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Your Medicines, Your NHS

Did you know every year in mid Essex an estimated £2 million of unused medicines are wasted?

In March 2019 the Mid Essex Clinical Commissioning Group launched a new campaign around reducing the amount of local medicine waste.

This waste means that people living in mid Essex do not benefit from additional services or treatments that this money could have been better spent on. The £2 million wasted on medicines each year could pay for 566 new hips, 139 more breast cancer drug treatment courses for or 61 more community nurses.

When patients receive medicines that are not intended for them or that have been discontinued, there is also a safety risk in that the medicine may be inadvertently taken by somebody else or taken by the patient without realising it is no longer required. So reducing the wastage of medicines benefits patients from a safety perspective as well as a cost perspective.

That’s why they have launched a campaign called ‘Your Medicines, Your NHS’ to make the public aware of all the big costs involved in prescriptions.

In the first phase of the campaign patients are being encouraged to open their prescription bag in the pharmacy and see if they still need all items in the bag, and if not to hand surplus items back to pharmacy staff before leaving. (If you notice you have surplus after you have left the pharmacy it cannot be returned for use by anyone else, even if it hasn’t been opened.) Patients can reorder the surplus items next time if they still need them.

Paula Wilkinson, Chief Pharmacist for Mid Essex CCG, said: “We are encouraging everyone to reduce medicines wastage. Things can change between putting in your request for repeat medicines and when you collect them and although you are taking your medicines as prescribed stocks may build up. So play your part – ‘Open the Bag’ and hand back any medicines that you do not need.

“The public can get involved by making a pledge to support the campaign or by sending out social media messages with relevant hashtags.’

The official hashtag is #YourMedicinesYourNHS – if you would like to support this campaign please tweet @MidEssexCCG using the official hashtag

 

PLEASE NOTE THE SURGERY IS NOW ACCEPTING NEW PATIENT REGISTRATIONS IN THE IMMEDIATE COGGESHALL AREA.  

SEE OUR NEW ONLINE APPOINTMENT BOOKING SERVICE

 
NB appropriate bookings with doctors include
Illness
Suspected illness
Follow up to previous appointment/lab results
Medication review.
 
Appropriate bookings with nurse:
Smears
Childhood/baby immunisations.
Pill check
Dressings, removal of sutures
Ear syringe
Suspected urinary infection
Travel immunisation
Chronic disease management
 
Minor surgery, coil removal or insertion CANNOT be booked online
 
If you need medical help outside surgery hours please ring 01376 561242 and you will be given the out of hours number for NHS 111 which is 111.  For real emergencies use Accident and Emergency.
Please try and use NHS services wisely, thank you.
 
 
STOP SMOKING CAMPAIGN - Provide the community service provider are working with the practice and will be contacting patients in regard to stop smoking.  If you need any help with stopping smoking Castle Pharmacy in Coggeshall also have their own advisors.
 

Appointment Policy

Appointments Policy

The policy includes the following.

 

  • Reception opening hours, surgery times and extended hours sessions.
  • Care navigation.
  • Types of appointment available e.g. urgent, advance, on the day. Appointment booking methods (telephone and online).
  • Who to see.
  • Requesting home visits and the circumstances when they are provided.
  • How to cancel an appointment and text messaging.
  • Responding to DNAs.
  • Medical help outside practice hours.

 

 

Reception Opening Hours ouHours

Monday

08.00 – 18.30

 

Tuesday

08.00 – 18.30

 

Wednesday

08.00 – 18.30

 

Thursday

08.00 – 18.30

 

Friday

08.00 – 13.00  

14.00 – 18.30

Saturday

Closed

 

Sunday

Closed

 

 

Surgery Times

 

Monday

09.00 – 12.00

14.30 – 18.00

Tuesday

09.00 – 12.00

14.30 – 18.00

Wednesday

09.00 – 12.00

14.30 – 18.00

Thursday

09.00 – 12.00

14.30 – 18.00

Friday

09.00 – 12.00

14.30 – 18.00

Saturday

Closed

 

Sunday

Closed

 

 

Care Navigation

Our reception team operate as care navigators and are trained to direct patients to the most appropriate source of help either in or outside the surgery. In order to do this the doctors have requested staff to ask relevant questions to make sure they are booking patients to see the right person. Care navigation is a national project and will form part of the CQC’s assessment framework. It is our policy that children under the age of 16 will only be navigated to services within the surgery.

 

Types of Appointment and Appointment Booking Method

GP appointment sessions are added to the computer system 3 months in advance at any point in time to ensure pre-bookable availability. All routine appointments are 10 minute slots. The practice offers routine pre-bookable appointments up to 3 months ahead, bookable ‘on the day appointments’ and ‘urgent’ appointments.

 

All released pre-bookable slots are available to patients by telephone; internet booking (over 16 years old) using EMIS Patient Access (GP appointments only) or the NHS App (from 1 July 2019); or to those who present at reception. Telephone lines open at 8am and the reception opens at 8.30 am. Appointment times are spread across the session to provide a choice of time for patients.

 

If all pre-bookable slots have been taken due to high demand and a GP requires one to follow-up a patient, the GP will offer the patient a follow-up appointment during the consultation and release an ‘Embargoed’ slot at their discretion.

 

We allow patients to see the GP of their choice, unless there is one particular clinician with a specific skill (e.g. minor surgery, coil fittings). We encourage continuity of care. Sometimes patients need longer than 10 minutes and are able to book a double appointment. Where a patient has complex needs, a GP will sometimes highlight on their medical record an alert that double appointments should be offered as standard.

 

Bookable ‘on the day’ appointments are released in two phases.  Appointments for same day morning surgeries are released from 8 am. At 1.30pm appointments for the same afternoon/evening are released.

 

Telephone

The Practice is committed to answering the telephone as quickly as possible and within six rings. If the telephone lines are busy, patients will automatically hear a comfort message advising them to call back. Patients are advised that telephone calls may be recorded and our telephone system has this option which can be selected by the call handler. All patients should be advised in advance if their telephone call is to be recorded.

 

‘Urgent’ Appointments

We are not commissioned as an emergency service and do not provide the range of diagnostic and emergency care available at A&E and urgent care centres.

 

The ‘Urgent Telephone Call Handling Protocol’ has been adapted to summarise a number of potentially life threatening conditions that the receptionist can refer to in order to know when to either call an emergency 999 ambulance, when to seek urgent advice from the doctors or when it might be suitable to advise the patient to attend the surgery for immediate assessment. Please see the Urgent Telephone Call Handling Protocol

 

Those patients requiring an ‘urgent’ appointment and no routine slots are available, will be asked to come to the surgery as soon as possible as they will be fitted in during the course of the clinical session. Urgent appointments are shared equally amongst the GPs who are consulting but we aim to direct you towards the GP who best knows you. There is no ‘specific duty doctor’. Patients will be informed on booking that they have an ‘urgent’ slot which is for their 'urgent' presenting problem only and may be required to sit and wait until the clinician/doctor becomes available.

 

Routine matters cannot be dealt with in an urgent slot and patients will need to book a routine appointment with their usual doctor.

 

Who to See

GPs

Nurse Practitioner

Practice Nurse

Healthcare assistant

Prescriber

 

 

 

Acute Care

Illnesses

Injuries

 

 

 

 

 

Routine Care

Complex needs patients

Dermatology

Neurology

Rheumatology

Learning disabilities

Mental health

Ante and post natal checks

Child development

 

Preventative Care

Contraception procedures: coil, implant insertion and removals

Minor Surgery inc joint injections.

End of life care

Home visits

Can prescribe to a limited formulary

 

 

Acute Care

Minor illnesses, infections and ailments and injuries

 

 

 

 

Routine Care

Stable complex needs patients

Routine home visits   for frail elderly

Supplementary prescriber to an agreed care plan

 

Acute Care

Minor infections, minor injury and minor ailments including children Wound care

 

 

Routine Care

Review of specific, chronic disease: diabetes, heart disease, asthma, COPD

 

Preventative Care

Child and adult Immunisations

Travel vaccines

Smears

Sexual health

Contraceptive advice, pill checks, Depo injections

Hormone injections including Zoladex, Prostrap etc

Antenatal care booking in admin

 

 

 

Routine Care

Phlebotomy

Spirometry

Health checks

Ear syringe

injections – B12 (under supervision)and flu jabs

BP routine check

Hypertension review – blood test and BP check

ECGs

Removal of staples

Assistant at minor surgery, cryotherapy, joint injections, contraceptive implants and coils

 



 
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