News

Covid Vaccination Updates

Update 16/9/21

 

Covid Boosters:

 

Further to the government announcement regarding Covid boosters, we have been given national guidance this morning on how they wish us to prioritise patients. As a result, the following groups will be contacted first:

 

  • Third primary doses for patients who are immuno-suppressed (according to strict criteria of what constitutes significant immunosuppression)

 

  • Booster doses for care home residents and staff

 

  • Booster doses for frontline healthcare staff

 

Alongside the above information we are also dependent on vaccine supply – currently vaccine supply across the system is limited and our deliveries are not sufficient for us to carry out this process as quickly as we would wish.

 

Wherever possible, we will aim to administer both your flu vaccination and Covid booster together, but this is entirely dependent on the date of your second vaccination (third dose has to be more than 6 months after second dose) and our position with Covid vaccine supply. We do not want to delay flu vaccination whilst we wait for Covid vaccine, so some patients will inevitably have to attend twice for separate vaccinations.

 

 

Blood bottle shortage:

 

Further to previous information – we have had no further updates on when normal supply of blood testing bottles will resume. We continue to follow the previous guidance that was posted here – if you feel your blood test is now urgent or should not be delayed further, please do make contact with us so we can assess your individual situation and see what we can do. It is very hard to balance the conflict between clinical safety, and the absolute imperative that we do not run out of bottles. Thank you for your understanding and support on this issue – all our staff are doing their utmost to make sensible, safe decisions to the best of our ability.

 

 

Jon Rees / Gemma Harding on behalf of TMG

 

 

Mask wearing to continue at Tyntesfield Medical Group – in order to protect you, our vulnerable patients and our staff.

If you wish to learn more please click here.

 

Coronavirus vaccinations update 21st May 2021

 3 subjects covered today:

  1. Plan for reducing 2nd dose interval from 12 to 8 weeks for the over 50s and clinically vulnerable
  2. Important information regarding tomorrows (Sat 22nd May) vaccination clinic
  3. 1st dose vaccinations for the over 27s

 

 Plan for reducing 2nd dose interval from 12 to 8 weeks for the over 50s and clinically vulnerable

Thank you to everyone who patiently waited on the booking line yesterday to rearrange your appointments. Close on 600 appointments were rebooked. The booking line 01275 866761 will reopen today and Monday 9am to 4pm to get the remaining appointments for eligible patients rearranged. To remind you – if you are over 50 or are clinically vulnerable with a 2nd Covid vaccination scheduled for the 12th or 19th June and want to bring it forward to Tuesday 25th May then you should ring the booking line 01275 866761 ASAP. If you don’t wish to bring your appointment forward that’s your decision and your planned appointment on 12th or 19th June will still stand. If you don’t fit that category of patients with an appointment on those dates please do not call.

 Important information regarding tomorrows (Sat 22nd May) vaccination clinic

It’s going to be a wet day so please dress appropriately as there will no queuing cover in the marquee. Provided everyone arrives on time, not overly early or late, the queue shouldn’t extend beyond the walkways we have covered with gazebo’s.

If your appointment is between 8am and 3pm you will be getting the Pfizer vaccine which requires a 15 minute wait after vaccination. Both the waiting room and marquee will be fully utilized as we have a lot of patients coming through so again be dressed appropriately in case you have to sit outside under the marquee. (There are no patio heaters, BBQ food or hot mulled wine on offer I’m afraid)

If your appointment time is 3.20pm or later you will be getting the Astra Zeneca vaccine as you are not in the category of patients who must have Pfizer. Don’t arrive earlier in the day as your vaccine will not be available and we will have to send you straight back out again to come back later I’m afraid.

 1st dose vaccinations for the over 27s

On line booking text messages have been sent to patients 27 years and over to book in for their 1st Pfizer vaccine on Thursday 27th May. As I type this posting there remains just 130 appointments left. As soon as we have notification of a further vaccine delivery we will put on another vaccination clinic for a later date, yet to be confirmed. If those remaining appointments for the 27th May fill before you receive your invitation or actually activate your link don’t worry it will still be valid for the next clinic we put on. Just watch for further postings but don’t delete your link, we can only send it to you once as it is unique to you. The next delivery of vaccine will also take us even lower into the 20s age group.

 Lawrie Lewis

Executive Manager

 

Coronavirus Vaccination update 20th May 2021

 Further to my messages of yesterday regarding our response to the Indian variant and offering earlier appointments to those over  50 and the clinically vulnerable  with 2nd dose appointments on 12th and 19th June. 

 Our booking team have been amazing today handling close on 600 callers and moving those appointments to Tuesday 25th May. 

 Thank you for waiting so patiently on the lines and recalling until you got connected. I know it has been tedious but we are working at pace. If you couldn’t get through today please try again tomorrow. The booking lines 01275 866761 will be open 9am to 4pm and the same again on Monday to get through the rest of you who want to move your appointments forward. 

 Once again thank you for your support and understanding. 

 Lawrie Lewis

Executive Manager 

Coronaviurus Vaccination Update No.2  19th May 2021

 Further to my earlier circulation today regarding concerns around the Indian strain and accelerating 2nd dose appointments for the over 50s and clinically vulnerable this is an update for those patients who have 2nd dose appointments scheduled for 12th and 19th June which have not yet been changed.

 There are concerns the Indian strain may reach the wider Bristol area and therefore we have now setup a further clinic to accommodate every eligible patient with existing appointments on 12th and 19th June. That is well over 1000 patients.

You now have the opportunity to book into an earlier clinic we have set up on Tuesday 25th May by calling our dedicated booking line 01275 866761 between 9am and 4pm. Please do not call the normal surgery number.

Where possible you each will receive a text message from us this evening informing you of the same.

To book in that many patients in just 3 days is a mammoth task for our staff who are already fatigued so please don’t expect a chat if you call.

It will be a swift efficient call which we have to terminate as quickly as possible if we are to have any chance of booking patients in.

  1. Only call if you are over 50 or are clinically vulnerable and have a 2nd dose vaccination appointment on either the 12th or 19th June and want to move it forward to next Tuesday, 25th
  2. Be prepared to accept the appointment time we give you, we don’t have time to discuss available appointments that suit you best - we have to book the next available slot.
  3. No other dates are available so please don’t ring up enquiring. If you can’t book into the 25th May your original appointment on 12th or 19th June will still stand but I urge you to try.
  4. Eligible patients already booked in for the 28th May or 4th June cannot be moved again.

 Please do not ring for any other reason.  I know many of you want to move later appointments because you fancy a break somewhere or for any other reason which is important for you. The next 3 days is not the time for those sorts of enquiries so we will politely but very swiftly terminate your call.

Lawrie Lewis

Executive Manager    

 

Coronaviurus Vaccination Update 19th May 2021

 Two subjects covered today:

1. Plan for reducing 2nd dose interval from 12 to 8 weeks for the over 50s and clinically vulnerable

2. 1st dose vaccinations for the over 30s

 Plan for reducing 2nd dose interval from 12 to 8 weeks for the over 50s and clinically vulnerable

 As I stated in my previous update to fulfil that particular unexpected pubic announcement would have been impossible.

 All 2nd dose appointments scheduled for the 22nd May and 28th May stand and are not being brought forward.

 We are endeavouring to bring later 2nd dose appointments for the over 50s and clinically vulnerable forward to either the 22nd (now filled) or 28th May provided that is not less than 8 weeks after the 1st dose. These will both be extra busy days with the extra vaccinations we have now had to add to already busy days. (Note: These are Astra Zeneca vaccines)   

 If you are over 50 and fall into the above category you have been identified by an automated search and we will make one attempt to contact you with an offer of such an alternative appointment. We do not have the capacity to make any more effort than that.

 If you are clinically vulnerable and fall into the above category and have not already been contacted by us I am afraid that automated searches are not picking you out. We have manually identified some patients but it is always possible we have missed some.    

 Consequently, if you fall into either of the above categories I am afraid the onus has to be on you to contact us if you want an appointment earlier than the initially planned 12 weeks. You should call our booking line 01275 866761 ASAP between 9am and 4pm. Once all of the appointments for 22nd and 28th are filled we can do no more.

 1st dose vaccinations for the over 30s

 Despite the above challenge we continue to move ahead with vaccinating younger patients with the Pfizer vaccine. For the past week text invitations have been out there available to the over 30s for a vaccinations on Thursday 27th May. We still have a considerable number of appointments to fill on that day.

The over 30s have until 8am on Friday morning to book into that session. If the appointments are not filled by then  we will open up to younger patients, possibly 29 and 28 year olds, to ensure no vaccine is wasted.

If you are over 30 and for some reason have not been able to use the text booking service now is the time to call our booking line 01275 866761.

Lawrie Lewis

Executive Manager

 

Coronavirus Vaccination Update 17th May 2021 - 2nd doses for over 50s 

 
We will all have seen the news regarding 2nd dose interval for the over 50s will be reduced from 12 to 8 weeks. 
That creates an immediate expectation that we can administer the next 4 weeks due 2nd doses within a week.
In a word - Impossible.  
There are many obstacles to overcome before we can consider bringing any doses forward. Vaccine supply, ability to rebook patients, staffing of vaccination days, maintaining normal surgery business. 
Please don’t contact us. If and as soon as we can achieve any acceleration of the program I will post an update. 
Lawrie Lewis
Executive Manager 

 

Coronavirus vaccination update 13th May 2021 – Latest on vaccine passports

 Please follow the link:

 Demonstrating your COVID-19 vaccination status when travelling abroad - GOV.UK (www.gov.uk)

 For those of you who find difficulty opening links here is a direct lift from the same webpage:

 Demonstrating your COVID-19 vaccination status: what it is

Demonstrating your COVID-19 vaccination status allows you to show others that you’ve had a full course of the COVID-19 vaccine when travelling abroad to some countries or territories. A full course is currently 2 doses of any approved vaccine.

COVID-19 vaccination status is available to people who live in England.

You can get your vaccination status in digital or paper format.

The service will go live from Monday 17 May.

What you can use it for

From 17 May, you may be able to show your COVID-19 vaccination status as proof of your status when travelling abroad.

There are not many countries that currently accept proof of vaccination. So for the time being most people will still need to follow other rules when travelling abroad – like getting a negative pre-departure test.

You should:

  • check the entry requirements for your destination country on the UK foreign travel advice pages
  • get up-to-date information from the website of your destination country

You may still be required to show other proof like a negative polymerase chain reaction (PCR) test, and you may still have to isolate on arrival.

The government is working with the devolved administrations to ensure this facility is available to everyone across the UK, and continues to work to ensure that every UK citizen is kept safe.

If you’ve not been fully vaccinated

People should continue to follow the entry requirements of the country they are travelling to, such as proof of a negative COVID-19 test on arrival. You should carefully research the requirements of your destination country before travelling.

Further details on entry requirements can be found on the GOV.UK foreign travel advice pages and on the websites of your destination country.

See travel advice for British people travelling abroad during the pandemic

How to access your COVID-19 vaccination status

Through the NHS App

You can access your COVID-19 vaccination status through the free NHS App from 17 May. You can access the app through mobile devices such as a smartphone or tablet. Proof of your COVID-19 vaccination status will be shown within the NHS App. We recommend that you register with the app before booking international travel.

By calling 119

If you do not have access to a smartphone and know that the country you are travelling to requires COVID-19 vaccination status, you can call the NHS helpline on 119 (from 17 May) and ask for a letter to be posted to you. This must be at least 5 working days after you’ve completed your course of the vaccine. We expect the letter to take up to 7 working days to reach you.

The letter will be sent automatically to the address registered with your GP. The 119 call handler you speak to will not be able to see your address to check this with you. If you’ve recently moved house, make sure you’ve given your new address to your GP practice before calling 119.

Do not contact your GP surgery about your COVID-19 vaccination status. GPs cannot provide letters showing your COVID-19 vaccination status.

Using the NHS App

To use the NHS App, you must be:

If you’re aged 13 to 15, you’ll need to contact your GP surgery to request access to GP online services before you can use the app.

Find out more about the NHS App

We recommend that you register with the NHS App:

  • before booking your international travel
  • at least 2 weeks before your departure date and once you’ve had a full course of vaccinations, which is currently 2 doses of an approved vaccine

Protecting your data

Your COVID-19 vaccination status is held securely within the NHS App, and can only be accessed via the NHS login service.

The app only shows your COVID-19 vaccination status in the form of your vaccination record.

In the future, the app will also show your COVID-19 test results.

NHS App privacy policy

Children

Children cannot get COVID-19 vaccination status, as children are not currently being vaccinated against COVID-19.

If you’re travelling abroad, you and any children you’re travelling with may need to show proof of a COVID-19 test, with or without a completed vaccination course.

See the GOV.UK foreign travel advice pages for guidance on the entry requirements of your intended destination country.

 

 Best of luck downloading the app. I like many of you will be waiting with baited breath on Monday to see exactly how the NHS app has been updated. Lets hope it works first time for all of us – Please do not call us if it doesn’t we wont be able to assist you.

 Lawrie Lewis

Executive Manager

 

Coronavirus vaccination update No. 2  12th May 2021

 Pfizer delivery

 We now  have a confirmed, small delivery of Pfizer vaccine scheduled which we will administer on Saturday 22nd May.

 This delivery is reserved for 1st doses to patients under the age of 40 who we have invited.  If you have not received an invite from us yet please do not speculatively telephone us UNLESS you are aged over 40.

 Those invited via the on-line booking system who cannot connect via the text message link should call our dedicated booking line 01275 866761 between 9am and 4pm Mon to Fri.

 Callers to 01275 866761 may be offered an Astra Zeneca vaccine first. We can only offer Pfizer, on the 22nd May, to callers if there are still unallocated doses available for booking. If under the age of 40 you do have the option to decline an Astra Zeneca vaccine having considered the low risk associated with blood clotting which has been widely reported. Over the age of 40, unless there are specific medical reasons authorised by a medical practitioner then you do not have a choice of vaccine made available to you.

 Where a patient declines the Pfizer vaccine we cannot specify a future date when we will have further doses to offer you. Currently we have ready access to a quantity of Astra Zeneca vaccine which we can give to patients over the age of 30 who have been invited for vaccination by us and who acknowledge and accept the low risk associated with blood clotting and would prefer to have that vaccine at the earliest opportunity     

Lawrie Lewis

Executive Manager

 

Coronavirus vaccination update 12th May 2021 – Coronavirus Passports  

 More clarity is now emerging with regards to how the NHS app will work as a Coronavirus Vaccination passport.

 On the 17th May the NHS will open a gateway to the app which enables all registered users of the NHS app to view their Coronavirus Vaccination status. This record is not generated from within your GP held record but directly from a national system run by the NHS to manage the vaccination program.

 Patients without access to the NHS app will be able to request a paper record of their vaccination status by calling 119 after 17th May.

 Please do not contact the surgery as we are unable to assist you with downloading the NHS app nor any difficulties you may experience after 17th May with viewing your own vaccination status.

Lawrie Lewis

Executive Manager   

 

Coronavirus vaccinations update 7th May 2021 – Astra Zeneca and the under 40s

 Good news is that before this weekend is out Tyntesfield Medical Group will have administered some 24,000 doses of vaccine.

 The less good news is there has been yet another public information release which will affect progress thereafter.

 The risk of blood clotting following receipt of the Astra Zeneca vaccine is now a well publicised low risk possibility. The risk of developing a blood clot if you are a woman taking the oral contraceptive pill or anyone taking a long haul flight are significantly higher than the risk of developing one after being administered the Astra Zeneca vaccine.   

 Today it has been announced in the media that adults under the age of 40 will be given a choice of having the Astra Zeneca vaccine or an alternative in the form of the Pfizer or Moderna vaccine.

 If under 40 I  urge you to read the below documents before making a decision to exercise your right to a vaccine alternative to the Astra Zeneca.

 https://www.bbc.co.uk/news/health-57021738

 https://www.bmj.com/content/373/bmj.n931

 https://www.gov.uk/government/publications/covid-19-vaccination-and-blood-clotting/covid-19-vaccination-and-blood-clotting

 Here are the practicalities:

 At the moment we have some 2000 doses of Astra Zeneca readily available to administer, many of them will be available to the under 40s following a descending age order of 39,38,37, etc.

 It isn’t a turn up and chose on the day option of which vaccination you receive. We currently have Astra Zeneca available to administer. We won’t have any Pfizer to administer as a first dose until 14th May and those appointments are almost filled. We don’t know thereafter when we will get further deliveries of Pfizer (we don’t believe we will be receiving any Moderna)

 When you have the Astra Zeneca vaccine it’s an in, jab and out process taking just a couple of minutes.

 If you have Pfizer or Moderna then you must add a further 15 minute wait in the waiting area post vaccination.

 We don’t have any Pfizer currently available nor more than 50 appointments currently available on the 14th, if you exercise your right to decline Astra Zeneca then the wait for your vaccine will invariably be extended.

 Without Astra Zeneca then the whole process of managing mass vaccination slows down considerably as our pace becomes governed by how many patients we can seat, socially distanced for 15 minutes. In pure mathematics our maximum daily capacity to vaccinate using Astra Zeneca is around 1500 patients a day, using Pfizer its  540 patients.

Lawrie Lewis

Executive Manager

Coronavirus vaccinations Update 30th April 21

 Coronavirus Passports

 COVID-19: NHS app to be used as coronavirus passport for international travel, Grant Shapps confirms | Politics News | Sky News

 It is being widely reported that the NHS app could be used in the future as a Covid passport.

 We think that was a little premature to announce, as are many things which originate from the mouths of Ministers and gets circulated by the media.

 Don’t all rush to try and get your NHS app up and running as a Covid passport, things are not quite what they may seem.

 Firstly, the NHS app already exists and can be downloaded to smart phones enabling you to do a number of things on-line which includes viewing your health record or order a repeat prescription. Some of you may already use it, the Patient Access app or one of many others which have been authorised by NHS to link with practices in the same way BUT none of them are straightforward, including the NHS one, to set up to allow you to view the health record section.

 It is the health record section which allows you to view medicines and vaccines you have been administered which includes your Covid vaccination HOWEVER the problem is you can’t see that unless your practice individually switches it on for you. You need to make the request and we then need to resource someone doing that for each and every application, one by one by us. We simply do not have the capacity to do that right now.

 My sense is that the announcement was premature and one of the fixes being worked on by the NHS will be to initiate some form of mass switch on for everyone to view their own Covid vaccination (Covid passport?) as details are primarily stored on a national computer system not at your practice, we simply get notified by a copy being switched electronically to us.

 If you do download the NHS app my plea to you is DO NOT call us to switch on your health record, it will risk breaking us when all of our staff are already working flat out.

Firstly, we cannot help you to get the NHS app working on your phone and for certain some of you will have trouble registering to use as there are identity checks you need to follow which involves your driving licence or passport and taking a scan of your face with your phone.     

Secondly, as I have already said we don’t have the capacity to individually switch on everyone’s access to the health section. If we are all patient then I am pretty confident the NHS will orchestrate a mass switch on for you – if they don’t, I promise we will set up a process to manage switching on access for as many of our 32,000 patients who want it  and will let you know when we do that but at the moment it just isn’t possible.

 Lawrie Lewis

Executive Manager   

 

Coronavirus Vaccination update 21st April

2nd dose Pfizer 13th /14th May.

Remaining 2nd dose Pfizer vaccinations due in the next few weeks are now being booked in. Our booking team are currently working through the patient names and are contacting all eligible patients for their 2nd dose of Pfizer with appointment dates of the 13th and 14th May. The process will take several days before everyone has been contacted. No other dates are available as we are governed by the strict timing of the delivery of Pfizer and the need to administer it almost immediately.

1st dose Astra Zeneca clinic scheduled for Saturday 8th May

We have just reached out to the next eligible cohort of patients to book their 1st dose. All of the patients in this cohort, save for a very small number, have already registered mobile phone numbers with us and are therefore receiving a text message inviting them to book via an on-line portal. The remaining small number will be contacted by our team by other means in due course.

If you are over 45 and have not yet booked your first dose with us or have received the text message and for some reason cannot activate the link then you should call our booking line 01275 866761 between 9am and 4pm weekdays so that an appointment can be made manually for you.

Please note: The only appointment date we have available is Saturday 8th May. Whilst you won’t have the opportunity to book your 2nd dose at the same time I can advise that when you attend for the 1st you will be given the date of your second dose which will be Saturday 31st July at exactly the same time as your 1st appointment. The timing of your 2nd dose is not readily changeable so please do not then go on and book a holiday or similar for that 2nd date. If you do you run  a very high risk of not being able to get your 2nd dose within the required 12 week window.  

I attach a link to some very useful information regarding the low risk of blood clotting from the vaccination. COVID-19 vaccination and blood clotting (publishing.service.gov.uk)

Lawrie Lewis

Executive Manager

 

Coronavirus vaccinations update 15th April 2021

We are now able to 1st dose vaccinate all remaining patients who are 45 years of age or older. We now have vaccine available to do so this month.

If you have not yet booked your first dose please call our dedicated booking line 01275 866761 between 9am and 4pm Mon to Fri.

The majority of those vaccinations will be delivered on Mon 26th April with the second dose scheduled for Mon 19th July.

Please contact us as soon as possible to secure your appointment.

Lawrie Lewis

Executive Manager

 

Coronavirus Vaccinations Update – 14th April 2021

As reported previously we have made great strides locally in ensuring our patients have been vaccinated as quickly as vaccine supplies would allow.

Since 1st April, in line with the national slowdown in the vaccine supply chain forecast for April, we have concentrated on only delivering 2nd dose vaccinations that are due and will continue to do so for the remainder of this month. There has been no vaccine supply for us to offer further 1st doses this month.

Patients aged 45 to 50 years

Yesterday it was announced that the country had offered a 1st dose vaccination to all over 50s and the opportunity was now available for over 45s to be invited for their 1st dose. As we were already ahead of the national curve we only have 309 patients aged between 45 and 50 years of age who, as yet, have not secured a 1st dose vaccination appointment.

As of today we have not been able to confirm that we will have any further  vaccine supplied to us to offer those 309 patients their 1st dose in April but we are working on it and hope to have some positive news soon. I urge those patients to respond if we call or text you with a 1st vaccination offer.

Your second dose and holidays

Working with the Astra Zeneca (Oxford) vaccine, when we offer a patient their 1st dose their 2nd dose date is also given to them for 12 weeks thereafter (Not so with Pfizer where there has to be flexibility and short notice warning of 2nd dose delivery due to its storage issues). We have no control over the 2nd dose delivery dates, they are fixed with very little opportunity, mostly none at all, to change the 2nd date which applies to you.

We do point out that “This is a mass vaccination program, consequently we do not have the capacity to transfer this appointment to another time or date.” Nevertheless, quite a few patients have then subsequently gone ahead and booked a trip away on that date and then expect us to change their 2nd dose appointment – I am sorry but it’s not possible to do so. The best we can do in those circumstances is put you on a reserve list for a week or two before your due dose when you’d have to attend within 10 -15 minutes at the end of a vaccination session if we call because we have spare doses in a vial. Already I can reasonably calculate that around 70% of those who have booked a holiday we will struggle to offer an early reserve dose to and they will miss their 2nd vaccine 12 week date if they don’t change their holiday plans. I am sorry but there is nothing we can do to change the situation.       

Astra Zeneca (also referred to as Oxford or AZ ) and the reporting of blood clots

We know that this is a concern to some. The guidance is now that we do not offer AZ to anyone under the age of 30 years. Those under 30 who previously had a first dose of AZ without such a side effect are advised they can  go on to have the 2nd dose of the same vaccine.

These concerns have to put into perspective, no vaccination or medical intervention is completely risk free. The risk of developing a serious illness or death from Covid is higher that the risk of developing a blood clot attributed to the vaccine. To put the risk into perspective:

  • 1 in 250 000 people vaccinated with the AstraZeneca vaccine will develop blood clots with low platelets
  • 1 in 2000 women each year will develop a blood clot from taking the combined oral contraceptive pill
  • 1 in 1000 people a year will develop a blood clot from air travel

I attach a link to an article from the British Medical Journal which highlights the risk and explains the decision relating to the under 30s. https://www.bmj.com/content/373/bmj.n931

Work is underway to identify the plan for vaccinating the under 30’s if AZ is to remain unsuitable for them. As soon as we know more we will pass that information on but I suspect it will be leaked by Government sources and announced by the BBC and ITV first.

Please be aware, as has been the case throughout this vaccination program, there isn’t a choice to which vaccine you will be offered. You are offered what is available to your age / health group cohort and you will not be put on a waiting list for your preference.

Lawrie Lewis

Executive Manager

 

GP Moves - Notice to patients 14th April 2021 

We are really fortunate at Tyntesfield Medical Group to have a strong team of over 30 GPs. Inevitably some are approaching retirement whilst others, from time to time, may be pulled away from us by new challenges. We are carefully planning the future cover of GPs across all four of our sites to ensure each has a strong mix of experience and specialist expertise to provide the best possible care for you at your local medical centre. 

Dr David Cox

Dr Cox has been working at Tower House Medical Centre in recent months. His move from Backwell Medical Centre is now to be made permanent until his expected retirement in 12 to 18 months time. He will take over the Tower House patient list of Dr Jeremy Maynard.

Dr Jeremy Maynard

Dr Maynard will transfer from Tower House to Backwell Medical Centre on Monday 19th April. He will take over the Backwell patient list of Dr Cox.

Dr Claire Wilson

Dr Wilson from Tower House Medical Centre has announced her retirement which will commence mid-June. We are currently working towards filling the vacancy she will leave and who her patient list will be transferred to.

Dr Josh Goldacre

Dr Goldacre from Brockway Medical Centre will also be leaving us in June for new challenges and the next chapter in his career. We are currently working towards filling the vacancy he will leave and who his patient list will be transferred to.

For each, in their own way, this is great news for them, we wish them well and know that their patients will join us in supporting them in the career and life choices they have made and the sacrifices they have been prepared to make to ensure we maintain good continuity of care for each of you now and long into the future.

Lawrie Lewis

Executive Manager

Coronavirus vaccinations update 1st April 2021

 As we approach the Easter break we have now delivered close on 18,000 vaccinations and are ahead of the game with regards to vaccinating all of our over 50’s. Not bad going against a total patient population of 32,500.

 Anyone over the age of 50 who has not yet been vaccinated according to our records has been written to inviting them in for a vaccination. There are now less than 300 whose record shows they haven’t yet received a first dose of vaccine and the reality is probably far less than that as we wait for information from the mass vaccination centres to populate individual medical records.

 By following news reporting most people will now realise that there is a slow down in vaccine supply throughout the month of April. Unless the situation changes that means that our vaccination days coming up will only be for those who we have already pre-booked for their second dose of Astra Zeneca (Oxford) vaccine. As soon as we get notified of delivery dates for 2nd dose Pfizer vaccine those individuals waiting, which is around 500 patients, will also get contacted with their date. We did over 90 2nd dose Pfizer vaccinations today when an unexpected delivery arrived with us this week.

 In brief, we are assured all of the vaccine to deliver known second doses is in the country already and is reserved for you, we just need to know when it is being delivered to us. In the case of Astra Zeneca (Oxford) we know the date already and that is why you were given your second dose date at the outset. In the case of Pfizer we only ever get short notice of delivery dates (all down to the ultra cold storage and its specialist transport requirements) and at best can only ever give you a week or two notice of your 2nd vaccination date.

Holidays and your 2nd dose

Now that the country is opening up and we all want a break this is becoming really tough to manage. Patients have to understand this is not normal business and we have little opportunity to support a wish to move 2nd dose appointments around.

If we deliver a 1000 dose 1st dose clinic today we get another 1000 doses to deliver approximately 12 weeks later. If you book a holiday when your second dose is due then we have little opportunity to make your 2nd dose appointment earlier as to do so would mean you are effectively having someone else’s vaccine.

We can’t delay it beyond 12 weeks either as the efficacy declines and by the same logic you could be taking vaccine ordered for someone else.

Mostly people understand that the vaccine count (we sometimes get more doses out of an overfilled vial than intended) is not precise when we get to the end of a vaccination day and we may have some spare. The best we can reasonably offer anyone in this situation regarding pending holidays is we will put you on a reserve list for a vaccination day 1 or 2 weeks before your due date but it is a reserve position without absolute guarantee. Priority will always be given to those whose vaccination needs to be brought forward for medical reasons, such as when directly requested by a Hospital Consultant. My strong advice is therefore please do not go ahead and book a holiday that coincides with a 2nd dose date we have already given you, or if you do, be prepared to travel back for it. It’s really important we all get both doses.

 You were vaccinated elsewhere for your 1st dose.

 It is the responsibility of whoever vaccinated you with your 1st dose to contact you for, and deliver to you, your 2nd dose. For the reasons outlined above, whilst we want to help we can’t necessarily readily slot you into our vaccination clinics. If at all concerned you may be overlooked you should contact the organisation who gave you your first dose. The exceptions are when you have moved from another distant part of the country and are now one of our patients. In that case we will prioritise you but you must tell us as early as possible for us to make appropriate arrangements. It has been a bit close for comfort on a couple of occasions already.

 To support eligible patients seeking their first dose of vaccine or those with queries regarding their forthcoming second doses our dedicated vaccine booking and advice line 01275 866761 will be open 9am to 4pm Monday to Friday from Tuesday 6th April. Please don’t call our normal surgery numbers with those queries as the receptionists won’t be able to assist you.

 Over the coming weekend we are not actively monitoring our social media  so please do not expect any replies from us.

 Have a great and safe Easter break. Please remember, vaccinated or not good hygiene, social distancing and face mask wearing is still important to keep us all safe.

     HANDS – FACE – SPACE

 Lawrie Lewis

Executive Manager

 

 

 

Coronavirus vaccination update 26th March 2021

 Information for those being vaccinated on Saturday 27th March.

 What I say below equally applies to other vaccination days but is particularly important tomorrow as we are vaccinating 1400 patients, a slightly smaller group than last weeks 1600 but sizable nevertheless and our processes have to be extra efficient to keep things moving at pace.

 Brockway Medical Centre is not a big building. The safety of our staff and all patients is as important as giving you your vaccination is, we are therefore very strict in enforcing as safe an environment as is possible when moving so many people through the space. We will be operating a strict one way system through the site with one entrance and one exit please follow the instructions of the signs and the marshals who will be wearing yellow jackets.

 1. Do not attend if you are currently experiencing any of the symptoms of Coronavirus, have been in recent contact with someone who has Coronavirus or have been advised to currently isolate. 

2. Do not park on the double yellow lines or pedestrian crossing markings around the medical centre. There are car parks nearby. If cycling please secure your cycle off site. If using a mobility carriage a marshal will advise whether it is suitable to drive through the site or where it can otherwise be safely left.

3. Keep your social distance from other patients – there are markers throughout the building. You are likely to see others queuing who you’ve not seen for a while, no reaching out for a handshake or hug please.

 4. (Face coverings have been updated – please read carefully) Please don your mask, which must be close fitting covering both your mouth and nose, before you join the queue and please no removing of it to talk. There are no exemptions to wearing a face covering as described. Plastic visors that do not seal around the nose and mouth are no longer an accepted alternative as they afford little or no protection to others in close clinical contact with you. If you genuinely can’t wear a close fitting face covering then I regret we won’t be able to vaccinate you tomorrow, we will find some other safe opportunity to give you your vaccination. Thus far we have delivered around 15,000 vaccinations and even those with significant respiratory problems, including COPD and Asthma have been able to wear a face covering for the short period they have been with us, unlike the supermarket we have at least eight clinicians on site so if it’s causing any hint of a problem it can be dealt with. 

5. Only the patient will be admitted to the site with one essential carer/support if needed. If support is not needed please enter alone. Wheelchairs and the smaller, more manoeuvrable mobility carriages can move through the site otherwise patients with mobility issues can be transferred into one of our wheelchairs. Single parents who can’t organise child care will be admitted with their children if there is no alternative childcare available but please make your best endeavours to sort out support, it will be a quick visit and the set up isn’t suitable for children.

6. In order we can manage the possibility of queues building please arrive within a couple of minutes of your appointment time. Our start times of 0800hrs and 1400hrs in particular can have a significant queue if people arrive too early, it all runs far smoother if people arrive on time. If you arrive too early and there is a queue there is a strong possibility we will not admit you at that time, if you don’t reveal you are early then when you are checked in the receptionist will have visibility of your appointment time and you may be sent out again to come back later. We have to fair to everyone. On the other hand if you happen to be walking past early and there is no queue of significance we will happily push you through early.

7. Couples from the same household. If you are both being vaccinated then regardless of having different vaccination times can arrive together at the earliest appointment time. We can vaccinate two people in the same room far quicker than doing you separately.

8. Be ready for your vaccination. Dress for the weather in case there is a queue outside but also ensure you can get your upper arm exposed quickly for the vaccinator. Please do not come laden with your shopping or other ‘carry in’s’. It will slow you and us down.

9. You will be getting the Astra Zeneca (Oxford) vaccine. There is no 15 minute wait under observation required on the premises unless the clinician specifically advises otherwise due to your prevailing medical condition. For the vast majority of you once vaccinated you must leave the site immediately as directed by the marshals. You may possibly be told to wait 10 -15 minutes before driving, so please go for a walk or listen to the radio in your car.

 

Finally, most of you will have picked up through the media that vaccine supply will slow down in the month of April.

If you are over 50 or are an adult of any age who has listed underlying health conditions (Cohort 6 – see previous postings for further information) and have not yet booked a first dose of vaccine either with us or a mass vaccination centre then I urge you to get in contact forthwith on 01275 866761. We can access vaccine for you but if you don’t book in the vaccine will be distributed to other parts of the country.

If you are waiting for your second dose from us, don’t worry your vaccine supply has been assured. If you had a first dose of Astra Zeneca (Oxford) we gave you your second dose appointment date when you had the first dose – that date still stands.

If your first dose was Pfizer (the one where everyone had to wait in the waiting room for 15 minutes) we will contact you as soon as we have a delivery date confirmed for your second dose. Typically that will be between 8 and 12 weeks after the first dose but may be earlier.   

If you are under 50 and not yet had a 1st dose we will resume vaccinating as soon as we have further 1st dose supply assured. Keep following us on Facebook or Twitter or visit the news section of our website www.tyntesfield.nhs.uk for updates.

Thank you.

Lawrie Lewis

Executive Manager

 

Coronavirus vaccinations update 23rd March

 We now know for certain what our vaccine delivery this week will be.

We have therefore turned our online booking facility back on. Those already with links to it, sent via text message, can now use it if not previously done so. If the link doesn’t work for you for some reason, you are over 50 or in cohort 6 (adult with applicable underlying Heath conditions -see previous posts) then ring our dedicated booking line 01275 866761 between 9am and 6.30pm this week.

Lawrie Lewis

Executive Manager

 

Coronavirus vaccination update 19th March 2021

 Information for those being vaccinated on Saturday 20th March.

 What I say below equally applies to all vaccination days but is particularly important tomorrow as we are vaccinating 1600 patients which is almost twice as many as we have attempted on any other day and our processes have to be extra efficient to keep things moving at pace.

 Brockway Medical Centre is not a big building. The safety of our staff and all patients is as important as giving you your vaccination is, we are therefore very strict in enforcing as safe an environment as is possible when moving so many people through the space. We will be operating a strict one way system through the site with one entrance and one exit please follow the instructions of the signs and the marshals who will be wearing yellow jackets.

 1. Do not attend if you are currently experiencing any of the symptoms of Coronavirus, have been in recent contact with someone who has Coronavirus or have been advised to currently isolate. 

2. Do not park on the double yellow lines or pedestrian crossing markings around the medical centre. There are car parks nearby. If cycling please secure your cycle off site. If using a mobility carriage a marshal will advise whether it is suitable to drive through the site or where it can otherwise be safely left.

3. Keep your social distance from other patients – there are markers throughout the building. You are likely to see others queuing who you’ve not seen for a while, no reaching out for a handshake or hug please.

4. Please don your mask, covering both your mouth and nose, before you join the queue and please no removing of it to talk. There are no exemptions to wearing a face covering, if you can’t wear a mask then we have plastic visors which we will freely give you at the gate. If you genuinely can’t wear at least a plastic visor as a face covering then I regret we won’t be able to vaccinate you tomorrow, we will find some other safe opportunity to give you your vaccination. Thus far we have delivered around 13,000 vaccinations and even those with significant respiratory problems, including COPD and Asthma have been able to wear a face covering of some description for the short period they have been with us, unlike the supermarket we have at least eight clinicians on site so if it’s causing any hint of a problem it can be dealt with. 

5. Only the patient will be admitted to the site with one essential carer/support if needed. If support is not needed please enter alone. Wheelchairs and the smaller, more manoeuvrable mobility carriages can move through the site otherwise patients with mobility issues can be transferred into one of our wheelchairs.

6. In order we can manage the possibility of queues building please arrive within a couple of minutes of your appointment time. If you arrive too early and there is a queue there is a strong possibility we will not admit you at that time, if you don’t reveal you are early then when you are checked in the receptionist will have visibility of your appointment time and you may be sent out again to come back later. We have to fair to everyone. On the other hand if you happen to be walking past early and there is no queue of significance we will happily push you through early.

7. Couples from the same household. If you are both being vaccinated then regardless of having different vaccination times arrive together at the earliest appointment time. We can vaccinate two people in the same room far quicker than doing you separately.

8. Be ready for your vaccination. Dress for the weather in case there is a queue outside but also ensure you can get your upper arm exposed quickly for the vaccinator. We know there is the street market on but please do not come laden with your shopping. It will slow you and us down.

9. You will be getting the Astra Zenec (Oxford) vaccine. There is no 15 minute wait under observation required on the premises unless the clinician specifically advises otherwise due to your prevailing medical condition. For the vast majority of you once vaccinated you must leave the site immediately as directed by the marshals. You may possibly be told to wait 10 -15 minutes before driving, so please go for a walk or listen to the radio in your car.

Thank you.

Lawrie Lewis

Executive Manager

 

Coronavirus vaccination update – 18th March 2021

 It’s been a really rocky day for our team  today booking vaccinations following the overnight news announcement regarding vaccine supply issues for April.

 https://www.bbc.co.uk/news/uk-56444700

 It has for sure affected our plans to deliver close on 4000 doses over the next week as our promised delivery has been amended.

 Consequently, we have been forced to turn off the automated online booking system as we cannot risk patients booking into slots which are no longer available.

 To reassure you, until the supply issue has been resolved:  

  •  No appointment already made for a 1st / 2nd dose in the next two weeks will be cancelled by us. Some 2nd dose appointments may be moved a day or so but not cancelled outright, we will contact those affected.
  • Remaining appointments can still be booked by those patients aged over 50 years or in Cohort 6 (persons with underlying health conditions which make them more vulnerable, in receipt of a carers allowance or an unpaid carer of a disabled or elderly, vulnerable person)  https://www.gov.uk/government/publications/priority-groups-for-coronavirus-covid-19-vaccination-advice-from-the-jcvi-30-december-2020/joint-committee-on-vaccination-and-immunisation-advice-on-priority-groups-for-covid-19-vaccination-30-december-2020 but only by ringing our dedicated line 01275 866761 when the lines are open 9am to 6.30pm. Cohort 6 has been the most challenging group for patients to self-identify with and for us to accept for a vaccination. Thus far we have edged on the side of concern for the patient and adopted a broad interpretation of the criteria by often booking in patients who feel vulnerable but fall a little short of meeting a strict medical interpretation of the criteria. Essentially, as of now, if the automated search criteria of your medical records has not identified you as fitting in Cohort 6 we cannot accept you as such unless a review of your medical record by a clinician changes that decision.
  • Letters from us are currently in the postal system for those over 50 and in Cohort 6 who are not yet booked in with us or we have not yet been notified have been vaccinated by a mass vaccination centre inviting you to book your vaccination with the remaining vaccine we are having delivered.
  •  
  • This is a short term situation which we know the Government, Public Health and the NHS are working to resolve as soon as possible. We are in great shape locally, right at the front end of the national effort to vaccinate everyone through the age cohorts in order, this is just a minor slowing down of progress towards vaccinating you all.
  •  

Lawrie Lewis

Executive Manager       

 

Coronavirus Vaccination Update No 2 – 17th March 2021

 By telephone and text we have reached out to all over 50s registered with us, those over 18 with underlying health conditions and carers which includes those in receipt of a carers allowance or who have registered with us as an unpaid carer of a disabled or elderly person offering them a vaccination appointment.

A significant number of calls and texts have gone unanswered or have not been responded to and we cannot keep on revisiting you – we have to keep this mass vaccination program moving forwards. Over the next 2 to 3 weeks we will send final offer letters to all patients in those categories who we have not vaccinated for the above reasons.

 If you fit, or believe, you fit into one of the above categories then now is the time to ring our dedicated booking line 01275 866761 to book in. lines are open Mon – Fri this week 9AM to 6.30PM.

All appointments for this Saturday 20th March are now filled.

We are currently booking patients into Saturday 27th March.

This week a number of further patients will receive one of two types of texts from us:

 1. Inviting you to ring 01275 866761 to book a vaccination

Or

2. Offering you the opportunity to book online via a link. If the link doesn’t work for you then ring 01275 866761.

 You don’t however need to wait for the text, if you think you are eligible according to the criteria in the very first paragraph of this posting ring 01275 866761 – we just want to fill the appointment slots as quickly as possible and get you protected.

 Lots of noise in the media about the Astra Zeneca (Oxford) vaccine and what is happening in Europe. Please find below a short  statement released by the NHS regarding this:

  •  We are aware that some countries have temporarily suspended use of the Oxford AstraZeneca vaccine.
  • The AstraZeneca vaccine has been rigorously tested by the UK medicines regulator (the Medicines and Healthcare products Regulatory Agency, MHRA), the European Medicines Agency and the World Health Organisation for safety and efficacy.
  • The UK has administered 11 million doses of AstraZeneca vaccine and there has been no demonstrable difference in the number of blood clots since the vaccine was introduced.
  • The benefits of the AstraZeneca COVID-19 vaccine outweigh any risks and people should still go and get their COVID-19 vaccine when asked to do so.
  • All vaccines that are available have been approved because they pass the MHRA’s tests on safety and efficacy, so people should be assured that whatever vaccine they are given will be highly effective and protect them from coronavirus.
  • Due to the nature of vaccine supply combined with the evidence that all the available vaccines are safe and effective, it is not possible for individuals to choose which vaccine brand they receive.

Lawrie Lewis

Executive Manager

 

Coronavirus Vaccination Update – 17th March 2021

 By telephone and text we have reached out to all over 50s registered with us, those over 18 with underlying health conditions and carers which includes those in receipt of a carers allowance or who have registered with us as an unpaid carer of a disabled or elderly person offering them a vaccination appointment.

A significant number of calls and texts have gone unanswered or have not been responded to and we cannot keep on revisiting you – we have to keep this mass vaccination program moving forwards. Over the next 2 to 3 weeks we will send final offer letters to all patients in those categories who we have not vaccinated for the above reasons.

 If you fit, or believe, you fit into one of the above then now is the time to ring our dedicated booking line 01275 866761 to book in. lines are open Mon – Fri this week 9AM to 6.30PM. We currently have 175 appointments available this Saturday and more for next week which will be available only once we fill Saturday. We cannot get another vaccine delivery until we use all that we have available now.

 Today a number of further patients will receive one of two types of texts from us:

 1. Inviting you to ring 01275 866761 to book a vaccination

OR

2. Offering you the opportunity to book online via a link. If the link doesn’t work for you then ring 01275 866761.

You don’t however need to wait for the text, if you think you are eligible ring 01275 866761 – we just want to fill the appointment slots as quickly as possible and get you protected.

 Lots of noise in the media about the Astra Zeneca (Oxford) vaccine and what is happening in Europe. Please find below a short statement released by the NHS regarding this:

 We are aware that some countries have temporarily suspended use of the Oxford AstraZeneca vaccine.

  • The AstraZeneca vaccine has been rigorously tested by the UK medicines regulator (the Medicines and Healthcare products Regulatory Agency, MHRA), the European Medicines Agency and the World Health Organisation for safety and efficacy.
  • The UK has administered 11 million doses of AstraZeneca vaccine and there has been no demonstrable difference in the number of blood clots since the vaccine was introduced.
  • The benefits of the AstraZeneca COVID-19 vaccine outweigh any risks and people should still go and get their COVID-19 vaccine when asked to do so.
  • All vaccines that are available have been approved because they pass the MHRA’s tests on safety and efficacy, so people should be assured that whatever vaccine they are given will be highly effective and protect them from coronavirus.
  • Due to the nature of vaccine supply combined with the evidence that all the available vaccines are safe and effective, it is not possible for individuals to choose which vaccine brand they receive.

Lawrie Lewis

Executive Manager

 

Coronavirus vaccination update 2 - 12th March 2021

from 9am to 6.30pm on Monday 15th our dedicated booking lines 01275 866761 will open for booking in 1st dose vaccinations for any patient aged 50yrs and over.

The lines will re-open each working day 9am to 6.30pm that week until we have allocated all of the 1200 doses of vaccine which we will then be administering on Saturday 20th March. When booking your appointment your second dose date will also be given to you.

We are assured that with two large deliveries scheduled in the next two weeks there will be sufficient to first dose vaccinate all of our over 50s before the end of the month. 

We will be doing this in addition to already scheduled 2nd dose vaccinations to our older and the more vunerable patients so please bear with us if the booking lines are busy just keep on trying. We will use regular feeds on our social media to keep you appraised of booking in progress through the week so follow Tyntesfield Medical Group on Facebook or Twitter.

Lawrie Lewis

Executive Manager

Coronavirus vaccination update – 12th March 2021

 We are now booking 1st dose vaccination appointments for any patient over 55 years of age who has not yet booked a first dose vaccination either with us or a mass vaccination centre.

There are appointments available later today (Friday 12th) which we need to fill and only once they are filled will we be allowed to release further appointments for next week.

 To book ring our dedicated booking line number 01275 866761 between 9am and 4pm during weekdays. Outside of those hours and on the weekend the lines will be closed and the number unobtainable. It will also be unobtainable once all of the appointments have been filled.

We will advise on social media and in the news section of our website www.tyntesfield,nhs.uk once all of the available appointments have been filled.

 DO NOT CALL OUR NORMAL SURGERY NUMBERS OR VISIT THE PRACTICE WITH SEEKING A VACCINATION APPOINTMENT AS OUR RECEPTIONISTS WILL NOT BE ABLE TO ASSIST YOU.      

 Lawrie Lewis

Executive Manager

 

 

 

 

Coronavirus vaccinations – Message 2 on  11th March 2021

We are nearing the end of vaccinating adults 18 – 65 with underlying health conditions or who are carer’s according to the following criteria. (Cohort 6)

  • chronic respiratory disease, including chronic obstructive pulmonary disease (COPD), cystic fibrosis and severe asthma
  • chronic heart disease (and vascular disease)
  • chronic kidney disease
  • chronic liver disease
  • chronic neurological disease including epilepsy
  • Down’s syndrome
  • severe and profound learning disability
  • diabetes
  • solid organ, bone marrow and stem cell transplant recipients
  • people with specific cancers
  • immunosuppression due to disease or treatment
  • asplenia and splenic dysfunction
  • morbid obesity
  • severe mental illness

or are in receipt of a carer’s allowance, or are the main carer of an elderly or disabled person whose welfare may be at risk if the carer falls ill.

The majority of our patients in this cohort have already been offered their first dose vaccination. If you believe you fit this cohort and have not yet been offered a vaccination date then please call our dedicated booking line 01275 866761 today or tomorrow (Friday 12th) between 9am and 4pm to book your first dose. DO NOT RING OUR MAIN RECEPTION NUMBERS THEY WILL NOT BE ABLE TO ASSIST YOU

 

Coronavirus vaccinations – Important message  11th March 2021 – plea to our community

 This message is about our patients who had their first dose of Phizer vaccine with us on one of the following dates;

19th, 21st, 30th or 31st December

8th, 9th or 11th January

This does not apply to any other dates and only the Pfizer vaccine which was administered on those dates at Brockway Medical Centre. Pfizer is the vaccine where everyone was required to wait for 15 minutes after the vaccination

We are now booking in your second dose appointments. We are confident that we have contacted all of you but there is always a risk that someone has been missed.

If you were vaccinated on one of those dates and have not yet been given an appointment date of either this week or next week our dedicated telephone line 01275 866761 is open for you to call today.

Mostly the patients this relates to are those aged over 75 yrs and therefore this plea is to the whole community to check on anyone you know who is in that age bracket to make sure they are booked in and have not  been missed or have mislaid their invitation.

 Lawrie Lewis

Executive Manager

 

Coronavirus Vaccination update - 9th March 2021

There has been a gap since my last update as I have been on leave for a little over a week. Very exciting finding new routes to walk around North Somerset – it brings a whole new perspective to doing the same walk in a different direction!

Tyntesfield Medical Group has 32,500 patients of which 26,500 are adults who are eligible for vaccination in this programme, who have either already vaccinated or will be eligible for vaccination as soon as the programme advances down as far as their age / clinical grouping.

Thus far 13,464 of our patients have received at least their first dose with 844 having already received their second dose.

This week we will be administering around 1900 doses of which 1100 are second doses of the Pfizer vaccine whom we delivered the first doses to in December and January. A further 1000 patients from December and January will receive their 2nd dose of the Pfizer vaccine next week.

For first doses we are still working our way through Cohort 6 patients, those aged 18 to 65 with underlying health conditions. (Details of patients in this cohort can be found in the attached document)

https://www.gov.uk/government/publications/priority-groups-for-coronavirus-covid-19-vaccination-advice-from-the-jcvi-30-december-2020/joint-committee-on-vaccination-and-immunisation-advice-on-priority-groups-for-covid-19-vaccination-30-december-2020

A further 800 patients from that cohort will be vaccinated this Friday with the remainder of the cohort to be invited for their first dose as soon as we have a delivery date guaranteed within the next two weeks.

The mass vaccination centre at Ashton Gate is now offering 1st dose appointments to anyone over the age of 55. You can book by following the link below or by calling 119.

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

Lawrie Lewis

Executive Manager

 
Coronavirus Vaccination Update 26th February 2021 
 

Ashton Gate Mass Vaccination Centre are currently allowing the over 60s to book their vaccination with them online

 
Whilst the NHS  website refers only to the over 65s being eligible, as they have available appointments it appears Ashton Gate has moved the parameters and are currently also allowing all over 60s to book a vaccination there. This may well change at short or no notice. 
 
Follow the below link to their online booking page.  
 
 
At Tyntesfield Medical Group we continue to focus on the 16 - 65 yr olds with underlying health conditions. (Often referred to as cohort or group 6 an explanation of which can be found in earlier postings by us). We are also working through contacting all those who we vaccinated with the Pfizer vaccine back in late December and early January who, at the time, we could not give second dose vaccination dates to. It will take us sometime but we will be in contact within the next two to three weeks so please be patient. 
 
Lawrie Lewis
Executive Manager. 
 

 

Coronavirus Vaccination Update 24th February 2021

 Are you a carer over the age of 18 and in receipt of a carers allowance?

 If so, you no longer need to wait for us to contact you to book your vaccination. You are now eligible to book direct with the mass vaccination centre at Ashton Gate.

 https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/book-coronavirus-vaccination/  or ring NHS 119

 If you are a carer but not in receipt of a carers allowance then the above does not apply to you and you need to wait for us to contact you. Provided you have registered with us previously as the main carer of an elderly or disabled person we will contact you as we work through patients in cohort 6.

 Cohort 6 patients in general

 We are currently (24th February) booking in further patients in cohort 6 using our texting service for a vaccine delivery we are expecting next week. We are releasing the appointments in batches to reduce the number of patients who found the appointments are already filled before they respond. If you have previously received a text message but not yet been able to book your first appointment with it then it will still work as more appointments are released. Further patients who have not registered mobile phone numbers with us will be contacted by other means.  Over 1500 patients in cohort 6 are being vaccinated by us this week with a further 800 next week. Please note we are not having sufficient vaccine delivered this week and next to complete cohort 6, there will still remain a few hundred patients in this cohort to be completed when we have a further delivery.

 The message remains the same. Do not contact us, we will contact you by one or other of the means available to us. Our receptionists do not have access to our booking system to book you in so please do not block our switchboard by telephoning with enquiries about booking your coronavirus vaccination.

 Did you have your first dose of Pfizer vaccination on 19th , 21st , 30th , 31st December or 8th, 9th, 11th January and were not given a date for your second dose?

 We have now started contacting these patients (this is mainly those who are over 80 yrs of age but also includes some younger) and are giving them dates for their second vaccination in March. Again we will contact you, you do not need to contact us.

 Patients who were vaccinated on all other dates (Except the 23rd and 24th February) received the Astra Zenec vaccine and were given their second dose appointment dates at the time of being vaccinated.

Lawrie Lewis

Executive Manager

 

Coronavirus vaccination update Friday 19th February 2021

 Only a small handful of patients have been vaccinated in the past week using the small number of vials we deliberately held back from last weeks clinics specifically for those over 70’s who had been previously uncontactable and who we’d expected to respond to letters sent to them. Additionally we have vaccinated patients undergoing chemo where the vaccination had to be timed accordingly between sessions.

 A reminder that it has been well publicised in the media that GP practices are not priortising cohort 5, the over 65’s, and you should be booking into a mass vaccination centre via the internet or by calling NHS 119 for your first dose. According to our records there are only 400 of you left to be vaccinated; it is probably less than that as there is a lag in records transferring to us.

 The same applies for any NHS or Social Care workers still waiting their first dose vaccination, the mass vaccination centres are now your route to vaccination.

 This is the ink that leads you to the booking page online for the mass vaccination centres

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

 Anyone who we have given a first dose of vaccine to, regardless of the cohort you belong to, you have already been or will be inviting back for your second dose with us so don’t worry. If you had a first dose at a mass vaccination centre that is where you go for your second dose.

 Also in this past week it was announced that further people were being added to the Clinically Extremely Vulnerable (shielding) list and were to receive letters from the Government advising them to shield. The criteria they have used to identify these additional people is complex and not yet readily searchable by our database. Prior to those letters going out we were confident we’d already offered a first vaccination to every patient on the shielding list. If you have received such a letter recently and have not yet received a first dose vaccination then you should be prioritised for one and should contact the mass vaccination centre. If that fails for you then get in contact with us with a copy of your letter to hand and we will prioritise you for the next available appointments we have.

We are now concentrating on Cohort 6 which is listed below.

Extracted from:

https://www.gov.uk/government/publications/priority-groups-for-coronavirus-covid-19-vaccination-advice-from-the-jcvi-30-december-2020/joint-committee-on-vaccination-and-immunisation-advice-on-priority-groups-for-covid-19-vaccination-30-december-2020

Cohort 6 - Persons with underlying health conditions

There is good evidence that certain underlying health conditions increase the risk of morbidity and mortality from COVID-19. When compared to persons without underlying health conditions, the absolute increased risk in those with underlying health conditions is considered generally to be lower than the increased risk in persons over the age of 65 years (with the exception of the clinically extremely vulnerable). The committee’s (JCVI) advice is to offer vaccination to those aged 65 years and over followed by those in clinical risk groups aged 16 years and over. The main risk groups identified by the committee are set out below:

  • chronic respiratory disease, including chronic obstructive pulmonary disease (COPD), cystic fibrosis and severe asthma
  • chronic heart disease (and vascular disease)
  • chronic kidney disease
  • chronic liver disease
  • chronic neurological disease including epilepsy
  • Down’s syndrome
  • severe and profound learning disability
  • diabetes
  • solid organ, bone marrow and stem cell transplant recipients
  • people with specific cancers
  • immunosuppression due to disease or treatment
  • asplenia and splenic dysfunction
  • morbid obesity
  • severe mental illness

Other groups at higher risk, including those who are in receipt of a carer’s allowance, or those who are the main carer of an elderly or disabled person whose welfare may be at risk if the carer falls ill, should also be offered vaccination alongside these groups.

This has proven to be a particularly challenging category of patients to identify as there are strands of guidance which, for example, distinguishes asthma from serious asthma. Such detailed information cannot be extracted from a national database like age can be and that is a principle which has underpinned why over 65s are invited to a mass vaccination centre and GP practices have the difficult job of locating patients with the above conditions.

With over 32,000 registered patients it is not an easy task for us. It cannot be done manually with any efficiency and we have to rely upon IT searches been created and run by the technically skilled to locate the correct information and extract the right patients for us to invite for vaccination. That hasn’t gone as smoothly as we or any other GP practice would have liked.

 In simple terms medical records systems work like this. Your clinician inputs text about your consultations and diagnosis. Medical conditions you have are then assigned a code to make them easily searchable, the medication you are taking can be searched for, when you last consulted for a specific issue can be searched for etc. Therefore to identify if a patient falls into one of the above categories, in accordance with guidance which has been issued a search has to be made against multiple, different criteria. I have already mentioned asthma which is a coded condition but then there are sub search which has to be done looking at medication, frequency of consultation and other factors to reach a valid conclusion whether or not it fits the criteria of severe asthma or asthma which falls outside of the criteria. I just use asthma as an example as it is the condition in the above list which most of us know a little bit about.

 In the past week the search tools we have been supplied with have been refined 3 times. If you follow the discussion threads on our Facebook page you will see that in the past week some people who we have offered appointments to as ‘Cohort 6’ are saying “I don’t fit that criteria”. Actually when records are checked it is invariably the case they didn’t realise they fitted the condition basis of the criteria. In only a very small number of cases has it been found the coding was wrong. What has been identified though is that the earliest search tools we used were more liberal in identifying, for example, asthma cases by including some which fell short of the severe categorisation.

 To put all of that into perspective. When we ran the first search tool v.1 we had available at the end of last week it identified close on 3600 patients in cohort 6. We started sending out invites for appointments and by Monday last we’d filled around 1000 appointments. Since then we have run v.2 and v.3 of the same search tool and on version 3 release it identifies nearer 3000 eligible patients in cohort 6. Each time a new version has been released we abandon the search list created with the last version and just used the newest version. Today we booked in the last of the 1500 appointment slots we had available for next week. We have just run the search tool again and it shows we have 1532 patient in that cohort left to book.

It is unlikely that the search tool is absolutely correct and it is still capable of flagging up patients to invite who are not strictly eligible yet but we have to live with it’s imperfections.

The important point to remember is that within 1 week we have given ½ of the eligible cohort 6 patients vaccination appointments next week therefore with a steady supply of vaccine we won’t take long getting you all vaccinated.

 The message remains the same as always – be patient, we will get to you. We simply cannot invite everyone at once, we have to do it in blocks as we are informed of vaccine delivery dates.

 For those of you who had the first dose Pfizer vaccine in December with us we will be in contact shortly as we are expecting confirmation of delivery of your second doses in March. Don’t contact us, as soon as we have a date we will be in contact with you. For those of you who had the Astra Zenec (Oxford) earlier this year don’t forget you have already been given your second dose appointment dates so keep them in your diary.

 Lawrie Lewis

Executive Manager

 

Coronavirus update Saturday 13th February 21 

Self-referral for health and social care worker vaccination

Tyntesfield Medical Group has now stopped its effort to contact registered patients who are health or social care workers for vaccinations. 

To support healthcare workers and community based social care workers in priority group 2 to receive their Covid-19 vaccination, they have the option to book their vaccination appointments in a vaccination centre or community pharmacy through the NHS Covid-19 Vaccination Booking Service. Staff can book online at www.nhs.uk/covid-vaccination. Staff should try online booking first but if this is not possible, they can phone 119 free of charge, 7am to 11pm, 7 days a week. As part of the booking process, eligible staff need to self-declare they are a health or social care worker. Staff will be able to book this way for a limited period, until 28 February. Further information is available in the letter published today.

Lawrie Lewis 
Executive Manager 

Coronavirus Vaccination Update Friday 12th February 21

 The team will continue to vaccinate today until early evening. When we finish every one of our patients over the age of 70 or who is clinically extremely vulnerable will have been offered a vaccination.

 When we say offered we mean everyone has been vaccinated with their first dose, over 8000 doses have been administered since we started in late December or, as is the  case with  a small number have been declined or cannot be vaccinated for medical reasons. There are only 100 patients who for one reason or another, beyond our control, we have been unable to contact by telephone or text message. Each of them has had a letter sent to them earlier this week and if they respond as requested therein they will be vaccinated by us at the next opportunity or alternatively they can chose to contact the mass vaccination centres by calling NHS 119.

 Many of you will have picked up from previous communications that it has been challenging for both the mass vaccination centres and GP practices as we are booking the same cohort of patients but neither knows who is being vaccinated by the other until days after the event.

 We tend to only know a week in advance when and how much vaccine we will have to administer. It is therefore hugely challenging and wasted effort on our part when we contact patients to find they are already booked into a mass vaccination centre. At the same instance it is imperative we work together to ensure we get everyone vaccinated.

 For this reason the NHS in this region has put in place a new system of booking to move the program forward more efficiently.

 From today Government letters will be popping through the letterboxes of the over 65’s inviting you to book into a mass vaccination centre from next week. They will now be taking the lead on completing the vaccination of our over 65’s. Please take that opportunity if you are over 65, Ashton Gate is just down the road and you shouldn’t wait for Tyntesfield Medical Group to contact you. Search online for - Book a Coronavirus vaccination NHS or ring 119. We will however keep track of how many of our patients get vaccinated there.

 Whilst Ashton Gate will be concentrating on the over 65s we will focus on those under 65 with underlying health conditions which puts you at a higher risk of serious disease or are a registered carer.

 PLEASE DO NO CONTACT US seeking a vaccination our receptionists do not have the means to book you in. You need to wait for our dedicated team to contact you.

 We know who is eligible from your medical records and our dedicated team are working through those in a methodical way. Many who are eligible will have already received a text from us today and will have booked themselves in via our text service. If you receive a text but the available appointments have already gone please keep checking over the next two to four weeks for more appointments as vaccine is delivered to us. Other patients, in particular those who don’t have a mobile phone registered with us, will be receiving telephone calls from us. As we work through the list of patients we will keep checking back on those who have not booked in yet until we are sure everyone has been reached out to and spoken to if they have not booked in.  

 How long will it take for us to complete this particular cohort of patients? That is a very good question I have asked myself.

 Our records show we have 3597 patients in this particular cohort. We will be vaccinating 1500 of them in week commencing 22nd February. Thereafter it depends on how quickly vaccine is delivered to us. We typically receive between 400 and 1000 doses per week but have has as many as 1500 dose delivered in a week – we just don’t know until the week before.

 Hopefully it won’t take too long but we are shortly approaching the time when we start delivering second doses to those who we did 12 weeks ago so things might slow down a little.

 The message is as always – please be patient, we will get to you no-one will be left behind.

 Keep checking our website each week www.tyntesfield.nhs.uk for updates (look in the NEWS section) or follow us on Facebook or Twitter where the updates are also posted.

 Lawrie Lewis

Executive Manager   

 

Coronavirus update Monday 8th February 2021

With the exception of 100 patients aged 70 –75yrs and 66 Clinically Extremely Vulnerable patients we are confident all other patients in those cohorts have either received or are booked in to receive their first dose of vaccine this week.

The above total of 166 patients we are having difficulty getting hold of by telephone and therefore they are being written to with an offer of a first vaccination next week. It is conceivable that many of these will have already booked into a mass vaccination centre and are awaiting their vaccination this week, Unfortunately we don’t know that as we only get information sent to us once they have been vaccinated.

Once again please do not ring our normal surgery numbers seeking a vaccination our receptionist staff will not be able to help you.

If you are over 70yrs or are currently on the shielding list and have not yet had a 1st vaccination appointment then you can ring our dedicated line 01275 866761 today up until 4pm.

Lawrie Lewis

Executive Manager

 

CORONAVIRUS VACCINATION UPDATE 4th FEBRUARY 2021

We have a number of Coronavirus vaccination appointments available which  we need to fill and are struggling to make contact with some patients in the short time available.

  • If you are a Tyntesfield Medical Group patient
  • Are over the age of 70
  • Or are over the age of 18 and are on the Shielding (Clinically Extremely Vulnerable) list
  • Have not yet had your first dose vaccination
  • Are not already booked in for your first dose vaccination either with us or a mass vaccination centre.

Then you can book your vaccination now with us.

Please alert your family, friends or neighbours who are over 70 or may be shielding. We cannot currently book anyone in who is not on one of those two lists .

Our dedicated lines are now open for you to call to book in until 4PM today and will reopen again at 9am tomorrow (Friday 5th) until 4PM.

Thereafter the lines will close again.

Do not ring your surgery. We can only accept your call if you ring our direct booking line 01275 866761.

Lawrie Lewis

Executive Manager

Coronavirus vaccinations update 3rd February 2021

All of our 1st vaccination dose appointments are now filled for 5th and 8th February. 

There are a further 685 over 70’s and Clinically Extremely Vulnerable over 18 year olds who we have yet to book a first dose vaccination for.

We have now been notified of a further delivery of vaccine next week.

If you have not yet been booked in for a vaccination with us, all those who have a mobile number registered with us and fit into one of the two above cohorts are now being sent text messages inviting then to book in for a vaccination later next week.

Those in either of those categories who do not have a mobile number registered with us are being telephoned by our dedicated team.

Do not call the surgery as the receptionists will not be able to help you, they have no access to the booking system. We will contact you by one of the means outlined above.

If you previously had a text invite from us on your phone and the appointments had already gone then please check again as you should now see the fresh appointments.

If you are in one of those eligible cohorts and we have failed to contact you by Monday 8th or you cannot book via the text message (Patients with older phones do sometimes struggle) then we will once again open our dedicated booking line 01275 866761 on Monday 8th February from 0900 – 1600 hrs (4pm). At any other time that line will not be available. 

If you are already booked in at a mass vaccination site please honour that appointment, you do not need to book with us also. These are precious appointments, as it is only by the joint efforts of ourselves and the mass vaccination centres are we able to meet everyone’s needs. We get notified of everyone who has been vaccinated by a mass vaccination centre with your medical record being automatically updated.

Lawrie Lewis

Executive Manager

 

Coronavirus update 29th January 2021

This coming week is set to be the busiest yet for us managing the coronavirus vaccination program.

It is imperative patients do not telephone or visit the surgery with enquiries about whether they can receive their vaccination. Our receptionists will not be able to assist you and all you will achieve is to frustrate yourself and our staff who need to focus on meeting all other patients needs.

Please follow the information below:

We have three vaccination clinics planned for patients over the age of 70 years:

Monday 1st February

Friday 5th February

Monday 8th February

Across those 3 dates we will deliver in the region of 2250 doses of vaccine to the over 70’s. No-one will miss out and anyone over the age of 70 who we can’t vaccinate on one of those three dates we will vaccinate at the next opportunity. As soon as we have a delivery date for further vaccine we will be in contact with those over 70 who have not yet been vaccinated.

If anyone has already has a mass vaccination centre (Ashton Gate) appointment do not attempt to book with us. The best thing you can do is attend Ashton Gate and allow us to focus on those who have not been so fortunate to be offered and obtain an appointment there. In that way vaccine appointments and precious vaccine does not get wasted and everyone gets vaccinated that much quicker.

Monday 1st February – This vaccination day is now full. This past week we have been quietly ringing out to patients to book them in. We also have a reserve list of patients who, should we not be able to vaccinate them on that day are guaranteed being vaccinated on either the 5th or 8th February.

Friday 5th February – This vaccination day will fill this weekend. The process we are using is via a text service with mesages being sent from this evening (29th Jan) onwards which allows the text recipient to book automatically online. It only allows one registered patient with the corresponding mobile phone number on our records to book in. It is straightforward for anyone with a smart phone to use.

If you follow the link provided in your text message but are unable to see any appointments it will be because they have already filled.

Knowing how many of our eligible patients have mobile phones and having used this system before we are confident the appointments will fill quickly over the weekend.

Some, mainly those with older phones might have trouble, if you receive such a text and cannot access the available appointments page then we are opening a dedicated phone line on Monday 1st February to handle your enquiries.

The dedicated line will open at 0900hrs and close at 1600hrs on Monday 1st February only, thereafter it will be disconnected again and only reactivated if we need to on a future date. The line will be very busy, we are sorry for that but you will just have to keep on trying if it is engaged.

Do not ring your normal surgery number as they will not be able to help you and will have to cut any calls short by telling you to ring the dedicated vaccination line number.

The dedicated vaccination line number open from  0900 – 1600hrs Monday 1st February is 01275 866761.

Monday 8th February – This vaccination day has already been partly filled by us ringing out to eligible patients who do not have mobile phones registered with us. The remaining appointments are being held vacant until Monday 1st February for patients who ring us on the dedicated line number of 01275 866761 identified above.

Ringing any other number or attempting any other means to book in will not help you so please do not try. Be patient, everyone will get vaccinated as soon as more supplies are distributed to us and the mass vaccination centres.

Lawrie Lewis

Executive Manager

 

Coronavirus Vaccinations update 22nd January 2021

We administered a further 600 vaccinations yesterday taking our total to over 4,700 doses.

Delivery scheduling to us is erratic and has shown clear signs of slowing down in the past two weeks. This is completely beyond our control and the control of the CCG. Some practices have fared better than us with deliveries whilst others have fared worse.

With mass vaccination centres starting up it appears that their supply chain is more stable and guaranteed than our own enabling them to book in patients with confidence weeks ahead.

Government letters inviting over 70 year olds to book at a mass vaccination centre are dropping through patients letterboxes. Our clear advice to you is:

  • If you receive an invitation to book a 1st vaccination at a mass vaccination centre and you can both book such an appointment and organise your own transport to Ashton Gate then do so – do not wait for us to contact you.

Every patient who books into a mass vaccination centre creates capacity for us to vaccinate those who can’t get there. If everyone waited for us to be able to vaccinate them then at the current vaccine supply rate to us it will take up to 8 weeks for us to vaccinate every patient over the age of 70 thus grossly overshooting the government target of vaccinating that cohort by mid-February.  

Please do not contact us regarding the government letters or mass vaccination centres – we have no control over them or means of direct contact.

Keep following our social media or visit www.tyntesfield.nhs.uk/news-2  for the latest updates on our vaccination program.

Please do not contact us about receiving a vaccination with us – we will contact you and are using a variety of means to do that depending on the amount of notice we have of a delivery and how many unvaccinated people are in the cohort of eligible patients we are working through at that time.

Please be patient everyone will be offered the vaccine by one route or another; we do not have vaccine to administer next week but are currently working through the list of patients who are over the age of 75 years in readiness for the next vaccine delivery. Telephoning us will not over-ride that process as the work is being done by a dedicated team and our receptionists are not involved.

Health and social care workers should now be making arrangements through their employers to be vaccinated at a mass vaccination centre.

Lawrie Lewis

Executive Manager

 

Coronavirus Vaccinations Update 19th January 2021

All of our Coronavirus vaccination appointments for Thursday 21st January have now been filled. We already have a reserve list in case anyone drops out. Please do not telephone the practice with enquiries about future vaccination dates. As soon as we have planned deliveries we will be contacting eligible patients to invite them to book a vaccination appointment. 

Please be patient we will be in touch you don’t need to ring us. 

 

Coronavirus vaccination Update No.2 18th January 2021

Today, we have vaccinated a further 360 patients with their first dose of vaccine. In the main these were health and social care workers with a smaller number of over 80’s and over 75’s included in the numbers. We focused on health and social care workers as we were not allowed to move significantly on vaccinating the over 75s until many other practices caught up with us.

Today it was announced on the news that vaccine rollout has now been extended to the over 70’s.

 https://www.bbc.co.uk/news/uk-55698132

 That’s great news but significantly flawed in its timing because as yet we have not yet had sufficient vaccine delivered to fulfil expectation and we are still required to vaccinate in strict order according to the eligible cohorts stipulated by the government.

The cohort we are now vaccinating are the over 75’s. It was only from today’s announcement have we been able to start making any serious inroads into vaccinating the over 75’s as until now we have only been able to vaccinate that age range if the alternative was that vaccine risked being wasted.

We will continue to vaccinate health and social care workers where we are able but in much smaller numbers now as they will be far more capable, than many of our older patients, of making arrangements through their employer for vaccination and travel to a mass vaccination centre site.

We are to receive a delivery of vaccine later this week which we will deliver to over 75 yr old patients on Thursday. We are not vaccinating patients under 75 yrs of age YET!

PLEASE READ THE NEXT PART OF THE MESSAGE CAREFULLY – PLEASE BE PATIENT

Again time is very tight and in order to manage this in the first instance we have sent text messages to patients over 75 who have registered a mobile number with us. This employs a new piece of software which has been developed specifically for Coronavirus vaccinations.

If you have received such a text then between now and Wednesday morning there is a link which can be used just once and cannot be transferred to another user to book in for an appointment on Thursday. Ringing the practice will not help, receptionists do not have access to those appointments, it is a completely automated system. We understand that not everyone will be comfortable with this technology but we have to use all means available to us to deal with the volume of bookings we must deal with.

On Wednesday morning the opportunity to book via the text message will be ‘locked out’ and out dedicated booking team will begin booking all further available appointment slots by ringing patients. Again, ringing the practice will not help, receptionists do not have access to those appointments.

We know this is not a perfect system but please bear with us. We often have to book more vaccine appointments for one morning than we book normal appointments for a whole week and we have to use this blended approach of different technology solutions to allow us to handle the volume.

After Thursday we will have approximately 850 further over 75s yet to book in for their first dose of vaccine.

Depending on the vaccine delivery schedule, which has yet to be announced to us, 850 patients is between one and two deliveries. If the NHS stick to a schedule of at least one delivery a week, as they have done since the outset then we are just two weeks away from vaccinating all of our over 75’s.

Please be patient, just as we reached out to all over 80’s everyone will be contacted in due course and you will be vaccinated.

If prior to us reaching out to you a national letter inviting you to book into a mass vaccination centre lands on your doorstep, then, if you are able to attend such an appointment please consider that opportunity as an alternative. It will help us keep moving this vaccination program forward at pace.

Lawrie Lewis

Executive Manager

 

Coronavirus Vaccination Update 18th January

We are aware of the announcement regarding vaccinations for over 70 year olds. This was an unexpected announcement and as yet, we do NOT have a vaccine delivery to begin vaccinating that number of people.
Please DO NOT contact your surgery, we will contact you when vaccine is available and we have reached your age group.
The over 75s will be vaccinated before the over 70s.
Please visit tyntesfield.nhs.uk/coronavirus regularly or see our social media for updates.

 

Coronavirus Vaccination Update 12th January

Several key headings in this update.

  1. Letters from NHS titled: Book your coronavirus (Covid-19) vaccine appointments now  are landing on peoples doorsteps. What does that mean?
  2. Tyntesfield vaccination centre progress to date
  3. Tyntesfield vaccination centre next wave of vaccinations 
  4. Carers update

Letters from NHS - Book your coronavirus (Covid-19) vaccine appointments now

From today letters are landing on patients doorsteps inviting you to book a vaccine appointment now via the NHS website or by ringing 119.

These letters have been sent out to over 80yr olds only and are causing confusion for those who have already received their first (and in some cases second) vaccination.

The confusion being caused is beyond our control as they have failed to exclude those patients who we, and other GP practices, have already vaccinated even though that information is available on a national database.

 To clarify:

If you have already received a 1st vaccination dose (or 1st and 2nd) from us the letter does not apply to you. It is an invitation to book both, not one or the other, doses at a mass vaccination centre. For this region the mass vaccination centre is located at Ashton Gate Football Stadium in Bristol.

  • If you have received one dose from us already we are waiting for confirmation of a delivery date for your second dose and then we will be in contact with you again to book you in. This could be just days before your 2nd dose is due 12 weeks after the 1st dose:

For those who had their 1st dose on 19th December 12 weeks expires on Saturday 13th March.

For those who had their 1st dose on 21st December and have not yet had their 2nd dose, 12 weeks expires on Monday 15th March.

For those who had their 1st dose on 30th December 12 weeks expires on Wednesday 24th March.

For those who had their 1st dose on 31st December 12 weeks expires on Thursday 25th March.

For those who had their 1st dose on 8th January 12 weeks expires on Friday 2nd April

For those who had their 1st dose on 9th January 12 weeks expires on Saturday 3rd April.

For those who had their 1st dose on 11th January 12 weeks expires on Monday 5th April.

Tyntesfield vaccination centre progress to date

We have now delivered close on 3400 doses of vaccine of which some 550 were second doses to those who had their first dose on the 19th December. The initial Government directive to offer the 2nd dose exactly 3 weeks after the1st dose was changed to a 12 week interval a short while back and at too short a notice for us to cancel the 2nd dose appointments already made for Saturday last hence some people have already received their second dose. They are the only group to have received their 2nd dose from us after 3 weeks and we are not able to extend that opportunity to other patients.

Save for a small number of those who turned down the offer of vaccine when first offered or who we could not make contact with, we have now according to our records vaccinated, at least with the first dose, all those patients over 80 years of age who were fit enough to attend Brockway Medical Centre in recent weeks.

We have also vaccinated residents of two of our four residential care and nursing homes, a large number of frontline health care and social care staff and a significant number of over 75s on the shielding list or approaching their 80th birthday.

We cannot yet offer vaccinations to further patients in the over 75 age cohort until all our residential care and nursing home residents, our older housebound patients and more frontline health care and social care staff have received their vaccinations.

We have continued to extract on average more doses of vaccine out of each vial than we were first told was possible. Formally, our deliveries to date have been a total of 2925 doses but we have actually extracted and delivered close on 3400 doses of vaccine. This has made the management of each vaccination session difficult as we must constantly check on progress against remaining stock, booking in extra patients as we progress through the day.

Yet, right at the end of the day after 13 hrs work and with our staff exhausted we still manage to extract the last drops of vaccine. Imagine the situation of us having 5 clinicians vaccinating at the end of the day, officially the last two vials of vaccine they each have will vaccinate a total of 50 patients. Sometimes that is the case, we would only be able to vaccinate 50 people and can’t risk booking more patients in for fear of their gross disappointment if turned away as we run out of vaccine.

In those situations, when we looked to be able to extract 55 or maybe 56 doses then rather than waste those additional doses we have been frantically ringing anyone who we can get to attend within 5 to 10 minutes to receive those last, unexpected doses. That approach has worked thus far but is an unsustainable model.

In future we intend to create a small list of reserves from the eligible cohort who are prepared to wait by their phones and are able to attend within 5 to 10 minutes if there is spare vaccine available. If reserves are not called then they will be assured to be vaccinated at the very next opportunity. Don’t ring us to be put on a reserve list we have a plan to manage that as part of the next wave of invitations.

Tyntesfield vaccination centre next wave of vaccinations

Even though we have made some inroads into vaccinating the 75 to 80 yr old cohort, in order to consume vaccine deliveries in the short time we had available, we are no longer allowed to carry on with vaccinating them ahead of the over 80’s, frontline health care and social care staff. Please be patient the wait won’t be too long.       

This week we are vaccinating the residents and staff of the remaining two residential care and nursing homes we have yet to complete and have commenced visiting the registered housebound patients we have.

Next week we will be opening the vaccination centre at Brockway again to vaccinate those patients over 80 who previously we couldn’t get hold of, had declined but since changed their minds and those who’d we declined to vaccinate because of a likelihood of an anaphylaxis reaction and additionally frontline health and social care staff.

Carers update

We are seeing an increase in patients seeking to register as carers of the elderly or a disabled person. We very much understand your anxiety and hopes to be prioritised for a vaccination but unfortunately registering as a carer will not afford you prioritisation for a vaccine alongside frontline health and social care staff. The attached link is helpful in explaining the different categories of eligibility and which you might fall in line with:

https://www.gov.uk/government/publications/covid-19-vaccination-why-you-are-being-asked-to-wait/why-you-have-to-wait-for-your-covid-19-vaccine

Please be patient. Everyone will get their vaccination in turn. More practices are now getting their deliveries flowing to them, alongside the mass vaccination centres which are now going live the pace of vaccinations will start picking.

HANDS - FACE – SPACE has never been more important. Remember even once you have received you vaccination HANDS – FACE – SPACE remains crucially important to keep us all safe. 

Lawrie Lewis

Executive Manager 

Coronavirus Vaccination update 7th January

Having filled all available appointments we will stand up our vaccination centre at Brockway Medical Centre tomorrow (Friday 8th January) and again on Saturday.

A reminder that Saturday 9th is for those patients who had their first dose of vaccination on Saturday 19th December to receive their second dose. Those are the only patients whose second dose appointments we were able to protect when the nationwide vaccination strategy was changed from a 3 to a 12 week interval. Those patients should attend for their 2nd dose appointment at exactly the some time as they did 3 weeks ago.

Please do not attend Brockway for any other reason. This includes dropping off samples which should be taken to Tower House Medical Centre instead.

Drs and Nurses will be redeployed from Brockway to our other sites, business as normal will be maintained albeit with a reduced capacity for non-essential treatments and possibly at a different location for some patients for which we apologise.

Only those who have been booked in for a vaccine and their essential carers will be admitted to Brockway Medical Centre on those days. The wearing of a face mask or other suitable face covering is mandatory, there are no exceptions. All of our phone lines remain open and we urge patients of all four of our sites to phone rather than visit whenever possible. Staying at home is a massive help in reducing the spread of the virus.

 As yet we cannot confirm when our next delivery of vaccine will occur but as soon as we know we will stand up our dedicated team to book in eligible patients. Do not ring us for a vaccination appointment unless we ask you to. Speculative calling risks blocking our phone lines and hampers delivery of our normal medical services.

I’d like to thank our patients for the wonderful positive feedback we are receiving. Those posted on social media are being shared with our staff and it is giving them a real boost. Also on social media there is much comment about how some of your friends and relatives registered with practices elsewhere which have yet to start vaccinating. Please be supportive of them also as it’s not their fault. Practices have been put into as many as 6 different waves to receive vaccine supplies. We are fortunate to have a site at Brockway which is suitable with level access and the ability to design one way patient flow through the building. Consequently we were able to offer ourselves up as ready to go in wave 1. We were placed in wave 2 and therefore started relatively early. Some of the later waves, who are now ready and eager to go, still haven’t been allocated deliveries. It’s not their fault and they are no doubt very frustrated by the situation and are working as hard as we are trying desperately to get vaccine supply moving to them.

Lawrie Lewis

Executive Manager

 

 

Coronavirus Vaccine Update 6th January 2021

We have now filled all of our available appointment slots for the next delivery of vaccine this coming weekend. Every over 80yr old patient, who is not registered as housebound, has either received their first vaccination or will receive it this weekend except for around 50 individuals who have declined or have not responded to numerous attempts made to contact them.

Those remaining 50 will receive letters from me over the coming days. Those who we have not been able to contact, if they contact us as soon as possible, we will fit into the next available vaccination opportunity.

For those who have declined or are considering declining in the future I urge you to reconsider that decision in the interests of your own health and the health of the whole population.

When declining some are citing reasons such as;

  • I haven’t decided yet if I want it
  • I’m waiting to see how things go
  • I’m waiting to have the Oxford vaccine

If an individual decides to decline the vaccine that is entirely their choice and will be respected. However, this is a mass vaccination program and we cannot tailor it to individual preferences of either when or which type of vaccine individuals prefer to receive.

We are following very clear directives and have to move on at pace through each eligible cohort of patients in turn.

Patients do not get a choice of which vaccine they receive, they receive the vaccine which is being delivered to their cohort of patients at that time.

We have no idea which brand of vaccine we will receive in the future for 1st dose vaccinations. In the coming weeks further brands are likely to be approved for use in the UK so we could likely see a variable supply chain of different vaccines arriving.

Anyone declining when they have a first opportunity to be vaccinated by us cannot be prioritised at a later date above someone who has patiently waited for their vaccine, we will not be contacting individuals who have declined again and in order to be vaccinated at a later date they may have to use their own initiative and their own expense to travel to a mass vaccination centre outside of this area.

We have made a start on the over 75s by booking in as many as possible who are shielding to be vaccinated this weekend, we have also booked in a number who are due to turn 80 shortly. We are now full and cannot consider anymore until we have another delivery date confirmed. We will let patients know when that occurs.

We are also working through vaccinating our Residential and Care Home residents and are working on the plan to vaccinate the 120 registered housebound patients we have who are not included in the above numbers.

Lawrie Lewis

Executive Manager

Coronavirus Vaccine Update 3rd January 2021 - Important information about cancelled appointments for 2nd dose of vaccine.

Since the 19th December we have received two deliveries of vaccine delivering a first dose to well over 2000 people, mainly our over 80 yrs of age patients, care home residents and eligible NHS and frontline workers. There remain more over 80's and eligible frontline workers to vaccinate before we can move onto the next age cohort of the over 75's. 

A nationwide policy change agreed by the Government, Public Health England and NHS England in light of the soaring numbers of new Coronavirus infections now significantly impacts upon the plan to administer the second dose of vaccine exactly 3 weeks after the first.

We have been directed to cancel the 2nd dose vaccination appointments scheduled for Monday 11th January, Wednesday 20th January and Thursday 21st January.

To cancel those appointments and make new 1st dose appointments for further eligible patients; over 1500 appointments to be cancelled and a further 1500 appointments to be made, is a massive undertaking for the practice. Please do not contact us unless absolutely necessary, we will advise you when we are in a position to invite you to book a first or second dose vaccination appointment.

We are not able to deviate from the directive to cancel those appointments. The situation is beyond our control.

The new directive is that the second dose of vaccine will be delivered closer to 12 weeks after the first dose. The scientific advice is that the effectiveness of the vaccine is not adversely affected by the interval being extended from 3 to 12 weeks. For those who wish to know more about this I attach a link to a news article with further detail. There are many more sources of information available on the internet. 

https://www.bbc.co.uk/news/uk-55503739

We understand this change will cause anxiety and confusion for many but are unable to over-ride the national decision to suddenly change interval between the first and second dose from 3 weeks to nearer to 12 weeks.

We have however, on the basis that insufficient notice of the change was given to us to cancel appointments, been able to insist we still deliver the 2nd dose of vaccine to the patients who are already booked to receive it on Saturday 9th January. We could not however secure the same concession for appointments made for the 11th, 20th or 21st January.

To recap the situation:

  • Patients who are already booked in to receive their second dose of vaccine on Saturday 9th January must still attend that appointment. They will receive the second dose as expected on that day.
  • Patients who were booked to receive their second dose of vaccine on Monday 11th January, Wednesday 20th January or Thursday 21st January have had their appointments cancelled and must not attend on that date. They will be contacted at a latter date with a rescheduled appointment within 12 weeks of their first dose.

As soon as we are able we will update our website and social media feeds with detail of when and how further patients can book in for their first dose vaccination. Do not contact the practice in the hope of securing information not made available by us directly via our website http://www.tyntesfield.nhs.uk or social media feeds on Facebook or Twitter as these mediums will be updated at the same instance as our patient facing teams are updated.

Lawrie Lewis

Executive Manager 

 

 

We are receiving a further delivery of Coronavirus vaccine for the over 80 year olds which we will administer before the New Year.

Please read the following information carefully to understand who will receive it and how we should be contacted.

This will be the second of three deliveries of the first dose of vaccine for the over 80's. With the first delivery we vaccinated approximately 1000 people over the past weekend. We will do the same with the second delivery which will leave approximately 500 people we will be able to vaccinate with the third delivery when we receive it.

Following Government directives everyone who has passed their 80th birthday is being treated with equal priority. It doesn't matter if you or your loved one is 83, 87 or 93 you are equally important to us and have the same opportunity to receive the vaccine before we move on to vaccinating younger age groups.

We know everyone wants to receive the vaccine as soon as possible but if you are not successful this time be patient we will get to you very soon.

We know that waiting is both frustrating and upsetting for people but no one should consider for one moment taking that out on our hard working staff. Whilst the vast majority have been amazingly supportive of our efforts and understand the massive logistical challenge we face some callers and visitors to our premises have vented their anger and been downright rude and offensive to our staff - that is not acceptable behaviour, is totally unjustified and damaging to the goodwill and incredible effort of our team.

Everyone needs to understand that both staff and volunteers are working flat out for the community to get this vaccine administered, working 12hr days with just a 15 minute break for some. We didn't have to accept a second delivery of vaccine before the New Year but our staff have chosen to give up precious time with their families to make it happen for the sake of the community so please show them the respect they deserve.

We have very short windows of opportunity from notification of a delivery to get 1000 eligible patients booked in for vaccination a few days later. This means we use a mixed communication strategy to get our message to patients. Sending letters out inviting patients to contact us to make an appointment is not a viable option when we have just days to fill 1000 appointments. We do telephone eligible patients but cold calling is a very slow process with phones going answered and when they are answered patients are often un-prepared for the call. We text patients but less than half of our over 80's have registered a mobile phone number with us. Consequently we supplement our outgoing calls and text messages with a call out to the community using our website www.tyntesfield.nhs.uk, Facebook and Twitter asking that you alert your eligible over 80yr old friends, neighbours and family that our dedicated booking lines are open. The lines will be incredibly busy, there will be engaged tones, there will be disappointed patients who don't get through to make an appointment this time but we will book in around 1000 patients to deliver every drop of this precious vaccine to you. Once we receive the third delivery we can focus in on the remaining 500 or so patients before moving onto the younger patients.       

We will be vaccinating the over 80's from 8am to 8pm daily on Wednesday 30th and Thursday 31st December.

Whatever time and day of the week a patient is offered for their first appointment an appointment for the second dose will be booked for exactly three weeks later, at the same time of the day and on the same day of the week. No other variation is possible. If the patient cannot accept both appointments as offered then we have to cancel the process and the patient will have to make a further attempt to book their vaccination at another time.  

For example: If a patient is offered the first vaccination appointment at 9am on Wednesday 30th December the second appointment will take place at exactly the same time three weeks later at 9am Wednesday 20th January 2021.      

In this first vaccination group, by following strict Government guidelines, we will only be vaccinating Tyntesfield Medical Group patients registered at Tower House, Brockway, Backwell or Long Ashton who are:

  • Over the age of 80’s (No exceptions can be made)
  • Are able to attend Brockway Medical Centre, 8 Brockway, Nailsea, BS48 1BZ for both doses of the vaccination. None of our other premises are able to offer the vaccination.

 Patients cannot receive this first vaccination if;

  • They are anaphylactic
  • Have had a Flu vaccine in past 7 days
  • Tested positive for C-19 in past month
  • Currently symptomatic with C-19 symptoms
  • Housebound

If you fulfil the above criteria in order to book you vaccination you must ring our dedicated vaccination line on 01275 866761 (not your normal booking line) between 9am and 4pm Tuesday and Wednesday this week.

Outside of those hours the line will be disconnected and you will hear the message “This line is temporarily unavailable” or a voice recording. During operating hours the lines will be very busy so you may find it difficult to get through. Once all of the appointments have been filled the line will be closed and we will notify you of that through our website, Facebook and Twitter.

We know that a large proportion of our over 80’s patients will not be conversant with our website, Facebook or Twitter pages. We are trying to contact all patients individually but the quickest way we can deal with booking appointments in the short timescale available to us is if the community plays a role in letting their over 80’s neighbours and family know about these clinics as soon as possible.

Lawrie Lewis

Executive Manager

Over 80’s Coronavirus Vaccination Centre 19th & 21st December– what to expect

 For those who couldn’t get booked in for these first clinics we are truly sorry. As soon as we have notification of further deliveries we will be running more clinics and informing patients once again. Having booked close on a 1000 appointments already there are a further 1400 eligible over 80’s we will be able to offer vaccinations to with further deliveries. It will take a further two deliveries, which we hope to receive in early 2021 to complete the over 80’s before we move onto the next cohort of patients.

For those who are fortunate enough to be vaccinated in this first batch please be aware of what to expect.

The Vaccination Centre is Brockway Medical Centre, 8 Brockway, Nailsea, BS48 1BZ. Please dress appropriate for the weather but also making it as easy as possible for you to expose a bare upper arm for the injection. Doors and windows will be kept open around the building to maintain a good flow of fresh air so do not expect it to be much warmer inside than it is outside.

Public car parking is nearby, located off Station Road and in the Scotch Horn Centre. It will be pedestrian access only onto our site.

Entrance will be on foot via the service lane entrance, please follow the signs. Exit will be out onto Brockway directly opposite the Scotch Horn Centre. Please do not attempt to enter via the incorrect route. We are operating a one way system through the whole site, both outdoors and indoors.

There will be markings on the footpath inside our grounds and in the building to help you maintain social distancing and a marshal will guide you. As far as we are able there will be some covering from inclement weather provided but please try to arrive on time, Neither early or late as we are running a very tight schedule.

Couples who are both receiving a vaccination at the same time can enter together, a carer can enter with someone who needs such support but otherwise you must enter alone. A face mask must be worn without exception.

Entering the building will be via a fire door locate on the side of the building where a receptionist will check you in. There may then be another short queue before you are directed by a marshal to one of six vaccination stations.

Each vaccination station will be staffed by a Dr or Nurse and an administrator. Once your details and consent have been recorded the vaccine will be administered and you will be asked to move to the waiting area where you must wait for 15 minutes before leaving. Seating will be socially distanced and you will not be able to move around. You have to leave promptly after 15 minutes.

If the waiting area becomes full we have a marquee set up as an overflow waiting provision.

You will leave by a different exit onto Brockway opposite the Scotch Horn Centre.

Lawrie Lewis

Executive Manager

 

Update 15th December 2020: ALL AVAILABLE COVID VACCINATION APPOINTMENTS HAVE NOW BEEN FILLED.

Over the two days since our lines opened our staff have booked in close on 1000 over 80 year olds in for their two doses of vaccine.

All of the available appointments have now been filled. We have no more vaccine available at this time.

We have not yet been notified when we will receive a further delivery but we know it will not be until 2021. As soon as we are aware of further deliveries we will stand our operation up again.

We are truly sorry to all those patients who couldn’t get through it has been absolutely manic.

Please do not ring us for further information as it only prevents us dealing with other patients immediate medical needs. We will keep our website www.tyntesfield.nhs.uk, Facebook and Twitter updated with our latest situation.

Can I reassure everyone no-one is being forgotten. If we had relied on letters and/or ringing out to all patients we would not have completed the calls in time and would therefore have wasted precious vaccine which is being sent to us at short notice.

There will be further deliveries in the future and we have the means to identify and contacting all those who didn’t get the vaccine this time. We have over 2000 over 80s so it will be a total of 3 sets of 2 vaccine deliveries before we complete them all and then move onto the next cohort. We are following strict Government guidelines regarding the age ordering of eligible patients.

Lawrie Lewis

Executive Manager

Coronavirus vaccinations for the over 80’s are now available on Saturday 19th December and Monday 21st December

At short notice we are receiving a limited delivery of the Coronavirus vaccination this week. Once all appointments are filled we cannot pre-book any further patients until we receive notification of another delivery. This is a two dose vaccination with each dose separated by a three week interval.

Whatever time and day of the week a patient is offered for their first appointment the second appointment will be booked for exactly three weeks later, at the same time of the day and on the same day of the week. No other variation is possible. If the patient cannot accept both appointments as offered then we have to cancel the process and the patient will have to make a further attempt to book their vaccination at another time.  

For example: If a patient is offered the first vaccination appointment at 9am on Saturday 19th December the second appointment will take place at exactly the same time three weeks later at 9am Saturday 9th January 2021.      

In this first vaccination group, by following strict Government guidelines, we will only be vaccinating Tyntesfield Medical Group patients registered at Tower House, Brockway, Backwell or Long Ashton who are:

  • Over the age of 80’s (No exceptions can be made)
  • Are able to attend Brockway Medical Centre, 8 Brockway, Nailsea, BS48 1BZ for both doses of the vaccination. None of our other premises are able to offer the vaccination.

 Patients cannot receive this first vaccination if;

  • They are anaphylactic
  • Have had a Flu vaccine in past 7 days
  • Tested positive for C-19 in past month
  • Currently symptomatic with C-19 symptoms
  • Housebound

If you fulfil the above criteria in order to book you vaccination you must ring our dedicated vaccination line on 01275 866761 (not your normal booking line) between 9am and 5pm this week and prior to 5pm on Friday 18th December.

Outside of those hours the line will be disconnected and you will hear the message “This line is temporarily unavailable”. During operating hours the lines will be very busy so you may find it difficult to get through. Once all of the appointments have been filled the line will be closed and we will notify you of that through our website, Facebook and Twitter.

We know that a large proportion of our over 80’s patients will not be conversant with our website, Facebook or Twitter pages. We are trying to contact all patients individually but the quickest way we can deal with booking appointments in the short timescale available to us is if the community plays a role in letting their over 80’s neighbours and family know about these clinics as soon as possible.

Thank you      

Lawrie Lewis

Executive Manager

 

 

Coronavirus vaccinations for the over 80’s are now available on Saturday 19th December and Monday 21st December

At short notice we are receiving a limited delivery of the Coronavirus vaccination this week. Once all appointments are filled we cannot pre-book any further patients until we receive notification of another delivery. This is a two dose vaccination with each dose separated by a three week interval.

Whatever time and day of the week a patient is offered for their first appointment the second appointment will be booked for exactly three weeks later, at the same time of the day and on the same day of the week. No other variation is possible. If the patient cannot accept both appointments as offered then we have to cancel the process and the patient will have to make a further attempt to book their vaccination at another time.  

For example: If a patient is offered the first vaccination appointment at 9am on Saturday 19th December the second appointment will take place at exactly the same time three weeks later at 9am Saturday 9th January 2021.      

In this first vaccination group, by following strict Government guidelines, we will only be vaccinating Tyntesfield Medical Group patients registered at Tower House, Brockway, Backwell or Long Ashton who are:

  • Over the age of 80’s (No exceptions can be made)
  • Are able to attend Brockway Medical Centre, 8 Brockway, Nailsea, BS48 1BZ for both doses of the vaccination. None of our other premises are able to offer the vaccination.

 Patients cannot receive this first vaccination if;

  • They are anaphylactic
  • Have had a Flu vaccine in past 7 days
  • Tested positive for C-19 in past month
  • Currently symptomatic with C-19 symptoms
  • Housebound

If you fulfil the above criteria in order to book you vaccination you must ring our dedicated vaccination line on 01275 866761 (not your normal booking line) between 9am and 5pm this week and prior to 5pm on Friday 18th December.

Outside of those hours the line will be disconnected and you will hear the message “This line is temporarily unavailable”. During operating hours the lines will be very busy so you may find it difficult to get through. Once all of the appointments have been filled the line will be closed and we will notify you of that through our website, Facebook and Twitter.

We know that a large proportion of our over 80’s patients will not be conversant with our website, Facebook or Twitter pages. We are trying to contact all patients individually but the quickest way we can deal with booking appointments in the short timescale available to us is if the community plays a role in letting their over 80’s neighbours and family know about these clinics as soon as possible.

Thank you      

Lawrie Lewis

Executive Manager

 

Other Coronavirus related information

We are operating differently during the coronavirus pandemic to keep our patients and our staff safe. 

APPOINTMENTS All appointments with doctors will initially be a telephone appointment. This may be converted to a video or face-to-face appointment as required. 

Please do not turn up at our surgeries if you have not been invited. When you do arrive for your appointment, please either stay in your car or remain outside the surgery -you will be called on your mobile when we are ready for you to come in. If you are not able to wait in a car or outside then you are able to come into the waiting room and take a seat as long as there is space allowing for social distancing. It is important that you sanitise your hands on arrival and follow the instructions for sanitising the seat that you sit on. You must wear a face covering when you enter our buildings.

 

PRESCRIPTION REQUESTS Help us to reduce footfall to the surgery. Please use online ordering or if you are not set up for this consider emailing your medication request to the Prescription Hub tyntesfield.prescribing@nhs.net

 

NOTES COVERING EMPLOYMENT 'sick notes' If you have to self-isolate and need a note for your employer, use this link to obtain one https://111.nhs.uk/isolation-note/. CAB website http://www.nscab.org.uk/coronavirus/

 

CHRONIC DISEASE MONITORING  - Due to Covid we previously had to suspend routine chronic disease monitoring invites to ensure we were not putting our patients at any unnecessary risk. We have now started to resume invites, however we are prioritising conditions that may put patients at a higher risk of serious illness from Covid. Apologies if your invite is delayed.

 

TRAVEL CLINICS - We are not currently running a travel clinic. If you need travel services at this time, please contact a dedicated travel medicine provider.  

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