IVY GROVE SURGERY ivy.gs Coronavirus GP 2.0 Help Symptoms Self-care Visits Register ivy.gs01773 514130

General Practice GP 2.0 - A New Way of Working SHORTCUT ivy.gs/gp or ivy.gs/gp2

Our response to the coronavirus pandemic - how we will work

HOW WE'RE
WORKING
you are here

Find out how to deal with your condition

We are providing a reduced remote-based service

The country is in a state of national lockdown as of March 23, 2020. A national emergency has been declared.

As with many other businesses or organisations, we are not immune to the effects of the coronavirus pandemic, having to deal with staff sick, self-isolating, shielding or with child-care issues. We are also having to follow social distancing advice.

In line with other organisations, we are operating a reduced and mainly remote-based service.

We realise you will have plenty of questions about how to manage your condition, so we have set up this page is to help you - just keep reading below.

For any coronavirus related questions, please visit our coronavirus page and look for scenarios.

For general questions on how we function, please visit our Frequently Asked Questions (FAQs) page.

Self-care first

Please don't just pick up the phone to us!

We are having to advise an increasing number of patients with symptoms of a minor and self-limiting nature, that would have largely got better with self-care, self-help and a little patience.

There are lots of resources to help you manage your minor illness before you need to give us a call, for instance:

.

We need to remind patients that, although we are open, this is for urgent cases that are absolutely necessary only.

Asthma care SHORTCUT ivy.gs/covid-asthma

You will find plenty of useful advice on managing your advice at Asthma UK .

Please also read Asthma UK advice on coronavirus . It includes information on categorising your risk and what to do if you get symptoms.

You can ring the Asthma/COPD helpline on 01332 788225 for advice and help, available 8.30am to 4.30pm, 7 days a week.

You can also download useful patient information leaflets on dealing with breathlessness and breathing techniques.

Asthma UK and British Lung Foundation have set up the Post-COVID HUB for people left with breathing difficulties after COVID-19, their family members, carers and others.

We are encouraging those of our more moderate to severe asthmatics to obtain a peak flow meter in order to be able to monitor their own condition. This can be purchased online or supplied on prescription as necessary.

Requests for inhalers

UK stocks of certain inhalers are running low.

If you are making an urgent request for an inhaler which you have never been prescribed before, your request will be rejected. Please do not call us to request treatment to which you are not entitled.

If you are making an urgent request for an inhaler which you have prevously been prescribed, but a while ago, we will consider your request individually.

Existing patients with regular prescriptions of inhalers should request their inhalers in the usual amounts.

B12 injections SHORTCUT ivy.gs/covid-b12

Face-to-face appointment for injection is suspended.

In line with the most recent research, and the actions of many other practices, we are advising our patients to move to oral B12 tablets.

Please download our letter to B12 patients that gives further information on this issue.

We are not able to prescribe oral B12 tablets for you as they are blacklisted under local prescribing regulations.

We understand over the counter oral B12 tablets might be difficult to come by. We have found a year's supply for about £10 available from Amazon Prime .

Patients will come to no harm through waiting several weeks whilst they obtain supplies of oral B12 tablets. Please do not come to the surgery if you cannot get through on the phone. All face-to-face contact has been suspended. This is to protect you and others.

Those patients who are deficient in B12 due to small bowel or gastric surgery may still need to continue B12 injections. We will contact you directly to discuss options for self-administration of B12. Again this is to protect you and others.

Baby checks SHORTCUT ivy.gs/covid-babychecks

We will replace the face-to-face review with a telephone review and then endeavour to complete a quick face-to-face assessment at the time baby attends for first set of immunisations at 8 weeks.

Concerned parents can always speak to their midwife in the early stages and then their health visitor later.

Blood pressure SHORTCUT ivy.gs/covid-bp

Face-to-face review is suspended.

In order to help with telephone review of blood pressure (BP) we encourage all patients to purchase a home BP monitor. These are now relatively cheap and a small price to pay for the knowledge that your blood pressure is being adequately controlled.

Recommended and validated machines can be found at British and Irish Hypertension Society and British Heart Foundation .

Please also see coronavirus advice from the British Heart Foundation .

If you are taking anti-inflammatory medication, or ACE-inhbitors like ramipril, or ARA (ACE-II) like losartan, it is important to make sure you look after your kidneys, especially if you are poorly - please see leaflet on acute kidney injury - sick day rules .

Blood tests SHORTCUT ivy.gs/covid-bloodtests

Routine blood tests are suspended.

Some blood tests are still being requested, such as for those on immunosuppressant medication or urgent problems. If we need you to have a blood test, we will email for the form to you for you to print out yourself.

IMPORTANT NOTE: Please be aware that you must have the physical paper blood test form in your hand when you attend for your appointment, not in an email or in your phone.

Blood tests are being carried out at Babington Hospital, Belper, DE56 1WH, Monday to Friday, between 8am and 12.15pm, or in Heanor at the Old Fire Station, Wilmot Street, DE75 7EB, Monday to Friday, between 7.30am and 12.30pm.

In order to minimise waiting times and maintain social distancing, you will need to book an appointment for a blood test beforehand. If you follow this link, you will see other clinics that are also available.

UPDATE July 3, 2020: We have been informed that Ripley hospital will be open from Monday 6th July for blood tests by appointment only.

Cancer SHORTCUT ivy.gs/covid-cancer

Please find specific information on coronavirus for cancer sufferers:

Children SHORTCUT ivy.gs/covid-children

Whilst coronavirus is infectious to children it is rarely serious. If your child is unwell it is likely to be a non-coronavirus illness, rather than coronavirus itself.

Whilst it is extremely important to follow Government advice to stay at home during this period, it can be confusing to know what to do when your child is unwell or injured. The following might be useful:

Advice for parents during coronavirus pandemic - a poster about what to do if a child is not well.

When should I worry? - a very useful booklet for parents.

How can I tell if my child is poorly? - a leaflet informing parents what to look out for.

Mental wellbeing is very important at the time like this, so if you or your children are suffering, you might find these resources helpful.

Citizens Advice Bureau (CAB) SHORTCUT ivy.gs/covid-cab

Face-to-face clinics at the surgery are suspended.

Citizens Advice remain open for business with telephone appointments.

The advice line is on 0300 456 8390 Monday to Friday, 9am to 4pm.

Citizens Advice Derbyshire Districts .

Chronic Obstructive Pulmonary Disease (COPD) SHORTCUT ivy.gs/covid-copd

Face-to-face review, including spirometry is suspended.

We are encouraging all our COPD patients to invest in their own oxygen saturation monitor as this will help them to monitor and manage their own condition.

Find advice regarding managing your condition at the British Lung Foundation .

You can download useful patient information leaflets on dealing with breathlessness and breathing techniques.

You can also ring the Asthma/COPD helpline on 01332 788225 for advice and help, available 8.30am to 4.30pm, 7 days a week.

Asthma UK and British Lung Foundation have set up the Post-COVID HUB for people left with breathing difficulties after COVID-19, their family members, carers and others.

Cough

A cough will usually clear up on its own within 3 to 4 weeks.

Official nhs.uk advice and when to seek further advice.

Cough minor illness leaflet - a leaflet written by our doctors.

When should I worry? - a very useful booklet for parents.

How can I tell if my child is poorly? - a leaflet informing parents what to look out for.

Dementia SHORTCUT ivy.gs/covid-dementia

Derbyshire Dementia Support Service

The Derbyshire Dementia Support Service is here to support people living with dementia and their carers during the COVID-19 crisis.

The service is open to:

  • Anyone who is worried about their memory or has a diagnosis of dementia
  • Anyone who is seeking information and advice
  • Carers supporting people living with dementia for support for themselves

The service can offer:

  • Support for people dealing with additional pressures as a result of the outbreak
  • Help for people living with dementia to cope with isolation, loneliness and to feel safe
  • Support for carers
  • Provide welfare calls and companion calls

To refer, please ring 01332 208845 or email: derbyshire@alzheimers.org.uk.

Download an information poster .

Dementia Palliative Care Service

A new service has been set up specifically to help people with advanced dementia and palliative care needs and their carers across Derbyshire.

This is to offer consultancy and advice, assessment and care planning for people with advanced dementia, palliative and/or end of life care needs.

This will be provided by phone triage and immediate signposting, phone or digital assessment or face-to-face assessments/visits can be arranged when triaged as required.

Anybody can refer into the service, including family and carers. To refer, please ring 01332 980124, Monday to Friday, 9am-5pm.

Download an information poster .

Dental problems SHORTCUT ivy.gs/covid-dentist

Your existing dental practice remains the first port of call for any dental problems.

A new emergency dental pathway is being set up across the whole East Midlands to assess patients and direct accordingly – including to an urgent dental centre, if required.

This pathway is still relatively new, so there may be some teething problems (!), but action will be taken to ensure that the correct pathway is followed.

Dental patients are not to contact their GPs.

Access to NHS dentistry - a poster on current dental provision.

Diabetes care SHORTCUT ivy.gs/covid-diabetes

Face-to-face review is suspended.

We may organise a telephone review of your diabetes subject to circumstances and our workload however routine face-to-face review will no longer take place.

We realise this may be a worrying time for many of our diabetes, therefore our diabetes lead doctor, Dr S Francis has written a helpful guide for diabetes in the coronavirus pandemic .

You can also ring the Diabetes helpline on 01332 787671 (M-F 8-6, S-S 8.30-12.30) for advice and help.

You can also download locally produced Derbyshire guidance:

Online support

DigiBete is a free online service, with an available app, to support children and young people to manage their Type 1 diabetes and includes essential help and resources.. It allows diabetes teams to send relevant information and resources to patients and also allows patients to store insulin ratios, care plans, future appointments and notes.

MyType1Diabetes is a free online platform to support adults to manage their Type 1 diabetes and includes tailored advice and educational resources created by NHS experts in diabetes and in association with people with diabetes

Earache

Earache and ear pain is common, particularly in young children. It can be painful, but is not usually a sign of anything serious.

Official nhs.uk advice and when to seek further advice.

Earache minor illness leaflet - a leaflet written by our doctors.

When should I worry? - a very useful booklet for parents.

How can I tell if my child is poorly? - a leaflet informing parents what to look out for.

Face-to-face contacts SHORTCUT ivy.gs/covid-f2f

Routine face-to-face suspended

We are following national guidance and suspending all unnecessary face-to-face contacts.

Thousands of healthcare workers all around the world have been infected with coronavirus by their patients (e.g., China 3,300, Italy 2,700 and Spain 5,400, Turkey 3,500), and many of these have also infected their families, and many healthcare workers have died.

Staff who are sick, self-isolating or worse, are of no use to anybody, and potentially infected staff could also go on to infect others, such as vulnerable patients. We have therefore taken active steps to reduce all face-to-face contact.

Where possible, we will conduct remote assessment and treatment by telephone and/or video, and this may also involve advising or referring you on directly depending on your situation. We may also ask you to send photos of rashes or lesions to us where this is deemed necessary.

We will only see you face-to-face where remote assessment has been unsuccessful in determining the problem or course of action necessary.

Consequently we determine that face-to-face contacts would essentially only be carried out if (when compared with a remote consultation) a face-to-face contact would:

  • Change the management
  • Change the overall outcome
  • Save a life

This policy is intended to keep everyone safe.

An example of such a consultation would be if physical examination was required to assess a patient with symptoms suggesting possible cancer.

Procedure if we need to see you face-to-face

The procedure detailed below is only for patients who do not have any coronavirus symptoms (such as a fever or new cough):

  • You will be given a timed appointment to arrive at the surgery - we advise that you do not turn up too early as this may mean you bumping into someone else
  • Come into the foyer/porch of the building - you will not be able to enter further as the automatic doors will be locked
  • Please enter the building alone where possible as this facilitates social distancing and minimises risks to everyone
  • Our staff will look out for you and let you in - when the doors open, please do not rush in, and please maintain social distancing at all times
  • You will be asked to wash your hands in the waiting room toilet on arrival
  • You will be asked to measure your own temperature to make sure that you are (relatively) well
  • If your temperature is normal, you will be asked to take a seat in the waiting room (seats have been spaced apart to maintain social distancing)
  • The clinician seeing you will be notified and we will aim to minimise waiting times
  • Depending on the situation, you may be given a surgical mask to wear by your clinician
  • Once your consultation is concluded, please leave prompty, do not loiter

Do not come to surgery if you have not been invited, as you will be refused entry - this measure is to protect yourself and others.

Fever (high temperature)

High temperature is very common in young children. The temperature usually returns to normal within 3 or 4 days.

Official nhs.uk advice and when to seek further advice.

When should I worry? - a very useful booklet for parents.

How can I tell if my child is poorly? - a leaflet informing parents what to look out for.

Heart failure SHORTCUT ivy.gs/covid-heartfailure

Face-to-face review is suspended.

We encourage all patients to monitor their condition with a weekly weight. If you start to get a sudden increase in weight, or breathlessness or leg swelling, please ring us for further advice.

Please also see coronavirus advice from the British Heart Foundation .

Medication requests & repeats SHORTCUT ivy.gs/covid-repeats

Getting your repeat prescription (use any of the six methods below)

Download an information poster on ordering responsibly during the coronavirus pandemic.

1. Dropping off your repeat slip

We will continue to issue repeats in the normal manner. However, please do not enter the main surgery building without an appointment. To drop off your repeat, please use our letterbox at the front door.

2. Nominate a pharmacy

We encourage all patients to nominate a chemist so that your prescription can be sent electronically over to the chemist without you having to pick it up from us. Ask reception or speak to your clinician at the time of your consultation.

3. Send us a stamped addressed envelope

Alternatively, if you would like your prescription returned to you, you can send us your repeat prescription slip along with a stamped addressed envelope and we will send it back.

4. Request medications online

Those with internet might find it convenient to apply for online access to repeat prescriptions, and order their medications directly from the comfort of their homes. Your medication will then be sent electronically to the chemist of your choice. Find out more about online access.

5. Email us

For the duration of the pandemic only, repeat prescriptions can be ordered by emailing your request to the temporary email sderccg.prescriptions.ivygrove@nhs.net.

6. Proxy access

Those without online access can still request their repeat prescriptions online, by having a proxy acting on their behalf and registering for online access. Find out more about online access.

Requests for urgent medications

Requests for medications to be issued same day will only be carried out if the medication concerned is on our clinically defined emergency list confirming that patient cannot do with it.

Medication requests that do not come under the above category will be processed in the normal manner. Please be aware that chemists (like all other NHS organisations) are extremely busy at this time.

Information on how to get you repeat will be found on our FAQs page.

Requests for medication never had before

Requests for items you've never had before, like paracetamol or inhalers, will be rejected.

Requests for longer durations

We have been advised to reject all requests to change duration of medication to 3 months each time, as this would collapse the supply chain.

Mental health SHORTCUT ivy.gs/covid-mentalhealth

It is normal to feel more anxious and upset by all of what is happening around us, something we cannot control.

At times like this, it is never more important for all of us to be looking after their mental health. We encourage all patients to make sure both their physical health and mental health is as best as can be.

Try and use some of your anxiety to be prepared and to do the right thing, in terms of keeping you and your family safe - see immediately above.

Try and manage your stress levels and anxiety by making time for yourself, meditation, breathing exercises and doing things that you enjoy, like hobbies and interests.

Try to keep physically healthy, by eating good food, avoid excessive alcohol, avoiding smoking, getting enough sleep and exercise and fresh air and sunshine (following social distancing rules of course).

Use digital means to keep in touch with loved ones, eg by phone, video call and social media, it is always helpful to have a stabilising perspective and reassurance from friends and family.

Avoid overloading yourself with lots of information and news updates that might cause more worry.

General resources for everyone's mental health and wellbeing

Resources for children

  • Penguin Isles app - collect a variety of penguins by creating each of their own habitats and enjoy the waves with relaxing music
  • SafeSpeak - counselling services run by Relate, telephone 01332 349177
  • What to Do When You Worry Too Much - a kid's guide to overcoming anxiety
  • Winston's Wish - information, advice and guidance on supporting bereaved children and young people during the coronavirus outbreak
  • Youngminds.org.uk - lots of useful information on coronavirus and its effects on mental health, top tips on surviving self-isolation, parents Helpline: 0808 802 5544 (M-F 9.30am – 4pm, free for mobiles and landlines)

Resources for teenagers and young adults

  • Apple Watch Breathe app - built-in app in Apple Watch that encourages you to set aside a few minutes a day to relax and focus on your breathing.
  • BEAT - UK’s eating disorder charity, help for young people: the Beat Youthline is open to anyone under 18 on 0808 801 0711 or email fyp@beateatingdisorders.org.uk
  • Calm Harm app - award-winning app developed to help you resist or manage the urge to self-harm.
  • Childline - available free on 0800 1111
  • Kooth.com - online and face-to-face counselling for children and young people aged 10-24.
  • The Mix - offering mental health support for the under 25s - call 0808 808 4994 or visit group chat, discussion boards or speak to a trained member
  • Papyrus - national charity dedicated to the prevention of young suicide - if you are having thoughts of suicide or are concerned for a young person who might be you can contact HOPELINEUK for confidential support and practical advice on 0800 068 4141, text 07860 039967 or email pat@papyrus-uk.org, 9am – 10pm weekdays, 2pm – 10pm weekends, 2pm – 10pm bank holidays
  • Moodometer app - interactive mood diary for monitoring and understanding emotional wellbeing
  • Stay Alive app - app for those at risk of suicide and those worried about someone
  • Youngminds.org.uk - what to do if you are anxious about coronavirus and its effects on mental health, if you are a young person experiencing a mental health crisis, you can text the YoungMinds Crisis Messenger for free, 24/7 support. text YM to 85258

Resources for older people and the vulnerable

  • Derbyshire Carers Association - local group making sure that carers and their families are connected to support services, such as food deliveries, prescription collections and befriending, call 01773 833833 or email info@derbyshirecarers.co.uk
  • Mind - mental health charity, for those worried about coronavirus and how it will affect us and those we love
  • nhs.uk - Every Mind Matters - looking after your mental health
  • Royal Voluntary Service - volunteers providing much-needed support for over-stretched public services and for people as they age along with advice and support on coronavirus, exercise, eating healthily, general enquiries 0330 555 0310
  • We Are Undefeatable - a movement supporting people with a range of long term health conditions, aiming to support and encourage staying active and exercise, supported by Age UK

Content inspired by work from Derbyshire's COVID-19 Task Force

Minor illness SHORTCUT ivy.gs/covid-minorillness

Most conditions seen in General Practice are of a minor and self-limiting nature. This means they will get better by themselves.

Therefore, in line with national guidance, we encourage all patients to self-care, and await natural recovery. This is even more important in the midst of a national emergency and global pandemic.

We still encourage patients to contact us if they are getting worse, have worrying signs or if their condition is lasting too long.

Download When should I worry? - a very useful booklet for parents.

Download How can I tell if my child is poorly? - a leaflet informing parents what to look out for.

This section links to other areas of this page:

Nursing procedures SHORTCUT ivy.gs/covid-nurse

Please note: this list is subject to change - last updated July 2, 2020

Nursing procedures still conducted face-to-face

  • Clozaril monitoring
  • Decapeptyl
  • Denosumab
  • Dressings as requested by GP
  • ECG requested by GP
  • Immunisations: baby (2, 3 & 4 months), 13 months - please see this FAQs document
  • INR
  • HPV for year 8 boys/girls and year 9 girls only - please note: this is carried out by another service, read this info sheet for more details
  • Nebido
  • Pneumonia vaccine (subject to availability, currently out of stock with no indication when resupplied)
  • Preschool boosters
  • Prostap
  • Removal of sutures
  • Ring pessaries (if more than 6m since last changed)
  • Shingles injection
  • Smears - we will have a limited number of appointment slots available - if you have received an official invite for a smear, please contact us
  • Swabs requested by GP
  • Whooping cough vaccination for pregnant women

Nursing procedures conducted by telephone

  • Asthma reviews
  • BP reviews if own machine
  • COPD review
  • Diabetic queries and reviews
  • HRT
  • Pill reviews
  • Postnatals
  • Travel vaccinations

Procedures postponed for now

  • 24 hour BP machine
  • Annual chronic disease reviews
  • BP reviews
  • Coil checks
  • Depo injections (alternative medication will be issued)
  • Ear syringing
  • Other dressings
  • Other swabs
  • Ring pessaries (if less than 6m since last changed)
  • Spirometry
  • Sustanon

Procedures carried out differently

  • B12 injection (patients will be converted to oral treatment in most cases)

Paracetamol

We will reject all requests for paracetamol if you have never been prescribed it previously. Please do not call us to request treatment to which you are not entitled.

Existing patients with regular prescriptions of paracetamol should request their medication in the usual amounts.

Physio SHORTCUT ivy.gs/covid-physio

The Physio Direct service remains available for advice and support for any back, neck, joint or muscle problem.

There is no need to speak to the GP before using this service.

Please ring 01335 230079, Monday-Friday, 8.30am to 4.30pm.

Download the Physio Direct poster for information or visit MSK Triage Derbyshire .

You can also visit the Versus Arthritis helpline or ring 0800 5200 520 for free Monday–Friday, 9am–8pm and discuss issues like understanding and managing your condition, options for treatment, self-care, benefits etc.

There are also lots of exercises available at the Versus Arthritis site to help you manage pain.

Routine work / hospital appointments SHORTCUT ivy.gs/covid-routine

Along with all other NHS organisations, routine work is now suspended. Routine work is anything that is forward-booked, not urgent and usually carried out under normal circumstances.

Most medication and condition reviews are being suspended, and may possibly recommence October 2020, or where possible and if we have capacity, we may conduct reviews by telephone.

Routine referrals to hospital have been suspended. The only exception is cancer services where two week wait cancer referrals can still be made.

If you are attending hospital for a planned procedure, you might find the following information leaflet useful for patients having an operation during the COVID-19 (coronavirus) pandemic .

Sexual health / STIs / Genito-urinary SHORTCUT ivy.gs/covid-sexualhealth

There will be no "walk-ins" at sexual health clinics during this time. The Saturday clinics and community sexual health clinics are currently closed.

Only urgent booked appointments will take place in the main clinics at Wheatbridge, Chesterfield and London Road Community Hospital, Derby, Monday to Friday. Patients will need to ring the information and booking line 0800 328 3383.

Please also visit the Your Sexual Health Matters website for:

  • Sexual Transmitted Infection (STI) & HIV testing (including testing and treatment for chlamydia). For asymptomatic patients and symptomatic patients
  • Oral Contraception & Emergency Contraception (for over 16s)
  • Free condoms by post for patients aged 13+

For emergency contraception, please visit the YSHM website .

For emergency coil fitting, please ring 0800 328 3383.

The following services are currently suspended until further notice:

  • Vasectomy services
  • Psychosexual Counselling
  • Sexual Health Promotion
  • All routine long-acting contraceptive services, including replacements and new fittings*
  • Pregnancy and termination advice

*People will be advised during telephone triage of bridging methods (postal condoms will be coming online imminently, so that they ca ben signposted to oral contraception online and postal condoms - both will be able to be ordered via the website)

For advice and help on sexual matters during COVID-19, please visit Sexwise .

Download the useful leaflet Coronavirus ‘SEX-PLAINED’ .

For information on HPV vaccination for year 8 boys/girls and year 9 girls only - please read this info sheet for more details.

Sick notes (fit notes, MED3s) SHORTCUT ivy.gs/covid-sicknotes

Face-to-face review is suspended.

Please ring us when your sick note expires and we will review your condition by telephone and if a further sick note is required, we can arrange for this to be sent to you electronically via your mobile phone. This will save a unnecessary and potentially risky visit to the surgery.

Please note, if you have been off work for some time, and likely to continue to be off work, then you do not necessarily need to ring us on the day your note expires, especially during busy times. We can always backdate your ongoing note as needed.

Social care

Self-referral to social care SHORTCUT ivy.gs/covid-socialcare

Patients or their relatives can self-refer to social care on 01629 533190 for assessments for care packages, respite, care home and day centre attendance options.

For urgent on the day equipment needs and physiotherapy or occupational input, patients can self-refer to the Single Point of Access team on 01773 525090.

Safeguarding SHORTCUT ivy.gs/covid-safeguarding

For safeguarding concerns where you feel any adult or child is at risk of abuse, ring social care directly on 01629 533190. Anyone can and has a duty to ring social care, it does not need to go via a GP.

You can save me .

Domestic abuse SHORTCUT ivy.gs/covid-domesticabuse

Although domestic abuse services are running differently, they are still running and they are still able to offer support, advice and refuge for those suffering from domestic abuse. Please find the following information:

Where to get help during the coronavirus pandemic .

Support for people suffering domestic abuse during the coronavirus pandemic .

Sore throat

Sore throats are very common and usually nothing to worry about. They normally get better by themselves within a week. We advise self-care in the first instance.

Official nhs.uk advice and when to seek further advice.

Sore throat minor illness leaflet - a leaflet written by our doctors.

When should I worry? - a very useful booklet for parents.

How can I tell if my child is poorly? - a leaflet informing parents what to look out for.

Stop smoking service

Smokers are more at risk from coronavirus due to already weakened lung defences and existing lung conditions caused by smoking, such as COPD. Due to more frequent hand-to-mouth contact, smokers are also more at risk of catching the virus.

If you wish to stop smoking, please get in touch with Live Life Better Derbyshire .

Download a postcard .

Warfarin & INR SHORTCUT ivy.gs/covid-warfarin

We are actively reviewing all our patients on warfarin and working with them to determine if they can be switched over to other as effective medication than does not need regular monitoring. This is for your own safety.

For those continuing with warfarin, arrangements have been made for continued INR testing in a safe manner. Patients will be notified accordingly.

X-rays and ultrasounds

We have been notified that Ripley Hospital, Ilkeston Hospital will now only be accepting referrals for chest x-ray provided there is no suspicion of coronavirus. All other types x-ray requests will only be accepted if they are urgent.

Also, no ultrasound requests will be accepted, unless they are urgent in which case, patients will need to travel to Royal Derby Hospital.

Coronavirus Pandemic
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