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COVID -19 Further advice

Telephone triage during Covid-19

During this difficult time, of social distancing, shielding and self isolation we will be accepting on-line, fax, email and telephone requests for your repeat medication. 

Please note, you will be asked by our reception team what you are telephoning for.   This is in complete confidence and enables our reception team direct your call to the most appropriate clinician as soon as possible.

All of our appointments are then telephone triaged by a GP or Nurse Practitioner and if they need to see you for an examination, they will invite you to attend the surgery.  You may be asked to provide a photograph of the area for the GP / Nurse to review prior to your telephone triage. These can be emailed to TVCCG.estonsurgery@nhs.net and will form part of your health care record.  Please be aware that whilst our email system and your records are secure, we do not recommend you send any identifying photos or photographs of a sensitive nature.  Please ensure that you do not include any identifying information in the body of your email or sensitive/personal photographs that could potentially be disclosed to a third party by your unsecure email.


ONLINE ISOLATION NOTES - PROVIDING PROOF OF CORONAVIRUS ABSENCE FROM WORK

Online isolation notes are via NHS111 online, for patients that are self-isolating. An isolation note can be obtained without contacting a doctor and practices are not able to provide these;  The notes can be accessed through the NHS website and NHS 111 online

Do you need a letter regarding Coronavirus to give to your employer about providing sicknotes?

 

letter to patients requesting a sicknote for Coronavirus

Requests for certification of absence from the workplace may fall into five categories:

Personally affected so isolating for seven day

Personally affected and remaining unwell for over seven day

Household contact affected so isolating for fourteen days as per government advice

At risk group so following government advice

Those in full time education

5 circumstances you may need a sicknote and how to get one

  

 

  


WHO SHOULD BE SOCIAL DISTANCING?

THIS BROAD GROUP OF PATIENTS (WHO ARE NORMALLY ELIGIBLE FOR AN ANNUAL FLU JAB) SHOULD TAKE STEPS TO REDUCE THEIR SOCIAL INTERACTIONS IN ORDER TO REDUCE THE TRANSMISSION OF THE VIRUS

 

  • This group has been identified to the public as those who are:
  • aged 70 or older (regardless of medical conditions)
  • under 70 with an underlying health condition listed below (i.e. anyone instructed to get a flu jab as an adult each year on medical grounds):
  • chronic (long-term) respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
  • chronic heart disease, such as heart failure
  • chronic kidney disease
  • chronic liver disease, such as hepatitis
  • chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
  • diabetes
  • problems with your spleen – for example, sickle cell disease or if you have had your spleen removed
  •  a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets or chemotherapy
  • being seriously overweight (a BMI of 40 or above)
  • those who are pregnant
  •  

EXTREMELY VULNERABLE

WHO SHOULD UNDERGO STRICT SOCIAL ISOLATION WITH NO CONTACT BEYOND THAT WHICH IS ABSOLUTELY  NECESSARY? (WE'RE CALLING THIS "SHIELDING PATIENTS" WHO ARE THE MOST VULNERABLE AND AT THE HIGHEST RISK)

THIS GROUP OF PATIENTS WILL RECEIVE A LETTER FROM EITHER THEIR CANCER SPECIALIST, THEIR CONSULTANT OR HOSPITAL SPECIALIST AND FOR A SMALL NUMBER OF COMPLEX CASES WHERE ASKED FROM US (THEIR GP)

  • Solid organ transplant recipients
  • People with specific cancers
  • People with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
  • People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment People having immunotherapy or other continuing antibody treatments for cancer
  • People having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors.
  • People 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
  • People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell disease)
  • People on immunosuppression therapies sufficient to significantly increase risk of infection
  • People who are pregnant with significant heart disease, congenital or acquired

 Full advice on who is classed a "shielded" person

What do i do if i live with someone who is shielded?

 


Community Support Hubs

Local Authorities have been directed to set community support hubs to coordinate support responses to vulnerable patients at greater risk from the Covid-19 virus. Please see below overview the details and a contact numbers of the Community Support Hubs established by each local authority within the Tees Valley. Their role is to provide support to people who might not have support from friends or family members in the following key areas:

  • Information and advice
  • Emotional support
  • Delivery of shopping / newspapers / prescriptions
  • walking or taking care of your pets
  • health advice
  • making meals

Middlesbrough Hub - telephone 01642 729777

https://www.middlesbrough.gov.uk/community-support-and-safety/coronavirus-covid-19/help-boro

Redcar and Cleveland hub - tel 01642 771122

www.redcar-cleveland.gov.uk 

email support@redcar-cleveland.gov.uk 

facebook - redcar and cleveland Coronavirus support group


GENERAL NHS HEALTH ADVICE

 

https://www.nhs.uk/conditions/coronavirus-covid-19/

 


Further advice for patients with long term conditions around Corona virus

Advice for people with Cancer

advice about Corona for people with Cancer

 

Pituitary/ adrenal insufficiency (including steroid sick day rules)

https://www.endocrinology.org/news/item/14050/Coronavirus-advice-statement-for-patients-with-adrenal%2fpituitary-insufficiency 

 

Underlying lung disease (British Lung Foundation)

https://www.blf.org.uk/support-for-you/coronavirus 

 

People with Asthma

https://www.asthma.org.uk/advice/triggers/coronavirus-covid-19/ 

 

People with Diabetes

https://www.google.co.uk/amp/s/www.diabetes.org.uk/about_us/news/coronavirus%3famp 

 

Sick day rules T1 diabetes

https://trend-uk.org/wp-content/uploads/2019/01/A5_T1Illness_TREND_FINAL.pdf 

 

Sick day rules T2 diabetes

https://trend-uk.org/wp-content/uploads/2018/12/A5_T2Illness_TREND.pdf 

 

 People affected by Stroke

https://www.stroke.org.uk/news/coronavirus-information-people-affected-stroke 

 

Pregnant women

https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/covid-19-virus-infection-and-pregnancy/ 

 

Children/young people T1 diabetes

https://jdrf.org.uk/coronavirus-covid-19-information-for-people-living-with-type-1-diabetes/ 

 

 People with Heart/circulatory disease

https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health 

 

 Older people

https://www.ageuk.org.uk/information-advice/health-wellbeing/conditions-illnesses/coronavirus/# 

 

 Young people with anxiety

https://youngminds.org.uk/blog/what-to-do-if-you-re-anxious-about-coronavirus/ 



 
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