We are looking for 12 people who are registered with Ivy Medical Group to be Patient Partners and members on our Patient Participation Group. These roles are voluntary and will you will be supported by the practice team.To find out more about this exciting role we are holding a drop-in session on:Thursday 29 Sept. 2022, 6.00pm – 7.00 pm at St Helen’s Church, Burton Joyce More information on the role can be found at our surgeries, on our notice boards, our website and on the village Facebook page.&nbsp;

Patient Partners needed! We need Patient Partners to help us deliver our strategy 

Invitation to join our revamped - Patient Participation Group

https://www.independent.co.uk/life-style/facts-about-queen-elizabeth-ii-b2163054.html

<h2>Along with the rest of the world, we at The Ivy Medical Group are saddened to hear of the recent passing of her Majesty Queen Elizabeth II.</h2> <h2>Monday 19th September has been confirmed as a Bank Holiday to mark the funeral of Her Majesty Queen Elizabeth II. Our practice will be closed and will reopen as normal at 8.15 AM on Tuesday 20th September.</h2>

Practice Update

Monday 19th September 2022 - Bank Holiday confirmed

We are holding these meetings so we can look at our future strategy, working with you, your family and carers. These meetings cannot address any personal issues you have, these must be directed to the practice.I am sure some of you are aware that the practice has faced many challenges over the last few years. These include the pandemic and prior to that the merger of Lambley Lane and Apple Tree, including staff changes and shortages.&nbsp;Our dedicated, staff work tirelessly within the NHS to provide the best patient services we can, despite the many challenges we face. Nationally there is a workforce shortage, and we are doing our best to secure staff as well as striving to improve access to all our services. I have heard from staff and patients about the challenges, and I want to make sure we take positive steps forward to address these, in order to continue providing the highest quality of care for patients.I have been able to secure the voluntary support and experience of Tracy Madge, a recently retired, qualified senior nurse and Project Manager to support our development and to help prepare a forward plan. Tracy is registered with our practice and has signed a confidentiality agreement to undertake this work.&nbsp;Tracy will be working with Melanie Maddock, my Practice Manager over the next 12 months with the aim of producing a five-year strategy by January 2023.Tracy is undertaking a confidential listening exercise with current staff, some former staff, patients and key other colleagues. This will capture, for example, what works well now and what you think should happen in the future. She is currently holding one to one interviews with some staff and starts the patient/public focus groups this week. This will enable us to gain as much insight as possible into our collective views. The outcome will be a report that will be shared widely. This will give us a clear way forward as to what actions we should take.The dates of the first meetings are:Wednesday 24 August 2022, 12.30 – 13.30 pm at St Helen’s Church, Burton JoyceThursday 1 Sept. 2022, 1.30 – 2.30 pm, at Lowdham PracticeThursday 8 Sept. 2022, 1.30 – 2.30 pm, at Lowdham PracticePlease note we will be seeking out the views of specific groups such as older people, learning disability and young people. We will also be arranging an evening meeting shortly and we will inform you via our notice boards, website and Facebook page. Letters and questionnaires will be offered to our patients visiting the practice or can be collected for those patients who cannot access the internet. Texts will be issued as appropriate and when our technical issues are resolved.A copy of the questionnaire is in the downloads for those unable to attend a meeting. These will also be available at the practice’s receptions.These meetings are being held in a spirit of mutual respect and we would ask that attendees come with constructive feedback about the future of the service so we can have a plan built with your input.For your information I have attached Tracy’s biography.We are very much looking forward to working with the local population to make sure we have a future service that is sustainable and high quality.Yours sincerelyDr Paramjit Singh PanesarGP Principal&nbsp;<a href="http://www.ivymedicalgroup.co.uk/" rel="noopener noreferrer" target="_blank">The Ivy Medical Group, Nottingham</a> Tracy Madge, MSc, RGN, RMNI initially retired from the NHS in June 2018 after 37 years working in the NHS and social care sector, mainly in Nottinghamshire.&nbsp;I returned in March 2020 and worked as the Associate Chief Nurse for Nottinghamshire. My main role was as the Programme Director for the Covid Vaccination Programme. I retired again in March 2021.Over my career I have always put the needs of the patient first and foremost with the aim of ensuring the highest quality care is delivered. I have held a range of provider and commissioning, clinical and managerial roles working at to Director level.&nbsp;As Director of Primary Care for the former Gedling Primary Care Trust I managed the GP contract and provider services for the locality. This experience proved invaluable in my leadership as Assistant Director of Clinical Strategy with NHS England. I secured £5.2 million funding for General Practice development across Nottinghamshire and Derbyshire and was the lead for the two county Primary Care Strategy.I have delivered on small and large system changes including implementing the primary care contracts, the GP out of hours service, reconfiguring the Accident and Emergency Department at Newark Hospital and closing two Walk in Centres to recommission improved quality services.&nbsp;I have previously managed all adult community services across Nottinghamshire including the community hospitals as a General Manager and Clinical Director.I was the clinical project lead for opening the new Emergency Floor at Leicester Royal Infirmary in 2018. I have up to date validation with the Nursing and Midwifery Council as a Registered General Nurse and Registered Mental Health Nurse.&nbsp;I have worked at national level to support the development of the NHS Commissioning Board organisational structure, working closely with the national Medical Director’s team.&nbsp;As Associate Director for Public Health for Nottinghamshire I led the transfer of the function from the NHS to the Local Authority including developing new quality processes.I retired as a Trustee for Nottinghamshire Hospice in 2021 having been the chair of the Quality and Safety Committee. This important role was focussed on maintaining the quality of care for patients at the end of their life and it was a privilege to work for such an inspirational charity.I have lived in Nottinghamshire all my life and in Burton Joyce for 15 years. I enjoy an active retirement including travelling extensively with my husband.&nbsp;We have four children and two grandchildren whom we enjoy spending time with.I still feel I have more to give so have offered my time voluntarily to my local GP to support the development of forward plan. It is a part time offer and will definitely not affect my travel plans!&nbsp;&nbsp;

In response to your feedback Ivy Medical Group are holding an evening meeting to tell you where we are now and to hear your views.&nbsp;Please come and join us so we can work together to make our local health services the best they can be!Thursday 15 September 2022, 6.30pm – 7.30 pm at St Helen’s Church, Burton Joyce Please find below a letter explaining the background.If you can’t join us we have a questionnaire you can complete. Copies are available at our surgery receptions and on our website.

Practice Development

Future Proofing our Local Health Service

The flu vaccine&nbsp;is a safe and effective vaccine. It's offered every year on the NHS to help protect&nbsp;people&nbsp;at risk of getting seriously ill from flu.The best time to have the flu vaccine is in the autumn or early winter before flu starts spreading. But you can get the vaccine later.Flu vaccination is important because:<ul><li>more people are likely to get flu this winter as fewer people will have built up natural immunity to it during the COVID-19 pandemic</li><li>if you get flu and COVID-19 at the same time, research shows you're more likely to be seriously ill</li><li>getting vaccinated against flu and COVID-19 will provide protection for you and those around you for both these serious illnesses</li></ul>If you've had COVID-19, it's safe to have the flu vaccine. It will still be effective at helping to prevent flu. COVID-19 booster vaccineSome people may be eligible for both the flu and the COVID-19 booster vaccines.If you are offered both vaccines, it's safe to have them at the same time.<a href="https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination-old/coronavirus-booster-vaccine/" rel="noopener noreferrer" target="_blank">Find out more about the COVID-19 booster vaccine and who can get it</a><h2>Who can have the flu vaccine?</h2>The flu vaccine is given free on the NHS to people who:<ul><li>are 50 and over (including those who'll be 50 by 31 March 2022)</li><li>have certain health conditions</li><li>are pregnant</li><li>are in long-stay residential care</li><li>receive a carer's allowance, or are the main carer for an older or disabled person who may be at risk if you get sick</li><li>live with someone who is more likely to get infections (such as someone who has HIV, has had a transplant or is having certain treatments for cancer, lupus or rheumatoid arthritis)</li><li>frontline health or social care workers</li></ul> We are scheduled our delivery of flu vaccinations during the last week of September and clinics will start immediately after our delivery.In the meantime, we will be setting up our flu clinics to enable you to book into. We will be holding clinics on Saturdays, late evenings on some Monday's and also at various times during the week.Our housebound and care home patients will be contacted by our team to arrange a visit to receive their flu and covid booster vaccine, please do wait to be contacted, our reception team are unable to book those visits in.Appointments will be available to book into this year via an online booking system which will be sent to you via a text message with a link to directly book into. You can also book appointments by calling the practice during the afternoons or at our reception desks.We will contact all patients that are eligible for a flu vaccine to invite you to book in via a text message if you have consented to receive sms messages or by letter.We will update our website regularly with the dates of our flu clinics and when they are available to book into.

We will be starting our influenza immunisation programme at the practice from September 2022.

Flu vaccinations

The NHS influenza immunisation programme 2022 to 2023

Dear PatientPlease allow me to apologise for the technical issues that prevented us from issuing this letter about the dates of our first public meetings. We have put them on our Facebook page to ensure the dates were advertised. This letter provides the background.We are holding these meetings so we can look at our future strategy, working with you, your family and carers. These meetings cannot address any personal issues you have, these must be directed to the practice.I am sure some of you are aware that the practice has faced many challenges over the last few years. These include the pandemic and prior to that the merger of Lambley Lane and Apple Tree, including staff changes and shortages.&nbsp;Our dedicated, staff work tirelessly within the NHS to provide the best patient services we can, despite the many challenges we face. Nationally there is a workforce shortage, and we are doing our best to secure staff as well as striving to improve access to all our services. I have heard from staff and patients about the challenges, and I want to make sure we take positive steps forward to address these, in order to continue providing the highest quality of care for patients.I have been able to secure the voluntary support and experience of Tracy Madge, a recently retired, qualified senior nurse and Project Manager to support our development and to help prepare a forward plan. Tracy is registered with our practice and has signed a confidentiality agreement to undertake this work.&nbsp;Tracy will be working with Melanie Maddock, my Practice Manager over the next 12 months with the aim of producing a five-year strategy by January 2023.Tracy is undertaking a confidential listening exercise with current staff, some former staff, patients and key other colleagues. This will capture, for example, what works well now and what you think should happen in the future. She is currently holding one to one interviews with some staff and starts the patient/public focus groups this week. This will enable us to gain as much insight as possible into our collective views. The outcome will be a report that will be shared widely. This will give us a clear way forward as to what actions we should take.The dates of the first meetings are:Wednesday 24 August 2022, 12.30 – 13.30 pm at St Helen’s Church, Burton Joyce Thursday 1 Sept. 2022, 1.30 – 2.30 pm, at Lowdham PracticeThursday 8 Sept. 2022, 1.30 – 2.30 pm, at Lowdham PracticePlease note we will be seeking out the views of specific groups such as older people, learning disability and young people. We will also be arranging an evening meeting shortly and we will inform you via our notice boards, website and Facebook page. Letters and questionnaires will be offered to our patients visiting the practice or can be collected for those patients who cannot access the internet. Texts will be issued as appropriate and when our technical issues are resolved.A copy of the questionnaire is in the downloads for those unable to attend a meeting. These will also be available at the practice’s receptions.These meetings are being held in a spirit of mutual respect and we would ask that attendees come with constructive feedback about the future of the service so we can have a plan built with your input.For your information I have attached Tracy’s biography.We are very much looking forward to working with the local population to make sure we have a future service that is sustainable and high quality.Yours sincerely&nbsp;Dr Paramjit Singh Panesar&nbsp;GP Principal&nbsp;<a href="http://www.ivymedicalgroup.co.uk/" rel="noopener noreferrer" target="_blank">The Ivy Medical Group, Nottingham</a> Tracy Madge, MSc, RGN, RMN&nbsp;I initially retired from the NHS in June 2018 after 37 years working in the NHS and social care sector, mainly in Nottinghamshire.&nbsp;I returned in March 2020 and worked as the Associate Chief Nurse for Nottinghamshire. My main role was as the Programme Director for the Covid Vaccination Programme. I retired again in March 2021.Over my career I have always put the needs of the patient first and foremost with the aim of ensuring the highest quality care is delivered. I have held a range of provider and commissioning, clinical and managerial roles working at to Director level.&nbsp;As Director of Primary Care for the former Gedling Primary Care Trust I managed the GP contract and provider services for the locality. This experience proved invaluable in my leadership as Assistant Director of Clinical Strategy with NHS England. I secured £5.2 million funding for General Practice development across Nottinghamshire and Derbyshire and was the lead for the two county Primary Care Strategy.I have delivered on small and large system changes including implementing the primary care contracts, the GP out of hours service, reconfiguring the Accident and Emergency Department at Newark Hospital and closing two Walk in Centres to recommission improved quality services.&nbsp;I have previously managed all adult community services across Nottinghamshire including the community hospitals as a General Manager and Clinical Director.I was the clinical project lead for opening the new Emergency Floor at Leicester Royal Infirmary in 2018. I have up to date validation with the Nursing and Midwifery Council as a Registered General Nurse and Registered Mental Health Nurse.&nbsp;I have worked at national level to support the development of the NHS Commissioning Board organisational structure, working closely with the national Medical Director’s team.&nbsp;As Associate Director for Public Health for Nottinghamshire I led the transfer of the function from the NHS to the Local Authority including developing new quality processes.I retired as a Trustee for Nottinghamshire Hospice in 2021 having been the chair of the Quality and Safety Committee. This important role was focussed on maintaining the quality of care for patients at the end of their life and it was a privilege to work for such an inspirational charity.I have lived in Nottinghamshire all my life and in Burton Joyce for 15 years. I enjoy an active retirement including travelling extensively with my husband.&nbsp;We have four children and two grandchildren whom we enjoy spending time with.I still feel I have more to give so have offered my time voluntarily to my local GP to support the development of forward plan. It is a part time offer and will definitely not affect my travel plans!&nbsp;&nbsp;&nbsp;

We are holding these meetings so we can look at our future strategy, working with you, your family and carers.

Dear Patients,&nbsp;We have all weathered difficult times over the past two years and although we are hoping things may improve the Covid-19 pandemic is far from over. There has been a troubling degree of misinformation on social media and our classical media which has led to unnecessary stress for our patients.&nbsp;Contrary to some narratives, we would like to reassure you that your practice has continued to consult using telephone triage, video consultations and face to face consultations as well as home visits throughout the pandemic. All these methods of consulting are needed in order to be able to look after the number of contacts we are currently being asked to respond to. Our clinical team are now consulting record numbers of patients every day, far more than our consultations rates in previous years. Our on-call team is consulting with record numbers of emergency calls every day, again far more than previous years.&nbsp;As we come out of the pandemic there is a significant amount of work to do to look after patients who have not been able to consult during the very highest times of covid-19 risk. Our clinicians will always choose the best way to consult in order to provide the very best safe care and we ask for your co-operation in navigating these changes and using our system.&nbsp;The NHS continues to require all staff to wear protective equipment and visitors to our surgeries to wear face masks. This is vital to protect our vulnerable patients and to ensure our staff do not contract covid requiring absences from work and reduced service to our patients. The UK continues to see over 250,000 people testing positive per week and just under 2000 deaths per week from Covid-19. Admissions to hospital remain at over 15,000 per week. Although Covid-19 may be less prevalent in the news it remains a risk that we must be mindful of with our vulnerable loved ones.&nbsp;Not all problems need a GP review. We have now had our first contact physiotherapists and our clinical pharmacists working with us and their support has been greatly valued by our patients. Consulting for medication or muscular problems is now easier and more comprehensive and we would encourage our patients to use the full suite of facilities we are able to provide.&nbsp;We are building links with our community pharmacies in our villages to be able to better work together with minor ailments to allow patients to receive timely management of common conditions.&nbsp;As with all areas of the NHS our practice continues to struggle with colleagues who have needed to be off work with Covid-19 isolation requirements and due to ill health. This is on top of a vacant GP position for which we have not received any applications when advertising for over 12 months. We understand the frustrations patients experience when navigating through primary care and as staff we feel them too. Our priority is to provide the very best care, but we are doing so in an environment which makes that aim ever so much more challenging. We would ask you to bear this in mind when using the practice.&nbsp;It is with great sadness having been a GP in our beautiful area for over fifteen years that I have to tell you all that over the past week we have had to complete responses to four zero tolerance episodes where our staff have faced aggression both verbal and physical. Although we do everything we can to help our patients this is completely unacceptable, and no one should have to face this level of threat. It is our responsibility to keep our staff safe and as such we would ask for your help in working with our team to better help you with an approach you would want returned. The practice is applying for funding for security equipment, and we would remind our callers that all calls are recorded and any further episodes of zero tolerance will be met with the full sanctions available to us which includes warnings or removal from our list. The vast majority of patients use our service appropriately and we hope this need not apply.&nbsp;We will shortly be working through home visits for Covid-19 spring boosters and calling our patients in for long term conditions reviews to address unmet need caused by the pandemic. We are using a new approach whereby invitations will more commonly fall on birthday months. We are also helping our local hospital management patients in the community who face long waiting lists. We are also helping our emergency departments cope with their unprecedented demands. Please help our practice to help you. Together we shall get through.&nbsp;Yours Sincerely,&nbsp;Dr Panesar and your Practice Team.&nbsp;

Update letter from Dr Panesar and important information about the practice Zero Tolerance policy after recent unacceptable incidents.

Dr Panesar's Update and Zero Tolerance Policy

People in England who have satisfied vaccine requirements against COVID-19 can use the NHS COVID Pass to demonstrate their COVID-19 status.If you’re aged 18 or over, you can get an NHS COVID Pass for domestic use where certain venues and events in England choose to use COVID-19 certification.If you’re aged 12 or over you can get an NHS COVID Pass for travel abroad but you should follow the entry requirements of the country you are travelling to. See the GOV.UK website for more information about the&nbsp;<a href="https://www.gov.uk/guidance/nhs-covid-pass#children" rel="noopener noreferrer" target="_blank">NHS COVID Pass for children</a>.A full course is currently two doses of the Moderna, AstraZeneca or Pfizer vaccine, or one dose of the Janssen single-dose vaccine. Vaccine status will be available through the NHS COVID Pass service from:&nbsp;<ul><li>the&nbsp;<a href="https://www.nhs.uk/nhs-services/online-services/nhs-app/" rel="noopener noreferrer" target="_blank">NHS App</a>&nbsp;which you can download from app stores&nbsp;</li><li>the&nbsp;<a href="https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/vaccination-status-for-travelling-abroad/" rel="noopener noreferrer" target="_blank">NHS website</a>&nbsp;</li><li>119 - by requesting a paper letter</li></ul>You will need to register to use the&nbsp;online services, if you have not already. It may take more than a week for your identity to be checked and verified.If you cannot access the online services, and you have had both doses of the vaccine, you can&nbsp;request a paper letter from the NHS by calling 119. Only call 119 if you are due to travel outside the UK in the near future and have had your second dose (or one dose of the Janssen single-dose vaccine) more than 5 working days ago. It may take up to 7 working days for the letter to arrive.This practice is not able to provide you with a letter that shows your COVID-19 vaccination status. Please do not contact the practice about this matter.When you're planning your travel, you should check the latest information on&nbsp;<a href="https://www.gov.uk/guidance/travel-abroad-from-england-during-coronavirus-covid-19" rel="noopener noreferrer" target="_blank">demonstrating your COVID-19 status when travelling abroad</a>&nbsp;on the gov.uk website. Make sure there is enough time to get proof of&nbsp;your COVID-19 vaccination status before you are due to travel.

Information on how to get a COVID pass if your travelling.

COVID-19

Covid Pass

When will people be able to book their spring booster? JCVI’s advice is that people should wait until around six months since their last dose for maximum effectiveness, and people are asked to wait until they are invited by the NHS to book. People should wait to be contacted by the NHS. The NHS will begin inviting people from the week beginning 21st March and will offer a top-up dose to all who are eligible during Spring and early Summer.How do I get my booster dose of the COVID vaccine? For spring boosters, you should wait until the NHS contacts you. For an initial booster dose (the first dose following your primary course), you can visit www.nhs.uk/covid-booster https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/book-coronavirus-vaccination/ to find your nearest walk-in option or book an appointment. You can also call 119 free of charge which also offers translators on request.I have recently recovered from COVID-19, do I still need to get vaccinated? Yes. You still need to get a booster dose of the vaccine for extra protection, even if you have recently recovered from COVID-19. If you have recently recovered from the virus, you will need to wait before getting any dose of the vaccine. People will need to wait: 4 weeks (28 days) if they are aged 18 years old or over, or aged 5 to 17 years old and at greater risk from COVID (as defined in UKHSA’s Green Book – see table 3 and table 4 here) 12 weeks (84 days) if they are aged 12 to 17 years old and not at greater risk from COVID (as defined in UKHSA’s Green Book – see table 3 and table 4 here)Can I still come forward for a first or second dose if I’ve not yet done so? It’s never too late to come forward for your first, second or (if you were immunosuppressed at the time of one of these) a third dose of the vaccine. You do not need to be registered with a GP and can find a walk-in option, book an appointment or more information at www.nhs.uk/covid-vaccine or by calling 119 (translators are available into different languages on request).Why are some people being invited for a spring booster? COVID-19 is more serious in older people and those with a weakened immune system. Protection from the vaccine may be lower and may decline more quickly in these people. For this reason, people aged 75 years and over, those in care homes and those aged 12 years and over with a weakened immune system are being offered the spring booster.Who is not eligible for a Spring Booster?Carers, partners and spouses are not eligible for another booster.Health and social care workers are not eligible for another booster.Individuals aged 12 and above who are in a risk group in table 3 or 4 other than immunosuppressed are not eligible for another booster, eg diabetes, respiratory disease, cardiovascular disease, autism, epilepsy, learning disability, etc.Household contacts of the immunosuppressed are not eligible for another booster.Residents living in other residential homes, eg for learning disabilities, are not eligible for another booster (unless they are 75yrs and over or immunosuppressed).Housebound individuals who are not 75 years and over or immunosuppressed are not eligible for another booster.What to do if you are Immunosuppressed?You will be able to book an appointment or go to a walk in vaccination site and self declare .Some individuals may think they are immunosuppressed or eligible and attend for a 2nd booster. You may have met earlier criteria for a third dose but are no longer currently immunosuppressed.In all circumstances it is the registered healthcare professional assessor who will determine whether you are eligible. This will usually need to be supported at assessment with reference to a patient’s clinical record. At Vaccination Centre's there will be no access to your GP or clinical records, so supporting evidence of your CURRENT condition or treatment will need to be provided , eg prescription, NHS app, letter from consultant etc.

The spring booster programme opens on 21 March and offers the most vulnerable members of the community a chance to top up their immunity because Covid-19 is more serious for older people and those with a weakened immune system.The NHS will contact those who are eligible to make a spring booster appointment. The NHS will prioritise those whose clinical need is greatest, as it has throughout, starting with those who have had a bigger gap since their last dose, then working through the cohort to invite others who have waited less time. Everyone who is eligible will be offered a top up over the Spring and early Summer.The public will be able to book an appointment at more than 50 sites across Nottingham and Nottinghamshire including pharmacies, Vaccination Centres and GP practices.

Adults aged 75 and over, residents in care homes for older people and those age 12 and over with a severely weakened immune system are being urged to book a spring booster vaccine

Spring Covid-19 booster vaccines

In line with the Government’s announcement, the NHS is aiming to offer every adult the chance to book a COVID-19 booster vaccine by the end of the year.If you are eligible for your booster vaccination, please do not contact the practice as we need to keep our phone lines free for those who are trying to book GP appointments. We will contact you about your booster jab or alternatively you can visit nhs.uk/covid-vaccine or call 119 to arrange your appointment. There is lots of demand for appointments so if you can’t find a slot at suitable clinic, please keep checking back as appointments are updated regularly.If you need to register yourself or someone you care for as housebound to make sure they receive their booster jab, please do contact your GP practice.If you have Covid-19 symptoms and want to book in for a test, please visit: <a href="https://www.gov.uk/get-coronavirus-test" rel="noopener noreferrer" target="_blank">https://www.gov.uk/get-coronavirus-test</a>. Thank you for your understanding.Together we shall get through.

An updated on the Accelerated COVID19 Booster Programme

Accelerated COVID19 Booster Programme

𝗧𝗵𝗼𝘀𝗲 𝗲𝗹𝗶𝗴𝗶𝗯𝗹𝗲 𝗶𝗻𝗰𝗹𝘂𝗱𝗲:people aged 40 and overpeople who live and work in care homesfrontline health and social care workerspeople aged 16 and over with a health condition that puts them at high risk of getting seriously ill from COVID-19carers aged 16 and overpeople aged 16 and over who live with someone who is more likely to get infections (such as someone who has HIV, has had a transplant or is having certain treatments for cancer, lupus or rheumatoid arthritis) How to get a booster:There are a number of sites across Nottingham and Nottinghamshire delivering the booster jab. You can book an appointment on the NHS website https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/book-coronavirus-vaccination/or by calling 119.GP Practices are also able to provide your Covid booster vaccine at planned clinics run by the GP Practice staff.We are pleased to advise you that Ivy Medical Group will be holding regular Covid booster clinics during the coming weeks, you will receive an invite by text message or by telephone from the practice to book in when eligible.

Booster vaccine doses are available on the NHS for people most at risk from COVID-19 who have already had 2 doses of a vaccine. You are eligible for a booster dose after 6 months after you had your 2nd dose.

𝗛𝗼𝘄 𝘁𝗼 𝗴𝗲𝘁 𝘆𝗼𝘂𝗿 𝗖𝗼𝘃𝗶𝗱 𝗕𝗼𝗼𝘀𝘁𝗲𝗿 𝘃𝗮𝗰𝗰𝗶𝗻𝗮𝘁𝗶𝗼𝗻𝘀

𝗖𝗼𝘃𝗶𝗱 𝗕𝗼𝗼𝘀𝘁𝗲𝗿 𝘃𝗮𝗰𝗰𝗶𝗻𝗮𝘁𝗶𝗼𝗻𝘀

Anyone who needs a test for urgent health problems will still get one, but where your clinician recommends that it’s safe to do so, then you may be asked to come back for a test at a later date, or your appointment may be rescheduled.&nbsp;Given the nature of the shortage, we cannot give an exact date for&nbsp;when the test will be rescheduled, but please be assured that if your condition or symptoms require it, then you will get a test, and we will be re-booking your test when supplies become more easily available.If your condition or symptoms change or get worse, please contact the NHS as you would normally.

A supplier to the NHS has advised us of a global shortage of some equipment used for taking blood tests.&nbsp;&nbsp;

Practice Updates

Global shortage of equipment used for taking blood tests

The practice is now commencing its 2021 Flu vaccination campaign. With Coronavirus it is very important to be protected from influenza again this year so if you are eligible for the Flu vaccination please book in with our team.It’s that time of year again when we are pleased to invite our eligible patients to book into our flu clinics for their free flu vaccination.&nbsp;Our clinics are being held at our Burton Joyce and Lowdham surgeries for your convenience, and we are also now pleased to be able to offer our patients an appointment starting on Saturday 2nd October in Lowdham and Saturday 9th October in Burton Joyce, with more clinics to be added as we receive further supplies of the flu vaccine.&nbsp;As you can imagine we are anticipating a larger number of patients to have their flu jab this year, and with the Government announcing their extension of the flu programme to include household family members of those patients classified as clinically vulnerable and the age group 50 – 64 year olds, we are stepping up our clinic capacity to match the demand, and sincerely hope you choose us for your flu protection.&nbsp;You will find further details of the groups now eligible for their flu vaccination by checking this link&nbsp;<a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1005123/PHE_12053_flu_vaccination_2021_2022_leaflet.pdf" rel="noopener noreferrer" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1005123/PHE_12053_flu_vaccination_2021_2022_leaflet.pdf</a>&nbsp;We wish to reassure you that every effort is being made to plan your flu appointment so this is as safe as it can be.&nbsp;Our aim is to operate a one patient in, one patient out system, so we would ask you to assist us by dressing according to the weather, and wherever possible walking to our surgery to help minimise vehicle congestion.&nbsp;Finally, we will be sending out a reminder to patients by text to book their flu jab and the team at Ivy eagerly await your calls on 0115 931 2500…..so get booking.&nbsp;You can call any of our surgeries to book your appointment, however if you wish us to book an appointment for you, we can do so by replying to your text with “BOOK”.&nbsp;We will automatically generate an appointment for you and send you a text message confirming this.&nbsp;If this appointment is not convenient, please telephone in the afternoon so our reception team can rearrange this for you.&nbsp;Many thanks.&nbsp;&nbsp;Dr Panesar and the Team at The Ivy Medical Group.

Book in now for your free Flu vaccination to be protected against flu this winter

Flu Season 2021

Flu Vaccination appointments now available for bookings

Dear Patients,As you may be aware the NHS has made fantastic progress vaccinating our communities against Covid-19 and the government has now released information regarding changes that will be effective from the 19th of July onwards. This includes easing in restrictions designed to limit the spread of Covid-19.We welcome this positive step but at the same time we would like to offer some advice to our patients to keep themselves safe as there remains a road to travel before we are at the end of the pandemic. As well as the government’s announcement to ease restrictions the advice given by the health secretary includes aiming to meet people outdoors where possible and that it is “expected and recommended” that people should wear face coverings in crowded public settings such as public transport.We have been implementing these changes at the practice and from the 19th of July 2021 we will be changing to free footfall in our reception areas at the Lambley Lane and Apple Tree sites. We would continue to ask our patients to wear face coverings when attending their appointments and maintain social distancing indoors. Our staff will be continuing to wear PPE and maintaining social distancing. This is all in an effort to minimise the risk of an increase in spread of Covid-19. NHS premises are higher risk for Covid-19 compared to other venues as people attending a health centre are already unwell and the risk of meeting COVID-19 because of that is higher. We want to minimise that risk at all times.&nbsp;For those patient that are in the higher risk groups we would advise continuing to think particularly carefully about additional precautions that may help to reduce the risks of acquiring covid-19 such as maintaining social distancing, meeting people outdoors and considering the use of face coverings more broadly.We have a way to go to be out of this world wide pandemic but the progress on vaccinations and consequent easing of restrictions is one big step forward. We would like to once again thank our patients for their support in this most difficult time.Yours Sincerely,Dr Panesar and #teamIVY

The government has now released information regarding changes that will be effective from the 19th of July onwards with regards to Covid-19 restrictions designed to limit the spread of Covid-19. This update describes the changes for our practice.

Covid-19

Dr Panesar outlines some of the changes on the 19th of July

NHS Digital are launching a new data collection programme called General Practice Data for Planning and Research.&nbsp;You can find more information on this scheme on the NHS Digital website: <a href="https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/general-practice-data-for-planning-and-research" rel="noopener noreferrer" target="_blank">https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/general-practice-data-for-planning-and-research</a>&nbsp;If you wish to opt out of sharing your data, there are two ways you can do this.1. Fill in a Type 1 opt out form and bring/send it to your surgery by 23rd June 2021. You can download the form here: <a href="https://t.co/DqEzEoYLom" rel="noopener noreferrer" target="_blank">https://tinyurl.com/GPDRPoptoutform</a>. This means that your data will not be shared with NHS Digital.2. Complete a National Data opt out form online: <a href="https://digital.nhs.uk/services/national-data-opt-out" rel="noopener noreferrer" target="_blank">https://digital.nhs.uk/services/national-data-opt-out</a>&nbsp;This ensures that whilst your data may be shared with NHS Digital, it will not be shared beyond that.All opt outs need to be completed or with your surgery by 23rd June 2021 in order to take effect before the scheme begins.

Find out about the NHS Digital Data Collection program, General Practice Data for Planning and Research (GPDPR). Learn how to opt-out.

NHS Digital Data Collection

General Practice Data for Planning and Research (GPDPR)

Dear Patients,&nbsp;Over the past few weeks there have been some confusing media reports which have caused a lot of anxiety for our patients and staff. We feel this negative reporting has caused unnecessary concern and distress and we wanted to clarify for you that your practice has been fully open throughout the COVID-19 pandemic. We have never closed our practice and our opening times have never been reduced at any stage including our evening appointments until 8pm on Mondays. We have always been open and treating our patients. However, the COVID-19 pandemic has meant that we have needed to work differently to ensure you are safe and our staff are safe. This has included thinking carefully about the patients we call in to the surgery to limit risk and altering our consulting methods in order to ensure the safest provision of care to our community. Attending a health centre is different to a shopping centre as people attending a health centre are already unwell and the risk of meeting COVID-19 because of that is higher. We want to minimise that risk at all times.&nbsp;&nbsp;As a clinical team we have been able to use telephone consultations, video consultations and imaging to consult safer during the pandemic. Our patients have been provided telephone triage as the first step with our most senior highly skilled clinicians for urgent problems. If a patient then needs a face-to-face review, they will always be booked from that triage call to a face-to-face slot safely. Routine telephone appointments have always been bookable in advance. Although our waiting rooms may appear quieter than they normally do, this is because we are working hard to deliver care in this safer way. We are ensuring social distancing in our buildings during the pandemic to reduce exposure risk to other patients and to our staff. Our appointments have also been more spaced out for this reason and to allow time for cleaning and changing PPE throughout the day.&nbsp;&nbsp;In some situations, the changes in consulting have been very positive for patients. Some patients have told us that they really value the remote consulting to be able to receive high quality health care with a more convenient format. Reviewing of photographs of rashes or skin lesions has also provided excellent reviews of skin problems by allowing images to be zoomed and examined carefully. These changes in consulting methods have also allowed us to consult more patients during a normal day. Our clinical teams are now consulting with far more patients on a daily basis than before the pandemic.&nbsp;&nbsp;The changes in the way we deliver care during the pandemic have been challenging for our clinical teams as well as for our patients. We all love seeing patients, consulting with patients is why we chose to be doctors and nurses and why we chose to work in Primary Care.&nbsp;We would like to reassure you that we will always book a face-to-face appointment to examine any patient when the clinical scenario deems that it is appropriate.&nbsp;I have been a GP in this area for over 15 years and I have never worked with a more dedicated and committed team through hopefully a once in a lifetime event. Please be assured your teams are here and are working harder than ever in stressful times. Please be kind when contacting the practice to help our reception team to help you. The reception team do a fantastic job in very difficult circumstances. By working together, we can get through this difficult time.&nbsp;&nbsp;We would all like to thank our patients for their understanding and support during this difficult time. We love working here and are passionate about improving the health of our communities and helping address all the health challenges caused by this difficult pandemic.&nbsp; Thanks,&nbsp;Dr Panesar and #teamIVY.&nbsp;

Our response to the recent confusing media coverage with regards to Covid-19 working and Primary Care to our patients.

Dr Panesar responds to recent confusing media reports. 

The practice has been established for over 16 years and for more than 10 of those years the practice has trained medical students from the university of Nottingham Medical school. Dr Panesar has completed the Post Graduate Certificate in Medical Education with Merit and has a keen interest in teaching. Over recent years the practice has moved towards developing a greater focus on research and teaching. This has been delayed somewhat by the focus on the Pandemic and the need to support the community.We are now delighted to confirm that the practice is in the early stages of registering as a training practice for GP trainees known as registrars. These trainee doctors are fully qualified having worked in hospital and will be available to provide care and learn the skills needed to be a mature GP. The practice is pround to be part of training the next generation.We are currently going through the process needed for registration as a GP training practice and we anticipate taking our first GP registrar in August of this year. For the first year the practice will aim to start with one GP registrar trainee and then in the second year will hope to increase that number to two. We look forward to keeping all of our patients up to date with these exciting developments,

Development of GP registrar training at the practice.

GP training

The Practice prepares to take on GP trainee registrars

Throughout the pandemic the practice has continued to deliver primary medical services along side managing the world wide covid-19 pandemic. Although the pandemic has resulted in the need to manage high numbers of unwell patients as well as to support our hospitals with patients discharged with covid-19 and support our community teams with covid-19 hub vaccinations, the practice has continue to work hard to ensure our patients receive the very best health care. Part of this includes work on prevention and screening.As we come towards the end of our Flu vaccination program for 2020-21 the practice has achieved remarkable vaccination rates for our patients. Compared to the 19 other practices in our CCG area, our teams have achieved the highest percentage of patients vaccinated compared with any other practice. We were number one in our area for achieving the highest percentage of patients vaccinated and the practice vaccinated over 2800 patients over a few months. This is an amazing boost to our teams and we thank our patients for engaging with the practice to ensure as many people as possible are protected.The practice has been eagerly awaiting authorisation from NHS England to deliver Covid-19 vaccinations to our patients from our own practice sites. We know this is important for our patients as it allows easier access with teams patients know well. To date, we have not been able to undertake Covid-19 vaccinations on our sites as we had not received authorisation from NHS England and we did not have vaccine supply. We are delighted to update our patients on the fact that we have now received authorisation to make a start and vaccine supply is anticipated to be available for the 18th of March 2021.As such, the practice is now contacting patients to book in those that are eligible for Covid-19 vaccinations for our clinics. We anticipate running ongoing clinics as long as the practice has vaccine supply. Please do not contact our reception teams about Covid-19 vaccination appointments in order to keep our lines free for medical care. Please be assured our administration teams will be in contact with you dependent on eligibility which is set by NHS England.Once again, we would like to say a big thank you to our patients for their support, engagement and understanding. Together we shall get through.

Update to patients on the performance of the 2020-21 Flu vaccination campaign at the Ivy. Next steps for Covid-19 vaccinations.

Vaccination Programs 

Top marks for Flu vaccinations 2020-21 and looking forward to Covid-19 vaccinations

<h2>Information on how to book your COVID vaccination if you are over 80 years old.</h2>NHS Nottingham and Nottinghamshire CCG are now asking all over 80s who have not yet booked their vaccination, to do so. To book either ring 0115 8834640 or book online at <a href="https://www.swiftqueue.co.uk/nottinghamc19vpatient.php" rel="noopener noreferrer" target="_blank">https://www.swiftqueue.co.uk/nottinghamc19vpatient.php</a> This is to book into a Nottingham vaccine centre. Please note, we provide our vaccines in these centres and not at our practice. We are unable to book on your behalf so we kindly ask you not to call us to request this. Over 70's and clinically extremely vunerable - please do wait for your invite, you are unable to book until you do. For more information Coronavirus (COVID-19) - NHS Nottingham and Nottinghamshire CCG (nottsccg.nhs.uk)

Information for our patients on how to book your COVID-19 vaccination if you are over the age of 80.

COVID19

How to book your COVID-19 Vaccination if you are over 80 years old

Information from our CCG:Across Nottingham and Nottinghamshire people over the age of 80 are being contacted to book their Covid-19 vaccination.In the next few weeks, over 80s will receive a letter from the NHS explaining how to book their appointment.Health bosses have asked the public to wait until they have received their letter before contacting the NHS, their GP or local hospital hub – the letter will have full details of how to make an appointment.&nbsp;Do not call your GP or turn up at A&amp;E or your doctor’s surgery – the only way to get an appointment and the jab is to follow the instructions in the letter.Amanda Sullivan, Accountable Officer at Nottingham and Nottinghamshire Clinical Commissioning Group, said: “This is the biggest vaccination programme the NHS has ever undertaken. It is a huge challenge and one that has been rolled out at great pace. Our teams are working really hard but it’s important to remember this is only the first stage of the programme so we are learning and improving as we go.“We understand many people are keen to see their family get the vaccine as soon as possible to protect them from getting seriously ill. Details of how people over the age of 80 make their&nbsp;vaccine&nbsp;appointment&nbsp;have been shared&nbsp;and used&nbsp;amongst other, less vulnerable&nbsp;groups. If you see a message directed at an 80 year old, or someone who is most at risk asking them to book&nbsp;to receive a vaccine, please don’t&nbsp;log on or&nbsp;pick up the phone unless you are calling on their behalf. We need to protect the&nbsp;appointments&nbsp;for those most in need.&nbsp;“In time, everyone will be vaccinated so for now we are urging the public to work with us and be patient so we can first vaccinate those who need it most.”The roll out of Covid-19 vaccines to people most in need began at the two hospital hubs, Queens Medical Centre and Kings Mill Hospital, in early December.Teams across the health and care system in Nottinghamshire are now preparing for a further roll out of the vaccine into the community for those over 80 years old. During January Local Vaccination Services at GP surgeries and other community sites will start to open across Nottinghamshire.Dr John Brewin, Chief Executive of Nottinghamshire Healthcare said: “The NHS is experienced in delivering millions of vaccines a year, and is moving quickly to roll out this vaccine to those who need it, it’s important that we remember this will be a marathon, not a sprint.“The recent rise in cases and emergence of a new variant of the virus also shows that we cannot let our guard down now. NHS staff are doing an incredible job to deliver what it is the largest vaccination programme in our history, at the same time as continuing to be there for everyone who needs care.”The public have an important part to play to help:• please don’t contact the NHS to seek a vaccine, we will contact you;• when we do contact you, please attend your booked appointments;• and please continue to follow all the guidance to control the virus and save lives.For more information about the Covid-19 vaccination,&nbsp;<a href="https://nottsccg.nhs.uk/covid-19/covid-19-vaccination-in-nottingham-and-nottinghamshire/" rel="noopener noreferrer" target="_blank">please click here</a>.

Covid-19 Vaccinations in Nottinghamshire: Letters being sent to over 80s, look out for yours

COVID19 over 80s vaccinations

The coronavirus (COVID-19) vaccine is safe and effective. It gives you the best protection against coronavirus.<h2>Who can get the COVID-19 vaccine</h2>The NHS is currently offering the COVID-19 vaccine to people most at risk from coronavirus.The vaccine is being&nbsp;offered in some hospitals and, from this week, hundreds of local vaccination centres run by GPs.It's being given to:<ul><li>some people aged 80 and over who already have a hospital appointment in the next few weeks</li><li>people who live or work in care homes</li><li>health care workers at high risk</li></ul>The vaccine will be offered more widely, and at other locations, as soon as possible.The order in which people will be offered the vaccine is based on advice from the Joint Committee on Vaccination and Immunisation (JCVI).<a href="https://www.gov.uk/government/publications/priority-groups-for-coronavirus-covid-19-vaccination-advice-from-the-jcvi-2-december-2020/priority-groups-for-coronavirus-covid-19-vaccination-advice-from-the-jcvi-2-december-2020" rel="noopener noreferrer" target="_blank">Read the latest JCVI advice on priority groups for the COVID-19 vaccination on GOV.UK</a><h3>Wait to be contacted</h3>The NHS will let you know when it's your turn to have the vaccine. It's important not to contact the NHS for a vaccination before then.<h2>Advice if you're of childbearing age, pregnant or breastfeeding</h2>You should wait to have the COVID-19 vaccine:<ul><li>if you're pregnant – you should wait until you've had your baby</li><li>if you're breastfeeding – you should wait until you've stopped breastfeeding</li></ul>If you have the vaccine, you should not get pregnant for at least 2 months after having the 2nd dose.If you later find out you were pregnant when you had the COVID-19 vaccine, do not worry. The vaccine cannot give you or your baby COVID-19.There's no evidence it's unsafe if you’re pregnant or breastfeeding. But more evidence is needed before you can be offered the vaccine.<a href="https://www.gov.uk/government/publications/covid-19-vaccination-women-of-childbearing-age-currently-pregnant-planning-a-pregnancy-or-breastfeeding/covid-19-vaccination-a-guide-for-women-of-childbearing-age-pregnant-planning-a-pregnancy-or-breastfeeding" rel="noopener noreferrer" target="_blank">Read the latest COVID-19 vaccine advice if you're pregnant, may get pregnant or are breastfeeding on GOV.UK</a><h2>How the COVID-19 vaccine is given</h2>The COVID-19 vaccine is given as an injection into your upper arm.It's given as 2 doses, at least 21 days apart.<h2>How safe is the COVID-19 vaccine?</h2>The vaccine approved for use in the UK was developed by Pfizer/BioNTech.It has met strict standards of safety, quality and effectiveness set out by the independent Medicines and Healthcare products Regulatory Agency (MHRA).Any coronavirus vaccine that is approved must go through all the clinical trials and safety checks all other licensed medicines go through. The MHRA follows international standards of safety.Other vaccines are being developed. They will only be available on the NHS once they have been thoroughly tested to make sure they are safe and effective.So far, thousands of people have been given a COVID-19 vaccine and reports of serious side effects, such as allergic reactions, have been very rare. No long-term complications have been reported.<a href="https://www.gov.uk/government/publications/regulatory-approval-of-pfizer-biontech-vaccine-for-covid-19" rel="noopener noreferrer" target="_blank">Read about the approved Pfizer/BioNTech vaccine for COVID-19 by MHRA on GOV.UK</a><h2>How effective is the COVID-19 vaccine?</h2>After having both doses of the vaccine most people will be protected against coronavirus.It takes a few weeks after getting the 2nd dose for it to work.There is a small chance you might still get coronavirus even if you have the vaccine.This means it is important to:<ul><li>continue to follow&nbsp;<a href="https://www.nhs.uk/conditions/coronavirus-covid-19/social-distancing/what-you-need-to-do/" rel="noopener noreferrer" target="_blank">social distancing guidance</a></li><li>if you can, wear something that covers your nose and mouth in places where it's hard to stay away from other people</li></ul>Information:&nbsp;Read more about&nbsp;<a href="https://www.nhs.uk/conditions/vaccinations/why-vaccination-is-safe-and-important/" rel="noopener noreferrer" target="_blank">why vaccines are safe and important</a>, including how they work and what they contain.<h2>COVID-19 vaccine side effects</h2>Most side effects are mild and should not last longer than a week, such as:<ul><li>a sore arm where the needle went in</li><li>feeling tired</li><li>a headache</li><li>feeling achy</li></ul>You can take painkillers, such as paracetamol, if you need to.If you have a high temperature you may have coronavirus or another infection.If your symptoms get worse or you are worried, call 111.<h3>Allergic reactions</h3>Tell staff before you are vaccinated if you have ever had a serious allergic reaction (anaphylaxis).You should not have the vaccine if you've ever had a serious allergic reaction to medicines, vaccines or food.If you do have a reaction to the vaccine, it usually happens in minutes. Staff giving the vaccine are trained to deal with allergic reactions and treat them immediately.<a href="https://www.gov.uk/government/news/confirmation-of-guidance-to-vaccination-centres-on-managing-allergic-reactions-following-covid-19-vaccination-with-the-pfizer-biontech-vaccine" rel="noopener noreferrer" target="_blank">Read the latest COVID-19 vaccine advice if you have a history of allergies by MHRA on GOV.UK</a><h2>COVID-19 vaccine ingredients</h2>The COVID-19 vaccine does not contain any animal products or egg.

Information from the NHS on the COVID-19 vaccine for December 2020

Coronavirus (COVID-19) vaccine

The practice has made excellent progress in reaching vaccination targets for children, over 65 year old patients and for patients with high risk conditions. In this unusual COVID19 year the NHS is undertaking an extended flu vaccination programme this winter to include patients over the age of 50. This is a free flu jab programme aimed at protecting a larger proportion of the population from flu when there is the risk from COVID19. COVID means getting a flu jab is more important than ever this year.The practice is now booking patients in for their flu jab for the 50-64 year age group with text invitations and by phone to ensure we are booking into clinics alongside vaccine deliveries. We are working efficiently to make sure everyone gets vaccinated as soon as possible. Look out for your invite in the next week or so.We look forward to providing care to our patients during this exceptionally challenging winter season. Please keep up to date with NHS guidance on controlling the spread of COVID19.

NHS extended vaccination programme for flu in ages 50-64 years.

Flu Vaccinations 2020

Flu vaccinations for 50-64 year old patients.

Working with our PCN, Arrow Health, we are delighted to welcome Mr Gurpal Matharu to our team. Gurpal is a highly trained First Contact Physio and will be working with us on Mondays. He is directly bookable by our patients for musculoskeletal problems and will be able to provide one for the most comprehensive musculoskeletal assessments available.The role of First Contact Physiotherapists (FCPs) in Primary Care is to assess patients with soft tissue, muscle and joint pain and to decide on the most appropriate management pathway. FCPs are physiotherapists with expertise in the assessment and management of Musculoskeletal (MSK) conditions.&nbsp;Here is a message from Gurpal:<blockquote>"Hi, I’m the First Contact Physiotherapist (FCP). I have almost ten years of experience assessing and treating musculoskeletal (MSK) conditions across hospitals and clinics up and down the UK. I’m here for your MSK needs; whether it be a painful back/neck, a new injury or even something that has been bothering you for a while and starting to affect your day-to-day tasks. My role will be to expertly assess and refer you on to the service that suits you best. Or it might even be something which will clear up with a few simple exercises and time!"</blockquote>Gurpal will be available on Mondays to book appointments for patients with Musculoskeletal problems.

The Ivy Medical Group is delighted to announce new services for our patients with the availability of a First Contact Physiotherapist.

Service Development

First Contact Physiotherapist joins the Ivy Medical Group Team

Working without PCN, Arrow Health, our practice are delighted to announce the availability of advanced services to our patients. We are happy to announce that our patients will be supported with medication management by our Clinical Pharmacists. Mr MIlan Patel is providing advanced medicines management services for our patients which includes review medications to ensure they are appropriate and safe as well as proactively monitoring patients on higher risk medications and on those with lots of medications. Milan will also be undertaking actions to adjust medications with the latest research and bulletins to ensure we keep our patients safe on their treatments. We would also like to welcome Briony Leighton who is a specialist Clinical Pharmacist for patients in care homes. Briony will be joining our clinicians in weekly reviews and ward rounds for our care homes to ensure our patients are safe and have the very best in medical care.Here is a message from Milan:<blockquote>"My name is Milan and I am the Primary Care Network (PCN) clinical pharmacist that will be working across IVY Medical Group and Plains View Surgery. I will be working as part of the multi-disciplinary team to meet the needs of patients and provide my expertise with any medicine related queries. I have over 15 years of experience as a practicing Pharmacist and last year I acquired my independent prescribing qualification.&nbsp;My role is to support patients and the practice by carrying out structured medication reviews for patients on long term conditions and the other areas set out by the NHS England. As part of my responsibilities I will also be supporting the practices to adopt a patient safety theme to promote safe prescribing. The purpose of having a clinical pharmacist in GP practice is to help with any medicines related queries, help with minor ailments, carry out reviews and practice audits and free up time for GPs to see patients that have complex issues or comorbidities. I am looking forward to helping the teams at Ivy and Plains and improve the patient experience by answering any medicines related queries or prescription queries."</blockquote>Milan will be with us at the practice on Tuesdays mainly and Briony will be with us on Tuesday afternoons to support our care home reviews.

The Ivy Medical Group is delighted to announce new services for our patients with the availability of Clinical Pharmacists.

Clinical Pharmacists Join the Ivy Medical Group Team

<h2>How the NHS Test and Trace service works</h2><h3>For someone with symptoms of coronavirus</h3><ol><li>isolate: as soon as you experience coronavirus symptoms, medical advice is clear: you must self-isolate for at least 10 days. Anyone else in your household must self-isolate for 14 days from when you started having symptoms</li><li>test:&nbsp;<a href="https://www.gov.uk/get-coronavirus-test" rel="noopener noreferrer" target="_blank">get a free NHS test immediately to check if you have coronavirus</a>&nbsp;or call 119 if you have no internet access</li><li>results: if your test is positive, you must complete the remainder of your 10-day self-isolation. Anyone in your household must also complete self-isolation for 14 days from when you started having symptoms. If your test is negative, other household members no longer need to self-isolate. If you feel well and no longer have symptoms similar to coronavirus, you can stop self-isolating (unless you have been contacted separately by NHS Test and Trace as a contact of someone who has tested positive).</li><li>share contacts: if you test positive for coronavirus, the NHS Test and Trace service will send you a text or email alert or call you with instructions of how to share details of people with whom you have had close, recent contact and places you have visited. It is important that you respond as soon as possible so that we can give appropriate advice to those who need it. You will be told to do this online via a secure website or you will be called by one of our contract tracers. If NHS Test and Trace contact tracers are unable to contact you for 24 hours, they may pass your case to your local authority to follow up by phone or in person.</li></ol><h3>If you are contacted by the NHS Test and Trace service because you have been in close contact with someone who has tested positive for coronavirus</h3><ol><li>alert: you will be alerted by the NHS Test and Trace service if you have been in close contact with someone who has tested positive for coronavirus. The alert will usually come by text, email or phone call. You should then log on to the NHS Test and Trace website, which is normally the easiest way for you and the service to communicate with each other – but, if not, a trained call handler will talk you through what you must do. Under-18s will get a phone call and a parent or guardian will be asked to give permission for the call to continue</li><li>isolate: you will be told to begin self-isolation for 14 days from your last contact with the person who has tested positive. It’s really important to do this even if you don’t feel unwell because, if you have been infected, you could become infectious to others at any point up to 14 days. Your household doesn’t need to self-isolate with you, if you do not have symptoms, but they must take extra care to follow the guidance on social distancing and handwashing and avoid contact with you at home</li><li>test if needed: if you develop symptoms of coronavirus, other members of your household must self-isolate immediately at home for 14 days and you must&nbsp;<a href="https://www.gov.uk/get-coronavirus-test" rel="noopener noreferrer" target="_blank">get a test to check if you have coronavirus</a>&nbsp;or call 119 if you have no internet access. If your test is positive, you must continue to stay at home for at least 10 days and we will get in touch to ask about your contacts since they must self-isolate. If your test is negative, you must still complete your 14-day self-isolation period because the virus may not be detectable yet - this is crucial to avoid unknowingly spreading the virus.</li></ol>

Information on Covid-19 Test and Trace program

Covid-19 Test and Trace

Our flu clinics are now open for bookings.&nbsp;<h2>Children eligible for flu vaccine clinics</h2><ul><li>Thursday 29th October at Apple Tree Surgery - afternoon</li><li>Friday 6th November at Apple Tree Surgery - morning</li></ul><h2>Patients aged 65 and over</h2><ul><li>Patients aged 65 and over - Thursday 22nd October at Lambley Lane Surgery 14.30 - 17.45</li><li>Patients aged 65 and over - Thursday 22nd October at Apple Tree Surgery 14.30 - 17.45</li><li>Patients aged 65 and over - Monday 26th October at Lambley Lane Surgery 18.30 - 19.45</li></ul><h2>Patients aged 18-64</h2><ul><li>Patients aged 18-64 in an at risk category - Monday 26th October at Lambley Lane Surgery 18.30 - 19.45</li><li>Patients aged 18-64 in an at risk category - Monday 9th November at Lambley Lane Surgery 18.30 - 19.45</li><li>Patients aged 18-64 in an at risk category - Thursday 12th November at Apple Tree Surgery 14.30 - 17.45</li><li>Patients aged 18-64 in an at risk category - Thursday 12th November at Lowdham Surgery 14.30 - 17.45</li></ul>Please contact any of our surgeries to book in. We very much look forward to providing you with your flu protection.

We are pleased to inform you that we are now booking eligible patients into our flu clinics.

Flu Clinics

Flu appointments now available for booking

The Government has advised everyone to wear a face covering when out and about, therefore we are requesting that patients please wear a face covering before entering the practice.<a href="https://www.gov.uk/government/news/public-advised-to-cover-faces-in-enclosed-spaces" target="_blank" rel="noopener noreferrer">https://www.gov.uk/government/news/public-advised-to-cover-faces-in-enclosed-spaces</a>The practice has a legal responsibility to protect staff and patients from risks associated with COVID-19 and wearing a face covering is an added precaution that may have some benefit in reducing the likelihood that a person with the infection passes it on.A medical grade clinical mask is not necessary, these need to be prioritised to clinical staff. Instead, for patients who are visiting healthcare sites, a face covering is sufficient and there is guidance for people to make these at home with items they may already own.Children under 2 are not required to wear face masks and children under 5 do not need to wear face coverings if they cannot use them without assistance.

Using a face covering when visiting the practice

Covid update

Using a face covering when visiting the practice

It’s that time of year again when we are pleased to invite our eligible patients to book into our flu clinics for their free flu vaccination.&nbsp;Our clinics are being held at our Burton Joyce and Lowdham surgeries for your convenience, and we are also now pleased to be able to offer our patients an appointment on a Saturday starting from Saturday 3 October, with more clinics to be added as we receive further supplies of the flu vaccine.&nbsp;As you can imagine we are anticipating a larger number of patients to have their flu jab this year, and with the Government announcing their extension of the flu programme to include household family members of those patients classified as clinically vulnerable, we are stepping up our clinic capacity to match the demand, and sincerely hope you choose us for your flu protection.&nbsp;You will find further details of the groups now eligible for their flu vaccination by checking our <a href="https://ivymedicalgroup.com/flu" target="_blank" rel="noopener noreferrer">general flu information page</a> on the website, but in the meantime, we wish to reassure you that every effort is being made to plan your flu appointment so this is as safe as can be.&nbsp;Our aim is to operate a one patient in, one patient out system, so we would ask you to assist us by dressing according to the weather, and wherever possible walking to our surgery to help minimise vehicle congestion.&nbsp;To save time on the day of your appointment, look out for details appearing on our website during September of the vaccination itself, as we will try to minimise the need to hand leaflets out to patients on the day.Finally, we will be sending out a reminder to patients by text to book their flu jab and the team at Ivy eagerly await your calls…..so get booking.&nbsp;You can call any of our surgeries to book your appointment, however if you wish us to book an appointment for you, we can do so by replying to your text with “BOOK”.&nbsp;We will automatically generate an appointment for you and send you a text message confirming this.&nbsp;If this appointment is not convenient, please telephone in the afternoon so our reception team can rearrange this for you. Many thanks.&nbsp; Dr Panesar and the Team at The Ivy Medical Group.

The practice is now commencing its 2020 Flu vaccination campaign. With Coronavirus it is very important to be protected from influenza this year so if you are eligible for the Flu vaccination please book in with our team.

Flu Vaccination Program 2020

Book your Free Flu Jab

Our prescription collection service is available during surgery opening times at our Apple Tree and Lowdham sites.Please allow a minimum of 3 working days for us to process your request.You can nominate a pharmacy of your choice from the list below, if you would prefer your prescription sending directly to them. Please advise us by adding a note on your repeat request or by calling the surgery. The phone lines are particularly busy at this time so please bear with us to get through. <ul><li>Boots Pharmacy - Main Street, Burton Joyce.</li><li>Boots Pharmacy - Victoria Retail Park, Netherfield.</li><li>Medina Chemist - Victoria Road, Netherfield.</li><li>Lowdham Pharmacy - Main Street, Lowdham.</li></ul> Please note, all emergency prescription requests can only be collected after 4pm.

Our prescription collection service is available during surgery opening times at our Apple Tree and Lowdham sites.

Covid 19

Prescription Collection

The message says "You must follow government advice and stay at home. You may receive more detailed advice re your health condition".Only patients with an underlying health condition which puts them at a higher risk of complications will be contacted. Otherwise please follow the advice to stay at home and only leave home to undertake essential activities. You do not need to contact us.&nbsp;

NHS England have sent a text message to all patients to reiterate government advice to stay at home.

Coronavirus - NHS Text Message

NHS England have provided updated guidance in regards to coronavirus and is summarised as follows. If you live alone and you have symptoms of coronavirus illness (COVID-19), however mild, stay at home for 7 days from when your symptoms started.If you live with others and you or one of them have symptoms of coronavirus, then all household members must stay at home and not leave the house for 14 days. The 14-day period starts from the day when the first person in the house became ill. It is likely that people living within a household will infect each other or be infected already. Staying at home for 14 days will greatly reduce the overall amount of infection the household could pass on to others in the community. For anyone in the household who starts displaying symptoms, they need to stay at home for 7 days from when the symptoms appeared, regardless of what day they are on in the original 14 day isolation period. If you can, move any vulnerable individuals (such as the elderly and those with underlying health conditions) out of your home, to stay with friends or family for the duration of the home isolation period. If you cannot move vulnerable people out of your home, stay away from them as much as possible.If you have coronavirus symptoms:<ul><li>do not go to a GP surgery, pharmacy or hospital</li><li>you do not need to contact 111 to tell them you’re staying at home</li><li>testing for coronavirus is not needed if you’re staying at home</li><li>plan ahead and ask others for help to ensure that you can successfully stay at home and consider what can be done for vulnerable people in the household</li><li>ask your employer, friends and family to help you to get the things you need to stay at home</li><li>wash your hands regularly for 20 seconds, each time using soap and water, or use hand sanitiser</li><li>if you feel you cannot cope with your symptoms at home, or your condition gets worse, or your symptoms do not get better after 7 days, then use the NHS 111 online coronavirus service. If you do not have internet access, call NHS 111. For a medical emergency dial 999</li></ul>

Updated guidance for Coronavirus for 17th of March 2020

Updated Coronavirus Guidance

What to do if you have symptoms Stay at home for 7 days if you have either: <ul><li>a high temperature</li><li>a new continuous cough</li></ul> This will help to protect others in your community while you are infectious.Do not go to a GP surgery, pharmacy or hospital.You do not need to contact NHS 111 to tell them you’re staying at home.We will not be testing people who are self-isolating with mild symptoms. Actions implemented across the primary care network and at our surgeryThe practice will contact patients with booked appointments with our practice nurses and HCA's and if patients have any temperature or cough they will be asked to stay at home and self isolate for 7 days. They will be asked not to attend the surgery. Urgent clinical issues will be managed by telephone.All GP appointments will now be telephone triaged to manage as much clinical care as we can at home. For those patients needing to be seen in person, appointments in the surgery will be made but that will be after excluding any risk of Coronavirus related symptoms.If patients have symptoms suggestive of Coronavirus the advice is they must ring 111 for review. There is a home management service being provided to look after patients with Coronavirus whilst reducing infection risk. Care will be undertaken by this service and not by primary care or the practice.Home visit requests are being triaged to ensure only those crucially needed are undertaken. More routine or less urgent visits will be deferred until after the Coronavirus crisis.We would like to thank you all for your support and understanding as we move in to this delay phase.National information can be found on the Public Health website.

The UK is now in the Delay Phase when trying to manage the Coronavirus and the national guidance has now changed

Coronavirus - UK now in Delay Phase

Advice to the public is to contact NHS 111 if an individual has been: <ul><li>to Hubei province in China in the last 14 days</li><li>to Iran, areas of northern Italy in lockdown or "special care zone" areas in South Korea since 19 February</li><li>to other parts of mainland China or South Korea, Thailand, Japan, Hong Kong, Taiwan, Singapore, Malaysia or Macau in the last 14 days and have a cough, high temperature or shortness of breath</li><li>to other parts of northern Italy (anywhere north of Pisa, Florence and Rimini), Vietnam, Cambodia, Laos or Myanmar since 19 February and have a cough, high temperature or shortness of breath</li><li>in close contact with someone with confirmed coronavirus</li></ul> Travel advice for patients If you have travelled from the follow areas to the UK in the last 14 days:- <ul><li>Wuhan city and Hubei Province</li></ul> If you have travelled from the follow areas to the UK since 19 February:- <ul><li>Iran</li><li>Any Italian town under containment measures</li><li>Daegu or Cheongdo (Republic of Korea)</li></ul> You should take the following action immediately (even if you do not have symptoms): <ul><li>stay indoors and avoid contact with other people as they would with the flu</li><li>call NHS 111 to inform them of their recent travel to the area</li></ul> This advice applies to travellers who have returned to the UK from the following areas in the last 14 days (unless from a date specified): <ul><li>China</li><li>Hong Kong</li><li>Japan</li><li>Macau</li><li>Malaysia</li><li>Republic of Korea</li><li>Singapore</li><li>Taiwan</li><li>Thailand</li><li>North Italy defined as a line above, but not including Pisa, Florence and Rimini (travelled back since 19 February)</li><li>Vietnam (travelled back since 19 February)</li><li>Cambodia (travelled back since 19 February)</li><li>Laos (travelled back since 19 February)</li><li>Myanmar (travelled back since 19 February)</li></ul> And develop symptoms of cough or fever or shortness of breath, you should immediately: <ul><li>stay indoors and avoid contact with other people as you would with the flu</li><li>call NHS 111 to inform them of your recent travel to the country</li></ul> If you meet these criteria please do not go to your GP practice, healthcare centre or a hospital. Contact NHS 111, stay indoors and avoid contact.

Current advice on when to contact NHS 111 for anything relating to Coronavirus.

Coronavirus Advice to Contact 111

NHS 111 has an online coronavirus service that can tell you if you need medical help and advise you what to do. Use this service if: <ul><li>you think you might have coronavirus</li><li>in the last 14 days you've been to a country or area with a high risk of coronavirus</li><li>you've been in close contact with someone with coronavirus</li><li>Do not go to a GP surgery, pharmacy or hospital. Stay indoors and avoid close contact with other people. Call 111 if you need to speak to someone.</li></ul> In Scotland call your GP or NHS 24 on 111 out of hours.In Wales call 111 (if available in your area) or 0845 46 47.In Northern Ireland call 111.For region specific information and advice in: <ul><li>England visit www.nhs.uk</li><li>Wales visit phw.nhs.wales</li><li>Scotland visit nhsinform.scot</li><li>Northern Ireland visit HSC</li><li>Ireland visit HSE</li></ul> Further information and details of how to self-isolate are available on www.nhs.uk.

The NHS and Public Health England (PHE) are extremely well prepared for outbreaks of new infectious diseases. The NHS 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.

Coronavirus Update

Public health advice currently is:1. All travellers who develop relevant symptoms, however mild, within 14 days of returning from mainland China, should self-isolate at home immediately and call NHS 111.2. All travellers from Wuhan and Hubei Province should self-isolate for 14 days, even if they do not have symptoms, due to the increased risk from that area.

If you have recently travelled to and from China and have become ill, please do not come to the surgery. You must call the surgery for the Doctor to call you back with advice.

Wuhan Novel Coronavirus

Flu can be unpleasant, but if you're otherwise healthy, it'll usually clear up on its own within a week.But flu can be more severe in certain people, such as: <ul><li>anyone aged 65 and over&nbsp;</li><li>pregnant women&nbsp;</li><li>children and adults with an underlying health condition (such as long-term heart or respiratory disease)&nbsp;</li><li>children and adults with weakened immune systems&nbsp;</li></ul> Anyone in these risk groups is more likely to develop potentially serious complications of flu, such as pneumonia (a lung infection), so it's recommended that they have a flu vaccine every year to help protect them. Please ring our recepiton team to book in for your flu vaccination if you are eligble this year. <h2>Who should get the flu vaccine?</h2> The flu vaccine is routinely given on the NHS to: <ul><li>adults 65 and over</li><li>people with certain medical conditions (including children in at-risk groups from 6 months of age)</li><li>pregnant women</li><li>children aged 2 and 3 on 31 August 2019</li><li>children in primary school</li><li>frontline health or social care workers</li></ul> <h2>Which type of flu vaccine should I have?</h2> There are several types of flu vaccine.&nbsp;You'll be offered the one that's most effective for your age: <ul><li>children aged 2 to 17 in an eligible group are offered a live attenuated quadrivalent vaccine (LAIV), given as a nasal spray</li><li>adults aged 18 to 64 who are either pregnant, or at increased risk from flu because of a long-term health condition, are offered a quadrivalent injected vaccine – the vaccine offered will have been grown either in eggs or cells (QIVe or QIVc), which are considered to be equally suitable</li><li>adults aged 65 and over will be offered either an adjuvanted trivalent injected vaccine grown in eggs (aTIV) or a cell-grown quadrivalent injected vaccine (QIVc) – both vaccines are considered to be equally suitable.</li><li>If your child is aged between 6 months and 2 years old and is in a high-risk group for flu, they'll be offered an injected flu vaccine as the nasal spray is not licensed for children under 2.</li></ul> Talk to a GP or practice nurse for more information about these vaccines. <h2>People aged 65 and over and the flu vaccine</h2> You're eligible for the flu vaccine this year (2019-20) if you'll be aged 65 or over on 31 March 2020. That is, you were born on or before 31 March 1955.&nbsp;So if you're currently 64 but will be 65 on 31 March 2020, you do qualify.It's important that you benefit from having the most effective vaccine.For those aged 65 or over, this is either the adjuvanted trivalent vaccine or the cell-grown quadrivalent vaccine. <h2>How effective is the flu vaccine?</h2> Flu vaccine is the best protection we have against an unpredictable virus that can cause unpleasant illness in children and severe illness and death among at-risk groups, including older people, pregnant women and those with an underlying medical health condition.Studies have shown that the flu vaccine will help prevent you getting the flu.It will not stop all flu viruses and the level of protection may vary, so it's not a 100% guarantee that you'll be flu-free. But if you do get flu after vaccination, it's likely to be milder and shorter-lived than it would otherwise have been.There's also evidence to suggest that the flu vaccine can reduce your risk of having a stroke.Over time, protection from the injected flu vaccine gradually decreases, and flu strains often change.&nbsp;So new flu vaccines are produced each year, which is why people advised to have the flu vaccine need it every year, too. <h2>Flu vaccine side effects</h2> Serious side effects of the injected flu vaccine are very rare.&nbsp;You may have a mild fever and aching muscles for a couple of days after having the vaccine, and your arm may be a bit sore where you were injected.Side effects of the nasal spray vaccine may commonly include a runny or blocked nose, headache, tiredness and some loss of appetite.Find out more about the side effects of the flu vaccine on the www.nhs.uk website <h2>How safe is the flu vaccine?</h2> The flu vaccines used in the national programme have a good safety record.&nbsp;Flu vaccines that have been licensed recently in England have been thoroughly tested before they're made available, and have been used in other countries with a good safety record.

Flu vaccination is available every year on the NHS to help protect adults and children at risk of flu and its complications. Our practice will be starting vaccinations in September.

Flu Vaccinations

Flu Vaccination Season 2019

You can now book routine GP and Nurse appointments in the evening, at weekends and over bank holidays in your local area. Pre-bookable appointments are available Monday-Friday, 6.30pm-8pm, plus weekends and bank holidays and you can be seen by a GP, Nurse or Healthcare Assistant.To book your appointment, contact the surgery during normal opening hours. Please be aware that the appointment may take place at another GP Practice in the area.If you need urgent medical advice when the surgery is closed, you should continue to call NHS 111.

You can now book routine GP and Nurse appointments in the evening, at weekends and over bank holidays in your local area.

Improved Access

Extra evening and weekend appointments available in local area

The fire damage to the side of the building at Lambley Lane Surgery has now been isolated and made safe. This allows us to reopen the main area of the Lambley Lane Surgery for our patients to use from the 14th of May 2018 onwards.Repairs remain ongoing and the full repair of the damaged building will take some time. Some of our consulting room space will remain unusable until the full repairs are completed.We would like thank our Staff and our Patients for the dedication and support in this challenging time. Should you have any questions please do not hesitate to contact our reception staff.

Lambley Lane Surgery has now reopened for use by our patients. Repairs remain ongoing.

Fire Damage

Lambley Lane Surgery now reopen for patients.

On the 5th of May 2018 a fire broke out in Burton Joyce village and this spread to our Lambley Lane surgery premises resulting in significant fire damage. No one was hurt in the fire and our thanks go out to the fire and rescue service who promptly attended the scene and put out the fire before more substantial damage was sustained.The Lambley Lane Surgery site will be closed until an inspection has been undertaken to ensure it is safe to be re-opened. Whilst our staff work to assess Lambley Lane surgery and before it is reopened we would kindly ask our patients to use our Apple Tree Surgery premises in Burton Joyce as well as our Lowdham Medical Centre premises in Lowdham to access primary medical services.With our multi-site practice, we anticipate no interruption to patient services during this period of closure of the Lambley Lane Surgery site and we will work to repair and open this site again as soon as possibleContact numbers and addresses for our Apple Tree Medical Centre and Lowdham Medical Centre sites can be found on our website. We would like to thank our patients for their understanding during this period of repair following this fire.Should you have any questions please do not hesitate to contact our reception staff. We will provide further updates as soon as we have them.

Fire in Burton Joyce spreads to damage the Lambley Lane Surgery site resulting in temporary closure of that site. All services remain unaffected and our other remaining sites are open and functioning normally.

Lambley Lane Surgery suffers fire damage

For many years the Apple Tree Medical Practice and the Ivy Medical Group have had a supportive and positive relationship. In recent years the ever-growing pressures on general practice in the UK have meant that we have been exploring a closer working relationship to overcome these challenges. Our two practices are well aligned geographically and also in terms of ethos and approach to patient care. We are pleased to announce that on the 1st of March 2018 the Ivy Medical Group and Apple Tree Medical Practice have merged. We believe that together we can ensure the continuity of high quality patient care in Burton Joyce and the surrounding villages. Now that we have completed our merger we are focused on improvements to our practice so that we can provide a better service to our patients. We plan to work hard at recruiting further GPs to deliver better access for our patients as well as recruitment of an Advanced Nurse Practitioner who will form an important part of our clinical team. The Advanced Nurse Practitioner is a highly trained clinician with postgraduate qualifications in managing patients medical care. Our Advanced Nurse Practitioner will improve access to urgent care on the day for patients who have more urgent medical needs. This will improve the responsiveness of our service for our patients. The merger has also allowed us to expand our management team with the recruitment of a new Practice Manager across the group and an Assistant Practice Manager. We aim to bring further improvements to our practice and our service over the next 24 months, made possible with the successful merger of both practices. We appreciate you may have questions about our plans and we will be updating our patients on a regular basis. We also have a FAQ that may answer some of your questions available in our download section. We would like to thank our patients for the significant support given to the practice through this major reconfiguration for both practices.

The Ivy Medical Group and Apple Tree Medical Practice have now completed Merger.

Merger

Merger Completed

Tree Medical Practice plan to merge in the New Year. For many years we have had a very supportive and positive relationship together. In recent years the ever growing pressures on general practice in the UK has meant that we have been looking at working closely together to overcome those challenges. Our two practices are very well aligned, not just geographically, but also in terms of ethos and approach to patient care. We believe that together we can ensure the continuity of high quality patient care in Burton Joyce, Lowdham and the surrounding villages. We appreciate you may have questions about our plans. We will be providing further information on our websites (ivymedicalgroup.com and www.appletreemedicalpractice.co.uk), in our waiting rooms and will be arranging drop in events where you can come and talk to us. We would like to assure our patients that the Lowdham practice will continue in the existing premises with Dr Panesar and the same team. We are passionate about providing the very best care we can and we feel this is an important step to allow us to do so. Dr P Panesar and the Patient Participation Group (PPG)

The Ivy Medical Group and Apple Tree Medical Practice are planning to merge

Merging Together

Dear Patients, Our Clinical Team will be visiting our most vulnerable patients in our Care Homes to start booster vaccinations for Covid19 today. Please do bear with us as we start this important campaign in preparation for winter. Thank you for your support as ever. Dr Panesar &amp; TeamIVY

Alert

Covid19 Booster

Dear Patients, we have some staff unwell with Covid at the moment and so we do apologies for any challenges experienced by our patients. Please do call with any urgent concerns and our team is here for you. For more routine or minor aliments please see the NHS website for ways to take advice from our health community including local pharmacies, physiotherapy, counselling services and 111. Thank you for your support. TeamIVY

Covid19 and Impact on Staff

We will be starting our influenza immunisation programme at the practice from September 2022.Please see the News section on our website for details.

Please go to our News section to read our Introductory Letter regarding the Future Proofing of our Local Health Service plans, including dates, times and venue for the first meetings arranged to undertake the patient listening exercise's.

Routine Announcement

Data Protection Privacy Notice for Patients<h2>Introduction:</h2>This privacy notice lets you know what happens to any personal data that you give to us, or any that we may collect from or about you.This privacy notice applies to personal information processed by or on behalf of the practice. This Notice explains:<ul><li>Who we are, how we use your information and our Data Protection Officer</li><li>What kinds of personal information about you do we process?</li><li>What are the legal grounds for our processing of your personal information (including when we share it with others)?</li><li>What should you do if your personal information changes?</li><li>For how long your personal information is retained by us?</li><li>What are your rights under data protection laws?</li></ul> General Data Protection Regulation (GDPR) became law on 24th May 2016. This is a single EU-wide regulation on the protection of confidential and sensitive information. It enters into force in the UK on the 25th May 2018, repealing the Data Protection Act (1998).For the purpose of applicable data protection legislation (including but not limited to the General Data Protection Regulation (Regulation (EU) 2016/679) (the GDPR), and the Data Protection Act 2018 (currently in Bill format before Parliament) the practice responsible for your personal data is [The Ivy Medical Group].This Notice describes how we collect, use and process your personal data, and how, in doing so, we comply with our legal obligations to you. Your privacy is important to us, and we are committed to protecting and safeguarding your data privacy rights<h2>How we use your information and the law.</h2>The Ivy Medical Group will be what’s known as the ‘Controller’ of the personal data you provide to us.We collect basic personal data about you which does not include any special types of information or location-based information. This does however include name, address, contact details such as email and mobile number etc.We will also collect sensitive confidential data known as “special category personal data”, in the form of health information, religious belief (if required in a healthcare setting) ethnicity, and sex during the services we provide to you and or linked to your healthcare through other health providers or third parties.<h2>Why do we need your information?</h2>The health care professionals who provide you with care maintain records about your health and any treatment or care you have received previously (e.g. NHS Trust, GP Surgery, Walk-in clinic, etc.). These records help to provide you with the best possible healthcare.NHS health records may be electronic, on paper or a mixture of both, and we use a combination of working practices and technology to ensure that your information is kept confidential and secure. Records which the Practice hold about you may include the following information;<ul><li>Details about you, such as your address, carer, legal representative, emergency contact details</li><li>Any contact the surgery has had with you, such as appointments, clinic visits, emergency appointments, etc.</li><li>Notes and reports about your health</li><li>Details about your treatment and care</li><li>Results of investigations such as laboratory tests, x-rays etc</li><li>Relevant information from other health professionals, relatives or those who care for you</li></ul> Read more in our full Privacy Statement<a href="https://bit.ly/3wJdoga" rel="noopener noreferrer" target="_blank">Read more in our full privacy statement which is available in our download section or click here...</a>

General

This privacy notice lets you know what happens to any personal data that you give to us, or any that we may collect from or about you.

Privacy Notice

This summary describes the practices approach with private and non-NHS work.The Ivy Medical Group is a proud NHS provider of Primary Medical Services to our patients, free at the point of delivery and of the highest quality. There are some services, such as certain vaccinations and completion of medical reports and forms, which are chargeable as they do not fall under the terms of service of the NHS Standard Contract.<h2>What kinds of things are chargable?</h2>Examples of non-NHS services for which GPs can charge their NHS patients are:&nbsp;<ul><li>Accident/sickness insurance certificates</li><li>Certain travel vaccinations</li><li>Private medical insurance reports</li><li>HGV medicals</li></ul> Examples of non-NHS services for which GPs can charge other institutions are:<ul><li>Medical reports for an insurance company</li><li>Some reports for the DSS/Benefits Agency</li><li>Examinations for employment purposes</li></ul> <h2>How do I request non-NHS work and how much will it cost?</h2>If you require support with non-NHS / private work, please contact our medical secretaries. Fees for non-NHS / private work will always be quoted before work is undertaken.&nbsp;<h2>How long will non-NHS work take to complete?</h2>Please note that GPs are not obliged to do any of the above work, it will always take second place to clinical work. Time spent completing forms and preparing reports takes the GP away from the medical care of his or her patients.&nbsp;Please do not expect your GP to process forms overnight. You should expect the form(s) to take upto 4 weeks for the GP to complete and return. This includes simple certificates or GP signatures. When a doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true. In order to complete even the simplest of forms, therefore, the doctor might have to check the patient's entire medical record.We will always try and complete administration requested by our patients as soon as possible but please be aware that it may take up to 28 days. We would like to thank our patients for their understanding with this process.

This summary describes the practices approach with private and non-NHS work.

Non-NHS / Private Work

<h2>Do You Look After Someone who is Ill, Frail, Disabled or Mentally Ill?</h2>We are interested in identifying carers, especially those people who may be caring without help or support. We know that carers are often “hidden” looking after a family member or helping a friend or neighbour with day to day tasks and may not see themselves as a carer.Caring for someone is an important and valuable role in the community, which is often a 24-hour job that can be very demanding and isolating for the carer. Carers should receive appropriate support by way of access to accurate information on a range of topics such as entitlement to benefits and respite care and not least, a listening ear when things get too much.As a Carer, you are also entitled to have your needs assessed by Adult Care Services. A Carer’s Assessment is a chance to talk about your needs as a carer and the possible ways help could be given. It also look at the needs of the person you care for. There is no charge for an assessment.The Practice’s CARERS CHAMPION is Rebecca Warren. Rebecca is one of our Nurses and keeps up to date with the latest guidance and news for Carers. You can leave a message for her with Reception and she will get in touch or you can book an appointment to see her in her session on a Wednesday morning.<a href="https://ivymedicalgroup.com/carers" rel="noopener noreferrer" target="_blank">Read more information for Carers by clicking here...</a>

Information for Carer's from our Carer's Champion, Mrs Rebecca Warren

Carer's Information

<h2>Out of hours Care</h2>For patients that require primary care outside of core hours this medical care is provided by Nottingham Emergency Medical Services. You can access out of hours primary care by contacting our phone number which will be diverted to out of hours care or by calling 111. Emergency services are available on 999 for medical emergencies such as chest pain or acute shortness of breath. AE care is provided at Nottingham University Hospital, Queens Medical Centre site.<h2>Visit your local pharmacy</h2>If you need advice for minor health problems you can speak to your pharmacist for on-the-spot advice and remedies for a wide range of problems such as stomach upsets, coughs and colds, cystitis and emergency contraception.<h2>Walk-in Centre</h2>There are two walk in centres in Nottingham which can deal with minor illness and injury. Details are available here.Please note that these are nurse led and usually there are no doctors at these sites. If you think you may need a prescription or see a doctor then you may be better off waiting until the practice reopens or dialling 111.<h2>Serious Illness and Major Accident</h2>In case of serious illness or major accident dial 999 or attend the nearest A&amp;E. The nearest accident and emergency to the practice isQueen’s Medical Centre CampusDerby RoadNottinghamNG7 2UH<h2>Access to NHS Dentistry</h2>However, if you need urgent dental care, help is at hand:CALL your dental practice:They will give you advice over the telephone and make arrangements for you if you need to be seen.If you don’t have a dentist, find your nearest dentist and CALL them. You can search for your nearest dentist at: <a href="https://www.nhs.uk/service-search/find-a-dentist" rel="noopener noreferrer" target="_blank">https://www.nhs.uk/service-search/find-a-dentist</a>You can also contact NHS 111:You can ask for a translator if you need one.NHS 111 is available 24 hours a day, 7 days a week&nbsp;If you’re deaf, you can:use the NHS 111 British Sign Language service https://interpreternow.co.uk/nhs111&nbsp;orcall 18001 111 on a textphoneDo not worry if you have COVID-19 symptoms, appropriate arrangements can be made to see you if you need urgent dental care.

Information outlining how to access out of hours care in Nottingham.

Out of Hours Care

The Ivy Medical Group is delighted to announce new services available to our patients including Physiotherapy and Clinical Pharmacy support of safe use of Medications. We hope our patients will find these services to be very valuable in managing their health and move us to a proactive approach aiming for the best in class care for our population.<h1>Clinical Pharmacists</h1>Working without PCN, Arrow Health, our practice are delighted to announce the availability of advanced services to our patients. We are happy to announce that our patients will be supported with medication management by our Clinical Pharmacists. Mr MIlan Patel is providing advanced medicines management services for our patients which includes review medications to ensure they are appropriate and safe as well as proactively monitoring patients on higher risk medications and on those with lots of medications. Milan will also be undertaking actions to adjust medications with the latest research and bulletins to ensure we keep our patients safe on their treatments. We would also like to welcome Briony Leighton who is a specialist Clinical Pharmacist for patients in care homes. Briony will be joining our clinicians in weekly reviews and ward rounds for our care homes to ensure our patients are safe and have the very best in medical care.Here is a message from Milan:<blockquote>"My name is Milan and I am the Primary Care Network (PCN) clinical pharmacist that will be working across IVY Medical Group and Plains View Surgery. I will be working as part of the multi-disciplinary team to meet the needs of patients and provide my expertise with any medicine related queries. I have over 15 years of experience as a practicing Pharmacist and last year I acquired my independent prescribing qualification.&nbsp;My role is to support patients and the practice by carrying out structured medication reviews for patients on long term conditions and the other areas set out by the NHS England. As part of my responsibilities I will also be supporting the practices to adopt a patient safety theme to promote safe prescribing. The purpose of having a clinical pharmacist in GP practice is to help with any medicines related queries, help with minor ailments, carry out reviews and practice audits and free up time for GPs to see patients that have complex issues or comorbidities. I am looking forward to helping the teams at Ivy and Plains and improve the patient experience by answering any medicines related queries or prescription queries."</blockquote>Milan will be with us at the practice on Tuesdays mainly and Briony will be with us on Tuesday afternoons to support our care home reviews.<h1>First Contact Physiotherapist</h1>Working with our PCN, Arrow Health, we are delighted to welcome Mr Gurpal Matharu to our team. Gurpal is a highly trained First Contact Physio and will be working with us on Mondays. He is directly bookable by our patients for musculoskeletal problems and will be able to provide one for the most comprehensive musculoskeletal assessments available.The role of First Contact Physiotherapists (FCPs) in Primary Care is to assess patients with soft tissue, muscle and joint pain and to decide on the most appropriate management pathway. FCPs are physiotherapists with expertise in the assessment and management of Musculoskeletal (MSK) conditions.&nbsp;Here is a message from Gurpal:<blockquote>"Hi, I’m the First Contact Physiotherapist (FCP). I have almost ten years of experience assessing and treating musculoskeletal (MSK) conditions across hospitals and clinics up and down the UK. I’m here for your MSK needs; whether it be a painful back/neck, a new injury or even something that has been bothering you for a while and starting to affect your day-to-day tasks. My role will be to expertly assess and refer you on to the service that suits you best. Or it might even be something which will clear up with a few simple exercises and time!"</blockquote>Gurpal will be available on Mondays to book appointments for patients with Musculoskeletal problems.

Practice Services

Advanced Services

Our clinical team aim to provide the very best care we can and the best location to allow us to do so is at the surgery. Our practice site has the best facilities for assessing your medical condition including the correct examination facilities as well as medical equipment needed to make an accurate assessment. For this reason we encourage our patients to attend our surgery sites where ever possible.We understand that in some circumstances patients are not able to attend the surgery because:<ul><li>Your medical condition may mean that transportation would result in a significant deterioration in your medical condition</li><li>Your condition means that you are fully house bound at all times.</li></ul> In these circumstances we provide a home visiting service. If you need a home visit please contact our practice before 10:00 am. On your request one of our clinicians may call you back to triage your home visit request. The clinician may be able to address your medical needs via this triage call or may choose to visit you at home. The clinician will also decide on the urgency of your home visit and urgent medical issues may require a 999 response. If you are significantly unwell or have chest pain then please call 999 for immediate medical attention. You may be visited by a community nurse or health visitor if your care is best addressed by our community team.We can not provide a home visiting service in situations where transport is the primary issue. This is because we must ensure our clinical team are addressing conditions based on medical need. NHS resources are limited and we appreciate the assistance of our patients to use our medical team in the most effective way possible.

Our home visiting policy

Home Visits

<h2>Our feedback and complaints policy</h2>At the Ivy Medical Group we aim to offer the very best service we can to our patients. Our staff work to deliver the very highest quality of care. In order to make our service better we greatly value patient feedback. If you would like to provide feedback on our services please contact our practice team. Our patient participation group meets regularly to ensure patients have a strong voice in the services we deliver.We recognise that on occasion patients may feel that we have not reached our usual high standards with regards to the care we provide and our services. In these rare situations we encourage patients to bring these issues to our attention. We welcome informal complaints and in many cases a response from our senior team can address any concerns patients may have. This also allows us to improve our services for the future. Our practice follows the NHS Complaints procedure and we fully investigate any complaint made to the practice. Making a complaint does not affect negatively the care your receive and we treat all complaints fairly and transparently with the aim of learning from all investigations to make our service better.<h2>The NHS Complaints Procedure</h2>If you would like to raise a complaint please contact our reception team to raise a local complaint. A practice level complaint is often the fastest and most responsive way to address patient complaints. Our practice manager will recieve practice level complaints and will instigate an investigation. We will respond to you within three days to acknowledge your complaint and agree a way forward.<h2>What if I'm not happy?</h2>If after full investigation at the practice you are unhappy with the process or the outcome you may approach the Parliamentary and Health Service Ombudsman. The Ombudsman is the final recourse within the NHS Complaints process. It is a free and independent service which may only look at and/or investigate complaints where all opportunities for local resolution have been thoroughly pursued and there is still an outstanding issue to be addressed.<h2>Where can I find out more?</h2>To learn about how to provide positive feedback or raise an informal or formal complaint please contact our practice manager. Further information on our complaints procedure is available in the practice with both an opportunity to speak to our staff or to collect written information.

Feedback

Feedback and Complaints

<h1>Notes of a Meeting of the Ivy Medical Group Management Team and the Co–Chairs of the Patient Participation Group</h1> <h2>Virtual Meeting by Team Windows</h2><h2>Tuesday 9th March 2021</h2>&nbsp;AttendancePPG Co-ChairPPG Co-ChairDr Panesar GP, Ivy Medical GroupMelanie Maddock Practice ManagerVictoria Hann Deputy Practice Manager&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1.&nbsp;WelcomeThe&nbsp;PPG Co-Chair gave a warm welcome and introduction to the Practice Manager and the Deputy Practice Manager.2.&nbsp;Covid Vaccination Update Dr Panesar explained that the Vaccination Programme is being run by the NHS Locality Team and this included the need for Home Visits for patients who are unable to get to any of the Vaccination Centres.&nbsp;Details about the programme and how to apply are available on the Locality Team website or by phoning 119.&nbsp;He understood the PPGs concern that patients attempts to get through on the phone were often unsuccessful and undertook to pass this on to the Team to see whether access could be improved.The practice have started to monitor which practice patients have had the first vaccine and are pleased to find that less than 100 of patients over 65 have not yet been vaccinated.3. CommunicationThe meeting recognised the need to keep patients informed of developments in these difficult times and discussed how this might best be achieved.It was agreed to draw up a newsletter which could be made available on the practice website and village Facebook pages.&nbsp;In addition, the village pharmacies would be approached to explore the possibility of issuing it alongside patients’ medication, both in the pharmacy and when delivered,&nbsp;in order to reach patients who do not have access to on-line facilities.4.&nbsp;Patients ConcernsDr Panesar accepted that regular activities, such as shingles, pneumonia and other vaccines together with well person checks had been paused in order to cope with the volume of work arising in dealing with the pandemic, but it was hoped that it will be possible to bring these back again very soon though those overdue will need to be spread over a period.&nbsp;Coping with the Covid menace had inevitably meant that some things had to be set aside.The surgery clinical staff and practice staff have also been victims of the Covid epidemic and, regrettably, at one time appointments had to be cancelled at short notice. By the use of telephone reviews, the practice tried to have contact with as many patients as was possible. All the clinicians are skilled in the use of telephone reviews and video links.&nbsp;Therefore, the use of such calls has been explored.&nbsp;Lambley Lane surgery has just introduced the use of Microsoft Teams to reach patients.&nbsp;Anyone with an urgent need to see a doctor is always seen that day.The provision of blood test results for patients to assist private consultations raises difficult issues and the practice cannot provide the practitioner direct.&nbsp;However the practice is willing to meet patients half-way by making a copy of the blood test available at reception.Because of the high number of Covid hospital admissions, many hospital staff are diverted to other hospital activities, the result of which is that referrals andenquiries from GP practices may take longer to get a reply.&nbsp;Hopefully, as the number of hospital admissions fall, things may return to normal.&nbsp;5.&nbsp;Any Other BusinessWork is continuing to achieve improvement in telephone access to the surgeries.&nbsp;The practice knows the system that is wanted, but this cannot be installed until contract issues with the present suppliers have been resolved.The provision of notice boards for PPG news at each surgery site will be established.

PPG latest Minutes

<h1>Salaried GP</h1>Ivy Medical GroupThe closing date is 11th of July 2022<a href="https://beta.jobs.nhs.uk/candidate/application/A3721-22-5882/pre-application-questions-pause?referrer=jobadvert&amp;ref=A3721-22-5882" rel="noopener noreferrer" target="_blank">Apply for this job</a><h2>Job summary</h2>We have an exciting opportunity for a GP to join our team for six sessions per week as a Salaried GP. One of our senior GPs is retiring from the practice which opens up this unique opportunity.&nbsp;<h2>Main duties of the job</h2>So why this position? We have an excellent team of staff all motivated and passionate to provide the very best care to our patients. We provide a positive safe environment and culture in which to practice medicine. The post will have the opportunity to provide minor surgery as well as understanding how a dispensing practice functions. We support our clinical team to engage in practice improvement and contributing to the future of the practice.We are a training practice for medical students and GP registrars. There will be an opportunity to be involved with teaching and training of medical students and registrars. We will be improving our practice premises in the 5 years ahead providing up to date facilities.We include 6 weeks annual leave with bank holidays in addition. There is one week study leave in addition. Indemnity fees are covered.We have a list size of 7200 and a full team including GPs, Nurses, HCA, ANPs, Dispensers, Reception, Secretarial and Administrative staff. We employ apprentices to help train our next generation. We have strong links with our PCN, and we are also RCGP research ready and will be participating in primary care research in the next 12 months.If the post feels right for you and you enjoy working in a rural country location, please reach out for an informal discussion or visit. Alternatively, please apply through NHS jobs.<a href="https://beta.jobs.nhs.uk/candidate/jobadvert/A3721-22-5882" rel="noopener noreferrer" target="_blank">NHS Jobs link</a><h1>Practice Nurse</h1>Ivy Medical GroupThe closing date is 24 July 2022<a href="https://beta.jobs.nhs.uk/candidate/application/A3721-22-2836/pre-application-questions-pause?referrer=jobadvert&amp;ref=A3721-22-2836" rel="noopener noreferrer" target="_blank">Apply for this job</a><h3>Job summary</h3>We have an exciting opportunity to join a supportive and dynamic practice to develop your career as a Practice Nurse.We are a supportive and positive practice in a rural location in the east of Nottingham. We look after an older, stable population with opportunities to look after complex co-morbidities as well as managing acute care. As a Practice Nurse, you would join our team in looking after our patient’s health needs. You would be well supported within the team. We support training and progression with a strong learning culture. We host teaching for GP registrars and medical students.<h3>Main duties of the job</h3>As our Practice Nurse you would be responsible for the implementation of processes for the effective management of patients with long-term conditions using evidence-based practice including care for elderly and housebound patients.&nbsp;Working as a senior member of the practice multidisciplinary team, the post holder will ensure nursing services are delivered effectively to the entitled patient population.&nbsp;The Practice Nurse will be responsible for a number of clinical areas such as infection prevention and control, health promotion, chronic disease management, health promotion, well women and well man clinics, as well as actively supporting the practice management team in the reviewing and delivery of clinical policy and procedure.The practice will ensure that the post holder has access to appropriate clinical supervision and an appropriate named individual in the organisation to provide general advice and support on a day-to-day basis.<h3>About us</h3>We have a list size of 7200 and a full team including GPs, Nurses, HCA, ACPs, Dispensers, Reception, Secretarial and Admin staff. We are an approved training practice and have GP Registrars working in our team.Burton Joyce and Lowdham are lovely areas to work within and we are committed to providing outstanding care, offering the very best, courteous, accessible and responsive services to all of our patients, families and carersWhy work with us, here’s what our current ANP says-“I have worked as an ANP at The Ivy for almost 4 years. We are a friendly team and it’s a great supportive environment to work within. I have completed my MSc in Advanced Clinical Skills whilst being here and have been encouraged all the way by our team. I have good relationships with all our MDT – I can discuss cases at any time with our MDT colleagues, first contact physio, Clinical Pharmacist and experienced community team to ensure provision of the very best, most appropriate care to our patients.Our admin team here are second to none and have always supported me as an ANP with referral and advice and guidance queries to secondary care, as well as with more urgent patient contact as needed.We are a friendly team and it’s a real pleasure to work at The Ivy Medical Group<a href="https://beta.jobs.nhs.uk/candidate/jobadvert/A3721-22-2836" rel="noopener noreferrer" target="_blank">NHS Jobs link</a>

Ivy

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Invitation to join our revamped - Patient Participation Group

19 Sep 2022

Practice News

Invitation to join our revamped - Patient Participation Group

Monday 19th September 2022 - Bank Holiday confirmed

Future Proofing our Local Health Service

The NHS influenza immunisation programme 2022 to 2023

Future Proofing our Local Health Service

Dr Panesar's Update and Zero Tolerance Policy

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