NEWS

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Oakenhall Medical Practice would like to thank all patients for their consideration to the practice and its staff. We have been very overwhelmed with the thoughtfulness of patients and their understanding. We appreciate, that the way that we are currently working is unexpected and moving very quickly on a day by day basis. We are sending updates to provide you with up to date information as we receive it.

We would ask you to continue to assist us with our new ways of working. The telephone as a consequence is now very busy - please bear with us your telephone call is important to us and the practice staff are answering calls as quickly as possible. We may not always have the answer to all your questions and queries, but will endeavour to address these as we receive them.

Appointments at the Practice (September 2020)

We have continued face to face appointments with patients throughout the Covid-19 (Coronvirus) Pandemic and we continue to do so where needed. However initial assessment is via telephone to ensure that you are dealt with in the safest and most appropriate way.

Oakenhall Medical Practice.

We would like to address some of your questions/queries that we have already received:

Coronavirus:

If you have symptoms associated with Coronavirus including a new continuous cough and a high temperature, you are advised to stay at home for 7 days. If you live with other people, they should stay at home for at least 14 days to avoid spreading infection outside the home. After 14 days anyone you live with who does not have symptoms can return to their normal routine.

If your symptoms are serious, or get worse, NHS 111 has an online coronavirus service (111.NHS.UK) that can tell you if you need further medical help and advise you what do.

Only call 111 direct if you are advised to do so by the online service or you cannot go online.

The most up-to-date public guidance is always online at www.nhs.uk/coronavirus.

Appointments:

The GP's Practice Nurses and Health Care Assistant are now providing telephone consultations where possible. We are also now offering video consultation and where it has been assessed that you need to attend the practice, your clinician will make this arrangement directly with you.

You can book a telephone appointment by online services or telephone. To register for online services at home using NHS APP through your smart phone or tablet - please visit www.nhs.uk/nhsapp. You will need photographic ID (e.g. passport) available.

Telephone:

All patient contact should now be made with the practice by telephone - please do not attend the practice unless directly arranged by prior arrangement.

Prescription Requesting:

Where ever possible please use online services to request your prescriptions.

To register for online services at home using NHS APP through your smart phone or tablet - please visit www.nhs.uk/nhsapp. You will need photographic ID (e.g. passport) available.

If you do not have access to a smart phone, tablet or have not already registered for the practice based online service:

You will be able to bring your written prescription request to the practice's Portland Road Exit Door. Please remember to identify the name of the pharmacy you wish the prescription to be sent to.

Please put your request through the letter box. There is now a secure confidential collection box which will hold your prescription request. This box is emptied several times a day.

All prescriptions are now sent directly to the pharmacy you have identified. If you have not identified a pharmacy a receptionist will contact you to ask for this information.

All routine prescriptions are processed with 48 working hours.

Rescue Packs: We have been made aware of some inaccurate information circulating (especially on social media) regarding special ‘rescue packs’ of antibiotics and oral steroids for patients with pre-existing respiratory conditions such as asthma or chronic obstructive pulmonary disease (or even for those who don’t have these conditions). We would like to reassure you that patients who suffer with severe respiratory conditions already have these in place (along with the instructions how to use them). Oral steroids are powerful medicines and any decision to use them would need careful evaluation by a prescriber, usually a doctor or respiratory specialist nurse. Please do not contact your GP practice for a rescue pack unless this is something that has been previously agreed and prescribed by your medical team. You should continue to manage your condition in the usual way and if you feel you have symptoms of COVID-19, go to https://111.nhs.uk/covid-19 or call 111 (online services should be used as a first choice) before doing anything else

Inhalers: We are aware of increasing requests for inhalers from patients who haven’t had them for a significant period of time. Each patient should be reviewed on an individual basis for clinical need. If you feel that your pre-existing respiratory condition such as asthma or chronic obstructive pulmonary disease condition has changed or worsened, please telephone the practice to arrange a GP telephone consultation.

Medical Certificates "Fit for Work" Requests:

Below is a breakdown of potential requests for fit notes, advice and outcome which you might find helpful to determine the right course of action for your employee. This is taken directly from the national guidance in relation to COVID 19.


Issue

Advice

Outcome

1. Symptomatic so isolating for 7 days - used NHS website/111 online/been told by health care professional that they have symptoms.

Use isolation note

https://111.nhs.uk/isolation-note/

Your employee does not need to contact their GP

2. Symptomatic and remaining
unwell for over 7 days.

If they remain unwell and unfit to work after 7 days, the current advice is to visit www.111.nhs.uk where there is an online self-assessment tool. The patient may be invited to call NHS111 and given further advice and a MED3 certificate emailed to them.

Your employee does not need to contact their GP

3. If household members, support bubble members, NHS Track & Trace informing of a positive contact have symptoms, employee will isolate for 14 days as per government advice.

Patients/employees can use isolation note

https://111.nhs.uk/isolation-note/

Your employee does not need to contact their GP

4. Employees within the “at-risk” groups following government advice on isolating (shielding OR social distancing) during COVID-19.

www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk-from-coronavirus/whos-at-higher-risk-from-coronavirus/

Clinically extremely vulnerable individuals have been strongly advised not to work outside of their home until 31st July 2020. Employers are expected to help shielding employees to work from home. Clinically vulnerable are to continue to take extra care in observing social distancing but can form a ‘support bubble’ as per guidance. If they do become unwell during or after this time, point 1 and 2 applies and they can get an isolation note.

Your employee does not need to contact their GP

5. If employee lives with someone who is shielding or identified at high risk from coronavirus (clinically extremely vulnerable)

www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk-from-coronavirus/if-you-live-with-someone-at-very-high-risk-from-coronavirus/

People who are at high risk from coronavirus should have received a letter from the NHS saying they are at high risk. Recent change in Government guidance on 6th July 2020 stated there is no need for those within the ‘at-risk’ categories to social distance with household members. Employees are not required to shield themselves. Further details can be found on fourth link below.

Your employee does not need to contact their GP

Please see below a letter from the Nottingham Local Medical Committee, which may assist patient's who have a clinically vulnerable condition, or an employee living with someone identified as high risk. The letter can be printed and provided to your employer.

Patients requesting Fit for Work notes/isolation notes during Covid-19.

Please see below a letter from the Nottingham Local Medical Committee, which may assist patients who need to self-isolate for 14 days before an operative procedure. The letter can be printed and provided to your employer.

Letter for patients who require to self-isolate before operative procedure

Please contact your GP Practice for a "Fit for Work" certificate if you are medically unfit for any other reason. We are now providing Fit for Work certificates electronically through a texting system to your smart phone. A receptionist will always ring you before this is sent to you.

Caring for People at Highest Risk During Covid-19

GP Practices have been asked to help with the management of patients who are at the highest risk of severe illness if they catch Coronavirus (also known as COVID-19). This means a patient with an underlying disease or health condition, who catches the virus is more likely to be admitted to hospital than others.

Patients who are at risk and are recommended: Social Distancing

  • Aged 70 or older (regardless of medical condition)
  • Aged under 70 with an underlying health condition (i.e. anyone advised to get a flu jab as an adult each year on medical grounds)

What is Social distancing?

  1. Avoid contact with someone who is displaying symptoms of coronavirus (COVID-19). These symptoms include high temperature and/or new and continuous cough
  2. Avoid non-essential use of public transport when possible
  3. Work from home, where possible. Your employer should support you to do this. Please refer to employer guidance for more information
  4. Avoid large and small gatherings in public spaces, as infections spread easily in closed spaces where people gather together.
  5. Use telephone or online services to contact your GP or other essential services

Everyone should be trying to follow these measures as much as is practicable. For more information please visit:

https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults

Patients who are At Very High Risk and are recommended: Shielding

  • People with a solid organ transplant such as a kidney or liver transplant
  • 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
  • People who are pregnant with significant congenital heart disease
  • All patients on the following medications: Azathioprine, Mycophenolate (both types), Cyclosporin, Sirolimus, Tacrolimus

The UK Government has set out a roadmap for the clinically extremely vulnerable on the future of the shielding programme:

What are the changes?

Recently, the UK Government advised that you can spend time outdoors, if you wish, with your own household, or if you live alone with another household. Following this, and alongside current scientific and medical advice the UK Government is planning to relax shielding guidance in stages.

From 6 July, the guidance will change so you can meet in groups of up to six people from outside your household – outdoors with social distancing. For example, you might want to enjoy a summer BBQ outside at a friend’s house, but remember it is still important to maintain social distancing and you should not share items such as cups and plates. If you live alone (or are a lone adult with dependent children under 18), you will be able to form a support bubble with another household.

From 1 August, you will no longer need to shield, and the advice will be that you can visit shops and places of worship, but you should continue maintaining rigorous social distancing.

Why is the guidance changing now?

The roadmap has been developed in line with the latest scientific and medical advice and with the safety and welfare of those who are shielding in mind. Current statistics show that the rate of catching coronavirus in the community continues to decrease. On average less than 1 in 1,700 in our communities are estimated to have the virus, down from 1 in 500 four weeks ago.
Unless advised otherwise by your clinician, you are still in the ‘clinically extremely vulnerable’ category and should continue to follow the advice for that category: please visit: https://www.gov.uk/government/publications/guidanc...

We will monitor the virus continuously over coming months and if it spread too much, we may need to advise you to shield again.

What support is available to people who are shielding until the end of July?

Essential supplies

There are a number of ways that those who are shielding can access food and other essentials:

Make use of the supermarket priority delivery slots that are available for this group. When a clinically extremely vulnerable person registers online as needing support with food, their data is shared with supermarkets. This means if they make an online order with a supermarket (as both a new or existing customer), they will be eligible for a priority slot.

Use the many commercial options now available for accessing food, including telephone ordering, food box delivery, prepared meal delivery and other non-supermarket food delivery providers. A list has been shared with local authorities and charities.

A free, standardised weekly parcel of food and household essentials. If you have registered for this support online before 17 July you will continue to receive weekly food box deliveries until the end of July.

If you need urgent help and have no other means of support, contact your local council to find out what support services are available in their area.

For anyone facing financial hardship, the government has made £63 million available to local councils in England to help those who are struggling to afford food and other essentials.

NHS Volunteer Responders

Support will continue to be available through the NHS Volunteer Responder Scheme beyond the end of July.

NHS Volunteer Responders can support you with:

Collecting shopping, medication (if your friends and family cannot collect them for you) or other essential supplies;
A regular, friendly phone call which can be provided by different volunteers each time or by someone who is also shielding and will stay in contact for several weeks; and
Transport to medical appointment.

Please call 0808 196 3646 between 8am and 8pm to arrange support or speak to your health case professional for transport support. A carer or family member can also do this on their behalf. More information is available at www.nhsvolunteerresponders.org.uk

Health care

Any essential carers or visitors who support you with your everyday needs can continue to visit unless they have any of the symptoms of COVID-19 (a new continuous cough, a high temperature, or a loss of, or change in, their normal sense of taste or smell).

People in the clinically extremely vulnerable group should continue to access the NHS services they need during this time. This may be delivered in a different way or in a different place than they are used to, for example via an online consultation, but if they do need to go to hospital or attend another health facility for planned care, extra planning and protection will be put in place.

Mental health support

It is normal during these uncertain and unusual times to feel anxious or feel low.

Follow the advice that works for you in the guidance on how to look after your mental health and wellbeing during coronavirus (COVID-19).

The Every Mind Matters page on anxiety and NHS mental wellbeing audio guides provide further information on how to manage anxiety.

If you feel you need to talk to someone about your mental health or you are looking for more support for someone else, we would urge you to speak to a GP and seek out mental health support delivered by charities or the NHS.

Income and employment support

At this time, people who are shielding are advised not to go to work. This guidance remains advisory.

Those shielding will be eligible for Statutory Sick Pay (SSP) on the basis of their shielding status until the 31 July. SSP eligibility criteria apply

From 1 August, if clinically extremely vulnerable people are unable to work from home but need to work, they can, as long as the business is COVID safe.

The Government is asking employers to work with them to ease the transition back to a more normal way of life for their shielding employees. It is important that this group continues to take careful precautions, and employers should do all they can to enable them to work from home where this is possible, including moving them to another role if required.

Where this is not possible, those who have been shielding should be provided with the safest onsite roles that enable them to maintain social distancing.

If employers cannot provide a safe working environment, they can continue to use the Job Retention Scheme for shielded employees who have already been furloughed.


What support will be available after July?

From 1 August, clinically extremely vulnerable people will continue to have access to priority supermarket delivery slots if you have registered online before 17 July for a priority delivery slot.

NHS Volunteer Responders will also continue to offer support to those who need it, including collecting and delivering food and medicines.

The NHS Volunteer Responders Scheme has been expanded to offer a new Check in and Chat Plus role. This new role has been designed to provide peer support and companionship to people who are shielding as they adapt to a more normal way of life.

If you are vulnerable or at risk and need help with shopping, medication or other essential supplies, please call 0808 196 3646 (8am to 8pm). 

Government is committed to supporting local councils and voluntary sector organisations to respond to those who have specific support needs and requirements during the COVID-19 pandemic. Details of the support and advice available can be found here: https://www.gov.uk/find-coronavirus-support

The updated shielding guidance should not affect any social care or support you were receiving prior to the start of shielding. 

Individuals should continue to contact their local council if they have any ongoing social care needs.

To see the support available from Nottingham City Council and Nottinghamshire County Council follow the links below.

https://www.asklion.co.uk/kb5/nottingham/directory/advice.page?id=xhtH1eG8q_M

Face Mask Exemption

It was announced that from 24th of July 2020 everyone is required to wear a face covering when entering a shop or business, this is in addition to wearing one on public transport which has been mandatory for some time now. Oakenhall Medical Practice is also asking all visitors to the practice to wear a face covering when entering our premises.

Government Guidance regarding exemptions suggests there is no requirement for an individual to produce evidence of exemption, such as a letter from a GP and therefore should be sufficient for an individual to self-declare this. Guidance on specific circumstances are available as follows:

If you feel you are unable to wear a mask for auditory, sensory, breathing reasons please visit:

and download the exemption card for you to show if asked why you are not wearing one, alternatively, please view the attached guidance provided by the Nottingham Local Medical Committee:

Nottingham LMC Face Mask Exemption Letter

Form-filling and Non-NHS work:

We presently do not have capacity to respond in the timescales we would normally aspire to and as such this will wait until capacity is released to do so. This includes Insurance reports and other private work including Subject Access requests i.e. request for access to your medical records. We would ask all patients to defer their request until the practice is able to return to normal services.

Our Location

NG15 7UA

Our Address
Oakenhall Medical Practice,
Bolsover Street,
Hucknall,
Nottingham,
NG15 7UA

Appointments
Tel: 0115 963 3511

General Enquiries
Phone: 0115 963 3511

Home Visits & Emergencies
Phone: 0115 956 2298



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Your Doctors Surgery in Nottinghamshire

Located in a central location with ample parking.


Location & Contact

Oakenhall Medical Practice
Bolsover Street,
Hucknall,
Nottingham,
NG15 7UA
Tel: 0115 963 3511

NG15 7UA
Opening Hours

Monday: 08.00 – 18.00
Tuesday: 08.00 – 18.00
Wednesday: 08.00 – 18.00
Thursday: 08.00 – 18.00
Friday: 08.00 – 18.00