to those self-isolating as the measure is a directive from the Government. You are able to self-certify and employers are directed to the ACAS website for more information and are expected to be understanding. https://www.acas.org.uk/coronavirus

 

My work has sent me home because I have an underlying health condition and I have been told not to come in for 3 months, can I have a sick note or evidence that I have an underlying condition?

We are not able to issue sick notes or providing evidence to employers. It is for the individual and their employer to have a discussion about individual working practices during this time. Employers should be directed to the ACAS website for more information. https://www.acas.org.uk/coronavirus

 

Do you have supplies of hand gel, face masks, paracetamol etc. that you can sell us?

We are not able to sell retail items. All the supplies we have are needed to support our patients in the surgery. We are finding it challenging to get enough for our own use.

 

I use Ibruprofen, should I stop taking it?  

Current advice is that there appears to be no evidence that Ibruprofen or over anti-inflammatory medications (NSAIDs) increase the chance of acquiring COVID-19. NICE (the UK medication review body) has been asked to review this urgently. Current advice is for patients, who have confirmed COVID-19 or believe they have COVID-19, that they use paracetamol in preference to NSAIDs.

Those currently taking NSAIDs for other medical reasons (e.g. arthritis) should NOT stop them.

 

I take an ACE inhibitor (Ramipril, Lisinopril etc), should I stop taking it?

There is no evidence to suggest that taking one of these medications increase the chance of acquiring COVID-19. If you are prescribed these medications routinely you should continue to take them.

 

I was diagnosed with Asthma in the past, but I don’t currently use an inhaler. Should I use one now?

Salbutamol inhalers have shown no evidence of improving outcomes of COVID-19 infections. If you have previously had inhalers with us we can look at this on an individual patient basis. It is not a good idea for asthmatics to only use Salbutamol as this can make things worse. If you have never had an inhaler or have not been diagnosed with asthma we will not give you an inhaler.

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UPDATE 19.3.2020

The NHS and Public Health England (PHE) are extremely well prepared for outbreaks of new infectious diseases. The NHS has put in place measures to ensure the safety of all patients and NHS staff while also ensuring services are available to the public as normal.

Stay at home if you have coronavirus symptoms

Stay at home if you have either:

  • a high temperature – you feel hot to touch on your chest or back
  • a new, continuous cough – this means you've started coughing repeatedly

Do not go to a GP surgery, pharmacy or hospital.

You do not need to contact 111 to tell them you're staying at home.

Testing for coronavirus is not needed if you're staying at home.

Read the NHS advice about staying home, including how long to isolate for.

Use the NHS 111 online coronavirus service if:

  • you feel you cannot cope with your symptoms at home
  • your condition gets worse
  • your symptoms do not get better after 7 days

UPDATE 17.3.2020

Please see attached document for updated situation within the practice

COVID-19 Update

UPDATE 16.3.2020

Please order repeat medications as normal but please leave a week between requesting medications and collection. This is to allow the dispensary staff time to deal with an increased number of requests. Please order monthly scripts as usual otherwise this will cause a shortage of supply for other patients. In the event of being asked to self-isolate family members/friends will be able to pick up your medication on your behalf. The Partners at Queen Camel will look into alternative options if this is not possible to ensure you receive your medications as usual.

UPDATE 12.3.2020

With the increase in Coronavirus cases, we would like to request that if you have a sore throat, cough, difficulty breathing, fever or runny nose, OR if you have recently travelled to or could have been in contact with someone who has been to any of the countries listed by the NHS here https://www.nhs.uk/conditions/coronavirus-covid-19/, that you do NOT attend Queen Camel Medical Centre. Use the NHS 111 Online service to find out what to do next: https://111.nhs.uk/covid-19

HELPFUL LINKS

Follow this link to get an Isolation Note:

https://111.nhs.uk/isolation-note/

 

Information for pregnant women and their families

https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/covid-19-virus-infection-and-pregnancy/

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Advice about anti-inflammatory medication and covid-19 

https://www.hse.ie/eng/services/news/media/pressrel/advice-about-anti-inflammatory-medication-and-covid-19.html

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Position Statement of the ESC Council on Hypertension on ACE-Inhibitors and Angiotensin Receptor Blockers

https://www.escardio.org/Councils/Council-on-Hypertension-(CHT)/News/position-statement-of-the-esc-council-on-hypertension-on-ace-inhibitors-and-ang

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Are you feeling anxious about health during coronavirus? Read our top tips: Take breaks from watching, reading, or listening to news stories or social media. If you find that the news is causing you huge stress, it’s important to find a balance. Connect with others, talk with people you trust about your concerns and how you are feeling. Take care of your body. Take deep breaths, stretch, or meditate. Try to eat healthy, well-balanced meals, exercise regularly, get plenty of sleep, and avoid alcohol and drugs. Make time to unwind. Try to do some other activities you enjoy.

 

See more anxiety tips

NHS

https://www.nhs.uk/oneyou/every-mind-matters/coronavirus-covid-19-anxiety-tips/

 

Mental Health Foundation

https://www.mentalhealth.org.uk/publications/looking-after-your-mental-health-during-coronavirus-outbreak

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Avoid myths and rumours, always get information from trusted, reputable sources. For health information and advice visit the NHS website: https://www.nhs.uk/conditions/coronavirus-covid-19/.

For information on the UK government’s response to coronavirus, go to GOV.UK: https://www.gov.uk/government/topical-events/coronavirus-covid-19-uk-government-response

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