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The surgery has a large volume of telephone calls between 8:00 a.m. & 10:30 a.m., and between 12 noon & 3:30 p.m. Unless your call is for a home visit or an urgent problem please call outside these times. For home visits, please call before 11:00 a.m.


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The people caring for you need access to your health and care record in order to make the best decisions about your diagnosis and treatment. For this to happen more quickly and to improve the care you receive, a new process has been put in place. With your permission, My Care Record will provide health and care professionals directly involved in your care, access to the most up-to-date information about you. To find out more please see under My Care Record in Further Information on the right or go to www.mycarerecord.org.uk.


Friends & FamilyYou can now provide feedback on our services by clicking here to complete the 'Friends and Family Test', or ask at Practice Reception for a feedback form.


Choose the right care for your needs: Remember that Princess Alexandra Hospital’s Emergency Department is for urgent and life-threatening cases only. The A&E department at Princess Alexandra Hospital is NOT the right place to go to if you’re suffering from common ailments, such as coughs, colds, fever or diarrhoea and vomiting.

In most cases when you need medical help fast, but it’s not an emergency, you can get help and advice from professionals before attending A&E. For instance, you should consider visiting your local pharmacy or GP, or calling NHS 111. For general help, health information and advice, visit NHS Choices at http://www.nhs.uk/


Top tips:
Keep a well-stocked medicine cabinet — many ailments can be dealt with at home
Speak to your local pharmacist — they can recognise and resolve many common health issues
Keep active to stay physically and mentally well
Be mindful that sometimes symptoms can last longer than you think — sore throats can last an average of eight days
Don’t forget, antibiotics don’t work on sore throats, coughs or colds


REPEAT PRESCRIPTION / APPOINTMENT BOOKING SERVICE
NB See our notice (above) about our new clinical system
If you have not yet registered for SystmOnline services to order your approved repeat prescriptions and book appointments, please download the registration form (click the following link) Online_Services_Registration_Form.pdf and return the completed form to the surgery in person, bringing your photo ID and proof of address.
OR you can complete the registration form at the surgery (forms are available at the reception desk). Remember to bring your photo ID with you!

Online access to summary information from your medical records.

Did you know that you can now ask your GP to enable you to have online access to your medical records from any computer 24/7 with a personal login?
Initially this will provide a complete list of your medications past and present, and a list of any allergies we have recorded for you; the service will in future be expanded to give full access to your medical history. You should discuss with your GP whether this is appropriate for you. See further information here. To register for our online services (SystmOne) see the section "Online Services" under Quick Links at the right of the Home page.


Named Accountable GP

All patients are allocated a named, accountable GP.

The named accountable GP takes responsibility for the co-ordination of all appropriate services and ensures they are delivered where required (based on the named GP's clinical judgement) but does not take on vicarious responsibility for the work of other doctors or health professionals. 

If you wish to be told the name of your accountable GP, please ask the receptionist when you are next in the surgery. To keep the lines free for patients needing treatment, kindly do not telephone the practice to ask for this information only. 

Having a named GP does not prevent you from seeing any other doctor in the practice, nor does it mean that you will always see your named GP, who will not be available at all times. Patients are entitled to choose to see any GP or nurse in the practice but if your needs are urgent, you may need to discuss them with an alternative doctor or nurse.

 

The NHS COVID-19 Vaccination programme

Key messages – 14 Jan

The NHS was the first in the world to deliver both the Pfizer/BioNTech and Oxford/AstraZeneca vaccines, and has continued to make strong progress.

 Over two and a quarter (2.25) million people have now had a vaccine in England, putting us way ahead of comparable countries, and we are confident that we can fulfil our ambition to offer first doses to everyone in the top priority groups by the middle of February.

 With supplies available increasing we continue to accelerate, and as part of that the first community pharmacies are now opening, providing another option people can choose to get protected alongside a thousand other hospitals and GP-led services now running.

 Many more facilities will follow over the coming days and weeks, providing extra capacity to give people who need it that crucial first dose – which the evidence shows gives you the vast majority of your protection from the virus - as quickly as possible.

 NHS staff are doing an incredible job to deliver what it is the largest vaccination programme in our history, at the same time as continuing to be there for everyone who needs care, but we need the public to play their part too:

  •          please don’t contact the NHS to seek a vaccine,         we  will contact you;

  •                      when we do contact you, please attend your                booked  appointments at exactly the time you’re        asked to, so that we can avoid queues in this cold       weather;

  •          and please continue to follow all the guidance in       place to control the virus  and save lives, even if          you have   already had your vaccine.  

  •            Latest COVID update 14.1.2021

Please don't call us

Who gets the COVID vaccine first?

The vaccines are coming

Information for patients

 All NHS services are under severe pressure at the moment, as we look after increasing numbers of patients who are sick with covid-19 and other seasonal illnesses.

 We are also delivering the huge and vitally important covid-19 vaccination programme.

 So that it can focus on these really important issues, you GP will understandably be prioritising urgent cases.

 This means that when you contact your local practice, they will have an initial conversation with you to understand how urgent your health needs are.

 If you have an issue that is not urgent, you may to wait longer than usual until your problem or concern can be dealt with.

 Do please make sure that you continue to get in touch with us if you need to. This is particularly important if:

  •     your problem is urgent;
  •           you have long term condition that is getting worse
  •           you are worried about symptoms that might indicate cancer

 Please also remember you can call NHS 111 for urgent concerns, and 999 for serious emergencies.

 Your local pharmacist can also help with minor complaints

 For adults with mental health problems including depression and anxiety, you can refer yourself directly to the local wellbeing service, via their website.

 If you’re experiencing a mental health crisis, call this freephone number: 0800 6444 101. 

 We have a childhood illnesses leaflet free to download here, full of advice and information for parents and carers of young children https://hertsvalleysccg.nhs.uk/application/files/1716/0941/0098/Help_your_Child_Stay_Well_This_Winter_FINAL.pdf

 Herts Help has a range of support and information to help people though the lockdown here https://www.hertshelp.net/hertshelp.aspx

 

Thank you very much for helping us all manage under these very difficult circumstances.

 


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We are OPEN, and very busy!

 

We are fully aware of the many stories in the national press about GP surgeries not being open. We also understand that we all want things to go back to how they were before the pandemic, and that  the initial support for the NHS, which was strong at the start of the pandemic, is wearing thin. Please know that we are doing the best that we can for our patients.

 

We cannot comment on what other surgeries are doing – but want to re-assure you that we are OPEN!

 

All GP appointment requests must still be first triaged over the phone, and if you cannot be safely managed over the phone or video consultation, we will arrange for a face to face appointment for you.

Workload 1.4.2020 - 31.12.2020 

Face-to-face Consultations  = 5,461

Telephone Consultations = 7,419

Video Consultations = 718

Home Visits = 120

Urgent cancer referrals  = 359

Multi-Disciplinary Team discussions = 287

Flu Vaccines Given 1,838


Frequently asked questions about COVID


NHS - LATEST INFORMATION AND ADVICE ON CORONAVIRUS (COVID-19)

If you have any of the main symptoms of coronavirus (high temperature, a new continuous cough or a change/loss to your sense of smell or taste):

1. Please do not attend the surgery (contact the surgery by telephone if you require assistance - please note that during this time we are receiving a high number of calls but a member of the Front of House Team will answer your call as soon as possible).

2. Get a test to check if you have coronavirus as soon as possible.

3. Self-isolate and do not have visitors  – only leave your home to have a test.

Anyone you live with, and anyone in your support bubble, must also self-isolate.

Get a free NHS test to check whether you have coronavirus

Which patients will practices need to vaccinate?

 

This is still not fully clear. The Joint Committee on Vaccinations and Immunisations has recommended the following order:

  1. older adults’ resident in a care home and care home workers
  2. all those 80 years of age and over and health and social care workers
  3. all those 75 years of age and over
  4. all those 70 years of age and over
  5. all those 65 years of age and over
  6. high-risk adults under 65 years of age
  7. moderate-risk adults under 65 years of age
  8. all those 60 years of age and over
  9. all those 55 years of age and over
  10. all those 50 years of age and over
  11. rest of the population (priority to be determined) but current vaccines only for those aged 18 and over.

However, this is not confirmed – this will depend on the characteristics of the vaccines being administered. It is unlikely that surgeries will have any control over this part of the programme

 

We will do our best to keep you informed - this programme is bound to be subject to many changes...

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Our doors are open – However you still must follow social distancing rules when coming to see us, therefore please ensure that you do the following;

• We only have limited space for patients to wait socially distanced in our waiting room. Please follow the guidance of our staff. At busy times you may be asked to wait outside, where the clinician will still call you.

• Attend your appointment alone if possible and just before your  appointment time to limit the wait you have at the practice
• Wear a face covering 
• Follow social distancing on the way to and whilst visiting the practice
• Ensure you follow any advice as displayed on posters or advised by our staff
• Use hand sanitiser on entry to the practice – automatic machine available in the entrance
• Try to use the toilet and wash your hands before leaving home – limited toilet facilities available
• Please do not attend if you or any member of your household have any symptoms of Covid-19

We also want to assure you we are doing everything we can to protect our staff during this period. More specifically: 

We have carried out a risk assessment our main actions are to ensure the safety of our staff and patients. Some of the things we have put in place are listed above for changes to patients entering the practice and the service we offer. We have also risk assessed our staff members following latest guidance and advice.

We already had a triage system (patient first) which we are able to continue using to speak to patients before they attend to ensure they do not have symptoms before being seen for treatments and continued care

We will see patients when necessary after triage and we follow guidelines with appropriate PPE

We have adopted video consultations where needed to reduce face to face contact

We follow Government and NHS advice and guidance and keep our staff updated With this - specifically adherence to social distancing, frequent hand washing, hand sanitiser readily available and sneeze screens up in reception.

We ensure that there is regular cleaning of frequently used areas and all staff have refreshed their infection control training

We have  wall mounted hand sanitising stations throughout the Practice to facilitate staff and patients with keeping hands sanitised




EXEMPTION FROM WEARING A MASK IN PUBLIC

We have seen an increasing number of requests for GPs to write a letter  to exempt patients from wearing a mask in public.  Please see below the advice from the Local Medical Committee and note that it is not your GPs responsibility to provide exemption.

Exemption from wearing masks

The Government website clearly states that the public should not be asked to provide written evidence of their exemption from wearing a face covering and has now included templates for badges and cards that the public can download. 

Some people may feel more comfortable showing something that says they do not have to wear a face covering.  This could be in the form of an exemption card, badge or even a home-made sign.

This is a personal choice and is not necessary in law.

Those who have an age, health or disability reason for not wearing a face covering should not be routinely asked to give any written evidence of this. Written evidence includes exemption cards.

This guidance can be found at:

 https://www.gov.uk/government/publications/face-coverings-when-to-wear-one-and-how-to-make-your-own/face-coverings-when-to-wear-one-and-how-to-make-your-own

 https://www.gov.uk/government/publications/face-coverings-when-to-wear-one-and-how-to-make-your-own

 

Thank you


Nuffield House Surgery was recently contacted by the Care Quality Commission (CQC) who were offering an engagement and support telephone call to practices.  Below is a summary of their findings of how we have coped and delivered services during the COVID pandemic. We hope you are as happy with the results as we were.

CQC COVID assessment and engagement call summary



Important information about the coronavirus (COVID-19)

  

You can find the latest information and advice from Public Health England available on NHS Website  or www.gov.uk


List of diseases and conditions considered to be very high risk:

Solid organ transplant recipients

People with specific cancers

People with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer

People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment

People having immunotherapy or other continuing antibody treatments for cancer

People having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors

People who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs

People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD

People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell)

People on immunosuppression therapies sufficient to significantly increase risk of infection

People who are pregnant with significant heart disease, congenital or acquired





Nuffield House Surgery

The surgery is accessible to patients using a wheelchair, and there are disabled toilets on the premises.

Car parking:

Please note that car parking on the premises is available for registered disabled people only (Blue Badge must be displayed).

There is public car parking nearby.


West Essex CCG Shutdown Dates

Below are a list of the dates that the Surgery will be closed at 13:00 as all Clinical Staff have to undertake mandatory training that is held by West Essex CCG.  

 

Thursday 25th February 2021

If you are not sure what you should do when you are feeling unwell, use the FREE NHS Health Help Now website or app to see available local services, get advice or find the best treatment for your symptoms.

Alternatively you can call NHS 111 for urgent health advice 24 hours a day.

In an emergency please call 999. 


Friends & Family

  

Please tell us whether or not you would recommend us to your friends and family by clicking here to rate us (just one quick multiple-choice question).

You can also provide more detailed feedback here (but please do also complete the 'Friends and Family Test').


Registration with Nuffield House Surgery and Usual GP

All patients registering, and who are registered, with Nuffield House Surgery, are allocated a usual GP.

If you wish to know your usual GP, please ask the receptionist.

However, it does not mean the practice will always be able to offer you an appointment to see your usual GP, as GPs are not available every day the practice is open.

Having a usual GP does not prevent you from choosing to see another GP for a pre-bookable appointment, but if your need is urgent you will be offered an appointment with an available GP.

NUFFIELD HOUSE SURGERY POLICY – We do not accept patient requests for change of their usual GP, as patients are able to choose to see another GP for pre-bookable appointments. 


Image result for cqc iconCQC report 12.10.2020

CQC inspection area ratings

(Latest report published on 18 December 2020)

Practices are graded as Outstanding, Good, Requires Improvement, Inadequate or put into Special Measures

The practice has been graded as Requires Improvement in two of 5 areas and Good in three areas.  At our previous visit in November 2019 the practice was put into 'special measures'.  Everyone has worked tirelessly to turn things around.  We skipped the 'inadequate' rating completely which would be the usual progression from special measures.  We have challenged our 'Requires Improvement' rating and provided further evidence to the CQC to support this.  The process can take up to 50 working days.  We will post the outcome here once it's known.

 


We are confident that our website will provide clear and concise help to give our patients the information they require in an easy and convenient format. It has been designed with the patients' needs at the forefront of everything, from checking surgery times to contacting us (please do NOT use this form for medical correspondence / issues / problems; it is only for general comments about the practice or website, and suggestions as to how we can improve our service to you. Medical matters and complaints cannot be dealt with via this form). If you have a query regarding a medical matter, or wish to make a complaint, please telephone Reception on 01279 213101.

(Site updated 22/01/2021)
For appointments and prescriptions please use the Online Services link above. Alternatively, just click here.
 
Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website