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Services on Saturday 23rd and Sunday 24th January between 8am – 8pm

GP services have been setup for Merton patients this weekend (Saturday 23rd & Sunday 24th January 2021) to avoid further pressure on our local Hospitals and London Ambulance Service, as they are extremely busy at the moment.

For patients requiring urgent medical advice over the weekend please call 0333 332 4364 between the hours of 08:00 – 20:00.

If you require urgent advice outside of these hours please call 111.

You could also consider using your local pharmacy for non-urgent health advice.

Please only call 999 if it is a life-threatening emergency.

The Nelson Medical Practice – Update on our current services

Update – January 2021

As you will be aware there are now high levels of coronavirus nationally including in Merton. In these unprecedented times we know that many of our patients will be worried about what this means for their routine and urgent medical care.

Please be assured that the practice is open and we want to encourage you to seek support from the surgery if needed, for any reason. Urgent and emergency hospital and community services continue to operate. However at the time of writing some hospital outpatient or non-urgent services are being provided remotely or capacity is being reduced. This is in order to support re-deployment of staff to critical areas. This may result in some delays with onward referrals and we ask to you to be patient.

In line with national guidance most of our care starts with a telephone call, we can also use video calls and text messaging if these suit you. If we cannot resolve your problem remotely we will invite you for a face to face appointment where we will follow strict infection control measures to keep you safe.

If you are attending the surgery please take careful note of any instructions you have been given. Please wear a face covering, respect social distancing and follow the one-way system. If you are asked to wait outside or in the car please do so. Of course remember to wash or sanitise your hands before entering and on leaving the building.

We are here for you on the phone, on line, by video and in person.

Our whole team are here for you and will stay here for you. If you need us please go online or contact us by phone (see further information on how to access our services below.

Appointments

Like GP practices and hospitals all over the UK, all consultations will initially be carried out remotely via a phone or video call. This helps us manage care in a safe and, we hope, effective manner. If we can resolve any issues via a phone or video call we will, hopefully providing a more convenient and responsive service whilst reducing your risk of infection. However if either you, or we feel you need to be seen in the surgery then we are here for you. The initial phone call often allows tests and investigations to be organised before a face to face consultation, making the most of your time with the doctor.

We hope that this approach provides benefits for our patients by being convenient, and improves safety by making sure that every appointment within the surgery counts, whilst also maintaining the quality of care –ensuring that all those who need to see a doctor face to face can do.

We ask that patients do not come in to the practice to arrange an appointment. Please contact us via telephone on 020 3826 0826, the ‘Get Help Now’ tool on our website or Doctorlink instead. Patients can now also book a routine telephone appointment with a GP via the ‘Patient Access’ app.

We have introduced a new type of appointment called a Planned Care Appointment. These are pre-booked appointments with a specific doctor, at a specified time and can be conducted by phone, video or face to face. Our clinical team or patient care coordinators can book these for review of longstanding conditions or those who most need the continuity of their usual GP.

Our Same Day Team are available from 08:00 – 18:30 Monday – Friday to deal with clinically urgent problems which need addressing that day – this can be accessed in the usual manner by calling 0203 826 0826. We are now using video calls and two-way text messaging (including the sending of pictures) in addition to telephone calls to offer an even more comprehensive service.

We continue to provide Home Visits to those that need them. Please be aware that there is a limited capacity to provide these and we are only able to provide these to people who are housebound and unable to attend the Surgery. If you think you may need home visit then please contact the practice before 11:00 to request a visit.

We have hugely increased our capacity for telephone triage and our phone lines are open 08:00 – 18:30 Monday Friday. If you are unwell outside of these times please contact NHS 111, or use the online symptom checker Doctorlink – the results of this symptom checker are fed back to the practice to arrange appropriate appointments if needed. If it’s an emergency please call 999 or attend the nearest accident and emergency department.

We’ve also expanded the use of our Doctorlink App . Here you can check your symptoms 24 hours a day and if you need to see a doctor you can book a telephone appointment directly through the app.

If you need help from the practice but don’t think you need to speak to a doctor then you can use the ‘contact us’ form on our website. We hope that this is convenient to use, please allow 5 working days for a response from the practice.

Keeping you safe

In order to keep you safe whilst in the building you may notice a few changes, please be reassured that this is to maximise the safety of patients and staff. Once inside, barriers and floor markers will help you to maintain strict 2m social distancing. The waiting areas have also been marked so you know where it is safe to sit. You will need to check in with a receptionist rather than the automatic screens.

Your clinician will be wearing Personal Protective Equipment (PPE). They may also be wearing some very snazzy work clothes (“scrubs”) kindly crafted for us by talented local volunteers! All our non-clinical staff are now wearing face coverings, you will also need to wear a face covering when entering the building.

Infective symptoms and isolation room

If you have symptoms which could possibly be caused by an infection please do not come into the practice without first speaking to a doctor. We have a specific consultation room in which strict infection control and cleaning procedures are maintained. This is separate to the main surgery. This is in order to keep you and other patient’s safe. If you are asked to come to the isolation room by your doctor you will be given a specified time, please then wait outside the building until your doctor calls you. This is in-order to limit your waiting time within the building. Please wear a face covering, walk straight through the building to the surgery reception and avoid touching surfaces. The isolation room is to the left of the surgery reception and is separate from the rest of the surgery. Either your doctor or the receptionist will then show you into the consultation room.

Other services

There are lots of useful links here on our website which might help you to manage your health at home as well as contacts for other NHS and voluntary organisations who can help.

We are working with our local partners to direct patients with suspected Covid-19 to dedicated clinics and to see those who need to shield in the safety of their own homes.

Blood tests continue to be performed on the ground floor 08:00 – 19:30 Monday to Friday and 08:00 – 13:30 on Saturdays.

Helping us help you

There are some things that you can do to help us to help you at this time.

If you think you might have Covid-19 please do NOT come to the surgery, stay at home and first visit NHS 111 Service where you can check your symptoms, arrange a test and print a sick note if needed. If you are finding it difficult to cope with your symptoms you can call 111 and they can arrange for you to be followed up by ourselves or seen in a specialist clinic if needed.

When you call the surgery please give the navigator (receptionist) as much information about your problem as possible – this will allow them to get you the right help. Please ensure that your contact details are up to date and that you have nominated a pharmacy where we can send any prescriptions electronically. Consider downloading the Patient Access app so you can check results and order regular medications using this.

If we are calling you back please ensure your phone is charged up, set to ring and in the area with the best reception. Video calls work best over WiFi. We will send you a link by text, you follow this and will need to enable the mic and camera when asked to do so. If you have a rash or skin lesion consider taking a photograph in good light before we call so that you can text the image to us if needed.

It really helps us if you have some easy to use and inexpensive equipment at home. A thermometer means you can check your temperature and an automated blood pressure machine can be purchased in the pharmacy or online and will also check your pulse. If you have a long-term condition such as diabetes or take regular medications it is often important for us to check your weight so having some bathroom scales is helpful too.

We know that advice is changing fast and it can be confusing. We want to reassure you that we are here to help and working hard to keep everyone safe. We will keep our website and social media feeds regularly updated so please do follow us or check back regularly.

Stay safe and stay well but remember we are here if you need us.

The Nelson Medical Practice Team

Free online fitness classes for Nelson Medical Practice patients

FIT-NEST TRAINING

The Patient Participation Group of the Nelson Medical Practice in collaboration with Fit-Nest Training would like to offer free weekly fitness classes delivered online until 31 March 2021. During this time of isolation, we need to keep strong both physically and mentally. Movement helps to stay mentally well balanced and also keeps our immune system resilient.

No matter what your level of fitness, feel free to book your class selecting one of the options below and then following the link.

Schedule

  • Beginner Fitness Class – Thursdays 12.00 noon
  • Intermediate Fitness Class – Fridays 12.00 noon

Please visit: www.fit-nest.co.uk/nelson-fitness/

The password : ncfitness21

COVID-19 Vaccine Update

The NHS is currently offering the COVID-19 vaccine to people most at risk from coronavirus.

The coronavirus (COVID-19) vaccine is safe and effective. It gives you the best protection against coronavirus.

We will let you know when it’s your turn to have the vaccine. It’s important not to contact the NHS for a vaccination before then. Please wait to be contacted.

At this time, the vaccine is being offered in some hospitals to:

  • some people aged 80 and over who already have a hospital appointment in the next few weeks
  • people who work in care homes
  • health care workers at high risk

The vaccine will be offered more widely, and at other locations, as soon as possible. We will contact patients when it is their turn to be offered the vaccine.

The order in which people will be offered the vaccine is based on advice from the Joint Committee on Vaccination and Immunisation (JCVI).

Meanwhile, we must all continue to adhere to stick to the local tier restriction rules and remember hands, face, space.

Hot Topics – My Child and Coronavirus

Hot Topics – your questions answered.

Members of our patient group have kindly put together a few questions that maybe relevant to anyone living in the area. If you have a question yourself, and you think the answer may be of interest to others then please let us know using the ‘contact us’ form on the practice website and we will endeavour to answer them in this section.

Dr Tom Wilson

My child and coronavirus October 2020:

With coronavirus rates increasing again many people are asking us how and when to get a coronavirus test. The most up-to-date national information can be found on the NHS website www.nhs.uk/coronavirus-covid-19 including details on how to book a test. Up to date information including details of the current coronavirus information, local infection rates and guidance can also be found by downloading the NHS COVID 19 app www.nhs.uk/apps-library/nhs-covid-19

The symptoms of coronavirus include:

  • fever >37.8
  • continuous cough
  • loss or change in the sense of smell and or taste

In our experience the symptoms of coronavirus are highly variable with some people becoming seriously unwell but most having minimal or no symptoms, thankfully this is usually the case in children. In general we would advise caution – self isolating if you think you are becoming unwell and organising a test if you have any of the above symptoms. Please also bear in mind (particularly in children) that there are many other causes of a fever and continue to seek help as you would do in any normal year.

Do I need to book a test EACH time my child has a fever above 37.8?

A test should be organised (if the above symptoms are present) for every illness episode. This does not necessarily mean every time the temperature goes above 37.8, but it does mean that a repeat test may be needed if you have recovered and then become unwell again.

Can I send my child to school if they don’t have high temperature anymore, but they did not have a test?

If your child has had the symptoms of coronavirus (fever >37.8, continuous cough, loss or change in the sense of smell) then they will need to isolate until they have had a negative test or for at least 10 days from symptom onset. Individuals in their support bubble will also need to isolate for 14 days or until they have a negative coronavirus test.

Should I keep my child at home if one of our family is showing one of the symptoms?

Yes – until the family member has a negative test or all members have isolated for the required length of time (usually 14 days).

For how long should I keep my child at home?

For at least 10 days from symptom onset or until you receive a negative test for coronavirus, however members of the support bubble may need to isolate for longer. More information can be found at: www.nhs.uk/how-long-to-self-isolate

If I am unable to work because of coronavirus do I need a sick note?

No – you can apply for an NHS ‘isolation note’ directly from the NHS website  www.111.nhs.uk/isolation-note

How do I treat the symptoms of coronavirus?

In the majority of cases symptoms of coronavirus can be managed safely at home with routine self-care, ensuring that you isolate yourself from others to avoid spread. However if you do think you are becoming more unwell for example significantly more short of breath, confused or lethargic then please seek further medical advice either via the surgery in hours of NHS 111 out of hours. Information relating to symptoms can be found at patient.co.uk www.patient.info/coronavirus-how-quickly-do-covid-19-symptoms-develop-and-how-long-do-they-last

How do I organise a coronavirus test for me or my child?

Coronavirus tests can be organised for those with symptoms at www.nhs.uk/get-a-test-to-check-if-you-have-coronavirus or by calling 119. Please note that the surgery does not have separate access to coronavirus testing and local accident and emergency departments will only test those who have a clinical need.

Flu Vaccinations For Patients Aged 50-64

You may have heard in the press that healthy 50-64 year olds may be offered a free flu vaccination this year.

At this time the practice is following national guidance and vaccinating all those at risk because of age or chronic health conditions first.

We expect more guidance on the 50-64 year old age group soon. For now, please don’t contact us to request a vaccine as we will not be able to arrange this, we will be in touch with further information soon

NHS: Keep Warm, Keep Well

Flu Appointments

What to expect at your Saturday adult flu vaccination appointment

Please arrive 5 minutes before your appointment time, arriving too early may cause issues with queuing measures. A member of staff will be outside the building at the Kingston Road entrance to direct you. Please have your appointment confirmation text ready to show our staff.

You are required to wear a face mask at all times when entering the building. This will help us keep all our staff and patients safe in addition to social distancing measures.

Where possible please come alone unless you have to bring an elderly relative or someone needing help.

We will be adopting a one way system on the day, the entrance will be via Kingston Road and the exit will be via the car park. If you use the car park, you will not be able to access the building via the car park entrance. If you are elderly or frail, please identify yourself to our member of staff situated at the car park entrance.

The Saturday flu clinics will be held on the ground floor of the medical centre with staff placed at the entrance and exit points to ensure you enter and exit the building correctly and as quickly as possible. We will not be able to check you in online for your appointment, instead you will be given a pre-printed form on the day with details to identify your attendance. You will be asked to remove all outer layers of clothing ie jackets/jumpers so that there is no delay having your flu jab. There will be 6 vaccination stations and you will be directed to the one of them as soon as it is your turn. You will not be invited to sit while you have your vaccination unless you say that you are unable to stand for the duration of the appointment. You will be required to leave the building via the car park entrance as soon as the Nurse/GP tells you to do so.

Please note your appointment is for your flu vaccination only so please do not enquire about booking further appointments /prescriptions or any other queries you may have.

If you do not have a pre booked appointment then you will not be able to have your flu jab that day. Please check the date and time your flu jab is booked for as you will not be seen without an appointment. If you have a mobile phone you will be sent a confirmation text when booking your appointment plus a text reminder the day before your actual appointment.

If you feel unwell after your vaccination please let a member of staff know before you leave.

Please note- the flu vaccination cannot give you flu, however some people will have some mild side effects, please visit NHS: Flu Vaccine for more information.

We endeavour to deliver a safe and effective service to our patients having their flu vaccinations during the constraints that Covid-19 has placed upon us. Thank you for your co-operation.

What to expect at your child’s Saturday Nasal flu vaccination appointment

Please arrive 5 minutes before your appointment time, arriving too early may cause issues with queuing measures. A member of staff will be outside the building at the Kingston Road entrance to direct you. Please have your appointment confirmation text ready to show our staff.

Parents and children aged 11 and over please wear a face covering. This will help us keep all our staff and patients safe in addition to social distancing measures.

Ony one parent should attend per child.

We will be adopting a one way system on the day, the entrance will be via Kingston Road and the exit will be via the car park. If you are use the car park, you will not be able to access the building via the car park entrance.

The Saturday flu clinics will be held on the ground floor of the medical centre with staff placed at the entrance and exit points to ensure you enter and exit the building correctly and as quickly as possible. We will not be able to check in your child online for their appointment, instead you will be given a pre-printed form on the day with details to identify your child’s attendance. There will be 6 vaccination stations and you will be directed to the one of them as soon as it is your child’s turn. You will be required to leave the building via the car park entrance as soon as the Nurse/GP tells you to do so.

Please note your child’s appointment is for a flu vaccination only so please do not enquire about booking further appointments /prescriptions or any other queries you may have.

If your child does not have a pre booked appointment then he/she will not be able to have their flu vaccination that day. Please check the date and time of the appointment as your child will not be seen without an appointment. If you have a mobile phone you will be sent a confirmation text when booking the appointment plus a text reminder the day before the actual appointment.

Your child’s flu vaccination will be administered as a spray to each nostril in turn. Parents will be required to hold younger children on their knee for the clinician to administer, older children/teenagers will be asked to stand.

Please note- the flu vaccination cannot give you flu, however some people will have some mild side effects, please visit NHS: Flu Vaccine for more information.

We endeavour to deliver a safe and effective service to our patients having their flu vaccinations during the constraints that Covid-19 has placed upon us. Thank you for your co-operation.