Monthly Archives: March 2020

Coronavirus – holiday cancellation

Due to the unprecedented demand upon the GPs time we are unable to complete requests for letters regarding holiday insurance. This is not work that is provided by the NHS and our capacity to do any non-NHS work at this time is very limited.

If you are due to travel to an area of high risk of infection where the FCO has advised against all travel you do not need a note from your doctor.

 

If you have a medical condition which puts you at higher risk of complications from Covid-19 infection (for example cardiovascular disease including high blood pressure and existing respiratory conditions such as asthma and COPD) and have decided that you do not want to travel, the surgery can provide a print-out of a brief medical summary which lists your medical conditions. However, we are unable to write bespoke letters or assess individual’s suitability for travel.

 

Please let us know if you would like a copy of your medical summary but please be aware that this may take longer than usual.

 

We thank you for your support and consideration at this time.

Coronavirus – appointments at the surgery

We are now beginning to see patients face to face, you can request this when you book an appointment but we are still happy to offer telephone consultations too.  If you book a face to face appointment in advance but on the day have any symptoms of covid please let us know and we can change your appointment to a telephone call instead.  Please do not come to the surgery if you have any covid symptoms.

New or existing medical enquiries or admin matters can also be made via E-Consult.

Prescription requests can be made via email at broccg.whitehousesurgery@nhs.net.  Please do not send in medical queries as an email, please complete an e-consult as this will ask you questions that will help the GP with their diagnosis.

Why can’t I see my GP – Brilliant video for your website and social channels

Patients seeking information on Coronavirus should visit:

https://www.nhs.uk/conditions/coronavirus-covid-19/

For patients concerned that they 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

 

Why are GP practices working differently?

GP practices are open but the pandemic is not over. In south east London there are still thousands of people getting Covid-19, with hundreds in intensive care. GP practices

worked hard to stay open and treat people throughout the Covid lockdowns and continue to do so. To protect everyone, we must maintain safe infection control and minimise unnecessary physical contact.

How are practices working now?

So that the people with greatest need are seen first; and so we don’t ask people to travel and come into contact with unwell and infectious people, you will be assessed to decide who needs:

· to be seen in person by one of the team

· a phone consultation

· a video consultation

· help from a community pharmacy or another health service

How can I contact my GP?

You can contact your GP practice on the phone, but if you are able to and if your

practice offers it, the best thing to do is to fill out an online form on the practice

website. You will then be contacted with the best appointment for you.

If you need help with minor injuries at any time or urgent care when your GP practice or pharmacy is closed visit 111.nhs.uk or dial 111. 111 can also book out of hours appointments.

You can access NHS 111, contact your practice and get your Covid Pass using the NHS App. Search NHS App in your app store.

Why do receptionists ask personal questions?

GP reception staff are skilled professionals and ask questions to make sure you see

the right person at the right time and treat all information confidentially. If you

don’t want to speak on the phone, where possible fill in an online form on the

practice website.

I wanted to see my GP, so why am I seeing someone else?

Many GP practices now include a range of professionals like nurses and paramedics. This means you can often be seen more quickly and not need to be seen by lots of different people.

Where else can I get help?

Always dial 999 in a life-threatening emergency.

Visit www.nhs.uk for advice on common symptoms and a list of local services or speak to your community pharmacist first for advice on minor illnesses nhs.uk/service-search/find-a-pharmacy

Please be kind

GPs and hospitals are under enormous pressure, but we are open and here if needed. Please continue to be kind to our staff, socially distance where possible and wear a face mask in healthcare settings.

Abuse of our staff is never acceptable. The NHS Constitution is clear that violence, or the causing of nuisance or disturbance on NHS premises may result in prosecution or people being refused access to NHS services.

Coronavirus – medical certificates

Coronavirus medical certificate letter

 

Guidance from the LMC

Requests for certification of absence from the workplace relating to covid-19 may fall into five categories:

 

  1. Symptomatic so isolating for seven days

Patients can and should self-certify for the first seven days as normal if they are unfit to work. They do not need to contact their GP.

  1. Symptomatic and remaining unwell for over seven days

If they remain unwell and unfit to work after seven days, the current advice is to visit www.111.nhs.uk where there is an online self-assessment tool which should be up and running soon. They do not need to contact their GP for a certificate but you can advise patients to use the template form above.

  1. Household contact symptoms so isolating for fourteen days as per government advice

GPs cannot and are not the gatekeeper of the statutory sick pay system and can only provide certificates for the purpose of illness, not in relation to government advice regarding self-isolation. Employers are responsible for putting in place arrangements for home/remote working where this is possible. Where it is not, the employee may self-certify and return to work following the relevant absence which their employer may authorise as per government advice.

  1. At risk group so following government advice

Where they do become unwell during or after this time, point 1 and 2 applies. They do not need to contact their GP.

  1. Those in full time education who are symptomatic or requiring self-isolation.

There is no NHS requirement to issue certification to schools or colleges to confirm absence. These organisations must work with parents and students to ensure that any absence is appropriately recorded, obviating the need for a ‘doctor’s note’. They do not need to contact their GP.

The current Government Guidance for employers and businesses on coronavirus (COVID-19) states;

“By law, medical evidence is not required for the first 7 days of sickness. After 7 days, employers may use their discretion around the need for medical evidence if an employee is staying at home.

We strongly suggest that employers use their discretion around the need for medical evidence for a period of absence where an employee is advised to stay at home either as they are unwell themselves, or live with someone who is, in accordance with the public health advices issued by the government.”