COVID-19

 

Last updated: 30/03/2020

NHS SCOTLAND HAVE ESTABLISHED A NEW CORONAVIRUS/ COVID-19 PATHWAY.

If you have questions about this outbreak you should, in the first instance, refer to the information available on:

Both of these websites detail the current self-isolation advice for anyone with a cough or fever.

IF YOU ARE UNWELL, OR IF THESE RESOURSES DID NOT ADDRESS YOUR QUESTIONS/CONCERNS YOU NEED TO CALL 111.

Any calls made to the Practice with questions about coronavirus/COVID-19 will be redirected to this service.

If you have been told by a healthcare professional/111 to isolate and you need a sick note/isolation note to give to your employer, this can be done online at: https://111.nhs.uk/isolation-note/ – This process has been endosed by NHS Scotland

NHS SCOTLAND HAVE ADVISED GP PRACTICES AND HOSPITALS TO SUSPEND ALL ROUTINE WORK AND WE HAVE MOVED TO INITIALLY SPEAKING TO ALL PATIENTS ON THE PHONE TO DETERMINE WHETHER THEY NEED TO BE SEEN OR CAN BE DEALT WITH IN ANOTHER WAY.

This is part of the UK’s strategy to slow down the spread of the infection by reducing the risk of individuals contacting coronavirus infection at GP practices.

DO NOT ATTEND THE PRACTICE IN PERSON WITHOUT A PRE-ARRANGED APPOINTMENT

If you were considering contacting the practice about non-coronavirus issues, please consider:

For those of you who do contact the Practice our Patient Services Adv

  • Could the matter be dealt with by another organisation, for example a pharmacy or an opticians. Please see the practice’s The Right Service at the Right Time though be aware that many of these services will also be changing their access arrangements.
  • Might you only need more information? NHSInform and Patient.info have a wide range of high-quality health information with explicit information on how to self-manage a wide range of problems.
  • Will my problem wait until after the coronavirus outbreak has subsided?

For those of you who do contact the practice our Patient Services Advisors will take your details and check what your query is about. If you potentially need to be seen, they will check:

  • If you have any cough, fever or other respiratory symptoms;
  • If you have had contact with a confirmed COVID case or travelled to a higher risk area.

Again please note that we will not be able to help with routine matters and may need to direct some healthcare matters to other providers e.g. any visual problems will be directed to opticians.

Nurse Appointments: At present we will continue to carry out essential blood test appointments (e.g. chemotherapy blood tests and tests required to monitor the safety of medicines), necessary injections and dressings only. These appointments need to be pre-arranges with the nursing team.

Physiotherapy Appointments: If you have a future appointment with the Physiotherapist she will be contacting you by telephone for an initial assessment and any future appointments will be by telephone also.

Health Visitor Visits/Appointments: The Health Visitors will carry our childhood vaccinations and essential visits only and will contact you by telephone prior to any contact.

Midwife Ante-Natal Clinics Antenatal care is essential care and will continue. The Midwife will contact you by telephone before your appointment and we ask that you attend appointments alone please.

PRESCRIPTIONS

Routine prescription requests should be handled without anyone entering the building.

If at all possible use the practice website to make all of your prescription requests – click here.

Please note due to very high demand and reduced staffing that prescriptions may now take 3 to 4 days to be processed. Ensure you submit your order in sufficient time accordingly.

When ordering a prescription please confirm which pharmacy you wish to collect your medication from. You will not be able to collect prescriptions from the practice.

If you are unable to use the online ordering system, please consider asking a relative or friend to order on your behalf.

If you have a regular pharmacy, you can ask them to make a prescription request on your behalf.

Ensure you check your regular pharmacy’s opening hours as some are working on reduced hours during the outbreak.

If there is no other option, you can drop off a written request at a new drop off point away from the reception desk but do everything you can to avoid this.

UNDER NO CIRCUMSTANCES DROP OFF A PRESCRIPTION REQUEST IF YOU HAVE A NEW FEVER OR COUGH.

ACE inhibitors, ARBs and Coronovirus

Many patients take medicine belonging to a class of drugs called ACE inhibitors (eg lisinopril, ramipril) or ARB (eg candesartan, losartan). These medicines are commonly used for high blood pressure, heart disease, heart failure and kidney disease. Concerns were raised around the possible effects of these medicines raising the risks of infection from Coronovirus and its severity, which has been amplified in social media. However there is no scientific evidence to support this concern and patients should continue their medicine. In addition patients may become unwell as a result of stopping their medication.

PLEASE DO NOT STOP ACE INHIBITORS OR ARB MEDICATION

This guidance come from statements released by

https://www.escardio.org/Councils/Council-on-Hypertension-(CHT)/News/position-statement-of-the-esc-council-on-hypertension-on-ace-inhibitors-and-ang

https://renal.org/covid-19/renal-association-uk-position-statement-patients-novel-corona-virus-infection-use-blood-pressure-medications/

Thank you for your co-operation and helping us support all of our registered patients.

SHIELDING GUIDANCE FOR HIGH RISK VULNERABLE PATIENTS

NHS Scotland is currently working to identify and help proactively manage patients who are at particularly high risk of severe morbidity and mortality from COVID-19.

This group has been identified, based on expert consensus, and include the following categories:

  1. Solid organ transplant recipients
  2. People with specific cancers
    • People with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
    • People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
    • People having immunotherapy or other continuing antibody treatments for cancer
    • People having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors.
    • People who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs.
  3. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD
  4. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell disease)
  5. People on immunosuppression therapies sufficient to significantly increase risk of infection
  6. People who are pregnant with significant heart disease, congenital or acquired

People identified as being in these groups are being sent a letter with advice on how to protect themselves and access the care and treatment they need during this time. (you can find the letter attached below).