How the Covid-19 will impact the practice
Thank you all for your patience and understanding in these unprecedented times.
In response to new national guidance to delay and mitigate the spread of the Covid-19 virus and protect the vulnerable we will be providing medical advice and assessment by telephone and video consultation wherever possible and safe. Where it is necessary for patients to be seen face to face we will arrange to see them only after a telephone consultation. This is to prevent avoidable transmission of Covid-19 to patients and staff.
the vast majority of GP appointments will be released on the day at present. Please phone on the day you wish to speak to a doctor. Doctors may arrange follow up appointments where appropriate. We hope to continue with some extended hours appointments in due course. Please do not attend the surgery unless you have been told by a doctor it should be face to face. All patients coming into the practice will be asked COVID-19 screening questions. Please do not come if you have a fever / cough within the last 7 days or are a household contact of someone who has these symptoms within the last 14 days.
We will be providing a limited range of nursing services over the next 8-12 weeks and will then review the situation. This decision has been based on guidance from the BMA, NHSE and RCGP.
- Cervical smear screening will be suspended unless considered clinically urgent.
- Travel clinics are suspended till further notice.
- Ear Syringing has been suspended. Please use sodium bicarbonate drops otc or find a high street service.
- Coil and Contraceptive Implant service suspended. We will be offering remote contraception reviews.
- Routine NHS Health checks will be suspended temporarily.
- We will focus on Long Term Condition reviews for high risk patients only.
- Instead we will focus our efforts on childhood immunisations, baby checks, wound dressings and care and injections (B12, Zoladex, depot contraception etc) and immunisations (Flu, pneumococcal, shingles, whooping cough for pregnant women)
Please be mindful of extra administration requests - letters and prescription extensions. We are currently running on minimal staffing levels. Non urgent tasks will not be prioritised. We have currently suspended all private medical work such as insurance reports.
Please do look at the following guidance, which gives comprehensive guidance on when and how to stay at home well and safely if the need arises. Covid-19 is a self limiting illness in the vast majority of people and it is entirely safe to stay at home with the following advice. If you are concerned about any symptoms whilst self-isolating please consultation NHS111 Online first as their telephone lines are very busy and need to be kept open for patients directed by the online service to them.
For the latest government advice on Covid-19 in a range of different languages please visit:
Advice for Parents
Important Advice for Parents
There is new updated NHS guidance for parents on how to manage childhood illnesses safely during the current time. If you are very unsure on how to apply the advice in a given situation you can also call us.
Requesting Medical Certificates 'Fit Notes'
Requests for certification of absence from the workplace relating to covid-19 may fall into five categories:
1. Symptomatic so isolating for seven days Patients can and should self- certify for the first seven days as normal if they are unfit to work. You do not need to contact your GP.
2. Symptomatic and remaining unwell for over seven days - If you remain unwell and unfit to work after seven days, the current advice is to visit www.111.nhs.uk where there is an online self-assessment tool. You do not need to contact your GP for a certificate but you can use the attachment below.
3. Household contact symptoms so isolating for fourteen days as per government advice - GPs can only provide certificates for the purpose of illness, not in relation to government advice regarding self-isolation. Employers are responsible for putting in place arrangements for home/remote working where this is possible. Where it is not, the employee may self-certify and return to work following the relevant absence which their employer may authorise as per government advice.
4. At risk group so following government advice- If you become unwell during or after this time, point 1 and 2 applies. You do not need to contact your GP.
5. Those in full time education who are symptomatic or requiring self-isolation- There is no NHS requirement to issue certification to schools or colleges to confirm absence. These organisations must work with parents and students to ensure that any absence is appropriately recorded, obviating the need for a ‘doctor’s note’. You do not need to contact your GP.
The current Government Guidance for employers and businesses on coronavirus (COVID-19) states;
“By law, medical evidence is not required for the first 7 days of sickness. After 7 days, employers may use their discretion around the need for medical evidence if an employee is staying at home.
We strongly suggest that employers use their discretion around the need for medical evidence for a period of absence where an employee is advised to stay at home either as they are unwell themselves, or live with someone who is, in accordance with the public health advices issued by the government.”
If you require medical certification please use the attachment below as the practice will not provide a medical certificate for patients requiring self-isolation for coronavirus.
Get an Isolation Note
You can use this service if you have to stay at home because of coronavirus and you need a note for your employer
If you have to stay at home but feel well enough to work, ask your employer if you can work from home, if you can work from home, you will not need an isolation note by following the link below
Support for patients and if you are concerned about someone
https://www.helponyourdoorstep.com/ - has useful and up to date advice
THe team at the goodinge can also refer you to the social prescribing team
Age UK are also offering support
- - Guidance & practical support – e.g. debt, housing issues, support for unpaid carers, support to stay active & engaged at home.
- - Connections to emergency help – to access food and other vital supplies
- - Wellbeing calls - to check-in regularly with our clients most in need
Help and Support In these current times
some trusted websites with advice around managing stress & worries:
This video is informative and helpful advice
Some trusted websites with advice around managing stress & worries:
Every Mind Matters: https://www.nhs.uk/oneyou/every-mind-matters/
Good Thinking: https://www.good-thinking.uk/
Anxiety UK also have a free helpline (03444 775 774) and a text message service (07537 416905)
National Domestic Violence Helpline: 0808 2000 247 https://www.nationaldahelpline.org.uk/
NSPCC helpline: 0808 800 5000 If you're worried about a child, even if you're unsure, contact NSPCC professional counsellors for help, advice and support. Childline 0800 1111: Offers free, confidential advice and support for any child 18 years or under, whatever the worry.
MIND: Mental Health Support with specific advice on ‘Coronavirus and your wellbeing’. www.mind.org.uk
YoungMinds: Supporting children and young people and their parents/carers with their mental health and wellbeing. Specific advice on managing self-isolation and anxiety about coronavirus. https://youngminds.org.uk
ICON: Babies cry: You can cope. http://iconcope.org/
SafeLives: Specific resources for domestic abuse and COVID. http://safelives.org.uk/news-views/domesticabuse-and-covid-19
Podcast from British Association for Behavioural and Cognitive Psychotherapies (BABCP)
Headspace are providing some free exercises:https://www.headspace.com/covid-19
NHS Mental Health Apps Library: https://www.nhs.uk/apps-library/category/mental-health/
If experiencing a mental health crisis please click here