As we are getting used to being in Tier 3 here is a table to advise of what this means we can and cannot do and how it affects people who are extremely clinically vulnerable.
We are still waiting for further information about the COVID vaccination programme - we will contact patients when we have more details
We will start inviting patients in aged 50 - 64 for a seasonal flu jab - we are just sorting out our plan so please wait for us to contact you
We have two staff members who are shielding - this does mean there will be reduced appointment availability in Treatment Room We have reduced the number of chairs in the waiting area to help patients socially distance during the latest lock down We are very excited about the potential COVID vaccine - we are still waiting for confirmed dates that it might be available and how. We will let our patients know as soon as we find out! We have a number of fabric chairs that are available free to anyone who can pick them up - contact reception 0117 944 9750 if you would like them
We have now received the following guidance for patients who are clinically extremely vulnerable (shielding) As people in England are asked to stay at home for four weeks from Thursday, people on the shielding patient list are asked to take extra caution by:
Staying at home as much as possible, except to go outdoors to exercise or attend health appointments
Avoiding all non-essential travel - they should continue to travel to hospital and GP appointments unless told otherwise by their doctor. They are strongly advised not to go to any shops or to pharmacies
If people cannot work from home, they should not attend work. They may be eligible for Statutory Sick Pay, Employment and Support Allowance, Universal Credit or the Coronavirus Job Retention Scheme
'Most children' who were shielding during the last lockdown should be able to attend school
Patients who are shielding can contact 'We are Bristol' if they need help during lock down 0800 694 0184
We will remain open during the next lockdown in the same way that we have been open throughout the COVID pandemic If you feel you need to speak to or see a doctor, phone before 11am on the day you need the advice. Everything is taking a bit longer than normal but you must still contact us if you are worried about any aspect of your health - a doctor will phone you back on the day you call us
Our treatment room will continue to provide ongoing bloods and health checks PLUS important health screening such as smears, baby/child immunisations AND THE FLU JAB BOOK NOW IF YOU ARE ELIGIBLE FOR A FLU JAB
We are just as confused as you are about the status of people who were previously classified as extremely clinically vulnerable (Shielding) - please don't contact us as we do not know any more than you do!
Isolation Rules The rules for self isolation have recently changed - everyone must now self isolate for TEN days if they have symptoms or test positive for COVID
If you live with others, all other household members must stay at home and not leave the house for 14 days. The 14-day period starts from the day when the first person in the household became ill or if they do not have symptoms, from the day their test was taken. If anyone else in the household starts displaying symptoms, they must stay at home for at least 10 days from when their symptoms appear, regardless of what day they are on in their original 14-day isolation period.
Face covering guidelines We are not able to write letters for patients who are exempt from wearing masks You can use these links if you are exempt from wearing masks and wish to be able to show other people
The guidance on who is exempt from wearing masks is as follows
You do not need to wear a face covering if you have a legitimate reason not to. This includes:
young children under the age of 11
not being able to put on, wear or remove a face covering because of a physical or mental illness or impairment, or disability
if putting on, wearing or removing a face covering will cause you severe distress
if you are travelling with or providing assistance to someone who relies on lip reading to communicate
to avoid harm or injury, or the risk of harm or injury, to yourself or others
to avoid injury, or to escape a risk of harm, and you do not have a face covering with you
to eat or drink, but only if you need to
to take medication
if a police officer or other official requests you remove your face covering
There are also scenarios when you are permitted to remove a face covering when asked
If asked to do so by shop staff for the purpose of age identification
If speaking with people who rely on lip reading, facial expressions and clear sound. Some may ask you, either verbally or in writing, to remove a covering to help with communication
Coronavirus update 03.06.20
We are now referring patients to the local pharmacists for advice and treatment for minor illnesses. Patients will have an initial telephone consultation with the pharmacist and be prescribed medication if appropriate. The Pharmacy referral service means you are likely to be contacted and treated sooner than waiting for a doctor to phone you back
In May 20 - 70% of all patients phoning in did not have to wait longer than 10 seconds before being put through to a receptionist.
In May 20 - 100%(!!!!) of calls were answered within 8 seconds of being put through to a receptionist
This is AMAZING - well done everyone in reception
Thank you to our lovely patient who gave us these hand wrapped chocolates - none left now!
Coronavirus update 01.06.20 We have received no guidance about the changes for patients who are shielding so we our advice remains the same as it has been for the last 10 weeks Thank you to Glenda who has donated bottles of hand sanitiser - always greatly appreciated
Coronavirus update 29.05.20
We are all looking forward to a sunny weekend and being able to see friends and family from next week!
Don't forget to ensure you stay safe in the sun!
The new track and trace system is up and running (apparently!) - here is a handy graphic to help understand what it means
Coronavirus update 28.05.20
Our staffing levels remain stable
Reminder that older people can access a 'one-stop' hub with support from staff who are DBS checked and who have specialist skills and experience in meeting the needs of older people.
Tonight is the final 'clap for key workers' - we will be cheering for all our fantastic staff who have ALL stepped up to the mark over the last 10 weeks - and in particular the staff who are working from home - you are not forgotten!
Coronavirus update 21.05.20
One member of staff is currently waiting for the result of a test for her family member - we hope she will be back at work next week.
Tonight we will be clapping for all the midwives who have helped deliver the 'lockdown babies' and in particular our TWO Merrywood 'lockdown babies' Nora and Esme
The government have updated the guidance on Coronavirus symptoms
• The general clinical case definition for COVID-19 has been updated to include loss of or change in smell or taste. It is now: New continuous cough OR fever OR loss of/change in smell or taste.
• Everyone, including health and social care workers, should self-isolate if they develop a new continuous cough or fever or loss of/ change in smell or taste. The individual's household should also self-isolate for 14 days as per the current guidelines and the individual should stay at home for 7 days, or longer if they still have symptoms other than cough or loss of sense of smell or taste.
Coronavirus update 18.05.20
Congratulations to Kelly who has been with the practice FIVE years today. Kelly has developed the best GP practice website in the country!
Mark, our clinical pharmacist, is now on two weeks paternity leave
Stella, our lead nurse, is back to work after a negative COVID test
We have one receptionist who is self isolating until a family member has been tested for COVID
Coronavirus update 15.05.20
We have one nurse who is self isolating - we hope she will be back on Monday if she gets a negative result
A montage of our doctors modelling the superb scrubs made by SCRUBS HUB BRISTOL and the fantastic laundry bags made by SOUTHWEST UNIFORM BAGS FOR NHS & CARERS We wouldn't have been able to carry on seeing patients safely without these contributions
Coronavirus update 14.05.20
We are delighted that Dr Mayes has returned to work following seven days of COVID symptoms
Citizens advice (CAB) are still able to support our patients with any questions about benefits
Thank you to Angela who arranged a delivery of goodies from Kellogs!
Tonight we will be clapping for all our patients to say thank you for staying home and changing their behaviour over the last couple of months
Coronavirus update 12.05.20
We remain on HIGH ALERT heres the Governments FAQs on what this means
More importantly its International Nurses day - huge thanks to Stella, Lisa, Emmy, Keeley and Jessica for being fantatstic nurses and continuing to care for our patients throughout this pandemic 👏👏👏👏👏👏👏👏👏👏👏👏👏
Coronavirus update 11.05.20 We have one doctor who is still unwell and another doctor who will return to work this week We finally managed to get some eligible staff tested and they are now back at work We are unsure what the changes in 'lockdown' announced yesterday mean for us but at the moment we continue to work on the basis that patients should stay at home and phone if they need medical advice. We are reviewing our alertness levels - some staff are more alert than others !! zzzzzzzzzzz
Coronavirus update 29.04.20
Congratulations to Chloe & Mark, our Clinical Pharmacist, on the safe (but early!) arrival of baby Esme. We will hopefully be able to post a picture of Mark & Esme when they are all home.
Our staffing levels remain stable and healthy!
We have received another 11 sets of scrubs from Scrub Hub Bristol UK! @hub_bristol - this means all our GPs have two sets each - one to wear and one in the wash!
Coronavirus update 28.04.20
Staffing levels remain unchanged - we hope our two doctors currently not working will be back next week
There is a new support hub for older people
At 11am we will be pausing for one minute to remember NHS colleagues and other key workers who have died as a result of COVID 19
We remain immensely proud of our staff who have turned up to work every day during this pandemic and we are relieved that so far most staff have remained well throughout
Coronavirus update 27.04.20
Two doctors are currently unwell or self isolating - everyone else is back to work!
Dr Wehner is part of this choir whose single will be premiered tonight at 8pm - see if you can spot her!
Since 1981 Mothers for Mothers has supported families affected by maternal mental illness across Bristol, South Gloucestershire and North Somerset. They offer support to women during pregnancy and until their youngest child attends school, from illness to wellness, through their support services. Mothers for Mothers are still open during this crisis. The helpline remains open 10am to 9pm Monday to Friday on 0117 935 9366. Support calls are available Monday to Thursday. Calls are also available with a member of the Peer Support team / Home Visiting team. They have a zoom peer support group on Tuesdays at 11am. Details can be found in the client closed Facebook group. They are posting daily in that group and have ideas for activities, crafts, self care and a bedtime story every evening at approximately 6.30pm.
Coronavirus update 24.04.20
As promised here is Dr Chisnall modelling the new scrubs we received from Scrub Hub Bristol UK!
Dr Stone returns to work on Monday after getting a negative COVID result.
Dr Wehner is still waiting for her result
We have two other doctors who are self isolating and unable to work - we wish them a speedy recovery/return
Have a good weekend!
Coronavirus update 22.04.20
We have two doctors awaiting their COVID test results, one doctor self isolating and one doctor who remains unwell
However we are still running efficiently & effectively!
Please contact us if you have any worrying non COVID symptoms - we are still providing normal care and it is important that symptoms are assessed investigated in the same way they would have before Coronavirus
Coronavirus update 21.04.20 We have two doctors who are working from home awaiting Coronavirus test results One doctor remains unwell So far no member of staff has tested positive for Coronavirus Thank you to Scrub Hub Bristol UK for the three sets of scrubs we picked up yesterday - they are fantastic 👏👏👏👏👏. Hoping to get a picture of a doctor wearing them later!
Coronavirus update 20.04.20
We have one doctor who is still unwell and one non clinical member of staff who is awaiting the results of her test - all other staff are working as normal - either at the practice or from home
We continue to provide full care to our patients - but in a slightly different way to normal!
Thank you to all our patients who continue to be understanding and supportive of our staff
There is now a national helpline number if you are at home in an abusive relationship - don't suffer in silence - there is a way out. Please use link below for website.
24 hour National Domestic Abuse Helpline number - 0808 2000 247 - run by @RefugeCharity. #YouAreNotAlone
Two doctors are still self isolating but all other staff are as fit as fiddles! Patients who have been identified as 'extremely vulnerable' will have received a letter to confirm they should be 'shielding' for 12 weeks. Patients in the 'vulnerable group' who should be maintaining social distance and working from home SHOULD NOT need a fit note for their employers. You can request a 'summary' of your medical problems to show your employer but please DO NOT ask us for a fit note.
The NHS volunteer service is now accepting referrals - anyone can be referred using the link button below.
All routine referrals and outpatient services have been suspended to free up capacity to manage patients with Coronavirus so please be patient if you are waiting for an appointment in the hospital.
Referrals for suspected cancer and some urgent referrals are still being accepted. There are clear guidelines about what is an 'urgent' referral so please do not be disappointed if your symptoms don't match the criteria.
During the Coronavirus pandemic it is more important than ever that you speak to your usual doctor for all ongoing and routine matters - assessing patients by phone is much more effective if the doctor knows you! Please phone on the day your usual doctor is normally in for all ongoing medical problems.
Dr Chisnall is now feeling much better and has returned from isolation
Two doctors are currently isolating from home - all other staff remain well
We have borrowed this list of helplines below (for download) from Armada practice - it gives links to advice lines if you have a specific medical condition
We are not collecting our normal monthly data as everything has changed.
We have seen a huge increase in phone calls, in March 20 but even so.....
- On 14 out of 20 days 70% of patients 'queued' for less than 10 seconds to get through to a receptionist. - Once patients had got through to a receptionist 78% of the time the call was answered within 8 seconds .
We think (!) this means that in March 20, 70% of patients waited less than 18 seconds to speak to a receptionist despite the high volume of calls
We still have three other doctors who are isolating or poorly but they are working from home if they are well enough
Please remember to phone BEFORE 11am on the day if you think you need to be seen or wish to speak to your usual doctor. Waiting until after 11am to contact us makes it harder for us to respond to your requests
During this pandemic, routine access to long term contraception has been suspended - if you need some temporary contraceptive cover or the morning after pill give us a call (BEFORE 11am!)
The council have set up a central phone number for vulnerable people to call to get additional help whilst they are self isolating
Coronavirus update 31.03.20
We have three doctors who are currently self isolating - two of these doctors are well enough to be working from home - thank you
We have three administrative staff who are working from home due in line with Public Health guidance
We have one HCA who is also working from home in line with Public Health guidance - she will be doing telephone welfare checks on patients who are considered particularly vulnerable
We are also offering telephone smoking cessation advice as smoking is considered a risk factor for people with Coronavirus
contact us on 0117 944 9750 if you would like help in giving up smoking
Thank you to Bristol NHS Digital who have made all this remote access possible 👏👏👏👏👏👏
We are only able to do blood tests if the doctor has asked for them to be done or they are for medication monitoring eg if you are on a DMARD. All other routine bloods have been suspended so please do not try and book appointment unless you have been specifically invited
Please do not call us about getting a letter that states you need to be 'shielding' for 12 weeks All patients who are considered extremely vulnerable have received a letter from NHS England - if you have not received a letter it means you are not currently classified as extremely vulnerable.
We are waiting for further guidance about other patients who may be included and as soon as we have it we will write to you
Coronavirus update 27.03.20 One of our doctors has now returned from isolation and we have four other doctors self isolating - but three of these doctors should be returning next week. We are thinking of ways we can use our nurses differently! One of the things they will be doing is phoning frail and elderly patients for 'welfare' checks - making sure they are OK and they know how to get extra help. If you know someone who would benefit from a welfare check give us a call ! All ROUTINE referrals to hospitals have now been suspended to free up hospital Drs and nurses to care for patients with Coronavirus. We are keeping a list of patients who are affected by this to make sure we get their referrals sent as soon as the services are up and running again
Thank you to everyone who went out to clap the NHS last night - it was an amazing show of support!! ❤️❤️❤️❤️❤️
Coronavirus update 26.03.20
WE HAVE TO ENSURE THE SAFETY OF STAFF AND PATIENTS DURING THE CORONAVIRUS PANDEMIC, SO WE HAVE TAKEN THE SAD DECISION TO CLOSE OUR DOORS WITH EFFECT FRIDAY 27.03.20
BUT WE ARE STILL OPEN!!!!
PLEASE PHONE 0117 944 9750 IF YOU HAVE A BOOKED APPOINTMENT WITH A DOCTOR OR NURSE AND A MEMBER OF STAFF WILL LET YOU IN
ALL PRESCRIPTIONS WILL NOW BE SENT ELECTRONICALLY TO A CHEMIST - IF YOU DO NOT HAVE A NOMINATED A CHEMIST YOUR PRESCRIPTION WILL GO TO THE ONSITE BRANCH OF LLOYDS - PLEASE CHECK THERE FOR OUTSTANDING MEDICATION REQUESTS
PLEASE USE THE NEW EXTERNAL POST BOX (THANK YOU B&Q AND SHAUN) TO DROP OFF YOUR PRESCRIPTION REQUESTS
ALL FIT NOTES WILL NOW BE SENT TO YOU BY E MAIL OR POST
Coronavirus update 25.03.20
We continue to have 4 doctors who are either unwell or self isolating but they are working from home so it remains manageable. All other teams are working well - some staff are working from home or reducing patient contact in line with latest guidance We have identified our 'extremely vulnerable' patients and are waiting further guidance on who will be contacting them to advise about 'shielding' We will be e mailing patients their ongoing fit notes where possible - please let us have an e mail address when you request your fit note Please see below for clear guidance about who should isolate and for how long If you do have to attend for an face to face appointment following triage, either with a GP or a nurse, please ensure only the patient plus ONE carer if required, attends the consultation
Coronavirus update 24.03.20
Currently 4 doctors are either unwell or self isolating but they are working from home so it remains manageable.
All other teams are working well - some staff are working from home or reducing patient contact in line with latest guidance
All prescriptions will now be sent electronically to a chemist and patients will not be able to pick them up from the desk Please make sure you have told us which chemist you want your prescription to be sent to
Please do not request your medication early - it will not be issued
The best way to request your medication is using the on line system which is also available as an app on your phone Please see button below for access.
Coronavirus update 23.03.20 Currently 4 doctors are either unwell or self isolating but they are working from home so it remains manageable. All other teams are working well - some staff are working from home or reducing patient contact in line with latest guidance
We can continue to take new registrations but rather than come to the practice please complete the registration forms on our website and then send photos of the completed form with ID and address verification to firstname.lastname@example.org
There is new guidance about pregnant patients and workers please see button below
There is new guidance about 'very vulnerable' patients please see button below, all patients in this group will receive letters from NHSE advising them to stay in for 12 weeks
Coronavirus update 20.03.20 We continue to have 3 GPs who are self isolating but all are continuing to work from home - we assume they are not sill in their PJs when they are phoning patients!!! All other teams are working at normal capacity although we are limiting the types of things that can be done in Treatment Room to reduce the risks to patients and staff If you want to speak to your usual doctor about a routine or ongoing problem, phone on a day they are normally in, and assuming they are not unwell, they will phone you back
You can now get fit notes using the button below- GPs cannot issue sick/fit notes for absences relating to Coronavirus
There is misinformation on social media that patients with asthma or COPD can phone and get 'rescue packs' - this is NOT TRUE Mark our pharmacist is currently reviewing patients who may require a rescue pack and will contact them directly - please do not phone reception to ask for one
If you have asthma please use the button below to find out more about asthma and Coronavirus
coronavirus update 19.03.20 Thank you to all our patients who are being understanding and supportive whilst we adapt our services to ensure we remain accessible to patients We continue to have three doctors who are either unwell or self isolating. They are doing a brilliant job of working from home and phoning patients We urgently need access to staff Coronavirus testing to allow staff to return to work safely. It is very disappointing this still not available Our nursing and non clinical teams remain fully staffed ❤️❤️ We do not have the capacity to start taking requests for medication by phone. If you do not have access to the on line system you (or a family member or friend) can drop the request into the box at reception - this only takes minutes and does not increase your risk of exposure to Coronavirus Please do not request more medication than normal or request it to early - it will NOT be issued. There is no need to stockpile medication and it may cause harm to other patients If you have asthma see this link about managing your symptoms with Coronavirus https://www.asthma.org.uk/ad.../triggers/coronavirus-covid-19/
Coronavirus update 17.03.20 In line with the latest guidance we currently have two doctors who will be self isolating for up to 14 days All other staff are in work - we have made adaptations for staff who are now considered vulnerable to ensure they can work in a safe environment We are suspending the drop in blood clinic on Wednesday mornings - but patients can continue to book appointments in Treatment Room We know this is a worrying time so thank you to our patients who have been understanding in this challenging environment Thank you to our staff who are continuing to work in a calm and caring way - things may get harder in the next few weeks but we have a team that always steps up!
FROM MONDAY 16.03.20
Open Surgery will be suspended
All requests for a doctors appointments will be reviewed by a GP before an appointment is booked
Please phone us BEFORE 11am on 0117 944 9750 ON THE DAY YOU WISH TO BE SEEN and a doctor will phone you back - please be patient as we will be answering more calls so it might take longer to get through to a receptionist
WUHAN NOVEL CORONAVIRUS
Following advice from Public Health please DO NOT come to the practice if you have..
Recently travelled abroad Been in contact with confirmed case(s) of Wuhan novel coronavirus WN-CoV. Contact is defined as living in the same household OR direct contact with the case, their body fluids or laboratory samples OR within 2 metres of the case in any other setting not listed above, for any length of time PLEASE PHONE 111 AND ASK FOR ADVICE IF YOU ARE HAVING SYMPTOMS OF WUHAN NOVEL CORONAVIRUS AND ARE IN ONE OF THE ABOVE RISK GROUPS
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