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CORONA VIRUS - COVID-19 UPDATE

MAY 2020

Due to current concerns with regards to Coronavirus (Covid-19) with effect from Monday 16th March we will be operating on a telephone triage system only. All pre-bookable appointments have now been taken off the system and we are unable to offer you a face to face appointment on the day without telephone triage first.

If you have a clinical need to be seen by a doctor or nurse please telephone the surgery from 8:30am and the receptionist will put your name on a call-back list for a clinician from the practice to call you back. Due to high volume of calls expected, we might not be able to give you an accurate time for the call back.  

Attendance for the blood clinic will be screened and only those who are well and not displaying signs of respiratory illness would be seen.

Please do not come to the practice unless you have been first contacted by a doctor to attend otherwise we will not be able to see you. Please ensure, you are attending on your own where possible unless there is a need for your carer to attend.

If you need to order a prescription, please use either patient access, our webpage or post the prescription into the letter slot beside front door in Yapton Surgery and along side of the building in Middleton Surgery.  For any patient that does not at present have a nominated pharmacy, for patients living north of A259 the prescription will be sent to Yapton Pharmacy, next door to the Yapton Surgery for you to collect. For patients living south of A259, your prescription will be sent to Lloyds Pharmacy across the road from Middleton surgery. If you do not have patient access, please call our reception teams and they will be able to assist you in setting your own personal log in.

We regret that we have had to take these precautions but it is for the safety of your fellow patients and the staff.

We will notify you ASAP if any changes to this policy occur.

Thank you for your understanding at this time.

To find latest information about Governments action plan for COVID19 please see https://www.gov.uk/government/publications/coronavirus-action-plan

The government has announced that we are moving out of the contain phase and into delay, in response to the ongoing coronavirus (COVID-19) outbreak.

The UK Chief Medical Officers have now raised the risk to the UK from moderate to high.

As per the current advice, the most important thing individuals can do to protect themselves remains washing their hands more often, for at least 20 seconds, with soap and water. Make sure you cough or sneeze into a tissue, put it in a bin and wash your hands.

Travel and contact history are no longer important for diagnosis, which is on the basis of symptoms alone. If people who have travelled do not have symptoms they do not need to stay at home, regardless of their travel history.

We are asking anyone who shows certain symptoms to self-isolate for 7 days, regardless of whether they have travelled to affected areas. This means we want people to stay at home and avoid all but essential contact with others for 7 days from the point of displaying mild symptoms, to slow the spread of infection.

The symptoms are:

a high temperature (37.8 degrees and above)

a new, continuous cough

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days contact NHS 111 online at 111.nhs.uk. If you have no internet access, you should call NHS 111. For a medical emergency dial 999

If advice for you is to self-isolate, you can find more information about this on https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance/stay-at-home-guidance-for-people-with-confirmed-or-possible-coronavirus-covid-19-infection

Clinics & Services

Asthma & COPD

We have specialist nurses who have an interest in respiratory disease (Asthma and COPD). We recommend that all patients with a respiratory problems should be seen at least once a year to maintain optimum control.

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Hypertension and Coronary Heart Disease

Hypertension (high blood pressure) and Coronary Heart Disease are now recognised as a major health concern and clinics are held every week for anyone who has cardiovascular problems. It is recommended that all at-risk patients attend once a year. The clinic offers lifestyle advice, a blood pressure check, blood tests and an ECG. The practice also offers preventative health checks aimed to prevent the development of both hypertension and Coronary Heart Disease.

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Heart Failure

Heart Failure is a condition that some of our patients develop over a period of time. It has a number of causes and can be well controlled. Further Information from British Heart Foundation.

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NHS Health Checks

Why not take advantage of the Free NHS Health Check now available to you and patients aged between 40 – 74 years who attend at this practice. The check is confidential and includes:

    • 30 minutes consultation

    • Blood pressure check and finger prick cholesterol test

Personalised advice about what simple steps you can take to stay healthy for the future.

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Counselling

Our Mental Health Liaison Practitioner works from both surgeries and offers up to twelve 45-minute sessions to patients who have been referred by a member of the Practice's clinical team.

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CRYOTHERAPY - DUE TO LONG TERM SICKNESS THIS SERVICE IS TEMPORARILY SUSPENDED

One of our Nurse Practitioners provides Cryotherapy. This is a technique that involves “cold” burning an area of skin with liquid nitrogen. It is our treatment of choice for most warts, verrucas and solar keratoses (scaly sun induced thickenings of the forehead and scalp). It is also effective for seborrhoeic warts, skin tags and small rodent ulcers (basal cell carcinoma). We do not use this technique on pigmented moles.

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Diabetes

The practice has over 500 patients with diabetes. We aim to provide the highest standards of care. We hold regular clinics at both surgeries:diabetes

Nurse Leads: Emma Mist and Julie Cleeves

For access to health information on diabetes, contact Diabetes UK.

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Family Planning

A complete contraceptive service is provided by individual doctors, including the fitting of coils and diaphragms. We also provide Long Acting Reversible Contraceptives (known as LARCS). These are the Mirena Coil and the Implanon hormonal implant, the copper containing coils and the contraceptive injection. In addition, our Practice Nurses can provide comprehensive information, advice and follow-up care.

Clinical Leads - Dr Victoria Beattie, Dr Heather Beaumont and Dr Brenda Gorrie.

The Family Planning Association website is a good source of information on these issues.

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Joint and soft tissue injections

Dr Tej Bansil and Dr Brenda Gorrie undertake a variety of joint injections. Shoulders, knees and some joints of the hand can benefit from an injection of steroid into the joint. Tennis elbow (lateral epicondylitis), trigger finger etc. also benefit.

The type of conditions where injections might be useful include:



    • Osteoarthritis

    • Rheumatoid arthritis

    • Gouty arthritis

    • Synovitis

    • Bursitis

    • Tendonitis

    • Muscle trigger points

    • Carpal tunnel syndrome 



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Male Sexual Health

Erectile Dysfunction (ED) or impotence is the inability to attain or maintain an erection satisfactory for sexual activity.

- It is more common than you think.

- It can also be successfully treated

- There are a number of different causes - but it affects all age groups.

Although we have traditionally divided the causes into "physical" or "psychological" - it is rarely as simple as that. Most men present a number of potential reasons why their erections are beginning to fail or become unreliable. Taking a good history (asking the right questions) will help in deciding what the causes might be. This is very useful as it will help us to plan treatment. Most men with ED can try most of the treatments, but it is usually better to start with the simple treatments first.

In many men a combination of these causes act together to give rise to difficulties. Few investigations are necessary and rarely help in the assessment - and many men can be successfully helped.

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Maternity

Midwives from St Richard's Hospital attend the Practice on a regular basis and offer a full range of antenatal and postnatal services. When you first attend, your doctor will ask you a number of questions and will undertake a physical examination of your cardiovascular and respiratory system, take your blood pressure and record your weight. You will be referred to the midwife and or the hospital antenatal clinic depending upon your individual circumstances.

It's very important to see a midwife or a GP as soon as possible. You should have had your long 'booking' visit by 12 weeks, and you should also have been given your hand-held maternity records by this time. At the booking visit, you'll discuss your health and any other concerns so that an individual care plan can be developed. You may be offered an ultrasound scan. You will also be weighed, and given information on the screening tests available, and have an opportunity to discuss them.

If you have found out that you are pregnant, you may also self-refer to a midwife.

The website to do this is as follows: www.westernsussexhospitals.nhs.uk/services/maternity

 

Click here for more information about care during pregnancy.

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Minor Surgery

GP Lead: Dr Brenda Gorrie

We have been providing a range of minor surgical procedures in the Practice since 1988. Procedures are undertaken at both the Yapton and Middleton surgeries, equipped with diathermy and cryotherapy equipment (temporarily suspended).

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New Patient Checks

All new patients can request a routine health check with one of the healthcare assistants. This allows us to gain information regarding recent or serious illnesses and any relevant family history. You will be asked to bring a specimen of urine to the appointment with you. Existing patients are more than welcome to book in for a lifestyle and health MOT.

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Smoking Cessation

Appointments for smoking cessation advice are available with a trained Smoking Cessation Adviser.

NRT (Nicotine replacement) is available on NHS Prescription – but only through our advisers. Evidence and our experience demonstrate that those people that enrol and complete the programme are the most successful.

Call the free NHS Smoking Helpline 0800 022 4 332 or West Sussex Stop Smoking Service on 01903 708000. For more information on NHS stop smoking services, follow this link.

updated 29/04/2020

 
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