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Cathedral Medical Group
Cawley Road, Chichester, West Sussex PO19 1XT

Telephone: 01243 813 450
click here for Aesthetics or Tel: 01243 813457

Email: cathedralmedical@nhs.net

PLEASE SEE THE "NEWS" SECTION ABOVE FOR ALL THE UP TO DATE GUIDANCE AND INFORMATION REGARDING CORONAVIRUS.

Covid-19 HIGH RISK PATIENT CLARIFICATION ( posted on Apr 14, 2020 )

There is a lot of controversy in the press about who is sending shielding letters to patients. This is the current advice as of 13.4.20

 

Criteria for patients who qualify for the Shielding Advice and letter

  • People who have had an organ transplant who remain on long term immune suppression therapy
  • People with specific cancers - people :- 
  • with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
  • with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
  • having immunotherapy or other continuing antibody treatments for cancer
  • having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
  • who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs
  • people with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD.  Severe asthmatics are those who are frequently prescribed high dose steroid tablets.
  • people with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell)
  • people  on immunosuppression therapies sufficient to significantly increase risk of infection
  • people who are pregnant with significant congenital heart disease

The Government have identified the patients as above and sent them letters directly.  THe surgery have been given this list, have checked through it and contacted patients directly where necessary.

 

We are still receiving queries from patients who think that they should have received a shielding letter and so have produced the following guidance for both our patients and staff:

 

Who has told the patient they need a shielding letter?

1.  If a hospital specialist then please return to the specialist as it is their responsibility to issue a letter if they have identified you as being at the highest risk of complications of a Covid-19 infection and therefore need to self isolate for 3 months.  Please do not ask reception staff in this instance.

2. The patient themselves feel they are risk and have been on to the cabinet office website and registered as high risk and had a message back to contact the GP as they have not previously been sent a letter from NHSE.

  • The receptionist will take your details and add to the Covid-10 shielding self-declared waiting list and the clinical team will review your details and send you a text with the outcome of this assessment, we will aim to do this within 4 working days.  Please tell the staff exactly why you think you should be on this list with reference to the above.

3. Another hospital based clinician has indicated that the patient is a high risk - eg a Motor Neurone Disease nurse, Respiratory nurse, A&E doctor or another source

  • If this is the case the patient should self-declare themselves as high risk on the Cabinet Office website and if the message back is to contact the GP then email the surgery on cathedralmedical@nhs.net  (or telephone if you do not have an email access) with details and the surgery will proceed to option 2 above. 

Cabinet Office website for self-registration

https://www.gov.uk/coronavirus-extremely -vulnerable  

 


Changes to how we look after you ( posted on Mar 17, 2020 )

We have been advised to scale back the amount of "routine work" that can be classed as non essential in order to prepare for increases of coronavirus and to give Gp time to prepare for how we manage our workload over the coming weeks and months, when we are expecting and planning for staff shortages both clinical and non clinical. Our intention is to keep the surgery running as smoothly as we can.

 

You may be contacted if you have a face to face appointment and advised that this will now be a telephone appointment. If the Gp decides that a face to face appointment is necessary to make an appropriate and safe clinical decision, then they will invite you into surgery. 

 

PLEASE DO NOT COME DOWN DOWN TO THE SURGERY TO BOOK AN APPOINTMENT, PLEASE USE THE PHONE SYSTEM

 

We will be booking on the day only as much as we can, with limited exceptions. Most of our appointments wherever possible will be telephone appointments, unless we need to undertake a procedure - i.e. give an injection, dress a wound. You may be triaged by nurses, or Gps depending on the type of appointment requested. 

 

However, please accept and support our staff if you phone to book your usual annual review, or routine bloods and you are requested to call back in a few weeks time as the service has been suspended, they are simply following the Partners instructions.

 

For admin matters, i.e. change of address, please use our email address. please post Rx scripts through our letter box.

 

The surgery has a coronavirus planning group and each decision about a suspension of service has not been taken lightly and has been discussed with regard to the clinical risk and appropriateness of suspending the service.

 

Many services will continue as normal, or with adaptations  - our wish is to keep the surgery as uncrowded as possible, to keep you the patient as safe as we can and to protect our front line staff.

 

Thank you for your continuing support. We will continue to update the website as and when we make any changes.

Coronavirus (COVID-19) ( posted on Mar 16, 2020 )

 

Please follow the gudiance as issued by our givernement on all aspects of coronavirus.

 

Do not come down to the surgery

 

 

 

https://www.gov.uk/coronavirus

MJOG messaging ( posted on Mar 21, 2019 )

We have a new SMS service called MJOG which allows you to respond in a limited way to text messages that we send out. For example, when you get a reminder about your appointment, you can respond to that message and cancel your appointment with one word. 

 

We can also invite you for flu clinics or update your smoking status. All because the SMS gives you instructions to follow to text back to us certain words that will let us know for example:- whether you smoke, or tell us that you don't want a flu jab. We then won't keep asking the same question as we are duty bound to, if you have responded as asked. 

 

So please, make sure we have your mobile number, it could really help the surgery work more efficiently and hopefully reduce our "patient did not attend"  rate  - those wasted appointments that could have gone to someone else.

( posted on Oct 15, 2018 )

We are improving access to appointments


From 01 October, GP and nurse appointments are now available during the evening and at the weekend for people across Coastal West Sussex.


This means that urgent appointments are available up to 8pm during the week, and during clinics on a Saturday and Sunday.


This aims to improve access to GP appointments and help local people to get the help and support they need.

The service is run by Innovations in Primary Care (IPC), a not-for-profit company owned by local GP practices.


The appointments will be available at local GP access hubs, run from GP surgeries, and they will be both routine and urgent appointments with a doctor, nurse or healthcare professional.


The teams will see new illnesses when you urgently need to see a health professional, and offer planned appointments such as family planning and smear tests that can be hard to arrange whilst at work or when you are caring for family or a loved one.


IPC has been running the MIAMI clinics in Adur and Worthing for the last three years, which has offered a very similar service, offering help for ‘Minor Injury Assessment & Minor Illnesses’.


These clinics have been successful and helped local people to access the help they need outside of normal opening times.


We hope that this roll out of the hubs across the whole of Coastal West Sussex will mean that all patients registered with a GP practice in our area can benefit.


You book into the GP access hubs via your normal GP practice, and you may be offered an appointment at one of the hubs at the weekend if you call NHS 111 for urgent health advice and support.


The hubs may be at your GP practice or they may be at a neighbouring GP practice locally in the community around you.


The teams will have access to your medical records with your consent, and any care they provide will be added to your notes so your GP practice can continue any ongoing care.


Patients can book into these appointments by calling your registered GP practice in the normal way, and they will be able to access the booking system and make sure you receive the help and support you need.

Access to your GP Medical Records ( posted on Apr 16, 2018 )

 

Access to your GP Medical Record

Our Medical Record Computer System is set-up so that if you receive medical care from one of the organisations below, they can, with your explicit permission, gain access to your GP Medical Record, thus helping them in their care of you.

 

Community Nursing Team

Onecall & Echo

St Wilfrid’s Hospice

GP Extended Access

The nurses and other health professionals who work in the community and visit patients at their home

The team who coordinate Urgent Care and End of Life Care in the community

The team who Provide Tailored End of Life Care in the Community & at their Chichester Hospice

The new Minor Injury & Minor Illness clinics providing additional GP Appointments

 

These teams will not be able to access your medical record if you have not been registered with them to receive their services.  They will also ask for your Explicit Consent to view your GP Medical Record when they first see or speak to you.  If you say no, they will not access your record.

 

If you do not want one or more of these organisations to have this ability, please ask for a Sharing Dissent form from Reception.  Please make such a decision carefully as it will mean that even if you subsequently gave them explicit consent, they would not be able to access your record until they have spoken to the Surgery.  This would be delayed overnight and at weekends when the surgery is closed and potentially when they need such access the most.

Accessible Information Standard ( posted on Mar 14, 2018 )

The Standard sets out a specific, consistent approach to identifying, recording, flagging, sharing and meeting the information and communication support needs of patients, service users, carers and parents with a disability, impairment or sensory loss.

 

Overview of the Standard

NHS England have produced a short summary document which provides an overview of the Standard for patients, service users, carers and parents.

 

Click on this link to see the summary document This is available in a range of formats.

 

We strive to record any accessible information to support our patients in a variety of ways, but please contact us if you have a need under this standard that may not be obvious to us. 

CQC Updated report June 2017 ( posted on Jul 4, 2017 )

We have received our updated report, having undertaken the three things they wished us to address as required.

 

Fridge locks

DRB checks on two staff

Scripts in dispensary signed before medication issued to patients

 

Cathedral Medical Group were also keen to highlight the implementation of other suggested areas that we believed we could improve on. CQC were very pleased that we are always striving to improve the service and procedures we have in place to deliver the best patient care. 

 

Report in documents


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