(Please scroll down)
- 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)
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 18.01.2021 - The vaccine will now be offered to those of age 70 and older.
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
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 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
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.
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.
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!
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)
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.
We have a new colleague, Karen Davis, who can listen to your non-medical problems and signpost you to find solutions.
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.
Clinical Pharmacist review
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.
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:
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
- 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:
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.
Alert ! Colo-Rectal Cancer in Younger People
Colo-Rectal Cancer (Bowel Cancer) is now the 3rd most common cancer worldwide. 
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. 
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. 
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. 
So, if you are in the younger age group, please read about it.
Never Too Young
Speak to your doctor if you have concerns.
1. Colorectal cancer statistics. World Cancer Research Fund.
2. Bowel cancer. NHS Inform.
3. Bowel cancer incidence statistics. Cancer Research UK.
4. How diet, nutrition and physical activity affect colorectal (bowel) cancer risk. Continuous Update Project.
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:
- aTIV (adjuvanted trivalent influenza vaccine) – for age 65 and over
- QIV (egg-grown quadrivalent influenza vaccine) – for age 18 to 64
There are two sub-types:
- QIVe (egg-grown)
- QIVc (cell-based)
- 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
- 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:
Transport for hospital appointments
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.
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.
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.
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/