Coronavirus Practice Update

The Germ Defence website gives scientifically proven, practical advice on how our patients can reduce the spread of coronavirus in the home. 

Chris Whitty, the Chief Medical Officer (CMO) for England, has endorsed this project as a national Urgent Public Health Research (UPHR) priority and it is supported by the Royal College of General Practice (RCGP).

www.germdefence.org/index.html?src=L81130

(If this link does not open when you click on it, please copy and paste it into your web browser.)

The COVID-19 version of Germ Defence was developed by clinicians and scientists at the Universities of Bristol, Southampton and Bath in collaboration with Public Health England. A clinical trial of 20,000 people during the swine ‘flu pandemic showed than an earlier version of Germ Defence successfully reduced respiratory infection frequency and severity as well as the number of GP consultation.  The results were published in The Lancet.  

If you have any questions about the project, please visit our website and read the ‘frequently asked questions (FAQs).  If you have already sent out the weblink to your patients, thank you very much – we appreciate your support.

Many thanks

Professor Lucy Yardley, Dr Jeremy Horwood, Professor John Macleod

January 2021

The JCVI have expanded the eligibility criteria for health and social care staff to receive the Covid vaccine.

If you are a registered patient at Cadbury Heath Healthcare – and work in one of the settings listed below please email us with your details to be added to a register of healthcare workers [email protected] Please include in the subject header “Covid Vaccination – Healthcare Worker”.

We cannot at this stage offer you a specific appointment; but if you provide your name, date of birth, contact email address and telephone number we can contact you if the option for an appointment arises. Please be mindful that these appointments are likely to be short-notice as they will have come from other patients who have cancelled an appointment or have not attended, so an indication in your email of your availability will help us to narrow down who we contact in the event of an appointment becoming available. You will be asked to provide evidence of your employment when you attend for the vaccination – this must be in the form of a payslip (received in the last month) or a valid staff ID badge. If you are unable to provide this you will not be able to receive the vaccine.

To qualify, we are currently asking for patients who work in the following settings to contact us:

–          Nursing & residential homes

–          Dental surgeries

–          Pharmacies

–          Opticians

–          Other NHS funded healthcare provider settings

We appreciate there are many other keyworker roles that desperately want this vaccine and we do really want to give it to you, but unfortunately we are mandated to only provide it to eligible cohorts as things stand. As the criteria widens we will be proactively contacting patients to book them in. Please keep an eye out for further messages via these channels.

November 2020

“Many of you will have heard the news that GP Practices are preparing to deliver the Covid-19 vaccine when it becomes available.

Cadbury Heath Healthcare will be working with our Primary Care Network partner surgeries to deliver the vaccine to our patients as soon as possible. So that we can continue to provide care for patients we are looking at venues away from our practices where we can set up a vaccination centre within our local area.

We will be working on this programme very intensively over the coming weeks and will provide information via our website and via texts to patients as soon as we have it. The current guidance is that the government will write to patients to inform them of when they will become eligible for their vaccination as it will be released in phases. So please don’t contact the surgery prior to this to arrange an appointment.

As a result of the levels of planning required to support this and during the delivery of the vaccines some of our services may be affected by capacity so please bear with us during this time. We are doing our very best to continue to help our patients and your support is very much appreciated.

Thank you”

September 2020

Covid-19 has changed how patients access their GP. The pandemic has super charged the use of remote consultations in primary care. These will never replace face-to-face appointments which are be available to all patients where appropriate. However, there are other convenient ways for people to access medical advice and treatment, Cadbury Heath Healthcare offer telephone calls, video consultations and econsult. Please be assured face to face appointments are available for all that need them, these will be decided by a clinician and a time slot offered. Please wear a face covering when attending the practice.

Please do not book a GP appointment or attend your GP Practice if you have symptoms associated with coronavirus including a new continuous cough and a high temperature and loss of taste and smell. You are advised to stay at home for 14 days.

  • If your symptoms are serious, or get worse, NHS 111 has an online coronavirus service that can tell you if you need further medical help and advise you what to do. 
  • Only call 111 direct if you cannot go online, or are advised to do so by the online service.
  1. Early recognition – any new (or onset within the last 7 days) continuous cough or fever is possible Coronavirus.
  2. Don’t panic – most people will be able to self-manage without contacting their GP or 111.
    Everyone needs to follow simple steps to reduce their symptoms and avoid infecting others.
    DO NOT go to the GP practice or A&E.
  3. Get educated – NHS 111 online (https://111.nhs.uk/service/COVID-19/) will help you assess
    your symptoms. It is updated daily so has the most up to date advice as things keep
    changing. If you are short of breath (i.e. not able to walk upstairs or are having difficulty
    speaking in sentences) then phone your GP practice or 111. Only phone 999 if you feel it is
    an emergency.
  4. Self-isolate – stop the virus spreading by self-isolating for 7 days from the onset of symptoms
    and follow information on NHS 111 online on how to do this. Effective self-isolation will stop
    your friends and family getting infected (see picture below).
  5. Rest, paracetamol and fluids are crucial especially with fever – aim for a minimum of 10x
    300ml mugs of fluid a day. Avoid alcohol. Water, diluting juice or fruit juice are ideal. Aim for
    regular clear or mildly yellow urine and to be able to pee every 4 hours except when asleep
    at night. If you have not passed urine in over 4 hours, have dark yellow urine, feel thirsty or
    dizzy on standing then there is a high chance you are dehydrated and you need to drink lots
    more as a priority.
  6. Food is less important than fluids – if able to eat then have lots of fruit and vegetables as
    these will help your immune system fight the infection.
  7. Stop certain medications – some drugs are unsafe when you are unwell, especially ones to
    lower your blood pressure, and anti-inflammatories. Look at the ‘Sick Day Rules’ card for
    more information (below). Restart these medications 48 hours after you are eating and
    drinking normally.
  8. Get support – call family/friends/community members and ask them to deliver supplies.
    People in the same house as you do not need to self-isolate if they have no symptoms.
  9. For children follow advice from the excellent When Should I Worry Website:
    http://www.whenshouldiworry.com/resources/When%20should%20I%20worry-
    Booklet_England-with%20111%20service_2016.pdf
  10. You can return to work after 7 days if you’re improving but do not need to be symptom free.
    Contact the GP practice if you are not improving after 7 days.

Please do not book an appointment or go to the GP surgery, pharmacy or hospital if you:

  • You think you might have coronavirus
  • In the last 14 days you have been to a country or area with a high risk of coronavirus
  • You have been in close contact with someone with Coronavirus

NHS 111 has an online coronavirus service that can tell if you need help and advise you what to do. This can be accessed from http://www.nhs.uk. Call 111 if you need to speak to someone.

CADBURY HEATH HEALTHCARE REQUESTS THAT IN THE FIRST INSTANCE, TO TELEPHONE THE PRACTICE OR 111 INFORMING US OF YOUR SYMPTOMS AND YOUR TRAVEL DETAILS. IT IS IMPORTANT THAT YOU STAY INDOORS AND TO AVOID CONTACT WITH OTHERS UNTIL YOU HAVE BEEN ASSESSED BY A MEDICAL PROFESSIONAL.

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