Public Health England advice regarding Flu/Influenza
There are still opportunities to protect vulnerable people through vaccination. It is important to remember that the seasonal flu immunisation programme runs until March each year and so the offer of the vaccine is available to eligible individuals, especially newly pregnant women, throughout this period.
Influenza (Flu) is most infectious when symptoms start until about 3-5 days later, therefore, patients are advised to avoid attending the practice or a health care setting while symptomatic, if at all possible.
Most cases of flu can be treated effectively at home. Patients are encouraged to self-care, seek advice on treating symptoms via reputable on line resources such as NHS Choices, or to seek advice from a local Pharmacist before contacting the GP
Patients are advised to:
- rest and sleep.
- keep warm.
- take Paracetamol or ibuprofen to lower your temperature and treat aches and pains.
- drink plenty of water to avoid dehydration
(More info for patients can be found on https://www.nhs.uk/conditions/flu or via 111)
Patients who have severe/prolonged flu or other complicating factors particularly children, pregnant women, those with chronic conditions and the elderly (or where symptoms have not improved after 7 days) should be reviewed by the GP.
Anyone with symptoms of flu should be advised to stay away from work/school until they have recovered and for at least 24 hours after the resolution of any fever. There are no recommended times for exclusion from school for an infected child; a child should return when they have recovered. A sick note is note required until you have been off work for more than 7 calendar days.
Have Norovirus symptoms? Stay at home advises Wiltshire Clinical Commissioning Group
Wiltshire Clinical Commissioning Group is urging people who have symptoms of the winter vomiting bug Norovirus, which is extremely contagious and spreads rapidly, to stay at home and call NHS 111 for advice.
When Norovirus affects patients in hospitals, wards are often closed to visitors to stop spread within the hospital, but we know that norovirus can sometimes inadvertently be brought into hospitals from the community by visitors.
“Hospitals work incredibly hard to ensure that bugs can’t spread from patient to patient, or ward to ward,” says Dina McAlpine, Director of Nursing and Quality at NHS Wiltshire CCG. “But all these efforts can be undone by someone who comes into hospitals as a visitor while they are still carrying a bug such as Norovirus, so please don’t visit a hospital until you have been free of symptoms for at least 48 hours.”
“An attack of norovirus is unpleasant for anyone, but if you’re already ill, elderly or otherwise vulnerable – as people in hospitals and care homes generally are – catching the virus can be more serious”, added Dr Richard Sandford-Hill, a GP from Market Lavington Surgery and Clinical Chair for Wiltshire CCG.
Norovirus is characterised by projectile vomiting and watery diarrhoea. Some people also experience a raised temperature, headaches, painful stomach cramps, and/or aching limbs. Symptoms usually appear one to two days after a person becomes infected but they can start sooner.
The advice from NHS Wiltshire CCG is:
- Stay at home; do not visit your GP surgery or local A&E unit. Most people will feel better within a day or two but it is easy to get dehydrated, so it is important to drink plenty of fluids to prevent this.
- Avoid visiting hospitals and care homes for at least 48 hours after your symptoms stop. During this period there is still a chance that you could spread the bug around, even if you feel fine.
- Don’t send children to school, nursery or playgroup with norovirus symptoms. Keep them at home for a full 48 hours after symptoms stop.
- Wash your hands thoroughly and regularly at all times, but particularly after toilet visits and before eating.
- Do not handle or prepare food for other people until you have been symptom free for a minimum of 48 hours.
- Do not attend social gatherings until you have been free of all symptoms for at least 48 hours.
- Make sure that any surface that is contaminated by vomit or faeces is promptly and thoroughly disinfected after an episode of illness.
- If you have bloody diarrhoea (blood in your stools), phone your doctor or NHS 111 urgently for advice.
Retirement of Dr Michael Duckworth
Dr Duckworth, our Senior Partner retired at the end of November 2017. He has cared for the Trowbridge community for 30 years.
I have enjoyed caring for you and your families over the last 30 years. With a lot of joy, and some sadness, I am retiring and my last day with Lovemead Group Practice will be on 30th November 2017.
There have been many changes within the NHS as a whole and in Trowbridge as a Town. Lovemead Group Practice continues to strive to offer locally based family health care to it’s patients and I feel honoured to have led this outstanding team since becoming Senior Partner.
Please be assured that my staff and I will do everything we can to make the transition smooth and stress free. It has been a great pleasure meeting and caring for you all. I sincerely appreciate your friendship and loyalty. I wish you continued good health and all the best in the coming years.
With very best wishes,
Dr Michael Duckworth
Patients Registered with Dr Duckworth whose surname begins A - L will be allocated a new named GP of Dr Koren Stickland.
Patients with surname M - Z will be allocated a new named GP of Dr Gabrielle Shackman.
Patients can also see one of the other doctors in the practice if they wish.
doctorlink - a new online solution
Roundstone surgery is trialling a new product called doctorlink that enables patients to manage their care needs remotely where appropriate.
What is doctorlink?
doctorlink can be accessed from any web enabled device 24 hours a day, 7 days a week from any location
doctorlink provides the ability to seek clinically approved medical advice around the clock. This helps to reduce unnecessary surgery appointments and will provide advice on how to best manage your symptoms
doctorlink facilitates booking an appointment should a clinical consultation be recommended
How does it work?
- doctorlink uses a Symptom Assessment tool to perform e-triage on patients who access the practice online looking for an urgent/same day appointment.
- The outcomes of the symptom assessment are processed according to the clinical need. If a clinical consultation is recommended the patient will booked into an appointment slot appropriate to the symptom assessment outcome (e.g. telephone consultation with a nurse practitioner within next 48 hours, same day face to face consultation with a GP).
- The practice will receive a copy of the all the symptom assessment outputs just as they would following an out of hours 111 consultation.
- As doctorlink is accessible 24/7 it is able to cater for both in and out of hours scenarios directing people to either 111 or the surgery as appropriate.
Roundstone surgery has agreed to trial doctorlink and will be working closely with the providers to manage its integration into the practice and help patients get signed up. All feedback from the trial will help shape and develop the product ensuring that it is of use for clinicians, practice reception staff and patients. doctorlink will be accessible for patients of Roundstone surgery from 15th May. If you are interested in using doctorlink, you access it via:
The application is easy to use and once you have signed up you will be able to check your symptoms and book appointments at the surgery. Please note that you need to use a supported web broweser to access the product such as google chrome, safari or firefox.
Please rest assured that:
- doctorlink is not connected to your patient record so information about you is not being shared with doctorlink
- Patients do not have to enter any personal details to get medical advice (just age, gender and subsequent questions about your symptoms)
- You can continue to ring the surgery for same-day urgent care and speak to or see a GP or another member of the clinical team as you always been able to.
Prescription Ordering Direct (POD) - A new and convenient way to order your repeat prescriptions
The Prescription Ordering Direct (POD) service is the easy way for you to order your repeat prescription! All it takes is a simple phone call that you can make from the comfort of your own home - there's no need to go into your GP practice or pharmacy. You'll speak to a trained prescription coordinator who can discuss your needs meaning you'll only order medication when you need it - saving the NHS money to spend on other important services.
Why use this new service? - Ordering your repeat prescription is a quick and simple telephone call. You will speak to a dedicated person who has time to answer any of your repeat prescription queries.
Who will I talk to? - The POD is staffed by experienced and trained prescription coordinators and pharmacists. We will ask you how you are getting on with your medication and will remind you when you need a medication review. With your consent, we will have access to all repeat prescription records and to your GP practice should the need arise. This will be private and confidential, and your personal information is held securely.
Why are we offering this service? - Our aim is to ensure that patients are receiving the correct quantity of medication that they need in a timely manner, to help reduce the amount of prescription waste in our area. Unused prescription medicines cost the NHS £2.7 million every year in Wiltshire. Reducing wastage will enable the NHS to spend this money on other important services.
Already use a pharmacy to order your repeat medication? - No problem, you can still use the same pharmacy to supply your medicines. Please inform the pharmacy that you are using POD to order your prescriptions and confirm any delivery arrangements you have with them. If you have a current arrangement with a pharmacy to delivery your prescription then this still continues.
Once you have called POD, your prescription will be authorised by your GP, in line with their normal timeframes. If arranged for pharmacy collection, it may be available at your nominated pharmacy within a further 48 hours. Please don't forget to allow time for the pharmacy to dispense the medicines.
Call POD on 0300 123 6242. Opening Hours 9.00am - 5.00pm Monday to Friday.
Online prescription ordering remains available.
Once you have called POD, your prescription will be available at your nominated pharmacy within 4 working days.
There is no need to register for this service, simply call when you have 7 days left of your medication.
Around the Clock Healthcare for Wiltshire
Wiltshire Clinical Commissioning Group is helping local people to make the right decision about where to go for healthcare treatment with the help of an easy to use clock.
Dr Peter Jenkins, Chair of Wiltshire CCG said, “We recognise that knowing which services to access for health advice and treatment can seem a little confusing. There are numerous ways for you to get healthcare advice and treatment and knowing what health services are available when you start to feel ill, will help you to manage your condition quicker.”
Because it’s confusing, people very often go straight to a hospital or to a GP regardless of their healthcare requirements. To help you understand the range of healthcare services available and to help you make the right decision about where to go for treatment, Wiltshire CCG has produced an easy to use “Around the clock healthcare in Wiltshire’ leaflet available to download from their website. Please click HERE
NHS 111 – Free non-emergency number where trained callers will listen to your symptoms and direct you to the best medical care for you and is available 24 hours a day, 365 days a year
NHS Choices – UK’s biggest health website for information and advice
GP out of hours – available from 6.30pm until 8am on weekdays and all day at weekends and bank holidays. Call your GP practice to access the service
Minor Injury Unit – treats minor injuries that are not life-threatening e.g. cuts, bites, stings and simple fractures
Pharmacy – experts in medicine and can give you advice on common ailments and are a potential alternative to a GP visit
GP – if you have a condition that can’t be treated with over the counter medication or advice from a pharmacist, make an appointment to see your GP
A&E – for genuine life-threatening emergencies only and is available 24 hours a day, 365 days a year
When we are able to make the right decision on the type of treatment we need, we’re actively helping to ease the strain on a pressured NHS by taking personal responsibility for our health. This helps free up time for doctors and healthcare professionals allowing them to focus on those people who need their services the most.
Care Quality Commission (CQC) Inspection - Rated Outstanding
The Care Quality Commission is responsible for monitoring the standards of hospitals, dentists, care homes and care services. They are also responsible for monitoring the standards of GP surgeries.
The practice, along with all other GP surgeries has registered with the Care Quality Commission (CQC).
The CQC will routinely monitor the service we provide, carry out inspections and write reports based on their findings. Our first inspection took place on Thursday 5th May 2016.
The practice was delighted to receive an overall rating of Outstanding. The practice works hard to offer high quality, patient–orientated primary care services to its 17,000 patients and is delighted that the CQC recognised this. This award is due to many years of focused work by all members of the practice team, responding to the needs of its patients. The practice is determined to continue to improve its services and improve health care within Trowbridge.
To find out more about the Care Quality Commission, to provide any feedback or to view any reports, please visit their website http://www.cqc.org.uk/
To read what the CQC has reported about Lovemead Group Practice, please click here http://www.cqc.org.uk/location/1-569577808
We are delighted to have been awarded a Gold Standard award as part of the Wiltshire Investors in Carers Scheme. This scheme for Wiltshire has been developed by local Carers, members of voluntary agencies such as Carers Support, a number of GP surgeries and members of NHS Wiltshire and Wiltshire Council. Pictured are Rosie Browne, our Carers Administrator and Tracy Wakeley, Reception Team Leader, receiving their award.