We have had many queries from patients regarding Repeat Prescriptions. Please find below communication from Paula Wilkinson chief pharmacist at the CCG to the councillors of Kelvedon and Feering.
Mid Essex CCG is supporting the NHS Digital strategy and encouraging use of electronic ordering by patients themselves whenever possible. Therefore the CCG is not supporting ordering by community pharmacies using paper repeat prescription scripts, which then have to be delivered to GP surgeries for processing. Paper based repeat prescription ordering through community pharmacies not only causes additional work for community pharmacies to deliver the paper repeat prescription slips to the GP surgery, but also causes additional work within the GP practice in processing paper requests. Now that GPs are required by regulations to send all prescriptions electronically to community pharmacies for dispensing, community pharmacies no longer go to GP surgeries to collect paper prescriptions for dispensing. Aside from the additional time receiving paper repeat requests, it also takes longer for GP staff to process paper repeat requests than electronic requests which go directly into GP clinical systems and do not need manually inputting- and hence is safer too. Using electronic ordering also means that patients can order in a more timely manner, since using paper based systems via community pharmacies usually means a patient ordering one or two months in advance of when they need them- as they are asked to order the next supply when they pick up their dispensed prescriptions.
It is for this reason, and with the support of GPs, that the CCG agreed GP practices should stop accepting repeat prescription requests from community pharmacies- whether paper or electronic via pharmacy owned apps. Community pharmacists are asked to encourage patient to order their repeat prescriptions electronically using the NHS app or GP on-line service. Pre-COVID the CCG engaged in a publicity campaign encouraging patients to use the NHS App. The app is directly linked into GP clinical systems and also allows patients to book or cancel GP appointments on-line and, if set up, to view their medical records. In other areas of the CCG, volunteers have been supporting patients to download the NHS Apps onto their phones and use that to order their repeat medication. Although many older people do not have computers many do have a mobile phone and, once set up on the App, it is easy for them to order their own medicines electronically. In the recent Residents newsletter ‘Engage’ https://midessexccg.nhs.uk/get-involved/engage
As part of the response to COVID there is national encouragement for GPs to set up patients on the electronic Repeat Dispensing (eRD) system—which means that for those patients with stable medication a set of up to 12 months of prescriptions can be set up, which sit on the electronic EPS spine and are automatically sent to the patient’s nominated pharmacy for dispensing and avoiding the need for patients to order each time. We have been in contact with the surgery and with Boots in Kelvedon and they have already started working together to identify patients who are suitable for eRDs, and over the course of the next few weeks they will be setting up as many suitable patients as possible on this system. Patients who are on the same regular repeat medication can also request eRDs from their GP surgery.
We recognise that not all patients are able to order their medicines electronically or suitable for setting up on eRDs, and in which case patients can still use a paper repeat slip and post or delivery it themselves to the GP surgery. Some practices have a dedicated phone line for patients to telephone their repeat requests, but this is usually only available for vulnerable patients with prior agreement of the surgery. Such patients should contact the surgery directly themselves to set up any special arrangements. However it is anticipated that there will only be a small number of people where this applies. https://midessexccg.nhs.uk/livewell/your-medicines-your-nhs/reducing-medicines-waste/increasing-erds-and-stopping-managed-repeats
This programme of stopping community pharmacies ordering medication on behalf of patients commenced before Christmas and practices were asked to implement this by end of March 2020. During the pandemic new practices did not commence this programme, but as we are coming out of pandemic practices are resetting. Practices who have implemented this policy of not accepting third party orders have found that this improves the overall system greatly and reduces work for GPs and pharmacies by improving efficiency of the re-ordering process and once set up electronically patients really like the system—no more lost scripts, time spent chasing paper around the system etc. The decision to start this from 1st July was one made by the practice but we are supporting the change in line with the overall plan.
In respect of patients who are worried/concerned please encourage them to speak directly with the practice/community pharmacy to ensure that arrangements are put in place for them to continue to obtain their medication in a timely manner.
Paula Wilkinson FRPharmS
Mid Essex Clinical Commissioning Group
ANTIBODY TEST KITS FOR HOME USE
Some UK providers such as high street pharmacies and private healthcare providers offer COVID-19 antibody testing for members of the public. The test involves taking a fingerprick blood sample. The laboratory tests are CE marked and safe for use on blood drawn from the vein by a healthcare professional, but have not yet been validated by the manufacturer of the test to be used with a fingerpick blood sample.
It’s very important for people at home to be able to understand the reliability of the result and what it means for them. A positive result may not mean a person is immune or if they demonstrate immunity now, or how long this will last.
The Government strongly advises members of the public or organisations who have purchased these tests and received antibody results to continue to follow the Government’s advice whatever the result of the test. The Government is contacting providers of the antibody testing services and the laboratories running these tests to ask them to temporarily stop offering these tests for sale until the regulatory and safety concerns have been resolved.
119 CALL CENTRE
By calling the 119 call centre, members of the public who don’t have online access can book a coronavirus swab test and ask any questions relating to having a test and getting results.
UPDATE TO SHIELDING GUIDANCE
Now that the peak has passed and the prevalence of Covid-19 in the community has reduced, the Secretary of State announced that those advised to shield can take initial steps to safely spend time outdoors. The shielding guidance is now updated to reflect this announcement and will lay out how a shielded person can go outside once a day with members of their household or, for those shielding alone, with one other person from a different household. This is in accordance with evidence that the rate of transmission is much lower outside.
Some important aspects of the guidance will remain the same. Apart from going outside once per day, as outlined above, a shielded person should continue to avoid all non-essential face to face contact. This means they should not go to places like supermarkets or to pharmacies. The support for shielded people remains in place and unchanged.
As with all shielding policy, this is advice and is not mandatory. If a shielded person does not feel comfortable going outside once a day then that is of course up to them.
The Government has also confirmed that it will be reviewing shielding guidance alongside wider changes to social distancing, including plans to write to those on the shielding patients list with information about next steps on shielding after the next review on 15 June 2020.
List of diseases and conditions considered to be high risk:
1. Solid organ transplant recipients
2. People with specific cancers:
• cancer and are having chemotherapy
• lung cancer and are having radical radiotherapy
• cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
• immunotherapy or other continuing antibody treatments for cancer
• other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
•had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs
3. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD.
4. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell).
5. People on immunosuppression therapies sufficient to significantly increase risk of infection.
6. Women who are pregnant with significant heart disease, congenital or acquired.
All patients must call if they require an urgent appointment.
- Do NOT come to the surgery.
- Most appointments will be telephone consultations in the first instance. If you need to be seen you will be invited to attend the Surgery.
- We will try and manage your condition / needs without you having to come to the surgery
Coronavirus Information For The Public
PLEASE DO NOT ENTER THE BUILDING IF YOU HAVE
-a high temperature
-shortness of breath
If you have please stay indoors and avoid close contact with people.
NHS 111 has an online coronavirus service that can tell you if you need medical help and advise you what to do.
The latest information on symptoms of coronovirus infection and areas where recent travel may have resulted in a high risk of exposure can be found on
As online appointments are booked without knowledge of the patients symptoms we have taken the advice of Mid Essex CCG to no longer allow online appointment bookings.
To help prevent the spread please;
- wash your hands with soap and water often – do this for at least 20 seconds
- always wash your hands when you get home or into work
- use hand sanitiser gel if soap and water are not available
- cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
- put used tissues in the bin straight away and wash your hands afterwards
- try to avoid close contact with people who are unwell
Thank you for your co-operation.
We are pleased to announce that Dr Victor Gil-Robles and Dr Ric Pinto-Wright, will be joining the surgery from April 20th on a more regular basis.
Times and Days could change due to holidays and sickness
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|Esther - Nurse||x|| ||x|| || |
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Often the perception is that patients have to be treated by a doctor; however this is not always the case as doctors within your GP surgery are supported by a specialist team of nurses, healthcare assistants, physiotherapists and pharmacists. Find out more here....
Staff Training Half Day Closures
Please note that on the following dates the surgery will be closed from 12.30 pm for staff training. If medical assistance is required during these periods, please contact NHS 111
- Wednesday 29th April 2020
- Thursday 21st May 2020
- Tuesday 30th June 2020
- Wednesday 29th July 2020
- Wednesday 30th September 2020
- Thursday 29th October 2020
- Tuesday 24th November 2020
- Wedneday 16th December 2020
More appointments for GP services in the evenings, at weekends and bank holidays in your area
From 1 August 2018, your local NHS is introducing a wider range of times when most people living in Braintree Town, Chelmsford, Silver End and parts of the Colne Valley can get appointments at a GP practice.
Mid Essex Clinical Commissioning Group (CCG) is pleased to announce the local roll-out of national plans, called Extended Access, for appointments into the evening, at weekends and at bank holidays. Extended Access will allow people who might not be able to get to their GP surgery during normal ‘working hours’ to see nurse practitioners, GPs and healthcare assistants at other times.
The CCG has been working with GPs at Elizabeth Courtauld Surgery in Halstead and North Chelmsford Health Centre in Springfield, Chelmsford, to introduce appointments between at those two locations to patients registered at most practices in Braintree, Chelmsford, and the Colne Valley area from 1 August.
This is the start of a phased launch, with other parts of mid Essex getting Extended Access appointments in the autumn. Due to IT systems that differ from those at the Extended Access centres, people registered at Blandford House in Braintree or, in the Colne Valley, Brimpton House, Hilton House, the Castle Surgery or Coggeshall Surgery will not be able to book Extended Access appointments until 1 October.
From that date, appointments will also be available from two further hubs – Longfield Medical Centre in Maldon and another in the Braintree area currently being finalised. There should be no impact on appointments for patients registered at the practices offering Extended Access appointments due to the planning and extra resourcing for the project.
People wanting an Extended Access appointment book it through their own practice as they would any other appointment. Please note, these are not walk-in appointments – all appointments should be booked in advance, either online or through a person’s own GP practice. Appointment will be with the most appropriate clinician for their condition, which may be a nurse practitioner, paramedic, GP or other healthcare professional and may not be at your usual surgery
Patients can see any of the doctors by making an appointment by telephone, online or in person at reception. Home visits are done by the ‘on-call’ doctor for that day.
As well as the usual services of Practice Nurse, District Nurse, Health Visitor and Midwife, we have a Phlebotomist to take blood samples.
We aim to provide friendly, 'person-centred' medicine, combining the best of old and new ideas. We wish to provide high quality care for all our patients and pride ourselves on the courtesy and efficiency of our staff.
(Site updated 09/07/2020)