The London Lane Clinic

020 8460 2661

Coronavirus

Guidance for our patients     Last updated 8.7.20

Appointments

Due to the coronavirus pandemic we have had to change our system of appointments.  If you need to see a GP (for any health problem), you will need to use an “online consultation” – click on the blue box (called e-consult) on this website’s home page and complete the on-line form (no log-in details required).  If you don’t have access to the internet, you can telephone the surgery and a member of the reception staff will complete and submit the on-line form for you.  This will be seen by one of our doctors and responded to by the end of the next working day, and you may have avoided having to come into the surgery.

The ability to book face-to-face appointments over the internet has been suspended in line with all other general practices while the Coronavirus crisis lasts.

If you do have to come to the surgery, you will be stopped at the entrance and asked a number of questions by a member of our staff in relation to Coronavirus.  This is to ensure the safety of all our patients and staff.

Prescriptions

Due to the current Coronavirus situation we are no longer able to issue paper prescriptions.  Therefore, when requesting your prescription please include your choice of nominated pharmacy so that we may send the prescription electronically to the pharmacy.

Sick notes

Sick notes cannot be collected from the surgery.   Wherever possible, these will be emailed, otherwise they will be posted.

Nurse services

Our nurses are providing the following services:

  • Child & baby immunisations
  • Dressings
  • Vaccinations for pregnant women
  • B12 vaccinations, if clinically urgent
  • Depo injections
  • Zoladex and other hormone injections
  • Clinically urgent blood tests
  • Telephone consultations for contraception, mental health reviews, and asthma reviews.
  • ECGs

Please phone the surgery if you have any queries about this.

Coronavirus

If you are feeling unwell with a new, continuous cough or high temperature (37.8 degrees and above), please stay at home – do NOT come to the surgery – and avoid contact with other people.

If you have symptoms of Coronavirus infection, however mild, stay at home and do not leave your house for seven days from when your symptoms startedAny individuals in the same household are being asked to self-isolate for 14 days from that moment as well.  If other members of your household develop symptoms, however mild, at any time during the 14 days, they must not leave the home for 7 days from when symptoms started.  Staying at home while you have coronavirus (COVID-19) helps to protect your friends, colleagues and the wider community. It will also help to control the spread of the virus.

We realise that staying at home may be difficult or frustrating, but there are things that you can do to help make it easier. These include:

Plan ahead and ask your family, friends or employer for help to ensure that you can successfully stay at home.

Stay at least two metres (about three steps) away from other people in your home whenever possible.

Sleep alone, if that is possible.

Wash your hands regularly for 20 seconds, each time using soap and water.

Stay away from vulnerable individuals, such as the elderly and those with underlying health conditions, as much as possible.

You do not need to call NHS111 to go into self-isolation. If your symptoms worsen  during home isolation, or are no better after seven days, use the

 NHS 111 online service at https://111.nhs.uk/covid-19.  If you have no internet access, you should telephone 111.  For a medical emergency only, dial 999.

While at home you should make sure you do the following things:

You should remain in your home. Do not go to work, school, or public areas, and do not use public transport or taxis.

You will need to ask friends or relatives if you require help with buying groceries, other shopping or picking up medication.  If you are at highest clinical risk you can contact the council to request assistance either by telephoning or by clicking on the following link:  https://www.bromley.gov.uk/info/1113/volunteering/1410/volunteers_and_requests_for_assistance/2

You can order medication by phone or online. You can also order your shopping online. Make sure you tell delivery drivers to leave items outside for collection if you order online. The delivery driver should not come into your home.  Wash your hands after taking in deliveries.

Avoid visitors in your home.

For further guidance on staying at home visit https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance/stay-at-home-guidance-for-people-with-confirmed-or-possible-coronavirus-covid-19-infection’

The government and NHS are well-prepared to deal with this virus.  You can help too.

Germs can live on some surfaces for hours.  To protect yourself and others:

  • Always carry tissues with you and use them to catch your cough or sneeze.
  • Bin the tissue and, to kill the germs, wash your hands with soap and water, or use a sanitiser gel.  Wash your hands thoroughly for at least 20 seconds.
  • Do not share pens, avoid shaking hands, avoid using door handles when possible (push the door open with your arm).  Regularly clean door handles and other shared items

This is the best way to slow the spread of almost any germs, including Coronavirus.

The NHS is well prepared for outbreaks of new infectious diseases and has put in place measures to ensure the safety of all patients and NHS staff, while also ensuring services are available to the public as normal.

Check online at www.gov.uk/coronavirus and at nhs.uk for the latest COVID-19 information before contacting the practice.

Face coverings

Face coverings when using NHS services

Since Monday, 15th June all patients and visitors to NHS services must wear a face covering at all times.  This includes hospitals, community clinics and GP services.  Evidence has confirmed that face coverings can help reduce the risk of transmission if you are suffering from coronavirus, but not showing symptoms.

Please wash your hands or use hand sanitiser before putting on a face covering and after taking it off. Please avoid touching your face covering whilst wearing it to avoid transmission of the virus.

If you attend an appointment without a face covering, you will be provided with a face mask in an emergency.

Face coverings can help us protect each other and reduce the spread of the disease if you are suffering from coronavirus but not showing symptoms. People with coronavirus symptoms, as well as members of their household, should continue to follow the advice to self-isolate.

They may be beneficial in places where it is hard to follow maintain social distancing measures. This applies when using public transport, such as trains, buses and metro systems, or when visiting shops.

They do not need to be worn outdoors, while exercising, in schools, in workplaces such as offices and retail, by those who may find them difficult to wear, such as children under two or primary aged children who cannot use them without assistance, or those who may have problems breathing while wearing a face covering.

The public is being strongly urged not to purchase surgical masks or respirators. These are prioritised for healthcare workers working in more high-risk environments where the risk is greatest.

Instead the public is encouraged to make face coverings at home, using scarves or other textile items that many will already own. Read the guidance on how to wear and make a cloth face covering.  These face coverings should cover the mouth and nose, whilst allowing the wearer to breathe comfortably and can be as simple as a scarf or bandanna that ties behind the head to give a snug fit.

Clinically extremely vulnerable patients

If you, or a relative are at very high risk of severe illness from coronavirus because of an underlying health condition please click on the following website link for guidance: guidancehttps://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19

The advice for people identified as clinically extremely vulnerable changes on 6th July.  From then, if they wish, they may

 Meet in a group of up to 6 people outdoors, including people from different households, while maintaining strict social distancing;

No longer observe social distancing with other members of their household;

In line with the wider guidance for single adult households (either an adult living alone or with dependent children under 18) in the general population, form a “support bubble” with one other household.  All those in a support bubble will be able to spend time together inside each other’s homes, including overnight without needing to socially distance.

From 1st August, provided there are no significant increases in incidents, the guidance will be further relaxed. Specifically:

  • People can go to work, if they cannot work from home, as long as the business is COVID-safe;
  • Children who are clinically extremely vulnerable can return to their education settings if they are eligible and in line with their peers.  Where possible, children should practise frequent hand washing and social distancing;
  • People can go outside to buy food, to places of worship and for exercise but should maintain strict social distancing; and
  • People should remain cautious as they are still at risk of severe illness if they catch Coronavirus, so the advice is to stay at home where possible and, if they do go out, follow strict social distancing.

The current advice can be found on gov.uk

Advice for parents

When your child is ill or injured it is very difficult to decide if/when to call your child’s GP, NHS111 or go to the Accident & Emergency Department (A&E).  During the current situation and while the government is asking everyone to stay at home, it can be confusing to know what to do.  Please click on this link for guidance: Coronavirus Parents Guide

 

NHS Volunteer Responders

If you are over the age of 18 and are fit and well with no symptoms and would like to volunteer to help vulnerable patients with food deliveries etc, please click on this link www.goodsamapp.org/nhs

 

Our staff

During the pandemic we are trying our best to keep our staff as well as our patients safe.   This means that where possible, following government advice, some staff are working from home, while those who are coming in to the surgery are socially distancing.  Perspex screens have been fitted over the reception counter.  All (51) of the staff – the doctors, nurses, health care assistants, administration staff and receptionists – have been risk assessed.  Ten risk assessments have been completed for our black and minority ethnic staff, amounting to 19.6% of the workforce.  All of our staff have carried out infection control training.  There is no shortage of Personal Protective Equipment (PPE) at this surgery.

 

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