CORONAVIRUS ADVICE AND INFORMATION 


All the up-to-date information on Coronavirus (Covid-19)

COVID-19 Vaccine.


Greenway Community Practice is proud to be part of the COVID-19 vaccine delivery programme. As the designated hub site we are working in conjunction with other surgeries in the Affinity Primary Care Network to do this. As one of the first GP sites in Bristol to have started delivering the vaccine to patients, please follow Bristol Affinity Network on Facebook, to receive regular updates on forthcoming dates of vaccine clinics. We will be delivering the vaccine according to our most vulnerable patients first.

The Chief medical officers in conjunction with the The Joint Committee on Vaccination and Immunisation (JCVI) have instructed GP practices to postpone second doses to allow us to double the rate of first dose vaccine delivery.

The JCVI have issued guidance in conjunction with the government about which age groups receive the vaccine and in what order.
We are not able to give you a vaccine unless you are in the cohort we are currently working on, regardless on your health conditions, this means we cannot use our discretion and squeeze you in. We will keep this website and our Facebook page’s updated as we work though the cohorts.

Please do not contact the practice until you have received correspondence from us inviting you to make a vaccine appointment.

The priority list as it currently stands is :

1. Resident’s in a care home for older adults and their carers
2. 80 years & front line health and social care workers
3. 75 years of age and over
4. 70 years of age and over & clinically extremely vulnerable
5. 65 years of age and over
6. 16 to 65 years in an at-risk group – (We are currently working on this cohort)
7. 60 years of age and over
8. 55 years of age and over
9. 50 years of age and over

NHS England have recently sent out letters to all patients aged 80 or over, who have not yet had their vaccination, that live within a 45 minute drive from the mass vaccination site at Ashton Gate. These letters explain how you can book your slot over the phone or online through the national booking service.
The online booking service is available via this link. http://www.nhs.uk/covid-vaccination

Please be advised that it will be your choice whether you are vaccinated at the mass centre at Ashton Gate or at your local GP centre. If you haven’t already been contacted by the practice, rest assured you will not be waiting long we are scheduling clinics on a weekly basis.

Appointment Information

To avoid unnecessary queues please arrive no earlier than 5 minutes before your appointment time
Please remember to wear a face covering and practice social distancing when attending the clinics
Please do not attend the clinic if you or a household member are experiencing coronavirus symptoms or are awaiting results of a covid test [https://www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-and-treatment/when-to-self-isolate-and-what-to-do/]
To maintain social distancing the clinics operate a strict no children policy
For more information on what’s happening at the clinics and need to know information please like and  follow facebook.com/BristolAffinityNetwork

Some of you may be interested in obtaining further knowledge of the vaccines themselves. The Government have provided this information for the general public on the below links:

COVID-19 - Extremely Vulnerable Patients.

Guidance on shielding and protecting people who are clinically extremely vulnerable from COVID-19.

This guidance is for everyone in England who has been identified as clinically extremely vulnerable. If you are in this group, you will previously have received a letter from the NHS or from us telling you this. You may have been advised to shield in the past.

This shielding guidance applies to clinically extremely vulnerable individuals only. Others living in a household with someone who is clinically extremely vulnerable are not advised to follow this guidance. They should instead follow the general advice and regulations set out in the national lockdown guidance that came into effect on 5 January 2021.

GP Services during COVID-19


Resuming routine GP Services

We would like to thank you for your continued support and understanding as we have adapted our working processes in light of the Covid-19 pandemic. We have been impressed with how patients have been self-managing their minor ailments during this time and hope that this has increased people’s confidence in continuing to do so.

Please note; It is still important that you only visit the practice when absolutely necessary to do so. Many of our administrative queries and medication requests can and will continue to be handled over the phone or by email.

Services that will continue/resume where safe to do so;

The majority of our services have now resumed.

We continue to offer telephone and video consultations with our doctors. These can be booked online via the NHS app or by telephoning the practice. If your problem cannot be dealt with over the phone the doctor will arrange a face to face for you. You can also click the ‘online consultation’ button on the home page of our website.

You can continue to make Nurse appointments for blood tests, smears, child immunisations etc. If you need an appointment for a diabetic, heart or asthma review you may be asked to book a blood test first and then a telephone appointment for a review with the nurse.

Services postponed until further notice;

  • NHS health checks
  • New patient medical examinations, unless clinically indicated
  • New travel vaccinations
  • Spirometry unless clinically indicated

Helpful advice for when visiting the practice;

When visiting the practice for routine care it is important that you follow the guidance below to protect you and others;

  • Complete the symptom checker survey that will be sent to you via text message on the day of your appointment. You will not be able to attend your appointment unless this has been done.
  • Covid symptom screening will also take place prior to entering the consulting room.
  • Wear a face covering.
  • Arrive for your appointment on time. To limit the foot fall in the practice please remain in the car/outside until a few minutes before your appointment. Do not arrive more than 5 minutes before your appointment time.
  • Refrain from using the practice toilets unless absolutely necessary.
  • Use the touch screen when checking in for appointments.
  • Use the hand gels provided.
  • Please do not come to the surgery if you are experiencing symptoms associated with Covid-19 including a new continuous cough OR a high temperature OR loss of/change in smell and taste.

For regular practice updates please follow our practice Facebook page https://www.facebook.com/greenwaycommunitypractice

Managing your symptoms of COVID-19


Leaflet produced by NHSE with information for patients who have been diagnosed with COVID19.

This leaflet is for patients with suspected coronavirus who have not been admitted to hospital and will be isolating at home.

Click here to view the leaflet.

Self Isolation and COVID-19


Guidance for people with confirmed or possible coronavirus infection/similar symptoms and information on self-isolation if you or someone you live with has symptoms.

Click here for more information

Self Isolation Certificate


For Greenway Patients who are currently self isolating according to government guidelines. This note can be given to the employer should they require evidence from their employee.

Click here to view the certificate

Managing your Medication during COVID-19


Prescriptions

The practice WILL NOT be issuing printed prescriptions for the foreseeable future and all prescriptions will be sent electronically to the pharmacy. Please ensure you prepare for this change by making sure you have a nominated pharmacy – this can be done over the telephone or online via Patient Access.

 

Repeat Prescriptions

Please only visit the practice to order your repeat medication as a last resort.

You can order your repeat medication in the following ways;

By contacting your pharmacy directly.

By registering for the NHS App or online Patient Access. Further information on how to do this is available via this link

By emailing us at greenwaypractice@nhs.net

By completing a repeat prescription order form and posting in the black post box in the practice foyer. To protect you and others from any risk please only visit the practice to order your repeat medication as a last resort.

Please note that any repeat medication requested too early will be rejected.

More Information and Resources


Lockdown Guidance 

Coronavirus cases are rising rapidly across the country. You must stay at home. The single most important action we can all take is to stay at home to protect the NHS and save lives. You should follow this guidance immediately.
This is the law. You must not leave or be outside of your home except where you have a ‘reasonable excuse’. This is the law. The police can take action against you if you leave home without a ‘reasonable excuse’, and issue you with a fine (Fixed Penalty Notice).
You can be given a Fixed Penalty Notice of £200 for the first offence, doubling for further offences up to a maximum of £6,400. You must not leave, or be outside of your home except where necessary. You may leave the home to:

Shop for basic necessities, for you or a vulnerable person.
Go to work, or provide voluntary or charitable services, if you cannot reasonably do so from home.
Exercise with your household (or support bubble) or one other person, this should be limited to once per day, and you should not travel outside your local area.
Meet your support bubble or childcare bubble where necessary, but only if you are legally permitted to form one.
Seek medical assistance or avoid injury, illness or risk of harm (including domestic abuse).
Attend education or childcare – for those eligible.

 

School Closures and Childcare.

There are several ways that parents and carers can continue to access childcare:

Early Years settings (including nurseries and childminders) remain open
Vulnerable children and children of critical workers can continue to use emergency school provision, registered childcare, childminders and other childcare activities (including wraparound care)
Parents are able to form a childcare bubble with one other household for the purposes of informal childcare, where the child is under 14. This is mainly to enable parents to work, and must not be used to enable social contact between adults
Some households will also be able to benefit from being in a support bubble

Parents should be assured that the school closures are not a result of it being unsafe for children. The risk to children themselves of becoming severely ill from coronavirus (COVID-19) is very low.  It is more about slowing the rate of transmission.

Please see this link for useful advice when navigating the new restrictions and guidelines.

 

Facemask Exemption

If you have an age, health or disability reason for not wearing a face mask/covering:

You do not need to show any written evidence of this, you do not need show an exemption card. This means that you do not need to seek advice or request a letter from a medical professional about your reason for not wearing a face covering.However, some people may feel more comfortable showing something that says they do not have to wear a face covering. This could be in the form of an exemption card, badge or even a personal homemade sign.

Carrying an exemption card or badge is a personal choice and is not required by law.

If you wish to use an exemption card/badge, you can download exemption card templates here. You can then print these yourself or show them on a mobile device.
Please note that Greenway Community Practice or the government are not able to provide physical exemption cards or badges for you to use.

 

Shielding note

Get a shielding note : Use this service if you need a note for your employer or the Department for Work and Pensions for Statutory Sick Pay (SSP).

 

COVID-19 Population Risk Assessment 

A new, data-driven risk assessment, called the COVID-19 Population Risk Assessment has been developed to help identify people who may be at high risk from COVID-19.
It has been used at a national level to help identify an additional group of patients with specific multiple risk factors which, combined, may put them at similar risk to those who are clinically extremely vulnerable to severe outcomes. As a precautionary measure, this group will now be added to the Shielded Patient List (SPL), on the advice of the Chief Medical Officer. This is to enable them to be prioritised for vaccination, if not already vaccinated, and to provide them with additional advice and support.
In practice, this means they will now be offered vaccines at the top of cohort 6.

What does this mean for you?
Additional patients identified by this risk assessment will be added to the Shielded Patient List by NHS England starting with those aged 19-69.
If you fall into one of these categories you will be contacted directly by letter to inform you of this from this week.
This measure will allow those included on the lists more rapid access to vaccination if they have not already been vaccinated.
You are advised to follow Government guidance for those who are high risk, which currently includes shielding, as a precaution.

Q. Why am I only now being identified as high risk and advised to shield?

A. Evidence about COVID-19 and the factors that lead people to become seriously ill is constantly improving. These individuals have been identified by a new risk assessment model, commissioned by the Chief Medical Officer for England, to predict a person’s risk of becoming seriously unwell from COVID-19. This model has been developed using data which was gathered during the first wave of the pandemic. It has been through the most rigorous standards of review and testing and this is the earliest time that it has been available to identify patients at a national level in this way. We are acting as rapidly as possible to implement this, in order to help inform the immediate prioritisation of COVID vaccination and make sure patients are provided with the right advice and support.

Q. Do patients have to follow shielding advice if they don’t want to?

A. Patients at high risk of severe outcomes from COVID-19 infection are strongly encouraged to follow shielding guidance. However, this is advice, and not the law. Patients can choose whether or not they want to follow it.

 

Unapid Carers

The vaccination programme is now vaccinating people with underlying health conditions and unpaid carers.  Unpaid carers are defined as those who are eligible for a carer’s allowance, or those who are the sole or main carer of an elderly or disabled person who is at increased risk of COVID-19 mortality and therefore clinically vulnerable.  To be eligible, carers must deliver personal care to the individual at risk.  This does not include for example, shopping or cleaning.

If you are already registered as a carer with either your GP or the local authority or you are eligible for carers allowance you do not have to do anything.  You will be invited for a vaccination either by your GP or through the COVID-19  Vaccination National Booking Service.  Please wait until you are called directly.

Please do not be concerned if you are invited for vaccination more than once. For example, if you are registered as a carer with your GP and you receive carer’s allowance, you may receive 2 invitations.  Please only book one appointment.

If you are not registered with any of these bodies or you do not receive carers allowance then you will also have the opportunity to be vaccinated.  A national system is being developed which will enable you to self -identify as a carer and book a vaccination.  Further information on this system will be available in the coming weeks but in the meantime it is very important that you do not contact your GP or local authority directly to request a vaccination.

Carers looking for additional support should contact the relevant Carers Support Organisation. They can be contacted via info@carerssupportcentre.org.uk and 0117 965 2200 for Bristol and South Gloucestershire or carersupport@alliancehomes.org.uk 03000 120 120, option 3 for North Somerset.

NHS.uk – Getting a test
NHS.uk – Test and trace
NHS.uk – Long term effects
NHS.uk – Changes to everyday life
NHS.uk – NHS app
NHS.uk – Taking part in research

The languages the videos have been produced in are:
Arabic, Bengali, Gujarati, Polish, Punjabi, Romanian, Spanish, Swahili, Turkish, Urdu, Yoruba.
More videos in additional languages are in development.

Covid -19 and Domestic Violence

Isolating at home due to COVID-19 can be challenging for everyone, but if you are also in a difficult relationship it can be even harder. There is help available for Women, Men and children. Please phone and talk about it when safe to do so. If in immediate danger call 999 and speak to the police. Please phone and speak to your GP for help and advice when safe to do so. If you aren’t sure have a look at this information - https://bit.ly/2VoswPV.

Other useful numbers and links:

National 24 hour helpline – 0808 2000 247 (for women)

Men’s Advice Line – 0808 8010327

Respect – 0808 802 4040

Galop – 0800 999 5428 (LGBT+ helpline)

Please don’t suffer in silence

Covid -19 and Mental Wellbeing

During this COVID-19 pandemic, we are aware that patients will have significant mental health needs.

A Mental Well-being toolkit has been created to help you look after your mental & physical health during this difficult period.

Download the toolkit Here