STOP PRESS! COVID-19 UPDATE - Elliott Hall Medical Centre
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STOP PRESS! COVID-19 UPDATE SATURDAY 21st MARCH 2020 As we are all aware, we are currently in unprecedented times within the NHS, and the changes that have taken place at EHMC over the past 1-2 weeks have been significant, but we thank all of our incredible staff and patients for supporting us during this challenging time. There are a few updates below that we would like to make you aware of, but please keep an eye on our website www.ehmc.co.uk - in particular the FAQ document that is being updated as regularly as possible. There are also links to the government websites specifically around advice to the public on what coronavirus is and how to look after yourself and your families. 1. If you are unwell with a continuous cough, fever, shortness of breath, flu-like symptoms, loss of smell or taste, please stay at home and self-isolate from the rest of your household for a minimum of 7 days. Your household will need to stay at home for 14 days. If you feel you are becoming more unwell contact 111 via https://111.nhs.uk/covid-19/ or by calling 111. Please do not ask the GP for a sick note if you are unwell or self-isolating. You can self-certify for 7 days, or if you require longer please see https://111.nhs.uk/isolation-note 2. It is important more than ever to look after our vulnerable friends and relatives. Please make sure if you are aware of someone self-isolating that you offer your services where you can. If you would like to volunteer to help some of our vulnerable patients, please email ehmc.pa@nhs.net 3. We have had a significant number of prescription requests over the past week, at a level more than double what we usually receive. Please DO NOT OVER-REQUEST your medications, as these requests for early or extra amounts of medication cannot be authorised. The NHS has been advised to manage prescriptions as usual. Please remember to nominate a pharmacy for electronic prescribing to prevent you from having to pick up a script from the medical centre. You can register for online access via the NHS app - which allows you to request these medications online. Future requests should ideally be done electronically to reduce unnecessary contacts. Please also be aware that the pharmacies have been overwhelmed and are finding it difficult to home-deliver, so please, wherever possible, arrange your own collections from the chemist. 4. To prevent unnecessary face to face contact, we have converted all of our regular routine face to face appointments with a doctor into telephone consultations. 1
Whilst you have an appointment time please be aware the call could be any time in the morning between 8.30-12pm and afternoon 2-6pm. Please ensure we have up-to-date details for you - in particular mobile telephone numbers. Our telephone system is working at full capacity so if you are expecting a call back it may be from a withheld number. 5. We will only bring patients into the surgery where it is medically required to do so for an examination. Please be aware, if you are unwell and have been asked to come in for an examination due to concerns about COVID-19, you will be asked to wait in your car before being called by a clinician to come in. Please DON’T walk into the medical centre if you are suspected of having the virus. For your and our staff’s safety we have taken the decision to lock our front door - this means that to enter the surgery you will need to speak to Reception on the intercom. 6. We are currently still doing blood tests and nurse appointments face to face - but this may change in coming weeks. Please do not attend your appointment if you are unwell but call ahead to cancel. 7. As per CCG recommendations - be aware that moving forward, non- urgent referrals may not be processed. Previous referrals, as we are sure you understand, may be postponed due to hospital staff being deployed elsewhere. As far as we are aware, cancer referrals are being processed as normal under the “two week wait”. Routine operations are also being postponed. 8. There are plans in the next week that there will be local medical centres used as COVID HUBs - this means that potential COVID-19 patients will be sent there for assessment rather than to EHMC. Please be aware that you may be directed there for a further assessment after speaking to 111 or a GP at EHMC. This is because they will be better equipped than we are and are there to reduce the pressure on the local hospital A+E departments. The key message is for everyone: AVOID SOCIALISING, STAY at HOME and STAY SAFE If you are in a high-risk group (see FAQs on our website if you aren’t sure), see if someone else can get your food shopping for you and avoid any unnecessary social contact. We thank you more than ever for your continued support. A number of our staff are working remotely or may be seconded to help in the COVID HUB or in the local hospitals, so please bear with us if we do not respond in our usual timely fashion, but we hope that we can continue to offer you the excellent patient care that we pride ourselves in doing. This information was up-to-date as of 21st March, but please continue to look at our website and at the gov.uk websites for the most recent information. Chris Jenner, Ashok Kelshiker, Carly Szasz and Helen Jenner Partners at EHMC 2
CHAIRMAN’S REPORT W elcome to the April these difficult times. edition of The ElliottEar On a personal level, I have which includes articles volunteered for the P.A. for a long from our Co-Ordinators with the time, wearing a number of different purpose of explaining our services hats, but, after eight years as your to those of you who are, perhaps, Chairman, I have decided to step new to the Medical Centre, and, aside from that role. The time has hopefully, might be interested in come for a fresh outlook, and a new joining our team of volunteers. Chairman will provide this. I have As usual lots of interesting been very proud to chair our P.A. information can be found within the I have met a wonderful group of EE and I hope that you will spare volunteers and made many friends a little time to read it, particularly along the way. The relationship the article about the Primary Care we have with the Medical Centre, Network (PCN) which will impact clinicians and administrators alike, on all of us. Just as we go to press is quite remarkable - we are a team the Coronavirus outbreak has without a doubt, and that is why it occurred and there is information works and we are still here. about how this may affect our I am not going too far, however! I services and those of the Medical have offered to serve as Vice Chair in Centre during this hard time for us order to support our new Chairman. all. Please read them carefully and With many thanks do your part to get us all through Jane Billenness, Chairman Thank You to our Chairman It does not seem possible that it has been eight years since Jane Billenness took over as Chairman of our Patients’ Association. Behind the scenes she has supported the Association in so many ways – advising and helping Co-ordinators, recruiting new volunteers, visiting the Medical Centre to ensure close working and good relations, and then visiting other medical centres and encouraging and supporting them to involve patients. Jane is always present at meetings and functions and has given of her time so generously – she also works, so this role she juggles with her “day job”. Such is Jane’s commitment to the Patients’ Association that she has even offered to stay on as Vice Chairman to support the new Chairman. On behalf of the patients and staff at the Medical Centre: THANK YOU, JANE! Dr Chris Jenner 3
The impact of the Coronavirus outbreak on the Patients’ Association activities and services It is with regret that I have to announce that the EHMCPA Annual General Meeting will not now take place in May as had been planned. At that meeting the Committee were going to propose the following people to serve as Officers of the Association: Jacqui Martin Chairman Jane Billenness Vice Chairman Michelle Davis Treasurer Kate Deed Secretary If you have any other nominations for these positions they must be proposed and seconded by members of the Patients’ Association and sent in writing to me c/o the EHMC by 4 May 2020. In the meantime, those currently nominated by the Committee will serve as Officers until a formal ratification can take place, hopefully later this year. It has also been agreed that it would be prudent to postpone our annual Fish and Chip Quiz supper. As far as our services are concerned we will endeavour to keep them going as best we can. All the Co-ordinators are working hard in order to achieve this. It may mean that we have to change the way we do things, at least for the time being, for example, fewer face to face meetings and more use of the telephone. It will, of course, affect each service in different ways. Whilst we are concerned about maintaining the health of our service users we must also acknowledge the concerns of our brilliant band of volunteers. Jane Billenness, Chairman Patients’ Association Contacts Chairman Miss Jane Billenness 020 8428 3739 Vice-Chairman Mr Tony Berry 020 8428 5112 Treasurer Mrs Michelle Davis 020 8428 3957 Secretary Mrs Kate Deed Co-ordinators for Services Bereavement Visiting Scheme Mrs Jacqui Martin 020 8863 1386 Carers’ Support Group (vacancy) Home Visiting Mrs May Chin 07941738838 Shopping Mrs Pat Ball 020 8428 3251 Social and Fund-raising Mrs Tricia Baron 020 8428 2846 Tea Parties Mrs Tova Salomon 020 8428 4063 Transport Mr David & Mrs Pat James 020 8428 1711 The ElliottEar Editor Miss Lesley Walmsley 020 8428 7954 Advertising Manager Mrs Jacqui Manning 020 8421 0978 Business Manager Mr Tony Berry 020 8428 5112 Distribution Managers Messrs James & Ken Brown 020 8428 7669 Member at Large Mr Arthur Peacop 020 8428 6533 Elliott Hall Medical Centre, 165-167 Uxbridge Road, Hatch End, HA5 4EA 020 8428 4019 The ElliottEar is designed by Laura Phelan and printed by The Print Shop, Pinner Green 4
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VOLUNTEERS NEEDED Please can you help? If you can help with any of our volunteer groups please call us on the numbers shown below or contact Jane (Chairman) on 020 8428 3739 BEREAVEMENT SOCIAL AND VISITING SERVICE FUND-RAISING Aim: To help those who are finding it hard to Aim: To arrange social events to raise funds to cope with bereavement. enable the PA to pay running costs, including Contact: Jacqui Martin 020 8863 1386 insurance for volunteers and a contribution towards the production costs of The ElliottEar. Contact: Trisha Baron 020 8428 2846 TRANSPORT SERVICE TEA PARTIES Aim: To provide transport to the Medical Centre and local hospitals (not Northwick Park) Needed: Drivers Aim: An opportunity for small groups to meet Contact: David and Pat James 020 8428 1711 up for tea and a chat. Needed: Drivers Contact: Tova Salomon 020 8428 4063 SHOPPING SERVICE THE ELLIOTEAR Aim: To provide shopping facilities for the housebound. Needed: Shoppers Aim: To deliver The ElliotEar Newsletter twice Contact: Pat Ball 020 8428 3251 yearly to every patient household. Needed: Deliverers Contact: James Brown 020 8428 7669 HOME VISITING SERVICE CARERS’ SUPPORT GROUP Aim: To provide visitors for housebound and isolated patients, and to give respite to carers. Needed: Visitors Aim: To provide help and information for carers Contact: May Chin 07941 738838 through monthly meetings and individual visits. Needed: Companions (male and female) to sit with a loved one while a carer goes to Group. Contact: ehmc.pa@nhs.net GAMES GROUP Aim: To help people play board games together Needed: Leader Contact: ehmc.pa@nhs.net 6
W ith this copy of The ElliottEar is for people working with children you will have found a or vulnerable adults in a regulated document about the work activity. The Police Act 1997 of the Patients’ Association and the (Criminal Records) Regulations 2002 different groups run by volunteers to defines a volunteer as “any individual support EHMC. engaged in an activity which involves Why be a Volunteer? The joy of spending time, unpaid (except for providing support for others is that you travel and other approved out of can see the improvements in the lives pocket expenses), doing something of patients who need assistance. As which aims to benefit some third there are different groups you select the party and not a close relative.” area which you feel most comfortable • The process explained. The supporting. And you don’t need to be organisation provides the volunteer volunteering every week – just a few with an application form, which hours every month. must be returned with several forms What makes you a good of identification, such as a driving Volunteer? If you like having a good licence or passport. The DBS will chat, enjoy the company of others, can be then issue a certificate to the applicant flexible as to timing and can be reliable to provide them with the result in attending, then being a volunteer of the check. can work for you. If you have retired • Please do not be afraid of you would make an ideal volunteer – having a DBS check. It is not volunteering can fill some of your free that you are not trusted – it is to hours while providing a wonderful gift to ensure that you and EHMC are the people you are helping. meeting Government requirements. DBS Police Check. Due to So will you help? If you are Image courtesy of Freepik Government requirements relating interested in being a volunteer please to volunteering you will have to complete and return the form satisfactorily complete a DBS Police enclosed with this Newsletter, Check, the cost of which will be met or email your details to: by the P.A. ehmc.pa@nhs.net. We will get back to • Why should I? This requirement you as soon as possible. 7
Thank you to all our volunteers We have over 160 people who help support the Patients’ Association and no matter how large or small your contribution we at the practice would like to thank you. Together you design and commission this very newsletter, usually over 30 pages in size. You deliver over 4,000 copies to EVERY household where our patients reside, and arrange enough advertising space to almost cover the costs. James, our delivery co-ordinator, is always looking for more deliverers so please email us on ehmc.pa@nhs.net if you would like to help share the load and deliver to roads in our locality. Lesley, our Editor, is also looking for help with the editorial work, so again if you have an interest (experience would be a luxury) then get in touch. You can read about the other volunteers elsewhere and we are also open to suggestions of new ways we can work more closely with our patients, so let us know your thoughts. We would also like to thank those patients who help us with our teaching. This can involve attending medical student teaching, helping us to inspire and motivate the next generation of doctors, or those of you who help with our weekend teaching when we run a course for experienced doctors (mainly GPs and consultants) who are wanting to improve their skills in understanding more about the complex medical needs of older people. The feedback from our participants is very positive and most go on to pass their postgraduate examination - the Diploma in Geriatric Medicine - which allows them to further their careers in this direction. None of this would be possible without the support of patients, some of whom are not necessarily in the best of health. Thank you to all our volunteers - you are amazing! Dr Chris Jenner Image courtesy of Freepik 8
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CO-ORDINATORS’ REPORTS BEREAVEMENT VISITING SCHEME The Bereavement Team comprises a attend have the opportunity to meet and group of EHMC patients who have have companionship from others who trained to work as Visitors to support have also been bereaved. other patients who need help following If you feel you could benefit from meeting a bereavement. We are not counsellors a Visitor on a one-to-one basis or would but we can offer you a person to talk to, like to attend the Friendship Group please support while you may be finding things ask your GP to refer you. difficult and help in looking forward. Jacqui Martin, The Team also runs the Friendship Group Bereavement Team Co-ordinator which meets once a month. Those who CARERS’ SUPPORT GROUP For many years the Carers’ Group, co-ordinated by Beryl Peacop, has provided amazing support to EHMC patients who work as carers to family members. The Group has met regularly once a month and allows carers to meet up with others in the same situation and to provide support and companionship to each other. Regrettably Beryl has stepped down after many years’ service and this group is now not functioning, which is a huge loss to the carers. We are looking to recruit another Co-ordinator to run it. This voluntary role would ideally suit someone who has experience in the social care/nursing field. If you think you might be interested in volunteering for this role but would like more information please email ehmc.pa@nhs.net and we will arrange to tell you all about it. HOME VISITING I would like to begin by thanking my team of volunteers for giving the gift of time. Most of the patients referred to the Home Visiting Service are elderly, live alone and do not often have the opportunity to socialise with others. If you have an hour or two to spare weekly and would like to volunteer or find out more about the Home Visiting Service please don’t hesitate to ring me. May Chin, 07941 738838 GAMES GROUP As part of the Patients’ Association drive Rummikub and a Book Club – to find more volunteers and to further and others can be included. improve what we can offer, we would If you would like to run the Group or like to develop the Games Group, and would like more information about what with this in mind we are looking for would be involved, please either complete a volunteer to run the Group. Some and return the document inserted in examples of activities which patients The ElliottEar or email ehmc.pa@nhs.net have expressed an interest in are: Bridge, continues on page 12... 10
ADVERTISEMENTS Carlton House Proprietors: Residential Care Home for the Elderly Registered with Farrington Care London Borough Homes Ltd. A happy and caring home of Harrow • Passenger Lifts • Bath Hoist • Showers • Visitors and inspection prior to admission welcome by appointment The Avenue, Hatch End, Middlesex HA5 4EP. Tel: 020 8428 4316 Jemma Klein-Besser BSc (Hons) McPod Chiropodist/Podiatrist Member of the Health and Care Professions Council Monday & Thursday afternoon Clinics at The Elliot Hall Medical Centre Home visits are available for immobile patients For an appointment Tel: 0208 203 3078 Mobile number: 07818 438 552 You can have a look at our Website for more information on services provided at: www.jemsfootcare.co.uk ARE YOU OR YOUR BUSINESS MISSING OUT? Your advertisement could be in The ElliotEar – published in April and October. If you’d like to advertise please call Jackie Manning 020 8421 0978 or email jacqui.manning@yahoo.co.uk (Monday–Friday, 9–5) 11
continued from page 10... SHOPPING SERVICE This service is for those patients who your help would really be appreciated by cannot shop for themselves and have someone who is tied to the house. We no family to do so, and we are always stronger people may sometimes consider looking for volunteers able to help. This shopping a chore, but if you can’t get out can mean either doing the shopping for to do it it becomes almost a luxury. patients yourself or sometimes taking Please contact me if you can help. them shopping if they are fit enough to go. Pat Ball, If you have any time to spare and would Shopping Co-ordinator be willing to join the shopping service 020 8428 3251 SOCIAL AND FUND-RAISING I am Co-ordinator of the Social and and also to provide extra equipment at Fund-Raising Group and have a small the surgery as needed, such as home team of local helpers. We organise blood pressure monitors, extra seating in two social events during the year for the the waiting rooms, etc., things which the benefit of patients. NHS would not otherwise provide. The first one, in May, is the Fish and Chip Tricia Baron, Quiz supper. This is very much a social Social & Fund-raising Co-ordinator event (with a reasonable charge) and a bit 020 8428 2846 of fund-raising as we hold a raffle too. The second is in November/early December when we have a Christmas Coffee Morning, which is very popular. We have gift, book and cake stalls, and also serve light refreshments, including mince pies. There is also a very good raffle, with a Christmas hamper and bottles of wine, amongst other things. All funds raised are used to cover expenses incurred in running PA services, TEA PARTIES Good company, a social chat and a lovely private homes on a Saturday afternoon. tea along with warm hospitality, hosted However, we would now like to increase by volunteers for patients who are less the number of parties, perhaps holding mobile or who live alone. There is no some during the week as well as at charge to participants and transport the weekend. If you would be willing is provided by volunteers, also free of to give up a couple of hours once a charge. This sums up our Tea Parties, month to open your home, and provide which have been running successfully for refreshments, to some of our patients over 10 years. who are looking for company we would Currently the Tea Parties are held in be delighted. 12
We are also looking for volunteers to If this is something that is of interest drive for the Tea Parties – even once or to you and you would like to know twice a year – to pick up a patient and more about what is involved, please drop off. It would take an hour out of contact me and I would be delighted to your time and you would be giving a chat or meet up. patient some quality time to meet and Tova Salomon , Tea Parties socialise with others. Co-ordinator 020 8428 4063 THE ELLIOTTEAR DELIVERY TEAM Our purpose is to deliver a copy of The reasons the surgery provides addresses ElliottEar to all addresses where one or but no names. more Elliott Hall Medical Centre patients As you can imagine, we rely on this small are registered – there are army of volunteer deliverers to enable well over 4,000 addresses the process to work, to be delivered to. Most and we are always in are concentrated in the need of new deliverers. core surgery catchment Some move out of area area and the adjacent and others must retire surrounds, but for as they age, etc. The historical reasons there more dispersed areas are a significant number are normally the most of patients who live time-consuming to further out still, e.g. deliver as the distance Northwood, towards between addresses Rayners Lane and even is greater. We also in Moor Park. sometimes need to The list of addresses has find stand-in deliverers been divided up into 90 as people can go away or so delivery rounds, for several weeks at some concentrated, delivery time. Normal and some on the edge of the catchment holidays are no problem as the target is to with lower numbers but quite dispersed. complete deliveries within a month of the There are a few addresses we must newsletter being printed. post to because they are so far out, and After the newsletters are printed, they are some blocks of flats with keycode entry counted out into the rounds, which can where our team cannot gain access, take a few days. Most deliverers then and this adds to the cost to the Patients’ pick up their bundle from my house, over Association. The lists are updated by me a week or so. We do deliver bundles to a every edition of the newsletter to include few concentrated areas whose deliverers the addresses of new patients or those don’t drive. who move within the catchment, or to James Brown – ElliottEar Newsletter delete the addresses of those who have Delivery Co-ordinator left the surgery. For data protection 020 8428 7669 continues on page 14... 13
continued from page 13... EXERCISE GROUP Very many of us could benefit from doing Church in Rowlands Avenue, 10.15 – a bit of exercise but can’t find a group that 11.30, ending with refreshments and a really suits us. The PA runs a group for chance to chat with other people and those who are getting older or who are make new friends. being encouraged to do some exercise If you would like to come please contact following an illness or condition that has the Patients’ Association on slowed us down a bit. ehmc.pa@nhs.net or Lesley Walmsley on The group is run by a trained lesleymwalmsley@gmail.com physiotherapist and takes place every tel. 8428 7954 - or just come along. Thursday morning at Hatch End Baptist TRANSPORT Our Transport Service continues to help patients unable to get to the surgery or hospitals for appointments on their own. This is due to the wonderful band of volunteers, both at the surgery and the drivers. To them all we send our grateful thanks and the thanks of all the patients involved. Anyone who has recently retired and possibly has a few hours to spare would be very welcome to join our team of volunteers. To help new patients, and to remind all others, we give below details of the operation of the Service. Patients are reminded that to be eligible to use it they must have prior approval from a doctor. Pat and David James, Transport Co-ordinators , 020 8428 1711 DETAILS OF THE OPERATION OF THE TRANSPORT SERVICE l ELIGIBILITY be dealt with on 020 8428 1711 by Patients must have prior approval David & Pat James. Drivers do not of a doctor and be mobile from take bookings. house to car. No wheelchairs can be accommodated. l STATUTORY DONATION of £5 return journey to hospitals l BOOKINGS (excluding Northwick Park) and Volunteers are available at the local clinics, and £2 return journey Medical Centre (020 8428 4019) to Medical Centre. Money to be to take bookings on Tuesday (Rita) given to the driver. and Friday (Marcia) 10.00 a.m. – 12 l ANYONE NEEDING noon. Emergency ASSISTANCE AT THE HOSPITAL appointments will should take an escort with them. 14
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Thank You Beryl and Arthur O n Saturday 30th November the prosper. It became clear to Beryl that Association held its annual Carers needed more support and a voice Coffee Morning. Thank you to locally, so she set up the Carers’ Group all those who donated so generously and which has been meeting monthly at her those who braved the elements to join house for over 20 years. Beryl then also us. It was once again a successful event joined the Bereavement Visiting team. raising over £600 to support Association Beryl, as we know, is one half of “Team activities. Peacop” so it was only natural that Those who were there will also know Arthur would also join the fold. Indeed, that I hijacked the fun on behalf of the it was Arthur who was instrumental in Medical Centre and the patients to say helping us get planning permission for a huge thank you to Beryl and Arthur the Medical Centre, which before 1993 Peacop. As a token of our gratitude operated out of two rooms in the ground from the Medical Centre we presented floor of a house at 118 Uxbridge Road, them with an engraved Glass opposite our current Medical Pyramid in recognition of “Even at the Centre. Arthur later on their achievements over more Coffee Morning helped us design and build our than 26 years. Beryl was selling lift, and together with Beryl Beryl and Arthur have raffle tickets and masterminded the “Lift Fund”. supported the Patients’ Arthur was our So many generous patients ‘bouncer’. ” contributed, and our patients Association from its inception, now enjoy this wonderful and even at the Coffee facility which the NHS would Morning Beryl was selling raffle tickets not otherwise fund. and Arthur was our “bouncer”. Even in the last few years Beryl stepped I remember well nearly 30 years ago up as Vice Chairman to help support our being introduced to Beryl by Dr current Chairman, Jane. Beryl always Elizabeth James when we first discussed leads from the front and would not ask the possibility of setting up a patient anyone to do something that she would group. At the time Beryl was a Guide not do. Commissioner and active locally supporting her voluntary work. Beryl Beryl’s magic has touched all of us offered us her support in becoming our involved in the Association over the last leader and from that day to now has 26 years and we wish both her and Arthur been instrumental in helping to set up a happy retirement. Huge shoes to fill! the Association and ensuring its stability. I also know Beryl will continue to support As our first Chairman for seven years it our activities and keep in touch. was under her leadership that the very Thank you both so much services we have today still continue to Dr Chris Jenner 16
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Thank you from a patient W ell, here we are almost forty Commission report which has awarded years on as patients at EHMC! the practice “Outstanding” in every single During our time with the category and “Outstanding” overall. The practice, we have seen it evolve from a comparison facility with other practices small one based in a converted house also makes interesting reading. on Uxbridge Road, to the streamlined Whenever I am in the surgery, I modern building and multifacility notice the number of patients’ missed practice it is today. In those days there appointments. Of course there are were two doctors, and on arrival patients genuine emergencies, but these may not wrote their name on a piece of paper represent entirely the reason for around at the small reception desk and the 160 missed appointments each month. receptionist pulled out their notes and I appreciate the NHS was set up on the they were seen in order of arrival. principle of being free at point of use, but The practice has been revolutionised that doesn’t mean ab-use. by the use of state-of-the-art medical We are privileged to have a high level of software, and now operates an online medical expertise within the practice, appointments system which also includes with many of the medical staff having access to test results and the specialist areas of knowledge facility to order medications. “The CQC and interest. Over a period For those of us who enjoy the has awarded of years, as well as providing odd foray with Dr Google(!), the practice clinical advice, our doctors it’s worth remembering that ‘Outstanding’ have become trusted when you look at your online in every single confidantes. results, a doctor will have category.” The reception and admin team marked them as normal or you have an enormous amount will have been contacted with anything of paperwork to deal with behind the that has been flagged for follow-up. scenes, and are never less than kind Even with a change of building and a and courteous to older patients or those massive increase in patients there has who are experiencing difficulty. The always been consistency in the level of Patients’ Association has been remarkably care provided. On the odd occasion successful and is used as a model for when there is an absolute emergency and other NHS practices. you may have a longer wait than usual, we We have seen many changes in Hatch all try to appreciate that we are not that End, the loss of many local shops, the patient who is awaiting the ambulance. advent of chain cafes, the loss of the The numerous accolades to the whole library, to name but a few. team and the various NHS awards can be We are fortunate to live within walking read on the website and elsewhere on the distance of the practice which continues internet. Perhaps the best measure of to grow from strength to strength. EHMC is the Care Quality A grateful patient 18
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PRIMARY CARE NETWORKS It has been just over six months since physiotherapists may also join surgeries, Primary Care Networks were launched and patients may have the opportunity to as part of a new NHS Long Term plan. be seen by them in preference to a GP for This article is to update you on what’s musculoskeletal problems. happened and what the future may hold. Thirdly, it is clear that NHS spending isn’t always directed at where there is the most need or impact. A lot is talked about Elliott Hall Medical Centre is part of prevention, but relatively little of the NHS Sphere Primary Care Network (PCN) budget is spent on keeping people healthy. consisting of 6 surgeries including Those that allocate resources (Clinical GP Direct, Hatch End Medical Centre, Commissioning Groups - CCGs) can Northwick Surgery, St Peter’s Medical work with PCNs and other organisations Centre and Streatfield Health Centre. like Social Services, community nursing, mental health trusts and hospitals to match resources to where they will have Sphere PCN is one of 5 PCNs in Harrow the biggest impact. Historically, although which range in size from 30,000 patients hospitals may have 10% of patient to over 80,000. Sphere has over 60,000 contacts they use 90% of the healthcare patients. budget, which is not a sustainable model. It is worth remembering the background Sphere PCN has made a good start, with to the formation of PCNs. The drivers the different surgeries meeting regularly were many and included recognition of and outlining a vision for healthcare of three main things. providing “holistic care in a digital age”. Firstly, with an ageing population, A PCN pharmacist has been employed many of whom now live with long-term and from April more will be working conditions, the old model of splitting in the practices. Regular meetings are care between GP surgeries, community happening with the CCG and there services and hospitals isn’t ideal any more. is more say in how services may be The PCN model will in time allow these reconfigured to benefit patients. The different parts of the system to be brought PCN has piloted its first service with a together under one umbrella to create a Stop Smoking pilot being run by St Peter’s better experience for patients. Medical Centre. Secondly, GPs and nurses are under more Connecting with patients has been pressure than ever, with many choosing highlighted as a priority, and by the time to leave the profession. Recruitment is this is printed, connections will have been therefore a challenge and the thinking established with the patient groups in the was to introduce into GP surgeries new different surgeries. roles with complementary skillsets. In Lastly, it is recognised that this is a many parts of the country practice journey on which PCN has embarked pharmacists are now routinely members but that it will only succeed in delivering of the GP surgery team, seeing patients a better healthcare experience with the for medication reviews or asthma and input of professionals and patients alike. diabetes checks. Over the next year Dr Ashok Kelshiker 20
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APPOINTMENTS AT HUBS SMS Text Reminders When EHMC is full to capacity, as part of Harrow we are lucky enough to be able to If we have your mobile phone book patients directly into Access Centres details and consent, the practice for appointments. These centres offer may contact you to remind you 1,100 appointments a week - that’s 60,000 about upcoming appointments, as appointments a year! well as to inform you of test results There are two Access Centres within our area: or with other information relating to your health. Please note that Alexandra Avenue Health and it is not possible for us to read or Social Care Centre - respond to any replies you send. Tel. 020 8427 2470 Occasionally the message may 275 Alexandra Avenue direct you to respond with a specific Harrow, HA2 9DX word which will update your The Belmont Health Centre - medical record (e.g. CANCEL if you Tel. 020 8866 4100 option 1 wish to cancel an appointment). 516 Kenton Lane Please note that replying with Harrow, HA3 7LT anything other than the word requested Harrow Clinical Commissioning Group have may lead to your invested money into this service to enable message not patients to have an appointment with a GP working. when their own surgeries are full to capacity. Thank you. As well as normal daytime appointments Laura Knight, they also offer evening and weekend ones. Deputy Practice After a consultation they email details of it Manager & IT Lead to Elliott Hall so that we can action any follow-ups required. These appointments can only be booked through a patient’s GP surgery, or through 111 when the surgery is closed. In order Did you know? to cancel an appointment once it has been made patients need to phone the Access We are now able to Centres on the numbers above. The Access Centres are unable to do referrals accept card payments unless it is an urgent cancer referral. at the surgery. Please leave plenty of time to find parking as patients who arrive late may not be seen. We have recently There is also a walk-in service set up a card reader open 8am-8pm 7 days a week, including bank holidays, at: available at the front desk to accept payment Pinn Medical Centre 37 Love Lane for any private work Pinner, HA5 3EE. that we do. Marie Jolly, Practice Manager 22 A
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Cervical Screening (Smear Tests) The NHS Cervical Screening procedure is usually done in less than Programme has made a significant 10 minutes and, if normal, will only impact on cervical cancer mortality need to be repeated every 3-5 years. since it was established in 1988, The sample collected will be tested saving an estimated 5,000 lives a year. for high risk strains of a virus called Cervical screening (a smear test) is Human Papillomavirus (HPV). to check the health of your cervix, High risk strains of HPV are known the opening to your womb from to cause changes to the cells in the your vagina. The screening allows cervix and these changed cells can early cellular changes to be detected go on to transform into cancer. If and gives women the opportunity to the sample is negative for HPV it seek treatment before these changes will not be further analysed. If the have the chance to turn into cervical sample is positive for HPV, the smear cancer. At the age of 25, all sample will be assessed to women in the UK will decide whether you need be invited to attend for follow-up in a specialist cervical screening. If clinic for further tests/ you are under 25 and treatment or to be concerned regarding recalled for a repeat any symptoms you smear in a year’s time. may be experiencing If any abnormalities and feel you may are detected, it does need a smear test, NOT always mean you please discuss this with a have cervical cancer. It may doctor, as smear tests taken in mean that you require further anyone under the age of 25 will not specialist tests and possible treatment be processed as part of the national of any abnormal cells to prevent screening programme. these from turning into cervical During the test, a speculum (plastic cancer. The results of your screening tool used for internal exams) are usually posted to you within 2 is inserted into the vagina and weeks of your procedure. allows the clinician to visualise the Our nurses perform cervical cervix. Lubrication is applied to screening regularly and are happy to the speculum to avoid discomfort on discuss any concerns or queries you insertion into the vagina. Once the may have regarding the screening cervix is seen, a small brush is used process. to collect some cells from it, a process To book in for your cervical which is not usually painful. The screening please call 020 8428 4019. Dr Ujali Patel 24
ADVERTISEMENTS HAY FEVER TREATMENT GUIDE Hay fever is caused by the body’s defences over-reacting to pollen released into the air by plants. The pollen causes the release of a substance called Histamine from cells in the skin. Histamine stimulates the allergic reaction that causes many of the symptoms such as sneezing, sore and runny eyes, blocked nose and ears, sinus pain and tickly throat or itchy palate. Different pollens are present at different times of the spring and summer, so when you are affected depends upon pollen is the ideal solution – but not Images courtesy of Freepik which pollen you are allergic to. Muggy always practical. A simple “treatment weather and poor air quality can also tree” is shown on page 28 to help you aggravate the situation. deal with your hay fever effectively – so So, what’s the most effective way that you can concentrate on enjoying to treat hay fever? Staying away from your summer. continues on page 26... 25
continued from page 25... How to help yourself There are several things you can do to Hay fever avoid contact with pollen and so lessen treatment guide symptoms: • High 5! Stay inside with doors and A full range of effective medication for windows closed when pollen counts hay fever is available over the counter are at their highest – between 5 and 7 from pharmacies. p.m, and 7 – 9 a.m. • Sleep soundly Keep windows There are 4 types of hay fever product: closed when you’re in bed at night. • Oral antihistamines It may also help to wash your hair if • Nasal preparations you’ve been outside, as pollen could • Oral decongestants be trapped in your hair. • Eye preparations • Summer-clean! Keep pollen and dust out of your home by vacuuming If you only suffer some symptoms and and damp-dusting regularly. When you prefer a specific product, check you get home after a walk in the the “Treatment Tree” to find the country, change your clothes and product which suits you best. brush your pets – they could be carrying pollen too! Ask your pharmacist for the • Shady days Always wear close- most suitable treatment fitting sunglasses when you go Some hay fever products are not outside. suitable if you’re taking certain other • Confirm the Count Pollen counts medicines, and some shouldn’t be are usually broadcast with the taken by children or pregnant women. weather, or be prepared by checking If at all unsure, ask your www.allergyadvice.co.uk for a 4-day pharmacist for advice. Some older forecast antihistamine treatments may cause • No-go areas Try to avoid areas of drowsiness, but newer ones are high pollen count, such as gardens, unlikely to. If you drive or operate parks and woodland (especially if the machinery, ask your pharmacist for the grass has just been cut). If you need most suitable treatment for you. to work in those areas a mask and goggles may help. Oral antihistamines • Fuming Try to avoid unnecessary Antihistamines are generally effective irritants such as pollution and fumes. in controlling the typical symptoms of hay fever: sneezing, runny nose, For more info on watery eyes, itching nose and throat. hay fever visit They are more effective if taken before www.chic.org.uk the symptoms occur rather than after they have started. Image courtesy of Freepik Treatment choices: • Benadryl Allergy Relief Capsules 26
or One a Day tablets Oral decongestants • Clarityn Allergy Tablets and Syrup If you’re congested, you may prefer • Histergan Syrup a tablet to a nasal spray. These can • Piriteze Tablets be used for longer periods than nasal • Piriton Allergy Tablets and Syrup decongestants. • Zirtek Allergy Tablets Treatment choices: • Contac Nasal preparations • Sudafed These are suitable if you only suffer nasal symptoms. Most can be used Eye preparations throughout the hay fever season. Ask Most eye symptoms caused by your pharmacist for advice. hay fever will be controlled by oral Anti-inflammatory and antihistamines. If your eyes are antihistamine sprays particularly troublesome or if your hay These work by suppressing or blocking fever symptoms only occur in the eyes, the allergic response and reducing you may find it helps to use some eye the inflammation and swelling that drops. These preparations contain can be caused by hay fever. For best antihistamine or anti-inflammatory results start using before the hay fever ingredients. season begins, as they take about 3 Antihistamines days to begin working. You should use Treatment choices: these products throughout the season • Aller-eze Eye Drops even if your symptoms seem to have • Livostin Direct Eyedrops disappeared. Anti-inflammatories Treatment choices: Treatment choices: • Beconase Hayfever Spray • Clarityn Allergy Eyedrops • Care Hayfever Relief Nasal Spray • Opticrom Allergy Eyedrops • Flixonase Allergy Nasal Spray • Optrex Allergy Eyedrops • Livostin Direct Nasal Spray Antihistamine and decongestant Nasal Decongestants Treatment choices: These can help relieve a blocked • Otrivine-Antisin eye-drops nose, but they can cause “rebound If you wear contacts always check with congestion” and should not be used for your pharmacist or optometrist before more than about a week at a time. using eye drops. You should see your Inhalants GP if any of the following applies to you: Products containing natural essential You are experiencing oils such as eucalyptus, mint and • Wheezing menthol can be inhaled to ease a stuffy • Breathlessness nose. • Tightness in the chest Treatment choices: • You are pregnant • Happinose • You are breastfeeding • Olbas Oil 27
HAY FEVER TREATMENT TREE Have you got the main symptoms of hay fever – sneezing, runny nose, blocked nose, itchy nose and throat, watering eyes? YES Refer to the Treatment Guide for a list of antihistamine products that will help relieve your symptoms. Ask your pharmacist for advice if you’re still not sure of the best way to treat your hay fever this summer. Oral antihistamines will treat most symptoms of hay fever. If you suffer badly with any of the symptoms below use the treatments in the boxes as well as or instead of an antihistamine. Blocked Blocked Tickly Throat Sore Eyes Sinus Pain Nose Ears /itchy palate Use an Use a simple antihistamine or analgesic and anti-inflammatory Take an oral Use an oral or nasal spray, antihistamine antihistamine or topical nasal plus an oral or and try anti-inflammatory decongestant topical nasal sucking throat eye drops (maximum 1 week) decongestant lozenges with the advice of (maximum 1 week) your pharmacist if necessary Are your hay fever symptoms controlled after 1 week? YES NO Continue to use treatment(s) See your GP or Practice Nurse throughout the hay fever season This fact sheet has been produced by CHIC (Consumer Health Information Centre), an information service to help you understand and treat every-day healthcare problems. www.chic.org.uk 28
FAILING TO ATTEND APPOINTMENTS When patients fail to show up times to see a GP. to an appointment - or do not It is not just appointments at the attend (DNA) - it can be hugely surgery which are missed but often frustrating for a number of reasons. patients fail to attend specialist Appointments which are booked and appointments. All too often we not cancelled mean those who wish read about the increasing waiting to see a clinician have to wait longer times for specialist appointments, to be seen. and this waiting time is not helped If you have an appointment but feel by the number of individuals failing you cannot attend please cancel it at to attend an appointment. NHS the earliest opportunity. This allows England report almost eight million someone else to use this hospital appointments were appointment instead of “In December missed, or “did not attend”, you. Appointments can be alone 166 in 2017/18, and that does cancelled online (via patient missed not include appointments access) or by telephone appointments cancelled in advance (020 8428 4019). amount to a by either the hospital We send a text reminder loss of £4,980 or the patient. With 24 hours before an to the NHS.” each hospital outpatient appointment to patients appointment costing the whose mobile numbers we have on NHS approximately £120, that could file. If you do not get this reminder mean almost £1 billion worth of this may mean that we don’t have the missed appointments, equivalent to correct contact details for you, 257,000 hip replacements or 990,000 so please check with Reception cataract operations. or the clinician. If you do not attend an appointment In December alone 166 at the surgery, a text message will be appointments at the surgery were sent informing you that you have not attended, which amounts to a not attended the appointment and loss of £4,980 to the NHS. In reminding you to cancel ahead of the entire year of 2019, 2,013 time in future. If you repeatedly appointments were not attended fail to attend appointments at at Elliott Hall Medical Centre. the surgery, we will write to This is approximately you to highlight this and £60,390 of wasted will formally discuss your Image courtesy of Freepik resources that could be case at a practice meeting used to fund another to decide on further action clinician in the practice and which may be taken. significantly reduce waiting Dr Ujali Patel 29
MMR – The latest update Whilst 95% of all children in our outbreaks in universities every few practice are vaccinated there is a years, we are seeing a significant small number of children who have number of cases, the highest not been protected from Measles, quarterly figure since 2009. Mumps and Rubella, conditions that “Coupled with the continued are currently on the increase. measles outbreaks these figures Measles is associated with brain clearly demonstrate the need for damage because of a complication sustained high vaccination rates.” called subacute sclerosing pan We’re urging parents and their encephalitis and measles children, no matter how pneumonia. Mumps is old they are, to check commonly associated that they’ve had 2 doses in boys and girls of MMR. Measles is with later infertility easy to catch and can because the ovaries kill. Vaccines are there and testicles can be to stop the spread of affected. In England, disease and to save lives. 301 new measles infections It’s never too late to protect were confirmed in the yourself and others! period between April and June Nearly half of the mumps cases this 2019 compared to 231 in the first quarter were in vaccinated people. quarter of that year. Cases were While the mumps component of reported in all regions except the the Measles, Mumps and Rubella North East, most cases (266) being (MMR) vaccine is highly effective in unvaccinated individuals aged 15 at protecting young children, years and over. immunity can reduce over time. Continuing the increase seen Therefore, older teenagers and between January and March, 2,028 adults who received two doses of cases of mumps were also confirmed MMR in childhood can still get in the second quarter of 2019, this mumps, although this is generally increase mostly driven by outbreaks mild compared to those who are in university students. Cases unvaccinated. were reported across England, One new case of rubella predominantly in young adults re-infection in a pregnant woman aged 15 to 34 years. was also reported. Dr Mary Ramsay, Head of Please ensure your child has had Immunisation at Public Health 2 doses of MMR (1st dose 1year, 2nd England (PHE), said: dose pre-school). “Although it is normal to see mumps Sister Helen Jenner 30
Pneumonia vaccine There is currently a nationwide shortage of this vaccine as there has been a growing demand and also manufacturing constraints. These problems have led to an interruption in the supply from the drug company to all NHS GP surgeries, and our supplier has told us it will be not available until April at the earliest. Be assured that we will keep you updated on our surgery screens and our website. Nurse Ruth Godfrey Pre-Diabetes P re-diabetes is a condition the development of type 2 diabetes. where your blood sugar level Research has shown that 3 out of (or HbA1c) is raised. The 5 cases of type 2 diabetes can be raised sugar level is not quite high prevented in this way. enough to be diagnosed as diabetes, There are 2 real areas which can but is high enough for there to be an really be beneficial to work on if increased risk of developing it. We you have pre-diabetes. The first is routinely look at HbA1c levels as part exercise – the NHS recommends of health checks and annual reviews 150 minutes of moderate intensity Images courtesy of Freepik at Elliott Hall Medical Centre. exercise every week. This may Pre-diabetes is an important sound a lot, but works out at just condition to be aware about, over 20 minutes each day of the as with early interventions and week! Being more active doesn’t lifestyle changes we can prevent always mean going to the gym – 31
little everyday things like walking to RUN, ELLIOT the train station instead of driving, or taking the stairs instead of the lift, can HALL, RUN! all add up to help reach your target! In June 2019 Elliott Hall Medical The second area to focus on is diet Centre joined the Royal College and lifestyle. Reducing alcohol intake of General Practitioners (RCGP) can help with weight loss as alcoholic Parkrun initiative to encourage us drinks contain lots of calories and to prescribe “active lifestyles” to sugar. Stopping smoking can make our patients. getting active easier and improve Parkruns are 5km running (or exercise tolerance, walking) events that take place “The Diabetes which in turn can every Saturday morning at over UK website help with pre- 1,400 locations all over the has lots of diabetes. Eating world. They are free to enter good meal a well-rounded, and organised by volunteers. plans and Mediterranean The concept, launched in the exercise advice.” diet and reducing UK over 15 years ago, now has the amount of over 5 million registered runners carbohydrates (bread, pasta, rice) can worldwide. be extremely beneficial in preventing diabetes. The Diabetes UK website has lots of good resources including meal plans and exercise advice. If you are overweight, just a 5% loss in weight can significantly reduce your risk of developing type 2 diabetes! There are lots of ways the practice can help with losing weight and pre-diabetes. If you are diagnosed with pre-diabetes we can refer you to the National Diabetes Prevention Programme, which has lots of useful information and ways to improve health. Next time you are seeing your doctor or nurse ask us for some more information on pre- diabetes! You can also join our monthly Parkrun – see right for more details! Dr Sanjay Joshi 32
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