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Letter to our patients
We know there has been a lot of discussion in the news this week about GPs providing face- to-face appointments. We wanted to explain some of the reasons why we have been offering a reduced number of face-to-face appointments. We also wanted to reassure patients that NHS Digital have confirmed that in July over 50% of the 22.8 million appointments carried out were conducted face to face.
Throughout the COVID-19 pandemic, we have remained open to patients. We have offered appointments using new ways of working and new technology. We have worked hard to make sure we remained available to speak to, and to offer appointments to anyone who needed them.
While we appreciate that patients sometimes prefer to see a GP face to face, there are reasons why we have offered additional online or telephone consultations, and government guidance has played a big part in this. It has remained the case that if we have needed to see a patient face to face, or felt it was important for their care, we have asked those patients to come in to see us.
Offering new ways of working has helped some patients to access appointments they wouldn’t normally have been able to attend due to their commitments, such as their work or caring responsibilities. It remains the case that bringing patients into the surgery while coronavirus is with us presents some significant challenges. We want to explain more about these challenges.
We always pay close attention to the cleaning of our premises. However, the level of cleaning required between patients during the pandemic means that if all our patients were to come into the surgery, we would not be able to offer the same number of appointments because of the increased cleaning time that would be needed.
Additionally, changing PPE (Personal Protective Equipment) between each patient adds additional time to the end of each appointment. The difficulty in obtaining PPE has also meant that we have needed to be more cautious about the way we use scarce resources.
Another challenge we face is how to make sure that social distancing is as good as it possibly can be, and that we maintain a ‘COVID-secure’ environment. Some of the things we need to take into account when considering this are: the number of people in the waiting room, the number of people who cross in the corridors, and the toilet facilities that are available.
As caring employers, we need to ensure that we keep our staff safe as well. Our staff are people too, and some may have ethnicity or health issues that make them more vulnerable to the effects of COVID-19.
Finally, and we think most importantly, we need to consider you, our patients. We have many elderly and vulnerable patients with health conditions that make them more vulnerable to COVID-19 than most. We also know that there are young and healthy people who have been seriously affected by COVID, so it isn’t just the elderly or infirm we need to protect.
Increasing the number of patients in the surgery means that we increase the risk for everyone – particularly if some of those people have symptoms of COVID-19 and are unwell enough to need to be seen.
As doctors and staff working in GP practices, we really want to do the best we can for our patients. We do the jobs we do because we care about the people we look after.
We would all love to see a return to ‘normal’ life and the easy face-to-face care we have always provided, but at the moment offering fewer face-to-face appointments keeps patients safe and provides the maximum number of appointments we can.
As always, we are available to talk to patients, and we want to hear from those who need us. While we understand patients’ frustrations with the current situation, we hope that you will continue to help and support us, as you have always supported the NHS, so that we can go on providing you with care and support in the coming weeks and months.
The Partners, GP’s, Nurses, Management and Admin/Reception Team at Rosegarth & Siddal
Coronavirus – update
In response to the COVID Pandemic Rosegarth and Siddal Surgeries have cancelled all face to face GP and Nursing appointments in line with national guidance.
This is in order to minimise the spread of infection to patients (particularly the vulnerable and at risk) and our staff.
Instead we are offering telephone and video consultations so that patients don't have to attend the surgery.
In certain situation where a face to face appointment is essential this will take place at a designated surgery Siddal Surgery to keep people safe.
We may be able to introduce more Face to Face service in the future depending on the status of the COVID 19 pandemic.
This is a very difficult time for everyone and thank you for your understanding
DO NOT visit the practice or A&E if you are concerned, seek advise online from NHS 111
Use the 111 online coronavirus service to find out what to do next or call NHS 111 to inform them of your recent travel to the country and your symptoms
Stay indoors and avoid contact with other people as you would with the flu.
Latest travel advice from the National travel Health Network & Centre https://travelhealthpro.org.uk/news/498/novel-coronavirus-2019-ncov-update
Also latest advice from the Foreign Commonwealth Office regarding any other countries affected by Novel Coronavirus https://www.gov.uk/guidance/travel-advice-novel-coronavirus
Do not go to a GP surgery, pharmacy or hospital. GO online to 111 for advice, stay indoors and avoid close contact with other people.
Further information is available on nhs.uk
Changes have been made to our online booking system in view of COVID -19.
In order to mitigate any risk that a potentially infected patient may book in online and then attend the practice, we have now changed our face-to-face appointments booked online to telephone triage appointments.
The Government has announced we have moved into the delay phase of COVID19. Recent travel abroad is no longer relevant.
What is important are symptoms:
- If you have a new continuous cough or a high temperature/fever you and the people you live with must self-isolate at home for at least 14 days from when your symptoms started. You do not need to contact the practice or 111.
- We expect the NHS to be exceptionally busy in the coming weeks.
- If you are unwell, with serious symptoms that you cannot manage at home, or you are not seeing any improvements after 7 days please visit NHS 111 online at https://111.nhs.uk/covid-19. DO NOT VISIT THE SURGERY, THE PHARMACY OR A HOSPITAL. Remain in isolation. The 111 service will assess you and advise on what to do next.
- Only if you do not have access to the internet should you ring 111.
We are aiming to reduce the number of face-to-face appointments we provide and to manage more patients over the telephone.
This is for your safety and that of our team.
We are screening the reasons for all appointments, please do not take offence when a member of our team asks why you need to see a doctor or a nurse, and please be honest when you are asked about your current state of health especially respiratory symptoms and fever. This is again for your safety as well that of other patients and our team. If you do attend for an appointment please attend alone unless it is essential you are accompanied eg a parent bringing a child, carer bringing an elderly relative. Thank you.
We have temporarily disabled the appointment booking system online to ensure all appointment requests are screened prior to booking.
We encourage all patients to request medication via our online system and to choose to collect their medication from a pharmacy of their choice rather than calling in with prescription requests and coming back later to pick up a prescription. It is important that we reduce the number of unnecessary visits to our building. Our team will be encouraging patients to help us by ordering online and picking up direct from pharmacies. Please do help us to help you by responding positively.
Everyone can help support the UK’s response by:
• following public health authorities’ advice, for example on hand washing.
• reducing the impact and spread of misinformation by relying on information from trusted sources, such as that on www.nhs.uk www.publichealth.hscni.net and www.gov.uk
• checking and following the latest FCO travel advice when travelling and planning to travel http://www.gov.uk/foreign-travel-advice
• ensuring you and your family’s vaccinations are up to date as this will help reduce the pressure on the NHS/HSCNI through reducing vaccine-preventable diseases.
• checking on elderly or vulnerable family, friends and neighbours.
• using NHS 111 (including online, where possible), pharmacies and GPs responsibly, and go to the hospital only when you really need to. This is further explained on the NHS website – http://www.nhs.uk/using-the-nhs/nhs-services/urgent-and-emergency-care/when-to-go-to-ae/
• being understanding of the pressures the health and social care systems may be under, and receptive to changes that may be needed to the provision of care to you and your family.
• accepting that the advice for managing COVID-19 for most people will be self-isolation at home and simple over the counter medicines
• checking for new advice as the situation changes
IMPORTANT NOTICE TO PATIENTS: Coronavirus (COVID-19)
If you, or any in your household, has a new continuous cough OR fever OR loss of/change in smell or taste OR temperature of 37.8 centigrade or more,
DO NOT CONTACT THE SURGERY.
PLEASE USE THE NHS111 SYMPTOM CHECKER IMMEDIATELY.
DUE TO THE ESCALATING SITUATION, AND IN AN EFFORT TO
HELP PROTECT PEOPLE, PRACTICES IN CALDERDALE ARE MAKING CHANGES
TO THE WAY YOU ACCESS GP SERVICES
FROM MONDAY 30th MARCH 2020
PEOPLE CANNOT ENTER
GP PRACTICES IN CALDERDALE UNLESS THEY HAVE BEEN GIVEN PERMISSION TO DO SO
BY A CLINICIAN DURING A TELEPHONE OR VIDEO CONSULTATION.
IF YOU NEED AN APPOINTMENT OR ADVICE CONTACT YOUR GP PRACTICE.
If the clinician determines that a face-to-face appointment is necessary you will be told when/where to go.
This appointment may take place at a different surgery to one you usually go to but please be assured that the clinician you see will have access to all of your medical records and will be able to make informed decisions based on your health needs
Coronavirus - Covid 19 - updated 21st May
Please note the updated case definition of Covid-19 from this week "A new continuous cough OR fever OR loss of/change in smell or taste".
Please access services appropriately during the Pandemic - if you need medical attention at the practice or you have had an accident or are in an emergency medical situation please obtain the help you would request in a normal situation.
This is a message of thanks to our patients for their patience and support and to all our colleagues and other frontline and back office NHS staff throughout the UK, for their hard work in dealing with the unfamiliar challenges and uncertainty presented by the spread of Coronavirus (COVID-19).
We want to let you know that looking after our patients is our top priority and ensuring we all have a clean, safe place for our staff and patients to work.
Our colleagues are working around the clock to meet patient demand and our telephone calls have reached an unprecedented amount with our telephone system reaching full capacity and actually jamming, with us having to rely on telephone support to reboot our telephone systems.
Please avoid unnecessarily calling the surgery with general enquires, so we concentrate on poorly people.
How to access GP services during the pandemic
We are making changes to the way you access GP services during the coronavirus pandemic to help protect people and slow the spread of the virus.
From Monday 30 March 2020 people cannot enter GP practices in Calderdale unless they have been given permission by a clinician during a telephone or video consultation.
If you need an appointment or advice, call your GP practice by phone in the first instance. You can use the NHS Find your GP service to get their contact details.
The receptionist will take details and process your call as usual. If your needs require a clinical opinion a phone or video call with a GP, nurse or other healthcare professional may be booked for you.
If a face-to-face GP appointment is necessary, you will be told which GP practice it will be held at. This appointment may take place at a different surgery to the one you usually go to, and with a different doctor or nurse than the one you usually see.
If a home visit is needed, one will be arranged. The doctor who visits may not be the one you usually see.
Please be assured that the clinician you see will have access to all of your medical records, and will be able to make informed decisions based on your health needs.
These are temporary measures taken to ensure we can continue to meet your needs in general practice.
It also supports the national efforts to encourage people to stay at home and maintain social distancing measures, and ensure that people receive the best medical care while keeping doctors and nurses safe.
This is for your safety and that of our team.
We are screening the reasons for all appointments, please do not take offence when a member of our team asks why you need to see a doctor or a nurse, and please be honest when you are asked about your current state of health especially respiratory symptoms and fever.
This is again for your safety as well of other patients and our team.
PLEASE ORDER YOUR MEDICATION THROUGH OUR ONLINE SERVICES, if you do not have access to online services please request a password from our Receptionist. Alternatively if you do have access and have forgotten your password the Reception team can reset your password for you.
We will only be allowing prescription requests to be ordered through our email box after the 31st July 20.
After this time you will only be allowed to request your medication through our ONLINE SERVICES.
This is an email address to order prescriptions ONLY as a temporary measure during the COVID pandemic - email@example.com.
We encourage patients to use their online access to order medication rather than depend upon the use of this email box.
If you wish to apply for online access to order your medications, then please speak to a Receptionist who will issue you with your password access. If you have locked yourself out of your online account, they can also unlock you and issue you with another password.
Passwords are only valid for 7 days from issue so please ensure that access your account and reset your password within the 7 day time limit; otherwise the password that we issue to you will expire.
For all other queries, medical advice you must speak to a receptionist, please dial the surgery’s telephone number 01422 353450 and your call will be placed within a queue.
Important please note that: All non-prescription queries may not be dealt with or they may be significant delay in dealing with your query.
PLEASE ENSURE that you have a pharmacy nominated so we can send your prescription direct to your chosen pharmacy. If you do not have a chosen pharmacy then please write on your prescription request which pharmacy you would prefer to use and we will organise your medication to be send electronically to your chosen pharmacy.
PLEASE BE AWARE THAT medication may take slightly longer to authorise, due to the sheer amount of requests that we are receiving.
PLEASE DO NOT RING THE SURGERY TO CHECK THAT YOUR MEDICATION HAS BEEN PRESCRIBED, check with your chosen pharmacy first. Also we do not prescribe hand gel, like the majority of the UK we too are struggling to obtain any stocks.
MEDICATION REQUESTS TAKE AT LEAST 2 WORKING DAYS AFTER BEEN DROPPED INTO THE SURGERY
SICK NOTE REQUESTS:
The Government has asked employers to 'use their discretion' when considering medical evidence for people self-isolating due to coronavirus (Covid-19) exposure.
In an action plan set the Government said it is preparing for a worse case scenario. However, the document suggested GPs may not be required to sign fit notes for people who have to take time off work.
It said: 'Your employee will be advised to isolate themselves and not to work in contact with other people by NHS 111 or PHE if they are a carrier of, or have been in contact with, an infectious or contagious disease, such as COVID-19.
'We strongly suggest that employers use their discretion around the need for medical evidence for a period of absence where an employee is advised to self-isolate due to suspected Covid-19, in accordance with the public health advice being issued by the Government.'
A spokesperson for the Department for Work and Pensions said: 'Employers have been urged to make sure they use their discretion and respect the medical need to self-isolate in making decisions about sick pay. 'Anyone not eligible to receive sick pay is able to claim Universal Credit and/or contributory Employment and Support Allowance. "We are keeping the situation under constant review and we will take appropriate measures in line with further developments".
LINK ON HOW TO GET AN ISOLATION NOTE
In view of the above information we do not wish to receive telephone requests for sick notes. Please use this link https://111.nhs.uk/isolation-note/ if you have to stay at home because of Coronavirus and you need a note for your employer. If you have to stay at home but feel well enbough to work, ask your employer if you can work form home. If you can work form home, you WILL NOT need an isolation note.
You can also use this service for someone else.
Guidance on Social Distancing for Vulnerable Groups
This guidance is for everyone. It advises on social distancing measures we should all be taking to reduce social interaction between people in order to reduce the transmission of COVID 19.
NHS England has written to patients at most risk from severe complications from COVID-19, asking them to stay at home and avoid face-to-face contact for the next 12 weeks. GP practices are being asked to review the list of their patients covered by this and ensure that they provide additional support to any specific patients who require this.
The full list of patients covered by the measures along with the steps practices are required to take are detailed in the NHS England guidance below.
ASTHMA ADVICE FROM SISTER DEBORAH COLLEDGE - Rescue packs will be issued on a case by case basis, do not contact the surgery for one of these unless you are a severe asthma patient and have been issued these in the past year. Shielding for asthma patients is recommended for the 'SEVERE' cases and these can be identified by following this link.
Urgent medical help
If you need urgent medical help, use the NHS 111 online service.
The 111 online service asks questions about your symptoms to help you get the help you need.
Only call 111 if you’re unable to get help online.
During the coronavirus outbreak, the 111 phone line will be very busy so it will be quicker and easier to get help online.
We are encouraging our communities and take care of one another, if any of our patients are struggling with self-isolating please let the surgery know and we may be able to help and assist you. Or alternatively put you in touch with someone who could help.
We are also struggling to buy stocks of Hand Gel, Antibacterial Wipes (just like the rest of general public). We will endeavour to purchase these items when they come back into stock. Our practice cleaning routines have been increased throughout the day to ensure that cleanliness is maintained.
We are following NHSE guidance and ensuring we collectively do everything possible to help our community in these challenging times, our focus is to serve our patients, support our district nursing teams, secondary care staff, nursing homes and encourage everyone to take care of one another.
We have plans in place to respond as the situation as it develops and we are working every day to meet the changing nature of the impact of this pandemic.
Please avoid visiting either of our surgeries at all times for routine enquiries.
For further information on symptoms, please see our News section on our webite for further COVID19 advice and guidance.
Finally we would like to ask all our patients to consider their vulnerable neighbours and those who may struggle with self-isolating. We promise to do our very best to work together, to support our patients and each other as we face this challenge.
Please also continue to treat our colleagues on the front line and back office with the greatest respect.
Rosegarth & Siddal Surgery
Request Support during COVID 19
If any patients needs support with Social care or Volunteers to help with shopping, getting meds transport.
Or do you just need to speak to someone for emotional support click here for the website for a SINGLE POINT OF ACCESS - to the SOCIAL CARE and VOLUNTERING HUB.
STROLLS FROM THE SURGERY
Reduce Heart Disease and Strokes
Improve balance and reduce falls
Improve your fitness
Improve Mental wellbeing
Every Thursday from 4th April 2019 there will be a short easy walk starting
from Rosegarth Surgery.
The walks will begin at 12.30pm and finish by 1.15pm.
You do not need any special equipment for the walks, just sturdy shoes and a waterproof coat.
Walks will be provided in partnership with CREW
If you need more information please ring Warren on 0770 6915833
The best way to manage hay fever is to check the pollen forecast and try to avoid exposure to pollen.
There are lots of ways to minimise exposure and ease your hay fever symptoms.
What is hay fever and what causes it?
Hay fever is a common allergic condition. It is caused by an allergic reaction to pollen. Pollen is a fine powder released by plants as part of their reproductive cycle. When these tiny particles come into contact with the cells that line your mouth, nose, eyes and throat, they can irritate them and trigger an allergic reaction.
During an allergic reaction the body releases a number of chemicals. These chemicals then cause the symptoms of hay fever, such as watering eyes and a runny nose. Hay fever is also called seasonal allergic rhinitis because symptoms tend to occur at the same time, or in the same season, each year.
You can have an allergy to: • Tree pollen - late March to mid May • Grass pollen - mid May to July • Weed pollen - end of June to September
What are the symptoms of hay fever?
- Frequent sneezing • Runny or blocked nose • Itchy, red or watery eyes (also known as allergic conjunctivitis) • An itchy throat, mouth, nose and ears. Less commonly, you may experience: • Loss of your sense of smell • Facial pain • Sweats • Headaches
Hay fever symptoms vary in severity and your symptoms may be worse some years than others, depending on the weather conditions and the pollen count. Hay fever symptoms are likely to be worse if the pollen count is high. The pollen count is usually given as part of the weather forecast during the spring and summer months. Your symptoms may start at different times of the year, depending on which types of pollen you are allergic to.
While symptoms of hay fever may be mild, they can interfere with your sleep and your daily activities at school or work.
How do you treat hay fever?
- Pollen avoidance - Taking steps to minimise your exposure to pollen, such as closing windows, wearing wraparound sunglasses and avoiding grassy areas. Rub a small amount of Vaseline inside lower nostrils, this helps to stop pollen entering the nasal passages. • Antihistamines - Antihistamines help block the effects of one of the chemicals released during an allergic reaction. This prevents the symptoms of an allergic reaction occurring. • Steroid nasal sprays - Steroid nasal sprays can help reduce levels of inflammation around the eyes and inside the nasal passages. • Eye drops - Eye drops containing anti-inflammatory medicines.
Where to go for help and advice
Most cases of hay fever can be treated using medication from a pharmacy or supermarket. By going to the pharmacy you’ll be saving yourself time, freeing up GP appointments for people with more urgent needs as well as doing your bit to help the NHS save money on unnecessary prescription costs.
Your Local Pharmacist can offer you help and advice on which medication is right for you.
Calderdale Commissioning Group (CCG) Advice on Hay Fever treatments here
In a nutshell, GDPR (aka the new General Data Protection Regulation) has been created to give you more control over how businesses store and use your personal data. It will also make it easier for you to find out what information a company has about you, and update it as and when you want.
What does this mean for Rosegarth & Siddal Surgeries?
We’ve always collected, stored and used your data safely and securely.
What data we collect from you, as well as what we do with it
Who we share your data with, and why we do this
How long we store your data for
What rights you have in relation to the data we hold on you
Please click to access our Privacy Statement.
Changes to products available on prescription in Calderdale
NHS Calderdale Clinical Commissioning Group (CCG) has recommended that GPs stop routinely prescribing a number of lower value products and branded medicines. The NHS in Calderdale could save around £300,000 each year by stopping prescribing these self-care treatments, which are widely available to buy, without a prescription, from pharmacies and supermarkets.
Please see our prescription section for further details.
Dial 111 for all urgent care and when the surgery is closed.
Changes to how to order your Repeat Prescriptions from 1st April 18
From 1st April NHS Calderdale CCG has taken the decision to recommend that we cannot accept orders from 3rd Parties (Pharmacies, online pharmacies and medical equipment supplies).
We understand that we will have a certain cohort of patients who will need assistance with ordering their medication. The practice is working closely with local pharmacies to identify patients who should be EXEMPT.
- You will now need to order your own medication.
- Why this is happening:
- Prevent waste through medicines being over ordered.
- Reduce spend on unwanted medicine
- Prevent stockpiling medicines
- Put patients in control of their own medicines.
You will need to order your repeat prescriptions from Rosegarth/Siddal Surgery when you have at least 7-10 days of medicines left.
- Did you know you can order online using a smartphone app or a computer? Please ask a receptionist for an online registration pack. You will need to show photographic ID & proof of address in order to obtain access and password.
- Drop off or post your repeat prescription request at the Practice.
- Remember we need 2-3 working days to issue a prescription, so don’t leave it till the last minute.
For further information on how to order click on this link: https://www.calderdaleccg.nhs.uk/prescription-ordering/
CQC Inspection 9th January 2018
CQC inspections & ratings of specific services
People with long term conditions
Families, children and young people
Working age people (including those recently retired and students)
People whose circumstances may make them vulnerable
People experiencing poor mental health (including people with dementia)
This practice is rated as Good overall.
The practice was previously inspected on 21 April 2015. On that occasion the practice received a rating of Outstanding overall, with ratings of Good for providing safe, caring and well led services; and Outstanding for providing effective and responsive services.
Early Morning Appointments
We offer appointments from 7am every Monday, Tuesday, Wednesday & Thursday mornings, please book in advance as these slots prove very popular.
We now have visa machines installed at both sites
Incoming calls to Siddal Surgery each Monday and Friday will be handled by the Rosegarth team, between the hours of 8am-10am.
This allows us to provide patients with the best possible service at the business' peak incoming call time.
If you are a Carer for anybody or have a Carer, please let reception know and ask for a Carers Pack.
Carers are entitled to the seasonal flu vaccine. For more information, click on the link Carers UK.