To use the above service you will need to register for Patient Access.

All medication requests for patient’s registered with Tyntesfield Medical Group are processed by the Prescribing Hub based at Brockway Medical Centre. The Prescribing Hub is staffed by a team of highly trained prescription clerks between 9am and 5pm from Monday to Friday.

The Prescribing Hub can be contacted directly via your normal Surgery telephone number, selecting option ‘4’ for prescriptions. Alternatively, the direct telephone number for the Prescribing Hub is 01275 465119. Please note this number is for prescription queries or problems only, the Prescribing Hub will not routinely accept requests for medication via this telephone number - please see 'How to order Medication' section below for more details on how to request medication.

Enquiries and prescription requests can also be sent via email directly to the Prescribing Hub at tyntesfield.prescribing@nhs.net  Please send one email per patient.

Repeat prescriptions are medications which appear on the right hand side of your prescription which your Doctor would like you to continue on a regular basis. You are responsible for ordering your regular medication before you run out, this will not be done automatically by the Surgery. Please see ‘How to order medication for further details on how to request prescriptions for medication from the Surgery.

When a medication is newly commenced, it will often be done as an ‘acute’ prescription. If it is to be continued long-term, it will not normally appear on your list of repeat medication until after a review by a Doctor or Nurse or until the Doctor is satisfied that the treatment is appropriate to continue.

There are several ways that medication can be ordered from the Surgery:

Preferred routes for ordering prescriptions  (These ensure there is a clear audit trail and we can turnaround your prescription request in a more timely manner.)

1. NHS App - The quickest and easiest way to get your medication is to sign up to the NHS App.  Available in the App store (Apple or Android). It’s easy to use and you can order medication quickly and see when it has been approved by a GP. For more information and instructions on setting up the NHS App go to nhs.uk/nhsapp.  The NHS App also allows you to obtain an NHS COVID pass, obtain confirmation of the dates of your COVID vaccinations, obtain confirmation of upcoming appointments, some details of your GP health care record such as blood test results, other immunisations and medications. This ensures there is a clear audit trail and we can turnaround your prescription request in a timelier manner.

2. Online via Patient Access – Patient Access is an NHS service which allows you to book appointments and order medication online. You will need to register for this service in person at the Surgery with some photo ID (passport or driving licence).

Other routes for ordering prescriptions

3. Via email directly to the Prescribing Hub at tyntesfield.prescribing@nhs.net – please provide your name, date of birth, address and specify which medication you are requesting and where you would like your prescription to be sent/left for you to collect. Please do not use this method for urgent requests
4. In person at the Surgery – you can either drop in your completed prescription counterfoil (the right-hand side of your prescription) or pick up a prescription ordering slip from the reception desk 
5. Through your nominated Pharmacy – please discuss this with your pharmacy team.  Please note this request can take up to 2 working days to reach us in the prescription hub. 

All  prescriptions requests have to be approved by a Doctor. This can take a little time as the doctors have other tasks to do in the surgery. As a consequence the prescribing hub will require 4 working days to process all prescription requests.

There is currently a nationwide NHS campaign to tackle wasted medicines – details of which can be found on www.medicinewaste.com. It is estimated that as much as £300million is wasted every year on unused or partially used medication. Wasted or unused medicine is a serious and growing problem within the NHS that we can all help tackle.

In order to ensure the careful monitoring of medicines and to help support this campaign, the Practice will only routinely issue medication that is due within the next 10 days. If you need your repeat medication earlier than usual for example, for a holiday, please specify this within your repeat prescription request.  

Prescribing requests for extended trips abroad

 If a person is going to be abroad for more than three months, we are only able to supply a prescription for up to 3 months to enable sufficient medication for you to get to your destination and find an alternative supply of medication.  This is in line with NHS guidance SI04E0048_COVER (legislation.gov.uk)

Patients are responsible for ensuring that any drugs they take into a country confirm to local laws. It is the patient’s responsibility to research the availability of their medications in the country of travel, you can contact the manufacturer (details in the leaflet/PIL) in the box of medication.  Some UK prescription only medicines can be purchased without a prescription from pharmacies in some countries .

At Tyntesfield Medical Group, we will not routinely prescribe Diazepam for patients who wish to use this for a fear of flying

There are a number of reasons why prescribing drugs like Diazepam is not safe or recommended:

• Diazepam is a sedative which means it can make you sleepy and more relaxed. If there was an emergency during the flight this could impair your ability to concentrate, follow instructions, or react to the situation. This could seriously affect your safety and the safety of your fellow passengers.
• The sedative effects of these drugs can affect breathing and cause low oxygen levels which could become a risk with the lower circulating oxygen levels on an aeroplane, especially for patients with breathing problems or when combined with alcohol.
• Sedative drugs can make you fall asleep. However, when you sleep it is an unnatural non-REM sleep. This means your movements during sleep are reduced and this can place you at an increased risk of developing blood clots (DVT). These blood clots are very dangerous and can even prove fatal. This risk further increases if your flight is longer than four hours.
• Although most people find drugs like Diazepam sedating, a small proportion experiences the opposite effect and can become aggressive, confused or agitated. These medicines can also cause disinhibition and make you behave in ways you normally wouldn’t. This could impact on your safety and the safety of your fellow passengers.
• National prescribing guidelines followed by doctors also don’t allow the use of benzodiazepines in cases or phobia like fear of flying. Any doctor prescribing diazepam for a fear of flying would therefore be taking a significant legal risk as this goes against these guidelines.
• Benzodiazepines are only licensed for short-term use in a crisis in generalised anxiety. If this is the problem you suffer with, you should seek proper care and support for your mental health, and it would not be advisable to go on a flight.
• In several countries, diazepam and similar drugs are illegal. They would be confiscated, and you might find yourself in trouble with the police for being in control of an illegal substance.
• Diazepam has a long half-life. This means it stays in your system for a significant time and you may fail random drug testing if you are subjected to such testing as is required in some jobs.

We appreciate a fear of flying is very real and very frightening. A much better approach is to tackle this properly by using self-help resources or considering a Fear of Flying Course, which is run by several airlines.

These courses are far more effective than diazepam, they have none of the undesirable effects and the positive effects of the courses continue after the courses have been completed.

Self-help resources

Self-help - Phobias - NHS (www.nhs.uk)

Fear of Flying Courses

Easy Jet

www.fearlessflyer.easyjet.com

Tel: 0203 8131644

British Airways

http://flyingwithconfidence.com/courses

Tel: 01252 793 250

Virgin Atlantic

https://flyingwithoutfear.co.uk/collections

Tel: 01423 714900 1252250

Boots, 29-30 Somerset Square, Nailsea, BS48 1RQ. 01275 856 855

Day Lewis, 82B High Street, Nailsea, BS48 1AS. 01275 852516

Cohens, 27 Weston Road, Long Ashton, BS41 9AA. 01275 392289

Cohens, 1 West Town Road, Backwell, BS48 3HA. 01275 462386

Towerhouse Pharmacy, Towerhouse Medical Centre, Stock Way South, Nailsea, BS48 2XX. 01275 855109

The Electronic Prescription Service (EPS) is a NHS service that allows us to send your prescriptions directly to any pharmacy of your choice in England. This paper-free prescription service means that you do not have to come into the surgery to collect your prescription. Prescriptions will be sent directly from the Practice to your nominated Pharmacy.  If you are on holiday or working away, we can also send a “one-off” prescription electronically to a different pharmacy in England.

The progress and whereabouts of your prescription can also be tracked by the Practice staff, reducing the risk of missing or lost prescriptions.

EPS is a secure and confidential service. Your electronic prescription will only be seen by the same people that can already see your current paper prescriptions (GP practices, pharmacies and NHS prescription payment and fraud agencies). 

We encourage all patients to register for this free service. If you would like your prescriptions to be sent electronically please contact the Prescribing Hub to inform them of your nominated pharmacy. You can also change your nominated pharmacy at any time by contacting the Prescribing Hub directly.

Unfortunately due to lack of capacity we do not have the capacity to offer this service at the current time.  We are hoping to reinstate this service sometime in the new year.

The NHS currently spends around £136 million a year on prescriptions for medicines that can be bought from a pharmacy or supermarket, such as paracetamol. By reducing the amount it spends on over-the-counter (OTC) medicines, the NHS can give priority to treatments for people with serious conditions, such as cancer, diabetes and mental health problems.

Generally, you will not be able to get a prescription for OTC medicines for a range of minor health conditions. Instead, OTC medicines are available to buy in a pharmacy or supermarket. The team of health professionals at your local pharmacy can offer help and clinical advice to manage minor health concerns. If your symptoms suggest it's more serious, they'll ensure you get the care you need. You can buy OTC medicines for any of these conditions:

Tyntesfield Medical Group will generally no longer provide treatment on prescription for these minor ailments listed above, even if you are entitled to free prescriptions. You may still be prescribed a medicine for a condition on the list if:

• You need treatment for a long-term condition, for example regular pain relief
• You need treatment for more complex forms of minor illnesses, for example migraines that are very bad and where OTC medicines do not work;
• You need an OTC medicine to treat a side effect of a prescription medicine or symptom of another illness, such as constipation when taking certain painkillers;
• The medicine has a licence that does not allow the product to be sold to certain groups of patients. This could include babies, children or women who are pregnant or breastfeeding;
• The person prescribing thinks that a patient cannot treat themselves

 Prescribers will generally no longer prescribe probiotics, some vitamins or minerals. You can get these from eating a healthy, varied and balanced diet, or buy them at your pharmacy or supermarket.

The NHS Community Pharmacist Consultation Service (CPCS) offers patients same day minor illness consultations with a community pharmacist. The NHS developed the service to allow GP surgeries to refer patients with certain minor illnesses to community pharmacy.  Pharmacist are highly trained are highly trained healthcare professionals with 5 years of training and spend a high percentage of their time helping patients with minor illness symptoms.  The pharmacist will deliver convenient, same-day consultations with clinical advice and, where indicated, the purchase of any over-the-counter medicine the patient may need.

This new service can support general practice to ensure patients are seen by the right healthcare professional, in the right place, at the right time and will help make more GP appointments available for those with more complex illnesses. 

How does the service work?

When a patient with minor illness symptoms contacts their GP practice requesting an appointment the care navigator or receptionist will ask them a series of questions using a standard appropriate symptom checklist.  If their symptoms are appropriate, the GP practice can refer them for a consultation with a community pharmacist.  With the patient’s consent, the practice team can send an electronic referral message to the pharmacy the patient has chosen, to support safe follow up and audit.

Following the referral, the pharmacist will contact the patient the same day by phone and either carry out the consultation by telephone, or arrange for the patient to attend the pharmacy, if appropriate. Some patients may be offered a video consultation by the pharmacist.

The pharmacist will take the patient’s clinical history and ask about symptoms and any current medication. Following the consultation, the pharmacist will offer clinical advice and may sell the patient an over the counter product if appropriate and they agree.

Pharmacists are trained to recognise ‘red flag’ symptoms suggestive of more serious illness and after initial triage, where symptoms do suggest something more serious, the pharmacist will help the patient to arrange an urgent GP appointment using the practice’s dedicated professional number or escalate to an urgent care setting such as the emergency department, if needed.

The pharmacist will make a record of the outcome of the consultation and send it to the patient’s GP by secure digital message.

Help with NHS costs

In England, around 90% of prescription items are dispensed free. This includes exemptions from charging for those on low incomes, such as:

• Those on specific benefits or through the NHS Low Income Scheme
• Those who are age exempt
• Those with certain medical conditions
• More information is available at NHS Choices

These charges apply in England only. In Northern Ireland, Scotland and Wales prescriptions are free of charge.

• Prescription (per item): £9.35
• 12-month prepayment certificate (PPC): £108.10
• 3-month PPC: £30.25

If you will have to pay for four or more prescription items in three months or more than 14 items in 12 months, you may find it cheaper to buy a PPC.

• Telephone advice and order line 0845 850 0030
• General Public - Buy or Renew a PPC On-line

There is further information about prescription exemptions and fees on the NHS website