UNSUSTAINABLE. UNSAFE. UNPRECEDENTED.Across Cambridgeshire & Peterborough,GPs and practices are under unprecedented pressure:
Key Facts – April 2021* published 17 June by NHS Digital
Number of appointments: 410,323
Number of Face-to-Face appointments: 233,789 (57%)
Patients seen on the same day: 53%
Patients seen within 7 days: 81%
Patients seen in within 14 days: 90.5%
Only 2.77% Non-attendance rate - 97.2% appointments attended
In addition, over 90,000 Covid vaccinations were delivered by Cambridgeshire & Peterborough GPs & their Practice teams in April – in total over HALF A MILLION patient appointments that month
Don’t believe the Anti-GP media spin.
*NHS Digital https://digital.nhs.uk/data-and-information/publications/statistical/appointments-in-general-practice/march-2021 May data to be published July 2021
• GPs and their practice teams are delivering a far greater number of consultations now than they did in the winter peak of January 2020 – and they have been working hard throughout the pandemic
• This not just due to the impact of the Covid-19 pandemic, but also the major NHS backlog of patients waiting for treatment, combined with the lowest numbers of GPs per capita in decades
• This is on top of the GP-led COVID vaccination programme which has been hugely successful
• It is unsustainable, unsafe, and unfair for GPs and their teams, whether in practices, urgent care centres or other services, to be working such excessive hours at such intensity
• This is putting patient care at risk
• GPs are breaking - at the expense of their own physical, mental, social and families’ health
Cambridgeshire & Peterborough GP practices saw 233,789 patients face to face in April. A doctor’s first duty is to do no harm. Practices must, therefore, take all steps possible to deliver care that is safe for their patients and protects their staff. Social distancing, infection protection and control measures are still applicable, so patients should only receive a face-to-face appointment if they NEED one, not simply because they demand one. Many surgeries have restricted and unventilated reception areas – these are not yet safe for patients to walk-in without an assessment. Everyone must be triaged.
Practices are already working well beyond their safe daily limits – the impact of this on patient care is not yet fully appreciated or recognised. GPs and their practices, with the support of GPC England, and Cambs LMC, should continue to deliver care to their patients in the way they determine that best protects and cares for their population.
Cases of the B.1.617.2 variant in the UK, are rising exponentially, lockdown restrictions have been delayed. It is this clinical context, that should determine the key priorities for General Practice in the coming days and weeks, not false and dangerous politically-driven, media-fuelled edicts.
Please be patient with your GP and practice team at this difficult time.
There will be a Zero Tolerance approach to abuse of our staff.
Cambridgeshire Local Medical Committee Limited.
Registered in England and Wales as a Company Limited by Guarantee No. 13050562
Please also remember you can call NHS 111 for urgent concerns, and 999 for serious emergencies. Your local pharmacist can also help with minor complaints too.
For adults with mental health problems including depression and anxiety, you can refer yourself directly to the local wellbeing service, via 0300 300 0055.
If you’re experiencing a mental health crisis, call the First Response Service by calling 111 and select option 2 (in Wisbech call 111, select option 1 and ask to be put through to the First Response Service).
A local CCG has produced an excellent childhood illnesses leaflet free to download here, full of advice and information for parents and carers of young children: https://hertsvalleysccg.nhs.uk/application/files/1716/0941/0098/Help_your_Child_Stay_Well_This_Winter_FINAL.pdf
The Cambridgeshire County Council has a range of support and information to help in times of urgent need: telephone 0345 045 5202 8am-6pm weekdays 9am-1pm Saturdays. Outside office hours if someone is in danger telephone 01733 234724. In an emergency, call 999. Also see www.cambridgeshire.gov.uk/adults.
Thank you very much for helping us all manage under these very difficult circumstances."
Cambridge City Lifestyle Services Booklet
Community Activities and Support to improve your health and support with Housing, Domestic Abuse.
Healthy You Update
Now (during a pandemic) more than ever is an important time to lose weight and keep healthy.
Commissioned and funded by Cambridgeshire County Council and Peterborough City Council, Healthy You provides free weight management support to residents across Cambridgeshire and Peterborough. Healthy You offer a choice of programmes to patients who wish to lose weight and you could be eligible for a 12 week referral to any of the options listed below if you are aged over 16 with a Body Mass Index above 25.
Option 1 – Referral to Healthy You Weight Management groups
Option 2 - Referral to Slimming World
Option 3 – Referral to Wellness that Works (formerly Weight Watchers)
To be eligible for a Slimming World or Wellness that Works referral you cannot have been a paying member of either program in the 12 weeks prior to the point of referral.
If you have the motivation to learn how to lose weight and maintain a healthier weight you can self-refer by calling Healthy you on 0333 005 0093, text Healthyu to 60777 or visit the website at www.healthyyou.org.uk
If you have a suspected covid infection and are self isolating at home the following leaflet will be helpful to you:
Isolating at Home
Age UK Community Resource Information
Who can have a free shingles vaccination?
You are eligible for the shingles vaccine if you are aged 70 and for those in the catch-up cohort , as you become78 or 79 years old. All eligible individuals retain eligibility to receive the shingles vaccine until they become 80 years of age. When eligible, you can have the shingles vaccination at any time of year.
Some individuals who were eligible for the shingles (catch-up) vaccination programme may have turned 80 years during the pandemic and missed the opportunity to be vaccinated, either due to lockdown or because they were shielding at home and unable to attend the practice. This cohort of individuals can still be offered shingles vaccine unless contraindicated, up to the 31 December 2020. This temporary offer applies only to those who were eligible and who missed shingles vaccination because they were shielding and who turned 80 years of age during that period. It is only applicable to periods of time when lockdown or shielding was recommended.The shingles vaccination is not available on the NHS to anyone aged 80 or over because it seems to be less effective in this age group.
This is a one off vaccination and reduces the chances of developing shingles, and even if you do develop shingles then the disease is likely to affect you less severely.
Shingles is caused by the reactivation of the chickenpox virus and lies dormat after infection as a child. Later in life it can reactivate and cause shingles. why this happens is not completley known, but reaching an older age makes the virus much more likely to reactivate. Shingles and its complications can be difficult to manage. The treatment options vary from person to person depending on the area affected by the shingles. It is important to see your GP as soon as possible after the rash occurs, as some treatments work best when given early. Shingles can not be caught from someone with chickenpox, however, it is possible to catch chickenpox from someone with shingles.
Are you waiting for an Addenbrooke's Appointment?