Please allow five working days when ordering repeat prescriptions. This enables the community pharmacy to have enough time to prepare your prescription.
Order Repeat Prescriptions in the NHS App
Download the NHS App, or open the NHS website in a web browser, to set up and log in to your NHS account. Owned and run by the NHS, your NHS account is a simple and secure way to access a range of NHS services online, including appointments, prescriptions and health record.
Did you know you can manage repeat prescriptions from The Spa Surgery in the NHS App?
You can easily choose where your prescriptions are sent. So, if you know you’ll be away from home or you are moving home, you can change your nominated pharmacy from within the app.
You can also order your prescription at any time that suits you.
It’s easy to use, and, if you hit a snag, you can go to ‘Help’ in the top right-hand corner of the app or visit nhs.uk/helpmeapp.
Find out more about the NHS App at: www.nhs.uk/nhsapp
We also support SystmOnline for repeat medication requests. Simply log in and select an option.
Not registered for online services yet. You can register online.
Your Repeat Medication
If you need regular medication and your doctor does not need to see you every time you will have the medication added to your repeats list on our clinical system, this will then be listed on our online system, or Voice Connect (our automated telephone service).
You will require an annual medication review if you are on any medication for a long period of time, and you will see a reminder about this on the slip that comes with your prescription. If you are unable to order your medication online, or via Voice Connect it is likely that your review is due. Please call the surgery on our usual number and our Care Navigator team will be able to help, alternatively complete an e-consult and an appointment will be sent to you. Please also visit the forms section on the website and complete the necessary review form.
The practice has a new prescription telephone ordering service called Voice Connect. This is an automated system that will automatically forward your request onto the surgery for processing and then electronically to your nominated pharmacy. Please complete the form below if you would like to sign up to this service.
All prescriptions are now being sent electronically to a nominated pharmacy of your choice, to reduce the risk to you, and our staff, by patients coming in to collect paper prescriptions.
You can nominate your preferred pharmacy by informing us over the phone, at your local pharmacy, or as an online message when ordering your prescription.
Run out or just about to run out of medication requests
Unfortunately a small minority of patients are repeatedly running out (or just about to run out) of their medication. ‘Urgent’ requests of this nature cause a great deal of disruption to the smooth running of the practice. Please be aware that such requests will be questioned very carefully by the reception staff and may well be refused by the GP. A record is kept of such requests, and may well be refused by the GP.
Help with your Prescription
If you forget to request a Repeat Prescription
If you forget to obtain a prescription for repeat medication and thus run out of important medicines, you may be able to get help from your Pharmacy. Under the Urgent Provision of Repeat Medication Service, Pharmacists may be able to supply you with a further cycle of a previously repeated medicine, without having to get a prescription from your GP.
If you have run out of important medication, telephone your usual Pharmacy to check that they offer this service; if they don’t, they may either direct you to another Pharmacy who does provide it, or ask you to phone 111 where you can request details of a local Pharmacy that provides the service.
You must then take with you to the relevant Pharmacy, proof of both your identification and of your medication (for example, your repeat prescription list or the empty box which should have your details printed on it). Please note that controlled drugs and antibiotics are not provided through this service, you will need to ring 111 for these.
If you receive stoma products from your Pharmacy or other supplier and/or receive items such as continence products, please ensure you have sufficient supplies as you may encounter difficulties in obtaining these over Bank Holidays, or when the Surgery is closed.
Help with NHS Costs
If you need help with NHS costs or need to find out if you can get free prescriptions please click the button below for further information.
Prescription prepayment information
If you know you’ll have to pay for a lot of NHS prescriptions, it may be cheaper to buy a prescription prepayment certificate (PPC) – effectively a prescription “season ticket”.
A PPC covers all your NHS prescriptions, including NHS dental prescriptions, no matter how many items you need.
Repeat Prescription Requests
We would ask that patients do not pre-order more medication than you actually need. This is to ensure that an artificial shortage is not created.
If you would like to set up online access you can find more information here GP online services.
If you are unable to order your prescription through one of these online services, please ask our Care Navigator team about our new telephone ordering service Voice Connect (details above).
We do not accept requests for repeat prescriptions by telephone. This prevents dangerous errors being made and leaves the telephone lines free for urgent matters. However, we have introduced a new telephone ordering service called Voice Connect. If you would like to sign up to this service please see the information above.
Each year 25% of the population visit their GP for a respiratory tract infection (eg sinus, throat or chest infection). These are usually caused by viruses.
For patients who are otherwise healthy, antibiotics are not necessary for viral infections.
These infections will normally clear up by looking after yourself at home with rest, plenty of fluids and paracetamol.
Ear infections typically last 4 days: 89% of cases clear up on their own
A sore throat typically lasts 7 days: 40% of cases clear up after 3 days and 90% after 7 days without antibiotics
Sinusitis typically lasts 17 days: 80% clear up in 14 days without antibiotics
Cough/bronchitis typically lasts 21 days: Antibiotics reduce symptoms by only 1 day
Antibiotics only work for infections caused by bacteria.
Taking unnecessary antibiotics for viral infections should be avoided because they may not be effective next time you have a bacterial infection.
If you are concerned about taking medication abroad you can visit your local community pharmacy who are well placed to provide the information that is needed, and can also advise on a wide range of travel-related health issues.
Information for patients requesting diazepam for a fear of flying
The Doctors have taken the decision not to prescribe diazepam in cases where there is a fear of flying. There are a number of reasons for this that are set out below.
- Diazepam is a sedative, which means it makes you sleepy and more relaxed. If there is an emergency during the flight it may impair your ability to concentrate, follow instructions and react to the situation. This could have serious safety consequences for you and those around you.
- Sedative drugs can make you fall asleep, however when you do sleep it is an unnatural non-REM sleep. This means you won’t move around as much as during natural sleep. This can cause you to be at increased risk of developing a blood clot (DVT) in the leg or even the lung. Blood clots are very dangerous and can even prove fatal. This risk is even greater if your flight is greater than 4 hours.
- Whilst most people find benzodiazepines like diazepam sedating, a small number of people experience the opposite effect and may become aggressive. Benzodiazepines can also cause disinhibition and lead you to behave in a way that you would not normally. This could impact on your safety as well as that of other passengers and could also get you into trouble with the law.
- According to the national prescribing guidelines that doctors follow (the British National Formulary, or BNF) benzodiazepines are not allowed to be prescribed in cases of phobia. Thus your doctor would be taking a significant legal risk by prescribing diazepam for fear of flying as it is going against these guidelines. Benzodiazepines are only licensed short term for a crisis in generalised anxiety. If this is the case, you should be getting proper care and support for your mental health and not going on a flight.
- Diazepam and similar drugs are illegal in a number of countries. They may be confiscated or you may find yourself in trouble with the police.
- Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing you may fail this having taken diazepam.
We appreciate that fear of flying is very real and very frightening. A much better approach is to tackle this properly with a Fear of Flying course run by the airlines. We have listed a number of these below.
Easy Jet – Tel 0203 8131644
Fearless Flyer EasyJet
British Airways – Tel 01252 793250
Flying with confidence
Virgin – Tel 01423 714900
Flying without fear
Hospital and Community Requests
When you are discharged from hospital you should normally receive 7 days’ supply of medication.
On receipt of your medication requirements, which will be issued to you by the hospital, please bring this to the surgery or post via a stamped addressed envelope before your supply of medication has run out.
Hospital requests for change of medication will be checked by the GP first, and if necessary your Doctor will issue you with a Prescription. The Practice will endeavour to issue you with your prescription on that day, but it cannot be issued until your medical details are checked by the Doctor, your prescription should normally be ready by 4pm on that day, or you may be advised to attend the next day.
The Doctors will review your medication, regularly, which may involve changes to your tablets, in accordance with current health Board policies. Please be reassured that this will not affect your treatment.
Medicines requested by Hospital Specialists
Specialists will often suggest particular medication at a hospital appointment and ask us to prescribe for you. To ensure your safety we do need to receive written information from the specialist before prescribing. Sometimes a medicine is suggested that is not in our local formulary. There is nearly always a close alternative, and specialists are told that we sometimes make suitable substitutions when you are referred. We will always let you know if this is the case.
Medication Sick Days
Medication Sick Days
When you should stop taking your medication?
When you are unwell with any of the following:
- Vomiting or diarrhoea (unless only minor)
- Fevers, sweats shaking
Then STOP taking the medicines listed here. Restart when you are well (after 24-48 hours of eating and drinking normally). If you are in any doubt, please contact us or your pharmacist.
- ACE Inhibitors: Medicine names ending in ‘pril’ e.g. lisinopril, perindopril, ramipril
- ARBs: Medicine names ending in ‘sartan’ e.g. losartan, candesartan, valsartan
- NSAIDs: Anti-inflammatory pain killers e.g. ibuprofen, diclofenac, naproxen
- Diuretics: Sometimes called ‘water pills’ egg furosemide, spironolactone, indapamide, bendroflumethiazide
- Metformin: A medicine for diabetes
For your safety, patients on repeat medication will be asked to see a doctor, practice pharmacist, nurse practitioner or practice nurse at least once a year to review these regular medications. When this review is due a notification should appear on your repeat slip so please watch out for it and ensure that you book an appropriate appointment as further prescriptions cannot be issued until you have had a review.
Non-repeat items (acute requests)
Non-repeat prescriptions, known as ‘acute’ prescriptions are medicines that have been issued by the Doctor but not added to your repeat prescription records. This is normally a new medication issued for a trial period, and may require a review visit with your Doctor prior to the medication being added onto your repeat prescription records.
Some medications are recorded as acute as they require to be closely monitored by the Doctor. Examples include many anti-depressants, drugs of potential abuse or where the prescribing is subject to legal or clinical restrictions or special criteria. If this is the case with your medicine, you may not always be issued with a repeat prescription until you have consulted with your Doctor again.
Over the Counter Medicines
A GP, nurse or pharmacist will generally not give you a prescription for over-the-counter (OTC) medicines for a range of minor health conditions.
Patients living outside the UK
GPs have a responsibility to monitor a patient for whom they are providing healthcare or prescribing medicines. When a patient registered with a GP practice in the Vale of York or North Yorkshire travels abroad, provision of medicines for the treatment of existing long-term conditions may be provided at NHS expense for up to three months.
If a patient is travelling abroad for longer than three months, they are expected to arrange for an alternative supply of medicine in their location. Most medicines are available in most countries, so they are likely to be able to access a continuing supply for long-term conditions.
Under the National Health Service (General Medical Services Contracts) Regulations 2015, a person must be removed from a practice’s list of patients when:
• they notify that they intend to be away from the UK for a period of at least three months
• they have been absent from the UK for a period of at least three months.
The removal of the patient from the list takes effect from:
• the date of their departure;
• the date on which notification is received of their departure, whichever is later.
The Government has provided guidance on the medical and health support available for British people who are unable to return home due to the coronavirus (COVID-19) pandemic. Anyone in this situation who is running out of their prescription medication should contact their travel insurance company, which may be able to help get the prescription replaced. If they cannot help, seek medical assistance and follow advice from the local authorities.
The Government’s foreign travel advice pages offer healthcare information for different countries. The
coronavirus and health sections provide essential information.
UK citizens travelling in Europe can read the guidance on how to get state healthcare for UK nationals
visiting the EU, Iceland, Lichtenstein, Norway or Switzerland. Each healthcare system is different, and
in some countries UK citizens need to pay to have treatment. There’s different guidance for healthcare for those visiting Spain, visiting Ireland or going to live, study or work in the EU.
To find healthcare services where you are, see the Government’s worldwide lists of doctors and
medical facilities. These include English-speaking doctors.
Those in need of urgent advice or information can contact the Foreign, Commonwealth &
Development Office 24/7 from anywhere in the world by calling their nearest British embassy, high
commission or consulate.
Prescribing over-the-counter medicines in nurseries and schools
GPs are often asked to prescribe over-the-counter medication to satisfy nurseries and schools. This is a misuse of GP time, and is not necessary.
When on holiday outside the Practice area
If you are staying outside the practice area within England for holidays, work etc and and need your repeat medications we can arrange to forward a request to a pharmacy near where you are staying. Please provide the name and address of the pharmacy, but most importantly the postcode
If you are away from the practice area for more than 3 months, you should register temporarily with another GP practice to obtain your medication.
Stopping over medication of people with a learning disability, autism or both (STOMP)
STOMP stands for stopping over medication of people with a learning disability, autism or both with psychotropic medicines. It is a national project involving many different organisations which are helping to stop the over use of these medicines. STOMP is about helping people to stay well and have a good quality of life.
Your Home Medicine Cupboard
It is well worth keeping a small stock of useful medicines at home in your (locked) first aid cupboard. For instance, pain killers (analgesics) such as Paracetamol, Ibuprofen or aspirin (children under 16 and people with asthma should not take aspirin), or Ibuprofen syrups for children, Mild laxatives, Anti-diarrhoeal medicines, Indigestion remedy (for example, antacids) Travel sickness tablets, and Sunscreen – SPF15 or higher Sunburn treatment (for example, calamine). For more detail see NHS UK Medicine Chest.
Omeprazole Dosage By Weight
Recommended dose is 0.7mg/Kg (700microgrammes/Kg) once daily, increased if necessary to 3mg/kg once daily, maximum dose 20mg below age of 1 year.
Dissolve ONE x 10mg tablet in in 5mls cool boiled water for doses up to 10mg.
If dose over 10mg then dissolve TWO x 10mg tablets in 10ml cool boiled water.
Start on the lower end of recommended dose for your baby, if symptoms persist then you can incre3ase the dose every few days moving to middle of the recommended range and then if necessary to the higher end of the dose range.
|Weight in Kg
|Dose range in mg
|Volume to give in ml
|1.4 – 6mg
|0.7 – 3.0
|2.1 – 9
|1.0 – 4.5
|2.8 – 12
|1.4 – 6.0
|3.5 – 15
|1.7 – 7.5
|4.2 – 18
|2.1 – 9.0
|4.9 – 20
|2.4 – 10.0
|5.6 – 20
|2.8 – 10.0
|6.3 – 20
|3.2 – 10.0
|7.0 – 20
|3.5 – 10.0