Noticeboard

FLU VACCINATIONS

All patients aged 50 and over can now contact us to book the flu vaccinations.  You can also book if you are aged 50 and under and are eligible/at risk (see list below).  If you are able to do so please email; flu.w95046@wales.nhs.uk to book an appointment.  If you do not have access to email please phone but be aware the phone lines are very busy at the moment.

Eligible at risk criteria (People aged six months to less than 50 years with a long-term health condition)

Chronic respiratory disease such as asthma requiring regular inhaled steroids, or chronic obstructive pulmonary disease (COPD). Chronic heart disease. Chronic kidney disease at stage 3, 4 or 5 Chronic liver disease. Chronic neurological disease such as Parkinson’s disease, motor neurone disease. Learning disability. Diabetes. Immunosuppression due to disease such as HIV/AIDS or treatment such as cancer treatment (and household contacts of at risk individuals). Asplenia or dysfunction of the spleen. Morbidly obese (class III obesity), this is defined as those with a Body Mass Index (BMI) of 40 or above, aged 16 or over. All pregnant women at any stage of pregnancy (first, second or third trimesters). Carers - Those who are the unpaid carer, including young carers, of a person whose health or welfare may be at risk if the carer falls ill, including those who receive a carer’s allowance. The carer need not reside with, or be related to, the person being cared for

IMPORTANT CHANGES TO OUR ROUTINE AND NON-URGENT BLOOD TEST APPOINTMENTS

There is a national shortage of blood bottles within the UK until further notice.  This means all UK GP practices are affected by the current shortage and we are taking urgent steps alongside our hospitals to prioritise their use.  This means currently we are taking appointments for URGENT blood tests only.

We have been given national guidance on how to manage this shortage and this will take effect from Tuesday the 24 August 2021.  As a result we will be cancelling or delaying any ROUTINE or NON-URGENT blood  tests and only blood test booking in URGENT blood tests.  If you already have a routine or non-urgent blood test booked in, we will be in touch shortly to cancel your appointment.  This will be done via phone or by text message.

Please be assured we will reschedule your appointment once the situation has improved and in-line with government guidance.

Please do not call us or contact us with regards to booking in any ROUTINE or NON-URGENT blood tests.  Our clinicians will continue to evaluate your medical need for these tests and will allocate you an URGENT blood appointment if needed.  Currently we are experiencing exceptional levels of demand on our service and appreciate your support through these challenging times.

 These changes are likely to be in place for at least 4 weeks.  We will continue to update you via our website and Facebook page as to any changes to our national situation.  We fully understand the frustration this is likely to cause and apologise for any inconvenience.

COVID-19 VACCINE - Please visit www.phw.nhs.wales/covid-19-vaccination  for further information.

IF YOU  HAVE AN EMERGENCY SUCH AS CHEST PAIN, HEAVY BLEEDING DIAL 999

IF YOU NEED URGENT MEDICAL ADVICE CALL - 111

ECONSULT  - MEDICAL ADVICE FROM GP, TEST RESULTS, SICK NOTE REQUESTS, SELF HELP ADVICE &  ADMINISTRATIVE REQUESTS CLICK ON "GET STARTED" ON THE ECONSULT PICTURE BELOW - Please note this is NOT for any kind of repeat/acute medication request - please order this in your usual way. 

SEE  LATEST NEWS & NOTICEBOARD FOR COVID UPDATES & HELP

If you think you may have coronavirus DO NOT attend a GP practice, hospital or pharmacy. For more CORONAVIRUS information see the 'Latest News' tab on the right side of the screen

We are not taking walk in patients. Please phone the surgery for initial telephone assessment (re symptoms of covid). We will then either advise you as appropriate, see you here at the surgery or direct you to the most appropriate service. Please appreciate our telephone lines are extremely busy at this time and we are doing our best to meet the demand. Every patient will be screened for a cough and temperature before entering the building, to protect all patients and staff.

  

If you have access to My Health Online, then please use this service to order your prescription . We are asking patients to provide stamped self addressed envelope or have a nominated pharmacy to forward your prescriptions so we avoid repeat attendance at the surgery.

 

SAFEGUARDING INFORMATION

  • National Domestic Violence Helpline: 0808 2000 247 https:/ /www.nationaldahelpline.org.uk/
  • NSPCC helpline: 0808 800 5000 If you're worried about a child, even if you're unsure, contact NSPCC professional counsellors for help, advice and support.
  • Childline 0800 1111: offers free, confidential advice and support for any child 18 years or under, whatever the worry.
  • MIND www.mind.org.uk  Mental Health Support with specific advice on ‘Coronavirus and your wellbeing’
  • YoungMinds https://youngminds.org.uk Supporting children and young people and their parents/carers with their mental health and wellbeing. Specific advice on managing self-isolation and anxiety about coronavirus

CHANGES FROM 22ND JUNE 2020

There will no longer be emergency drop in surgeries or any pre booked routine appointments with the GP's.  These will be booked at the GP request after completing an econsult  online or by telephoning the surgery to complete a elite consult with our care navigators.

 

For health information and advice, including who is best to help deal with your problem please telephone 111 free of charge, 24 hours a day, If you complete an elite/econsult then please ensure you are available by telephone for the GP to contact you. After discussing your problem, the GP will arrange an appropriate appointment if necessary.

 

If you have a life threatening emergency eg. Chest pains, severe shortness of breath, significant bleeding or signs of a stroke please call 999 or go directly to A and E.

 

Please remember that your local pharmacist is able to treat a range of common ailments free of charge. Ask one of our receptionists for a list of common problems they are able to treat.

 

 

For more information go to Public Health Wales Website:-

https://phw.nhs.wales/topics/wuhan-novel-coronavirus/

 

NEW OUT OF HOURS SERVICE 

LOCAL GP OUT OF HOURS SERVICE AND NHS DIRECT NOW SHARE THIS EASY TO REMEMBER TELEPHONE NUMBER - 111

IT IS FREE AND WILL HELP YOU FIND THE RIGHT ADVICE SUPPORT AND TREATMENT

SEE "LATEST NEWS" REGARDING GABAPENTIN AND PREGABALIN MEDICATIONS

BANK HOLIDAY CLOSURES - WE ARE CLOSED EVERY BANK HOLIDAY UNLESS OTHERWISE SPECIFIED

GDPR - GENERAL DATA PROTECTION REGULATIONS FROM 25TH MAY 2018

PLEASE GO TO POLICIES TO SEE MORE INFORMATION

BANK HOLIDAY CLOSURES :-

2021
2 AprilFridayGood Friday
5 AprilMondayEaster Monday
3 MayMondayEarly May bank holiday
31 MayMondaySpring bank holiday
30 AugustMondaySummer bank holiday
27 DecemberMondayin lieu of Christmas Day
28 DecemberTuesdayin lieu of Boxing Day

 OUT OF HOURS SERVICE  - 111

EMAIL TO THE PRACTICE

IF YOU ARE CONTACTING THE PRACTICE VIA EMAIL, IF YOU DO NOT RECEIVE A RESPONSE WITHIN 2 DAYS PLEASE RING TO ENQUIRE WHETHER OR NOT IT HAS BEEN RECEIVED.  SINCE THE "CYBER-EVENT" ON THE NHS IN APRIL 2017  THE NHS HAS TIGHTENED UP ON SECURITY AND A LOT OF EMAILS ARE POSTED TO THE "JUNK BOX".

 

Dental Helpline

If you require an emergency dental appointment or are seeking to register with an NHS dentist for routine treatment, please call the Dental Helpline on:

01633 488389 

For weekends/bank holidays and evenings (opens at 6:30pm weekday evenings).

 Out of hours:

01633 744285

For a list of Dentists taking on NHS patients in your area please email ABBDental.Helpline@wales.nhs.uk

  Car parking

Please note that the car park section closest to the practice building is for staff parking only. Please do not drive through the 'No Entry' signs. Please do not park in any of the GP parking spaces. Also please do not park on the double yellow lines - you will be restricting access for ambulances to the practice if you do. 

 Screening programmes

The practice encourages all its eligible patients to participate in screening programmes provided by Public Health Wales. These are: Breast Test Wales; Cervical Screening Wales; and Bowel Screening Wales. Information is included below in the relevant pages under 'Further Information'.

 Eye conditions

If you have a minor eye condition eg. conjunctivitis, you can visit an optician rather than the GP. The practice can issue you with a prescription for any medication the optician may consider necessary.

 NHS choose well campaign 

The Choose Well campaign is designed to provide information to the public about the range of NHS and other services, which are available as alternatives to attending the Emergency Department or dialling 999. Please see below for further information. 

 

 

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IMPORTANT CHANGES TO OUR ROUTINE AND NON-URGENT BLOOD TEST APPOINTMENTS

There is a national shortage of blood bottles within the UK until further notice.  This means all UK GP practices are affected by the current shortage and we are taking urgent steps alongside our hospitals to prioritise their use.  This means currently we are taking appointments for URGENT blood tests only.

We have been given national guidance on how to manage this shortage and this will take effect from Tuesday the 24 August 2021.  As a result we will be cancelling or delaying any ROUTINE or NON-URGENT blood  tests and only blood test booking in URGENT blood tests.  If you already have a routine or non-urgent blood test booked in, we will be in touch shortly to cancel your appointment.  This will be done via phone or by text message.

Please be assured we will reschedule your appointment once the situation has improved and in-line with government guidance.

Please do not call us or contact us with regards to booking in any ROUTINE or NON-URGENT blood tests.  Our clinicians will continue to evaluate your medical need for these tests and will allocate you an URGENT blood appointment if needed.  Currently we are experiencing exceptional levels of demand on our service and appreciate your support through these challenging times.

These changes are likely to be in place for at least 4 weeks.  We will continue to update you via our website and Facebook page as to any changes to our national situation.  We fully understand the frustration this is likely to cause and apologise for any inconvenience.

FLU VACCINATIONS

All patients aged 50 and over can now contact us to book the flu vaccinations.  You can also book if you are aged 50 and under and are eligible/at risk (see list below).  If you are able to do so please email; flu.w95046@wales.nhs.uk to book an appointment.  If you do not have access to email please phone but be aware the phone lines are very busy at the moment.

Eligible at risk criteria (People aged six months to less than 50 years with a long-term health condition)

Chronic respiratory disease such as asthma requiring regular inhaled steroids, or chronic obstructive pulmonary disease (COPD). Chronic heart disease. Chronic kidney disease at stage 3, 4 or 5 Chronic liver disease. Chronic neurological disease such as Parkinson’s disease, motor neurone disease. Learning disability. Diabetes. Immunosuppression due to disease such as HIV/AIDS or treatment such as cancer treatment (and household contacts of at risk individuals). Asplenia or dysfunction of the spleen. Morbidly obese (class III obesity), this is defined as those with a Body Mass Index (BMI) of 40 or above, aged 16 or over. All pregnant women at any stage of pregnancy (first, second or third trimesters). Carers - Those who are the unpaid carer, including young carers, of a person whose health or welfare may be at risk if the carer falls ill, including those who receive a carer’s allowance. The carer need not reside with, or be related to, the person being cared for

COVID VACCINATION CERTIFICATION

PLEASE SEE LATEST NEWS (RIGHT HAND SIDE OF PAGE) FOR DETAILS REGARDING COVID VACCINATION CERTIFICATION

Changes to eConsults - from 16/8/21

THE SURGERY IS CLOSED BANK HOLIDAY MONDAY - 30TH AUGUST 2021

UPDATE ON OUR SERVICES – general routine and same day urgent work

We have been using eConsult for patients to access routine services for over a year. Most of our patients use their smart phones to make these requests. For those patients who do not have access to the internet we have been offering routine telephone consultations. By using eConsults patients get a response by the next working day. We feel privileged to be able to offer such a service.

We have been listening to the feedback regarding our service. Patients booking a routine telephone consultation have felt unfairly treated as they are not having a next day response. eConsults are only a way of requesting help and the problem is not resolved by the next day. Following an eConsult request the majority of patients are booked a routine telephone or face to face appointment at a later date. To allow for everyone to be treated the same, patients without access to the internet will be asked some extra questions when they phone in order to complete an eLite form. This will allow for all requests to be assessed and have a response by the next day. Patients who can reasonably complete an eConsult will be redirected to this service and not have an eLite completed for them.

We have never completely stopped our routine work including health screening and chronic disease management. General practice is now being asked to increase activity by the Welsh Government. In this restart and recovery phase for the NHS following the pandemic we need to be able to better manage our workload.

From Monday 16/08/2021 the eConsult service can be accessed between 6am and 12pm Monday to Friday. This should not disadvantage anyone. In the same way, anyone phoning to make a routine request will have to do so before 12pm.

We will continue to run our same day urgent service. This is a telephone triage first and not a walk in service. Anyone making an inappropriate urgent request will be redirected to our routine service.

Prescription queries continue to place a significant burden to telephone access to the surgery. Please do not phone the surgery to enquire if your prescription is ready. Whether you request your prescription personally online, in writing or through a pharmacy, it takes us two working days to prepare the prescription for collection. Please remember that you can register with my health online to order repeat medication, register with a pharmacy to reorder your repeat medication or make requests with stamped addressed envelope. We are not responsible for a prescriptions whereabouts after it has been collected from the surgery.

Thank you for your ongoing support.

https://111.wales.nhs.uk/.../choos.../choosewell-english.pdf

REPEAT AND ACUTE MEDICATION ORDERING TO BE DONE IN YOUR USUAL WAY, not via econsult

Use the following links for a demonstration of eConsult.

https://demo.webgp.com/

https://www.youtube.com/watch?v=j1-LQI1f0TI

AGE CYMRU - CLICK BELOW FOR HELP WITH TECHNOLOGY

Help With Technology Information

___________________________________________________________________

PLEASE SEE "LATEST NEWS" UNDER QUICK LINES FOR INFORMATION AND LINKS TO HELP YOU WITH YOUR HEALTH

Welcome to Tonyfelin Medical Centre Online

We have all had to learn to live and work differently in the past few months. We thank all our patients for their understanding and support during this time. We have had to learn and do the majority of our work over the telephone, using email and video consultations to help deliver primary medical care to our patients. This has resulted in lengthy waits to get through to us on the telephone and likewise for us to get back to patients.

 

We have learned that... not all our patients need to wait to be seen in the surgery. Many needs can be met safely and quickly without seeing a GP, with the satisfaction of patients. We have continued to see patients whom we need to both in the surgery and at home. Social distancing requirements mean we can only have 9 patients in the surgery waiting room at any one time. This is a far cry from past numbers.



We now have eConsult. For those of you who have tried the demo at https://demo.webgp.com/, thank you. The site has been down but is up and running again.

eConsult is now active and available to our patients. It will be our preferred method of contact from Monday 22nd June 2020.  This will allow patients to seek medical help at their convenience and allows patients to take their time when putting their needs and concerns across. Following a request via eConsult we will get back to patients by the end of the next working day. This is far speedier than historical waiting times for routine appointments. We will reply using the contact details provided by either email, text or telephone. 

 

We will continue to see patients both at the surgery and visit the housebound as needed.

 

We understand not all our patients will have internet access. You can still phone through but you will be required to give more information than you may have in the past. This allows us to prioritise patient care according to need. No contact method gives any patient priority over others.

 

The following patient groups do not need to or will not be allowed to use eConsult:

- Emergency or COVID related problems

- All requests concerning children under 6 months

- Children under 18 years unless the request is sent by a parent

- Patients we see as vulnerable and at risk and patients who will have difficulty understanding or accessing the system

- Other healthcare professionals

You may be stopped during the eConsult process and asked to phone the surgery directly if your problem is deemed to be urgent. You will still have to give some information for why you are contacting us so that we can prioritise a response to you by the end of the same day.

 

There are 4 main options when you start to use eConsult:

 

- “I want help for my condition”, this starts with self-help options and leads to an eConsult if it does not meet your needs

- “I want general advice” this leads to an eConsult for yourself

- “I want help for my child”, this starts with self-help options and leads to an eConsult if it does not meet your child’s needs

- “I want administrative help” this leads to help with test results, sick notes, referrals, forms etc.

 

You can choose which best suits your needs. The form may seem repetitive or tedious but it is designed to be safe. If you feel that the eConsult is not progressing as you expected, you have the option to go back and change your answers.

 

To free up the telephone lines for our vulnerable patients and those who do not meet the

criteria for using eConsult we will no longer be taking prescriptions queries or orders over the phone. If you are on repeat medication then please use MyHealth online to reorder your medication. You can apply for this via our website in the prescriptions area. You can also make requests via your usual pharmacy. You can still drop your requests at the surgery, via letter, fax, email or using the enquiries form on our website.

 

We will continue to re-assess our service and make changes for the better. We welcome feedback but please provide this via post or email. For confidentiality please avoid replying to the Facebook posts.

 

Follow Welsh guidance and stay safe.

https://youtu.be/j1-LQI1f0TI

SEE  LATEST NEWS & NOTICEBOARD FOR COVID UPDATES & HELP

ALSO: HOME MONITORING INFO. FOR BP

SHIELDING PATIENTS

The practice is here to support you through the current pandemic that is affecting so many of us. 

We understand that you may be more anxious if you have to attend the surgery if you have had a shielding letter or are in the vulnerable category as defined by the Government.  We would like to reassure you that your safety is paramount to us.  Please do not delay seeking help for medical problems because you are worried about attending the surgery.  If you have a medical problem please contact the surgery on 02920 887831.  A GP will phone you back and if appropriate arrange for you to be seen at a time and place that is safe for you.  Please be assured if you have to attend the surgery, we have social distancing measures in place and all face to face contacts with health professionals are undertaken with staff wearing personal protective equipment for your safety. 

Local Authority Contacts:-

Caerphilly County Borough Council

Address: Tredomen Park, Ystrad Mynach, Hengoed, CF82 7PG

Tel No: 01443 815588 or 01495 226622

Website: www.caerphilly.gov.uk

 

Situated at the centre of Caerphilly close to the castle, the practice provides general medical services as well as a range of other medical services. 

Please note that we operate a 'care navigation' system.

We offer clinics for the management of chronic diseases such as asthma and diabetes and a wide variety of other medical services including antenatal and postnatal care, minor surgery, childhood vaccinations and well-person check-ups.

In addition, the practice is a teaching practice, teaching 1st and 3rd year medical students on a regular basis. The practice also participates in research studies, where we believe our participation will result in benefits to patients.

You can book a routine  10 minute appointment with a GP on-line. You will need to register at the practice for this service and will need to bring in a photo-ID, i.e. new-style driving licence or passport in order to register and receive secure log-in details. Once registered, please click on 'Access the appointment system' below. For further details, please see our 'On-line appointments' page within 'Appointments'.

 


 

(Site updated 22/09/2021)
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