News

Covid
23rd Nov

Update on Covid-19 Vaccine

While we don’t expect a COVID-19 vaccine to be widely available until 2021, the Government has asked the NHS to be ready to deliver a vaccination programme for England from December, so that those who need it most will be able to access vaccinations as soon as they are available.

A prioritisation list has been produced in order for the vaccine to be delivered to groups who will need it first. The NHS will contact you when you are eligible to receive the vaccine and provide you with information about location and date.

Given the current requirements for social distancing, and the number of people who need to be vaccinated, you may be asked to attend a vaccination site. This may be your GP surgery or another location, such as another NHS building or designated vaccination site.

physio
12th Oct

Physiotherapy in The Chalfonts Primary Care Network

Musculoskeletal (MSK) health issues are the most common cause of repeat GP appointments and account for around 1 in 5 of all GP appointments. Most of them can be dealt with effectively by a physiotherapist without any need to see the GP.

What is a musculoskeletal first contact physiotherapist?

  • First contact physiotherapists (FCPs) are advanced practitioners working within primary care with extensive expertise in the clinical assessment, diagnosis and management of musculoskeletal (MSK) conditions.
  • FCPs see patients with (suspected or diagnosed) MSK conditions as the first point of contact, instead of a GP, and can be accessed directly by contacting the practice’s reception.

What do FCPs do during appointments?

  • A typical FCP appointment involves assessment, diagnosis and first-line treatment. FCPs can also refer patients for a course of physiotherapy treatment, using the same pathways as GPs.
  • As a person-centred service, most appointments include self-management advice, social prescribing, and discussions about physical activity and fitness for work.

How long are FCP appointments?

  • FCP appointment are longer than typical GP appointments and 20 minute appointments allow for safe and effective consultation.

How can appointments be booked?

As FCP work with the practice, appointments can be made via your practice.

Letter
1st Oct

A Letter from Dr Gurjit Dhesi

Dear Patient

We continue to work hard to adapt to ever-changing guidance, whilst at the same time endeavouring to offer high quality clinical care. There are a couple of organisational issues that I would like to highlight and I would be grateful if you could take these on board when contacting the surgery.

‘Flu vaccines 2020/21: Please understand that every year we place our order for ‘flu vaccines at a very early stage (which is as the supplying pharmaceutical companies require). Orders for deliveries in Autumn 2021 need to be placed BEFORE the end of 2020. Similarly, the deliveries that we are currently receiving were ordered in Winter 2019, well before the current pandemic started. Once ordered, we are given fixed delivery dates, in small batches. We have absolutely no ability to change either the quantities ordered, or the scheduled delivery dates. This year, with the pandemic now in full flow, we are getting an unprecedented demand for ‘flu vaccinations, in common with all GP surgeries (and most community pharmacies), supplies are very tight. I’m afraid that this is not being helped by media statements to the contrary, saying that there are enough supplies for everyone. That may turn out to be the case if and when additional supplies are released but it is certainly not the case right now. I wanted to detail the above as many patients are speaking to our secretaries and expressing their displeasure with the current arrangements. Please be aware that the current situation with the ‘flu vaccination programme is completely beyond their control, and also mine. Please be reassured that we are doing the best that we can in a difficult situation.

Face-to-face Consultations: Another area that is causing disquiet amongst some patients is the fact that we are seeing fewer patients face-to-face. This is indeed true but is in line with all the guidance that we are getting, both at local and national level. This makes things very difficult for us too, and the true situation is not always highlighted in the media. As a practice, we have felt that the best way to implement this guidance is for us to telephone triage all clinical contacts. Please note that we are not delegating this to nurses, or paramedics, or locum doctors, which some surgeries have been compelled to do – all telephone triage is being undertaken by our own GPs or our specially trained, in-house Minor Illness Clinician, Hannah. In the majority of cases, clinical concerns can be efficiently dealt with remotely (including with the use of video consultations or photographs from patients). Where a face-to-face consultation is needed, this is DEFINITELY being arranged and being booked following the telephone triage. Hopefully we can return to a more normal way of working at some point but please understand this whenever contact is made with the surgery. The secretaries are all working within the remit that they have been given. To go further, it has actually been quite upsetting for them when a handful of patients have implied that the surgery is being lazy, or otherwise not working. I can assure you that nothing could be further from the truth and that all clinical and administrative staff are currently working harder and longer than ever pre-pandemic.

I think that’s all for now but, no doubt, I will be back with a fuller newsletter in due course. Take care and all stay safe.

Kind regards

Dr. Gurjit S. Dhesi                                                                               1st October 2020

14th Sep

50-64 Flu Vaccinations

Please note that, if you are aged between 50 and 64 and not in a clinical at risk group, the earliest you will be offered a flu vaccination is November, providing there is sufficient vaccine.  No appointments will be offered for people in this age group until then. This is to ensure that those who are most at risk are vaccinated first.  If you are aged 50 to 64 and are in a clinical ‘at risk’ group which is eligible for the flu vaccination, for example you have a health condition which puts you at risk from the flu, you will be invited earlier. 

Flu
24th Aug

Under 65s Flu Vaccinations

Having had our under 65s flu vaccination deliveries confirmed we are now able to offer appointments to those patients aged under 65 who qualify annually for a flu vaccination, e.g. those patients who live with a chronic condition, those who are carers and those who are pregnant. These clinics are available to book online for Saturday 3rd October and Friday 16th October.
As per government guidelines the extra 50-64 year old cohort that has been introduced this year will not be vaccinated until late October/early November.
We understand that many of our patients may be feeling anxious about the thought of coming down to the surgery for their flu jabs due to the pandemic. Below we have outlined the way that flu clinics for those aged under 65 will work this year to allow us to vaccinate as many people as possible in the safest way.

How will Under 65s flu clinics work this year?

  • Flu clinics for the under 65s will work on a 'walk-in-and-wait' service. You will arrive to the surgery at your given appointment time (please try not to arrive early or late) and join the queue outside the surgery - the same way as when you queue to get into a shop.
  • The queue will be socially distanced and there will be staff wardens available to provide assistance where needed.
  • The clinicians working will all be taking patients in from the same queue and therefore, very simply, you will wait in the queue until you are at the front; when you are called in by a clinician you will be vaccinated and then asked to leave through the surgery's outside door.

What extra precautions will The Allan Practice be taking to protect patients during flu clinic?

  • All staff members working within the proximity of patients during clinic will be wearing PPE. Admin staff and wardens will be in face masks / face shields whilst clinicians will be in face masks, gloves, aprons and maybe a face shield too.
  • You may notice that flu clinic isn't as fast paced as you're used to, this is because our clinic has been designed to have the bear minimum of patients in the surgery at any one time.
  • Each clinician will be thoroughly cleaning their rooms at each necessary point. 

What can I as a patient do to help?

  • All patients will be required to wear a face covering in to surgery as per government guidance. 
  • Please arrive on time for your appointment. Due to the structure of clinics this year we do not have the capacity for patients to arrive early for their appointments. Arriving early or late for your appointment may result in delays or being asked to rebook for a different clinic.
  • Please do not bring anyone into the building with you unless they are also receiving a flu vaccine.
  • When you arrive for your appointment, please leave all coats, outer clothing layers, bags etc. in your car. This is to help limit the chances of Covid-19 being bought into the surgery.
Flu
13th Aug

Flu Vaccinations 2020

With the ongoing Covid-19 situation we are aware that many of you are very keen to get your flu jab as early as possible this year. We are pleased to annouce that our first over 65 weekend flu clinic is now available for patients to book in to. The clinic will be held at Calcot Medical Centre on Saturday 12th and Sunday 13th September. Appointments for this clinic are now available to book online or through your doctor's secretary. 

We understand that many of our patients may be feeling anxious about the thought of coming down to the surgery for their flu jabs due to the pandemic. Below we have outlined the way that flu clinics will run this year, they will look very different, but will keep all patients and staff safe and allow us to vaccinate as many people as possible in that first weekend.

Of course we will be holding more clinics after this first weekend but to hit the ground running we'll be booking up this weekend first.

So, how exactly will weekend flu clinics work this year?

  • When you arrive you will be greeted by a member of staff at the car park entrance and asked to wait in your car until your appointment time.
  • At your appointment time, you can check-in with the member of staff at the front doors of the building. Once checked in you will wait outside the surgery in socially distanced bubbles (there will be chalk bubbles on the ground to show you where to stand) until there is space inside for you to enter.
  • You will be directed by a member of staff to a designated bench where you and any other members of your household will wait until called in by a clinician.
  • When called, you will enter the clinician's room from Reception, receive the vaccination and, if you are able to, leave through the outside door straight into the car park. If this is not possible a member of staff will escort you back through Reception to avoid and crossover with other patients.
  • You are then okay to head off, but if you'd prefer you are welcome to wait for a few minutes in your car before driving home.

What extra precautions will The Allan Practice be taking to protect patients during flu clinic?

  • All staff members working within the proximity of patients during clinic will be wearing PPE. Admin staff and wardens will be in face masks / face shields whilst clinicians will be in face masks, gloves, aprons and maybe a face shield too.
  • You may notice that flu clinic isn't as fast paced as you're used to, this is because our clinic has been designed to have the bear minimum of patients in the surgery at any one time.
  • Between each patient a warden in Reception will be cleaning the benches and each clinician will be thoroughly cleaning their rooms at each necessary point. You may notice that Reception looks very different too, seating will be arranged to be socially distanced and facing away from each other.

What can I as a patient do to help?

  • All patients will be required to wear a face covering in to surgery as per government guidance. 
  • Please arrive on time for your appointment. Due to the structure of clinics this year we do not have the capacity for patients to arrive early for their appointments. Arriving early or late for your appointment may result in delays or being asked to rebook for a different clinic.
  • Please do not bring anyone into the building with you unless they are also receiving a flu vaccine.
  • When you arrive for your appointment, please leave all coats, outer clothing layers, bags etc. in your car. This is to help limit the chances of Covid-19 being bought into the surgery.

Currently we are only booking patients over the age of 65 for their flu jabs. If you have any questions regarding flu, feel free to message our Nursing Team through Online Services. Eligible patients will receive a text message from the surgery when they are able to book an appointment.

Newsletter
10th Aug

August Newsletter from Dr Gurjit Dhesi

Please click the link to the right to read the most recent newsletter from our Senior Partner, Dr Gurjit Dhesi. If you are reading on your phone the link will be at the bottom of the page.

August
27th Jul

Some Changes Coming From 1st August 2020

As the world begins to start becoming a little bit more 'normal' we have started to see our work levels rise exponentially again, therefore from 1st August we will be reverting back to our pre-lockdown system of requesting prescriptions. From 1st August all prescription requests and general admin enquiries from patients will no longer be accepted through our contact email address. All patient contact must come to the surgery through Online Access or through the 'Contact Us' section of our website.

To help with processing your enquiries as quickly as possible, each secretaries' phone line will now be closed one day a week to allow the secretaries a full day of protected admin time. They will still be accessible through Online Access or the 'Contact Us' page on the website, but you will be unable to speak to the secretary on the phone. The days this effects for each doctor are: Monday Dr Bailey's Secretary, Tuesday Dr Dhesi's Secretary, Wednesday Dr Easaw's Secretary, Thursday Dr Hilton's Secretary and Friday Dr Hirani's Secretary.

Thank you for your support during the pandemic.

Survey
16th Jul

GP Patient Survey Results

The results are in and we are proud to annouce that The Allan Practice has rated higher than the average score within Buckinghamshire CCG.

83% of respondents usually get to see or speak to their preferred GP when they would like to.
84% of respondents were offered a choice of appointment when they last tried to make a general practice appointment.
78% of respondents are satisfied with the general practice appointment times available.

We really appreciate patients taking the time to respond to the survey and for the wonderful feedback.