****Please DO NOT ATTEND the surgery under any circumstances if you have a temperature or a new cough or lost of smell/taste****
**Coronavirus - an important message to our patients**
The current Coronavirus Pandemic is causing significant challenges to our surgery, we are taking multiple steps to minimise risk to our patients and keep the surgery running.
During this busy time, please think carefully before contacting the surgery by telephone.
Please note the following points that will help us cope in the weeks ahead:
- We would urge all patients to think carefully before requesting a GP appointment, especially for more minor ailments, or non-urgent matters. Consider using the 111 Online service instead. Please use this in preference to calling 111 or E-consult, future down this page.
- We ask patients not to physically attend the surgery unless instructed to do so. This is to protect YOU and our staff
- We would also urge patients not to order extra medication, or order earlier than usual, as this will create shortages in medications for others.
- Patients considered most vulnerable - known as 'At High Risk' or 'Shielded' patients will have been contacted by letter advising them to isolate for 12 weeks. These patients were identified nationally, NOT by Trescobeas Surgery. As of 17th April some additional patients will have been told by letter they need to shield, and others will have been told they no longer need to shield. Please do not contact the surgery to enquire about your status. Please see the Q&A below for a more detailed explanation of this process.
- A lower risk group than those above, known as 'At Risk', are those patients who are usually offered their flu vaccinations each year. These patients ARE NOT being sent a letter, but should take social distancing precautions are per the government guidelines found here:
- we have postponed the majority of routine annual checks, our reception team will be contacting those patients affected individually. In addition the majority of routine work (e.g. ear syringing) has been postponed.
- Routine referrals to secondary care are on hold throughout Cornwall until mid-June. Urgent and suspected cancer referrals are however still operating as usual. Please still contact the surgery if you are concerned about an urgent health issue or are concerned you have symptoms of cancer.
for patients self-isolating for up to 14 days can be obtained here ISOLATION NOTE - please do not contact the surgery for these.
Thank you all for your support during these challenging times.
I was sent a letter in either late March or early April telling me to 'shield' for 12 weeks? - These patients were identified nationally by NHS England based on national or hospital electronic records. You should follow the advice in the letter unless told otherwise in a more recent letter
I have been sent a letter from Trescobeas surgery dated 17th April telling me I no longer need to 'shield'? - Trescobeas Surgery have been asked to review all patients who had received a shielding letter from NHS England. The criteria for who needs to shield have evolved, or some patients were identified in error initially. Those patients who no longer need to shield have been sent a letter stating this, with guidance of what they should be doing instead. This decision was made by your registered GP who has reviewed your full medical notes individually.
I think I am high-risk and should be shielding, but haven't received a letter? - There is often confusion between those 'At Risk' and those 'At Highest Risk' (Shielded). As a rule of thumb if you are offered a flu jab each year you are 'At Risk' but don't need to shield unless you have been sent a letter. Only those people who receive a letter telling them to 'Shield' are in the highest-risk group which is very specific groups of patients (e.g. Transplant patients)
I have registered on the Gov.uk website as I think I am 'clinically extremely vulnerable' or 'shielded'? - From 20th April Trescobeas Surgery should be made aware of everyone who has registered themselves on this website and will review their notes individually to clarify if they meet the 'shielding' criteria. If they do, they will receive a letter asking them to shield (unless they have already been sent one). If you therefore do not receive a 'Shielding letter' you are not eligible for the support described on the website. (We received our last update on 27th May)
I am still unsure who needs to shield? - the following is a simplified list of who should shield, these patients will have received/will receive letters telling them to shield.
1) Solid organ transplant recipients.
2) People with specific cancers:
- people with cancer who are undergoing active chemotherapy
- people with lung cancer who are undergoing radical radiotherapy
- people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
- people having immunotherapy or other continuing antibody treatments for cancer
- people having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
- 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 (COPD). *'Severe' is defined by a very specific combinations of medications, not how bad you may feel your condition is.
4) People with rare diseases and inborn errors of metabolism 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.
Diabetes UK Shielding
Gov UK Shielding
I have received a letter telling me to shield, but I don't think I should be? - Letters from Trescobeas Surgery have been posted to those patients who received a shielding letter incorrectly, telling them they DO NOT need to shield themselves. If you didn't receive one of these letters and still feel you shouldn't be shielding please contact the surgery.
I have read this Q&A and STILL think I should be shielding but haven't received a letter? - The vast majority of patients will have been notified by week commencing 20th April. If you still feel you've been missed despite meeting the criteria listed above please contact the surgery.
The latest government advice for patients on Coronavirus can be found in the link below which is updated daily:
We have signed up to a online consultation called E consult, to start the process please click on get started below:
Updated B12 information 30.4.2020 - Patients will be contacted over the next few weeks either by Email, SMS or Letter - Prescriptions for this medication is not URGENT. We are adding the new item to your repeat, ready for you to order.
We have been instructed by clinical leadership team to change how we administer your B12 medication.
B12 Additional Message for Patients
COVID SYMPTOM CHECKER
We are encouraging patients to download the Covid Symptom Tracker app - please click on the image below.
By using this app you're contributing to advance vital research on COVID-19. The app will be used to study the symptoms of the virus and track how it spreads.
This research is led by Dr Tim Spector, professor of genetic epidemiology at King’s College London and director of TwinsUK a scientific study of 15,000 identical and non-identical twins, which has been running for nearly three decades.
The COVID Symptom Tracker was designed by doctors and scientists at King's College London, Guys and St Thomas’ Hospitals working in partnership with ZOE Global Ltd – a health science company.
(Site updated 29/05/2020)