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COVID-19 infections are rising in Cheshire. Take extra care

HANDS wash them regularly and for 20 seconds.

FACE wear a face covering indoors where social distancing may be difficult, and where you will come into contact with people you do not normally meet.

SPACE stay 2 m apart from people you do not live with where possible

Follow the rule of six  https://www.gov.uk/government/news/rule-of-six-comes-into-effect-to-tackle-coronavirus

NOT EVERY COUGH IS COVID-19

Dr Chris Brockelsby, respiratory consultant at Leighton Hospital, has recorded this video urging people to see their GP if they:

  • Have a persistent cough that won’t go away
  • Are feeling tired or breathless all the time
  • Have lost weight for no apparent reason.

The video is part of a Lung Cancer v Covid campaign being run by NHS Cheshire Clinical Commissioning Group in response to a significant fall in patients seeing their GP with potential lung cancer symptoms during the pandemic. The campaign explains that lung cancer can cause similar symptoms to coronavirus. Symptoms include a persistent cough, breathlessness and fatigue. For that reason, it’s important for people who’ve had a negative Covid swab test to know if any persistent symptoms might have another cause. It’s also important for people to see their GP if their swab was positive but their symptoms last longer than expected – or aren’t normal for that person.
  
Click here for more on the campaign.

Sign up if you are interested in taking part in a COVID-19 vaccine trial

If you would be interested in the NHS contacting you about taking part in coronavirus (COVID-19) vaccine studies in the UK, then go to: https://www.nhs.uk/sign-up-to-be-contacted-for-research

This does not automatically sign you up to take part in a specific study but just lets researchers know you’re happy to be contacted if they think you might be suitable to take part in their studies.

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Nantwich Community Volunteers Newsletter

This is the first Community Newsletter designed by Nantwich Community Volunteers, it is full of lots of useful information and also has some Wrenbury specific articles!

July 2020 Cheshire East Community newsletter

Do I need to wear a face covering to prevent the spread of COVID-19?

Press Statement - Nantwich and Rural Covid 19

A MESSAGE TO ALL OUR PATIENTS

You will all be aware of the Coronavirus outbreak and we recognise how stressful and worrying it is for us all. Our sole aim is to try to ensure we can provide the services you need during this difficult time. In order that we can support those who need us most we are introducing the following changes in the way we work.

EVERYONE PLEASE FOLLOW THE GUIDANCE THAT HAS BEEN ISSUED https://www.nhs.uk/conditions/coronavirus-covid-19/ 

DO NOT COME TO THE MEDICAL PRACTICE INCLUDING THE DISPENSARY IF YOU HAVE CORONAVIRUS SYMPTOMS THE LATEST GUIDANCE IS ALL INCLUDED IN THE LINK ABOVE!

APPOINTMENTS TO SEE THE GP

We will be seeking to deliver routine appointments by telephone/video consultation. Please telephone the practice to book these, DO NOT WALK INTO THE PRACTICE TO BOOK THESE APPOINTMENTS. If you already have a routine appointment booked with us we will contact you to establish if this can be carried out via phone/video or if you will need to come to the practice. Do NOT walk into the practice if you had an appointment previously booked and you have not had confirmation that you can come to the practice. We are working our way through all the pre booked appointments to advise any one with one of these appointments of the process as soon as possible. Our priority tomorrow will be to contact patients booked in on Monday (although we did reach a number of you on Friday) and to then start on Tuesday’s appointments and so on.
If you require an urgent appointment, please telephone the practice, patients will then be contacted by a Doctor by a return telephone call for further advice and next steps.
DO NOT WALK INTO THE PRACTICE TO BOOK THESE APPOINTMENTS.

APPOINTMENTS WITH THE PHARMACIST

We will be seeking to deliver routine appointments by telephone/video consultation. Please telephone the practice to book these, DO NOT WALK INTO THE PRACTICE TO BOOK THESE APPOINTMENTS. If you already have a routine appointment booked with us we will contact you to establish if this can be carried out via phone/video or if you will need to come to the practice. Do NOT walk into the practice if you had an appointment previously booked and you have not had confirmation that you can come to the practice. We are working our way through all the pre booked appointments to advise any one with one of these appointments of the process as soon as possible. Our priority tomorrow will be to contact patients booked in on Monday (although we did reach a number of you on Friday) and to then start on Tuesday’s appointments and so on.

NURSING TEAM APPOINTMENTS

Our Nursing Team will continue to provide appointments as per our usual procedure please telephone to book an appointment, where possible these will be telephone/video reviews with the Nurses. Baby Immunisations will continue but we ask that you attend with baby and only one adult, In other situations where a telephone appointment will not be appropriate such as a dressing change we will make suitable arrangements at the practice and advise you, again please telephone to book these reviews. DO NOT WALK INTO THE PRACTICE TO BOOK THESE APPOINTMENTS.

If you already have a routine appointment booked with us we will contact you to establish if this can be carried out via phone/video or if you will need to come to the practice. Do NOT walk into the practice if you had an appointment previously booked and you have not had confirmation that you can come to the practice. We are working our way through all the pre booked appointments to advise any one with one of these appointments of the process as soon as possible. Our priority tomorrow will be to contact patients booked in on Monday (although we did reach a number of you on Friday) and to then start on Tuesday’s appointments and so on.

BLOOD TEST APPOINTMENTS WITH OUR PHLEBOTOMIST/NURSES

Please telephone the practice if you require a blood test. If you already have a blood test booked with us we will contact you to clarify the arrangements for you to visit the practice. Do NOT walk into the practice if you had an appointment previously booked and you have not had confirmation that you can come to the practice. We are working our way through all the pre booked appointments to advise any one with one of these appointments of the process as soon as possible. Our priority tomorrow will be to contact patients booked in on Monday (although we did reach a number of you on Friday) and to then start on Tuesday’s appointments and so on.

SAMPLES

Please do NOT walk into the practice to request sample pots or to hand them in, please telephone us first to get the appropriate advice and arrangements for coming to the practice if necessary.

PLEASE BEAR WITH US IF IT TAKES A LITTLE LONGER THAN USUAL TO ANSWER THE TELEPHONE.

PRESCRIPTION COLLECTIONS FROM THE DISPENARY

We are a Dispensing Practice, to ensure we keep visits into the practice to a minimum we have implemented the following steps:

  • With immediate effect, please do NOT come to collect your prescription BEFORE you have received a text message or telephone call from us to collect it.
  • When you come to the practice, please look through the main door before entering, do NOT form a queue at the Dispensary Window but wait outside the building until the other patient has left. Our glass window will be closed and we will open it to the hand the bag to you, receive your completed prescription and take payment if you pay for prescriptions.
  • Please bring your OWN pen so you can complete the back of your prescription when handed to you.
  • If you do pay for your prescriptions please can you try to use a payment card, “contactless” payment is exactly that!
  • Please help us by ordering your medications “on line” such as by the MyGP App or Patient Access. You can also order via the Wrenbury Medical Practice Website Prescriptions Page. Our preference is via My GPApp or Patient Access if you already have this set up.
  • If you are unable to do the above please do not bring your paper prescription requests in to the practice but post them in our external letter box which is on the outside of the building near to the outer door.
  • If you are a patient to whom we do not dispense the actual drugs to but we instead provide a paper script for collection which you then take to the chemist we will be contacting you to ask you to tell us which chemist you wish to pick up your prescription from and we will post the prescription directly to them. Please DO NOT ring us, wait for us to contact you.

We will try to provide regular updates and share these on our practice website and via the Wrenbury Facebook Page and the Parish Council Website.

We are proud to be part of the Wrenbury Community and we know that you will want to support not only the practice team but each and every one of our communities friends, neighbours and families, however, we need your help with all of the above to ensure we can help you and those in greatest need.

Please listen and act on the national advice, most importantly in washing your hands often and well!

Dr Marquis and Dr Saggar
Wrenbury Medical Practice

Coronavirus Information

The NHS in Cheshire and Public Health England (PHE) are extremely well prepared for outbreaks of new infectious diseases. The NHS has put in place measures to ensure the safety of all patients and NHS staff while also ensuring services are available to the public as normal.

The risk to the general public is moderate. If you have arrived back to the UK from mainland China, Thailand, Japan, Republic of Korea, Hong Kong, Taiwan, Singapore, Malaysia or Macau within 14 days, follow the specific advice for returning travellers.

Anyone who has travelled to China or places listed above in the last 14 days and develops symptoms of cough or fever or shortness of breath, should immediately:

  • Stay indoors and avoid contact with other people as you would with the flu
  • Call NHS 111 to inform them of your recent travel to the country

Information for the public is available at gov.uk/coronavirus

Like the common cold, coronavirus infection usually occurs through close contact with a person with novel coronavirus via cough and sneezes or hand contact. A person can also be infected by touching contaminated surfaces if they do not wash their hands.

The risk of being in close contact with a person with coronavirus or contaminated surfaces is very low at the current time, as members of the public who have visited Wuhan, Hubei province, China are currently in isolation.

Testing of suspected coronavirus cases is carried out in line with strict regulations. This means that suspected cases are kept in isolation, away from public areas of the hospital and returned home also in isolation. Any equipment that come into contact with suspected cases are thoroughly cleaned as appropriate. Specific guidance has also been shared with NHS staff to help safeguard them and others. Patients can be reassured that their safety is a top priority, and are encouraged to attend all appointments as usual.

Everyone is being reminded to follow Public Health England advice to:

  • Always carry tissues with you and use them to catch your cough or sneeze. Then bin the tissue, and wash your hands, or use a sanitiser gel.
  • Wash your hands often with soap and water, especially after using public transport. Use a sanitiser gel if soap and water are not available.
  • Avoid touching your eyes, nose and mouth with unwashed hands.
  • Avoid close contact with people who are unwell.

You can find the latest information and advice from Public Health England at www.gov.uk/coronavirus.

Self Referral to Physio-therapy

You don’t need a GP appointment to book physiotherapy. If you have a musculoskeletal problem that would benefit from seeing a physiotherapist, you can book this directly either by completing the on line form or by calling in to the practice and completing the form. Following completion of the form, the Physiotherapy Department will review and triage this and then offer you an appointment if appropriate. Please select the Appointments Tab on this website and then select “Self Referral to Physiotherapy”

Wrenbury pupils earn Silver Self Care Award with immunisation project

wrenbury school pupils

Wrenbury Primary School pupils linked up with a village GP and nursing Home to help achieve their NHS South Cheshire CCG Silver Self Care Award.

The “Immunisation and why we have it” project involved Year 4 children visiting a GP Practice in groups to speak to the GP and staff, hearing why they give vaccinations, the history of immunisation and becoming ‘Vaccine Heroes’.

They were able to get real stories of life pre-vaccination from some of the residents of the local nursing home.

They described what they remembered about growing up and if they remembered having their first vaccinations.

Wrenbury GP Practice Manager, Becky Barber said: “We are incredibly proud of how some of the youngest and oldest members of our community have come together to share and learn about the important issue of immunisations.

“The photographs and memories shared by the residents from WNH really did resonate with us as a practice team, they also made the learning for the children much more real.

“The children’s game of tag to illustrate what they learnt about Herd Immunity was so simple but so effective!”

The school followed their immunisation activity up by promoting it to parents and grandparents at their Summer term Sharing Afternoon.

Year 4 also led an assembly at the school, sharing information around the importance of immunisation with the whole school.

Bessa Cador, headteacher, said: “It has been a really worthwhile and enlightening project to be part of, in collaboration with the doctor’s surgery and our resident friends at the Nursing Home.

“Understanding why immunisation matters, hearing and reading first-hand accounts from the residents and then letting the children take the lead in school on this serious health issue not only raises awareness but also highlights the importance of vaccinations in a more meaningful way for the rest of the pupils and our school community.”

NHS South Cheshire CCG have awarded their first joint Silver Self Care Award to Wrenbury Primary School and Wrenbury GP Practice.

Noreen Caldwell, Public Engagement and Involvement Manager at the CCG, said: “I am thrilled by the way that the whole community have come together providing information around the history of vaccinations and their importance.”

If you would like to watch the short video which has been made about this project please click on the link below.

https://www.youtube.com/watch?v=CfzXTMg1W7M

Cheshire doctor says ‘trust your GP’ to keep antibiotics working

A doctor in Cheshire is calling on us to trust our GPs to help keep antibiotics working.

Antibiotics are potentially lifesaving medicines that treat or prevent the spread of bacterial infections.

But, antibiotics are not prescribed for viral infections such as colds or flu because they are not effective in fighting these types of illnesses. Viral infections can be treated with a combination of self-care and over the counter medicines.

Dr Jonathan Griffiths, GP at the Swanlow Surgery in Winsford, said: “We used to prescribe antibiotics for everything; coughs, colds, sore throats, but we now know that those are caused by viruses.

“But, guess what? Antibiotics don’t work on viruses.”

Taking antibiotics when you don’t need them puts you and your family at risk. This is because it encourages harmful bacteria that live inside you to become resistant to the medicines and means that they may not work when you need them next time.

Dr Griffiths, who is also Chair of NHS Vale Royal Clinical Commissioning Group (CCG), added: “Always take your doctor’s advice.

“If they’re saying ‘I don’t think you need antibiotics’, have a listen to that and take on that advice

“If you are prescribed antibiotics, again, listen to your doctor’s advice. Even if you feel better make sure you complete the course as prescribed.

“Completing the course will fight the infection fully and will also reduce that risk of you building up a resistance.”

If you have any questions about any of your antibiotic prescriptions, you should visit your local pharmacist. They will be able to answer any questions you have and give you advice.

Take care of your mental health

Local health teams across South Cheshire and Vale Royal are encouraging us all to take steps to look after our mental wellbeing.

One in four adults and one in ten children will have some sort of mental health issue in their lives, but sometimes don’t know what help they need, how to get it or feel embarrassed talking about their problems.

The state of your mental health can be affected by factors such as changes in our lives, health worries, work related stress and grief among other things. Alcohol and drugs can also have a negative effect.

In some circumstances people will experience a mental health crisis. This often means that you no longer feel able to cope or in control of your situation.

Melanie Brown, Clinical Project Manager – Mental Health Commissioning at NHS South Cheshire Clinical Commissioning Group (CCG) and NHS Vale Royal CCG said: “It’s really important that we treat our mental health as we would our physical health.

“Speak to someone about how you are feeling, that can be anyone, friend, family or colleague.”

“Just because we can’t visibly see the symptoms, we shouldn’t ignore them.

People across South Cheshire and Vale Royal have access to a number of services to help with mental health.

Mental Health Self Help Guides

A range of online self-help guides and smartphone app have been developed so you will have the latest mental health advice at your fingertips.

These self-help guides come in the form of leaflets, audio clips and videos which have been produced by health professionals to offer support on a range of topics including anxiety, depression, eating disorders, panic and stress.

View our Mental Health Self Help Guides - https://www.selfhelpguides.ntw.nhs.uk/cheshirevale 

You in Mind

www.youinmind.org is a virtual ‘one-stop-shop’ putting mental health advice online when you need it.

The platform includes a dedicated search option, so you can get quick information on a range of mental health conditions such as depression, stress, eating disorders and bereavement.

Detailed information booklets are also available to view and download explaining about a condition with help on how to manage it and ideas people can try.

You can also find out what local advice and services are available for you at www.youinmind.org 

Children and Young People’s Out of Hours Advice Line

The Children and Young People’s Out of Hours Advice Line lets you speak to a specially trained clinician who you can talk to about how you're feeling. The phone line - 01244 397 644 - is open from 5-10pm Monday to Friday and noon-8pm Saturday and Sunday.

The Wellbeing Hub

The Wellbeing Hub helps to identify any mental health issues at the earliest possible opportunity so that you can access the most appropriate support.

The team includes experienced mental health nurses, psychological therapists and psychiatrists, who provide treatment and support following assessment and can refer people to other services if necessary.

A call to the team can result in:

  • Assessment - helping you to understand how you are feeling
  • Signposting - so that you know about other services, information resources and support groups
  • Talking Therapies - psychological therapies to help you to manage your emotions and feelings
  • Treatment - We will meet with you at a number of sessions to review your progress over time

You can refer yourself to the hub, either by calling the team in Crewe on 01606 555 263, Winsford on 01606 555 211 or online through this link - https://www.iaptportal.co.uk/ServiceUser/SelfReferralForm.aspx?sd=9b62f2cb-4c09-4073-a3db-b93e487fd2f5 

Improved mental health and wellbeing is associated with a range of benefits including:

  • Enhanced physical health and life expectancy
  • Better education experience
  • Increased skills
  • Reduced anti-social behaviour and criminality
  • Higher levels of social interaction and participation.

The aim of World Mental Health Day is to inform people of their options when it comes to boosting their mental health and to encourage a conversation around mental health.

To find out more about how to deal with a mental health emergency visit https://bit.ly/2PMVAvF 

Whatever you’re going through, you can call the Samaritans for free at any time, from any phone. Just dial: 116 123, They’re available to offer support 24/7 every single day of the year.

Extended Hours Appointments

South Cheshire and Vale Royal GP’s are now offering extended hours appointments at selected practices which will be known as GP Hubs.
These appointments are available to any registered patients from any practice within the boundaries of South Cheshire and Vale Royal.
Please ask your Practice receptionist who can book you an appointment.

To find out more visit www.gpopenforyou.co.uk

Care Quality Commission - read our latest inspection report

Read our latest Patient Group reports and surveys

Staff Training Closures - click here to read more

Health News from the BBC and the NHS

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