All posts by Jeanette Creaser

Free vitamin D for those at risk from COVID-19

Free Vitamin D for those at risk from COVID-19

You may have seen the news which mentioned free daily Vitamin D supplements for patients.

Please note this is only for people who are at high risk from COVID-19 and the following criteria must be met to access this free medication:

  • Aged 18 years and over and living in England
  • Have received a shielded letter from NHS England

 

The link below will go through the application process :

https://www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk/get-vitamin-d-supplements

 

You will receive 4 months worth of medication at home. You should NOT request this medication from your GP.

 

We are Open as Usual.

The surgery is open, and has remained open throughout the COVID pandemic.

The only change to our practice is that GP appointments are telephone appointments, which are available each day from 9am and following your telephone consultation a GP may ask you to come into the surgery to be seen.

The GP may ask you to send us some photographs, or perform a video consultation. This is to ensure that the GP can give a thorough consultation, while reducing your need to attend our premises.

Your safety , and the safety of our staff is of the utmost importance.

We operate safe procedures on site and should you be invited to attend you will find that the staff greeting you will ensure you are COVID symptom free, wear a mask at all times, and have a separate waiting space away from other patients.

Our nursing team still see patients for the majority of nursing care, although they do provide telephone consultations on request.

 

The surgery still provides a full range of services including smears, baby vaccinations, adult vaccinations, ECG’s, 24 hour blood pressures, smoking cessation, and health and well being clinics.

We are Open

We are open and have remained open throughout the COVD outbreak.

To reduce the numbers of patients attending our surgery can we ask that you utilise on line services as much as possible. This is a much more efficient way of contact the surgery, reduces calls through reception so they are free to deal with calls from unwell patients and fewer people attending our premises helps us to socially distance and keep you safe.

You can order medications and update your contact details, view your medical records and check your results on line. If you do not currently have access to on line systems please contact reception and they can arrange this for you. Email clccg.ppg@nhs.net

You can email us medication requests and we will send your medication to your chosen pharmacy. The NHS will soon no longer provide paper prescriptions as sending prescriptions electronically is much safer and more convenient.

You can use our new on line appointment system called e-consult. This system allows you to detail your problem/question. Your e-consult is sent to a central e-consult triage service team who are the team who currently triage referrals for all GP practices. The team are based at Central London Healthcare and work with us to ensure the service is safe and you receive a response quickly. They can deal with many admin queries, such as when is my hospital appointment, and will alert us if your e-consult request is of a clinical nature. A GP at Marylebone will then deal with your request and may telephone you, send you a text or arrange medication.

Appointments can be arranged with a GP ‘on the day’. To arrange this please call reception on 02079356328 between 9am and 10am Monday-Friday. We do offer a limited number of pre-bookable appointments to help you arrange around working/occupational and caring/childcare commitments.  Of course if you are unwell and need medical attention you can call us at any point Monday-Friday between 9am and 6pm. Please be aware that depending on our COVID response we may reduce the number of appointments of routine pre bookable appointments so that all appointments are available on the day.

Pharmacists are a great source of health promotion and can deal with minor ailments and some minor illnesses. Over the counter medication for non-diagnosed long term medical conditions are no longer available on NHS prescription so in some cases it is more sensible to contact your pharmacist first.

Flu Vaccinations 2020

We will soon be contacting patients to arrange flu jabs. We will contact patients in order of their risk of becoming very unwell should they contact Flu or COVID. We will begin our clinics with all patients who were shielded. Then we will be vaccinating:

Shielding patients and their live-in household /carers.

Patients aged 65 and over with a long term condition.

Patients with a long term condition and all other patients aged 65 and over.

Carers, Pregnant women, 2 and 3 year olds.

 

Please do not call us to book your flu jab-we will contact you

 

Please note that people in the 50-64-year old age group will not be vaccinated until November and December, providing there is sufficient vaccine, and no appointments will be offered for this age group until then. This is to ensure that those who are most at risk are vaccinated first.  If you are 50-64 and you are in one of the other groups which is eligible for the flu vaccination, for example you have a health condition which puts you at risk from the flu, you will be invited earlier.

Changes to Services

Dear Patients

There are changes to some services due to COVID restrictions and as services are restored we thought it would be helpful to update you;

  • Retinal Screening for diabetic patients- service is being restored and please refer to the attached poster
  • National screening programmes such as cytology screening, also called smear tests, for female patients aged 25-64 years is being resumed
  • Post-natal check-ups for new mums at Marylebone are now done 8 weeks after your baby is born, at the same time as your baby’s first immunisations and 8 week check with a GP. If you need to speak to a GP before your post natal please

Call reception and they can arrange for you to speak to a GP. We book all appointments no more than 2 weeks before they are due.

North West London Diabetic Eye
Screening Programme

When attending your appointment, we have taken a number of
practical steps to ensure those attending and our staff safety. Please click on the link below for further information.

7 Changes to Appointments Poster – NWL v1

Face Mask Exemption Letters

Face Mask exemption Letters: No GP medical letter needed-

Face masks or coverings are now mandatory in most public areas. We understand that some patients will be anxious about wearing a mask especially those with certain medical conditions.

 GP’s are not required or in a position to provide exemption letters for patients who believe they should be exempt from wearing a face covering.

The current guidance suggests there is no requirement for the public to provide medical evidence for exemption from wearing face masks therefore a self- declaration should be sufficient.

Please go to the GOV.UK link below for more information on the use of face coverings.   https://www.gov.uk/government/publications/face-coverings-when-to-wear-one-and-how-to-make-your-own/face-coverings-when-to-wear-one-and-how-to-make-your-own

For specific requirements in reference to public transport, shops or other areas where masks are required please contact those specific companies for further information.

Childhood Vaccinations

Notice for parents from the Marylebone Health Centre Team:

 

We hope your child is well and we know you want to keep them safe and healthy.

One way you can protect your child is to make sure they always have their routine vaccinations.

Over 80 % of children living in London are up-to-date with their vaccinations. This simple act can reduce your child’s chance of getting seriously ill by up to 90% but delay can put children at risk from potentially serious diseases.  

We want to reassure you that all possible precautions are being taken to protect you and your child from coronavirus during your child’s vaccination appointment.

Please read the attached advice sheet that the NHS have produced for you. It contains further information on the importance of having your child vaccinated during the coronavirus outbreak. 

Public guidance – attending vaccination appointment

Advice for parents about routine vaccinations during coronavirus 9 6 20 (1)

When to Use A&E?

Please do not delay getting health care. If you need urgent medical help and it is not an emergency, contact your GP or NHS111 online or telephone NHS111 first. During the COVID19 pandemic it’s important that A&E is only used by those with serious or life threatening problems.  There are many ways to get the right care at the right time via www.nhs.uk , your pharmacist and your GP. Your GP offers online, telephone and video consultations. If you are invited in for a face to face appointment, infection control measures are in place to keep patients and staff safe.

General Practice Transparency Notice for GPES Data for Pandemic Planning and Research (COVID-19)

This practice is supporting vital coronavirus (COVID-19) planning and research by sharing your data with NHS Digital.

The health and social care system is facing significant pressures due to the coronavirus (COVID-19) outbreak. Health and care information is essential to deliver care to individuals, to support health, social care and other public services and to protect public health. Information will also be vital in researching, monitoring, tracking and managing the coronavirus outbreak. In the current emergency it has become even more important to share health and care information across relevant organisations. This practice is supporting vital coronavirus planning and research by sharing your data with NHS Digital, the national safe haven for health and social care data in England.
Our legal basis for sharing data with NHS Digital- NHS Digital has been legally directed to collect and analyse patient data from all GP practices in England to support the coronavirus response for the duration of the outbreak. NHS Digital will become the controller under the General Data Protection Regulation 2016 (GDPR) of the personal data collected and analysed jointly with the Secretary of State for Health and Social Care, who has directed NHS Digital to collect and analyse this data under the COVID-19 Public Health Directions 2020 (COVID-19 Direction).

All GP practices in England are legally required to share data with NHS Digital for this purpose under the Health and Social Care Act 2012 (2012 Act). More information about this requirement is contained in the data provision notice issued by NHS Digital to GP practices.
Under GDPR our legal basis for sharing this personal data with NHS Digital is Article 6(1)(c) – legal obligation. Our legal basis for sharing personal data relating to health, is Article 9(2)(g) – substantial public interest, for the purposes of NHS Digital exercising its statutory functions under the COVID-19 Direction.

The type of personal data we are sharing with NHS Digital- The data being shared with NHS Digital will include information about patients who are currently registered with a GP practice or who have a date of death on or after 1 November 2019 whose record contains coded information relevant to coronavirus planning and research. The data contains NHS Number, postcode, address, surname, forename, sex, ethnicity, date of birth and date of death for those patients. It will also include coded health data which is held in your GP record such as details of:
 diagnoses and findings
 medications and other prescribed items
 investigations, tests and results
 treatments and outcomes
 vaccinations and immunisations
How NHS Digital will use and share your data- NHS Digital will analyse the data they collect and securely and lawfully share data with other appropriate organisations, including health and care organisations, bodies engaged in disease surveillance and research organisations for coronavirus response purposes only. These purposes include protecting public health, planning and providing health, social care and public services, identifying coronavirus trends and risks to public health, monitoring and managing the outbreak and carrying out of vital coronavirus research and clinical trials. The British Medical Association, the Royal College of General Practitioners and the National Data Guardian are all supportive of this initiative.

NHS Digital has various legal powers to share data for purposes relating to the coronavirus response. It is also required to share data in certain circumstances set out in the COVID-19 Direction and to share confidential patient information to support the response under a legal notice issued to it by the Secretary of State under the Health Service (Control of Patient Information) Regulations 2002 (COPI Regulations). Legal notices under the COPI Regulations have also been issued to other health and social care organisations requiring those organisations to process and share confidential patient information to respond to the coronavirus outbreak. Any information used or shared during the outbreak under these legal notices or the COPI Regulations will be limited to the period of the outbreak unless there is another legal basis for organisations to continue to use the information.
Data which is shared by NHS Digital will be subject to robust rules relating to privacy, security and confidentiality and only the minimum amount of data necessary to achieve the coronavirus purpose will be shared. Organisations using your data will also need to have a clear legal basis to do so and will enter into a data sharing agreement with NHS Digital. Information about the data that NHS Digital shares, including who with and for what purpose will be published in the NHS Digital data release register.
For more information about how NHS Digital will use your data please see the NHS Digital Transparency Notice for GP Data for Pandemic Planning and Research (COVID-19).
National Data Opt-Out- The application of the National Data Opt-Out to information shared by NHS Digital will be considered on a case by case basis and may or may not apply depending on the specific purposes for which the data is to be used. This is because during this period of emergency, the National Data Opt-Out will not generally apply where data is used to support the coronavirus outbreak, due to the public interest and legal requirements to share information.

Your rights over your personal data- To read more about the health and care information NHS Digital collects, its legal basis for collecting this information and what choices and rights you have in relation to the processing by NHS Digital of your personal data, see:
 the NHS Digital GPES Data for Pandemic Planning and Research (COVID-19) Transparency Notice
 the NHS Digital Coronavirus (COVID-19) Response Transparency Notice
 the NHS Digital General Transparency Notice
 how NHS Digital looks after your health and care information
This notice will be placed at reception and on the practice website for further reference.
Dr Tom Mtandabari
Caldicott Guardian

Latest News Letter For Our Patients

Dear All,

During these difficult times to explain how the practice is responding to the COVID crisis.We continue to open as usual albeit in a somewhat different form. In accordance with national recommendations are doors are kept locked and all non-planned appointments are first triaged by telephone. The doctors are increasingly using video consultations to help aid assessments and decrease the need for face to face consultations. If after the initial consultation it is thought best that you be seen in the surgery we will provide you with a mask and gloves, which the clinician will also wear to minimise the risk of infection. The practice is continuing to provide routine essential services such as blood test monitoring for people taking certain medications, wound dressings and the administering of certain injectable medications. As guided by the government we are also continuing to vaccinate children to help prevent an increase in other infective illnesses. For this important reason we strongly encourage parents to ensure their children are vaccinated as per their current immunisation schedules.

More Information :

Letter for patients from Dr Goodstone

MHC Letter From PPG