Welcome to Castlefields Surgery
It is likely that in the coming weeks our service will be under huge pressure due to workload and our own staff self isolation measures. It is important to us that if you feel you might have a significant illness or need help with managing a chronic significant condition that you book a telephone or video consult appointment with us in the usual manner. Please use the NHS website for advice on how to manage minor problems and when to seek advice.
Please consider (if possible) buying a thermometer and blood pressure machine for use at home. If you have asthma a peak flow meter and if you usually suffer from breathing difficulties a pulse oximeter. Also consider practicing how to take a pulse and count a relatives breathing rate in breaths per minute. This information would be extremely helpful in a phone consulation with a nurse or doctor. Our dedicated staff are still coming into work and are putting themselves at great risk to continue to provide care and treatment for you, so please be kind, considerate and understanding during these very difficult times ahead.
THE PUBLIC HAS A CRUCIAL ROLE TO PLAY IN CONTAINING THE SPREAD OF THE VIRUS. WASH YOUR HANDS MORE OFTEN FOR 20 SECONDS. USE SOAP AND WATER OR A HAND SANITIZER WHEN YOU: GET HOME OR INTO WORK, BLOW YOUR NOSE, SNEEZE OR COUGH, EAST OR HANDLE FOOD. PROTECT YOURSELF AND OTHERS AND ADHERE TO THE SOCIAL DISTANCING ADVICE AND GUIDANCE FROM THE GOVERNMENT. THANK YOU.
- CORONAVIRUS ADVICE
For most people, coronavirus (COVID-19) will be a mild infection. If you live
alone and you have symptoms of coronavirus illness (a new continuous cough
and / or high temperature), however mild, stay at home for 7 days from when
your symptoms started.
If you live with others, anyone who develops symptoms in your household must
stay at home for 7 days – and everyone else in the household who remains
well must stay at home and not leave the house for 14 days. The 14-day
period starts from the day when the first person in the house became ill.
Do not go to a GP surgery, pharmacy or hospital. You do not need to contact
111 to tell them you're staying at home. For more information about when to
call 111 and advice about staying at home click here.
Symptoms and what to do
Do not leave your home if you have either:
- a high temperature – this means you feel hot to touch on your chest or back (you do not need to measure your temperature)
- a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)
To protect others, do not go to places like a GP surgery, pharmacy or hospital. Stay at home.
Use the 111 online coronavirus service to find out what to do.
Only call 111 if you cannot get help online.
Read general information such as:
On Monday evening, 27 million TV viewers watched Mr Johnson tell the country it was facing a "moment of national emergency" and that staying at home was necessary to protect the NHS, save lives and tackle "the biggest threat this country has faced for decades".
Police and local authorities will have powers to disperse gatherings, including through fines.
The restrictions would be under constant review and a relaxation of the rules would be considered in three weeks, he said.
"To put it simply, if too many people become seriously unwell at one time, the NHS will be unable to handle it - meaning more people are likely to die, not just from coronavirus but from other illnesses as well," the prime minister said.
For the first time, all the UK's mobile networks are sending out a government message on Tuesday morning to their customers with details of the new measures.
CQC RATING : OVERALL - INADEQUATE. link to the CQC report https://www.cqc.org.uk/location/1-2897162123
Guidance for the public on the phased return of outdoor sport and
recreation in England
From 1 June, you can now exercise alone, with members of your
household, or with up to, but no more than 5 other people from outside
your household while keeping 2 metres apart at all times.
Gatherings of more than 6 people are not permitted (unless an exemption
applies, for example, if you are from one household or if it’s essential for
Social distancing of 2 metres applies to people outside of your household.
If you are playing sport or exercising with people from your own
household, the 2 metre rule does not apply.
To read the full guidance please click here and the news story is available here.
Coronavirus (COVID-19): advice on accessing green spaces safely
The risk of the coronavirus being passed on to others outdoors is
considered to be low as long as people maintain social distancing.
In England, you can leave your home to exercise and spend time outdoors
for recreation with your household or in groups of up to six people from
outside your household.
There are no restrictions on how far you can travel to get to the
countryside with England. However you cannot stay overnight.
It is important that people respect the rules in Scotland, Wales and
Northern Ireland. Do not travel to different parts of the UK where it would
be inconsistent with guidance or regulations issued by the relevant
When in the countryside, follow the Countryside Code, for example by
leaving no trace of your visit and taking all of your litter home.
CORONAVIRUS UPDATE - 02 JUNE 2020
For most people, coronavirus (COVID-19) will be a mild infection. If you live alone and you have symptoms of coronavirus illness (a new continuous cough and / or high temperature), however mild, stay at home for 7 days from when your symptoms started.
If you live with others and you or one of them have symptoms of coronavirus, then all household members must stay at home and not leave the house for 14 days. The 14-day period starts from the day when the first person in the house became ill.
Do not go to a GP surgery, pharmacy or hospital. You do not need to contact 111 to tell them you're staying at home. For more information about when to call 111 and advice about staying at home click here.
People who remain well are advised to limit social contact where possible – including using less public transport, working at home and considering avoiding pubs, restaurants, theatres and bars. Those over 70, have an underlying health condition or are pregnant are strongly advised against these activities and should also significantly limit face-to-face interaction with friends and family if possible.
The public has a crucial role to play in containing the spread of the virus. Washing your hands more often. For 20 seconds. Use soap and water or a hand sanitiser when you: get home or into work, blow your nose, sneeze or cough, eat or handle food. Protect yourself and others.
People who are self-isolating with minor symptoms are not being tested. Priority for testing is being given to those in critical care for pneumonia, acute respiratory distress syndrome (ARDS), other hospitalised patients with pneumonia or ARDS, or where there is an outbreak in a residential or care setting, for example long-term care facility or prison.
Officials are working to increase the number of tests that can be conducted by Public Health England and the NHS to 25,000 a day. The increased capacity is expected to be ready within four weeks, with highest-priority cases being tested
We will be screening all our appointments and will be dealing with patients over the phone to minimise face to face contacts where possible. We will continue to provide essential services only and can also offer consultations through SKYPE.
PLEASE DO NOT COME INTO PRACTICE SITES UNLESS IT IS REALLY NECESSARY
As per government advice today if you have symptoms of a persistent cough or fever please self-isolate for 7 days
COVID-19 is a new illness that can affect your lungs and airways. It's caused by a virus called coronavirus.
Stay at home if you have coronavirus symptoms
Stay at home if you have either:
- a high temperature – you feel hot to touch on your chest or back
- a new, continuous cough – this means you've started coughing repeatedly
Do not go to a GP surgery, pharmacy or hospital.
You do not need to contact 111 to tell them you're staying at home.
Testing for coronavirus is not needed if you're staying at home.
1. Advice and guidance on coronavirus
Up-to-date advice from Public Health England, including the latest case definition, can be found here and the latest NHS England guidance can be found here.
Anyone who is unwell should go to NHS111 online first for advice, rather than approaching their GP practice. If a case comes to the surgery or extended hours hub:
• If the patient is WELL then:
- they should go home immediately and self-isolate
- use nhs.uk/coronavirus for advice and guidance.
How long to stay at home
- if you have symptoms, stay at home for 7 days
- if you live with other people, they should stay at home for 14 days from the day the first person got symptoms
If you live with someone who is 70 or over, has a long-term condition, is pregnant or has a weakened immune system, try to find somewhere else for them to stay for 14 days.
If you have to stay at home together, try to keep away from each other as much as possible.
Read our advice about staying at home.
Urgent advice:Use the NHS 111 online coronavirus service if:
Only call 111 if you cannot get help online.
How to avoid catching and spreading coronavirus (social distancing)
Everyone should do what they can to stop coronavirus spreading.
It is particularly important for people who:
- are 70 or over
- have a long-term condition
- are pregnant
- have a weakened immune system
- To self isolate for 12 weeks where possible.
wash your hands with soap and water often – do this for at least 20 seconds
Always wash your hands when you get home or into work
use hand sanitiser gel if soap and water are not available
cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
put used tissues in the bin immediately and wash your hands afterwards
avoid close contact with people who have symptoms of coronavirus
only travel on public transport if you need to
work from home, if you can
avoid social activities, such as going to pubs, restaurants, theatres and cinemas
avoid events with large groups of people
use phone, online services, or apps to contact your GP surgery or other NHS services
do not touch your eyes, nose or mouth if your hands are not clean
do not have visitors to your home, including friends and family
The NHS will contact you from Monday 23 March 2020 if you are at particularly high risk of getting seriously ill with coronavirus. You'll be given specific advice about what to do.
Do not contact your GP or healthcare team at this stage – wait to be contacted.
Who is at risk?
How coronavirus is spread
Because it's a new illness, we do not know exactly how coronavirus spreads from person to person.
Similar viruses are spread in cough droplets.
It's very unlikely it can be spread through things like packages or food.
There are some countries and areas where there's a higher chance of coming into contact with someone with coronavirus.
If you're planning to travel abroad and are concerned about coronavirus, see advice for travellers on GOV.UK.
Treatment for coronavirus
There is currently no specific treatment for coronavirus.
Antibiotics do not help, as they do not work against viruses.
Treatment aims to relieve the symptoms while your body fights the illness.
You'll need to stay in isolation, away from other people, until you have recovered.
CASTLEFIELDS SURGERY would like to invite you to join DoctorLink.
We have been looking at how we can improve access to Practice services; DoctorLink is our new online service where you can access advice and appointments on line.
Registration is simple and you can register here:
For all urgent appointments, we ask that you undertake a symptom assessment through DoctorLink.
The symptom checker will ask you a number of questions to help to identify your problem.
The outcome of your assessment will direct you to the right treatment, whether emergency care, your GP, nurse or self-care.
If your outcome indicates that an appointment is required, you simply click on the request appointment link.
Once the request has been submitted, you will then be contacted by the Practice Team, to arrange an appointment within the identified timeframe (as outlined in the outcome of your symptom checker).
The information you provide will be shared with our clinical team (where appropriate) and will assist in providing robust information of your problem to the required clinical team member prior to your appointment.
You can even download the App on the Iphone App Store or on Android Googleplay
NO DEAL BREXIT MEDICINES CONTINGENCY
PLEASE VISIT NHS.UK FOR INFORMATION AROUND THE CONTINGENCY FOR MEDICINES SHOULD THERE BE A NO-DEAL EU EXIT. THESE UPDATES EXPLAIN THE GOVERNMENT'S MULTI LAYERED APPROACH TO ENSURE THAT MEDICINES CONTINUE TO BE AVAILABLE SHOULD THERE BE A NO DEAL EU EXIT.
YOUR DATA, PRIVACY AND THE LAW.
HOW WE USE YOUR MEDICAL RECORDS
CASTLEFIELDS SURGERY IS ONE OF MANY ORGANISATIONS WORKING IN THE HEALTH AND CARE SYSTEM TO IMPROVE CARE FOR PATIENTS AND THE PUBLIC.
- This practice handles medical records according to the laws on data protection and confidentiality.
- We share medical records with health professionals who are involved in providing your with care and treatment. This is on a need to know basis and event by event.
- Some of your data is automatically copied to the Shared Care Summary Record.
- We may share some of your data with local out of hours/urgent or emergency care services.
- Data about you is used to manage national screening campaigns such as Flu, Cervical Cytology and Diabetes Prevention.
- Data about you, usually de-identified, is used to manage the NHS and make payments.
- We share information when the law requires us to, for instanace when we are inspected or are reporting certain illnesses or safeguarding vulnerable people.
- Your data is used to check the quality of care provided by the NHS.
- We may also share medical records for medical research.
The information collected about you when you use these services can also be provided to other approved organisations, where there is a legal basis, to help with planning services, improving care provided, research into developing new treatments and preventing illness. All of these help to provide better health and care for you, your family and future generations. Confidential personal information about your health and care is only used in a way where allowed by law and would never be used for insurance or marketing purposes without your explicit consent.
You have a choice about whether you want your confidential patient information to be used in this way.
To find out more about the wider use of confidential personal information and to register your choice to opt out if you do not want your data to be used in this way, visit www.nhs.uk/my-data-choice. If you choose to opt out you can still consent to your data being used for specific purposes.
If you are happy with this use of information you do not need to do anything. You can change your choice at any time.
GDPR AND PATIENT CONFIDENTIALITY
DUE TO THE CHANGE IN GENERAL DATA PROTECTION REGULATIONS AND IN THE INTEREST OF PROTECTING PATIENT CONFIDENTIALITY, WE ARE UNABLE TO SPEAK TO FAMILY MEMBERS, RELATIVES OR FRIENDS REGARDING APPOINTMENTS OR ANY PART OF THEIR MEDICAL RECORD WITHOUT WRITTEN CONSENT FROM THE PATIENT. THIS ALSO INCLUDES COLLECTING/REQUESTING PRESCRIPTIONS FOR FRIENDS AND FAMILY
THANK YOU FOR YOUR CONTINUED SUPPORT
SURGERY CLOSURE DAYS FROM 12.30 AND RE-OPENING AT 08.00 THE NEXT DAY
22 APRIL 2020
13 MAY 2020
17 JUNE 2020
15 JULY 2020
12 AUGUST 2020
16 SEPTEMBER 2020
14 OCTOBER 2020
11 NOVEMBER 2020
9 DECEMBER 2020
THE NEW NHS APP HAS BEEN LAUNCHED - PLEASE SEE INSTRUCTIONS ON HOW TO REGISTER ON THE APP UNDER ONLINE SERVICES
YOU CAN NOW ACCESS YOUR MEDICAL RECORDS, ORDER REPEAT PRESCRIPTIONS ON THE NEW NHS APP ONCE YOU HAVE REGISTERED.
With patients' needs at the heart of everything we do, our website has been designed to make it easy for you to gain instant access to the information you need. As well as specific practice details such as opening hours and how to register, you’ll find a wealth of useful pages covering a wide range of health issues along with links to other relevant medical organisations.
Get Well, Keep Well
Of course we’re not just here for when you are unwell. Our team of healthcare professionals and back-up staff offer a number of clinics and services to promote good health and wellbeing whatever your medical condition.
We hope you enjoy having a look around the site and familiarising yourself with some of the online features such as ordering a repeat prescription. Whatever your thoughts, be sure to let us know via our feedback function. Comments and suggestions are always a great way of helping us continue to enhance the way we look after you.
We have a disabled access to the front of the building and a lift inside the building and a wheelchair on the premises for those who require it. There are also patient toilets located on the first and second floor, which is accessible by wheelchair.
If access should prove difficult or assistance is required, please consult a member of staff. As we continually strive to improve patient services, please let us know of any suggestions you may have for us to consider.
Castlefields Surgery is a non-dispensing, non-teaching Practice.
(Site updated 02/06/2020)