Community

Charlbury Patient Participation Group: CPPG

Welcome to the Charlbury Patient Participation Group page. We will use this page to keep you up to date with Charlbury Medical Practice news, our quarterly newsletters, and occasional bulletins. Please scroll to the bottom of the page for the latest information.

Please find our  newsletters:

Newsletters continue at the foot of this page.

The Neighbourhood Hub, Windrush Medical Centre, Witney
What is the Hub? It is the opportunity for even better access to a doctor at weekends and in the evenings.
Patients asking for a pre-bookable GP appointment at any West Oxfordshire Locality practice may be offered an appointment at the Hub with a local GP or nurse who has access to their medical records.
The Hub is open between the hours of 8am and 8pm from Monday to Friday and on Saturday mornings.
This is not a walk-in centre; patients need to have the appointment made by their own surgery, with the agreement of the GP.

www.charlbury.info/files/7/Healthy Food for Hungry Children 2018.docx
Healthy Food for Hungry children, an article written for us by Jacqueline Wright, shared Healthy Communities Officer, WODC

Physiotherapy Services

Physiotherapy and some aspects of podiatry have been provided by Healthshare for the last eighteen months. Healthshare are based at the Deer Park premises in Witney. They advise that all referrals from your GP are reviewed by an appropriate member of their clinical team with 48 hours - 90% of the time. They then arrange for the next stage of your care which could be:
An appointment with a physiotherapist or podiatrist for treatment
An appointment with an expert for assessment. This might include an ultrasound, x-ray or MRI scan

A referral to another service if the problem is not something that can be treated by Healthshare.

What do you do if no one contacts you? You can call the MATT Physiotherapy and Podiatry Service on 01865 238 108 and speak to one of their advisers.

How long might this take? That depends on what you are referred for. The waiting times for different types of treatment options vary. There may be other appointments available at other locations if you are prepared to travel to another clinic for an appointment.

Further information is available at: https://healthshareoxfordshire.org.uk/visit

More about Physiotherapy Services

You can now refer yourself for physiotherapy services at www.healthshareoxfordshire.org.uk

Information from Healthshare's web site:

You can refer yourself if you:

  • have already tried physiotherapy yourself
  • have a musculo skeletal condition
  • are registered with an Oxfordshire GP
  • are over 18 years old
  • are able to speak English
  • are not under the care of a hospital consultant for the same problem

You need to see your GP for a referral if you:

  • are aged between 1 and 18 years
  • are unable to speak English, or only speak limited English
  • require rehabilitation after a stroke
  • require home visits

Click on the PDF below to read CPPG's latest newsletter

Ambulance Calling!  The Ambulance Service must be able to see house numbers and names clearly especially when visiting for the first time.  Not being able to see a name or number from the roadside perhaps because they are obscured by greenery could result in valuable minutes being wasted.

The Ambulance Service suggests that you check your house sign is visible from the road and makes the following recommendations:

  1. Make sure the sign is not obstructed by trees or greenery
  2. If possible, at night switch on an outside light if an ambulance has been called
  3. The house name or number should be at least 3inches in height and 4 feet from the ground
  4. If the property is more than 75 feet from the road, the house name or number should be placed on the gate post or post box no further than 25 feet from the edge of the road.
Text Messaging ServiceThe Practice is pleased to announce that from 9 July patients will receive appointment reminders via text message. Please ensure that Practice has the correct mobile phone number for you. There will also be an option to cancel the appointment if no longer needed by the "touch of a button". Missed appointments are costly in terms of time and money. Thank you for your co-operation.Appointments Explained:Charlbury Medical Centre manages the allocation of GP appointments for each working day as follows:

 1. All slots in the morning are kept free for same day appointments. Patients who have requested an appointment in advance of the day will have been given an afternoon appointment. 

 2. A small number of slots are allocated to patients who have been asked to attend the Surgery on that day by a GP.

 3. A small number of slots are available to patients booking online that day from 8.00am.

 4. A majority of slots are available to patients booking by phone, or calling in that day from 8.00am. 

If the patient, or their carer works, by phone from 3.00pm on the preceding day.Given this mix of routes to making an appointment for the same day, it is not always possible to enable all patients to see the GP of their choice.

Report of the open meeting for all patients on 24 July 2019

Eighteen patients came to the meeting in the surgery on a very hot Wednesday evening. Wesley Rouse, the Practice Manager answered questions and gave information about the Practice.

 • Deborah Hofman opened the meeting by asking the CPPG steering committee to introduce themselves.

• She explained the purpose of the Group was to make a direct link from patients into the Practice and get information out again.

• Communication was also made by email directly out to the virtual PPG , with articles in the Chronicle and a quarterly Newsletter which will from now on be a fact sheet.

 Primary Care Networks: PCNs

• Barbara Shaw then introduced the concept of the Primary Care Network of Charlbury, Burford, Broadshires in Carterton, and Bampton, a population of 30,000, known as the Rural West PCN. Charlbury has 5500 patients registered.

• She explained that the funding from the Oxfordshire Clinical Commissioning Group, responsible for funding and purchasing services, would enhance services provided by the practice and allow GPs to spend longer with each patient.

• CPPG is keen to represent the views of patients and the other practices in the PCN to encourage the appropriate services to be set up for our population.

• At present it is thought that Social Prescribing and either a Clinical Pharmacist or a Physio would be most valuable.

• Wesley confirmed that currently the PCN is just being set up, and further clarification will be forthcoming.

• There was further discussion about the location of these services and access to them for those without easy access to transport.

 Staffing

• Wesley then informed the meeting that a new GP, Dr Nicky Jones would be starting in September, who has a special interest in women’s health.

• Currently there are two locums in place and it is hoped to recruit a male doctor.

• The nursing staff are all in place.

Flu vaccination

Wesley had been informed that there will be a national delay in obtaining vaccine for the under 65s, further information will be available at the beginning of the autumn.

 Text messaging

This new service reminding patients of their appointments was working well, with 1-2 people cancelling each day freeing up those appointments.

The meeting was very concerned to hear that 243 appointments were no shows in the first quarter of the year.

Wesley went on to explain that texts may be used to alert people that their test results were available , and possibly to prompt people about their medication reviews. He explained that there would be a review for everyone on repeat prescriptions in the month of their birthday. This will be further clarified. The role of the clinical pharmacist in the reviews will be decided by the GPs.

 Appointments

This was clearly an issue of concern for the group represented at the meeting.

The system is outlined above and in the Chronicle. However it was acknowledged that there were inevitable delays in obtaining an appointment when clinical staff were off sick or away, or there were a number of urgent matters on any day.

The meeting concluded with a message of thanks to GPs, nurses and administrative staff for their dedication.

The Summer Newsletter, which focuses on Mental Health is available at the bottom of this page. 

MEASLES AND PROTECTION WITH THE MMR IMMUNISATION 

Key facts

Measles is a highly infectious viral disease which can lead to serious complications such as pneumonia and encephalitis ( inflammation of the brain) In addition, measles infection damages and suppresses the whole immune system. This means that people who have had measles are more likely to catch other infectious diseases. This effect can last for as much as three years. Worldwide, measles is still a major cause of death, especially among children in resource-poor countries.

At the moment most UK measles cases are linked to travel in Europe. Measles cases have also been linked to music festivals and other large public events. Public Health England is advising people to check that they are vaccinated against measles before they travel abroad or go to large public events in the UK or elsewhere. Children and young people who have missed the MMR vaccine are particularly at risk.

Measles usually starts with cold-like symptoms, red painful eyes and sensitivity to light, a high temperature, and greyish-white spots in the mouth and throat. A red-brown confluent rash usually appears a few days later, spreading from behind the ears to the rest of the body.

 Why childhood immunisation is important

Immunisation prepares the body to fight serious infections that might happen in the future. Young babies are very vulnerable to infections, so they need to be protected as early as possible.

Your child needs several different vaccines to be fully protected, so it’s important to complete their childhood immunisation programme. 

Some infectious diseases can kill children or cause lasting damage to their health. Your child's immune system needs help to fight those diseases. Immunisation gives protection against some infectious diseases. Vaccines stimulate the body to produce antibodies that fight infection.

 Charlbury patients’ MMR immunisation rates:

In 2018,  97.9% of eligible 2 year olds and 89.1% of eligible 4-5 year olds ( the preschool booster) were immunised. (source: NHS Digital)

In the first quarter of 2019, just over 98% of 2 year olds and just over 93% of 4-5 year olds received their MMR. (source: Charlbury Medical Practice)

 In order to have full protection against measles, mumps and rubella, the preschool booster is essential.

 Getting your child immunised

Before your child starts school, they usually get their vaccinations at your doctor's surgery or local health clinic. The Child Health system or the doctor’s surgery usually sends you the invitation to make a vaccination appointment.

Your child can get some vaccinations in school. The school will contact you before they give your child a vaccine.

 If you have any questions, please ask your health visitor, doctor, school nurse or a practice nurse in the doctor's surgery.

First Aid Unit in Chipping Norton 

The First Aid Unit in Chipping Norton is moving from Chipping Norton Community Hospital to the adjacent Chipping Norton Health Centre.

The First Aid Unit will continue to deliver care for minor injuries Monday to Friday, 5pm to 9pm and at weekends and bank holidays from 10am to 9pm.  The unit is open to any member of the public who requires care and treatment which is provided by clinicians from NHS South Central Ambulance Service.

No need to make an appointment.

The 2019 Autumn Newsletter from the Charlbury Patient Participation Group (CPPG) is below.

In this edition we cover facts about the MMR vaccine, Primary Care Networks, Safe and Well visits and more:

  •  The Childhood Immunisation Programme and MMR vaccine.
  • The First Aid Unit at Chipping Norton Health Centre
  • More about Primary Care Networks, clinical pharmacists and social prescribing
  • The Oxford Biobank
  • We welcome Dr Nikki Jones
  • Safe and Well visits in your own home

Do you need to get in touch with Social Services?

Oxfordshire County Council's Social and Health Care (previously the Access Team) team take all referrals to Social and Community Services.

They take referrals for Occupational Therapy, Social Work and Carers Assessments.

If you would like to find out more, or would like to make a referral for yourself, or someone you know, please visit www.oxfordshire.gov.uk or call the team on 0345 050 7666.

In an emergency outside normal working hours call the emergency team on: 0800 833 408

Are you entitled to a free flu jab?

Flu is not the same as getting a cold. It can seriously affect your health and the risks of developing complications are greater for people within the ‘at-risk’ groups. Healthy individuals usually recover within two to seven days, but for some the disease can lead to a stay in hospital, permanent disability or even death.

NHS flu vaccination

People 'at-risk' of flu are encouraged to have a free NHS flu vaccination. These include: 
• People aged 65 years and over
• Patients aged from six months to 65 years in clinical ‘at risk’ groups
• Pregnant women
All children aged two to ten (but not 11 years or older) on 31 August 2019
• People in long-stay residential care homes
Carers

Flu can be serious for young children, but a simple nasal spray vaccine can help protect them. It is free, fast and painless. Children are also super-spreaders of flu; by vaccinating them it reduces the risk of spreading flu to frail and 'at-risk' groups.

Long term conditions:

The free flu vaccine is available to patients who have one of the following conditions:

·        a heart problem,

·        bronchitis,

·        emphysema or severe asthma,

·        kidney disease,

·        liver disease,

·        had a stroke or a transient ischaemic attack (TIA),

·        diabetes,

·        neurological condition e.g. multiple sclerosis (MS),

·        morbid obesity (BMI over 40),

·        cerebral palsy

·        learning disability.

For more information on the flu vaccination visit: https://www.nhs.uk/conditions/vaccinations/flu-influenza-vaccine/

If you are entitled to a free NHS flu vaccination and haven’t already had one, please book an appointment for the vaccine with your GP practice.

This information comes from www.nhs.uk  For more information on the flu vaccine please visit the NHS website.

Year 2020

Oxfordshire University Hospitals NHS Foundation Trust

West Oxfordshire Meeting and Health Talk

Corn Exchange, Witney on Thursday 30 January 2020

OUH will be holding a West Oxfordshire meeting on Thursday 30 January 2020, in the Main Hall of the Corn Exchange, Market Place, Witney OX28 6AB, which you are most welcome to attend.

6.30pm Refreshments will be served. There will be CPR (cardiopulmonary resuscitation) demonstrations from Community First Responders of South Central Ambulance Service.

7pm A short talk by our two West Oxfordshire governors, Graham Shelton and David Heyes on what the Council of Governors for OUH does and how you can be involved.

7:10pm ‘Using artificial intelligence to predict heart attacks’.

A presentation by Professor Charalambos Antoniades, Professor of Cardiovascular Medicine, University of Oxford, and consultant cardiologist at Oxford University Hospitals

The talk will cover how technology developed using artificial intelligence (AI) could identify people at high risk of a fatal heart attack at least five years before it strikes.

If you would like to attend, please register via email to: ouhmembers@ouh.nhs.uk or call 01865 231472.

TalkingSpace Plus      Oxford Health NHS Foundation Trust

Cognitive Behavioural Therapy (CBT) for Carers of People Living with Dementia.

Twelve weekly meetings will be held on:

Wednesdays, 10:30am to 12:00pm

Starting 5 February

Ending 22 April

Witney Congregational Church, 4 Welch Way, Witney, OX28 6JF

Please call 01865 901 222 for more information and to register for the sessions. The leaflet at the bottom of this page gives more details, including more about Cognitive Behavioural Therapy.

Email: talkingspaceplus@nhs.net

www.talkingspaceplus.org.uk

WINTER PRESSURES IN THE NHS

How can we help the NHS during this very busy time?

Dr Ed Capo-Bianco, GP and urgent care lead, writes:

Self-care is the best choice for minor illnesses and injuries – a range of common winter ailments can be treated at home with a well-stocked medicine cabinet.  Having a winter plan – such as keeping stocked up on medicines, keeping your home warm, and looking out for neighbours – can also be beneficial.

Local pharmacies can give advice on several conditions, such as coughs, headaches, upset stomachs, and skin conditions, as well as advise on stopping coughs and colds from getting worse.

NHS 111 has call handlers who can help you choose the right health services for your needs, as well as a website.   NHS 111 can put you in touch with a clinician, a GP, book you an appointment at your nearest minor injuries unit. 

Minor injuries units can treat deep cuts, small burns, sprains, sports injuries, and infected wounds. (Our nearest Minor Injuries Unit is in Witney Community Hospital).

Most importantly, only attend Emergency Departments when there is a genuine emergency, such as loss of consciousness, suspected heart attack or stroke, severe breathing difficulties, or severe bleeding that cannot be stopped.

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