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Mask Wearing at Spa Surgery

Throughout the pandemic we have strived to make the surgery as safe as possible for our patients, staff and visitors.  We have remained open throughout and will continue to do so.

However from July 19th 2021 we need your help to continue to do so.

Nothing is going to change here at Spa.  Please still wear your mask when visiting the surgery and inside the building.

Please use the hand sanitisers available and keep your distance from others. Our staff will continue to clean rooms in between patients and will continue to wear PPE.

 

We appreciate this is frustrating but we know that when sick and vulnerable patients come to see us (remember some of these cannot have the vaccines) they need to be protected, so it would be wrong of us to remove the precautions we have in place.

 

The pandemic is not over and COVID 19 has not gone.  Please help us to continue to keep you all safe.

 

Thank you for your support

Spa Surgery

Covid-19 Vaccination Update

As has been publicised, the Vaccination Centre at the Yorkshire Event Centre/Showground will be closing this weekend.

We would like to extend our huge gratitude to all the local GP practices, Yorkshire Health Network and volunteersinvolved in setting up and running the centre over the past 6 months. The vaccine uptake across the region has been fantastic.  Thank you to our patients for their willingness to come forward for vaccination and their patience in waiting for their invitations to arrive. Clinics will continue to run at Ripon Racecourse over the coming weeksfor 2nd doses only.

The national vaccination programme is ongoing. We would encourage everyone to get their vaccine when they are invited. There is ever increasing evidence that the available vaccines are effective at reducing the chance of severe disease, hospital admission and death from Covid-19, including the newer variants. 

1st vaccination

You are now no longer able to book 1st vaccines at the Harrogate Showground or Ripon Racecourse.

If you receive your invitation (or previously decided not to have a vaccine but have since changed your mind) please make an appointment at one of the national vaccination centres on this website or by calling 119. 

Book Covid-19 Vaccine

2nd vaccination

If you received your first vaccine at one of the national vaccination centres, you will also have the date for your second vaccine.

Please keep this appointment or use the website/telephone number above if you have queries. 

If you received your first vaccine at the Showground or Ripon Racecourse, you will be invited to make an appointment for your second vaccine within the recommended timeframe.

Please note, the last session at the Harrogate Showground will be on Saturday 19th June . Further 2nd dose clinics will be run at Ripon Racecourse. 

Queries

If you cannot find the answer to your queries on the national or Practice websites, please do not telephone the surgery. Our telephone lines remain extremely busy. Where possible, please send your query by secure eConsult or SystmOnline messaging and we will respond as soon as we are able. 

Information

For women of childbearing age, pregnant or breastfeeding 

Covid-19 Vaccine for Pregnant or Breastfeeding Women

For information regarding vaccination safety and side effects 

Vaccination Safety

NHS Digital Data Collection

You may have seen or heard in the media about the plans to share your medical data with NHS Digital referred to as ''General Practice Data for Planning and Research (GPDfPR)”.

What is GPDfPR?

-Following endorsement by the British Medical Association (BMA), Royal College of General Practitioners (RCGP) and National Data Guardian, NHS Digital is collecting and disseminating GP data for planning and research.

-This is intended to replace many of the previous ad -hoc data extractions and sharing agreements that have occurred. 

Do we have to share our patient’s data?

Yes.  GPDfPR it is a legal requirement for practices.

For more information about this see the GP Practice PrivacyNotice under the heading 'NHS Digital Data Collection from the Practice' on our website

Privacy Notice

 

If you wish to opt-out please complete the attached form and return it to the practice via e-mail (spa.surgery@nhs.net) or post.

Opt Out Form

For further information please see NHS Digital..

International Travel

International Travel

From 17 May international travel will be permitted to a limited number of countries and in some cases proof of Covid-19 vaccination will be required. The mechanism for proving your vaccine status is through the NHS app. For those who cannot access the NHS app you can request written proof that you have received your Covid-19 vaccination by contacting the NHS on 119.   

PLEASE DO NOT CONTACT YOUR GP PRACTICE. You can find out more at: https://www.gov.uk/government/news/government-confirms-traffic-light-list-ahead-of-cautious-return-to-international-travel

100,000 vaccine landmark – Harrogate and Rural District

Wednesday 28 April 2021 marked a major milestone for the primary care teams who have been providing Covid-19 vaccinations to patients in the Harrogate and Rural District.

We are extremely proud to have given 100,000 vaccines to our local community both on site at the Great Yorkshire Showground in Harrogate and Ripon Racecourse, as well as bringing vaccine to those who are housebound or homeless, including every one of our local care homes. This fantastic achievement has been made possible thanks to the extraordinary efforts of the 17 GP practices working together, as well as a myriad of local and community organisations and individuals.

The vaccination programme has been the biggest ever collective challenge in the history of primary care and, what first seemed an impossible task, was rapidly turned into a hugely successful campaign with all people aged 50 and over offered an appointment for their first vaccine ahead of the nationally set deadline of 15 April. The achievement of 100,000 doses is testament to the hard work and determination of all involved to reach this fantastic figure.

Dr Ian Dilley, member of the Covid-19 vaccination steering group said, “As we take a moment to celebrate this monumental achievement we would like to thank all those who have been involved, without whom this endeavour would not have been possible; our resilient workforce of practice staff and staff returning from retirement; our tireless volunteer marshals who have made the patient experience so seamless, enduring often grim weather conditions with a smile; the local organisations who have donated goodies to our staff teams; Transdev bus company who have provided a free shuttle service to the Showground, and to our kind hosts at Yorkshire Events Centre and Ripon Racecourse who have worked with us to ensure the best possible environment for our vaccination efforts. A huge thank you to all involved”.

As the local team celebrate the 100,000 landmark at the centres with donations from local companies to the dedicated staff and marshals working at the sites, the programme proceeds to build on existing momentum as the vaccinations continue over the forthcoming months to ensure all adults are offered their first and second doses.

We encourage everyone offered the vaccination to come forward when they are invited. We also urge patients to attend for their second dose when called to ensure that they benefit from the maximum protection that the vaccine has to offer.

 

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Covid-19

Weekly Covid-19 Bulletin 03.05.21

The guidance surrounding use of the AstraZeneca vaccine has been clarified further. Here is a link to the updated government guidance (27 April 2021):

https://www.gov.uk/government/publications/covid-19-vaccination-and-blood-clotting/covid-19-vaccination-and-blood-clotting

  • These unusual clot events are RARE (4 per million or 0.0004%), you are more likely to come to serious harm during a 250 mile car journey. 
  • They have been found to occur quite soon after vaccination (4 days to 4 weeks).
  • For most people, the risks associated with Covid 19 infection are much higher than the risks of vaccination. For example, over 25% admitted to intensive care with Covid 19 infection have a significant clot. 
  • These unusual clot events are associated with LOW platelet count (thrombocytopenia).
  • People with a past history of deep vein thrombosis or pulmonary embolus (clot in leg or lung) on its own are NOT at increased risk.Neither are those who have had a cerebral vascular accident (CVA or stroke) or myocardial infarction (MI or heart attack) 

The updated national guidance from the Joint Committee on Vaccination and Immunisation (JCVI)

Contraindications (must not have) to the AstraZeneca vaccine

  • Patients with a history of heparin-induced thrombocytopenia and thrombosis (HITT or HIT type 2)
  • Patients who have experienced major venous and/or arterial thrombosis occurring with thrombocytopenia following vaccination with any COVID-19 vaccine

Precautions for AstraZeneca vaccine (please contact your GP to discuss further)

  • Patients with a history of cerebral venous sinus thrombosis
  • Antiphospholipid syndrome

General guidance

  • People aged under 30 with no underlying health conditions will be offered an alternative to the AstraZeneca vaccine where possible. 
  • Those who have already received a dose of AstraZeneca vaccine should complete with the same vaccine
  • Headaches, chills, fevers remain some of the most common side effects to vaccination. These usually occur from a few hours to 2-3 days after vaccination. 
  • Seek urgent medical attention if you experience any of the following 4 days to 4 weeks after vaccination:
    • a new, severe headache which is not helped by usual painkillers or is getting worse
    • a headache which seems worse when lying down or bending over
    • an unusual headache that may be accompanied by:
      • blurred vision, nausea and vomiting
      • difficulty with your speech
      • weakness, drowsiness or seizures
    • new, unexplained pinprick bruising or bleeding
    • shortness of breath, chest pain, leg swelling or persistent abdominal pain

As always, if you have queries regarding vaccination we would encourage you to send us an online message or e-Consult (available on our website) rather than phoning your GP Surgery.

The full JCVI guidance can be found at:

https://www.gov.uk/government/publications/covid-19-the-green-book-chapter-14a

 

Weekly Covid-19 Bulletin 13.04.21

Further to the media coverage around the AZ vaccine last week, here is a link to the government website with more information

https://www.gov.uk/government/publications/covid-19-vaccination-and-blood-clotting/covid-19-vaccination-and-blood-clotting

Here are the key messages

  • These unusual clot events are RARE (4 per million or 0.0004%), you are more likely to come to serious harm during a 250 mile car journey. 
  • They have been found to occur quite soon after vaccination (4 days to 4 weeks).
  • For most people, the risks associated with Covid 19 infection are much higher than the risks of vaccination. For example, over 25% admitted to intensive care with Covid 19 infection have a significant clot. 
  • These unusual clot events are associated with LOW platelet count. People with a past history of deep vein thrombosis or pulmonary embolus (clot in leg or lung) on its own are NOT at increased risk. 
  • People with a history of the following conditions should not have AZ vaccine:
    • a. Major blood clot (requiring hospital treatment) with low platelets (including after first AZ vaccine) 
    • b. Anti-phospholipid syndrome
    • c. Thrombophilia 
    • d. Cavernous sinus thrombosis  (but those who have had a normal stroke or clot in the lung or leg should go ahead and have AZ)
  • Those aged under 30 with no underlying health conditions will be offered an alternative to the AZ vaccine where possible. 
  • If you are under 30 and had your first dose without needing medical attention afterwards you should proceed with your second dose as planned
  • Headaches, chills, fevers remain some of the most common side effects to vaccination. These usually occur from a few hours to 2-3 days after vaccination. 
  • Seek urgent medical attention if you experience any of the following 4 days to 4 weeks after vaccination:
    • a new, severe headache which is not helped by usual painkillers or is getting worse
    • a headache which seems worse when lying down or bending over
    • an unusual headache that may be accompanied by:
      • blurred vision, nausea and vomiting
      • difficulty with your speech
      • weakness, drowsiness or seizures
    • new, unexplained pinprick bruising or bleeding
    • shortness of breath, chest pain, leg swelling or persistent abdominal pain

As always, if you have queries regarding vaccination we would encourage you NOT to telephone your GP practice. Please send us an online message or eConsult (available on our website). 

 

Weekly Covid-19 Bulletin 31.03.21

1st Vaccine Dose

Everyone in cohorts 1-9 (Age 50 upwards and those with underlying health conditions) have now been invited for their first vaccine. 

You will be aware that there is reduced vaccine availability nationally through April. Therefore no 1st vaccine doses will be administered during April apart from in exceptional circumstances (when GP surgeries will be notified directly from hospital specialists).

Locally, we are going to continue the vaccination programme, so from May onwards, depending on vaccine supply, the remaining groups (adults under 50) will start to be invited. Please wait for your invite, do not contact your surgery. 

2nd Vaccine Dose

2ndvaccine doses will go ahead as planned through April - currently around 11 weeks after the first dose. You will be invited for your 2nd vaccine in the same way you received your invite for your first dose. Please do not contact your surgery. Appointments are often released at late notice depending on vaccine deliveries. 

Each person attending for a 2nd vaccine dose MUST have an appointment. For example, where couples are attending together, or carers are attending with the person they care for, each person must make an individual appointment. This ensures there is a vaccine available for each person attending. 

A reminder - if you had your 1st vaccine at one of the national vaccination centres, please make an appointment at the same site for your 2nd dose. 

Declining vaccination

If you have decided you would not like to get the vaccine, please let us know using the text message link. If this does not work, please send us a message using SystmOnline, eConsult or letter. We will then stop sending invites and can free up capacity to invite others. 

Contact details

Where possible, we are sending invitations and updates via text message. If you have SystmOnline access, please log on to check/amend your contact details. 

Queries

Please do not telephone your surgery with vaccination queries. Our telephone lines remain extremely busy and we would like enable patients urgent clinical queries to get through on the telephones. You can submit any vaccination queries by eConsult, SystmOnline message or letter. 

 

Weekly Covid-19 Bulletin 05.03.21

Covid vaccinations are continuing up to at Yorkshire Event Centre (YEC) /Showground. There is a fantastic atmosphere and we're all enjoying seeing the smiles from staff, volunteers, and patients alike! 

Contact details

We are continuing to send vaccination invitations out by SMS/text message where possible. We are noticing that some of our records are incorrect/out of date. Patients with access to SystmOnline, please log on to check/amend your contact details, especially your mobile number and email address. 

For those without a mobile number on record, we will continue to contact you by email, letter or telephone. Please do not contact us to make an appointment. 

Cohort 7 (60-64 year olds)

These invitations have now started to go out. Please do not contact us, we will contact you. 

2nd doses

We are aiming to start giving 2nd doses next week (w/c 8th March). This will start with those patients who received their first dose at YEC in December 2020. Please wait for your invitation, do not contact your surgery. 

Also, a polite reminder that you should have your 2nd vaccine at the same centre that administered your first dose. If you attended a mass vaccination site (Leeds, York) for your first dose, you should keep your appointment there for your 2nd dose. The number of 2nd dose vaccines delivered to YEC is based on the number of 1st doses given, we are not able to order additional vaccines, so YEC does not have the capacity to provide 2nd doses to those who received their first vaccine elsewhere. 

Cohort 6 (underlying health conditions)

We are receiving many queries from patients who have an underlying health condition and are eligible for the annual Influenza vaccine but have not received an invitation for Covid vaccine in Cohort 6. 

Please be aware that the criteria for Covid vaccination and Influenza vaccination are not the same. Covid and 'Flu are different viruses, and the risks are different. 

More information about the health conditions that are included in JCVI Cohort 6 for Covid vaccination can be found here:

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/961287/Greenbook_chapter_14a_v7_12Feb2021.pdf

Queries about eligibility

If after reading the above, you still have queries about your eligibility, please contact your surgery using a digital format (eConsult or SystmOnline message). Please do not telephone the surgery, our phone lines remain extremely busy and we would like to protect them for patients telephoning with urgent clinical queries. 

Accessing Services

We continue to work differently during this time, but the surgery and other NHS services remain open. We continue to offer:

e-consultation system

If you have access to the internet, this is by far the easiest way to submit your health queries to us and for a    clinician to review your needs. Whether it’s an ailment or an admin query, it can be dealt with online. You can also submit photos. Using the e-consult system for non-urgent matters saves you waiting on the phone and reduces wait times for our urgent calls.

Telephone consultations

To keep our patients and staff safe, your first contact with a clinician will be on the phone. This allows clinicians to ensure that only patients that really need     examining come into the surgery.

Video consultations

If you have a smart phone, we can send you a link before your appointment, meaning you will see your GP whilst you are speaking to them.

Face to face consultations

If in your first contact with a clinician, they feel it’s necessary for you to attend the surgery, you will be invited to do so. Fewer face to face attendances ensures our environment remains clean and safe.

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Latest minutes Spa Surgery Patient Group - Nov 2020

Getting Your View

We welcome feedback from our patients and we encourage you to join our Patient Participation Group where you can become an active part of guiding the development of our patient services.

The group would like to contact patients on occasion by email and/or text so that they can obtain the views of the widest group of patients possible. We would like to obtain your email address and mobile phone number to do this. Please complete the Patient Contact Form to provide your consent for this.