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Noticeboard

*CORONAVIRUS UPDATE - 14 May 2020**

For the latest information about the novel coronavirus please see the NHS Inform website – www.inform.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.
 
It's more important than ever to #KnowWhoToTurnTo with your healthcare concerns and NHS Grampian has prepared the chart below to explain how key services are currently operating.
 
 
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, stay at home for 7 days from the start of your symptoms, even if you think your symptoms are mild. Check the NHS Inform website for advice on self isolation and what is required for other household members.

**DO NOT COME IN TO THE SURGERY**

Please call the practice NHS 24 on 111 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 NHS 24 on 111 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***

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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While we are very grateful to the public for their responsible use of the NHS at this time, we want to reassure parents everywhere that we are still here for you if your child becomes ill with non COVID-19 symptoms. Do not delay seeking medical advice - this poster from the Royal College of Paediatrics and Child Health explains who you should contact and when.​ If you need to go to an Emergency Department, there are clear streams for those patients with possible COVID-19 symptoms and those who are otherwise unwell in order to keep these groups separate and minimise risk to all.

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Aberdeenshire and Moray Preschool Immunisations

Change of Location commencing 20 April 2020

If your child has an immunisation appointment booked at the Practice on or after 20th April 2020, you will be receiving a call from the Health Visiting/Immunisation Team to advise you to attend at the new location for the childhood immunisation service in our area - Alford Academy.

For any queries, please contact your Health Visitor or email nhsg.immunisationteam@nhs.net

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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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WE ARE CLOSED FOR STAFF TRAINING BETWEEN 1.30PM and 2.30PM ON TUESDAY, 26 MAY 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*  We are now OPEN on Easter Monday

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

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

Home Visits

Doctor's bagWhilst we encourage our patients to come to the surgery, where we have the proper equipment and facilities available, we do appreciate this is not always possible. In this respect, if you do need a home visit, you can help us by calling 019755 62253, preferably before 10:00.

You may only request a home visit if you are housebound or are too ill to visit the practice. Your GP will only visit you at home if they think that your medical condition requires it and will also decide how urgently a visit is needed. Please bear this in mind and be prepared to give the Receptionist an indication of the problem, and the urgency, when you call to help enable the doctor to schedule house calls  

The doctors do their visits over lunchtime and we would ask you to try and avoid requesting a housecall in the afternoon unless it is urgent as the doctors are consulting.  Housecall requests are at the doctors discretion and for non urgent visits the GP may phone you to determine the nature of the problem and, if your usual GP is not available, the visit may be deferred to the next day when your usual doctor is available.

 

Remember we cover a very large area and 4 or more patients can be seen in the surgery in the time it takes to do one housecall.  It is not appropriate to request a housecall because you do not have transport to the surgery.

You can also be visited at home by a community nurse if you are referred by your GP. You should also be visited at home by a health visitor if you have recently had a baby or if you are newly registered with a GP and have a child under five years.

 
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