Noticeboard

IMPORTANT UPDATED INFORMATION


We are updating our website regarding some of the changes that we have had to put in place since the coronavirus (COVID-19) outbreak, along with some useful advice and resources. As we are sure you appreciate, this is a rapidly changing situation and whilst we endeavour to keep this site under review, we cannot guarantee that any web links will always be up to date. If new government announcements are made, please follow that advice as it emerges.

Courtyard Surgery would like to thank all of our patients for their continued support and cooperation during these unprecedented times.

Is the surgery open?

Yes! We are open and we have been working really hard to make sure that we have everything in place to be able to continue to give you high quality medical care both now and if the situation with COVID-19 escalates over the coming weeks.

 

But! We are not operating in the usual way, so PLEASE DO NOT WALK INTO THE SURGERY TO ASK FOR APPOINTMENTS AS WE ARE ONLY MAKING APPOINTMENTS OVER THE PHONE. Please see the information below that outlines the reasons why we have changed our systems and how they operate.

We would like to reassure you that in the currently unlikely event that the surgery would need to close at any point in the future (for example due to staff shortages), we work closely with a number of neighbouring practices and together we will continue to provide medical care for you and your families.

How should I access healthcare?

If you have a new continuous cough and/or high temperature (37.8 degrees or above) then you advised to self-isolate at home. YOU SHOULD NOT GO TO A GP, PHARMACY OR HOSPITAL.  You should only call 999 if you are seriously unwell and feel it is a medical emergency.

The following NHS website is regularly updated with the latest advice:

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

It also provides information about self-isolation, including practical advice and recommendations about how long this should last.

If you need to seek medical advice initially then please use 111 online:

https://111.nhs.uk/covid-19

If you have any other medical related problem that requires advice please consider approaching this in the usual way whilst remembering social distancing measures:

Seek advice online from 111 https://111.nhs.uk

Phone 111

Phone pharmacy if appropriate

Phone GP surgery if required

Livi

See a GP by video with LIVI. Even at the weekend.

Patients of Courtyard Surgery can now see an NHS GP by video using LIVI.

Get medical advice, prescriptions and referrals on the same day – even at weekends.  LIVI offers appointments between 7am - 10pm Monday to Friday and 8am - 4pm on weekends.

The service is provided free on the NHS.

You can download the LIVI app to your mobile phone or tablet, at the App Store or Google Play. Or visit the Livi website for more information.

LIVI GPs are all GMC-registered NHS GPS, who (with your consent) will be able to access your medical records and give you a considered, in-depth diagnosis based on your medical history.


To be able to access this service, you will need to have appropriate record sharing consents in place - you can contact the surgery on 01403 330320 or email your consent to sharing to HSCCG.courtyard.admin@nhs.net (please note this email address has limited monitoring, so must not be used for any urgent clinical or medication needs).  

Can I get a test for COVID-19 (coronavirus) at the surgery?

No. Testing is not currently available in the community other than in very specific circumstances (and this service is not run by GP surgeries).

How do I contact the surgery and how will the surgery contact me?

The surgery has temporarily suspended all pre-booked and online appointments for you to see a GP.  We have changed these appointments to telephone triage. This means that if you wish to make an appointment to see a GP you will need to telephone the surgery first and speak to a member of the reception team. Please do not come into the surgery to make an appointment.

If the surgery needs to contact you, it is likely that we will use our text messaging service more frequently over the coming weeks, as this is an instant way to keep in touch with you. If we telephone you from the surgery it may appear as an unknown number on your phone, so please ensure that if you are expecting a call make sure you have your phone with you at all times.

Why has the surgery changed the appointment system and access?

You will have heard of the need for everyone to be socially distancing themselves from others and this advice is especially important in doctors’ surgeries. With COVID-19 now circulating in the community, patients coming to the surgery have the potential to spread the virus to staff who can then go on to infect others, some of whom will be very vulnerable to infections. In addition, we could very quickly see large numbers of staff self-isolating leading to real gaps in service provision. We hope you can, therefore, understand why we don’t want you coming to the surgery unless it is absolutely necessary, however if you do need to visit us we will make it as safe as possible for you to do so.

We will try to deal with as many queries as possible over the phone or in some cases, via video consultation. You will be advised of the process for this if required. Some routine work, such as chronic disease reviews, may need to be postponed, but some of our usual work will continue. We are looking to do this without you needing to come into the surgery wherever practical. A good example of this would be ordering repeat prescriptions, please see below for more details.

Of course, some patients may have to come to the surgery during the next few weeks, either for routine care which cannot be postponed, for example childhood immunisations and dressings others will need to be seen with more urgent illnesses. We have processes already in place to ensure that our staff knows who does need to be seen and what work can be deferred. These decisions have been made by doctors, nurses and other members of our clinical team, so please do not hold the reception staff accountable for this.

What will happen if I do need to come to the surgery and why?

 If you do need to come to the surgery we have systems in place to prioritise your safety and the safety of our staff. Firstly, we aim to keep anyone who has any possible symptoms or signs of any general infection away from others and therefore we have a special appointment system in place for these patients. They will be seen at the local COVID-19 HUB and not at the surgery.

We also want to ensure that we enable other patients to follow social distancing guidelines even within the surgery. For that reason we ask that you aim to keep 2 metres distance from others in the waiting room wherever practical. This is particularly important for those in the ‘at risk’ groups and they will be given additional advice accordingly. We have a special appointment system to protect these potentially vulnerable patients as much as possible.

As you might imagine, these processes are evolving all the time, so please listen carefully to the instructions you are given by a member of staff if you are given an appointment.

Our staff may need to wear protective equipment during the consultation, such as gloves, a gown and a facemask. Please do not be alarmed by this. If bringing a child it may be helpful to warn them of this in advance.

When attending the surgery please limit the number people where possible.

 On arrival at the surgery you will find the doors are closed, please knock on the door and a member of the reception team will communicate with you from a window. If you have an appointment with a Doctor or Nurse you will be given a mask to wear and asked to wait outside and the Doctor or Nurse will come and collect you when they have put on their PPE.

Repeat Medication requests

How to order:

If you already order your prescriptions online then please continue to do so in the usual way. If you do not already use electronic prescribing it is quick and easy to set up via the following link https://www.nhs.uk/using-the-nhs/nhs-services/the-nhs-app/ If you are unsure how to do this then please ask a relative to do this for you. This is the safest and most efficient way to get your prescriptions to you.

If this is not possible then please contact the surgery, for further advice.

Please allow 3 full working days for us to process your prescription requests at this time.

What to order:

Please be aware that the current medical advice for those people with any long-term conditions is to continue taking your usual prescribed medication unless advised to stop by a health professional. In line with government guidelines, we respectfully ask that you DO NOT REQUEST EXTRA QUANTITIES OF YOUR MEDICATION at this time. We will continue to process prescriptions promptly.

Request for medical certificates

There have been some recent changes to the medical certificate and benefits systems to ease pressures for both users and service providers during these busy times. Please see link to latest government advice regarding current guidance for all claimants during COVID-19 outbreak:

https://www.gov.uk/government/news/coronavirus-support-for-employees-benefit-claimants-and-businesses

Remember that you can always self-certify for up to 7 days for any reason. 

During the COVID-19 outbreak, 111 are providing an easy online service to obtain certificates for if you are isolating relating to either personal illness from coronavirus or following advice to protect others. The online certificates can be issued for longer than 7 days. Please note that we have been advised that self-isolation is regarded as illness for employment purposes. This service has been created to avoid unnecessary administrative work for surgeries during this extremely busy period and therefore this will be the only way to obtain certification for isolation at the present time.

 https://111.nhs.uk/isolation-note/

If you need a medical certificate for any other reason (beyond 7 days duration) then you will need to telephone the surgery, to request it. It is likely that you will be emailed the certificate, so please have your email address to hand.

Working together to provide high quality medical care

We want you to know that we are here for you. We know that if we all work together as a team of patients and staff then we will be able to continue to look after you to the best of our ability.


  • Who can have the flu vaccine?

    This year we have to factor in social distancing and so we are changing the flu clinics slightly to keep everyone safe. All eligible patients will be contacted to pre-book an appointment slot in advance, if for any reason you have not been invited and fall into one of the categories below, please call and book an appointment into a clinic.

    You can get a free flu vaccine if you:

    • are 65 years old and over (including those aged 65 by 31 March 2021)
    • have certain health conditions (including children in at-risk groups from 6 months of age) such as: COPD, CHD, Diabetes, Chronic respiratory disease or any other clinical at risk group
    • live with someone who is on the NHS Shielded Patient List
    • are pregnant
    • receive a carer’s allowance
    • are the main carer of an older or disabled person who may be at risk if you get sick

    Children aged 2 to 11 on 31 August 2020 are also eligible for the flu vaccine (with 2- and 3-year-olds offered it in GP surgeries and school-aged children offered it in school).

    You can get the flu vaccine if you’re a health and social care worker employed by a:

    • registered residential care or nursing home
    • registered homecare organisation
    • hospice

    Or  if you provide health or social care through direct payments or personal health budgets.

    This year the free flu vaccine will be offered to healthy 50- to 64-year-olds later in the season. 

    Please note that, if you are aged between 50 and 64 and not in a clinical at risk group, the earliest you will be offered a flu vaccination is November, providing there is sufficient vaccine. No appointments will be offered for patients in this age group until then (we will notify patients when these vaccines become available). This is to ensure that those who are most at risk are vaccinated first. If you are aged 50 to 64 and are in a clinical ‘at risk’ group which is eligible for the flu vaccination, for example you have a health condition which puts you at risk from the flu, you will be invited earlier. 


Livi - new video consultation service - visit LIVI for more information


EMERADE Fact Sheet for patients October 2019 - see Medication Information


Sepsis Awareness - visit Sepsis Awareness


New Registrars at Courtyard Surgery

We are pleased to welcome Dr Hitesh Gadhia and Dr Saif Ali  as our new placement ST3 GP Registrars, they started training at Courtyard Surgery in August 2019. Dr Gadhia will be with us for 6 months and Dr Ali for 12 months.  Both will have the support of the full clinical and administrative team whilst at the surgery. 

Courtyard Surgery has been approved as a Training practice for GP registrars from the Mid Sussex GP Training Scheme.


Important Announcement

Following our announcement in 2017 regarding Riverside Surgery moving premises to Courtyard Surgery, this is no longer taking place and Riverside will be remaining at their current premises on Worthing Road.

As such, Courtyard Surgery will no longer be joining with Riverside Surgery. Although this is a change in the original plans, we have, as part of future proofing, 7 new rooms that will be for our patients. 

We are continuing all of the services that we currently offer and will be employing more doctors and other health care professionals to make the most of the additional capacity and strengthen our clinical team.

With more rooms and staff available, we anticipate improving our services with the capacity and ability to look after our patients.

We would like to thank you for your patience.


New Physician Associate at Courtyard Surgery

We are delighted to be welcoming a new healthcare professional to our primary care (GP) team.

Shannon Rosine is a US trained Physician Associate (PA) with considerable clinical experience, working in both emergency departments and a health centre linked with a correctional facility. Shannon is also a Teaching Fellow in Physician Associate Studies at Brighton and Sussex Medical School, training PAs for the future.

For more information, visit Latest News on our website.


Physiotherapy Self-Referral for Patients
Did you know you can now refer yourself to physiotherapy at Horsham Hospital for musculoskeletal conditions? Please refer yourself by clicking here to access the referral form or alternatively pick up a paper form from the surgery reception.

Horsham Hospital Blood Service
Please click here to see change in opening times for the above blood test service from 01 June 2017. Click here for more information on the changes.

Covid 19

For all the latest information please visit the Government website:

https://www.gov.uk/coronavirus

Supporting people with symptoms of long COVID

The NHS is making progress on establishing support for people experiencing symptoms of Long COVID, including Long COVID assessment services and the Your COVID Recovery interactive web-based programme, developed to support the recovery of individuals recovering from COVID-19."


WAIT TO BE CONTACTED

The NHS will let you know when it's your turn to have the vaccine. It's important not to contact the NHS for a vaccination before then

COVID VACCINE UPDATE - 10th January 2021

We have now nearly completed vaccinating patients who are 80 years of age and over as well as social care workers within care homes. These patients attended Covid Vaccination clinics  held and organised by our Horsham Collaborative PCN at the local Horsham venue Christ's Hospital Bluecoat Sports Hall RH13 0YB.

We know that there are a few over 80 year old patients who still require their vaccine and they  will be contacted week beginning the 11th January 2021 to book into our next clinic which is by appointment only, you do not need to contact the surgery.              

The housebound over 80's will be vaccinated by the Community Nursing Teams but currently the vials are not able to be moved once opened and we are waiting for Government Guidelines on a solution, all Housebound patients will be contacted as soon as they can be vaccinated, PLEASE DO NOT CALL THE SURGERY.

We are unable to move onto any other age or vulnerable groups  to vaccinate until we are advised by the Government to do so, PLEASE DO NOT CALL THE SURGERY, we will CONTACT YOU as soon as we are advised to do so and have received sufficient vaccines to go ahead we do not have any time frames.

Please note these clinics are not being held at the Courtyard Surgery.

IMPORTANT NOTICE 

IF YOU HAVE SUFFERED AN ANAPHYLATIC REACTION OR CARRY AN EPIPEN, THE ADVICE IS NOT TO HAVE THE PFIZER/BIONTECH COVID VACCINE, YOU WILL BE CONTACTED TO HAVE THE OXFORD ASTRA ZENECA AS SOON AS WE HAVE RECEIVED SUPPLIES OF THESE VACCINES


Following the recent Government announcement, please see our response below:
Courtyard, Southwater, Cowfold and Rudgwick surgeries have carefully evaluated the risk profiles of the patients who received their 1st dose of the Pfizer vaccine at the Bluecoats Christ Hospital on the 16th of December 2020.
After careful review of the scientific data and weighing up the risks and benefits, we feel you should still receive your second dose of the vaccine as previously discussed and planned for the 6th of January 2021.
This information is only relevant to our patients who attended for their 1st dose of the Pfizer vaccine on the 16th of December at Bluecoats Christ Hospital Horsham - RH13 0YB. 
If you have a friend or family member who attended our centre on the 16th December please can you make sure they are aware they still need to attend on the 6th of January 2021 as planned for their second dose of the vaccine.
We have been requesting for more supplies of the vaccines since the first dose was delivered to enable us to continue and vaccinate the remaining over 80-year-old patients but frustratingly we have not been supplied with any more at this time.
The AstraZeneca vaccine will be delivered to us from the week commencing 4th January 2021 and at this stage we will then call all remaining patients over the age of 80 who are awaiting their vaccination (please do not call the surgery as we do not have a confirmed delivery date, but please be assured we will contact you to book your appointment)
Thank you  
Dr Greenwood and Dr Khan, Courtyard Surgery 

Dr Mckenzie, Rudgwick Medical Center

Dr Hyder, and Dr Coutroubis Village Surgery Southwater

Dr Murphy, Dr Webb Dr Carter Cowfold Surgery

 


The NHS is now ready to deliver a vaccination programme for England so that those who need it most will be able to access vaccinations as soon as they are available.

A prioritisation list has been produced in order for the vaccine to be delivered to groups who will need it first. The NHS will contact you when you are eligible to receive the vaccine and provide you with information about location and date. We will contact you when it’s the right time to come forward, so please don’t contact the NHS to seek a vaccine before then.

· The vaccine will be given in order of priority to those at highest risk first.

· We will be in contact with you with information about where and when you will need to receive the vaccine.

· Please act on your invite when it comes, and make sure you attend your appointments when you arrange them.

 Priority Groups

1. residents in a care home for older adults and their carers

2. all those 80 years of age and over and frontline health and social care workers

3. all those 75 years of age and over

4. all those 70 years of age and over and clinically extremely vulnerable individuals (excluding pregnant women and those under 16)

5. all those 65 years of age and over

6. all individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality

7. all those 60 years of age and over

8. all those 55 years of age and over

9. all those 50 years of age and over

10. rest of the population (priority to be determined)


COVID 19 VACCINE

Courtyard Surgery are currently putting together a plan on how we can deliver the new COVID vaccinations to our vulnerable patients, as you will have read in the press this may be mid-December, (as soon as we have more information, we will let you know) 
 
*** One of the criteria is there must be a separation from the normal FLU vaccination and the COVID vaccination of 7 days minimum. We want to ensure all our eligible patients can get the COVID vaccine when it becomes available so it's important to be up to date with your FLU vaccination beforehand ***
IF you are over 65 or under 65 WITH a health condition than means you would benefit for a flu vaccination please call the surgery to book this 01403330320

(if you are unsure if you qualify for an NHS vaccination please check link:

Template Letter for Employer

Template letter for employer




 
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