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Noticeboard

*CORONAVIRUS UPDATE - 15 March 2020**

For the latest information about the novel coronavirus please see the NHS Inform website – https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/coronavirus-covid-19 or the UK Government website – https://www.gov.uk/guidance/coronavirus-covid-19-information-for-the-public

Both of these websites are a good source of information and are updated on a regular basis.

NHS24 also has a dedicated Novel Coronavirus Helpline - 0800 028 2816 – which can be contacted for advice.

You can also follow us on Facebook - click on the link below

If you have developed a new continuous cough and/or a fever/high temperature in the last 7 days, stay at home for 7 days from the start of your symptoms, even if you think your symptoms are mild.

**DO NOT COME IN TO THE SURGERY**

Please call the practice on 019755 62253 (or NHS 24 on 111 if between 6pm and 8am and at the weekend) immediately if your symptoms:

- are severe or you have shortness of breath
- worsen during home isolation
- have not improved after 7 days

You should also phone your GP (or NHS 24 on 111 if between 6pm and 8am and at the weekend) if you develop breathlessness or it worsens, especially if you:

- are 60 years old or over
- have underlying poor health
- have heart or lung problems
- have a weakened immune system, including cancer
- have diabetes

***If you have a medical emergency, phone 999 and tell them you have COVID-19 symptoms***

If your symptoms worsen but you do not have a medical emergency, inform the Receptionist that you have worsening flu-like symptoms.

You will be advised to stay at home until a member of the Duty Team calls you back.

Do not go into any GP surgery or local accident and emergency department unless you are advised to do so or you are seriously ill, because you might spread the illness to others

The best way to protect yourself and stop the spread of flu viruses is by using and disposing of tissues when you cough and/or sneeze and washing your hands.

Remember to CATCH IT, BIN IT, KILL IT

Use disposable tissues and throw them away as soon as they are used.

Catch it Bin it Kill itChances

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The New Model of Primary Care

We want to keep patients informed about the new GP contract in Scotland and how this might affect patients.
 
The new GP Contract is introducing a number of essential changes which are likely to have an impact on the majority of the population at one point or another. Changes are being implemented in different phases across the whole of Aberdeenshire with the aim that all of the current developments are implemented by April 2021.
 
The key aim is to try and improve the care to patients whilst managing the challenges currently felt within the NHS – an ageing population living longer with more long term conditions, reducing numbers of GPs, increasing demand and expectation from patients on healthcare resources and the training and development of a wider primary care workforce than ever before.
 
We want to be at the forefront of implementing these changes to provide the best and most comprehensive care we can to our patients. The traditional model of a GP surgery is changing, something our patients are already familiar with due to our current triage system which has been developed and implemented to help move towards this new way of delivering care.
 
Across Scotland there will be a range of different highly trained health care professionals working in GP surgeries and Alford will be no different. This means that it will become more and more likely you will NOT see a GP for your health issues. Pharmacists, advanced nurse practitioners, advanced practitioner physiotherapists and other health care professionals will see you instead. The GPs will continue to provide care to those who need it most and will also always be available for support, leadership and guidance to this expanding team. However, if you contact the surgery in the future to request a home visit, it is more likely that you will see an advanced care practitioner than a GP.
 
We have confidence in this approach having had great first hand success with our advanced nurse practitioner, nurse practitioner and practice pharmacist and we welcome changes that will improve the access to the right help for patients with the right person at the right time.
 
At time of printing Alford has the benefit of four such new services with the appointment of a Psychotherapy team (Psychotherapist and Wellbeing Worker), Primary Care Clinical Pharmacist, Advanced Care Practitioner and services of the Primary Care Vaccination team.
 
Primary Care Psychological Therapies Service – Referral is required to see the Psychotherapy team, which can be done after discussion with a member of our clinical team.
 
Primary Care Clinical Pharmacist – You may have contact with Ellie Robertson, who can deal with a range of medication related issues and build on the existing medication expertise that we have with our current practice pharmacist, Jane.
 
Advanced Care Practitioner – Should a home visit be required, it is more likely that you will see Amanda McKandie, a specialist in clinical care at home.
 
Primary Care Vaccination Service – This is currently in development, however, the first part has been put in place with the introduction of a Vaccination team who has been administering nasal flu vaccination to children aged 2 years (on 1 September 2019) to 5 years (not in school). As the service develops, all vaccinations will be administered by the team and this should be in place by 2021.
 
It is anticipated that we will have additional physiotherapy services within the practice by the end of 2020. This means that, if you ask for an appointment for back pain, it is more likely you will see an advanced practitioner physiotherapist than a GP.
 
We will keep you informed as these services, and others yet to be developed, are fully implemented over the next couple of years.
 
Alford Medical Practice

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FLU VACCINATION 2019/20 🤧

Flu vaccination is still available for all patients who fit the criteria below, including children aged between 2 years (on 1 September 2019) and 5 years (not in school).

The eligibility criteria for Flu vaccination are:-

Over 65
Heart disease
Lung disease (including asthma or COPD)
Diabetes
Kidney disease
Liver disease
Previous Stroke
Degenerative disease
MS
Pregnant
Body Mass Index measurement of 40 and above
Unpaid Carer (if you are an employed carer – please contact your employer)
Immunocompromising condition, eg receiving chemotherapy/radiotherapy, on DMARD drug etc

**Child aged between 2 and 5 (not in school)**

Three clinics for children aged between 2 and 5 (not in school) are already fully booked with the last clinic being held on Thursday 19 December 2019.
 
Appointments for this clinic are available to book now by telephone (019755 62253) or in person at Reception.

It is very important that you protect yourself with a ‘flu vaccine, even if you feel hale and hearty, and we ask that you make an appointment to have this done at the Surgery.

It is equally important to let us know if you do not wish to have a ‘flu vaccination and we would be grateful if you inform Reception on (019755) 62253 so that we can record this in your notes.

Please keep an eye on this page (alfordmedicalpractice.co.uk), the Practice Facebook page (https://www.facebook.com/alfordmedicalpractice/) and posters in the surgery for up to date information.

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WE ARE CLOSED FOR STAFF TRAINING BETWEEN 1.30PM and 2.30PM ON WEDNESDAY, 26 FEBRUARY 2020

If you require urgent attention during this time, please call 07909693683

For severe life threatening emergencies, call 999

The Know Who To Turn To website offers a full directory of the services on offer and when you should use them.

 #KnowWhoToTurnTo  

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Termination of Morning Open Access Service

(as of Monday, 31 July 2017)

Due to an increase in requests for urgent appointments throughout the day, the morning Open Access service has become unsustainable and the doctors have made the difficult decision to change from a morning walk-in service to a pre-booked appointment system in the morning as well as the afternoon.

The last Open Access surgery will run on Friday, 28 July 2017 with appointment-only surgeries commencing on Monday, 31 July 2017.

A few morning appointments are now available to book for Monday, 31 July 2017 onwards.

Emergencies will always be seen

The Practice will continue to offer Emergency appointments for urgent matters that cannot wait until the next free pre-bookable appointment but this may not be with the Minor Ailments practitioner or GP of choice.

These appointments will be spaced throughout the day and will be given out by the Duty Team in time order.

For more information, please click on the link below.

Patient Update Leaflet

Please note that application forms for Online Services (Prescriptions) are available for collection, either from Reception, online or at N S Wilson (local Pharmacy).  

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Public Holiday Closures

We will be closed on the following dates in 2020:-

Wednesday, 1 January 2020

Thursday, 2 January 2020

Monday, 13 April 2020*

Friday, 8 May 2020 (changed from Monday, 4 May 2020 to commemorate VE Day anniversary)

Friday, 25 December 2020

Monday, 28 December 2020

*Open as normal on Good Friday (10 April 2020)

Should you require medical attention during this time, please contact NHS24 on 111 or in the event of an emergency, call 999 immediately. 

In addition to providing 24 hour advice, NHS 24, along with GMED (Grampian Medical Emergency Department) provides emergency cover during the hours of 18:00 and 08:00 when the practice is closed, throughout the weekend and public holidays. If you need medical assistance between these hours, telephone NHS 24 on 111 (if you have any difficulties contacting NHS 24, please dial 100 for the operator).

A receptionist from NHS 24 will answer your call and either:

  • Arrange for you to speak to a doctor or nurse
  • Invite you to attend the centre to be seen by the doctor 
  • Arrange a home visit if you are too ill to visit the centre

Transport to and from the centre may be available if you cannot arrange this yourself. Out of hours cover is the responsibility of the local Health Board. Further advice and information can also be obtained from NHS 24, whom you can contact direct on 111 or by visiting http://www.nhs24.com/ 

For severe life threatening emergencies, call 999

Emergencies

You should call 999 for the following emergencies:-

  • suspected heart attack or severe chest pain or breathlessness
  • loss of consciousness
  • choking and you are unable to help
  • Suspected stroke

Attend the nearest A+E department/Casualty rather than coming to the surgery for any of the following:-

  • a serious injury such as a suspected fracture 
  • head injuries especially if the person has been knocked out
  • bad burns
  • road traffic accidents
  • eye injuries
  • nosebleeds not settling with first aid

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DID NOT ATTEND APPOINTMENT RATE

 

Ever wondered why you couldn’t see the Doctor or Nurse sooner?

 

Did you know that, in August 2019:

75 appointments were booked by patients who then failed to attend them

 

39 Doctor appointments – equivalent to THREE morning surgeries*

and

36 Nurse appointments – equivalent to TWO morning surgeries*

If, in the future, you are unable to attend, please let us know in advance so that we can offer the appointment to someone else.

 

Thank you

Alford Medical Practice

*approx

Appointments

Consulting times are 08:00-10:30 (07:30 on Wednesdays) and 14:00-17:30 

diary_appointmentThe practice offers pre-bookable consultations which can be booked by telephoning 019755 62253 or directly at the appointment desk during opening hours. Routine appointments will usually need to be made in advance. 

Please note doctors stagger their consultation days/times to allow early and late appointments.

Please arrive in good time for your appointment and always book in at reception

On occasions, surgeries can run late because earlier consultations have taken longer than normal or your doctor has been called out to an emergency.  If you have been waiting longer than 20 minutes please ask the receptionist for an explanation.

Remember there are lots of reasons for the medical staff to be running late; a previous patient may have arrived late or brought several problems, someone may have required a longer appointment than expected - this is very common if a patient needs to be admitted to hospital.  Very occasionally, the GP may have been called out on an urgent housecall.  We would ask for your understanding and patience as such times.We ask for your understanding and patience at such times. 

Urgent Appointments

Ring the surgery on 019755 62253 preferably soon after 08:00.  Genuine emergencies will be seen in an emergency surgery each day, if the problem cannot wait for a routine appointment.  You may not be able to see the clinician of your choice and you may have to wait.  Please do not come into the surgery expecting to see a clinician immediately.

Telephone Consultations and Advice

If you need to consult a clinician and feel that it can be dealt with over the telephone, please ask for a telephone consultation.  You will be asked for a contact number.  Please be aware that the clinician will call you within a one hour period of the time offered by the receptionist - please keep you phone with you during this time.

NHS Near Me Video Appointments              

NHS Near Me is a video consulting service which allows patients to attend their appointment from the comfort of their own home or wherever is convenient, using their own computer, smartphone or tablet device.

To use this service you must have a booked video appointment with the practice. Please make an appointment as normal with the reception staff or clinician and you will be issued with a time slot if this is a suitable format for you to be seen by.  

More information about NHS Near Me use in NHS Scotland is available by clicking on NHS Scotland Near Me information

Click here to watch a youtube video about NHS Near Me how to use Near Me

Attend my appointment or make a test call

If you are ready to attend your video appointment, or you want to make a test call before your appointment is due, click the start video call button below (please ensure you are using Google Chrome  on a Windows or Android device, or Safari on Apple devices). If you make a test call this tests your device, connection, speaker and camera, it does not make a call. 

Please do not start a video call unless you have pre-booked an appointment via our receptionist or clinician.

https://nhsattend.vc/alfordmp

For Technical Requirements to run an NHS Near Me video call click here Technical Requirements

For Troubleshooting tips if you experience difficulties using NHS Near Me click here Troubleshooting tips

Extended Hours

Extended hours appointments are offered on Wednesday mornings between 07:30 and 08:00 and on occasional Saturday mornings, however you will not be able to contact the practice during this time. 

Please be aware that they are pre-booked appointments only, and there will not be access to nursing services (such as blood taking, ECGs etc) at the same time. You may need to book a separate appointment to arrange such investigations.

Practice Nurses

In a number of cases it might be worth considering an appointment with a practice nurse rather than a doctor. Practice nurses are qualified to deal with many ailments and you may be seen more quickly, however, they are unable to prescribe medication. Nurse appointments are currently available between 08:30 – 15:40 and can be made by telephoning 019755 62253 or directly at reception during opening hours.

Cancellations

If you cannot attend an appointment for any reason please inform us as soon as possible in order for us to give the slot to someone else.

Surgery Closures

The surgery is closed during public holidays and occasionally on wednesday afternoons for staff training. During these closures medical cover is provided by NHS 24 and GMED.

To access this service phone the surgery and a recorded message will give you the number to call.  Alternatively dial 111 or visit http://www.nhs24.com/.

Please note this service is for urgent problems only, routine issues should wait till the next day.

The Know Who to Turn To website offers a full directory of the services on offer and when you should use them. 

Emergencies

For severe life threatening emergencies call 999

You should call 999 for the following emergencies:-

  • suspected heart attack or severe chest pain or breathlessness
  • loss of consciousness
  • choking and you are unable to help
  • Suspected stroke

Attend the nearest A+E department/casualty rather than coming to the surgery for any of the following:-

  • a serious injury such as a suspected fracture 
  • head injuries especially if the person has been knocked out
  • bad burns
  • road traffic accidents
  • eye injuries
  • nosebleeds not settling with first aid
 
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