Healthwatch Wandsworth - Carers Discharge Project interviews
Healthwatch Wandsworth would like to hear from carers about hospital discharges
Do you care for someone who has been discharged from hospital since May 2021?
Talk to Healthwatch Wandsworth and together we can help shape how discharges from hospital work locally and nationally.
What is happening and when?
We would like to have a conversation with people who, as family members or friends, have been looking after someone who was discharged from hospital in since May 2021. Our staff and volunteers would like to have the conversation with people individually to talk about what happened. The deadline for conducting interviews is the 11th of February.
What difference will this make?
We have been asked, as the independent champion for local people, to speak to people as part of a project led by NHS England and NHS Improvement. Our aim is to understand how discharges are working for you and the people you care for and what matters most to you to improve quality. The experiences you share will inform work including quality markers for hospital settings and carers passports, assuring plans for improving hospital discharge for patients and Care Quality Commission lines of enquiry.
Who can take part and how?
- If you have been looking after someone who was discharged from hospital since May 2021, and you have been providing unpaid care, we would like to speak to you.
- We are looking for 10-12 people in total, from across section of age groups, genders and people who represent different ethnic and economic backgrounds.
- A transcript of the conversation will be recorded and shared confidentially with NHS England and NHS Improvement. We will share anonymised information with local people in charge of services.
- We can work with you to try to accommodate your preferences as to whether the conversation is on the telephone, online or face to face.
What to do if you are interested
- Get in touch to tell us you would be interested to take part and we will provide more information.
- If you are unsure about having the time to take part, let us know if there is any way we can adapt or support you to take part.
- Email information@healthwatchwandsworth.co.uk or call 0208 516 7767.
The Healthwatch Wandsworth are offering a £40 voucher as a thank you. They are especially looking for male carers and young people to contact us as they are underrepresented in our interviews, but others are very welcome and encouraged to take part.
How we are operating during the Covid 19 pandemic
During Pandemic Period – 17/12/2021
To all our Patients
Thank you for your ongoing support over the past year when things have been different due to the COVID-19 pandemic. In our Practice we had to change the way we work very quickly and that has only been possible because our patients have adapted to these changes.
We Are Here For You
We would like to reassure you that we are open and still want you to tell us if you are unwell or worried about your health.
We continue to provide face-to-face appointments, as well as supporting people over the phone or online. We offer face to face appointments when they are medically needed and these can be with a range of health professionals currently working within the surgery. Using a mix or face to face appointments and phone appointments allows us to keep the number of patients on site to a safe minimum.
We are currently operating a “triage first” approach to GP appointment booking. This means you will need to speak to a GP via telephone who will determine if they can deal with your issue remotely or if they need to see you face to face. Please ring 0208 675 3521 to book a telephone triage appointment or these can be booked online from 7.30am on the day. Check online during the day to see if any further appointments become available for a call with a GP on the day.
Please do not come down to the Practice to book a GP appointment.
Please consider using online services to order repeat prescriptions and book available online appointments.
Download the NHS App to order repeat prescriptions and to get health advice: nhs.uk/NHSapp
Use Doctorlink to assess your symptoms and if a consultation is needed, you will be able to book an appointment through the App.
In order to maintain safe numbers of patients in our waiting room, please ONLY come into the Practice if you are:
- Attending for a pre-booked appointment
- Collecting paperwork including registration forms, test request forms, letters and prescriptions. If possible please complete registration forms online via our Practice website and consider nominating a pharmacy for collecting your medication.
- If dropping off a prescription request please put your request into the box in the lobby
- Booking one of the following appointments which does not require an initial telephone triage appointment.
- Antenatal/postnatal checks
- Immunisations
- Cervical Smears
- General nursing/health care assistant appointments including for health checks, blood pressure checks, ECGs, 24 hour blood pressure monitoring, blood tests
Please note that:
- If you are dropping off a sample – please leave sample (in a plastic bag – clearly labelled with your name and Date of Birth) – in the box located in the entrance lobby
- Urine sample pots are available to collect in the box by the entrance.
- Breastfeeding and Children playing area are closed.
When entering the premises:
- You MUST wear a face covering and follow social distancing markers. Please follow the floor arrows when exiting the building.
- You MUST use the hand sanitiser available as you enter
- You MUST ensure that you have your temperature taken at our wall mounted thermometer – located straight ahead in the lobby area as you enter the premises. If you DO NOT have a normal temperature – please exit the premises immediately and contact us by phone instead.
- In order to maintain social distancing, there can be a MAXIMUM of 3 people queuing at our reception area. If 3 people are already waiting, please wait outside until the queue has shortened. We can only have a MAXIMUM of 7 patients seated in our waiting room. If we are at maximum capacity please wait outside until a seat becomes available.
- Only the ground floor waiting area is open – please DO NOT go up to the 1st floor waiting area. The Clinician you have an appointment with will come and collect you from the ground floor and take you through to your appointment.
Do not enter the premises if you have symptoms of Coronavirus or have received a positive test result in the last 10 days.
Thank you for helping to keep our staff and patients safe.
Travel Confirmation Covid Vaccination Letter
This can be obtained via this link https://www.nhs.uk/conditions/coronavirus-covid-19/covid-pass/get-your-covid-pass-letter/. Letters arrive within 5-7 days. Unfortunately, the Practice cannot provide this letter.
Zero Tolerance Policy
At the current time our Reception team and our Clinicians are continuing to work under difficult and challenging conditions to provide care for our patients.
We realise this situation is difficult for everyone and we thank you for your understanding, and ask that you continue to respect our staff.
Contacting Us
Our telephone lines are extremely busy first thing in the mornings, especially on a Monday’s and Wednesday’s and during lunchtimes every day. If your matter is not urgent, please try later during the day when the phones should be less busy. All general queries to be called after 10am. Your call will be held in a queue and answered when possible.
If you request an appointment then our Reception staff will ask you for a brief reason. They are asking this because the doctors have asked them to; in order that any emergency calls can be given priority, and other calls can be dealt with appropriately, it may be that your query can be dealt with by another member or the team without the need to speak with your GP.
Please, do not say that it is a personal matter, as this may delay your call should you need an urgent call back.
If your request is about medication, then please order by Online Patient Access or send us an email to swlccg.thurleighroadpractice@nhs.net . The Medical Assistants will deal with your query within 3 working days. Doctors will no longer deal with prescription requests via telephone appointments. Our Clinical Pharmacist can also help with any medication queries.
Please do not use our email for any medical, clinical or urgent matters. Clinical matters should be discussed with a telephone triage call by a Clinician first.
Please do not attend the surgery and only come in person if advised to by a health professional, who will explain what you need to do.
We are providing routine cervical smear test appointments with Nurses throughout the week from 7.30 am to 7 pm. Appointments can be booked online.
Please see the NHS website or Jo’s Cervical Cancer Trust website for further information regarding cervical screening.
Routine Childhood Immunisation can also be now be booked with our Nurses for face-to-face appointments, you do not need to book a call before appointment. For further information on routine immunisations, please click the link.
Please ensure you are COVID symptoms free when attending these appointments.
NHS Phlebotomy Services
The reception staff can book your blood tests at Balham Park Surgery, Monday to Friday from 8 am to 12 pm for Adults only.
Alternatively you can use the walk-in service at St Johns Therapy Centre, Monday to Thursday from 8 am to 4.15 pm, Friday from 8.30 am to 1 pm for Adults service and 1.30 pm to 4.30 pm for Children service. Children will take priority on Fridays.
Please ensure you are COVID symptoms free when attending these appointments.
Blood tests forms will be available to collect at the surgery.
Patient Registration
Patients trying to register at our Practice, should complete an online registration form available on our website. We will get in touch with you via email and confirm you registration.
We are now up-to-date with the registrations, so the estimated time to register currently is 1 week.
Home Visits
Clinicians will be triaging through the home visit requests as normal and will undertake a visit should it be clinically appropriate and the problem be medically urgent.
Collecting items
We are trying to minimise people coming to the practice therefore, all referrals will be emailed to you directly.
If you are collecting any other documents, please collect between after 10.30 am to 6 pm.
Repeat Prescriptions
Prescriptions can be ordered online (via Patient Online Access) or by submitting a prescription request HERE
If you require a repeat prescription you will be asked to nominate a pharmacy, if you have not done so already. This is so that the prescription can be sent electronically directly to the pharmacy that you can collect from there without having to attend the surgery.
Non NHS Work
We are not in a position to fully offer this service due to pandemic. Therefore, we anticipate that we are likely to suffer staff shortages during this period and our available resources will be focused towards direct patient care.
Our apologies for any delays this may cause.
COVID-19 abroad vaccinations
Tell the NHS about coronavirus (COVID-19) vaccinations you have had abroad
This service enables you to book an appointment to show evidence for any coronavirus (COVID-19) vaccinations you’ve had outside of England. This is so the NHS can securely update your vaccination record.
Who can use this service:
• are aged 18 years old or over
• have an NHS number
• have received one of these MHRA-approved vaccines outside of England – Oxford/AstraZeneca (Vaxzevria), Pfizer/BioNTech (Comirnaty), Johnson & Johnson (Janssen) or Moderna (Spikevax)
COVID Passport & Certificates
If you have received your COVID vaccine abroad, we cannot provide a COVID passport.
For more details please visit: https://www.gov.uk/guidance/nhs-covid-pass or call 119
Why are GP practices working differently?
GP practices are open but the pandemic is not over
In South West London there are still thousands of people getting Covid-19 every week, with many being admitted into hospital and some into intensive care. Local GP practices treated people throughout the Covid lockdowns and continue to do so. We must make sure our practices are safe for our staff and protect patients who need to attend in person.
How are practices working now?
When people need seeing face to face this should happen as quickly and safely as possible and it is important that people are assessed first to decide who needs:
- to be seen in person by one of the team
- a phone consultation
- a video consultation
- help from a community pharmacy or another health service
We also want to avoid asking people to travel to practices, where they may come into contact with unwell or infectious people, when this is not essential.
How can I contact my GP?
You can still telephone your GP practice but, if your practice offers it and you are able to, the best thing to do is to use an online service on the practice website. You will then be contacted with the best appointment for you.
If you need help with minor injuries at any time or urgent care when your GP practice or pharmacy is closed visit 111.nhs.uk or dial 111. 111 can also book out of hours appointments.
You can access NHS 111, contact your practice and get your Covid Pass using the NHS App. Search NHS App in your app store.
Why do receptionists ask personal questions?
GP reception staff are skilled professionals and ask questions to make sure you see the right person at the right time and treat all information confidentially. If you don’t want to speak on the phone, you can use the online service on the practice website, if your practice offers this.
I wanted to see my GP, so why am I seeing someone else?
Many GP practices now include a range of professionals like physician’s associates, nurses, practice pharmacists and paramedics who can help you. This means you can often be seen more quickly and if you then need to be seen by your GP they will organise this for you.
Where else can I get help?
Always dial 999 in a life-threatening emergency.
Visit www.nhs.uk for advice on common symptoms and a list of local services or speak to your community pharmacist first for advice on minor illnesses nhs.uk/service-search/find-a-pharmacy.
Supply disruption for routine blood tests
A supplier to the NHS has advised us of a global shortage of some equipment used for taking blood tests.
Anyone who needs a test for urgent health problems, will still get one but where your clinician recommends that it’s safe to do so, then you may be asked to come back for a test at a later date, or your appointment may be rescheduled.
Given the nature of the shortage, we cannot give an exact date for when the test will be rescheduled, but please be assured that if your condition or symptoms require it, then you will get a test, and we will be re-booking your test when supplies become more easily available.
If your condition or symptoms change or get worse, please contact the NHS as you would normally.
Letter to all patients
Dear patient
Firstly we’d like to thank you for your patience and understanding during what has been an extremely challenging last 18 months. We have been working hard to offer you a good level of service and understand there have been occasions where you feel things haven’t gone the way you’d like them to.
We have taken on quite a bit of feedback from patients over the period of the pandemic into how we provide services to our patients. The way we provide care for you has understandably changed due to the impact of COVID-19.
We have though, remained open throughout the pandemic and have continued to see patients face to face when needed.
We have also added in new work streams to make it easier for other patient cohorts to contact a doctor or nurse. These include video appointments and text message communications which have both been warmly embraced and received very good feedback from our patients.
However, in line with instructions from NHS England we have had to change to a triage model whereby all calls are triaged at the point of contact before being assessed by a member of the clinical team. The clinician in charge then processes this and books an appointment based on clinical need and any potential COVID risk to other patients and staff.
I can assure you that reception staff do not make this call. All calls are discussed with a partner and assessed immediately. They are then dealt with based on clinical need and an appropriate time frame for an appointment is found.
We have found this system to work well in freeing up a lot of emergency slots on the day - resulting in patients with an actual emergency medical need, being able to see a doctor or a nurse on the day. Previously these appointments were being booked inappropriately at times.
Overall the response has been good and we will continue to review and improve our workflow systems to enable us to offer prompt medical care when needed. We are seeing a huge increase in clinical demand at the moment and are continually assessing how best we can service this.
We continue to see patients face to face when appropriate and will continue to assess how this can be best managed as the pandemic evolves.
Whilst he vaccination programme has been very successful and life is beginning to return to something like normal - a word of caution. We are unfortunately seeing quite a few cases of double vaccinated individuals contracting COVID-19 (in most cases the delta variant). It is for this reason that we continue to operate the way we do, with safeguards in place to keep both our patients and our staff safe. It has not been easy but we do this with the best of intent.
Please do remember that this virus is still looming and that is why we remain cautious.
Thank you for your feedback and I hope you find this explanation helpful.
The partners
TRP
Thank you
Dr Jonathan Christopher
Free well-being programme
Free 6 week programme for people aged 60 and above in Battersea starting on Mondays at 1pm from July 12th 2021.
Includes an exercise session, refreshments and a wellbeing topic each week.
Meet new people and find out more about what is happening in the Battersea community
For more information contact Sarah or Dawn at Katherine Low Settlement, 108 Battersea High Street, 0207 223 2845, sarahg@klsettlement.org.uk, dawn@klsettlement.org.uk
Covid Vaccination Programme
COVID Vaccination Update – 12/03/2021
Thurleigh Road Practice – part of the Clapham junction health centre vaccination team
Please be aware we are working our hardest to ensure all patients in groups 1-6 have had the opportunity to have their Covid vaccination at our vaccination hub and as we are sure you are aware this is a huge task to undertake, we have already invited all those in groups 1-6. Any patient within these groups who have not had the vaccine as of yet and now wishes to take up the offer can arrange this through the Covid Vaccination National Service.
Patient in groups 7-8 (Ages 55-64), should have received a letter from the NHS to book your vaccination through the national service. Please ensure you book your appointment by following the instructions in the letter.
Patients in group 9 (Ages 50-54) will start to be invited to our local vaccination hub in the next couple of weeks, invites will mainly go out via text message and you will either receive a text message with how to book (if we have your correct mobile contact details) or we will call you within due course to arrange your vaccination. If you have any further questions regarding the Covid vaccination or having problems booking your vaccination please call the practice after 10am and we will endeavour to deal with your concern as quickly as possible.
Covid Vaccination National Service
All Patients who are in groups 1-8 can now also book their vaccination through the national Covid vaccination centres.
You can only use this service if any of the following apply:
• you are aged 55 or over
• you have previously received a letter saying you are at high risk from coronavirus (clinically extremely vulnerable)
• you are an eligible frontline health worker
• you are an eligible frontline social care worker
• you get Carer’s Allowance – find out more about Carer’s Allowance on GOV.UK
You can book via the NHS website – https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/book-coronavirus-vaccination/
In the meantime, more information about the Covid-19 vaccine can be found here.
Private prescriptions
At Thurleigh Road Practice, we are grateful to receive the support of our private consultant colleagues in the ongoing management of our patients.
As a result, we receive a large volume of requests for private prescriptions to be converted to NHS ones.
Whenever a GP prescribes something for you, they are taking full responsibility for this even if the medication has been recommended by another doctor. Therefore all such prescriptions requested will be reviewed by a GP and where possible and appropriate, will be turned around in 2 working days from receipt.
However there are some medications which, for safety and monitoring reasons should only be started by a consultant. Some examples can be found in the list below however this list is not exhaustive and all medication requests will be assessed on an individual basis:
- Medication for ADHD
- Lithium
- Bupropion
- Methotrexate
- Hydroxychloroquine
- Mycophenolate
When a patient is stable on such medications, it may be possible for us as your GPs to take over the prescribing responsibility but only after discussion and written agreement with the responsible consultant.
We will always try and accommodate all prescription requests that we receive however there may still be some instances where we as your GPs may not agree to prescribe a certain medication. Such instances include:
- If the GP does not feel that they have significant expertise to safely prescribe such a specialist drug
- There has not been enough communication from the private doctor about the rationale behind using such medication
- The use of such medicine is not in line with local or national guidance
- If a medication if not licensed for use for that specific condition/diagnosis or is not licensed in the UK
We thank you for your understanding.