The NHS and Public Health England (PHE) have put in place measures to ensure the safety of all patients and NHS staff whilst ensuring services are available as normal
If you have symptoms that may be related to coronavirus, please DO NOT go to a GP surgery, pharmacy or hospital.
Please do not book a GP appointment or attend your GP Practice if:
You think you might have coronavirus
You have a fever (over 37.8) OR have a new continuous cough.
You must self isolate (including from members of your household who do not need to self isolate) for 14 days
You can self certify for 7 days
You can return to work after 14 days (even if the cough is still present) unless you have a fever or feel worse.
You have been advised by 111/PHE to self isolate due to returning from an area of high risk (see our coronavirus advice for travellers) or have been in close contact with someone with coronavirus
If you become unwell whilst self isolating you must contact 111 for advice (online coronavirus service or call 111 if you need to speak to someone).
For the latest COVID-19 advice please visit www.nhs.uk.
It is an offence to provide false or misleading information intentionally about your risk of exposure to Coronavirus. Call 111 or go online to 111. (Health Protection Coronavirus Regulations 2020)
AT RISK GROUPS & Social Isolation
The NHSE are advising those who are at increased risk of severe illness from coronavirus (COVID-19) to be particularly stringent in following social distancing measures. The full criteria for those at increased risk can be seen in the national government publication. Please click here for more information (risk criteria)
Medical Certificates / Work Absence
Employees are being asked to quarantine themselves due to the Coronavirus Pandemic without presenting any symptoms. Doctors are unable to provide a "sick note" when time is taken off as a precaution of an illness. Please click here for guidance regarding work absence due to coronavirus - "By law, medical evidence is not required for the first 7 days of sickness (i.e. employees can self-certify). After 7 days, it is for the employer to determine what evidence they require, if any, from the employee. To make it easier for people to provide evidence to their employer please download the following:
There is no NHS requirement for your GP to provide letters for time taken off for children at school. Schools & parents should work together should time be taken off without any GP letters.
There has been a concern about the use of non-steroidal anti-inflammatory medications (NSAIDS) in relation to covid-19 following a statement by the French Health Minister (a clinician) advising against the use of Ibuprofen. There appears to be some evidence for SARS 1 that there may be an adverse impact on pneumonia. There is also some literature suggesting NSAIDs may increase complications from simple acute respiratory infections or slow recovery. However the evidence is not conclusive overall. It is therefore suggested that, in the interim, for patients who have confirmed covid-19 or believe they have covid-19 that Paracetamol is used in preference to NSAIDs. Those currently on NSAIDs for other medical reasons (e.g. arthritis) should not stop them.
ACEi or ARB medications
The British Cardiovascular Society together with the British Society for Heart Failure - "'there is no evidence to support this assertion and that both organisations share the view of the European Society of Hypertension and the Renal Association that patients should continue treatment with ACEi and ARB unless specifically advised to stop by their medical team.". For more information please click here
The British Society for Heart Failure supports the Position Statement of the ESC Council on Hypertension that there is no clinical or scientific evidence to suggest that treatment with ACEi or ARB should be discontinued because of Covid-19 infection. Futhermore, we would advise that the risk of ceasing prescribed medication without advice and support from your medical team is likely to cause worsening heart failure and associated risks.
The European Cardiology Society also published a statement on 13 March 2020 advising against stopping treatment.
The European Society of Hypertension also has a similar stance.
Paracetamol OTC Supply
Currently NHSE are assuring us that there are no supply issues with Paracetamol preparations from suppliers i.e. supermarkets, pharmacies, petrol stations etc.
The issue is that customers are purchasing ordinarily higher quantities of Paracetamol than they would normally purchase (or need!) and this higher demand means suppliers cannot catch up, but there is enough Paracetamol in the supply chain. Patients may be overstocking and this should be discouraged.
For the general population, GPs should only consider prescribing paracetamol to patients who require treatment for a long term condition (e.g. regular pain relief for chronic arthritis). For Care Homes patients, this would be an exception.
Paracetamol is used to relieve the symptoms of COVID-19 and not to treat the disease. The majority of the population do not currently have symptoms; therefore in time, the supply chain should help to solve this issue.
The surgery is currently receiving a lot of requests for travel cancellation forms from people who want to cancel their trips due to the risk of contracting coronavirus.
Please Click Here for advice from the Foreign Office regarding travelling to specific areas of the world . Depending on your specific travel insurance policy, most insurance companies will cover cancelled trips to countries to which the Foreign Office advise not to travel. No certificate from your GP is required.
In addition, please be advised that the surgery is unable to provide letters or certificates to travel insurance companies supporting requests for refunds by patients who, without any significant medical illness, cancel their travel plans.