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

Telephone: 01243 813 450
Fax: 01243 813 474
Aesthetics: 01243 813457

Email: cathedralmedical@nhs.net

( 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.

Flu Vaccination 2018 ( posted on Sep 12, 2018 )

Patient Information on Influenza vaccines 2018

 

Executive Summary

 

We do not have enough of the new aTIV flu vaccine that is recommended for patients over 65.

 

We will be vaccinating those over 75 and in care home settings, before turning our attention to those between the ages of 65 - 74

 

We have sufficient supplies of flu vaccine for those 75 and over and these patients can book into a flu clinic as standard.

 

We are having staggered deliveries of the new vaccine over the coming months, so clinics will be operating into November.

 

We are writing to all patients aged 65 - 74 to explain the situation and advise where they may be able to get the new flu vaccine if not from ourselves.

 

Patients under 65 and in an at risk group will have the quadrivalent vaccine which is recommended for them, for which we have sufficient supplies. Flu clinics will run as usual.

 

Patients aged 65-74 who are unable to locate aTIV vaccine, will be able to have a QIV vaccine if they so wish, so long as they understand it is not the nationally recommended one for them and may not be as effective as the new vaccine. The QIV vaccine is a similar vaccine to what we historically had, but has got one more strain of flu this year than we previously used to give.

 

We are happy to book patients into flu clinics as usual, so long as they have tried to get a an aTIV vaccine are have been told they will not be able to locate one. In the first instance we recommend you try local pharmacies.

 

We are very sorry for this inconvenience, we know we are not alone locally and we understand that nationally Gp Practices and Pharmacies may not have enough of the new vaccine. There is only one supplier of the new vaccine this year.

 

Full Information

 

This year the NHS England guidelines on influenza immunisations have undergone a major change and there are recommendations for different vaccines for patients over 65 and those under 65.

 

Those aged over 65 are advised to have an Adjuvanted Trivalent vaccine (aTIV) called Fluad. This is the first time this have been available in the UK and is only available from one supplier. Joint Committee Vaccines and Immunisations (JCVI) considers aTIV to be more effective and cost-effective than the non adjuvanted vaccines currently in use in the elderly. Adjuvants can be added to vaccines to enhance immunity and older adults have a weaker immune system.

 

Those aged 18-64 are advised to have the Quadrivalent vaccine (QIV) that is available from a number of suppliers; we have Mylan Influvac. This protects against four strains of flu. This reflects current JCVI advice and Green Book (Public Health) guidance on the basis of cost-effectiveness data produced by PHE.

 

Due to relatively short timescale the NHS England has allowed for this major change to be introduced, and to get enough Fluad (aTIV) out to practices and pharmacies, the delivery schedule is phased. This means that in September, we will only be receiving 36% of our Flu vaccines for the over 65 patient population, we have minimal supplies following in October and more in November. However we know that based upon historical uptake we will not have enough of this vaccine.

 

Hence, based on advice given by NHS England we have decided as a practice to limit the Fluad (aTIV) to patients 75 and over in our first flu clinics. This advice states: ‘’Practices could use the profile of their population aged 65 years and over to inform the phasing of invitations; matching specific practice populations against aTIV deliveries to the practice as set out in the table below”.

 

Patient groups

Rationale

1.

Those aged 75 years and over

Those in care homes

This group have been shown over recent years to be at highest risk of poor outcome from influenza and often have the poorest response to standard dose non-adjuvanted vaccines.

Vaccination aims to reduce influenza outbreaks in care homes and the impact this has on health and care services.

2.

65 to 74 year olds in a clinical risk group

More vulnerable to severe disease following influenza because of underlying medical condition and to benefit from aTIV

3.

65 to 74 year olds NOT in a clinical risk group.

Increased age elevates the risk of poor outcomes following infection with influenza

aTIV is the recommended vaccine.

 

If you are age 65-74 we can offer you the choice of waiting to come back later in November – when we can assess what Fluad stocks we have available for clinics, but we cannot guarantee you this vaccine.

 

You could choose to have your flu vaccine at a local pharmacy, all of whom say they are expecting some supplies over the coming months.  (Please ask at desk for latest information) Kamsons, Boots, Stephens are all expecting some supplies over the coming months - starting from Ooctober.

 

Or we can offer you a quadrivalent vaccine now.  Please note that the latest guidelines for 2018 recommend that this is more effective for patients under 65, however in previous years, this has been the vaccine recommended for all age groups.

 

FLU CLINICS

 

Saturday 22nd September

Saturday 6th October

Saturday 3rd November

Saturday 10th November (TBC)

Various early morning and evening for those who are unable to come in on a Saturday

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.

There is a shortage of Hepatitis A. ( posted on Mar 16, 2018 )

If you have had a Hepatitis A vaccination and are due a booster, we are only giving these at 5 years as they are now known to cover you until then.

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. 

Self care Newsletter ( posted on Oct 16, 2017 )

Please see Alternative to seeing a Gp for lots of useful information, as well as the Chichester Alliance of Practices - CHamp  - newsletter about self care.

Elecronic Prescription Service (EPS) ( posted on Aug 14, 2017 )

Electronic Prescription Service

Once you have signed up to electronic prescription service, your medication can  be collected directly from your chosen pharmacy without having to pick the prescription up from the surgery first. Controlled medication still requires a physical prescription - but this does not stop other medication going to your chosen pharmacy. Please contact your local pharmacy or ask at reception.

 

Ear Irrigation Clinics ( posted on Aug 7, 2017 )

Ear Irrigation

Cathedral Medical Group has been forced to look at the services it provides and prioritise them in order of clinical necessity. This means changes for people requesting ear irrigation (ear syringing) - please see "Clinics and Services" tab for further information we will have another update for you in May 2018.

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

Mobile Numbers ( posted on May 17, 2017 )

Please remember to update us about any changes to your telephone numbers

Sharing home readings of B/Ps ( posted on Nov 26, 2013 )

If you have been advised to undertake home readings of your Blood pressure, please do remember to share these with us, by email or by letter every six months. Thanks.


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