Covid-19

In order to ensure the health and wellbeing of staff and patients alike there are several new procedures in place to manage the risk of Covid-19.

Prior to any appointment every person will have to complete a Covid-19 screening and risk assessment. This is non negotiable and failure to do so will mean that appointment will be cancelled. You will receive an online form via the Acuity Scheduling system. This information and risk assessment form can also be downloaded by clicking here. You can then complete the form and either scan or photograph it the night/morning before your appointment and send it to info@philiptrubshaw.com.

The form consists of the following questions:-

1.Have you had a high temperature? (this can mean feeling hot to touch on your chest and back – you do not need to measure your temperature)

2 Have you had a new continuous cough? (this means coughing a lot for more than an hour or three or more coughing episodes in 24 hours – if you usually have a cough, it may be worse than usual)

3 Have you lost sensations of taste or smell?

4 Have you had close contact (under 2 metres) with anyone with a confirmed Covid-19 diagnosis or someone exhibiting the above 3 symptoms in the last 14 days

5 Have you recently travelled abroad and/or been instructed by the government to quarantine? 6 Have you been contacted by the government or NHS and told to self-isolate for any reason?

7 Do you fall under the clinically vulnerable category or the clinically extremely vulnerable category (see below)?

8 Do you live with someone who is in either the clinically vulnerable category or the clinically extremely vulnerable category (see below)?

9 I have taken the necessary government mandated steps of conducting a risk assessment and instituting new social distancing, hygiene, hand-washing and PPE procedures in my practice to minimise the risk of Covid-19 transmission. In the course of the consultation I will have to have non-socially distanced contact with you to perform the treatment, hence while I will meet very high standards of infection protection control, it is impossible to completely eliminate risk. Please let me know that you understand this and are happy to proceed with the treatment.

Clinically vulnerable people People in this category of risk include:

1. Anyone aged 70 and older (regardless of medical conditions)

2. Anyone under 70 with an underlying health condition (that is, anyone instructed to get a flu jab as an adult each year on medical grounds) – such as:

a. chronic (long-term) mild to moderate respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis

b. chronic heart disease, such as heart failure

c. chronic kidney disease

d. chronic liver disease, such as hepatitis

e. chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy

f. diabetes

g. a weakened immune system as the result of conditions such as HIV and AIDS, or medicines (such as steroid tablets )

h. being seriously overweight (a body mass index (BMI) of 40 or above)

i. pregnant women.

Clinically extremely vulnerable people:-

People in this category of risk include:

1. Solid organ transplant recipients.

2. People with specific cancers:

a. people with cancer who are undergoing active chemotherapy

b. people with lung cancer who are undergoing radical radiotherapy

c. people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment

d. people having immunotherapy or other continuing antibody treatments for cancer

e. people having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors

f. people who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs

3. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (COPD).

4. People with rare diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (SCID), homozygous sickle cell).

5. People on immunosuppression therapies sufficient to significantly increase risk of infection.

6. Women who are pregnant with significant heart disease, congenital or acquired.

7. Other people have also been classed as clinically extremely vulnerable, based on clinical judgement and an assessment of their needs. GPs and hospital clinicians have been provided with guidance to support these decisions.

More information about who has been classed as clinically extremely vulnerable is available on the NHS Digital website.

Details of new procedures to protect against transmission of Covid-19

As you will be aware all public places have created new rules for visitors to follow for their safety and the safety of others. Please read through before attending the clinic. If you have any further questions, please let me know.


Social distancing

We ask all visitors to the clinic to maintain a two metre distance from all other people in the clinic at all times. The only exception to this is with your practitioner who will let you know when it is appropriate to approach under two metre and for how long.

For social distancing reasons, unless you require assistance for specific support and care needs, we ask you to come alone for the appointment where possible unless a chaperone, parent or carer is required. Please leave accessory items (bags and coats) in the car, or travel with as little as possible.

Before arrival

If you or someone you live with develops symptoms of Covid-19 by the time of the appointment, please contact me before attending the clinic.

Entering the clinic

We have spaced out patient arrivals and departures so that all visitors to the clinic can remain socially distanced.
• You will receive a specific time for arrival. We would be grateful if you could enter the clinic at exactly that time. Or,

• When you arrive, please wait for a text from the practitioner before entering. Or,

• When you arrive, please take a seat in the waiting room but make sure you keep two metre distance from all other clinic visitors at all times

Access to the Angel Centre is now limited. You will only be able to gain access to the building at your appointment time. If you arrive early you will have to wait outside or in the Union Canteen. You will be met at the entrance closest to Chapel Street as you face the entrances.

The Entrance is now adjacent situated at the doors closest to Chapel Street

Handwashing

Please wash your hands immediately upon entering the clinic. You will be directed to the appropriate facilities. There will be a poster nearby to demonstrate handwashing techniques recommended by the NHS. Please also wash your hands before leaving the clinic.

Please watch the following video on correct handwashing technique

Face mask and respiratory hygiene

We are recommending that patients wear ordinary surgical masks to the clinic. You may bring your own or ask your practitioner to provide one for you upon entering the clinic. If you need to sneeze or cough while in the clinic, please do so into a disposable tissue and throw it away immediately. Please wash your hands immediately after doing so.
We are also encouraging cashless payment where possible.

Failure to wear a mask means that your treatment will be cancelled.

If you develop symptoms of Covid-19

Test and trace procedure if you develop COVID-19 symptoms

  1. Contact us immediately

2. Establish if our last point of contact was within 48 hours of your symptoms developing

3. If we were in contact under 48 hours prior to you developing symptoms, we will be required to self isolate for 14 days, the clinic & centre will be required to close and others who have been in contact informed.

4. You must:

a. self isolate for 14 days

b. get tested as soon as possible

c. Inform us of the result as soon as possible

Our main priority is your health and wellbeing, by adhering to these guidelines we can reduce the risk of catching Covid-19. Thank you for your cooperation and patience during these uncertain times.