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Covid Vaccination Updates

 

Coronavirus Vaccination Update 26th February 2021 
 

Ashton Gate Mass Vaccination Centre are currently allowing the over 60s to book their vaccination with them online

 
Whilst the NHS  website refers only to the over 65s being eligible, as they have available appointments it appears Ashton Gate has moved the parameters and are currently also allowing all over 60s to book a vaccination there. This may well change at short or no notice. 
 
Follow the below link to their online booking page.  
 
 
At Tyntesfield Medical Group we continue to focus on the 16 - 65 yr olds with underlying health conditions. (Often referred to as cohort or group 6 an explanation of which can be found in earlier postings by us). We are also working through contacting all those who we vaccinated with the Pfizer vaccine back in late December and early January who, at the time, we could not give second dose vaccination dates to. It will take us sometime but we will be in contact within the next two to three weeks so please be patient. 
 
Lawrie Lewis
Executive Manager. 
 

 

Coronavirus Vaccination Update 24th February 2021

 Are you a carer over the age of 18 and in receipt of a carers allowance?

 If so, you no longer need to wait for us to contact you to book your vaccination. You are now eligible to book direct with the mass vaccination centre at Ashton Gate.

 https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/book-coronavirus-vaccination/  or ring NHS 119

 If you are a carer but not in receipt of a carers allowance then the above does not apply to you and you need to wait for us to contact you. Provided you have registered with us previously as the main carer of an elderly or disabled person we will contact you as we work through patients in cohort 6.

 Cohort 6 patients in general

 We are currently (24th February) booking in further patients in cohort 6 using our texting service for a vaccine delivery we are expecting next week. We are releasing the appointments in batches to reduce the number of patients who found the appointments are already filled before they respond. If you have previously received a text message but not yet been able to book your first appointment with it then it will still work as more appointments are released. Further patients who have not registered mobile phone numbers with us will be contacted by other means.  Over 1500 patients in cohort 6 are being vaccinated by us this week with a further 800 next week. Please note we are not having sufficient vaccine delivered this week and next to complete cohort 6, there will still remain a few hundred patients in this cohort to be completed when we have a further delivery.

 The message remains the same. Do not contact us, we will contact you by one or other of the means available to us. Our receptionists do not have access to our booking system to book you in so please do not block our switchboard by telephoning with enquiries about booking your coronavirus vaccination.

 Did you have your first dose of Pfizer vaccination on 19th , 21st , 30th , 31st December or 8th, 9th, 11th January and were not given a date for your second dose?

 We have now started contacting these patients (this is mainly those who are over 80 yrs of age but also includes some younger) and are giving them dates for their second vaccination in March. Again we will contact you, you do not need to contact us.

 Patients who were vaccinated on all other dates (Except the 23rd and 24th February) received the Astra Zenec vaccine and were given their second dose appointment dates at the time of being vaccinated.

Lawrie Lewis

Executive Manager

 

Coronavirus vaccination update Friday 19th February 2021

 Only a small handful of patients have been vaccinated in the past week using the small number of vials we deliberately held back from last weeks clinics specifically for those over 70’s who had been previously uncontactable and who we’d expected to respond to letters sent to them. Additionally we have vaccinated patients undergoing chemo where the vaccination had to be timed accordingly between sessions.

 A reminder that it has been well publicised in the media that GP practices are not priortising cohort 5, the over 65’s, and you should be booking into a mass vaccination centre via the internet or by calling NHS 119 for your first dose. According to our records there are only 400 of you left to be vaccinated; it is probably less than that as there is a lag in records transferring to us.

 The same applies for any NHS or Social Care workers still waiting their first dose vaccination, the mass vaccination centres are now your route to vaccination.

 This is the ink that leads you to the booking page online for the mass vaccination centres

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

 Anyone who we have given a first dose of vaccine to, regardless of the cohort you belong to, you have already been or will be inviting back for your second dose with us so don’t worry. If you had a first dose at a mass vaccination centre that is where you go for your second dose.

 Also in this past week it was announced that further people were being added to the Clinically Extremely Vulnerable (shielding) list and were to receive letters from the Government advising them to shield. The criteria they have used to identify these additional people is complex and not yet readily searchable by our database. Prior to those letters going out we were confident we’d already offered a first vaccination to every patient on the shielding list. If you have received such a letter recently and have not yet received a first dose vaccination then you should be prioritised for one and should contact the mass vaccination centre. If that fails for you then get in contact with us with a copy of your letter to hand and we will prioritise you for the next available appointments we have.

We are now concentrating on Cohort 6 which is listed below.

Extracted from:

https://www.gov.uk/government/publications/priority-groups-for-coronavirus-covid-19-vaccination-advice-from-the-jcvi-30-december-2020/joint-committee-on-vaccination-and-immunisation-advice-on-priority-groups-for-covid-19-vaccination-30-december-2020

Cohort 6 - Persons with underlying health conditions

There is good evidence that certain underlying health conditions increase the risk of morbidity and mortality from COVID-19. When compared to persons without underlying health conditions, the absolute increased risk in those with underlying health conditions is considered generally to be lower than the increased risk in persons over the age of 65 years (with the exception of the clinically extremely vulnerable). The committee’s (JCVI) advice is to offer vaccination to those aged 65 years and over followed by those in clinical risk groups aged 16 years and over. The main risk groups identified by the committee are set out below:

  • chronic respiratory disease, including chronic obstructive pulmonary disease (COPD), cystic fibrosis and severe asthma
  • chronic heart disease (and vascular disease)
  • chronic kidney disease
  • chronic liver disease
  • chronic neurological disease including epilepsy
  • Down’s syndrome
  • severe and profound learning disability
  • diabetes
  • solid organ, bone marrow and stem cell transplant recipients
  • people with specific cancers
  • immunosuppression due to disease or treatment
  • asplenia and splenic dysfunction
  • morbid obesity
  • severe mental illness

Other groups at higher risk, including those who are in receipt of a carer’s allowance, or those who are the main carer of an elderly or disabled person whose welfare may be at risk if the carer falls ill, should also be offered vaccination alongside these groups.

This has proven to be a particularly challenging category of patients to identify as there are strands of guidance which, for example, distinguishes asthma from serious asthma. Such detailed information cannot be extracted from a national database like age can be and that is a principle which has underpinned why over 65s are invited to a mass vaccination centre and GP practices have the difficult job of locating patients with the above conditions.

With over 32,000 registered patients it is not an easy task for us. It cannot be done manually with any efficiency and we have to rely upon IT searches been created and run by the technically skilled to locate the correct information and extract the right patients for us to invite for vaccination. That hasn’t gone as smoothly as we or any other GP practice would have liked.

 In simple terms medical records systems work like this. Your clinician inputs text about your consultations and diagnosis. Medical conditions you have are then assigned a code to make them easily searchable, the medication you are taking can be searched for, when you last consulted for a specific issue can be searched for etc. Therefore to identify if a patient falls into one of the above categories, in accordance with guidance which has been issued a search has to be made against multiple, different criteria. I have already mentioned asthma which is a coded condition but then there are sub search which has to be done looking at medication, frequency of consultation and other factors to reach a valid conclusion whether or not it fits the criteria of severe asthma or asthma which falls outside of the criteria. I just use asthma as an example as it is the condition in the above list which most of us know a little bit about.

 In the past week the search tools we have been supplied with have been refined 3 times. If you follow the discussion threads on our Facebook page you will see that in the past week some people who we have offered appointments to as ‘Cohort 6’ are saying “I don’t fit that criteria”. Actually when records are checked it is invariably the case they didn’t realise they fitted the condition basis of the criteria. In only a very small number of cases has it been found the coding was wrong. What has been identified though is that the earliest search tools we used were more liberal in identifying, for example, asthma cases by including some which fell short of the severe categorisation.

 To put all of that into perspective. When we ran the first search tool v.1 we had available at the end of last week it identified close on 3600 patients in cohort 6. We started sending out invites for appointments and by Monday last we’d filled around 1000 appointments. Since then we have run v.2 and v.3 of the same search tool and on version 3 release it identifies nearer 3000 eligible patients in cohort 6. Each time a new version has been released we abandon the search list created with the last version and just used the newest version. Today we booked in the last of the 1500 appointment slots we had available for next week. We have just run the search tool again and it shows we have 1532 patient in that cohort left to book.

It is unlikely that the search tool is absolutely correct and it is still capable of flagging up patients to invite who are not strictly eligible yet but we have to live with it’s imperfections.

The important point to remember is that within 1 week we have given ½ of the eligible cohort 6 patients vaccination appointments next week therefore with a steady supply of vaccine we won’t take long getting you all vaccinated.

 The message remains the same as always – be patient, we will get to you. We simply cannot invite everyone at once, we have to do it in blocks as we are informed of vaccine delivery dates.

 For those of you who had the first dose Pfizer vaccine in December with us we will be in contact shortly as we are expecting confirmation of delivery of your second doses in March. Don’t contact us, as soon as we have a date we will be in contact with you. For those of you who had the Astra Zenec (Oxford) earlier this year don’t forget you have already been given your second dose appointment dates so keep them in your diary.

 Lawrie Lewis

Executive Manager

 

Coronavirus update Saturday 13th February 21 

Self-referral for health and social care worker vaccination

Tyntesfield Medical Group has now stopped its effort to contact registered patients who are health or social care workers for vaccinations. 

To support healthcare workers and community based social care workers in priority group 2 to receive their Covid-19 vaccination, they have the option to book their vaccination appointments in a vaccination centre or community pharmacy through the NHS Covid-19 Vaccination Booking Service. Staff can book online at www.nhs.uk/covid-vaccination. Staff should try online booking first but if this is not possible, they can phone 119 free of charge, 7am to 11pm, 7 days a week. As part of the booking process, eligible staff need to self-declare they are a health or social care worker. Staff will be able to book this way for a limited period, until 28 February. Further information is available in the letter published today.

Lawrie Lewis 
Executive Manager 

Coronavirus Vaccination Update Friday 12th February 21

 The team will continue to vaccinate today until early evening. When we finish every one of our patients over the age of 70 or who is clinically extremely vulnerable will have been offered a vaccination.

 When we say offered we mean everyone has been vaccinated with their first dose, over 8000 doses have been administered since we started in late December or, as is the  case with  a small number have been declined or cannot be vaccinated for medical reasons. There are only 100 patients who for one reason or another, beyond our control, we have been unable to contact by telephone or text message. Each of them has had a letter sent to them earlier this week and if they respond as requested therein they will be vaccinated by us at the next opportunity or alternatively they can chose to contact the mass vaccination centres by calling NHS 119.

 Many of you will have picked up from previous communications that it has been challenging for both the mass vaccination centres and GP practices as we are booking the same cohort of patients but neither knows who is being vaccinated by the other until days after the event.

 We tend to only know a week in advance when and how much vaccine we will have to administer. It is therefore hugely challenging and wasted effort on our part when we contact patients to find they are already booked into a mass vaccination centre. At the same instance it is imperative we work together to ensure we get everyone vaccinated.

 For this reason the NHS in this region has put in place a new system of booking to move the program forward more efficiently.

 From today Government letters will be popping through the letterboxes of the over 65’s inviting you to book into a mass vaccination centre from next week. They will now be taking the lead on completing the vaccination of our over 65’s. Please take that opportunity if you are over 65, Ashton Gate is just down the road and you shouldn’t wait for Tyntesfield Medical Group to contact you. Search online for - Book a Coronavirus vaccination NHS or ring 119. We will however keep track of how many of our patients get vaccinated there.

 Whilst Ashton Gate will be concentrating on the over 65s we will focus on those under 65 with underlying health conditions which puts you at a higher risk of serious disease or are a registered carer.

 PLEASE DO NO CONTACT US seeking a vaccination our receptionists do not have the means to book you in. You need to wait for our dedicated team to contact you.

 We know who is eligible from your medical records and our dedicated team are working through those in a methodical way. Many who are eligible will have already received a text from us today and will have booked themselves in via our text service. If you receive a text but the available appointments have already gone please keep checking over the next two to four weeks for more appointments as vaccine is delivered to us. Other patients, in particular those who don’t have a mobile phone registered with us, will be receiving telephone calls from us. As we work through the list of patients we will keep checking back on those who have not booked in yet until we are sure everyone has been reached out to and spoken to if they have not booked in.  

 How long will it take for us to complete this particular cohort of patients? That is a very good question I have asked myself.

 Our records show we have 3597 patients in this particular cohort. We will be vaccinating 1500 of them in week commencing 22nd February. Thereafter it depends on how quickly vaccine is delivered to us. We typically receive between 400 and 1000 doses per week but have has as many as 1500 dose delivered in a week – we just don’t know until the week before.

 Hopefully it won’t take too long but we are shortly approaching the time when we start delivering second doses to those who we did 12 weeks ago so things might slow down a little.

 The message is as always – please be patient, we will get to you no-one will be left behind.

 Keep checking our website each week www.tyntesfield.nhs.uk for updates (look in the NEWS section) or follow us on Facebook or Twitter where the updates are also posted.

 Lawrie Lewis

Executive Manager   

 

Coronavirus update Monday 8th February 2021

With the exception of 100 patients aged 70 –75yrs and 66 Clinically Extremely Vulnerable patients we are confident all other patients in those cohorts have either received or are booked in to receive their first dose of vaccine this week.

The above total of 166 patients we are having difficulty getting hold of by telephone and therefore they are being written to with an offer of a first vaccination next week. It is conceivable that many of these will have already booked into a mass vaccination centre and are awaiting their vaccination this week, Unfortunately we don’t know that as we only get information sent to us once they have been vaccinated.

Once again please do not ring our normal surgery numbers seeking a vaccination our receptionist staff will not be able to help you.

If you are over 70yrs or are currently on the shielding list and have not yet had a 1st vaccination appointment then you can ring our dedicated line 01275 866761 today up until 4pm.

Lawrie Lewis

Executive Manager

 

CORONAVIRUS VACCINATION UPDATE 4th FEBRUARY 2021

We have a number of Coronavirus vaccination appointments available which  we need to fill and are struggling to make contact with some patients in the short time available.

  • If you are a Tyntesfield Medical Group patient
  • Are over the age of 70
  • Or are over the age of 18 and are on the Shielding (Clinically Extremely Vulnerable) list
  • Have not yet had your first dose vaccination
  • Are not already booked in for your first dose vaccination either with us or a mass vaccination centre.

Then you can book your vaccination now with us.

Please alert your family, friends or neighbours who are over 70 or may be shielding. We cannot currently book anyone in who is not on one of those two lists .

Our dedicated lines are now open for you to call to book in until 4PM today and will reopen again at 9am tomorrow (Friday 5th) until 4PM.

Thereafter the lines will close again.

Do not ring your surgery. We can only accept your call if you ring our direct booking line 01275 866761.

Lawrie Lewis

Executive Manager

Coronavirus vaccinations update 3rd February 2021

All of our 1st vaccination dose appointments are now filled for 5th and 8th February. 

There are a further 685 over 70’s and Clinically Extremely Vulnerable over 18 year olds who we have yet to book a first dose vaccination for.

We have now been notified of a further delivery of vaccine next week.

If you have not yet been booked in for a vaccination with us, all those who have a mobile number registered with us and fit into one of the two above cohorts are now being sent text messages inviting then to book in for a vaccination later next week.

Those in either of those categories who do not have a mobile number registered with us are being telephoned by our dedicated team.

Do not call the surgery as the receptionists will not be able to help you, they have no access to the booking system. We will contact you by one of the means outlined above.

If you previously had a text invite from us on your phone and the appointments had already gone then please check again as you should now see the fresh appointments.

If you are in one of those eligible cohorts and we have failed to contact you by Monday 8th or you cannot book via the text message (Patients with older phones do sometimes struggle) then we will once again open our dedicated booking line 01275 866761 on Monday 8th February from 0900 – 1600 hrs (4pm). At any other time that line will not be available. 

If you are already booked in at a mass vaccination site please honour that appointment, you do not need to book with us also. These are precious appointments, as it is only by the joint efforts of ourselves and the mass vaccination centres are we able to meet everyone’s needs. We get notified of everyone who has been vaccinated by a mass vaccination centre with your medical record being automatically updated.

Lawrie Lewis

Executive Manager

 

Coronavirus update 29th January 2021

This coming week is set to be the busiest yet for us managing the coronavirus vaccination program.

It is imperative patients do not telephone or visit the surgery with enquiries about whether they can receive their vaccination. Our receptionists will not be able to assist you and all you will achieve is to frustrate yourself and our staff who need to focus on meeting all other patients needs.

Please follow the information below:

We have three vaccination clinics planned for patients over the age of 70 years:

Monday 1st February

Friday 5th February

Monday 8th February

Across those 3 dates we will deliver in the region of 2250 doses of vaccine to the over 70’s. No-one will miss out and anyone over the age of 70 who we can’t vaccinate on one of those three dates we will vaccinate at the next opportunity. As soon as we have a delivery date for further vaccine we will be in contact with those over 70 who have not yet been vaccinated.

If anyone has already has a mass vaccination centre (Ashton Gate) appointment do not attempt to book with us. The best thing you can do is attend Ashton Gate and allow us to focus on those who have not been so fortunate to be offered and obtain an appointment there. In that way vaccine appointments and precious vaccine does not get wasted and everyone gets vaccinated that much quicker.

Monday 1st February – This vaccination day is now full. This past week we have been quietly ringing out to patients to book them in. We also have a reserve list of patients who, should we not be able to vaccinate them on that day are guaranteed being vaccinated on either the 5th or 8th February.

Friday 5th February – This vaccination day will fill this weekend. The process we are using is via a text service with mesages being sent from this evening (29th Jan) onwards which allows the text recipient to book automatically online. It only allows one registered patient with the corresponding mobile phone number on our records to book in. It is straightforward for anyone with a smart phone to use.

If you follow the link provided in your text message but are unable to see any appointments it will be because they have already filled.

Knowing how many of our eligible patients have mobile phones and having used this system before we are confident the appointments will fill quickly over the weekend.

Some, mainly those with older phones might have trouble, if you receive such a text and cannot access the available appointments page then we are opening a dedicated phone line on Monday 1st February to handle your enquiries.

The dedicated line will open at 0900hrs and close at 1600hrs on Monday 1st February only, thereafter it will be disconnected again and only reactivated if we need to on a future date. The line will be very busy, we are sorry for that but you will just have to keep on trying if it is engaged.

Do not ring your normal surgery number as they will not be able to help you and will have to cut any calls short by telling you to ring the dedicated vaccination line number.

The dedicated vaccination line number open from  0900 – 1600hrs Monday 1st February is 01275 866761.

Monday 8th February – This vaccination day has already been partly filled by us ringing out to eligible patients who do not have mobile phones registered with us. The remaining appointments are being held vacant until Monday 1st February for patients who ring us on the dedicated line number of 01275 866761 identified above.

Ringing any other number or attempting any other means to book in will not help you so please do not try. Be patient, everyone will get vaccinated as soon as more supplies are distributed to us and the mass vaccination centres.

Lawrie Lewis

Executive Manager

 

Coronavirus Vaccinations update 22nd January 2021

We administered a further 600 vaccinations yesterday taking our total to over 4,700 doses.

Delivery scheduling to us is erratic and has shown clear signs of slowing down in the past two weeks. This is completely beyond our control and the control of the CCG. Some practices have fared better than us with deliveries whilst others have fared worse.

With mass vaccination centres starting up it appears that their supply chain is more stable and guaranteed than our own enabling them to book in patients with confidence weeks ahead.

Government letters inviting over 70 year olds to book at a mass vaccination centre are dropping through patients letterboxes. Our clear advice to you is:

  • If you receive an invitation to book a 1st vaccination at a mass vaccination centre and you can both book such an appointment and organise your own transport to Ashton Gate then do so – do not wait for us to contact you.

Every patient who books into a mass vaccination centre creates capacity for us to vaccinate those who can’t get there. If everyone waited for us to be able to vaccinate them then at the current vaccine supply rate to us it will take up to 8 weeks for us to vaccinate every patient over the age of 70 thus grossly overshooting the government target of vaccinating that cohort by mid-February.  

Please do not contact us regarding the government letters or mass vaccination centres – we have no control over them or means of direct contact.

Keep following our social media or visit www.tyntesfield.nhs.uk/news-2  for the latest updates on our vaccination program.

Please do not contact us about receiving a vaccination with us – we will contact you and are using a variety of means to do that depending on the amount of notice we have of a delivery and how many unvaccinated people are in the cohort of eligible patients we are working through at that time.

Please be patient everyone will be offered the vaccine by one route or another; we do not have vaccine to administer next week but are currently working through the list of patients who are over the age of 75 years in readiness for the next vaccine delivery. Telephoning us will not over-ride that process as the work is being done by a dedicated team and our receptionists are not involved.

Health and social care workers should now be making arrangements through their employers to be vaccinated at a mass vaccination centre.

Lawrie Lewis

Executive Manager

 

Coronavirus Vaccinations Update 19th January 2021

All of our Coronavirus vaccination appointments for Thursday 21st January have now been filled. We already have a reserve list in case anyone drops out. Please do not telephone the practice with enquiries about future vaccination dates. As soon as we have planned deliveries we will be contacting eligible patients to invite them to book a vaccination appointment. 

Please be patient we will be in touch you don’t need to ring us. 

 

Coronavirus vaccination Update No.2 18th January 2021

Today, we have vaccinated a further 360 patients with their first dose of vaccine. In the main these were health and social care workers with a smaller number of over 80’s and over 75’s included in the numbers. We focused on health and social care workers as we were not allowed to move significantly on vaccinating the over 75s until many other practices caught up with us.

Today it was announced on the news that vaccine rollout has now been extended to the over 70’s.

 https://www.bbc.co.uk/news/uk-55698132

 That’s great news but significantly flawed in its timing because as yet we have not yet had sufficient vaccine delivered to fulfil expectation and we are still required to vaccinate in strict order according to the eligible cohorts stipulated by the government.

The cohort we are now vaccinating are the over 75’s. It was only from today’s announcement have we been able to start making any serious inroads into vaccinating the over 75’s as until now we have only been able to vaccinate that age range if the alternative was that vaccine risked being wasted.

We will continue to vaccinate health and social care workers where we are able but in much smaller numbers now as they will be far more capable, than many of our older patients, of making arrangements through their employer for vaccination and travel to a mass vaccination centre site.

We are to receive a delivery of vaccine later this week which we will deliver to over 75 yr old patients on Thursday. We are not vaccinating patients under 75 yrs of age YET!

PLEASE READ THE NEXT PART OF THE MESSAGE CAREFULLY – PLEASE BE PATIENT

Again time is very tight and in order to manage this in the first instance we have sent text messages to patients over 75 who have registered a mobile number with us. This employs a new piece of software which has been developed specifically for Coronavirus vaccinations.

If you have received such a text then between now and Wednesday morning there is a link which can be used just once and cannot be transferred to another user to book in for an appointment on Thursday. Ringing the practice will not help, receptionists do not have access to those appointments, it is a completely automated system. We understand that not everyone will be comfortable with this technology but we have to use all means available to us to deal with the volume of bookings we must deal with.

On Wednesday morning the opportunity to book via the text message will be ‘locked out’ and out dedicated booking team will begin booking all further available appointment slots by ringing patients. Again, ringing the practice will not help, receptionists do not have access to those appointments.

We know this is not a perfect system but please bear with us. We often have to book more vaccine appointments for one morning than we book normal appointments for a whole week and we have to use this blended approach of different technology solutions to allow us to handle the volume.

After Thursday we will have approximately 850 further over 75s yet to book in for their first dose of vaccine.

Depending on the vaccine delivery schedule, which has yet to be announced to us, 850 patients is between one and two deliveries. If the NHS stick to a schedule of at least one delivery a week, as they have done since the outset then we are just two weeks away from vaccinating all of our over 75’s.

Please be patient, just as we reached out to all over 80’s everyone will be contacted in due course and you will be vaccinated.

If prior to us reaching out to you a national letter inviting you to book into a mass vaccination centre lands on your doorstep, then, if you are able to attend such an appointment please consider that opportunity as an alternative. It will help us keep moving this vaccination program forward at pace.

Lawrie Lewis

Executive Manager

 

Coronavirus Vaccination Update 18th January

We are aware of the announcement regarding vaccinations for over 70 year olds. This was an unexpected announcement and as yet, we do NOT have a vaccine delivery to begin vaccinating that number of people.
Please DO NOT contact your surgery, we will contact you when vaccine is available and we have reached your age group.
The over 75s will be vaccinated before the over 70s.
Please visit tyntesfield.nhs.uk/coronavirus regularly or see our social media for updates.

 

Coronavirus Vaccination Update 12th January

Several key headings in this update.

  1. Letters from NHS titled: Book your coronavirus (Covid-19) vaccine appointments now  are landing on peoples doorsteps. What does that mean?
  2. Tyntesfield vaccination centre progress to date
  3. Tyntesfield vaccination centre next wave of vaccinations 
  4. Carers update

Letters from NHS - Book your coronavirus (Covid-19) vaccine appointments now

From today letters are landing on patients doorsteps inviting you to book a vaccine appointment now via the NHS website or by ringing 119.

These letters have been sent out to over 80yr olds only and are causing confusion for those who have already received their first (and in some cases second) vaccination.

The confusion being caused is beyond our control as they have failed to exclude those patients who we, and other GP practices, have already vaccinated even though that information is available on a national database.

 To clarify:

If you have already received a 1st vaccination dose (or 1st and 2nd) from us the letter does not apply to you. It is an invitation to book both, not one or the other, doses at a mass vaccination centre. For this region the mass vaccination centre is located at Ashton Gate Football Stadium in Bristol.

  • If you have received one dose from us already we are waiting for confirmation of a delivery date for your second dose and then we will be in contact with you again to book you in. This could be just days before your 2nd dose is due 12 weeks after the 1st dose:

For those who had their 1st dose on 19th December 12 weeks expires on Saturday 13th March.

For those who had their 1st dose on 21st December and have not yet had their 2nd dose, 12 weeks expires on Monday 15th March.

For those who had their 1st dose on 30th December 12 weeks expires on Wednesday 24th March.

For those who had their 1st dose on 31st December 12 weeks expires on Thursday 25th March.

For those who had their 1st dose on 8th January 12 weeks expires on Friday 2nd April

For those who had their 1st dose on 9th January 12 weeks expires on Saturday 3rd April.

For those who had their 1st dose on 11th January 12 weeks expires on Monday 5th April.

Tyntesfield vaccination centre progress to date

We have now delivered close on 3400 doses of vaccine of which some 550 were second doses to those who had their first dose on the 19th December. The initial Government directive to offer the 2nd dose exactly 3 weeks after the1st dose was changed to a 12 week interval a short while back and at too short a notice for us to cancel the 2nd dose appointments already made for Saturday last hence some people have already received their second dose. They are the only group to have received their 2nd dose from us after 3 weeks and we are not able to extend that opportunity to other patients.

Save for a small number of those who turned down the offer of vaccine when first offered or who we could not make contact with, we have now according to our records vaccinated, at least with the first dose, all those patients over 80 years of age who were fit enough to attend Brockway Medical Centre in recent weeks.

We have also vaccinated residents of two of our four residential care and nursing homes, a large number of frontline health care and social care staff and a significant number of over 75s on the shielding list or approaching their 80th birthday.

We cannot yet offer vaccinations to further patients in the over 75 age cohort until all our residential care and nursing home residents, our older housebound patients and more frontline health care and social care staff have received their vaccinations.

We have continued to extract on average more doses of vaccine out of each vial than we were first told was possible. Formally, our deliveries to date have been a total of 2925 doses but we have actually extracted and delivered close on 3400 doses of vaccine. This has made the management of each vaccination session difficult as we must constantly check on progress against remaining stock, booking in extra patients as we progress through the day.

Yet, right at the end of the day after 13 hrs work and with our staff exhausted we still manage to extract the last drops of vaccine. Imagine the situation of us having 5 clinicians vaccinating at the end of the day, officially the last two vials of vaccine they each have will vaccinate a total of 50 patients. Sometimes that is the case, we would only be able to vaccinate 50 people and can’t risk booking more patients in for fear of their gross disappointment if turned away as we run out of vaccine.

In those situations, when we looked to be able to extract 55 or maybe 56 doses then rather than waste those additional doses we have been frantically ringing anyone who we can get to attend within 5 to 10 minutes to receive those last, unexpected doses. That approach has worked thus far but is an unsustainable model.

In future we intend to create a small list of reserves from the eligible cohort who are prepared to wait by their phones and are able to attend within 5 to 10 minutes if there is spare vaccine available. If reserves are not called then they will be assured to be vaccinated at the very next opportunity. Don’t ring us to be put on a reserve list we have a plan to manage that as part of the next wave of invitations.

Tyntesfield vaccination centre next wave of vaccinations

Even though we have made some inroads into vaccinating the 75 to 80 yr old cohort, in order to consume vaccine deliveries in the short time we had available, we are no longer allowed to carry on with vaccinating them ahead of the over 80’s, frontline health care and social care staff. Please be patient the wait won’t be too long.       

This week we are vaccinating the residents and staff of the remaining two residential care and nursing homes we have yet to complete and have commenced visiting the registered housebound patients we have.

Next week we will be opening the vaccination centre at Brockway again to vaccinate those patients over 80 who previously we couldn’t get hold of, had declined but since changed their minds and those who’d we declined to vaccinate because of a likelihood of an anaphylaxis reaction and additionally frontline health and social care staff.

Carers update

We are seeing an increase in patients seeking to register as carers of the elderly or a disabled person. We very much understand your anxiety and hopes to be prioritised for a vaccination but unfortunately registering as a carer will not afford you prioritisation for a vaccine alongside frontline health and social care staff. The attached link is helpful in explaining the different categories of eligibility and which you might fall in line with:

https://www.gov.uk/government/publications/covid-19-vaccination-why-you-are-being-asked-to-wait/why-you-have-to-wait-for-your-covid-19-vaccine

Please be patient. Everyone will get their vaccination in turn. More practices are now getting their deliveries flowing to them, alongside the mass vaccination centres which are now going live the pace of vaccinations will start picking.

HANDS - FACE – SPACE has never been more important. Remember even once you have received you vaccination HANDS – FACE – SPACE remains crucially important to keep us all safe. 

Lawrie Lewis

Executive Manager 

Coronavirus Vaccination update 7th January

Having filled all available appointments we will stand up our vaccination centre at Brockway Medical Centre tomorrow (Friday 8th January) and again on Saturday.

A reminder that Saturday 9th is for those patients who had their first dose of vaccination on Saturday 19th December to receive their second dose. Those are the only patients whose second dose appointments we were able to protect when the nationwide vaccination strategy was changed from a 3 to a 12 week interval. Those patients should attend for their 2nd dose appointment at exactly the some time as they did 3 weeks ago.

Please do not attend Brockway for any other reason. This includes dropping off samples which should be taken to Tower House Medical Centre instead.

Drs and Nurses will be redeployed from Brockway to our other sites, business as normal will be maintained albeit with a reduced capacity for non-essential treatments and possibly at a different location for some patients for which we apologise.

Only those who have been booked in for a vaccine and their essential carers will be admitted to Brockway Medical Centre on those days. The wearing of a face mask or other suitable face covering is mandatory, there are no exceptions. All of our phone lines remain open and we urge patients of all four of our sites to phone rather than visit whenever possible. Staying at home is a massive help in reducing the spread of the virus.

 As yet we cannot confirm when our next delivery of vaccine will occur but as soon as we know we will stand up our dedicated team to book in eligible patients. Do not ring us for a vaccination appointment unless we ask you to. Speculative calling risks blocking our phone lines and hampers delivery of our normal medical services.

I’d like to thank our patients for the wonderful positive feedback we are receiving. Those posted on social media are being shared with our staff and it is giving them a real boost. Also on social media there is much comment about how some of your friends and relatives registered with practices elsewhere which have yet to start vaccinating. Please be supportive of them also as it’s not their fault. Practices have been put into as many as 6 different waves to receive vaccine supplies. We are fortunate to have a site at Brockway which is suitable with level access and the ability to design one way patient flow through the building. Consequently we were able to offer ourselves up as ready to go in wave 1. We were placed in wave 2 and therefore started relatively early. Some of the later waves, who are now ready and eager to go, still haven’t been allocated deliveries. It’s not their fault and they are no doubt very frustrated by the situation and are working as hard as we are trying desperately to get vaccine supply moving to them.

Lawrie Lewis

Executive Manager

 

 

Coronavirus Vaccine Update 6th January 2021

We have now filled all of our available appointment slots for the next delivery of vaccine this coming weekend. Every over 80yr old patient, who is not registered as housebound, has either received their first vaccination or will receive it this weekend except for around 50 individuals who have declined or have not responded to numerous attempts made to contact them.

Those remaining 50 will receive letters from me over the coming days. Those who we have not been able to contact, if they contact us as soon as possible, we will fit into the next available vaccination opportunity.

For those who have declined or are considering declining in the future I urge you to reconsider that decision in the interests of your own health and the health of the whole population.

When declining some are citing reasons such as;

  • I haven’t decided yet if I want it
  • I’m waiting to see how things go
  • I’m waiting to have the Oxford vaccine

If an individual decides to decline the vaccine that is entirely their choice and will be respected. However, this is a mass vaccination program and we cannot tailor it to individual preferences of either when or which type of vaccine individuals prefer to receive.

We are following very clear directives and have to move on at pace through each eligible cohort of patients in turn.

Patients do not get a choice of which vaccine they receive, they receive the vaccine which is being delivered to their cohort of patients at that time.

We have no idea which brand of vaccine we will receive in the future for 1st dose vaccinations. In the coming weeks further brands are likely to be approved for use in the UK so we could likely see a variable supply chain of different vaccines arriving.

Anyone declining when they have a first opportunity to be vaccinated by us cannot be prioritised at a later date above someone who has patiently waited for their vaccine, we will not be contacting individuals who have declined again and in order to be vaccinated at a later date they may have to use their own initiative and their own expense to travel to a mass vaccination centre outside of this area.

We have made a start on the over 75s by booking in as many as possible who are shielding to be vaccinated this weekend, we have also booked in a number who are due to turn 80 shortly. We are now full and cannot consider anymore until we have another delivery date confirmed. We will let patients know when that occurs.

We are also working through vaccinating our Residential and Care Home residents and are working on the plan to vaccinate the 120 registered housebound patients we have who are not included in the above numbers.

Lawrie Lewis

Executive Manager

Coronavirus Vaccine Update 3rd January 2021 - Important information about cancelled appointments for 2nd dose of vaccine.

Since the 19th December we have received two deliveries of vaccine delivering a first dose to well over 2000 people, mainly our over 80 yrs of age patients, care home residents and eligible NHS and frontline workers. There remain more over 80's and eligible frontline workers to vaccinate before we can move onto the next age cohort of the over 75's. 

A nationwide policy change agreed by the Government, Public Health England and NHS England in light of the soaring numbers of new Coronavirus infections now significantly impacts upon the plan to administer the second dose of vaccine exactly 3 weeks after the first.

We have been directed to cancel the 2nd dose vaccination appointments scheduled for Monday 11th January, Wednesday 20th January and Thursday 21st January.

To cancel those appointments and make new 1st dose appointments for further eligible patients; over 1500 appointments to be cancelled and a further 1500 appointments to be made, is a massive undertaking for the practice. Please do not contact us unless absolutely necessary, we will advise you when we are in a position to invite you to book a first or second dose vaccination appointment.

We are not able to deviate from the directive to cancel those appointments. The situation is beyond our control.

The new directive is that the second dose of vaccine will be delivered closer to 12 weeks after the first dose. The scientific advice is that the effectiveness of the vaccine is not adversely affected by the interval being extended from 3 to 12 weeks. For those who wish to know more about this I attach a link to a news article with further detail. There are many more sources of information available on the internet. 

https://www.bbc.co.uk/news/uk-55503739

We understand this change will cause anxiety and confusion for many but are unable to over-ride the national decision to suddenly change interval between the first and second dose from 3 weeks to nearer to 12 weeks.

We have however, on the basis that insufficient notice of the change was given to us to cancel appointments, been able to insist we still deliver the 2nd dose of vaccine to the patients who are already booked to receive it on Saturday 9th January. We could not however secure the same concession for appointments made for the 11th, 20th or 21st January.

To recap the situation:

  • Patients who are already booked in to receive their second dose of vaccine on Saturday 9th January must still attend that appointment. They will receive the second dose as expected on that day.
  • Patients who were booked to receive their second dose of vaccine on Monday 11th January, Wednesday 20th January or Thursday 21st January have had their appointments cancelled and must not attend on that date. They will be contacted at a latter date with a rescheduled appointment within 12 weeks of their first dose.

As soon as we are able we will update our website and social media feeds with detail of when and how further patients can book in for their first dose vaccination. Do not contact the practice in the hope of securing information not made available by us directly via our website http://www.tyntesfield.nhs.uk or social media feeds on Facebook or Twitter as these mediums will be updated at the same instance as our patient facing teams are updated.

Lawrie Lewis

Executive Manager 

 

 

We are receiving a further delivery of Coronavirus vaccine for the over 80 year olds which we will administer before the New Year.

Please read the following information carefully to understand who will receive it and how we should be contacted.

This will be the second of three deliveries of the first dose of vaccine for the over 80's. With the first delivery we vaccinated approximately 1000 people over the past weekend. We will do the same with the second delivery which will leave approximately 500 people we will be able to vaccinate with the third delivery when we receive it.

Following Government directives everyone who has passed their 80th birthday is being treated with equal priority. It doesn't matter if you or your loved one is 83, 87 or 93 you are equally important to us and have the same opportunity to receive the vaccine before we move on to vaccinating younger age groups.

We know everyone wants to receive the vaccine as soon as possible but if you are not successful this time be patient we will get to you very soon.

We know that waiting is both frustrating and upsetting for people but no one should consider for one moment taking that out on our hard working staff. Whilst the vast majority have been amazingly supportive of our efforts and understand the massive logistical challenge we face some callers and visitors to our premises have vented their anger and been downright rude and offensive to our staff - that is not acceptable behaviour, is totally unjustified and damaging to the goodwill and incredible effort of our team.

Everyone needs to understand that both staff and volunteers are working flat out for the community to get this vaccine administered, working 12hr days with just a 15 minute break for some. We didn't have to accept a second delivery of vaccine before the New Year but our staff have chosen to give up precious time with their families to make it happen for the sake of the community so please show them the respect they deserve.

We have very short windows of opportunity from notification of a delivery to get 1000 eligible patients booked in for vaccination a few days later. This means we use a mixed communication strategy to get our message to patients. Sending letters out inviting patients to contact us to make an appointment is not a viable option when we have just days to fill 1000 appointments. We do telephone eligible patients but cold calling is a very slow process with phones going answered and when they are answered patients are often un-prepared for the call. We text patients but less than half of our over 80's have registered a mobile phone number with us. Consequently we supplement our outgoing calls and text messages with a call out to the community using our website www.tyntesfield.nhs.uk, Facebook and Twitter asking that you alert your eligible over 80yr old friends, neighbours and family that our dedicated booking lines are open. The lines will be incredibly busy, there will be engaged tones, there will be disappointed patients who don't get through to make an appointment this time but we will book in around 1000 patients to deliver every drop of this precious vaccine to you. Once we receive the third delivery we can focus in on the remaining 500 or so patients before moving onto the younger patients.       

We will be vaccinating the over 80's from 8am to 8pm daily on Wednesday 30th and Thursday 31st December.

Whatever time and day of the week a patient is offered for their first appointment an appointment for the second dose will be booked for exactly three weeks later, at the same time of the day and on the same day of the week. No other variation is possible. If the patient cannot accept both appointments as offered then we have to cancel the process and the patient will have to make a further attempt to book their vaccination at another time.  

For example: If a patient is offered the first vaccination appointment at 9am on Wednesday 30th December the second appointment will take place at exactly the same time three weeks later at 9am Wednesday 20th January 2021.      

In this first vaccination group, by following strict Government guidelines, we will only be vaccinating Tyntesfield Medical Group patients registered at Tower House, Brockway, Backwell or Long Ashton who are:

  • Over the age of 80’s (No exceptions can be made)
  • Are able to attend Brockway Medical Centre, 8 Brockway, Nailsea, BS48 1BZ for both doses of the vaccination. None of our other premises are able to offer the vaccination.

 Patients cannot receive this first vaccination if;

  • They are anaphylactic
  • Have had a Flu vaccine in past 7 days
  • Tested positive for C-19 in past month
  • Currently symptomatic with C-19 symptoms
  • Housebound

If you fulfil the above criteria in order to book you vaccination you must ring our dedicated vaccination line on 01275 866761 (not your normal booking line) between 9am and 4pm Tuesday and Wednesday this week.

Outside of those hours the line will be disconnected and you will hear the message “This line is temporarily unavailable” or a voice recording. During operating hours the lines will be very busy so you may find it difficult to get through. Once all of the appointments have been filled the line will be closed and we will notify you of that through our website, Facebook and Twitter.

We know that a large proportion of our over 80’s patients will not be conversant with our website, Facebook or Twitter pages. We are trying to contact all patients individually but the quickest way we can deal with booking appointments in the short timescale available to us is if the community plays a role in letting their over 80’s neighbours and family know about these clinics as soon as possible.

Lawrie Lewis

Executive Manager

Over 80’s Coronavirus Vaccination Centre 19th & 21st December– what to expect

 For those who couldn’t get booked in for these first clinics we are truly sorry. As soon as we have notification of further deliveries we will be running more clinics and informing patients once again. Having booked close on a 1000 appointments already there are a further 1400 eligible over 80’s we will be able to offer vaccinations to with further deliveries. It will take a further two deliveries, which we hope to receive in early 2021 to complete the over 80’s before we move onto the next cohort of patients.

For those who are fortunate enough to be vaccinated in this first batch please be aware of what to expect.

The Vaccination Centre is Brockway Medical Centre, 8 Brockway, Nailsea, BS48 1BZ. Please dress appropriate for the weather but also making it as easy as possible for you to expose a bare upper arm for the injection. Doors and windows will be kept open around the building to maintain a good flow of fresh air so do not expect it to be much warmer inside than it is outside.

Public car parking is nearby, located off Station Road and in the Scotch Horn Centre. It will be pedestrian access only onto our site.

Entrance will be on foot via the service lane entrance, please follow the signs. Exit will be out onto Brockway directly opposite the Scotch Horn Centre. Please do not attempt to enter via the incorrect route. We are operating a one way system through the whole site, both outdoors and indoors.

There will be markings on the footpath inside our grounds and in the building to help you maintain social distancing and a marshal will guide you. As far as we are able there will be some covering from inclement weather provided but please try to arrive on time, Neither early or late as we are running a very tight schedule.

Couples who are both receiving a vaccination at the same time can enter together, a carer can enter with someone who needs such support but otherwise you must enter alone. A face mask must be worn without exception.

Entering the building will be via a fire door locate on the side of the building where a receptionist will check you in. There may then be another short queue before you are directed by a marshal to one of six vaccination stations.

Each vaccination station will be staffed by a Dr or Nurse and an administrator. Once your details and consent have been recorded the vaccine will be administered and you will be asked to move to the waiting area where you must wait for 15 minutes before leaving. Seating will be socially distanced and you will not be able to move around. You have to leave promptly after 15 minutes.

If the waiting area becomes full we have a marquee set up as an overflow waiting provision.

You will leave by a different exit onto Brockway opposite the Scotch Horn Centre.

Lawrie Lewis

Executive Manager

 

Update 15th December 2020: ALL AVAILABLE COVID VACCINATION APPOINTMENTS HAVE NOW BEEN FILLED.

Over the two days since our lines opened our staff have booked in close on 1000 over 80 year olds in for their two doses of vaccine.

All of the available appointments have now been filled. We have no more vaccine available at this time.

We have not yet been notified when we will receive a further delivery but we know it will not be until 2021. As soon as we are aware of further deliveries we will stand our operation up again.

We are truly sorry to all those patients who couldn’t get through it has been absolutely manic.

Please do not ring us for further information as it only prevents us dealing with other patients immediate medical needs. We will keep our website www.tyntesfield.nhs.uk, Facebook and Twitter updated with our latest situation.

Can I reassure everyone no-one is being forgotten. If we had relied on letters and/or ringing out to all patients we would not have completed the calls in time and would therefore have wasted precious vaccine which is being sent to us at short notice.

There will be further deliveries in the future and we have the means to identify and contacting all those who didn’t get the vaccine this time. We have over 2000 over 80s so it will be a total of 3 sets of 2 vaccine deliveries before we complete them all and then move onto the next cohort. We are following strict Government guidelines regarding the age ordering of eligible patients.

Lawrie Lewis

Executive Manager

Coronavirus vaccinations for the over 80’s are now available on Saturday 19th December and Monday 21st December

At short notice we are receiving a limited delivery of the Coronavirus vaccination this week. Once all appointments are filled we cannot pre-book any further patients until we receive notification of another delivery. This is a two dose vaccination with each dose separated by a three week interval.

Whatever time and day of the week a patient is offered for their first appointment the second appointment will be booked for exactly three weeks later, at the same time of the day and on the same day of the week. No other variation is possible. If the patient cannot accept both appointments as offered then we have to cancel the process and the patient will have to make a further attempt to book their vaccination at another time.  

For example: If a patient is offered the first vaccination appointment at 9am on Saturday 19th December the second appointment will take place at exactly the same time three weeks later at 9am Saturday 9th January 2021.      

In this first vaccination group, by following strict Government guidelines, we will only be vaccinating Tyntesfield Medical Group patients registered at Tower House, Brockway, Backwell or Long Ashton who are:

  • Over the age of 80’s (No exceptions can be made)
  • Are able to attend Brockway Medical Centre, 8 Brockway, Nailsea, BS48 1BZ for both doses of the vaccination. None of our other premises are able to offer the vaccination.

 Patients cannot receive this first vaccination if;

  • They are anaphylactic
  • Have had a Flu vaccine in past 7 days
  • Tested positive for C-19 in past month
  • Currently symptomatic with C-19 symptoms
  • Housebound

If you fulfil the above criteria in order to book you vaccination you must ring our dedicated vaccination line on 01275 866761 (not your normal booking line) between 9am and 5pm this week and prior to 5pm on Friday 18th December.

Outside of those hours the line will be disconnected and you will hear the message “This line is temporarily unavailable”. During operating hours the lines will be very busy so you may find it difficult to get through. Once all of the appointments have been filled the line will be closed and we will notify you of that through our website, Facebook and Twitter.

We know that a large proportion of our over 80’s patients will not be conversant with our website, Facebook or Twitter pages. We are trying to contact all patients individually but the quickest way we can deal with booking appointments in the short timescale available to us is if the community plays a role in letting their over 80’s neighbours and family know about these clinics as soon as possible.

Thank you      

Lawrie Lewis

Executive Manager

 

 

Coronavirus vaccinations for the over 80’s are now available on Saturday 19th December and Monday 21st December

At short notice we are receiving a limited delivery of the Coronavirus vaccination this week. Once all appointments are filled we cannot pre-book any further patients until we receive notification of another delivery. This is a two dose vaccination with each dose separated by a three week interval.

Whatever time and day of the week a patient is offered for their first appointment the second appointment will be booked for exactly three weeks later, at the same time of the day and on the same day of the week. No other variation is possible. If the patient cannot accept both appointments as offered then we have to cancel the process and the patient will have to make a further attempt to book their vaccination at another time.  

For example: If a patient is offered the first vaccination appointment at 9am on Saturday 19th December the second appointment will take place at exactly the same time three weeks later at 9am Saturday 9th January 2021.      

In this first vaccination group, by following strict Government guidelines, we will only be vaccinating Tyntesfield Medical Group patients registered at Tower House, Brockway, Backwell or Long Ashton who are:

  • Over the age of 80’s (No exceptions can be made)
  • Are able to attend Brockway Medical Centre, 8 Brockway, Nailsea, BS48 1BZ for both doses of the vaccination. None of our other premises are able to offer the vaccination.

 Patients cannot receive this first vaccination if;

  • They are anaphylactic
  • Have had a Flu vaccine in past 7 days
  • Tested positive for C-19 in past month
  • Currently symptomatic with C-19 symptoms
  • Housebound

If you fulfil the above criteria in order to book you vaccination you must ring our dedicated vaccination line on 01275 866761 (not your normal booking line) between 9am and 5pm this week and prior to 5pm on Friday 18th December.

Outside of those hours the line will be disconnected and you will hear the message “This line is temporarily unavailable”. During operating hours the lines will be very busy so you may find it difficult to get through. Once all of the appointments have been filled the line will be closed and we will notify you of that through our website, Facebook and Twitter.

We know that a large proportion of our over 80’s patients will not be conversant with our website, Facebook or Twitter pages. We are trying to contact all patients individually but the quickest way we can deal with booking appointments in the short timescale available to us is if the community plays a role in letting their over 80’s neighbours and family know about these clinics as soon as possible.

Thank you      

Lawrie Lewis

Executive Manager

 

Other Coronavirus related information

We are operating differently during the coronavirus pandemic to keep our patients and our staff safe. 

APPOINTMENTS All appointments with doctors will initially be a telephone appointment. This may be converted to a video or face-to-face appointment as required. 

Please do not turn up at our surgeries if you have not been invited. When you do arrive for your appointment, please either stay in your car or remain outside the surgery -you will be called on your mobile when we are ready for you to come in. If you are not able to wait in a car or outside then you are able to come into the waiting room and take a seat as long as there is space allowing for social distancing. It is important that you sanitise your hands on arrival and follow the instructions for sanitising the seat that you sit on. You must wear a face covering when you enter our buildings.

 

PRESCRIPTION REQUESTS Help us to reduce footfall to the surgery. Please use online ordering or if you are not set up for this consider emailing your medication request to the Prescription Hub tyntesfield.prescribing@nhs.net

 

NOTES COVERING EMPLOYMENT 'sick notes' If you have to self-isolate and need a note for your employer, use this link to obtain one https://111.nhs.uk/isolation-note/. CAB website http://www.nscab.org.uk/coronavirus/

 

CHRONIC DISEASE MONITORING  - Due to Covid we previously had to suspend routine chronic disease monitoring invites to ensure we were not putting our patients at any unnecessary risk. We have now started to resume invites, however we are prioritising conditions that may put patients at a higher risk of serious illness from Covid. Apologies if your invite is delayed.

 

TRAVEL CLINICS - We are not currently running a travel clinic. If you need travel services at this time, please contact a dedicated travel medicine provider.  

covid