NHS Patients, staff and visitors must continue to wear face coverings in healthcare settings
Public Health England have just released up to date guidance regarding the wearing of face coverings and social distancing which the practice will be continuing to observe.
Unless you are medically exempt you will not be permitted inside the practice without a face covering.
You will no doubt be aware that face masks will not be mandated from 19th July 2021.
At Zetland Medical Practice we will continue to wear PPE including masks and ask that everyone attending the practice continues to wear a mask or face covering. This is to protect you, ourselves and patients who are clinically vulnerable or unable to be vaccinated.
If you choose not to wear a mask, please make this known when you attend for appointment as we may have to make alternative arrangements in order to protect patients and staff. This may include waiting outside.
Figures are showing a dramatic increase in positive COVID cases, especially in the younger age groups.
Thank you for your ongoing support - by taking these precautions we are able to remain open to provide healthcare to our patients
without risk of infection.
PERMANENT CLOSURE OF SALTBURN BRANCH
Please tell us your views
The Saltburn branch of Zetland Medical Practice (based at 2 Windsor Road, Saltburn), has been temporarily closed since March 2020 due to the Covid-19 pandemic.
The temporary closure was to enable us to use our staff more effectively and to ensure we could comply with social distancing requirements.
We are applying to NHS Tees Valley Clinical Commissioning Group (CCG) to request the closure of the Saltburn branch permanently so we can bring our services together at one site to enhance clinical quality and practice resilence, run more efficently and continue to deliver high quality of care to patients.
The premises at Saltburn are limited comprising up to two clinical rooms and there is no scope to further develop the Saltburn premises to facilitate the delivery of additional services as envisaged in the NHS Long Term Plan.
To inform the application process we would like to engage with patients and local stakeholders to ensure you understand what is planned and have an opportunity for any queries to be clarified and to share what is important to you in relation to these proposals.
We are undertaking a six-week period of patient and stakeholder engagement (Monday 5th July - Sunday 15 August 2021) to gather views and experiences during the temporary closure of the branch.
All patients over the age of 16 who are registered with Zetland Medical Practice will be invited to participate in a survey. We will send you a text with a link to the survey below and if we do not have a registered mobile number for you, we will post you a survey
Once NHS Tees Valley CCG has considered our application and a decision has been made regarding the future of Saltburn branch there will be further communication to patients and stakeholdersers.
FREQUENTLY ASKED QUESTIONS (FAQ's)
Q. Isn't the Saltburn branch closed already?
A. The Saltburn branch of Zetland Medical Practice based at 2 Windsor Rd has been temporarily closed since mid-March 2020 due to the Covid-19 pandemic. The temporary closure was to enable us to use our staff more effectively and to ensure we could comply with social distancing regulations. We were not able to adjust sufficiently at the Saltburn practice to enable us to meet the social distancing regulations.
Q. Why do you want to close the Saltburn branch permanently?
A. We will be applying to NHS Tees Valley CCG to request to close the Saltburn branch permanently to bring services together at one site to enhance clinical quality and practice resilience, run more efficiently and continue to deliver high quality of care to patients.
The premises at Saltburn are limited comprising up to two clinical rooms and there is no scope to further develop the Saltburn premises to facilitate the delivery of additional services.
Q: Has the decision already been made on the future of the Saltburn Branch Surgery?
A: No decisions will be taken about the future of Saltburn Branch Surgery without taking full account of patient feedback. Following the engagement period we will submit a business case to NHS Tees Valley CCG, and the feedback from the survey will inform the business case.
Q. Was permanent closure the plan all along?
A. No. We applied for temporary closure as a necessary measure at the start of the pandemic to ensure we could comply with social distancing requirements and to enable us to use our staff more effectively. Now that we have worked this way for over a year, we believe bringing services together at one site will enable us to enhance clinical quality and practice resilience, run more efficiently and continue to deliver high quality of care to patients.
Q. How long will the period of engagement last?
A. We will be carrying out the engagement over a 6-week period to allow as many patients as possible to give their views and feedback. The period of engagement starts on Monday 5 July 2021 to Sunday 15 August 2021.
Q. Will I have to wait longer for an appointment and will there still be the same number of appointments available at Zetland?
A. No we have been operating with our appointment model since the start of the temporary closure of the Saltburn branch in March 2020 and patients have not had to wait longer.
The same number of appointments will continue to be made available.
Q: Will there be more GP appointments at Zetland Medical Practice to compensate for the closure of the branch surgery?
A: Our aim in improving efficiency by working from one site is to provide increased access to appointments for our patients.
Q. Zetland Medical Practice is already my main practice, will the branch closure mean I will experience difficulties making appointments as the practice will be looking after more patients from the one site?
A. No, the practice has been looking after all its registered patients from the main site and has done since March 2020.
Q. If the two sites are becoming one, how will social distancing be managed?
A. The practice has been social distancing at the main site since March 2020 for all its registered patients. Patients are currently entering the building at the front entrance and exiting at the back door to ensure patient safety. We are using careful appointment planning to minimise waiting times and main social distancing in waiting areas.
Q. Will we still be able to get same-day appointments?
Q: Do I need to do anything if the Saltburn Branch Surgery closes?
A: No. Your registration will not be affected. When we have registered patients, it has always been through Zetland Medical Practice, as this is our main branch.
Q: Do I have to stay with Zetland Medical Practice?
A: No. You are free to register with another GP Practices if you live within their boundary. Further details of practices local to where you live can be found by visiting ‘Find a GP’ on the NHS website www.nhs.uk/service-search/find-a-GP
Q. During the COVID pandemic I've not been able to see a GP face-to-face, will this get worse because of the branch closure?
A. Since March 2020 the practice has operated a triage system and patients have been offered face to face consultations where necessary as well as the option of online consultations.
Q. Will I still contact my practice on the usual telephone number to make an appointment?
A. Yes, 01642 477133.
Q. If I do not have my own transport. If Saltburn branch closes permanently, how will I get to and from Zetland Medical Practice in Marske?
A. The distance between the two practices is 2.4 miles / 6 minutes travel time by car via the A1085 and Marske Road.
Suggest bus routes - http://getdown.org.uk/bus/bus/4-x4.shtml
Q. If I use my own transport will there be sufficient parking available?
A. Yes, there is a large, free carpark over the road from the practice.
Q. How can I have a say as a patient?
A. We are asking all patients over 16 years old who are registered at Zetland Medical Practice and the Saltburn branch to complete this survey as we want to understand what the impact of the temporary closure has been on you and your family to better understand what impact a permanent closure would have. We will then use this information to inform future decision making. Surveys can be completed online at https://www.surveymonkey.co.uk/r/zetlandmedicalpractice
If you have not registered a mobile with your practice you will receive a survey in the post.
Q. Is the proposed closure happening because of financial reasons or to save money?
A. No. The proposed closure would allow us to bring services together on to one site to run more efficiently and continue to deliver high quality of care to patients.
Q. What will happen to the building at Saltburn Branch Surgery if the proposed closure goes ahead?
A: We currently rent the building from a private landlord and we do not know what the proposals would be.
Q: How will I be informed of the outcome of the engagement and whether the Saltburn branch will close?
A: We will contact all registered patients over 16 years old by text message (and by letter for those that do not have a mobile phone) to inform the of the final decision and direct them to the practice website for further information www.zetlandmedicalpractice.co.uk
Continuity of Care
Q. Can I still speak to my regular GP or Nurse Practitioner?
A. Yes. You will still be able to speak to your regular GP or Nurse Practitioner.
Q. If the Saltburn branch closes will I still be recalled for my Chronic Disease reviews at the practice?
A. Chronic Disease management will not be affected and you will continue to be recalled when you are due your review.
Q. What additional benefits will I see?
A. Where previously some of the GP's and nurses worked at both sites, the closure of the Saltburn branch would mean staff would be working from one site and would be available on additional days of the week. This will enhance the continuity of care for our patients.
Q. Will the reception and clinical staff be affected by the proposed merger?
A. All staff will remain the same and continue to provide business as usual.
Q. Will the practice opening hours remain the same?
A. Yes, 8am – 6pm Monday. There are also GP appointments available on a Thursday evening from 6:30pm – 8. 15pm.
There are no changes to the emergency telephone line which will continue to be open from 08:00am – 08:30am Monday – Friday.
Q. Will the proposed closure affect the care of patients who are housebound?
A. No, Community nurses will continue to work closely with the practices as normal.
Q. Will there be any change to the service we receive from community midwives or health visitors?
A. No. Midwives and health visitors will continue to work as usual to provide care to our expectant mothers and young children.
Q: I am under the care of the District Nurse, will this continue?
Q. Will I still be able to use my usual pharmacy for my prescriptions?
A. Prescriptions will continue to be managed in the same way and you will still be able to use your preferred pharmacy.
Q. How can I collect my prescriptions if the Saltburn branch closes?
A. The majority of prescriptions are sent electronically, any paper prescriptions will continue to be collected from the main site.
Independent advice – Healthwatch Redcar and Cleveland
If you have any concerns and would like to discuss these changes with an independent organisation, you may want to contact Healthwatch, call: 0800 118 1691 between the hours of 09:00 – 17:00 Monday to Friday - the support organisation that listens to, advises, and speaks up for users of health and social care services.
If you or someone you know wants to provide feedback but are unable to complete the survey, please e-mail email@example.com as it is important, we ensure all patients can have their views heard.
CHANGES TO PRACTICE OPERATIONS FROM 5TH JULY 2021
THE PRACTICE DOORS WILL OPEN ON 05/07/2021
THERE WILL STILL BE A LIMIT OF 6 PEOPLE IN THE WAITING ROOM AND MASKS SHOULD BE WORN UNTIL WE ARE ADVISED THEY ARE NO LONGER NEEDED.
PLEASE DO NOT COME INTO THE PRACTICE IF YOU HAVE HAD CONTACT WITH ANYONE WITH COVID OR IF YOU ARE DISPLAYING SYMPTOMS.
PLEASE CONTINUE TO USE ONLINE SERVICES FOR PRESCRIPTION REQUESTS AND E-CONSULTATIONS VIA THE WEBSITE.
APPOINTMENTS CAN BE BOOKED BETWEEN 8.30AM AND 12 NOON.
FOR RESULTS, HOUSEBOUND PRESCRIPTIONS AND GENERAL ENQUIRES PLEASE RING BETWEEN 2PM AND 4PM
URGENT REQUESTS FOR APPOINTMENTS WILL BE DEALT WITH UP UNTILL 2PM WHERE APPROPRIATE.
Change to prescription ordering
From 01/06/2021 the current prescription line will no longer be in operation. If you are housebound and require a prescription you can phone the main number between 2pm and 4pm Monday - Friday.
We would encourage everyone to sign up for the NHS APP or register for online services which can be used to order repeat medication and book appointments.
We are getting ready to welcome you back into The Practice!
Dr Johnson leaving the practice
A message from Dr Johnson
I joined the practice in June 2006, and it is exactly 15 years on that I have decided, with much regret that it is time for me to leave.
Over the years I have really enjoyed and valued working with the staff and patients of Zetland Medical Practice. As a Partnership we have been passionate about delivering high quality care to our patients and working in partnership with them to improve and maintain good health. We have also sought to develop the practice and the team to ensure that with the many changes in Primary Care that it will continue to be sustainable in the long term. We have embraced new ways of working and joined our new Redcar Coastal Primary Care Network.
I would like to thank the many patients that I have known over the years for embracing these changes with us and working with me and our staff to look after their health. I will really miss seeing you all and I would like to wish you all the best for the future.
LETTERS FROM NHS ENGLAND RE COVID VACCINATION
If you receive an invitation for a Covid vaccination for a NHS Hub please follow the instructions on the letter - do not contact the practice as we have no involvement in this.
If you do not wish to accept this invitation you will remain on our list and will be contacted in due course.
Please note that if you receive any invitations that ask you to pay a fee this is a scam as the Covid vaccination is currently free of charge
Face Mask Exemption Guidance
15th July 2020
Re: Guidance note for patients requesting exemption letters
We are aware that some patients might be understandably anxious about the Government’s recent announcements around the use of face masks in various public settings.
GPs are unfortunately not in a position to provide individual risk assessments or letters for patients who feel that they should be exempt from wearing a face mask.
Cleveland Local Medical Committee has therefore prepared this guidance note as the statutory body that advises and supports all GPs and practice teams across Tees.
The government guidance on exemptions suggests there is no requirement for evidence for exemption therefore it is sufficient for an individual to self-declare this.
Some people don’t have to wear a face covering including for health, age or equality reasons. The responsibility for issuing customer exemptions lies with the transport or retail provider, not your GP. Similarly, practices are under no obligation to provide letters of support for anyone who does not fall under the list of exemptions but considers them to have another reason to be exempted.
Government advice on the use of face coverings can be found here:
Some transport or retail staff may not need to wear a face covering if it is not required for their job. This would be assessed by the employer, not the GP.
We hope that this guidance provides some reassurance for you on this issue.
Dr J A Birch & Dr R McMahon
Cleveland Local Medical Committee
ONLINE SERVICE REGISTRATION
You are now able to register for online services where you can re-order your prescriptions and book any available online appointments
From Monday 15th June all patients entering the practice will need to wear a face covering.
Please ensure that you have this in place before entering the surgery and ensure that it stays in place until you leave the building
INCORRECT ASTHMA/COPD ADVICE CIRCULATING ON SOCIAL MEDIA
We have been made aware of some inaccurate information circulating (especially on social media) regarding special 'rescue packs' of antibiotics and oral steroids for patients with pre-existing respiratory conditions such as asthma or chronic obstructive pulmonary disease (or even for those who don't have these conditions)
Oral steroid are powerful medicines and any decision to use them would need careful evaluation by a prescriber, usually a doctor, nurse practitioner or a respiratory specialist nurse.
There is no guidance in place that recommends a rescue pack being prescribed.
You should continue to manage your condition in the usual way - information may be found in the links below
SALTBURN BRANCH SURGERY TEMPORARILY CLOSED
We are sorry for the inconvenience but until further notice Saltburn surgery will be closed. The phone line is diverted to the Marske practice for advice and urgent appointments. The repeat prescription box is being emptied on a daily basis and prescriptions will still be processed within 3 working days. Please specify on repeat prescription slips which pharmacy you wish to collect your medication from as we will be sending all of these electronically where possible.
Great North Care Record
The Great North Care Record is a way of sharing patient information with health and care staff. It covers the 3.6 million people living in the North East and North Cumbria.
It means information recorded about your health such is illnesses, hospital admissions and treatments can be accessed by different people who are involved in your care. Previously, different hospitals, GPs and other health workers record separate pieces of information about you, which wasn't easily shared.
By sharing this information with the Great North Care Record, health and care workers can access the most current details about you 24/7. This can help them make choices about your care, as they know more about you.
Please access the link below for more detailed information - https://www.greatnorthcarerecord.org.uk/
REGIONAL SELF CARE
in accordance with CCG guidelines the practice has been asked not to prescribe medication for hayfever, allergies, aches and pains, holiday medication and season ailments. Please see the self help link for advice: http://www.mymedicinesmyhealth.org.uk
If you suffer from repeated episodes of depression, are stressed in the role of caring for (or parenting) or a suffering from a mental health problem, taster sessions of mindfulness awareness are courses are available via the link below. There is no need to see a GP as the courses are self-referrable.https://www.tewv.nhs.uk/services/mindfulness