What is new?

What's New

(Please scroll down)

  • Early May bank holiday

  • Missing information in your health records

  • Telephone line disruption

  • EASTER 2022 opening hours

  • COVID "passport"

  • COVID vaccine exemption

  • Fitness to work certificate

  • Christmas and New Year

  • Phone line maintenance

  • COVID-19 Positive and Contacts - Isolation requirements

  • COVID vaccine additional clinics [December 2021]

  • COVID vaccine booster

  • Induction loop

  • FIRE DRILL

  • Coronavirus vaccine pop up clinic [August 2021]

  • Ways to locate us

  • CORONAVIRUS VACCINE

  • Second National Lockdown

  • Influenza vaccination (flu jab)

  • Social Prescriber

  • Clinical Pharmacist review

  • Service usage during controlled access due to coronavirus pandemic (report)

  • Health checks by distance consultation

  • North London Partners in Health and Care Information Exchange notice

  • Tell us what you think about the alternative ways to access GP services

  • !! Cervical Screening text messaging scam !!

  • Coronavirus - Changes in how we look after your health

  • e-Consult - GOING LIVE ON 28.04.2020
  • Alert! ColoRectal Cancer in Younger People

  • Influenza vaccine (Flu jab)

  • Transport for hospital appointments

  • Language Line (Interpreter)

  • Clinical Pharmacist

  • DoctorLink

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SPRING BANK HOLIDAY and PLATINUM JUBILEE WEEKEND

Please note that this year the last Monday in May will NOT be a bank holiday.

Instead, the Spring Bank Holiday will fall on Thursday 2 June 2022.

The Minister for Culture announced in November last year that this will be followed by a special bank holiday on Friday 3 June to mark the Queen's Platinum Jubilee.

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The surgery will be open on Monday 30 May 2022 during usual hours.

We will be closed from Thursday 2 June to Sunday 5 June inclusive. We will reopen on Monday 6 June at 8:00 am.

If you need urgent medical help during the holiday weekend, please see "Opening Times" or "What is New" sections.

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EARLY MAY BANK HOLIDAY WEEKEND

Early May bank holiday 2022

Pharmacy opening info:

https://northcentrallondonccg.nhs.uk/news/may-bank-holiday-pharmacy-opening-times/


Missing information in your health records

We are sending messages to a number of our patients to update their health records:

Your GP noticed some info missing in your record.
Ethnicity affects meaning of test results, and which medication suits you best.

Please text back
ASIAN for Asian/ Asian British.
BLACK for Black/ Black British/ Caribbean/ African.
MIXED for Mixed/ Multiple ethnic groups.
WHITE for Any White background.
OTHER for Arab/ Any Other ethnic group.

If you wish to be more precise, use
https://forms.gle/fAweTUSzWUxhDezu5

Thank you,
Alexandra Surgery Clinical Team

We are also sending messages to parents of some children registered with us, to provide updated health information:

Your doctors reviewed your child's (age under 18) health record and it is not up to date.
If he/she needs medicine, the dose needs to be adjusted by body weight and height.

Please text back or email us his/her recent Weight and Height. Home measurement will do, or a pharmacy may check for you.
We shall be happy to record precise numbers on machines at the surgery - please ask to see a Health Care Assistant.

Many thanks,
Alexandra Surgery Clinical Team


TELEPHONE DISRUPTION 

Wednesday 13.04.2022 12:30pm

We are experiencing a temporary disruption in our telephone line. 

This has been reported to the phone company and they are looking into the problem. 

Our apologies and if you need help urgently, please call 111.


PLEASE NOTE EASTER 2022 OPENING HOURS: We are open until Thursday 14 April 6:30pm, then we will reopen on Tuesday 19 April at 8:00am.


 

EASTER HOLIDAY WEEKEND 2022

Thursday 14 April : open 8am - 6:30pm

Friday 15, Saturday 16, Sunday 17, Monday 18 April: closed

Tuesday 19 April: open 8am - 6:30pm

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If you need a repeat prescription, please request it a few days before the holiday.

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We wish our patients a happy and healthy holiday weekend.

However, if you need urgent medical help, you may contact:

GP Hubs (hours vary):            0330 053 9499
www.haringeygpfederation.co.uk/evening-and-weekend-appointments

NHS 111 (24 hours):               111

Your local pharmacy can also give advice on minor conditions.

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COVID "passport"

Since 27 January 2022, the 27 EU countries require an OFFICIAL pass for visitors from England.

This may be obtained from www.nhs.uk/conditions/coronavirus-covid-19/get-digital-covid-pass 

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Covid Vaccine exemption

A number of occupational groups are subject to new legal requirements to be fully vaccinated against Covid-19.

Certain individuals who are unable to be vaccinated, may apply to the NHS for exemption status.

Please see the Coronavirus/ Covid-19 page.

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Medical certificates (Sick notes)

New law from 10 December 2021:

If you are unable to work because of illness, you do not need a doctor's note for up to 28 days.

For details please see Requests for Certificates and Letters section. 

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CHRISTMAS AND NEW YEAR

Please note Christmas and Boxing Day this year (2021) both fall on a weekend.

Therefore Monday 27th and Tuesday 28th December will be replacement public holidays.

New Years Day (2022) will also be a Saturday. 

Consequently Monday 3rd January will be a bank holiday.

Patients and carers are advised to request repeat prescriptions in good time.

Some pharmacies may be open over the holiday period. For details please check:

https://www.nhs.uk/service-search/pharmacy/find-a-pharmacy

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PHONE LINE MAINTENANCE

phone engineer

15.12.2021 Importance: Very high

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The surgery telephone system is being replaced in the coming three or four weeks.

On 16.12.2021 ~10 a.m. there may be brief interruption, when engineers make essential preparation. This should last about 15 minutes only.

In case you require urgent medical assistance, please call the emergency help line:

07725 725538

Your call may be answered by an administrator, who will pass on messages to our clinically trained team.

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The exact date of full installation will be determined by the engineer site visit. 

Work will be expected to last for up to 4 hours. There may be downtime when the telephone lines temporarily do not connect.

Unfortunately, the engineers are not able to do this out of hours, although we did ask.

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If you wish to make routine requests (repeat prescriptions, medical certificates, non emergency appointments), 

please try to call the next morning, send us an email, use one of the apps linked to the GP computer,

or e-Consult: https://alexandrasurgery.webgp.com/ 

When you request prescriptions via NHS app, Patient Access (website or app), or myGP app, it goes straight into the doctor's inbox.

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In case you require urgent medical assistance, please call the emergency help line:

07725 725538

Your call may be answered by an administrator, who will pass on messages to our clinically trained team.

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This upgrade has been in the pipeline for a long while, and delayed several times due to the pandemic, and then pressure on suppliers.

The new phone system will be totally digital and can be managed with the computer system.

We hope this will reduce the frustration that many of you have at present.

We thank you for your constructive comments and bearing with us while the old system is plodding on. 

And of course, we look forward to your feedback when the new system is up and running (fingers crossed)!

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Dr Athee and the Team

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COVID-19 Positive and Contacts

The rules have been updated in the wake of the OMICRON variant.

https://www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-and-treatment/when-to-self-isolate-and-what-to-do/

For those WITHOUT symptoms:

Lateral flow test 

If lateral flow test positive --> Go for PCR (polymerase chain reaction) test.

Book online https://www.gov.uk/get-coronavirus-test, or call 119.

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For those WITH SYMPTOMS:

PCR test

If PCR positive  --> NHS Test and Trace will usually advise you what to do - Isolate for 10 days.

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For CONTACTS of positive cases:

NHS Test and Trace will usually inform you that you were in contact with a case.

If age over 18 and unvaccinated
- Isolate for 10 days.

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If age under 18
- No need to isolate,
- Get a PCR test,
- Reduce social contacts.

EXCEPT:

If contact with Omicron variant
- Isolate for 10 days.

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If fully vaccinated (second dose two weeks or longer ago)
- No need to isolate,
- Get a PCR test,
- Reduce social contacts.

EXCEPT:

If contact with Omicron variant
- Isolate for 10 days.


COVID-19 vaccines

Jab-a-thon

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COVID-19 VACCINE eligibility

BOOSTER:

Further update following Prime Minister's announcement on 12.12.2021

Age 18 to 29: It is the government's intention that everyone aged 18 and above (who has had the second dose three months ago) will have the opportunity to get a booster before the new year.

https://twitter.com/10DowningStreet/status/1470134880080125954 

The online booking system will be open to you from Wednesday 15 December 2021

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Update following NHS England's announcement on 12.12.2021

Age 30 to 39: can get booster 91 days after the second dose

Please use the online booking system, from Monday 13 December 2021

You can book one month in advance (that is, go online two months after your second dose)

https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/book-coronavirus-vaccination/ 

Some clinics may offer walk in appointments, please enquire with the clinic directly.

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(Update 08.12.2021) 

Age 40 and above: can get booster 91 days after the second dose

If you test Covid positive, wait 28 days before third dose.

Age 18 to 39: [booster - await further announcement *SEE UPDATES 12.12.2021*] EXCEPT:

Age 16 to 39 with a Health condition that means high risk, and text message, email or letter from specialist: can get booster 91 days after the second dose

If you test Covid positive, wait 28 days before booster

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THIRD DOSE: (primary course)

People with weak immune system, advised by a specialist: can get third dose 8 weeks after the second dose

If you test Covid positive, wait 28 days before third dose.

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SECOND DOSE:

Age 18 and above: can get second dose 8 weeks after the first dose 

Health and Social care worker: can get second dose 8 weeks after the first dose.

If you test Covid positive, wait 28 days before second dose.

Age 16 to 17: can get second dose 12 weeks after the first dose EXCEPT:

Age 16 to 17 with a Health condition that means high risk: can get second dose 8 weeks after the first dose

If you test Covid positive, wait 12 weeks before second dose. [NOTE different rule for this group]

Age 16 to 17 who live with another person at high risk: can get second dose 8 weeks after the first dose

If you test Covid positive, wait 28 days before second dose.

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Age 12 to 15: [second dose - await government announcement] EXCEPT:

Age 12 to 15 with a Health condition that means high risk: can get second dose 8 weeks after the first dose

Age 12 to 15 who live with another person at high risk: can get second dose 8 weeks after the first dose

NOTE: Some clinics may not offer to 12 to 15 year olds, please check beforehand. 

If you test Covid positive, wait 28 days before second dose.

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FIRST DOSE:

Age 12 and above: can get first dose

If you test Covid positive,

Age 18 and above: wait 28 days before first dose.

Age 12 to 17 with a Health condition that means high risk: wait 28 days before first dose

Age 12 to 17 not at high risk: wait 12 weeks before first dose.

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Walk-in vaccination clinics:

You can go to a Walk-in site if you have a text message, letter or email to have the vaccine.

To find your nearest Walk-in site:

https://northcentrallondonccg.nhs.uk/my-health/covid-19/walk-in-vaccination-clinics/

Each clinic has different opening hours, please check before you go.

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Induction Loop 

We have a portable induction loop, to assist hearing aid users at the reception counter or in consulting rooms.

If you would like to use this facility, please ask receptionist to make sure the loop is turned on. And switch your hearing aid to "T" position.

inductionloop2


FIRE DRILL

We will be holding a scheduled Fire Drill on Thursday 14 October 2021 at 5pm.

Please do not be alarmed.

This is to ensure that, in the event of an actual fire, our team can help everyone evacuate to safety.

Please note: This replaces the previous schedule of a fire drill on Wednesday 13 October. That will now not happen.

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Clinical Pharmacist Update 2

We are pleased to inform our patients that Raiesa has joined our team from the second week in September.

Together with Eidin and Sehrish, we now have three Clinical Pharmacists looking after your needs.

The three work on different days of the week, so at least one of them will be available every day (except when they are on leave).

They will review medication in a range of long term conditions (for example Asthma, COPD, Diabetes, Hypertension), and also people who have a large number of different medications.

They advise doctors about the benefits and risks of some medicines in individual cases.

Raiesa can do adult influenza vaccine (flu jab).

Sometimes the pharmacists may help out at Covid vaccine clinics, don't be surprised to see one of them there.


Coronavirus vaccine pop up clinic:

There’s a #Pfizer #COVIDVaccine walk-in clinic in Wood Green Mall (opposite the cinema) #N22 this Saturday from 10am-4pm, as well as on 7, 14, 28 August.

18+, live nearby & not yet had both jabs? Then please do drop in (no appt needed) & #GetProtected to help #KeepHaringeySafe


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 -> bit.ly/2U2cb4Z


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.


Ways to locate us

Ways to locate us on your mobile phone:

Google co-ordinates: 51.599041, -0.137317

Plus codes: 9C3XHVX7+J3

What3Words: parks.frames.bucket

Ways to locate us

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CORONAVIRUS VACCINE

Coronavirus vaccine door notice


Social Prescriber

We have a new colleague, Karen Davis, who can listen to your non-medical problems and signpost you to find solutions. (from mid August 2021)

Karen works at this practice on Friday. Your doctor may have noted your problem and refer you to her. 

You may also contact the surgery to ask for her help.

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Clinical Pharmacist update 1

From January 2021 we welcome Sehrish to the team as the second clinical pharmacist.

She will work on Mondays and mainly consult over the telephone.

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Clinical Pharmacist review

*see updates 1, 2* (scroll up)

Our new clinical pharmacist Eiden will contact patients to go through their long term medication, and advise about other ways that help improve their long term conditions. 

Examples are high blood pressure, diabetes and asthma.
Eiden works with us on Fridays.

These reviews are usually conducted over the telephone. Your doctor may have identified you and refer to Eiden. If you feel you need advice in this area, you may also contact the practice to ask to talk to him.

Sept 2020


Service usage during controlled access due to coronavirus pandemic

Service usage during controlled access weeks 1-28


Health checks by distance consultation

We are offering Self Care health checks, which you can do in the privacy and comfort of your own home, with the support of the practice team. 

Please select the Health checks page from the menu to the right of this page.


North London Partners in Health and Care Information Exchange notice

We are joining up your health and care records to improve the local services you receive.  What does this mean for you?

Being able to see your health and social care records at any time and in different places means health and care professionals can make quicker and safer decisions about your care

Health and care professionals have shared information on paper for many years – we now plan to do this using digital technology.

GP practices and other health and care organisations are joining up the electronic records of all adults and children across Barnet, Camden, Islington, Enfield and Haringey (north central London) so that those delivering care can understand all your needs and make the best decisions about your care with you.

If you do not want to be part of this, you can opt out:

Please see attached a copy of the patient leaflet, page 7 has the opt out form which you could print off.

You can read more about this programme at: 

www:northlondonpartners.org.uk/joined-up-health-record

NLP Resident Leaflet

We have updated our privacy notice, which can be seen on our website (link).


Tell us what you think about the alternative ways to access GP services

The Covid-19 (Coronavirus) pandemic has obliged GP practices to provide a smaller range of services. Partly this is for safety reasons, and partly because the hospitals have restricted referrals and test requests from GPs.

We continue to provide consultations, repeat prescriptions, medical certificates and letters, and we are able to do this in a number of ways:

  • telephone call
  • AccuRx video call (via smart phone)
  • e-Consult (24/7 online service)
  • Doctor Link
  • EMIS Patient Access online
  • email
  • fax
  • face-to-face at the practice on a solo basis without waiting 
  • referral to GP Hub
  • referral to Coronavirus Hot Hub

With the gradual relaxation of the lockdown, we look forward to reopening at some time.

We would like to know, when we reopen, if it will be useful to keep some of these options available to you, or mothball all of them until a future pandemic?

Please answer our survey:

https://forms.gle/pZFJMQmNSfqSyzqD9  or

https://www.surveymonkey.co.uk/r/22WRMXN

Survey services after lockdown


Cervical Screening Text Messaging Scam

21 May 2020

Public Health England has received reports of a possible scam where women receive text messages claiming to be from the NHS Cervical Screening Call and Recall service. 

The message advises the recipient they are overdue for screening and asks them to call a mobile number and provide personal details. 

These messages are not from the NHS Cervical Screening Programme.

Action Fraud Line has been alerted. 


Telephone triage 15 




Alert ! Colo-Rectal Cancer in Younger People

Colo-Rectal Cancer (Bowel Cancer) is now the 3rd most common cancer worldwide. [1]

Around 40,000 new cases are diagnosed in the UK every year. 1 in 20 people in the UK will develop bowel cancer during their life time. [2]

9 out of 10 people with bowel cancer are aged over 60. However bowel cancer is also seen in people as young as in their 20's. [3]

Research suggests that lifestyle factors affect the risk of bowel cancer: eating processed foods and red meat, drinking alcohol, obesity and lack of physical exercise are associated with increased risk. [4]

So, if you are in the younger age group, please read about it.

Never Too Young

Speak to your doctor if you have concerns.

References:

1. Colorectal cancer statistics. World Cancer Research Fund.
https://www.wcrf.org/dietandcancer/cancer-trends/colorectal-cancer-statistics

2. Bowel cancer. NHS Inform.
https://www.nhsinform.scot/illnesses-and-conditions/cancer/cancer-types-in-adults/bowel-cancer

3. Bowel cancer incidence statistics. Cancer Research UK.
https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/bowel-cancer/incidence#heading-One

4. How diet, nutrition and physical activity affect colorectal (bowel) cancer risk. Continuous Update Project.
https://www.wcrf.org/dietandcancer/colorectal-cancer


Influenza vaccine (Flu jab)

For patients prone to becoming ill with the 'flu in winter:

Which kind of influenza vaccine (flu jab) can I get?

There are 3 types of influenza vaccine that your GP can give you:

  1. aTIV (adjuvanted trivalent influenza vaccine) – for age 65 and over
  2. QIV (egg-grown quadrivalent influenza vaccine) – for age 18 to 64
    There are two sub-types:
    1. QIVe (egg-grown)
    2. QIVc (cell-based)
  3. LAIV (live attenuated influenza vaccine) – for age 2 to 17

 

Which influenza vaccine is available at my GP surgery?

Supplies of influenza vaccine are distributed nationally.

As of 19/09/2019, Alexandra Surgery has received:

aTIV: between 100 to 200 doses

On 09/10/2019, Alexandra Surgery received:

QIV: 150 doses

Delivery of other vaccines is expected in the next few weeks.

 

Who can get the flu jab free of charge?

The following are priority groups defined by NHS England:

  • all children aged two to ten (but not eleven years or older) on 31 August 2019
  • those aged six months to under 65 years in clinical risk groups
  • pregnant women
  • those aged 65 years and over
  • those in long-stay residential care homes
  • carers
  • close contacts of immunocompromised individuals

 

How can I get the flu jab from my GP surgery?

You may receive a call from the team at the surgery. However, if you haven't heard yet:

First, check this web page to confirm that the suitable flu jab is in stock.

Please contact the reception and ask for an appointment for flu jab.

These are usually short appointments for 5 minutes. If you need a consultation or check-up, please book a separate appointment.

 

More information about influenza vaccine:

https://www.nhs.uk/conditions/vaccinations/flu-influenza-vaccine/

http://vk.ovg.ox.ac.uk/vk/inactivated-flu-vaccine

 


Transport for hospital appointments

(11.Sep.2019)

Ambulance control will no longer accept requests by GP on behalf of patients.

Patients need to call themselves on 0333 24 04 909

This applies to all transport bookings including the Whittington Hospital, North Middlesex Hospital, Royal Free Hospital, Moorfields Hospital ...

(Receptionists have tried calling them with the patient present at the desk - they still insisted the patient should call herself/ himself)

How much will this cost?

According to BT, the cost of calls to 03 numbers is the same as to 01 or 02 numbers.

http://bt.custhelp.com/app/answers/detail/a_id/10424/~/whats-the-cost-of-a-call-to-an-03-number%3F

If you have a mobile or land line package, please check with your provider whether you can use your inclusive allowance.


Language Line (Interpreter)

We now have instant access to the Language Line, if help from an interpreter is required.

Please mention this to the receptionist when you book your appointment / when you arrive for your appointment.

Online translator 1Online translator 2


Clinical Pharmacist

This month we welcome a new Clinical Pharmacist.

Clinical Pharmacist in a GP practice

Nosa Ikiddeh is taking over the role of Clinical Pharmacist at Alexandra Surgery.
It is the same service that Linda Nwoye began on 8 May 2019. 
As GPs have been grouped into Primary Care Networks over the summer, the attached team members have also moved around a bit.

Doctor Link logo

https://www.doctorlink.com/

You may have received a leaflet through your door.

We are training our team members and shall begin providing this service soon.

For details see https://www.doctorlink.com/



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