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  • Read our frequently asked questions (FAQs)

    Your questions answered on how we are working

    Please read our FAQs page for answers to your general questions on how we are working. For specific information relating to various conditions and how we are dealing with these, please read on below.

    ECONSULT IS NOW LIVE

    Please read about these changes at ivy.gs/econsult. If you need help from us, please click one of our eConsult banners or submit a request here.

  • We are providing a reduced remote-based service

    The coronavirus pandemic is ongoing.

    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. Because of these reasons, and in line with many other organisations, we can only provide a reduced and mostly remote-based service.

    Therefore, we are working quite differently from what we were before. We call this new way of working, General Practice 2.0.

    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.

    ECONSULT IS NOW LIVE

    Please read about these changes at ivy.gs/econsult. If you need help from us, please click one of our eConsult banners or submit a request here.

  • 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, we are still providing a restricted and largely remote service.

    ECONSULT IS NOW LIVE

    Please read about these changes at ivy.gs/econsult. If you need help from us, please click one of our eConsult banners or submit a request here.

  • 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.

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

  • 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

    If we need you to have a blood test, we will email the form to you for you to print out yourself.

    TOP TIP

    If you do not have access to a printer to print your blood form, you might be able to forward your email to a friend or relative who can print for you, or you can access your email from the local library and print your form out there at a cost of 10p per page.

    In order to minimise waiting times and maintain social distancing, you will need to book an appointment for a blood test beforehand [registration required].

    Blood tests are being carried out at these locations locally (the link above will show other available clinics if you are willing to travel):

    • LONGEST WAIT Ripley Hospital, Monday, Wednesday and Friday, between 8am and 1pm, appointment only (no walk-ins)
    • LONG WAIT Old Fire Station, Wilmot Street, Heanor, DE75 7EB, Monday to Friday, between 7.30am and 2.30pm, appointment only (no walk-ins)
    • SHORTEST WAIT Babington Hospital, Belper, DE56 1WH, Monday to Friday, between 8am and 3.30pm, appointment preferred

    For a step-by-step guide to booking an appointment online, please download an information leaflet .

    There is no need to book a review appointment for your results - we will contact you if there is any action required with the results.

    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 on a message in your phone.

    IMPORTANT NOTE: Please make sure you wear a face covering as per policy for all healthcare settings.

  • 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

    If you have fever, new cough or loss of sense of smell, please visit nhs.uk/coronavirus

    If your coronavirus symptoms are now getting worse, please visit 111.nhs.uk

    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.

  • Counselling SHORTCUT ivy.gs/covid-counselling

    Counselling for mental health issues is still available throughout the pandemic, please visit our Mental Health section for details.

  • 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

  • Ear wax and ear syringing SHORTCUT ivy.gs/covid-earwax

    Ear wax is a normal product of the ear. After it is produced it slowly makes its way to the opening of the ear canal.

    If wished, drops to dissolve or soften ear wax are widely available to buy over-the-counter from pharmacists. The softener is to be used for a minimum of three weeks. If at this stage the wax remains firm, the drops may be used for a further period of one week.

    Ear wax should then drop out of the ear naturally.

    Ear syringing is suspended due to the need for close contact and the risk of generating aerosols.

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

    Ear wax information leaflet - a leaflet regarding ear wax.

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

  • 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.

  • Eye problems SHORTCUT ivy.gs/covid-eyes

    Covid-19 Urgent Eye-care Service (CUES) - this is a new service that has been set up to enable patients with eye problems to be reviewed by an optician during the pandemic.

    If you have an urgent eye issue, you can get in touch with us and if appropriate, we will advise you to contact any of the local opticians participating in this service.

    List of opticians participating in the urgent eye-care service.

    PLEASE NOTE: The services does not deal with any patients with 'red flag' symptoms that could indicate more serious conditions, for example:

    • Acute severe eye pain with loss of vision A&E
    • Trauma to eye A&E
    • Complications from eye surgery Ring your eye department
    • Visual disturbances associated with suspected stroke 999
  • 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 for attending an appointment SHORTCUT ivy.gs/covid-appointment

    FACE COVERINGS

    We have a responsibility to protect our staff and other patients, therefore, if a patient refuses to wear a face covering whilst inside the practice, without good reason, the practice reserves the right to choose to provide services to that patient by means other than a face-to-face consultation. This position is fully supported by Derbyshire LMC and the BMA.

    • Do not attend the surgery unless you have been specifically invited
    • Please make sure you have a face covering that covers both your nose and mouth and wear it when you come
    • You will be given a timed appointment to arrive promptly at the surgery - we advise that you do not turn up early as this may mean you bumping into someone else
    • Wait in your car. Do not come into the building
    • The doctor will call you on your mobile at the time of your appointment to check that you have arrived
    • If you have coronavirus symptoms, you will be directed to enter by the fire exit near the patient's car park in order to minimise any contact with others, and you will enter our specially prepared room
    • If you do not have coronavirus symptoms, you will be directed to the front entrance where a receptionist will let you in through the sliding doors
    • Please enter the building alone where possible as this facilitates social distancing and minimises risks to everyone
    • When the doors open, please do not rush in, and please maintain social distancing at all times
    • You will be asked to sanitise your hands 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) or directed immediately into the doctor's room
    • 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)

    If you have fever, new cough or loss of sense of smell, please visit nhs.uk/coronavirus

    If your coronavirus symptoms are now getting worse, please visit 111.nhs.uk

    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 seven 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 access might find it convenient to apply for online access to repeat prescriptions, and order their medications directly from the comfort of their homes [registration required]. 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.

    7. NHS app

    The NHS App is a simple and secure way to access a range of NHS services on your smartphone or tablet [registration required]. You can do things like order prescriptions, book appointments, check symptoms, and view your records. Check our NHS app page, or visit nhs.uk or download information.

    Requests for medications from hospitals

    Where you have been provided with a prescription to be dispensed at the hospital, you should always obtain your medication there, even if there is a queue at the hospital pharmacy. GPs are not obliged to convert hospital prescriptions to community ones.

    Where you have been provided with a hospital prescription for the GP to issue, please note that these are NOT urgent prescriptions and in general, as indicated on the prescription itself, you must allow us 2-3 working days to issue your prescription.

    Where the hospital requires you to have medication urgently, it is actually part of the hospital contract in that they are obliged to supply you with the medication there and then, whilst in clinic or on the ward. It is NOT for the GP to do this urgently for you.

    Please note that any delays in issuing any hospital prescription is not because we are being difficult or refusing to prescribe. Regulations surrounding prescriptions means that any doctor prescribing has to perform due diligence in checking any prescription that they write to ensure that patients do not come to harm through undue mistakes being made. Please bear with us if your prescription is delayed as a result of our checks.

    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.

    Late-opening chemists

    Boots the Chemist, Church Farm branch closed at the beginning of August. To get your prescription dispensed after office hours, you can use any of the following pharmacies:

    • Wellbeing Pharmacy, Greenhill Primary Care Centre,
      Greenhill Lane, Alfreton, Derbyshire, DE55 1LU
      01773 600457, Mon-Sat till 11pm
    • Tesco Pharmacy, Hall Street,
      Alfreton, Derbyshire, DE55 7BS
      0345 677 9833, Mon-Fri till 10.30pm, Sat till 10pm
    • Asda, Wesley Street, Langley Mill,
      }Nottingham, NG16 4ED
      01773 536130, Mon-Fri till 11pm, Sat till 10pm
  • 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.

    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.

    Check our collection of resources for different age groups below which are available to support you during this difficult time:

    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
    • School - an approach to your child's school is an appropriate first step towards getting help (schools have the same referral processes as the NHS and are often better placed to evaiuate and report on issues)
    • 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

    • 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

    Inspired by work from Derbyshire's COVID-19 Task Force

  • Minor illness SHORTCUT ivy.gs/covid-minorillness

    If you have fever, new cough or loss of sense of smell, please visit nhs.uk/coronavirus

    If your coronavirus symptoms are now getting worse, please visit 111.nhs.uk

    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
    • Warfarin/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 6 months 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. The service is working remotely by telephone with video consultations where considered necessary. Face-to-face assessments are currently suspended, however the service is considering restoring these in some form at a future date.

    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 largely suspended with a measured restoration of some services. Routine work is anything that is forward-booked, not urgent and usually carried out under normal circumstances.

    Some reviews of patients with long-term conditions are being carried out depending on capacity and availability of testing and measurements.

    Routine referrals to hospital are being made, but will be held in a waiting list by the hospital. Urgent referrals and referrals to cancer services are still being 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 with concerns 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.

    If your doctor has requested an x-ray at Ripley Hospital, please ring 01773 571436 to book it.

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

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