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November 2016 Flu Clinics All of our ‘drop-in’ flu clinics have now finished – if you have not yet had your flu vaccination please make an appointment with the nurse. The flu vaccine is available to all adults over the age of 65 and those aged 6 months or older with the following conditions: chronic (long-term) respiratory disease, such as severe asthma, COPD or bronchitis chronic heart disease, such as heart failure chronic kidney disease (chronic renal failure) chronic liver disease chronic neurological disease, such as Parkinson's disease or motor neurone disease, stroke, trans-ischaemic attack (TIA), MS or hereditary and degenerative disease of the central nervous system diabetes a weakened immune system due to disease (such as HIV/AIDS) or treatment (such as cancer treatment), have no spleen or whose spleen does not work properly Pregnant Women those in contact with people who may be at risk of developing serious complications from flu people living in long stay residential care homes carers healthcare professionals Children Nasal Flu Vaccine Letters have been sent out to parents of children that are in the catchment groups to have the childrens nasal flu vaccine. Please contact the surgery to make an appointment with the nurse. New Appointment System If you have contacted the surgery in the last month you will have noticed that our appointment system has changed. Whereas before we used to have a ‘Duty doctor’ system that came into action if all our appointments for a particular day had been taken but you felt that your problem/question could not wait until the next available appointment the ‘Duty doctor’ would call you back, this system has now stopped. The reason the change has been necessary is that the number of calls the doctor was having to make was becoming a concern for both the doctors and the patients with sometimes up to 150 calls to make it might have been that you would not get a call back until late in the evening, which is not a good service to offer you as patients or safe practice for a doctor that has been making telephone calls since 8am in the morning. We still have pre-bookable appointments that are available with the doctors 14 days, 2 days and now also 1 day in advance. If you call and feel that you need to see a doctor on the same day because you have become unwell we now offer a ‘Drop-In’ Clinic, which means you are told to come down straight away, your name will be added to the Drop-In clinic list and you will be seen in the order which you arrive, we cannot give you a time that you will be seen as it depends on how long each patient is in but the sooner you come down the fewer there will be before you. If you would like some telephone advice or a continuation fit note we have increased the number of telephone consultation slots for each GP and they will telephone you the next day they have a clinic, the receptionist will tell you which day this is. Staffing As mentioned in the October Newsletter, we are under-going some changes within the practice. We are currently trying to recruit new GPs to the practice and whilst we are waiting to fill the vacant positions we are employing some Locum staff. Dr Ian Ferrer joined the practice working Tuesdays and Wednesdays on 4th October 2106. Dr Lucy Etukakpan will be returning to the practice to help by working Mondays, Wednesdays, Thursdays and Fridays from November 2016. Mr Khaled is an Advanced Practitioner (AP) who has been working in the practice since the beginning of September consulting patients in the same way that a GP does. He is not be able to treat pregnant ladies, ladies with ‘lady problems’, or babies under 6 months but can consult children over 6 months and adults for acute conditions or to help with on-going problems and prescribe or refer to other services where necessary in the same way as a GP. We also now have 2 GP Registrars. In addition to Dr Hina working on Tuesdays, Wednesday mornings and Fridays we now have Dr Saunders working in the practice on Mondays and Tuesdays. Our Clinical Pharmacist, Mr Waqas Ahmed will be able to help you with your medication reviews, any queries that you had about your medication and will also work closely with the GPs regarding your conditions and medications. Dr Steve Stanley-Smith will be leaving the practice as he retires on 14th January 2017, we will all miss him but wish him well for the future and in his retirement. Car Parking Just a quick reminder that whilst you are attending the surgery you can park next door at the old Derby Engineers Club, there is a large car park that extends round the back of the building. The surgery car park can get quite busy so please make use of this extra facility that is available to you. Repeat Prescriptions Please remember to order your repeat prescriptions in plenty of time, ideally when you have at least 7 to 10 days of tablets left. This is to allow enough time without running out of tablets should the doctor need to see you about your medications before issuing them. Also only order the items you need not your complete repeat list if you have enough medication still at home. If a pharmacy orders your medication for you please let them know if there are items you do not need. Always read your repeat medication slip, if we need to see you we will put a message on the slip. If your pharmacist keeps your repeat medication slip check your bag label when you receive your medication to see if there is a message on it about seeing the doctor before any more prescriptions will be issued to avoid any delays in receiving your next lot of medication. Fit Notes (used to be called sick notes) If you need a fit note because you have been off work for more than 7 days and we have previously seen you because of the illness you are requesting the note for, it might be that you do not need to see the doctor again. You might be able to get a further fit note by talking to the same doctor again over the telephone, this will not be dealt with as an urgent request as fit notes can be backdated but cannot be issued in advance. If the doctor that previously saw you and/or issued your last fit note is not in that day a message will be left for them to contact you the next day they are in surgery. If they are on annual leave then another doctor will call you. Telephone System As you will be aware if you have contacted the surgery since 7 th September our new telephone system is up and running. You now have several options when you call: Option 1 Appointments Option 2 Test Results Option 3 Prescription queries Option 4 Medical Reports Option 5 Referrals Option 6 Care Co-ordinator Or hold to speak to reception Once you have selected one of the options above you will be told where you are in the queue so that you can make a decision to either continue to hold or call back at a less busy time. Any suggestions or feedback, good or bad would be appreciated. Patient Group Meeting The next scheduled meeting is on Wednesday 11th January 2017, this will be an afternoon meeting starting at 3:00pm, in the main reception area. All patients are welcome to attend and minutes of the meeting will be posted on our website for those unable to attend www.osmastonsurgery.co.uk Please let us know if there are any topics you wish us to cover in our newsletter, you can send suggestions via our website or a good old fashioned letter addressed to Suzanne Rigbye, Practice Manager. The Surgery will be CLOSED on the following dates/times: Wednesday Monday Tuesday Monday 16th November 2016 26th December 2016 27th December 2016 2nd January 2017 2:00pm – 3:30pm All day All day All day Staff Training Bank Holiday Bank Holiday Bank Holiday