Chorleywood Health Centre

01923 287100

GP Services during COVID-19

GP Services during COVID-19

NHS England has published a standard operation procedure which Primary Care must comply with. A vital part of this procedure is to minimise footfall through the practice and to operate a “remote management” appointment system. The Practice will only be providing telephone or video consultations. During your telephone appointment if your clinician decides that you need to be seen, they will make a further appointment for you to be seen at the surgery.

In order to assist in preventing the spread of Coronavirus, please do not visit the surgery unless instructed to do so by your GP or Nurse during a telephone consultation. Under no circumstances should you attend the surgery if you have a cough or fever unless instructed by your GP or if anyone in your household is self isolating.

From Monday the 15th June we are asking patients to wear a face covering when they attend the Practice.

The Practice plays a key role in maintaining the underlying health of our population during the COVID-19 pandemic. It is vital that we continue to provide care to all patients if we have the capacity and ensure that those at greatest need are prioritised. In order to do this we have had to review the services offered at the Practice.

Updated: 24th June 2020

Services that continue regardless of the scale of the virus outbreak:

  • Unwell patients requiring medical attention following initial telephone consultation
  • Medication problems that cannot be dealt with by community pharmacy
  • Investigations for immediately necessary conditions
  • symptoms consistent with cancer that may require referral
  • Palliative care
  • Routine vaccinations e.g. Seasonal flu, pneumococcal, shingles
  • Childhood immunisations
  • Blood monitoring for high risk medications e.g. INR and immunosuppressant’s
  • Essential injections e.g. Prostap, aranesp, clopixol, testosterone
  • Cervical smear tests with previous high risk changes or for those on more frequent recalls
  • Contraceptive services
  • Postnatal checks
  • Wound management/dressings

Services that continue but on a revised scale:

  • Routine cervical smears
  • Vitamin b12 injections – where oral is not appropriate
  • Routine reviews of care for people with long term conditions such as Diabetes, COPD, Asthma and Heart disease – remote reviews will be carried out by telephone / video conference.  Blood tests / further investigations will be ordered where clinically appropriate.
  • Stop Smoking clinics – remote reviews will be carried out by telephone / video conference
  • Minor surgery
  • New patient checks – remote reviews will be carried out by telephone / video conference
  • Routine medication reviews – telephone / video conference
  • Insurance reports, Medicals , DVLA medical examinations

Services that continue to be postponed during COVID-19:

  • Spirometry and routine ECG’s, unless clinically indicated
  • New patient registration medical examinations, unless clinically indicated
  • Routine blood monitoring that can safely wait
  • Ear syringing
  • Travel vaccinations

COVID-19 related sick notes please see guidance; www.gov.uk/government/publications/guidance-to-employers-and-businesses-about-covid-19/covid-19-guidance-for-employees 

During the last 3 months the practice has had to radically change the way in which we see and consult with patients. These changes have been implemented to keep our patients and our staff as safe as possible. The government have eased rules and lockdown arrangements but as I expect most of you will appreciate we are still in a very worrying time of managing the risks of what easing these restrictions could mean to our communities.

This has been a very challenging time for all of us and we are so proud of our team here who have continued to work through every day of this pandemic. We would like to ask you all to respect this and hold onto this thought. Some practices have had to close, some have had to centralise some of their services, but we have done everything in our power to continue to run and deliver a local service by staff that you know. Whilst we appreciate the frustration and worry that this horrible situation brings (to us all) please remember, our staff are doing their best for you and unpleasant or abusive behaviour towards them will not be tolerated.

We hope you are keeping safe and well during these difficult circumstances and want to reassure you that the Practice team are here to support you the best we can. Please do still contact us if something feels important to you or is worrying you. NHS 111 website can also be useful when deciding if you should contact us about your problem. https://www.nhs.uk/using-the-nhs/nhs-services/urgent-and-emergency-care/nhs-111/. If you feel lonely please do contact us. We have people available who can help.

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