Coronavirus and COVID-19

Anticipatory Care Planning - a video to help patients understand the benefits of letting your doctor know in advance how you would like to be treated.

Coronavirus & COVID-19

 

Coronavirus / COVID-19. 


March 26th 2020 https://covid19.nhsgrampian.org/?p=857 The newly established Community Assessment Hub will provide people with a straight forward and dedicated route to clinical advice and support when experiencing symptoms associated with COVID-19. The Hub can only be accessed through NHS24 by calling 111 day or night.

The introduction of the Grampian Community Assessment Hub will free up Primary Care teams to continue to treat and care for non COVID-19 related health and continue to provide support and treatment when appropriate for people who may be unwell with COVID-19 at home. The Hub assessment centre will be open on an appointment only basis and will not be open to ‘walk-ins’. Anyone concerned about their symptoms should call NHS24 and should not present to any hospital or GP surgery.



The most up to date guidance and information about COVID-19 is available @ 

HPS website https://www.hps.scot.nhs.uk/a-to-z-of-topics/covid-19/

NHS inform https://www.nhsinform.scot/self-help-guides/self-help-guide-coronavirus-covid-19

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


Please do not come to Calsayseat Surgery without an appointment- as of March 26th, entry to the building is only by prior arrangement. Please make all efforts possible for prescriptions to be sent directly from us to a chemist. Please leave an email address for us to send any paperwork to you that we can.


We once again emphasise, if you are concerned you have COVID symptoms, DO NOT COME TO THE SURGERY, please phone for advice the GP or NHS 24. 

Hand hygiene, and avoiding close contact with people with fever and new persistent cough symptoms are most important to reducing transmission.


Remember if you are advised to isolate, please advice from the Government website on what you should do.

Important update

 It has been announced by the UK/Scottish Government that as of 16 March anyone developing symptoms consistent with COVID-19, however mild, should stay at home for 7 days from the onset of symptoms as per existing advice.  In addition, it is now recommended that anyone living in the same household as a symptomatic person should self-isolate for 14 days. 

The most common symptoms of COVID-19 are recent onset of:

  • new continuous cough and/or
  • high temperature

Information for the public on COVID-19, including stay at home advice for people who are self-isolating, can be found on NHS Inform.

Further, people are advised to take social distancing measures to help reduce the transmission of COVID-19. In particular, this is strongly advised for people aged 70 or over, people with underlying medical conditions and pregnant women. Further advice on these measures will be available on NHS Inform shortly.

Important note: HPS is updating its guidance in line with this change.

Calsayseat Services during the Coronavirus Situation

Please be aware that all public services are going to be under greater demand during this time. There will be times where there are less doctors, nurses, reception, and administrative staff than normal, and this will have an impact on how we prioritise our services. This will also be the case with pharmacies, hospital clinics and emergency services.  We ask that you please bear this in mind when seeking help.

Important - Calsayseat - Afternoons Clinics

The clinical team are currently only seeing patients who have been invited down by a clinician.


Please DO NOT come in if you have not been invited as there is ongoing infection risk.

There is NO NEED TO CHECK IN at reception as the clinician will call for you.


All invited patients should go straight to the waiting room on the ground floor, DO NOT GO TO THE RECEPTION DESK.


For now from 2pm the practice will be closed to all other face-to-face enquiries.

There will be no new registrations in the afternoon.

No prescriptions to be picked up from surgery in the afternoon.

No booking of appointments or reviews


Please call 0345 337 6370 for further assistance. Thanks


Jackie Cairns, Business manager 13th March 2020.

Calsayseat - services we offer during the Coronavirus epidemic

A decision has been made at both national and local level, for us to suspend a number of the services that we usually provide. This will mean that there will be certain things that will not be happening for the time being. Routine (non-urgent) GP referrals to hospital can still be sent, but they will be suspended until the currently situation improves. Both general practice and the hospital will still be doing our best to ensure that patients with urgent symptoms will still be seen on an urgent basis.

Also a lot of our chronic disease and nursing care will need to be done differently from how it is normally carried out. We will be in touch in due course about how this will happen. 


Wednesday, March 25th 2020

Prescriptions and Medical Certificates

Prescriptions and Appointments

When ordering prescriptions, PLEASE state which chemist you would like your prescription to be sent to. AVOID coming to the surgery to pick up prescriptions, as this increases the number of people in the surgery, at a time we are all trying to socially distance. 

Please order your prescription at the normal time, we will not be issuing repeat prescriptions earlier than normal, as this can cause problems with pharmacies stock levels.


We are putting our plans in place for dealing with the upsurge in demand anticipated by COVID-19. When this occurs we will be segregating our patients into those who do, and do not have, respiratory symptoms.

Patients with respiratory symptoms will be seen in the afternoon.

It would be unwise to enter the practice to pick up prescriptions at this time. The practice will try to operate as normal during the morning hours. 

Your first indication that we have changed out appointment template will be notices on the door. We would ask that you respect this and call at another time. 


Jackie Cairns, Business manager 13th March 2020.

SIck notes / Med 3 for COVID/Coronavirus related absence

https://www.gov.uk/taking-sick-leave

Fit notes and proof of sickness

Employees must give their employer a doctor’s ‘fit note’ (sometimes called a ‘sick note’) if they’ve been ill for more than 7 days in a row and have taken sick leave. 

If employees are self-isolating and cannot work because of coronavirus (COVID-19) they can get an ‘isolation note’ online from NHS 111. They do not have to go to their GP or a hospital.

If they are off work with any other illness, they can get a fit note from a GP or hospital doctor. If their employer agrees, a similar document can be provided by a physiotherapist, podiatrist or occupational therapist instead. This is called an Allied Health Professional (AHP) Health and Work Report.

Fit notes are free if the employee has been ill for more than 7 days when they ask for one. The doctor might charge a fee if they ask for the fit note earlier.


March 27th 2020, extracted from https://www.gov.uk/taking-sick-leave


Understanding and managing your worries

NHS Grampian has set up a specialised hub to help with anyone who feels their mental health is suffering significantly due to the Coronavirus Pandemic. Patients can self refer  to get help. https://covid19.nhsgrampian.org/for-the-public/mental-health-support/


We understand that the current situation is causing a lot of people to feel understandably anxious. There has been a lot of change, and lot to get our heads around. It is really important that you take time out to look after yourselves and those around you. 

We have compiled a list of websites, downloads and phone lines you can look at, if you need help with reducing your stress level.

 Importantly, spending too much time looking at the news and social media is not good for your anxiety. Please think about other things you can do, and please remember to avoid excess nicotine, caffiene and alcohol if you are feeling stressed, as these can all exacerbate it.  Click here for more details.

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Coronavirus & COVID-19

Video

Handwashing, one of the most important steps to reducing the transmission of infections

Shielding the most vulnerable

Who are we shielding and why?

Although Coronavirus is a mild illness to most who get it, a proportion of people who get infected can develop very serious illness. It is difficult to say for sure who will develop the more serious complications, but we do know that there are some specific groups considered to be the highest risk. The Chief Medical Officer has advised that people with one of the conditions listed below require to be "shielded" at an even higher level than the rest of the population. 

The CMO has stated that  "...the safest course of action is for you to stay at home at all times and avoid all face-to-face contact for at least twelve weeks from today (March 27th 2020) , except from carers and healthcare workers who you must see as part of your medical care."


 1. Solid organ transplant recipients 


2. 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. 


3. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD


4. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell disease) 


5. People on immunosuppression therapies sufficient to significantly increase risk of infection (This includes all patients on the following medications: Azathioprine Mycophenolate (both types) Cyclosporin Sirolimus Tacrolimus And/or those identified by a hospital specialist). 


6. People who are pregnant with significant heart disease, congenital or acquired


A PDF copy of the letter that will be sent to these patients can be viewed below. 

  

Letter sent to patients from Scotland's Chief Medical Office