From Haringey Council:

From NHS North Central London CCG https://twitter.com/NCLCCG_Haringey 

Queue lined up @spursofficial  stadium today to get their #Covidvaccine & play their part to protect themselves & loved ones.

We're here until 6pm! Not too late to #grabajab! No need to book, you can just walk-in! 1st & 2nd Pfizer doses (2nd dose needs to be 8 weeks from 1st).

From Haringey https://twitter.com/haringeycouncil/status/1416291728240349186

If you're in the #N17 area today (Saturday 17 July), why not head on over to the pop-up vaccination clinic in the car park behind Holcombe Market?

The Pfizer vaccine will be available at this clinic, which will be open from 9:30am to 6:30pm.

For more -> http://bit.ly/2U2cb4Z

NEWS -there will be a SUPER SUNDAY pop-up vaccination clinic at Tottenham Spurs on 20 June.

You can walk in or pre book.

The Pfizer vaccine will be suitable for younger people as well.

The vaccination programme is co-ordinated centrally by the NHS authorities. They have set out a list of priority groups.

Your GP surgery can help you with booking when your turn comes up.

If you are not sure whether to have the vaccine and have questions about it, do talk to your doctor, nurse or have a look at the scientific information.

CHANGES TO e-MAIL ACCESS

Over the past year we've had frequent issues with e-mail requests from our patients and carers. New technology now allows them to directly connect with the surgery computer system. This means your requests for repeat prescriptions and test results will bypass staff handling e-mail. It will be faster and more reliable.

During the first half of 2017 we have gradually phased out requests by e-mail. We have set an indicative date of 1 August 2017 when we may discontinue receiving them. We strongly encourage you to perform one-time activation of your ONLINE ACCESS account. Your temporary password is being automatically generated by the computer system and is waiting for you. If you have any trouble understanding how to do this, one of our team will be happy to assist you at the surgery or talk you through the process on the phone.

Coronavirus vaccine 2021-02-15

 About the vaccine (Haringey) 2021-02-15

The long-awaited vaccine has arrived in Haringey. These are the arrangements:

It is offered to all suitable people, but it is not compulsory.

Who can have the vaccine:

It will be given by age group. As of this week (14 December 2020) they are offering to Over 80 year olds.

Update 18.12.2020 - for husband and wife, if one is over 80, and the other is 76 plus, they can be booked at the same time.

Update 08.02.2021 - The vaccine will now be offered to those of age 65 and older, or age 55 to 64 with a high risk medical condition, or any age with a learning disability, or paid carers (with documentary proof of income).

Update 15.02.2021 - The vaccine will now be offered to those of age 65 and older, or age 40 to 64 with a high risk medical condition, or any age with a learning disability, or paid carers with documentary proof of income, or unpaid carers with electronic code in GP records.

Frontline healthcare and social care workers who are at high risk may be offered a place in special appointment slots on standby, if not all the appointments are taken up at the end of the day. If you are a health or social care worker please let your GP know where you work and your job title.

People with severe allergy (anaphylaxis) to vaccine, medicine or food in the past are advised to wait for now. 
GP will search all the medical records and review if you are safe to go ahead.

Update Monday 18.01.2021

Official advice about allergy have changed:
Allergy to food - okay
Allergy to insect bite - okay
Allergy to one known medication - okay

EXCEPT:
Allergy to an ingredient of a vaccine - NOT okay
Allergy to several medications in different groups - NOT okay
Allergy to unknown things - NOT okay

If you are in the 70 to 110 age group, were previously advised you were not okay to have vaccine, but are now okay, please ask your GP to rebook you.

Those still “not okay” can be vaccinated in a special session.

People on anticoagulation (Warfarin or Acenocoumarol) should have INR check recently, and GP will send the test report when requesting the vaccine.

Most people don't have these issues, and can be booked straight away (if you agree to have it).

Where and When to have the vaccine:

Pfizer BioNTech or Oxford Astra Zeneca vaccine is given centrally in two sites:
Morris House, 239 Lordship Lane, Tottenham, N17 6AA - this is taking bookings now
Bounds Green GP, 2 Gordon Road, Bounds Green, N11 2PF - this is starting soon

PLEASE NOTE WE CANNOT ARRANGE A CHOICE OF VACCINE.
What the vaccination sites give depends on the deliveries they get from day to day.
(Remember the vaccines need special deep freezer storage)

It is best if you can make your own way there.
They are both big places, tucked away off the main road.
If you need directions, we suggest try an online map app, or just ask us!

It may be possible to arrange some transport if you cannot get there yourself.
UPDATE 11.01.2021 - NO TRANSPORT available.

For now, if you are housebound, we have to wait for arrangements. from the vaccination centres.

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The vaccine needs to be given twice.

Update 01.01.2021: The second dose will be between 3 to 12 weeks after the first.

Oxford Astra Zeneca vaccine - is being rolled out in certain hospitals for close monitoring as a precaution. (There were problems during the trial)
It may come to the community soon.

This is being used in some vaccination centres, but there is no plan yet to supply directly to GP surgery.

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Choice of vaccine:

We have no control over what is being used in the vaccination centre.

From our experience nearly everybody has had the Pfizer vaccine, including the senior doctors who work here!

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How to get the vaccine:

It is by appointment only.

Your GP staff will book it for you via the NHS Intra-net, and let you know the date and time. This may be on the weekends or in the evenings.

What will the vaccine do?

Please read the official information NHS - Coronavirus (COVID-19) vaccine

SECOND NATIONAL LOCKDOWN

As you are aware, the parliament voted in favour of a second National Lockdown by a majority of 478 on Wednesday 4 November 2020. The restrictions which began at 00:01 on Thursday 5 November will remain in force until 00:01 on 2 December.

At Alexandra Surgery, nothing will change. We will continue to look after our patients during this second lockdown, as we have done all the way through the pandemic. The practice is open, and has always been open, from 8am to 6:30pm on every weekday from Monday to Friday.

Our doors are closed, on instructions from NHS England in March this year. Behind closed doors, our doctors, nurse, health care assistants, ethnic health officers, clinical pharmacist and social prescriber address your health and social care needs.

Our admin team is also here, to take phone calls, process reports and requests, make appointments for you at the practice or a hospital, and help you find answers to your queries. We are also registering new patients and have bent the rules to make things easier.

Since the restrictions came in on 23 March 2020, we have seen a steady increase in the volume of work we do, although some of it is done in a different fashion. In the last four weeks, the number of consultations per week was at a similar level to that in October 2019, before the world had heard of coronavirus.

In total during the 32 weeks, we have:

carried out 9,267 consultations

reviewed and issued 7,895 repeat prescriptions, and

made 1,151 referrals to hospital.

To comply with NHS guidance, we have been following a Telephone First system. When you ask for a consultation with doctor or nurse, we will first offer you a telephone consultation. Often it is possible for the doctor/ nurse to look at what is going on by switching to a video consultation. They can do this as long as you have a smartphone with internet connection. If the doctor/ nurse and you agree that it is better to bring you into the surgery, he/she will arrange this with you.

You may book the initial telephone call by calling the reception team as usual. The desk will be staffed from Monday to Friday, from 8am to 6:30pm. The lines may be busier than before the pandemic, as people are not meant to come in person to make requests. An easier way is to use e-Consult, which is an online service open 24 hours a day, 7 days a week. You can find the link from our website www.alexandrasurgery.com

You can also request repeat prescriptions, medical certificates and other help via e-Consult, by Patient Access online, or by fax.

We are always here to help if we can. During the first lockdown, many people called us for advice on coping with daily life. We are all learning as we go. However, a Social Prescriber has joined our team, her name is Karen and she is available for patients to talk to her every Friday. We also have a Network Pharmacist, Eidin, to support patients by reviewing their long-term condition and their medications.

If you have a comment or suggestion that you wish to share with us, please feel free to ask to speak to Abhi our Practice Manager. Or you may prefer to write to her by email.

We hope that everyone will keep well and stay safe during the uncertain times. We are thinking of doing health talks online and holding virtual meetings with patient groups. If you are interested to be part of this, do drop us a line and we will keep you posted.

Influenza vaccination (flu jab)

Supplies of influenza vaccine have begun to come through to GP practices. They are arriving in small batches at a time.

So we are giving them as soon as we can, but we have to prioritise those with long term conditions.

There are different vaccines for:
Age 65 and over
Age 12 to 64 (especially those with long term conditions)
Children

Some patients may be offered in addition the Pneumococcal vaccine. This is to protect against bacteria that commonly cause pneumonia.
This is NOT related to coronavirus.
It is of course your decision whether to have any vaccine or not.

Shielding (4 November 2020)

Shielding letter (Official) 4 November 2020

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Shielding (20 December 2020) - updated 5 January 2021

As you are aware, the government has designated London as a Tier 4 area, and with it imposed many restrictions that apply to everyone.

Moreover, a (third) national lockdown begins on 5 January 2021, with additional restrictions.

The government has advised people in the Clinically Extremely Vulnerable categories to further restrict their activities, for their own protection.

People are identified by the government from the NHS database. If you are among the Clinically Extremely Vulnerable categories, you will receive a letter directly from the government.

Your GP surgery is not involved in selecting who will be within the Clinically Extremely Vulnerable categories.

If you feel you should be within a Clinically Extremely Vulnerable category and have not received a government letter, then you must discuss this with your employer and come to a mutually acceptable decision. The following document may help.

Shielding advice (Alexandra Surgery) 23 December 2020

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HOW WE WILL LOOK AFTER YOU DURING THE PANDEMIC

On 13.03.2020 the NHS has instructed all GP practices to start "Telephone First".

This means patients must first have a telephone consultation with the doctor. This can also be a video consultation.

If the doctor feels it is essential to see the patient in the surgery, then the doctor will arrange a face-to-face appointment. 

You can obtain health advice, request telephone consultation, repeat prescription, medical certificate or letter, or arrange administrative help, via:

e-Consult 

available online 24 hours, 7 days a week

https://alexandrasurgery.webgp.com 

Or by email alexandrasurgery@nhs.net

Or by phone 020 8888 2518 or 8889 0492 

Since we implemented Controlled Access,
our doctors and nurse did 7,622 consultations,
6,819 patients got their repeat prescriptions,
and 957 were referred to hospital.
(Data from week 1 to week 28)

23 August 2020

The surgery will not be open on Saturday 29th or Monday 31st August 2020.

GP Hub and Haringey Pharmacy -
August Bank Holiday Opening Times

23 August 2020

New patients are requested to bring a form of ID and their NHS number; proof of address will be helpful.They will be booked with the Healthcare Assistant for a health check in order to be registered.

IF YOUR LONG-TERM CONDITION HAS BEEN PARTICULARLY TROUBLESOME
(for example, you have needed emergency treatment in the past year):

YOU SHOULD ALSO CONSIDER MORE STRICT ISOLATION FROM OTHERS.

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Coronavirus and pregnancy

Advice from Royal College of Obstetricians and Gynaecologists UK:

Coronavirus and pregnancy - RCOG UK

Patients who do not have family or friends that can help, can register at:

www.gov.uk/coronavirus-extremely-vulnerable

BARNET:
www.barnet.gov.uk/coronavirus-covid-19-latest-information-and-advice

CAMDEN:
https://coronavirus-help.camden.gov.uk/

ENFIELD:
https://new.enfield.gov.uk/forms/covid-19-community-support-request-form/

HARINGEY:
www.haringey.gov.uk/community/connected-communities

ISLINGTON:
www.islington.gov.uk/social-care-and-health/coronavirus-covid-19/need-help

NOTE: Each government department may have criteria on who can access help, or what sort of help one can get.
If you do not fit into these criteria, there may be VOLUNTARY GROUPS near you who can help.

At Alexandra Surgery we do not have our own Voluntary group. However, if you live in this area and you have organised one, do please let us know.
Email to alexandrasurgery@nhs.net 

The patients who are at highest risk of becoming seriously ill from viral infection, should receive a letter from the NHS.

These are the same people who get priority recall for influenza vaccine (flu jab) every year.

If you (or someone you know) have not received the letter, you may view a copy here:

Vulnerable groups letter from government 2020-03-21

Update 23.03.2020:

Among our patients we have 2 confirmed cases and 15 suspected cases.

www.alexandrasurgery.com/website/F85675/files/Medical-certificate-guidance_AS.docx

See the page "Requests for Certificates and Letters"

LATEST GUIDANCE (06.03.2020)

World Health Organisation advice for the public (external link)

https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public

Official information about the new virus  (external links)

For information from the NHS:
NHS: Wuhan novel coronavirus

For information from the World Health Organisation (WHO):
WHO: New Coronavirus (2019-nCoV)

For information from the Centers for Disease Control and Prevention (CDC):
CDC: About 2019 Novel Coronavirus (2019-nCoV)

Link:

https://111.nhs.uk

https://alexandrasurgery.webgp.com/

Spring bank holiday Pharmacy opening hours

WE ARE WORKING ON BANK HOLIDAY FRIDAY 8 MAY.

The practice doors are closed due to the pandemic. We are offering telephone consultation as a first step.

YOU MAY ACCESS HEALTH ADVICE, REQUEST TELEPHONE CONSULTATION, REPEAT PRESCRIPTION, CERTIFICATE, BY eCONSULT. ONLINE SERVICE AVAILABLE 24/7.

CLICK RED BUTTON TO GET STARTED.

Alternatively, telephone the surgery reception number. 

Pharmacy - Easter opening

Haringey pharmacies will also open on both days. You may look up details at:

http://gp.haringeyccg.nhs.uk/gp-news-items/community-pharmacies-easter-opening-times/107823

20.02.2020 (updated country list 06.03.2020)

If you are unwell and worried that you may have been infected by 2019 nCoV/ COVID-19, please:
telephone your doctor      )
check 111 online service  ) for advice.
telephone 111                   )
We suggest you do not come to the GP surgery, until you have been cleared on the phone.

If a patient has:

a) In the 14 days before:

• travelled to China - Hubei province, Italy - lockdown areas, Iran, South Korea - special care zones
• EVEN IF FEELING WELL WITHOUT SYMPTOMS

OR

b) In the 14 days before the onset of illness:

• travelled to Cambodia, China, Hong Kong, Italy, Iran, Japan, Laos, Macau, Malaysia, Myanmar, Republic of Korea (South Korea), Singapore, Taiwan, Thailand, or Vietnam. This includes transit, for any length of time, in these countries
• has cough, fever, and/or shortness or breath

OR

• been in close contact with confirmed cases of 2019-nCoV/ COVID-19

She/he should:

not come to the GP surgery

isolate herself/ himself at home

consult @ 111 online coronavirus service:
https://111.nhs.uk/service/covid-19

or call 111 for advice on next steps

Source of information:

www.gov.uk/government/publications/wuhan-novel-coronavirus-initial-investigation-of-possible-cases/investigation-and-initial-clinical-management-of-possible-cases-of-wuhan-novel-coronavirus-wn-cov-infection#interim-definition-possible-cases

World Health Organization emergency (external link)

WHO declares 2019-nCoV an emergency

Cases in the United Kingdom (external link)

Coronavirus cases in the UK 

Your GP surgery has been instructed by the Chief Medical Officer for England and the Chief Scientific Adviser to the Department of Health and Social Care. 

What may happen at the GP surgery

• When you consult for an acute respiratory illness, you may be asked for an accurate travel history.
  
  
• If the doctor suspects a case of nCoV infection, she/he will:
  - not physically examine the patient;
  - leave the room and continue the consultation via telephone;
  - isolate the patient with the door closed (no one allowed to come out or go in);
  - seek specialist advice from a microbiologist or infectious diseases physician;
  - not use the isolation room again until public health has advised.
  
  

What may happen on the telephone

• When you phone for an appointment or to talk to a doctor, you may also be asked about any travel history, and your symptoms.
  
  
• If the staff identifies a possible case, you may be advised to stay at home, while the GP seeks specialist advice.
  
  

Travel to hospital

• If the patient has suspected 2019-nCoV infection and needs to go to hospital:
  - they should not use public transport or taxi;
  - staff will inform the ambulance control of possible infection.

Possible disruption to our service

Our team realise that these procedures may cause inconvenience to everyone in the GP surgery. We hope you will understand that they are intended to protect the health of all patients and carers who are present at the practice, as well as staff. Please bear with us during this uncertain time.

We wish our patients and their carers a happy and healthy holiday season.
In case you need health advice, this information may be helpful:

Contents:
Alexandra Surgery opening hours
GP Hub opening hours
If you feel low
Pharmacy opening hours
111

2019-20 Christmas and New Year help for health problems 

2019-20 CHRISTMAS AND NEW YEAR OPENING HOURS

Alexandra Surgery:
Tue 24 Dec - closing at 4pm
Wed 25 Dec - closed
Thu 26 Dec - closed
Fri 27 Dec - open at normal hours
Sat 28 Dec - closed
-
Mon 30 Dec - open at normal hours
Tue 31 Dec - closing at 4pm
Wed 1 Jan - closed
Thu 2 Jan - open at normal hours

CHRISTMAS AND NEW YEAR OPENING HOURS

Alexandra Surgery:
Tue 24 Dec - 6.30pm 
Wed 25 Dec - closed
Thu 26 Dec - closed
Fri 27 Dec - open at normal hours
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Tue 31 Dec - 6.30pm 
Wed 1 Jan - closed
Thu 2 Jan - open at normal hours

2019-2010 Christmas and New Year access to GP:
see "What is new?" page

2019-2010 Christmas and New Year access to GP:

If you are feeling low:

Christmas is a time when many people expect to be happy.
This can actually put a lot of added pressure on those people who aren't feeling that way.

When you are feeling really depressed, down or just not yourself, here are some people ready to help:

Call 116 123

Lines are open 24/7
Calls are free from any phone

Email jo@samaritans.org 

Write down your thoughts
Expect a response within 24 hours

Pop in to see someone

The centre nearest to Alexandra Surgery is at:
Shaftesbury Hall
Herbert Road
London N11 2QN
(near Bowes Park station)
Monday10 a.m. – 1 p.m.4 p.m. – 9 p.m.
Tuesday10 a.m. – 1 p.m.7 p.m. – 9 p.m.
Wednesday1 p.m. – 4 p.m.6:30 p.m. – 9 p.m.
Thursday1 p.m. – 9 p.m.
Friday6 p.m. – 9 p.m.
Saturday5 p.m. – 9 p.m.
Sunday10 a.m. – 1 p.m.5 p.m. – 9 p.m.

For another location near you, check: 
www.samaritans.org/how-we-can-help/contact-samaritan/visit-us-branch/

Text 07725 909090

Many people don't like talking on the phone and some find it difficult to open up to friends and family. Some people are more comfortable texting.

A crisis counsellor will text with you.

It's a new service run by Samaritans, so the response time can be variable.
If urgent , do try to phone the 116 123 number.

Seasonal health advice:Ramadan Mubarak/We wish our patients, their families and carers, and colleagues a joyful Ramadan./You may find the following general health advice useful:/Ramadan health guide - University of Warwickhttps://warwick.ac.uk/services/equalops/resources/a_guide_to_healthy_fasting.pdf/Ramadan and diabetes - Diabetes UKhttps://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/ramadan/A healthy Ramadan - British Nutrition Foundationhttps://www.nutrition.org.uk/healthyliving/seasons/ramadan.html/Uploaded 05.05.2015 @21:30

HOLIDAY WEEKEND

Late Spring Bank Holiday

Monday 27 May

Surgery opening hours:

Fri 24 May: 0800 to 1830

Sat 25 May: closed

Sun 26 May: closed

Mon 27 May: closed

Tue 28 May: 0800 to 1830

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When we are closed:

May (early) bank holiday weekend 2019

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The surgery will be CLOSED on Saturday 4 May, Sunday 5 May, and Monday 6 May.

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*Please note: the clinic on Saturday morning has been cancelled.

We wish all our patients and their carers a happy and healthy May bank holiday weekend.

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However, if you need medical advice urgently, help is available -

Pharmacy

If you or someone you care for feels unwell over Easter you can visit one of the following pharmacies for advice on a range of minor illnesses and injuries such as:

• Colds and flu, sexual health and contraception, sickness and diarrhoea, cuts and grazes, and general health advice.

Pharmacies Open in Haringey over May bank holiday:

Please follow the following web link: 

http://www.haringeyccg.nhs.uk/ccg-news/opening-times-for-haringey-pharmacies-over-may-bank-holiday/20531

Easter weekend 2019

The surgery will be CLOSED on Friday 19 April, Saturday 20 April, Sunday 21 April, and Monday 22 April.

The team shall be back on Tuesday 23 April at 8am, ready to look after your health.

We wish all our patients and their carers a Happy and Healthy Easter weekend.

However, if you need medical advice urgently, help is available: 

Please follow the following web link: 

Where to go in Haringey if you need medical help over Easter

www.haringeyccg.nhs.uk/ccg-news/where-to-go-in-haringey-if-you-need-medical-help-over-easter/81754

*Please note: the clinic on Saturday morning has been cancelled.

Updated: 18.04.2019, 23:00