Guidance Notes for Parents of Children Returning to School from 1st June 2020
REMEMBER OUR DOOR IS TEMPORARILY CLOSED DURING THE COVID-19 LOCKDOWN. IF YOU NEED TO ORDER YOUR MEDICATION DURING THIS TIME, PLEASE ORDER ONLINE, ASK YOUR REGULAR CHEMIST TO REQUEST ON YOUR BEHALF, OR POST/PUT YOUR REPEAT REQUEST SLIP INTO THE BOX OUTSIDE THE SURGERY. IF YOU DO NOT HAVE A REPEAT REQUEST SLIP YOU CAN WRITE YOUR REQUEST ON A BLANK PIECE OF PAPER, JUST INCLUDE YOUR NAME, NUMBER AND DATE OF BIRTH ON YOUR REQUEST. WE WILL NOT BE ISSUING ANY PAPER PRESCRIPTIONS, ALL MEDICATION WILL BE ISSUED ELECTRONICALLY TO A LOCAL CHEMIST. WE CAN NOT TAKE YOUR REQUESTS OVER THE PHONE.
ANY QUERIES WILL STILL BE ANSWERED VIA PHONE. FACE TO FACE APPOINTMENTS ARE LIMITED AT THE MOMENT AND THE MAJORITY WILL BE DONE VIA TELEPHONE OR VIDEO. IF YOU WANT TO FILL OUT A FORM WITH YOUR SYMPTOMS AND SEND TO YOUR GP, PLEASE FOLLOW THE 'SPEAK TO YOUR GP ONLINE' LINK AT THE BOTTOM OF THE PAGE AND FOLLOW THE INSTRUCTIONS.
Due to the current situation we ask that you attend alone for your appointment. If you are bringing a child we ask that only one person enters the surgery with your child. If you have your own face mask please would you wear this when you attend the surgery. You may be asked to wait outside the surgery in order to limit the number of people in the surgery and to enable social distancing. Thank you for your co-operation.
Carers Hub Spring Newsletter 2020
CLICK HERE to see some useful information from the Carers Hub, with useful contacts, things to do at home and the COVID-19 support network.
WE ARE CLOSED ON MONDAY 25TH MAY 2020 FOR BANK HOLIDAY, AND WILL RE-OPEN AS NORMAL ON TUESDAY 26TH MAY AT 8AM. REMEMBER THE DOOR REMAINS CLOSED UNLESS YOU HAVE AN APPOINTMENT.
Stay at home for Ramadan
Staying at home during Ramadan will play an important part in the nation’s effort to slow the spread of coronavirus (COVID-19). That’s the message from health experts and Muslim leaders as communities across England prepare to celebrate the holy month.
The government’s current stay at home and social distancing rules apply to all UK citizens and are supported by a wide variety of Muslim community organisations including the British Board of Scholars and Imams. The government recognises that this is an unprecedented request but following these rules will help control the spread of coronavirus and protect family, friends, the wider community, and the most vulnerable.
Keeping yourself and loved ones well during Ramadan this year will mean adapting usual religious and cultural practices. This is particularly important for protecting vulnerable people who are shielding because of underlying health conditions as well as family, friends and carers of those who are most vulnerable.
During Ramadan you should only leave your home for one of four reasons:
- shopping for basic necessities, for example food and medicine, which must be as infrequent as possible.
- one form of exercise a day, for example a run, walk, or cycle - alone or with members of your household.
- any medical need, including to donate blood, avoid or escape risk of injury or harm, or to provide care or to help a vulnerable person.
- travelling for work purposes, but only where you cannot work from home.
Traditionally Ramadan is a time for communal prayer, spiritual reflection, meals with extended family and friends to break daily fasts, and concludes with the community celebration of Eid-Al Fitr. Whilst staying at home throughout the holy month will be challenging, it is necessary to protect the NHS and save lives.
Consider how you could use technology to stay connected with your family, friends and wider religious community at this time. Video and social media could connect you to worship services and ceremonies. Individual pastoral and care visits could be received by phone. Despite being physically apart, religious practices could be observed at the same time of day as the rest of your faith community. Your faith leaders will be able to advise you on the many ways for you to stay connected.
Fasting for healthy people can continue as usual this Ramadan. If you have very mild symptoms of coronavirus or a flu-like illness and don’t require medication or treatment, as advised by a physician, you can also fast but should do so while self-isolating. Other coronavirus patients with more severe symptoms should consider not fasting, as is usual for patients with any serious illness. Always consult your physician for advice on the particular circumstances of your condition and whether or not fasting is advisable. People preparing food for others for iftar or suhoor, shouldn’t do so if they have any symptoms of coronavirus or any other flu-like illness, even if the symptoms are mild.
In addition to performing wudu before prayers, healthy hygiene should also be maintained through handwashing for 20 seconds, using soap and water or a hand sanitiser, when you enter your home, blow your nose, sneeze or cough and eat or handle food, to help protect yourself and others.
Osman Dar, Consultant in Global Health at Public Health England said: “Ramadan is a time for prayer, contemplation, self-sacrifice and charity – all of these qualities are key to supporting our collective effort in tackling this pandemic. This Ramadan, let’s think about how we can best protect the most vulnerable in our families, amongst our neighbours and in all our diverse communities. By working together we can minimise the transmission of coronavirus and reduce the chances of overwhelming our health and care services. Let us not forget the deeply spiritual reminders this pandemic brings; unite, pull together and leave nobody behind insha’Allah."
-Public Health Matters
EASTER BANK HOLIDAY 2020
We are open as normal Good Friday 10th April, and Easter Monday 13th April 8am-6.30pm. We will not be open Saturday 11th or Sunday 12th April. Lloyds Derby Street and Derby Street Pharmacy will be open 2pm-5pm.
Please be advised the searches to identify the final group of patients at high risk of severe illness from Covid 19 have been delayed nationally.
If you think you fall into the high risk category then we recommend you follow the guidelines issued by the government. This means
- Not leaving your home
- Stay at least 2 metres away from other people in your home
We are experiencing a high volume of calls, and must prioritise those who need medical assistance.
As of the 1st April 2020 we have a new service where you can submit your symptoms to us online rather than calling the surgery, please see our 'speak to your gp online' link at the bottom of this page for more information, or CLICK HERE to use this service.
CORONA VIRUS IMPORTANT INFORMATION
We are temporarily changing the way we work here at Harley Street Medical Centre in response to the corona virus outbreak. Please see the link at the bottom of the website for a page detailing the changes that are being put in place.
For more information about sick notes while self isolating, please click on the 'Sickness certificates, Med 3s, sick notes' link at the bottom of the page.
We are getting a lot of requests from parents of children who have been told that over the counter medication can only be given to their children at school or nursery if prescribed by a doctor, or if the doctor writes a letter authorising this.
Medication bought over the counter does not require an authorisation letter from a GP.
Please see the following guidance for more information:
Parents who obtain over the counter medicines are able to authorise their use in school, where appropriate for their child. In all cases best practice should be followed:
- obtain written parental consent
- medication labelled by parent with child's name and school
- instructions for administration
- clear records are kept regarding administration of medicines, dose and time.
- prescribing of medicines for long term conditions, such as asthma or epilepsy, will continue to be managed through the GP.
We are getting a lot of patients not turning up for Extended Hours appointments at local clinics. Please can you let one of our reception team know if you will not be attending so we can cancel, or call 01782 987585
This ensures that other patients who need to use this service can access these appointments. Thank you for your co-operation
Join the Young at Heart men's group for lunch every other Thursday 12:30-2pm at the Reginald Mitchell in Hanley, see below for dates and contact details.
CLICK HERE for upcoming dates available for the Young at Heart men's curry club lunchtime sessions
ALL WELCOME at our gardening club. For new and experienced gardeners alike, refreshments provided. Make friends and learn some new skills!
CLICK HERE for Gardening Club Autumn and Winter Sessions 2019-2020
The day has temporarily changed to a Wednesday and will be inside. There will however be meetings held on 21st November, 19th December, 23rd January and 20th February. Will revert to weekly again thereafter.
Last week we made bug hotels in the shape of Bottle Kilns, see below for images.
Everyone welcome and refreshments will be provided. Every Thursday between 2.30pm and 4.30pm.
We are mentioned in the October issue of PCC Insight, please click on the link below
PCC Insight Article October 2019
*FOLLOWING THE RECENT PROBLEMS WITH THE COMPUTER SYSTEM, WE NOW HAVE A BACKLOG OF PRESCRIPTIONS. PLEASE BE AWARE THAT IT MAY TAKE 3 DAYS TO PROCESS THESE*
System Problems : thank you for your patience while we experience problems with our clinical system. This is a national problem and the IT service are currently trying to fix this. Please be aware that you may have to rebook your appointment or return later for a prescription during this time.
A GREAT BIG THANK YOU TO EVERYBODY WHO VISITED THE SURGERY ON SATURDAY 17TH AUGUST FOR OUR GARDENING CLUB OPENING DAY, AND FOR THE DONATIONS. GOING FORWARD THE GARDENING CLUB WILL BE EVERY THURSDAY BETWEEN 2.30-4.30, EVERYBODY WELCOME, NEW AND EXPERIENCED GARDENERS ALIKE.
Harley Street is in the Sentinel! click the link above for the article.
We are now using CHAIN SMS to contact patients. This system allows us to send text messages to patients, meaning we can be more proactive about contacting you quickly and securely.
We might send reminders, messages about your medication, advice or information to let you know we tried to call.
Please ensure your mobile number is up to date if you would like to receive this service.
Chain SMS Poster
A huge congratulations to all GPs, Practice staff, patients, volunteers, family and friends who have supported a parkrun practice since the launch in June 2018.
We are proud and excited to announce we have just surpassed 1,000 parkrun practices AND we are well over the target of 1,000 GP pledges for the 1-year anniversary parkrun pledge day.
Letters being sent out to patients:
Due to confidentiality and security we will now be sending letters to patients email addresses and we will also be requesting a read receipt. The email will come from our secure NHS email account (email@example.com).
Please ensure that we hold your up to date email address.
A warm welcome to the newest addition to our team, Mental Health Practitioner Deborah Glendinning. Mental Health clinics available with Deborah as of 22nd April 2019.
We have achieved Digital Champion Status 2019/20!
Two modes of delivery of technology enabled care available for patients to access for at least the previous three months and staff learning completed, have the necessary infrastructure in the practice to use digital delivery, and practice support for digital delivery to patients with long term conditions/lifestyle habits/carers.
Digital Champion Certificate
Harley Street Medical Centre currently has a waiting time of 3 to 4 weeks for Non NHS work such as non clinical support letters for housing, benefit appeal letters, bus pass forms, insurance forms etc.
Are you homeless or do you know someone who is homeless?
Have you heard of Hanley Baptist Church on Regent Road in Hanley?
On a Tuesday from 10am to 12pm they offer: Hot Drinks & A Hot Meal. They also offer the following service's during 10am to 12pm on a Tuesday: Social Care, Citizens Advice Bureau, Hostels, Mental Health Service, Drugs & Alcohol Service, Housing.
On a Thursday from 5pm to 8pm they offer a hot meal, clothing and a food and drink pack for the following day.
We are now offering a drop in clinic on a Thursday afternoon between 2pm-6pm, with help from a doctor, nurse, pharmacist, VAST, drug and alcohol services, an urgent care practitioner and a mental health practitioner. No appointment necessary, just drop in between 2pm-6pm and register with the surgery to access these services.
Our opening hours have changed. Thursday we will now be opening at 8am. Extended hours appointments are available out of hours, please speak to a receptionist if you would like to book these.
Dr Balliu has now left the practice. He has been a longstanding member of our practice team, and we would like to thank him for his hard work and wish him every success in the future.
PLEASE MAKE SURE ALL SHARPS BINS ARE CLOSED BEFORE HANDING THEM OVER THE DESK.
Due to a comprehensive audit of patient usage of our opening hours on a Thursday from 7am to 8am, we have decided to not open until 8am on Thursday mornings from the 3rd of January 2019.
Extended hours clinics are now fully operational and as a result of this we will no longer offer clinics on a Saturday morning after the 22nd December 2018.
If you only call in on a Saturday morning to collect a prescription, we request that these are sent to the pharmacy of your choice electronically.
Dr Melody Bradley will be leaving the surgery on January 31st 2019. We wish her well with her chosen career path
Harley Street Medical Centre will NOT be issuing Cannabis oil on prescription.
Please welcome Stephen Fielding to the surgery. Stephen is joining our surgery as our new Urgent Care Practioner and will be triaging your telephone calls and signposting you to the appropriate clinician to help deal with your problem.
The doctors will only deal with 1 problem per consultation of 15 minutes. It is unsafe practice to ask the doctor to deal with more than one condition per consultation and it will make the doctors surgery run late for all the other booked in patients.
Breast Screening Service
All eligible women from Harley Street Medical Centre will be invited to attend their breast screening appointment from March 2018, please click on the link to visit the breast screening services social media page: https://www.facebook.com/NorthMidlandsBreastScreeningService
The surgery will be closed every Thursday from 1pm to 2pm for a practice meeting. The surgery will re-open as normal at 2pm.
The National Team have produced an Easy Read Bowel Scope Leaflet. This explains bowel scope screening in a more pictorial format, and may be helpful for explaining bowel scope screening to patients with learning disabilities, patients where English is not their first language or those who struggle with written English.
The leaflet can be found here:
NHS England have also produced a youtube video which explains bowel scope screening. It is specifically aimed at those with learning disabilities, and carers, but can be used by everyone to help them understand the bowel scope screening process.
From the 24th October the appointment system at Harley Street Medical Centre is changing.
We have appointed an Urgent Care Practioner who is fully trained to triage all requests. All requests for on the day appointments, emergency appointments and home visits will go to the urgent care practioner. This means that when you ask for an on the day appointment, emergency appointment or home visit, your telephone number will be taken by the receptionist and you will receive a telephone call from the Urgent Care Practioner between the hours of 9 to 1pm, and 2.30 to 3.30 in the afternoon, who will allocate you an appointment with the most appropriate clinician for your needs. This may not be on the same day. Pre-bookable appointments are still available to book a week in advance.
Our reception staff are now trained to help navigate you to the right service.
You will be asked some questions about your request for an appointment. This is to enable us to refer you to the correct service for you needs. Not every appointment requires a Doctors input, some conditions can be treated by a nurse, pharmacist, walk in centre or hospital if needed
Chaperone policy – patient information
You have the right to request that a chaperone be present during all or part of a consultation, particularly if examination of an intimate nature is involved. This most often applies when examination of the breasts, back passage or genitals is required but you can ask for a chaperone during any examination. The chaperone will be an appropriately trained healthcare professional, who will be there to provide you with support and reassurance during the relevant part of the consultation. They will need to be able to see what the examining clinician is doing, so will stand inside the curtains around the examination couch.
A family member is not suitable to act as a chaperone, but may also be present should you so wish.
Please note that it may be necessary to book another appointment or refer you elsewhere should a chaperone be required for your examination and none is available.
If the clinician offers you a chaperone and you would prefer not to have anyone present, you can decline; the clinician may then proceed with the examination if you are willing for this to occur, but may decide that it would be preferable for another clinician to perform the examination, be it with or without a chaperone present, and you may therefore be asked to book another appointment.
All discussions and decisions regarding the presence of chaperones will be documented in your medical records, together with the name of any chaperone who is present during an examination.
DNA (Did Not Attend) Policy
Harley Street Medical Centre is committed to ensuring that the best possible service is provided to all patients registered within the practice.
This policy relates to the handling of DNA’s and outlines the expectations of patients and staff in the management of these instances.
Failing to attend booked appointments has a negative impact on the practice staff and its patients in the following manner:
• The ‘DNA’ patients take the appointment slot for another patient who could have attended. The effect of this is increased waiting time for appointments.
• The time and personnel required to follow-up and rebook DNA patients diverts practice staff from other duties and is therefore a waste of resources.
By all of our staff (clinical and non-clinical) being consistent in applying the DNA policy, this encourages patients to assist in ensuring that clinics are managed as efficiently as possible and reduce the amount of wasted appointments throughout the surgery.
It is the responsibility of Harley Street Medical Centre staff to make every reasonable effort to ensure that the patient is aware of their booked appointment.
Every effort will be made to communicate effectively with all patients including those with language, literacy, vision and hearing difficulties. The practice will exercise discretion on a case-by-case basis to avoid disadvantaging patients in the case of genuine hardship, misunderstandings and other unavoidable circumstances.
It is the patient’s responsibility to:
• Advise Harley Street Medical Centre staff of any changes to their contact details and change of address.
• Attend their arranged clinic appointment or reschedule/cancel with reasonable advanced notice.
1. In the event that a patient DNA’s their appointment for the first time then the appointment will be recorded as DNA in the patient records and our practice staff would ring or send this letter to the patient.
2. If a patient DNA’s a second appointment within a 12 month period, they will be sent the letter for a second time and, again, will be recorded on the patient records as a second DNA.
3. If a patient DNA’s their third appointment within a 12 month period, they will be sent a final Harley Street Medical Centre DNA warning letter and could possibly result in the patient being expected to find an alternative GP practice.
Any further DNA appointments after the third will result in a letter being sent to the patient informing them that they have been removed from the practice list.
Harley Street Medical Centre Repeat prescriptions
All repeat prescriptions take 48 hours to process
DROP OFF ON MONDAY AND THEN COLLECT ON WEDNESDAY AFTER 4PM
DROP OFF ON TUESDAY AND THEN COLLECT ON THURSDAY AFTER 4PM
DROP OFF ON WEDNESDAY AND THEN COLLECT ON FRIDAY AFTER 4PM
DROP OFF ON THURSDAY AND THEN COLLECT ON WEDNESDAY AFTER 4PM
DROP OFF ON FRIDAY AND THEN COLLECT ON TUESDAY AFTER 4PM
DROP OFF ON SATURDAY AND THEN COLLECT ON WEDNESDAY AFTER 4PM
Please order your medication AT LEAST 1 WEEK IN ADVANCE to ensure that you do not run out as we CANNOT issue your prescription any quicker than 48 hours
The surgery has a social media page. Please visit our page and like / share it via facebook.
Harley Street Medical Centre currently has a waiting time of 3 to 4 weeks for Non NHS work such as non clinical support letters for housing, benefit appeal letters, bus pass forms, insurance forms etc.
We now carry out Taxi Medicals, £80 charge. Please speak to reception
The doctor will expect your appointment to be for one problem only. If you wish to discuss more than one problem with the doctor, please inform the receptionist that you will need a double appointment.
What is a clinical Pharmacist?
Clinical Pharmacists are highly qualified health professionals who train for many years to become specialists in medicines and how they work.
They can work directly with you, as part of the general practice team, to make sure your medicines help you get better and stay well.
Having a clinical pharmacist in the practice team means you can be treated by the best professional for your needs.
All pharmacists are registered with the General Pharmaceutical Council.
When will i see a clinical pharmacist? - You will see a clinical pharmacist when you need expert advice on your medicines. If your condition needs diagnosing, you will usually see a Gp first, who may then refer you on to a practice nurse or clinical pharmacist. The pharmacist may see you face to face or over the phone. Below are some examples of how a clinical pharmacist can help:
Long-term conditions: If you have a condition such as asthma, type 2 diabetes, arthritis or high blood pressure, the clinical pharmacist can discuss the medicines you're taking to make sure they're working for you. They can also help you with lifestyle changes to help you manage your condition.
Experiencing side effects: If you are experiencing side effects from your medicines, you and the clinical pharmacist can discuss this and work together to find a solution, such as changing your medicine or the dosage. If you are taking a number of different medicines, the clinical pharmacist can help make sure they are working well together.
Reviewing your medicines: If you are taking medicines over the long-term, you should be seen for a review at least once a year.
The clinical pharmacist can review all your medicines, discuss how they are working for you and carry out health checks, such as taking your blood pressure. They can also arrange for you to have blood or other tests.
After a stay in hospital: If your medicines have been changed while you were in hospital, the clinical pharmacist can help you explain these changes and ensure you get the maximum benefit from these medicines.
Common Illnesses: If you are suffering from a common illness such as a cold, hay fever, diarrhoea or an eye infection, you may see the clinical pharmacist instead of your Gp. The clinical pharmacist may be able to prescribe medicines to treat your condition. You will always be referred to a Gp if there is a need.
Your appointment: Just as when you see a Gp or a practice nurse, you will see a clinical pharmacist in a private consultation room.
Seeing the pharmacist does not replace an appointment with a doctor. You will still be able to see your Gp if you need to.
A clinical pharmacist will not give you your medicines. You should collect your medicines from a community pharmacy or dispensing doctor in the usual way.
Please let the surgery know if you need to cancel or reschedule your appointment.
For more information and case studies, please visit NHS England at: www.england.nhs.uk/commissioning/primary-care-comm/gp-action-plan/cp-gp-pilot/
and the Royal Pharmaceutical Society at www.rpharms.com/our-campains/pharmacists-and-gop-surgeries
New Appointment System
Why are we doing this?
In response to our patient feedback and survey, we would like to inform all of our patients of our new appointments service.
Due to the demand of the GP appointments we have employed a Clinical Pharmacist and an Advanced Nurse Practitioner. You will still be able to see a doctor but we will be signposting the following things to the below.
Urgent care practitioner
Cough up to 3 weeks duration
Skin infections including cellulitis leg ulcers
UTI- kidney infection cystitis
Conjunctivitis- Sticky eye
Musculoskeletal pain excluding back and neck pain
Severe choking/sudden breathlessness
Loss of consciousness
Sudden severe headache
Non blanching rash- glass test- eyes hurt by light and headache
Sudden severe stomach pain
Overdose of drugs
Discharge letter medication
A & E
Injury and falls
Sudden loss of vision
Blocked catheter- District Nurse
Dentist- Dental pain/gum infection abcesses
How will this work?
The reception team will be asking you the question, “Why do you need the appointment with the Doctor?”
We will be starting this change to our appointments on October 10th 2017. Please bear with us during this change, we are listening to you and trying to book your appointment with the most appropriate clinician long term. We are hoping this will allow us to make the GP appointments more accessible to you all.
All first-time university students up to the age of 25 are eligible for the Men ACWY vaccine as part of the NHS vaccination programme. Please register and book an appointment with the practice nurse to get your vaccination. Click the following NHS link for more information
REGISTER ONLINE NOW WITH PATIENT ONLINE TO BOOK/CANCEL APPOINTMENTS AND ORDER REPEAT PRESCRIPTIONS ONLINE. PLEASE SPEAK TO A RECEPTIONIST FOR YOUR UNIQUE USERNAME AND PASSWORD.
Harley Street Medical Centre Philosophy of Care
The staff at Harley Street Medical Centre aspire to deliver excellence in medical practice and patience care. We are not complacent and constantly strive to improve the care that we offer our patients.
We do this, through education and audit, which enables the team to update their knowledge and skills in order to improve clinical performance and the service we provide to meet an ever-changing environment and patient needs.
Is to maintain a friendly and caring environment and to provide a team approach.
To provide a service that meets the population needs around accessibility.
All staff to be productive in Health Education.
To work in partnership with other healthcare providers.
We believe that each individual is unique with physical, spiritual, psychological and social needs and to have the right to make choices about their health
Have the right to safe, cost-effective health care.
The goal is to assist the individual to attain optimal level of well-being, co-operation and collaboration with the Multidisciplinary Team.