Coronavirus SURGERY UPDATES
Please see our facebook page for regular updates as they come in to us.
SHIELDING PATIENTS - Covid-19 (update June 2020)
You will have seen that on 31 May 2020, the Government has updated its guidance for people who are clinically extremely vulnerable to COVID-19 and have been advised to shield. The update from Government comes into effect from 1 June 2020.
In summary the changes are:
•The advice for people identified as clinically extremely vulnerable is that they should continue to shield until at least the 30 June but from 1 June, they can spend a short period of time outdoors each day with members of their household, still maintaining 2 metre distance from others.
•If the shielded person lives alone, the Government is advising they can meet one other person from a different household, maintaining strict social distancing. The advice is that this be the same person each time.
•Important aspects of Government’s policy and guidance remain the same. Apart from going outside once per day, a shielded person should continue to avoid all non-essential face to face contact. This means they should still not go shopping or to pharmacies.
•The support for shielded people remains in place and unchanged.
The Government has also confirmed that it will be reviewing shielding guidance alongside wider changes to social distancing, including plans to write to those on the shielding patients list with information about next steps on shielding after the next review on 15 June 2020.
Patient Information for Attending Appointments
We are still seeing a small amount of patients at both Lander and Threemilestone Surgery.
If you have an appointment at either surgery, we would be grateful if you could attend wearing a face covering, ie protective face mask or scarf.
When you arrive at the Lander site for an appointment, please wait in your car (or if you are walking, outside the building) until you receive a telephone call to ask you to come down to reception.
If you are attending Threemilestone Branch Surgery, please ring the bell at the front door and you will be invited in by the person you are seeing. Please do not arrive early for your appointment and queue outside.
We hope these measures will help you feel safe and protected when you are being seen.
If you have developed any symptoms suggestive of Covid-19, please do not attend for you appointment. Please call us first.
Shopping Advice for the Elderly
Please visit AGE UK HELP
Sick notes/fit notes
At present these are being posted or emailed from the Practice.
If you are showing signs of Covid-19 (self-isolate for 7 days) or living with someone who is displaying the symptoms (you must self-isolate for 14 days) you do not need to obtain a sick note from your GP. You can self-certificate for the first week and then you can obtain an isolation note online.
If you are living with someone who is 'shielding' your employer must takes steps to help you either work from home, or make adjustments to keep you as protected as possible at work. Please follow the guidance in the government letter that your family member would have received.
Obtaining Shopping and Prescriptions - Covid-19
If you are struggling to get out to get your shopping or to collect prescriptions, please contact Volunteer Cornwall who will be happy to arrange this for you. 01872 265 305
Unfortunately, we are unable to provide you with a high risk letter (unless you fall into that category) so that you can obtain a priority slot at a supermarket. As you will appreciate, these are for our most vulnerable patients.
Alternatively, you can download the Good Sam app and request help from the NHS Volunteer Responders scheme.
Moderate/Low Risk Patients
I think I should be high risk but have not received a letter - why?
Many of you are concerned that you have not been added to the high risk vulnerable group.
Please see the government guidance for patients who fall into the moderate risk group.
You are not required to shield but you are required to follow social distancing measures stringently.
You will not routinely receive a letter if you fall into the moderate or low risk groups.
This group includes those who are:
• aged 70 or older (regardless of medical conditions)
• under 70 with an underlying health condition listed below (i.e. anyone instructed to get a flu jab as an adult each year on medical grounds):
• chronic (long-term) respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
• chronic heart disease, such as heart failure
• chronic kidney disease
• chronic liver disease, such as hepatitis
• chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
• problems with your spleen – for example, sickle cell disease or if you have had your spleen removed
• a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets or chemotherapy
• being seriously overweight (a body mass index (BMI) of 40 or above)
• those who are pregnant
IMPORTANT ADVICE TO KEEP YOU SAFE FROM CORONAVIRUS:
You should still ensure you adhere to the same social distancing and hygiene measures as everybody else,
• Stay at home
• Only leave home to buy food, for health reasons, or to go to work if a key worker.
• Stay 2 metres (6ft) away from other people
• Wash your hands as soon as you get home.
High Risk Vulnerable Category Patients
We have had a lot of questions at the Practice about who should be on the high risk list for Covid-19. The guidance from the government is below to explain the patients who will fit into this category. If you are deemed to be in the high risk vulnerable category you should be 'shielding'. Please note that if you are asked to shield you are not allowed to leave your house for any reason, other than medical appointments arranged by a professional. You should not be leaving your house for exercise, to walk the dog or to collect shopping for the 12 weeks from the date you received your government letter. There is a government support number in the letter you received. Please telephone and register with them even if you feel you do not need any help at the moment.
The list of conditions considered to be very high risk are:
1. Solid organ transplant recipients
2. People with specific cancers
• People with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
• People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
• People having immunotherapy or other continuing antibody treatments for cancer
• People having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
• People who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs
3. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD
4. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell)
5. People on immunosuppression therapies sufficient to significantly increase risk of infection
6. People who are pregnant with significant heart disease, congenital or acquired
Kings College London are helping the NHS by tracking Covid-19. Click the link to help them identify people in our area with active Covid-19 or if you are in recovery from the illness.
Phase 2 - vulnerable patients - received a text message???
We are aware that many of you have received a text message, either last night or this morning, from the government about being in the very high risk category for Covid-19. The Surgery is experiencing a high volume of telephone calls regarding this today. Some of you appear to have been added to this list without any medical conditions.
Please remember, if you use your telephone number for a patient at our Practice, you may have received the text for them, ie if you care for an elderly parent or someone with dementia. If you still don't fall into this category please email firstname.lastname@example.org and I will look into this for you.
Please accept our apologies if you are having difficulty getting through on the phones this morning, but this is the reason why. Best wishes.
Airmid - health platform
Our system supplier, Systmone, now has a new healthcare platform called Airmid. Some of you may have seen this when logging on to use your online services.
At this present time the Practice is not using the Airmid services. We are currently using eConsut and accuRx to aid communication with patients. We will be looking into the Airmid service when things have quietened down as it involves input from the Practice. Our ways of working have changed drastically over the past few weeks and we need to make sure we distribute staff roles where they are needed most right now.
Learning difficulty or learning disability?
Do you live with a learning difficulty or disability? If so, this video may help you understand the infomation about the coronavirus.. The GP's, here at the Practice, are available to help you through this difficult time:
If you have been diagnosed with asthma and have some questions about keeping yourself safe during the pandemic, please visit Asthma UK, by clicking the link below. Their website has been updated today with the recent issued guidance.
Staying Connected - accuRx
As you are all noticing, the way we are working at present is changing all the time. This is for the safety of everyone. Our telephone triage system is working well and we have introduced the eConsult facility on our website, which is available to access 24 hours a day.
We have just started using a new piece of software, called accuRx. This will enable us to send information to you via text message. With this software we also have the option to include an attachment or a website link to further information.
We are informing you of this new way of messaging as we are aware of the amount of scam texts that circulate on a regular basis. We would like to assure you that the messages that arrive from the Practice do not require a call to the surgery to confirm it is legitimate.
We hope you are all keeping well, physically and mentally over this unusual period. We are available if you need us!
High Risk Vulnerable Status for COVID-19
Am I at risk?😷
I haven't received a letter yet!📩📨
My GP hasn't contacted me 📞
We are receiving increasing enquiries from patients asking if they should be on the vulnerable list, and asking why they have not received a letter yet?
NHS England have already identified groups of patients who have received a letter directly from them (Phase 1). Phase 2 is now under way - week beginning 6th April 2020.
In the meantime, the most at risk patients, as defined by NHS England are:
PEOPLE WHO SHOULD BE ISOLATING FOR 12 WEEKS
Solid organ transplant recipients.
People with specific cancers: people with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
People having immunotherapy or other continuing antibody treatments for cancer
People having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
People who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs
People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD.
People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell).
People on immunosuppression therapies sufficient to significantly increase risk of infection.
Women who are pregnant with significant heart disease, congenital or acquired.
Patients who are on the medication listed:
• Mycophenolate (both types)
The other patients we are identifying for a letter, will generally be those who are eligible for a flu jab. This group should pay extra attention to the social distancing measures, and limit trips out of the house wherever possible.
IF IN DOUBT - PLEASE ISOLATE until we receive the information we need to identify further vulnerable patients.
Please try to avoid calling the surgery to enquire if you are on the list at this present time, unless it is absolutely necessary.
We thank you for your patience and want to reassure you we are all working hard behind the scenes to make sure you all receive the best medical care during these unprecedented times.
PPE - can you help?
The NHS is experiencing supply problems with obtaining Personal Protective Equipment, with there being a national shortage at present.
We are currently using more PPE than ever before, so if you, or a company, have any unused surgical masks or FFP3 that they are not needing, would you consider donating to the Practice?
The protection of NHS staff is extremely important at this difficult time and we would like to lessen the burden for other NHS facilities.
Thanks in anticipation.
Today the Practice has set up an econsult facility via our website. This will give you 24 hour access to send a request to your GP regarding any problems you may have. It is hoped that this will slow down the amount of telephone calls the Practice is receiving at present.
We would be very grateful if you could share this post, and pass on this information to anyone who may find it beneficial.
To start your consultation please click on the link below
Unfortunately Victoria Pharmacy are no longer able to offer medication in blister packs, due to a shortage of staff.
They will only be able to offer normal packets of tablets. We hope you understand this is a difficult time at present, and any help you can give to those who are normally in receipt of blister packs, would be very much appreciated.
They will endeavour to aid anyone who is unable to manage without, but this will only be in certain circumstances.
Based on instructions given by NHS Kernow CGG this morning, the Referral Management Service has closed the office today and sent staff home given the escalating COVID-19 situation.
They are unable to receive any incoming calls at this time and patients calling the service are being advised that they will hear direct from the appropriate provider if their booked appointment is going to change.
Thank you for your understanding.
The Lander Medical Practice is currently adopting a total triage service.
This means that when you call the surgery for an appointment with a doctor you will be offered a telephone ring back and if the doctor feels it necessary will then ask you to come in.
The receptionists have been given strict guidance on the questions they may ask you over the telephone, so please be as helpful as possible.
At this present time we have no indication how long we will continue to work in this way, but will post regular updates on here.
Current government guidance is that anyone who has a cough OR temperature should self isolate for 7 days.
If you think you may have Coronavirus please DO NOT COME INTO THE SURGERY. Contact 111 online initially for advice.
If you already have an appointment booked, please carry on as normal unless contacted by the surgery. If you develop flu like symptoms before your appointment please call us to cancel and rearrange.
New online tool launched to generate isolation notes 📝
If you're advised to self-isolate, you can now obtain a note to send to your employer. Access via the NHS app or online:
⛔ Do not visit your GP, pharmacy or hospital if you are self-isolating.
You do not need to ring your GP regarding an isolation note.
There appears to be a post circulating on social media in regard to contacting your GP for an ‘emergency pack or rescue pack’ if you suffer with either COPD or asthma, which contains antibiotics and steroids.
The post is inaccurate and dangerous. GP surgeries are not routinely offering these 'emergency packs'. If we do so, the system will collapse and we would be unable to cope with the level of demand it would create. We will run out of essential medication for those who truly need it.
Please could patients request their regular medication as normal.
If people are well, they must not request 'emergency/rescue packs'.
If unwell, contact your surgery to receive a telephone ring back from a GP who can make a clinical decision as to whether these treatments are appropriate.
If you think you are showing signs and symptoms of coronavirus, please self-isolate, and contact NHS 111 online.
Please help us keep the NHS going - don’t share misinformation.
Information from Treliske Hospital
We will begin postponing non-urgent planned operations across Cornwall and the Isles of Scilly from Monday 23 March for at least three months.
We know many people waiting for treatment will be disappointed or worried. We would ask you NOT to call us, as we will be contacting everyone affected as soon as possible.
Urgent and emergency cases and cancer treatments will be carrying on as normal.
Routine referrals from GPs and most outpatient appointments will also be postponed for at least three months, as part of steps to make sure we can maintain consistent levels of safety and standards for people using our services. Where possible some of the services that are continuing may also be delivered in a different way to the usual face to face appointments and instead we will use video and telephone consultations when it is clinically appropriate.
We are sure our patients and local people will understand the need for the steps we are taking and support our staff over coming weeks and months.
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.
NHS 111 has an online coronavirus service that can tell you if you need medical help and advise you what to do.
Use this service if:
- you think you might have coronavirus
- in the last 14 days you've been to a country or area with a high risk of coronavirus – see coronavirus advice for travellers and a list of high risk countries on nhs.uk
- you've been in close contact with someone with coronavirus
Do not go to a GP surgery, pharmacy or hospital. Stay indoors and avoid close contact with other people. Call 111 if you need to speak to someone.
In Scotland call your GP or NHS 24 on 111 out of hours.
In Wales call 111 (if available in your area) or 0845 46 47.
In Northern Ireland call 111.
For region specific information and advice in:
Further information and details of how to self-isolate are available on nhs.uk.
Please visit https://111.nhs.uk/service/covid-19 for more information.
General Patient information can be found here: https://www.nhs.uk/conditions/coronavirus-covid-19/
For emergencies when closed, please use the NHS 111 online to contact the NHS111 service
National Data Opt Out
Your health records contain a type of data called confidential patient information. This data can be used to help with research and planning.
You can choose to stop your confidential patient information being used for research and planning. You can also make a choice for someone else like your children under the age of 13.
Your choice will only apply to the health and care system in England. This does not apply to health or care services accessed in Scotland, Wales or Northern Ireland.
Your Data Matters
Cornwall Sexual Health Services
From Monday 2 December 2019, Brook will be delivering all age sexual health services in Cornwall.
Residents will be able to access the same full range of sexual health and contraception services including sexually transmitted infection testing and treatment, HIV testing, chlamydia screening, community contraceptive services, Long Acting Reversible Contraception, emergency contraception, pregnancy testing and psychosexual services. Brook will be offering more clinics across the county with longer opening hours including Saturday.
In partnership with SH:24, Brook will also be offering new online digital services so that residents over 18 can order home testing kits online.
Sexual Health Cornwall will operate from clinics in Truro, St Austell, Bodmin, Bude, Launceston, Redruth, Liskeard, Falmouth, Penzance and Newquay. Full details and opening times will be available from Monday 2 December.
You can book an appointment from Monday 2 Dec by calling 03003030714.
Until Sexual Health Cornwall launches, please continue to use existing sexual health services in Cornwall.
Learning Disability Accessible Healthy Weight Course
To start off the new year we have two accessible healthy weight course planned for Camborne and Truro. These will start in March with taster sessions in January. Other courses will run in other places in Cornwall later in the year:
The Camborne accessible healthy weight course is now starting in March. In January there will be two taster sessions to find out more about the course.
This is for people with a learning disability and / or Autism. It is a 12 week course to learn about healthy eating and to promote being physically active. The course is easy to understand and fun with lots of support. We encourage participants, where possible, to come to all 12 sessions. Carers/support workers are welcome too.
More details about the venue and times will be sent out on What's on LD nearer the time. To book a place please call Healthy Cornwall 01209 615 600 or email email@example.com
The Truro accessible healthy weight course will also start in March. In January there will be two taster sessions to find out more about the course.
More details about the venue and times will be sent out on What's on LD nearer the time. To book a place please call Healthy Cornwall 01209 615 600 or email firstname.lastname@example.org
Nature's Way - Diabetic & Cardiac Walking Group
The Practice are happy to be supporting this local social prescribing programme.
A range of walking groups at the Eden Project and around Cornwall (in Truro, Falmouth and Perranporth) for individuals diagnosed with diabetes, prediabetes and cardiac conditions.
Details of this programme will be sent to patients who are on our diabetic register via text message. We would be grateful if you could share this information with anyone who you feel may benefit. Click on the photo below for further information.
NHS App is a new, simple and secure way to access a range of NHS services on your smartphone or tablet.
All EMIS and TPP practices are connected (Microtest practices will join soon). The NHS app will not replace existing GP system online services and you can download from app stores, search for NHS Digital, NHS App.
NHS Kernow Clinical Commissioning Group - Video Library, Free resources for everyone
Click >>DIABETES VIDEO<< to access the free resources for help with diabetes.
Wellbeing Project - Community Connect Feock
The Council has committed funding in its 2018/19 and 2019/20 budget to help fund a Project Co-ordinator and
Community Navigator to work on a social prescribing project in conjunction with Kernow Clinical Commissioning Group, local surgeries and organisations.
Community Navigator, Sharon Nettleton started in the role on Monday 26th November 2018.
You can contact Sharon by email Sharon.email@example.com or phone 07747 750962.
Prescription charges will increase from 1st April 2019. A single prescription item will cost £9.00.
EXPERT PATIENT PROGRAMME
The Expert Patient Programme is a Free Course now available for anyone living with a long-term health condition in Cornwall. This course is an opportunity for patients to understand pain and fatigue and to learn how to manage these symptoms. Please click below for further information. The Expert Patient Programme website contains a copy of the booking form should you wish to take part in this programme. If you have any queries please contact Elaine Curno, 01579 373 500 or 07824 598 626.
Are you eligible for a shingles vaccination? On the 1st September will you be aged 70, 71, 72, 78 or 79?? If so, please contact the surgery to book your appointment. If you are aged 73 to 77 you will be invited during the next season for the catch up programme.
The Practice is offering a free text messaging service. If you wish to receive appointment reminders, please make sure we have your mobile number.
FRIENDS & FAMILY TEST
HEALTH PROMOTION UPDATES
We update your health promotion information annually. You can let us know this information by clicking on the photo below and completing the attached form. Should you wish to check your blood pressure, please either make an appointment with one of the Phlebotomists or alternatively you can use the blood pressure machine which can be found in the main waiting room by reception.
PATIENT PARTICIPATION GROUP
We are very lucky here at Lander to have a group of patients who have come together to form this representative group. Their aim is to develop a really positive and constructive relationship between patients, our Practice and the community it serves. Click on the tab on the right to see who they are and what they are doing. Applications to join the Group are most welcome.
Updated: November 2019