Tuesday, May 19, 2020

Possible cervical screening text messaging scam

The Public Health England screening team have received reports of a possible scam. Some people are being contacted by text message, claiming to be from the call and recall service to advise they are overdue for cervical screening. The message asks them to call a mobile number and provide personal details.

These messages are not from the NHS Cervical Screening Programme. 

If you receive a text message of this kind, please do not respond.

Bank Holiday Opening Hours May 2020


Tuesday, May 12, 2020

Coleridge Medical Centre Spring Newsletter

Our latest newsletter, with up to date information on how the Practice is currently running, is now available to read on our website at:

Monday, May 4, 2020

New service for parents and carers- Text a health visitor for confidential advice and support.


Text a school nurse service- Confidential advice and support for young people


Information about Online Postal Service Pharmacies



Please note we do not arrange for medication to be delivered or posted, that is between the pharmacies and patient to organise. If patients are using postal service pharmacies, there can be quite a wait for the medication to be posted. Some are stating 2 weeks from receiving the prescription to processing and delivering. The patient will need to check the terms and conditions with the provider. Please note that if they sign up online to postal service pharmacies it is NOT linked to the physical high street version - ie Well.co.uk is nothing to do with Well next door, Boots.com is nothing to do with local Boots , so they are unable to help with issues and concerns.

Please be aware that our reception team are here to help, and signpost patients with medical assistance.
We serve a wonderful community and we are doing our best to keep both our community and staff safe in these trying times. Please do not be offended by questions that need to be asked prior to allowing the public into the building, this is to keep everyone as safe as we can and limiting unnecessary contact.


Thursday, April 23, 2020

Leg ulcer/wound Important Information


Have you sustained a new wound to your lower leg? Or perhaps have a pre-existing wound that you are worried isn’t improving or is looking/feeling worse? If so, our Practice Nursing team is still here to help you despite coronavirus changing our usual service delivery!
 You don’t need to manage at home alone, unsure how to best care for it.  Perhaps you may worry we are too busy and hence you may be reluctant to seek our advice…but in fact, we want to encourage you to get in touch with us.   Despite the new challenges we face, as always we are still here for you.
Why are we so keen to see your wound? Well, any wound on the lower leg (above the ankle but below the knee) is at risk of becoming a leg ulcer – no matter how minor the trauma and regardless of the cause.  Leg ulcers are not a disease in themselves, they all start as ‘normal’ wounds. When you add together a leg wound, perhaps with underlying health conditions such as high blood pressure or diabetes or issues such as swelling/fluid to the lower legs, and with inappropriate management then it presents the perfect recipe for becoming an ulcer. And the modern definition of an ulcer is a wound on the lower leg (between the ankle and the knee) which remains unhealed for 2 or more weeks.  So: it really is vital that you are proactive to give your wound the best chance of healing and to avoid ulceration. We understand if you are worried about coming down to the surgery at the current time – after a phone consultation with one of us it may be that we can offer you an initial video consultation rather than face to face appointment – so please do let us know should this be the case.

What is a Leg Ulcer?
Most leg ulcers are venous. This means the wound fails to heal because of underlying high blood pressure in the veins of the lower leg. The main cause of this is faulty valves within the leg veins. In healthy leg veins, the valves prevent blood flowing backwards and keep the blood moving forward on its return to the heart. The valves may be faulty at birth, may weaken with age or become damaged following events such as a thrombosis (blood clot) or as a result of lifestyle choices. When the valves are damaged, backflow of blood is not prevented and blood pressure in the veins increases. Persistent high blood pressure can cause fluid to leak out of the veins causing lower leg swelling and/or can damage the tiny blood vessels in the skin. Over time, this can damage the overlying skin. This subsequently increases the risk of leg ulceration as the skin can easily break down resulting in a wound, or after trauma the skin does not heal well.  An ulcer can therefore form. Once an ulcer is present, fluid can leak from it which can cause further breakdown of the surrounding skin. Unless managed appropriately, leg ulcers can deteriorate rapidly. Therefore, it is recommended that you seek medical assessment of your lower leg wound as soon as possible.

Can a venous leg ulcer be cured?
Yes! Healing can take time and is dependent on your general health and skin condition. The sooner you can seek medical assessment and management, the greater the chance you have of ulcer healing. So please be proactive. Most leg ulcers are venous, but some are arterial or ‘mixed’ – resulting from diseased arteries, not just veins.  Arterial and mixed ulcers  are more complex, healing can take longer and may need referral for specialist assessment. Your Nurse can advise you on the likely diagnosis of your wound after assessment. Assessment helps our Nurses guide decisions around the best treatment for your wound to prevent further deterioration and promote healing.

What is the treatment for venous leg ulcers?
Your Nurse will discuss treatment options with you. Treatment will focus on addressing underlying cause of the ulcer, not just dressing the wound. Research has found compression therapy is the most effective treatment for venous leg ulcers. Compression helps to improve the blood flow and blood pressure, and therefore increase healing rate. Engaging with compression therapy therefore results in more ulcers healing and reduces the risk of recurrent future ulceration. Compression therapy may in the form of bandaging, hosiery/socks or wraps. Our Nurses will advise you what may be suitable for you.

What can I do to help my leg wound heal?
Phone us for advice if you are worried   01404 814447
Exercise: Keep mobile and make use of your daily allowed trip outside for exercise (if you are able to and this is safe for you to do as per current government Coronavirus guidance). A daily walk will help. Sitting exercises including raising your heels from the ground, circling your ankles and raising your toes are also great to improve circulation.
Smoking: Try to stop.  Smoking damages veins and arteries so will slow down healing.
Diet: Aim for a healthy balanced diet. Obesity is a risk factor for leg ulceration so if you are overweight, consider how you may be able to attempt weight loss. Additionally, if you are underweight, seek advice online/from your GP/Practice Nurses regarding how you can improve your nutritional intake.
Medication: Continue taking your medication as prescribed.
Skin care: Use a non-perfused moisturiser on any dry skin at least once a day, ideally twice, to improve skin quality and prevent ulceration risk.
Elevation: When resting, keep your legs raised above hip height. This will help reduce swelling and improve circulation.

So please, don’t suffer and worry alone at home, we would love to hear from you and help as soon as possible after your wound occurs/you notice concerns. As always, we are here to help.

Coleridge Medical Centre








Tuesday, April 21, 2020

General Update to Patients

If you have a medical need please do not delay in seeking treatment. 
We are still available to help and support our patients in the first instance by either  telephone or using eConsult.  
eConsult is available 24/7 via our website http://www.coleridgemedicalcentre.co.uk  Simply click on the eConsult banner and select the right option for you. 
We will get back to you often on the same or next working day.
Thank you.

Tuesday, April 7, 2020

Coleridge Medical Centre
Easter Bank Holiday Opening Hours 2020



As per recent Government Guidance Coleridge Medical Centre will be open on Good Friday (10th April) and Easter Monday (13th April).
To access our services, please only phone on the day you need help.  You will not be able to book in advance without speaking to a clinician first. 
eConsultations can be used as an alternative to phoning us and can be accessed via our website www.coleridgemedicalcentre.co.uk

Thank you for your cooperation


 Thursday 9th  April 2020   -  NORMAL HOURS
 Friday   10th April  2020   -  NORMAL HOURS  
 Monday  13th April 2020    -  NORMAL HOURS
 Tuesday  14th April 2020   -   NORMAL HOURS


In an EMERGENCY please dial 999



Coleridge Medical Centre would like to wish everyone a Happy Easter

Thank you everyone

Thank you to our family, friends and patients for all of the kind words and gifts we have received during this difficult time. Your support is always appreciated. 

Ordering repeat medications


    We understand that ensuring you have your medication supply at home during these difficult times is important but please follow the advice below -


  •         Check what medication you have at home before re-ordering your prescription.
  •         If you don’t need the medication, please do not order it.
  •         If you need the medication in the future you can still request it.
  •         This includes medications that are prescribed to be used as and when required.

·     The easiest way to order your medication on line is by signing up to the NHS App.  This is a simple secure way to access a range of NHS services via a smartphone or tablet. 

       For more information go to www.nhs.uk/nhsapp


·      

Thursday, March 26, 2020

WhatsApp Scheme

New Government WhatsApp scheme:

“The government has launched a new, free service on WhatsApp to provide official, trustworthy and timely information and advice about coronavirus (COVID-19) and reduce the burden on NHS services. To use the service, add 07860 064422 in your phone contacts and then message the word ‘hi’ in a WhatsApp message”

This is an automated ‘chatbot’ service which will allow the British public to get answers to the most common questions about coronavirus direct from government. It will provide information on topics such as coronavirus prevention and symptoms, the latest number of cases in the UK, advice on staying at home, travel advice and myth busting. The service will also allow the government to send messages to all opted-in users if required.

Monday, March 23, 2020

update on access to services 23 March 2020 14:42

Please stay at home and follow national guidance and advice that can be found via the links on our web site, national newspapers, TV, radio and social media.

We are turning people on foot away from our premises unless the visit here has been pre-arranged with us over the telephone. We know our phone lines are busy, we have additional lines in place and at present the staff to man them. Use e-consult as an alternative if you need help with a medical problem.

A new booking system is now in place - please only phone on the day you need help. You will not be able to book in advance without speaking to a clinician first.
From tomorrow (Tuesday 24th March) Whimple surgery will be closed to the public.

Our plan is to maintain access to doctors and nurses to help those who are medically unwell. We can only do this by putting measures in place to keep you and all the staff here as safe as possible.

Please share among your family, friends and local community.


Wednesday, March 18, 2020

Changes to our system

From Monday 23 March 2020 we will change our system to manage the risk of reduced number of staff including doctors and nurses.

We will no longer hold drop in baby immunisation clinics.  Instead please phone the surgery on the day your baby is due their vaccination.  You will then be contacted by a clinician to arrange a suitable time for an appointment.  To protect the safety of our staff we urge you to only bring your baby to the appointment avoiding where possible bringing additional family/friends

On the day you have a medical problem, please telephone us.  We will take your name, contact telephone number and ask you, in confidence, what the nature of your problem is.  If you need to speak to a clinician we will do our best to allocate your usual or preferred clinician.

We will call you as soon as possible, usually within an hour either side of a specified time.   The doctor or nurse will discuss the problem with you and work out what to do next.  We will arrange an appointment if you need to be seen.  This will usually be on the same day or you may want to ask for another day if more convenient to fit around work or to allow time to arrange transport.

The doctor or nurse will call you three times.  If you are unable to answer your phone,  your enquiry will be marked as non-responder and you will need to call in and restart the process.  Under these circumstances it may not be possible to speak to a doctor or nurse on that same day.

You do not need to ring as soon as the surgery opens.  You can ring at any time, and by ringing slightly later than you have in the past you may find there is a quicker response time.

You will not be able to book a telephone call on another day.  Please phone on the day you need us.

Monday, March 16, 2020

Consultations with your gp/nurse - Telephone, face to face appointments and eConsultations available

To minimise the risk of Coronoavirus we are using telephone appointments and e-Consultations in the first instance.  The clinician may still then arrange a face to face appointment with you as clinically required.


Telephone consultations - The gp or nurse will first contact you by telephone and carry out a consultation with you.  If after speaking with you they decide it is clinically necessary to see you face to face, a suitable appointment will be made for you to attend the surgery.


eConsultations (over 18's) - This will allow you to receive help and advice from our GPs without leaving home and if an appointment is required it will be prioritised. All admin queries can also be submitted using the eConsult. To access this service please visit www.coleridgemedicalcentre.co.uk  No password required to access this service
If you need help to fill out an eConsult form online, or are unable to, you can continue to call the practice and a patient service advisor will ask you the questions and complete it on your behalf.
You will receive a response by 6:30pm the following working day.


Please be advised, we are suspending our face to face online appointment booking service for the time being. 



If you already have an appointment booked please attend as normal unless we contact you otherwise.


Please do not come in to the practice if you have either a new continual cough pr a raised temperature over 37.8 C.  You should self isolate and self care for 7 days.  If your condition deteriorates you should contact 111.

Please use online services to order repeat prescriptions and to check blood results.  For more information and to sign up online at 
https://www.nhs.uk/using-the-nhs/nhs-services/the-nhs-app/help/start/

Friday, March 13, 2020

Changes to our services to minimise the risk of Coronavirus

To minimise the risk of Coronoavirus we will be using telephone and e-Consultation (available via our web site www.coleridgemedicalcentre.co.uk) in the first instance, instead of asking patients to come into the practice. 

If you already have an appointment booked please attend as normal unless we contact you otherwise.

Please do not come in to the practice if you have either a new continual cough pr a raised temperature over 37.8 C.  You should self isolate and self care for 7 days.  If your condition deteriorates you should contact 111.

 Please use online services to order repeat prescriptions and to check blood results.  For more information and to sign up online at https://www.nhs.uk/using-the-nhs/nhs-services/the-nhs-app/help/start/

Tuesday, March 10, 2020

Cornoavirus - what you can do

  • The NHS message is:-
    • The NHS is well prepared for outbreaks of new infectious diseases and 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. Check online at gov.uk and at nhs.uk for advice on your travel and contact history and the latest COVID-19 information before attending the practice.

    We will maintain services for as long as we can with the resources we have.  To do so we rely on our community to follow the published official advice regarding self isolation and using 111 as first point of contact.  

    Here's what you can do to help us:

    Please check on neighbours and friends.  Make sure they are up to date with the current advice. 

    Please read and comply with the signs before entering our premises.  Messages are also on our telephones, web site, and via text and email messaging for anyone signed up to those services. 

    Please use our services appropriately and only when necessary.  Make use of our online services including E-Consults, 111 online checker and  NHS Choices.  

    Please make use of community pharmacies and the follow the advice regarding self-limiting illnesses (D&V, coughs and colds etc), advice regarding self-care and over the counter medication to relieve symptoms.
      
    Please check for the latest information on the official websites.  Pass information on to those you know who haven't got online access.

    Please  follow national guidance about good hygiene and hand washing.    Please use the hand gel and hand washing facilities while you are here but please leave them insitu for others to use to help prevent spread of any infections. 

    For good hygiene reasons we have removed toys and magazines from the waiting room.  This is standard infection control procedure to prevent spread of infection.  Please bring your own reading materials and toys to entertain your children while you wait.

    Please note that we have suspended online bookings for routine face to face consultations.   This is so that we can,  if we need to, manage contacts with our workforce and services to patients effectively throughout the coming weeks.   Online telephone bookings are still available.  

    Thank you for your assistance.  
    Sue Stokes
    Practice Manager










    Wednesday, March 4, 2020

    Coronavirus Advice

    Coronavirus

    The NHS is well prepared for outbreaks of new infectious diseases and 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.

    If you are concerned that you may have coronavirus or may have come into contact with someone who has, the NHS 111 online service has created coronavirus pages that tell patients what they should do based on their particular circumstances.  These can be accessed at: https://111.nhs.uk/service/covid-19


    Also, you can check online at https://www.gov.uk/ and at  https://www.nhs.uk/ for advice on your travel and contact history and the latest COVID-19 information before attending the practice. 


    Not Fit to Travel Notes

    In response to a number of requests for doctors to issue letters regarding travel,   we are not able to issue letters for insurance purposes because you choose not to travel.

    If on the other hand you need to cancel your plans because you are ill, then our usual procedure is that the insurance company will ask us to complete a report, either directly, or via the claimant, and for which there is a charge. 

    In the first instance you should check the latest guidance regarding travel to certain areas and then talk to your travel insurers regarding your insurance cover.  

    The link to the latest guidance can be found on the front page of our web site. 

    Friday, February 21, 2020

    Coronavirus update 21.02.20

    The NHS in England 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. 

    The risk to the general public is moderate. If you have arrived back to the UK from mainland China, Thailand, Japan, Republic of Korea, Hong Kong, Taiwan, Singapore, Malaysia or Macau within 14 days, follow the specific advice for returning travellers. 


    Call 111 now if you've been: 

    • to Wuhan or Hubei Province in China in the last 14 days (even if you do not have symptoms) 

    • to other parts of China, including Macau and Hong Kong, in the last 14 days and have a cough, high temperature or shortness of breath (even if it's mild) 

    • to Thailand, Japan, Taiwan, Singapore, Republic of Korea or Malaysia in the last 14 days and have a cough, high temperature or shortness of breath (even if it's mild) 

    • in close contact with someone with confirmed Coronavirus

    Do not go to a GP surgery, community pharmacy or hospital. Call 111, stay indoors and avoid close contact with other people. 

    Further information is available on nhs.uk.

    Secretarial Job Vacancy


    Friday, February 14, 2020

    Coronavirus update 14 February 2020

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    Coronavirus has been confirmed in the UK.  If you have a cough, fever, or shortness of breath and have travelled to an infected area, or been in contact with a confirmed case in the last 14 days, DO NOT attend your GP surgery.  Stay at home and dial 1 1 1 for advice immediately.

    Public Health England Advice below 


    Wednesday, February 5, 2020

    Coronavirus

    all travellers who develop relevant symptoms, however mild, within 14 days of returning from mainland China, should self-isolate at home immediately and call NHS 111. 

    all travellers from Wuhan and Hubei Province should self-isolate for 14 days, even if they do not have symptoms, due to the increased risk from that area


    You should look for any of the following symptoms in the 14 days after the day you return from China, Hong Kong, Japan, Macau, Malaysia, Republic of Korea, Singapore, Taiwan, or Thailand:
    • cough
    • difficulty in breathing
    • fever (a temperature of 38 degrees C or higher)
    If you have any of these symptoms, you should:
    • if it is an emergency, call 999 and tell them which country you have returned from in the last 14 days
    • if you are unwell, but it is not an emergency, call NHS 111 and tell them which country you have returned from in the last 14 days
    Whilst you await further advice from NHS 111:
    • avoid contact with others
    • stay at home, do not attend work or school
    • do not travel while sick
    • cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing. Throw tissues in the bin
    • wash hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitiser if soap and water are not available

    For further information on what to do



    Tuesday, January 28, 2020

    New Automatic Doors being fitted Wednesday 29 January 2020

    On Wednesday 29 January 2020 we will be having a second set of automatic doors fitted in the foyer of the practice.

    This work will be taking place throughout the whole of the day.  Access into the practice will not be compromised during this time.

    We apologise for any inconvenience this maintenance work may cause.

    Coleridge Medical Centre