Listen to your doctor and only take antibiotics when you need to, advises Wiltshire CCG

Wiltshire Clinical Commissioning Group (CCG) is supporting the national ‘Keep antibiotics working campaign’ to highlight the risk associated with taking antibiotics when you don’t need them and are encouraging patients to listen to the medical advice from their doctor.

Taking antibiotics encourages bacteria that live inside you to become resistant, meaning the antibiotics may not work when you really need them to and can put your family at risk of a more severe or longer illness.

Professor Michael Moore, GP and researcher at Three Chequers Surgery in Salisbury said:
“Antibiotics are essential to treat serious bacterial infections, such as pneumonia, meningitis and sepsis. But they are also frequently being used to treat illnesses, such as coughs, colds and sore throats that can get better by themselves or by using over the counter medication that you can get from your pharmacy.”

Research has shown that GPs are experiencing enormous pressure from patients to prescribe them a course of antibiotics to show they are taking their health condition seriously.  In Wiltshire 294,365 antibiotics tablets, capsules and bottles were prescribed during 2016 costing the NHS £1,314,230.

Professor Moore added:
Without urgent action, common infections, minor injuries and routine operations will become far riskier.  Conditions like kidney infections and pneumonia have already started to become untreatable.”

It is estimated that at least 5,000 deaths are caused every year in England because antibiotics no longer work for some infections and this figure is set to rise with experts predicting that in just over 30 years antibiotic resistance will kill more people than cancer and diabetes combined.

Rachel Hobson, Formulary Pharmacist for Wiltshire CCG said:
“We are working closely with our GPs to help reduce inappropriate prescribing of antibiotics so that patients who need antibiotics are getting the right dose, at the right time, for the right condition.  We are asking for you to play your part by trusting your doctor, nurse or pharmacist’s advice as to when you need to take antibiotics.”

If you are prescribed antibiotics, you should take them as instructed, finish the course, never save them for later use or share them with others. For more information on keeping antibiotics working, visit the campaign page on our website: www.wiltshireccg.nhs.uk

Don’t put off getting your flu jab – it’s free because you need it

Health leaders across Bath and North East Somerset, Swindon and Wiltshire (BSW) are urging people not to delay getting their flu jab if they are eligible for a free vaccination this winter.

People who are eligible include those who are aged over 65 years, pregnant women, anyone who is the main carer for another person or who is in receipt of Carers’ Allowance, and those with a long-term condition such as diabetes or asthma.

Children between the ages of two and eight years old are also eligible for the free nasal vaccination, which is quick, harmless and the best way to protect against catching flu this winter.

Dr Richard Sandford-Hill, a Wiltshire GP and the Clinical Chair of Wiltshire Clinical Commissioning Group said:

“If you or someone close to you falls into one of the ‘at risk’ categories, the flu vaccination is free because you, or they, really do need it.

“Flu is an unpredictable virus that can cause mild our unpleasant illness in most people, but it can cause severe illness and even death among vulnerable groups. We strongly encourage you to take up the offer of a free flu vaccination so you are protected against flu this winter.’ 

This year, there is a particular emphasis in the BSW Sustainability and Transformation Partnership on carers taking up the offer of a free flu vaccination. A carer is someone of any age who looks after an elderly person or someone with a disability.

Rosie, a carer and former trustee of the Bath and North East Somerset carer Carers’ Centre. said:

“Caring is an incredibly serious role and carers provide an invaluable service to the community,’

“They care for family members and friends who may be elderly, disabled or have a serious long-term condition and it is vital that they look after their own health as well as the health of the person they care for,’

“One winter I fell really ill, which made me very anxious that I might not be able to fulfil my caring role. So I urge anyone in a caring capacity to protect yourself this winter and have the free flu vaccination without delay.’

Flu is a highly infectious disease and can lead to serious complications if you have a long-term health condition like bronchitis or liver disease. It can also cause serious complications for both mother and baby if pregnant women catch it. The flu jab is the safest way to protect yourself from illness this winter – however healthy you might otherwise feel.

If you are eligible or want to check whether you or someone close to you is, contact your GP, midwife or usual healthcare provider. Some pharmacies are also able to provide the flu vaccination to certain eligible groups. Visit www.nhs.uk/staywell/ for more information.

Castle Practice staff have their flu jab to protect themselves and others this winter

Staff at Castle Practice surgery in Ludgershall are preparing for winter by having the flu jab and helping to protect themselves and their patients against from catching the winter illness.

Dr Toby Davies, GP at Castle Practice said:
“We have a duty to safeguard our patients, and the best way we can do that during winter is to have the flu vaccination. That way we are protecting ourselves from catching flu and at the same time helping to protect our patients, friends and families.”

Flu, short for influenza, is a common infectious viral illness that is spread by coughs and sneezes. Many people who catch it will begin to feel better within a week, but for some it can be more serious.

Dr Richard Sandford-Hill, Chairman of Wiltshire Clinical Commissioning Group (CCG) added:
“Flu is not just a bad cold – it can be a really serious illness for some people and it doesn’t just affect older people.

The flu vaccine is the best protection we have against an unpredictable virus, especially for those most at risk, including pregnant women, young children and those with long term conditions, such as severe asthma, chest or heart complaints and diabetes. We urge those in high risk groups to have their flu vaccination now, it’s free and you can arrange to have it at your GP Surgery or see if your pharmacist is providing the flu vaccination service.”

Those in the high risk group are eligible for a free flu vaccination and include:

  • Children aged two and three
  • Pregnant women
  • Adults aged 65 years and older
  • Anyone with a long term condition
  • Those in long-stay residential care homes and carers

The flu vaccine changes every year to fight the latest strains of flu, so if you had a jab last winter you will need another one this year to stay flu safe.

Dr Sandford-Hill added:
“Winter flu is a highly infectious disease with symptoms that come on very quickly. Having the vaccination is a quick and simple procedure with minimal or no side effects and provides you with effective protection against the flu virus.

If everyone has the flu vaccination, we collectively help to protect each other from the virus and reduce the spread between our families, friends and colleagues.”

Medvivo to provide integrated urgent care services across BaNES, Swindon and Wiltshire

Medvivo has been awarded a five year contract to provide integrated urgent care services across Bath and North East Somerset (BaNES), Swindon and Wiltshire, from 1 May 2018. The healthcare provider, which is rated as ‘Outstanding’ by the Care Quality Commission will be the lead provider, working in collaboration with Vocare and BaNES Enhanced Medical Services (BEMS+).

Jo Cullen, Director of Primary and Urgent Care at Wiltshire Clinical Commissioning Group (CCG), said:

“In line with the NHS GP Forward View requirements, we have been working hard to develop and deliver a functionally integrated 24/7 urgent care service.

It’s more than just bolting together the existing NHS111 and out-of-hours services and calling it by a new name, it’s the introduction of an innovative new service that dovetails with existing primary care services. It will provide patients with a clear, clinically-led and local urgent care service that ensures they receive the right care, at the right place at the right time.”

Medvivo will be responsible for running the NHS111 service across BaNES, Swindon and Wiltshire and will develop the service model to include a new locally managed ‘clinical hub.’

Dr Jamie Brosch, Medical Director for Medvivo, explains:

“The new clinical hub is a fantastic new element of the service. Callers to the 111 service will be listened to and advised about what action they should take next. Following their initial conversation with the 111 call handler, it may be necessary for them to receive further medical advice. In this situation, the caller will be able to talk to the clinical hub – a team of experienced health professionals who can collectively make clinical assessments, give advice and arrange urgent care if required. This will mean that no decision is made in isolation.

It’s local too as it is Wiltshire based, so the team know the area and local healthcare services that are available and with the support of a comprehensive directory of services, are able to confidently pass that information on to callers.

Medvivo’s responsibility for providing the GP out-of-hours service will extend to BaNES. Wiltshire and telecare monitoring and urgent care and response at home for Wiltshire Council will continue to be provided by Medvivo.

We’re really proud that Medvivo has been awarded the contract and we are committed to delivering an innovative new urgent care service for people in BaNES, Swindon and Wiltshire.” 

Local patients and residents will receive information about the new integrated urgent care service and how to access it ahead of the launch on 1 May 2018.

Dr Richard Sandford-Hill, Chair of Wiltshire Clinical Commissioning Group, said:
“We are delighted that Medvivo has been awarded this contract and very much look forward to working with them in developing a high quality and responsive integrated urgent care service for people in BaNES, Swindon and Wiltshire.”
Peter Lucas, Lay Member of Wiltshire Clinical Commissioning Group, added:
“This is an immense project which, importantly, has the opportunity to really transform the provision of urgent care across BaNES, Swindon and Wiltshire. I’m really looking forward to seeing this happen.”

The NHS111 service is currently provided by Care UK in BaNES, Swindon and Wiltshire. The GP out-of-hours service in Wiltshire is currently provided by Medvivo and by Vocare in BaNES. Great Western Hospitals Foundation Trust will continue to provide the GP out-of-hours service in Swindon, as that particular service was not included as part of the procurement.

Joining up a number of urgent care services across the region will help to ensure everyone has access to the same high quality, personalised and responsive service.

Improving access to psychological therapies for those with long-term health conditions

Residents of Wiltshire and Bath and North East Somerset (B&NES) are benefiting from a ground-breaking programme that offers psychological therapies to people with common mental health problems as well as long-term physical conditions.  

Specialist mental health practitioners have based themselves in GP surgeries and community hubs in both counties, and will work closely with the three acute hospitals; Swindon’s Great Western Hospital, Bath’s Royal United Hospital and the Salisbury Foundation Trust.

This will ensure a more direct referral route is in place for patients with existing long-term physical conditions who are already receiving treatment from those hospitals.

Ted Wilson, Director of Community and Joint Commissioning at Wiltshire Clinical Commissioning Group said:

“This new way of delivering services is very accessible and makes it much easier for GP’s, nurses and other health professionals to refer or signpost to interventions that really make a difference to people’s lives and can reduce the need for onward healthcare.

Joining up the services and making them more integrated will allow patients to manage their conditions more confidently, which in turn will reduce their emotional strain, which poses a real risk of harm to their physical and mental wellbeing.”

The programme is being provided by Avon and Wiltshire Mental Health Partnership and the Improving Access to Psychological Therapies (IAPT) services in Wiltshire and B&NES. IAPT is part of a national NHS England programme to support its ‘Five Year Forward View’ – a vision of better health, better patient care and improved NHS efficiency.  

The new service in B&NES and Wiltshire will enable evidence-based psychological interventions to be offered under a ‘stepped-care’ approach. Individuals will be able to self-refer to the programme and will be offered the intensity of intervention that is most appropriate for their condition. The programme will link with primary care professionals, community teams and local hospitals. 

Dr Claire Williamson, Head of Psychological Therapies for AWP said:

“The new programme of local IAPT services has started.  Initially, services will offer support to people with diabetes as well as common mental health problems such as anxiety and depression. This will be expanded to include those with other long-term health conditions. It’s a great opportunity to take a holistic approach to both physical and psychological wellbeing.” 

Dr Daisy Curling, clinical lead for mental health on the Bath and North East Somerset Clinical Commissioning Group Board said:
“We know that when mental and physical problems are treated alongside each other, people can often achieve better outcomes. This new programme offers a real chance to make those outcomes a reality.”

Firm commitment made to support carers

Local organisations have made a firm commitment to work together to recognise, support and promote the wellbeing of carers by signing  a memorandum of understanding.

By signing the document at the recent Wiltshire Health & Wellbeing Board meeting,  the organisations have committed to abide by a number of principles. These focus on:

•       Carers’ physical health and emotional wellbeing
•        Supporting and empowering carers to manage their caring role and their life outside of caring
•        Raising carer awareness within health and social care
•        Respecting carers as expert partners in care
•        Improving information sharing and early identification of the needs of vulnerable carers.

The updated Wiltshire Carers’ Strategy, due to be published in March 2018, will detail how this will be achieved.

Baroness Scott of Bybrook OBE, Leader of Wiltshire Council and Chair of the Wiltshire Health and Wellbeing Board, said:
“ We are all fully committed to supporting carers in Wiltshire and we recognise the invaluable contribution that they make, as well as the positive impact that the work they do has in reducing the pressure on the health and social care system. “This is certainly not a nine to five job and is one that can really take its toll. We have made a commitment to work together to make sure they have the support they need and deserve. This memorandum of understanding underlines how collectively we aim to achieve this.”
Peter Jenkins, Chair of Wiltshire Clinical Commissioning Group and Deputy Chair of the Wiltshire Health and Wellbeing Board added:
Peter Jenkins, Chair of Wiltshire Clinical Commissioning Group and Deputy Chair of the Wiltshire Health and Wellbeing Board added: “We recognise how important it is to support carers in their role because without them giving their time and commitment to tend to the needs of their friends and families, the number of people who are looked after in their own homes would be fewer and the impact on the health and social service system would be overwhelming. We understand the demands placed on carers and the difficulties they may face looking after someone – we welcome this memorandum of understanding as our carers deserve to be valued and supported.”

Representatives from the following organisations have signed the memorandum of understanding:

•         Wiltshire Council
•         NHS Wiltshire Clinical Commissioning Group
•         Salisbury Hospital Foundation Trust
•         Bath Royal United Hospital
•         Great Western Hospital
•         South West Ambulance Service
•         NHS Foundation Trusth
•         Avon and Wiltshire Mental Health Partnership
•         Healthwatch Wiltshire
•         Carer Support Wiltshire

Good feedback for cancer services in Wiltshire

Cancer patients in Wiltshire have rated the overall care they receive as a positive 8.8 out of 10, according to the 2016 National Cancer Patient Experience Survey published in July 2017.

Patients answered a series of questions which asked for their thoughts on the quality of care and standard of cancer services in Wiltshire. A total of 845 patients (72%) completed the survey, representing a response rate higher than the national average of 66%.

Dr Debbie Beale, a GP at White Horse Health Centre in Westbury said:
“There is much to be proud of with this feedback from our patients. Areas in which we have historically done well and continue to do so include good quality patient care, involving patients in the decision process of their care and treatment and our clinicians instilling our patients with confidence and trust. ”

Key highlights include:

  • 81% of patients said they were definitely involved as much as they wanted to be in decisions about their care and treatment
  • 89% of patients said that they were given the name of a Clinical Nurse Specialist who would support them through their treatment
  • 90% of patients said that, overall, they were always treated with dignity and respect while they were in hospital
  • 95% of patients said that hospital staff told them who to contact if they were worried about their condition or treatment after they left hospital
  • 66% of patients said that they thought the GPs and nurses at their general practice definitely did everything they could to support them while they were having cancer treatment.
Debbie continued:
“Our cancer services team work incredibly hard to ensure that people have the care and support they need before, during and after cancer treatment. These results show us that the vast majority of our cancer patients are very positive about the NHS care they are getting and we are proud to see continued improvement in patient feedback about cancer care In Wiltshire.

We are delighted with the results of the survey, and are pleased that a majority of our patients feel that they are getting the treatment they deserve; there will always be areas where we can do better, so we will continue to strive for improvements. These latest results from the national cancer patient survey are testament to the team and the GP practices who work together to ensure high-quality care and services for their cancer patients.”

Stoptober – the 28-day quit smoking campaign – is back.

Stoptober, the 28-day stop smoking campaign from Public Health England, is back from 1st October. Stoptober has driven over 1 million quit attempts to date and is the biggest mass quit attempt in the country. It is based on research that shows that if you can stop smoking for 28-days, you are five times more likely to stay smokefree for good.

All the support you need to quit

Everyone’s quitting journey is different, but with Stoptober, you won’t be on your own. Join the thousands quitting smoking with Stoptober and get all the support you need to help you on your quit journey.

There a lots of ways to quit and Stoptober can help you choose what works for you. You can quit using medication (including nicotine replacement therapies such as patches and gum) or e-cigarettes. Stoptober offers a range of free support to help you including an app, daily emails, Facebook Messenger and lots of encouragement from the Stoptober online community on Facebook. In addition, you can get expert face-to-face advice from local stop smoking services.

Those who use stop smoking aids and who get face-to-face support from their local stop smoking service are up to four times more likely to quit successfully. Stopping smoking is the best thing you can do for your health and the health of those around you. If you can make it to 28 days smokefree, you’re 5 times more likely to stay quit for good.

Just search ‘Stoptober’ or visit our campaigns page to find out more.

How healthy is your heart?

Heart disease (including heart attack and stroke) is still the leading cause of death amongst men. Throughout September alone, 12,700 people will die from a heart attack or stroke.

To increase awareness about heart health and reduce their risk of heart attack and stroke, Public Health England (PHE) is urging adults to take three minutes out of their day to take the Heart Age Test.

The Heart Age Test is being re-launched as part of the One You Adult Health programme to mark the start of PHE’s Healthy Heart campaign, which will run throughout September in partnership with leading cardiovascular charities.

The Test offers an online assessment for anyone over 30 which allows a person to input basic physical and lifestyle-related information, and provides an immediate estimation of their ‘heart age’. Having a heart age older than your chronological age means that you are at a higher risk of having a heart attack or stroke.

New prescription ordering service for Wiltshire

A new prescription ordering service run by Wiltshire Clinical Commissioning Group means local patients can order repeat prescriptions over the phone from the comfort of their own home and then collect them from a UK pharmacy of their choice.

Prescription Ordering Direct (POD) is run by a dedicated team of trained prescription coordinators supported by experienced pharmacists who are on hand for medicines advice and complex queries. The Wiltshire-based telephone team is currently available for five of Wiltshire’s GP Practices covering a population of 78,000 – with plans to roll the service out across the county.

Alex Goddard, Deputy Head of Medicines Management at Wiltshire CCG, explains:
“We’ve had the POD up and running for 12 weeks and during that time have taken more than 7,000 calls from patients and ordered 18,000 prescription items – it’s been very busy!

“We’re introducing the POD to Wiltshire GP Practices on a town-by-town basis and our aim is to roll it out to all of the county’s practices over the next couple of years. Next to benefit from the service from 15 September will be surgeries in Royal Wootton Bassett.”

Prescription Ordering Direct is currently available for patients at:

  • Lovemead Group Practice, Trowbridge
  • Giffords Surgery, Melksham
  • Castle Practice, Ludgershall and Tidworth
  • White Horse Health Centre, Westbury
  • Avenue Surgery, Warminster

The POD is open Monday – Friday (except on Bank Holidays) from 9am – 5pm. Patients do not need to register for the service and should call when they have seven days left of their medication.

Alex continues:
“Once authorised by the Doctor, prescriptions will be sent to the patient’s usual pharmacy where any existing arrangements with regards to notifications via text message, or delivery will continue as before.  When patients call the POD they speak directly and confidentially with a prescription coordinator who confirms the prescription is due and can answer any questions the patient has about their medication. There is always the opportunity for the patient to speak to a pharmacist as well, if needed.

“This ensures we are able to order only the necessary medication that is required. By introducing this new ordering process, we are already seeing a reduction in the amount of prescriptions that are wasted in our area, which costs the NHS £2.7million each year in Wiltshire alone.”

Visit the Prescription Ordering Direct page for more information.

New One You campaign encourages adults across the country to get more active by building just 10 minutes of brisk walking into their daily lives

Modern day life makes it hard to be healthy, so it’s not surprising that most of us are not fitting enough physical activity into our days. Sitting down at work and commuting by car or public transport means we’re not active for a lot of the working day and technology allows us to shop and stay in touch without ever having to leave the sofa.

However, a brisk ten minute walk can make a huge difference to your health – it gets the heart pumping faster, can make you feel better, more energetic and improve your mood. Over time, brisk walking can help to lower the risk of serious illnesses like heart disease and type 2 diabetes.

The One You campaign is encouraging adults to start improving their health by walking briskly for 10 minutes each day and to help, people are being encouraged to download the ‘Active 10’ app. This free app shows how much brisk walking you’re doing, when you can increase your pace and how you can fit more brisk walking intoyour day. It also sets goals and provides hints and tips to keep you going, and has been endorsed by the Royal College of General Practitioners (RCGP).

50,000 people have already downloaded the app and are on their way to a healthier lifestyle, so why not join them?

Search ‘Active 10’ online to find out more and to download the app.

Accessing healthcare in Wiltshire over the bank holiday

With some health services closing for a few days over the bank holiday, it’s vital that people who need help from NHS services get the advice they need from the right person, in the right place, at the right time.

Ask your pharmacist
Pharmacists are experts in many areas of healthcare and can offer advice on a wide range of long term conditions and common illnesses such as coughs, colds and stomach upsets. You don’t need an appointment to see a pharmacist and many have private consultation areas, so they are a good first port of call if you’re feeling unwell. Your pharmacist will tell you if you need further medical attention.
Call 111
If your GP surgery is closed and you’re not sure where to go then you should make a free phone call to NHS 111, which is available 24/7. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you to the best service for you in your area.
A&E and 999 are for life threatening emergencies
A&E departments and the ambulance service are for life threatening emergencies such as loss of consciousness, suspected heart attacks, breathing difficulties or severe bleeding that cannot be stopped. A&E is likely to be extremely busy over the holidays with long waiting times, so please call NHS 111 for advice first if you are not sure where to go.

Your local services

Opening times for your local GP and pharmacy services are available below. Please note that these times are subject to change.

Bradford on Avon >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Bradford-on-Avon and Melksham Medical Practice 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Day Lewis Pharmacy (Silver Street) Closed
 Day Lewis Pharmacy (St Margarets Station Approach) Closed

Calne >

 GP surgeries
 Practice  01/05/2017 –  29/05/2017 – 
 Northlands Surgery 8am – 6.30pm  Out of hours  – 
 Patford House Surgery 8.45am – 6.30pm Out of hours
 Beversbrook Medical Centre 8am – 6.30pm Out of hours
 Phamacies
 Practice 28/08/2017  
 Boots Closed
 Lloyds Closed
 Well Pharmacy Closed
 Northlands Surgery Closed

Chippenham >

 GP surgeries
 Practice 01/05/2017 –  29/05/2017 –  –  – 
 Hathaway Surgery 8am – 6.30pm Out of hours Out of hours Out of hours 8am – 6.30pm
 Rowden Medical Practice 8.30am – 6.30pm Out of hours Out of hours Out of hours 8am – 6.30pm
 Jubilee Field Surgery 8.30am – 1pm Out of hours Out of hours Out of hours Out of hours 8.30am – 1pm
 Lodge Surgery 8am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots 10am – 4pm
 Lloyds (Hathaway Medical Centre) 10am – 4pm
 Morrisons 9am – 5pm
 Lloyds (Bath Road) 9am – 6pm
 Lloyds (St Luke’s Drive) Closed
 Well Pharmacy Closed

Corsham >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Porch Surgery 8am – 6.30pm Out of hours 8.30am – 11.45am Out of hours Out of hours 8am – 6.30pm
 Box Surgery  8am – 6.30pm  Out of hours  9am – 12.15pm  Out of hours  Out of hours  8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Shaunaks Closed
 Boots Closed

Devizes >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Lansdowne Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Southbroom Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 St James’ Surgery 8am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8am – 6.30pm
 Market Lavington Surgery 8am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8am – 6.30pm
 Courtyard Surgery 8.30am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8.30am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Day Lewis (Market Lavington) Closed
 Morrisons 9am – 5pm
 Boots Closed
 Rowlands Pharmacy Closed

Malmesbury >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Malmesbury Primary Care Centre 8.30am – 6.30pm Out of hours 8.30am – 12pm Out of hours Out of hours 8am – 6.30pm
 Tolsey Surgery 8.30am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8.30am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots (High Street) Closed
 Boots (Priory Way) Closed
 Lloyds Closed

Marlborough and Pewsey >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Marlborough Medical Practice 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Ramsbury Surgery 8am – 6.30pm Out of hours 8.15am – 11.30am Out of hours Out of hours 8am – 6.30pm
 Old School House Surgery 8am – 12pm Out of hours 8am – 11am Out of hours Out of hours 8.30am – 6.30pm
 Burbage Surgery 8am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8am – 6.30pm
 Pewsey Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots (Marlborough) 10am – 4pm
 Kennet Pharmacy Closed
 Boots (Pewsey) Closed

Melksham >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Giffords Primary Care Centre 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Spa Medical Centre 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Gompels (Spa Medical Centre) Closed
 Gompels (Bank Street) Closed
 Boots Closed
 Lloyds (Bath Road) 9am  -5pm
 Asda 9am – 6pm
 Lloyds (Spa Road) Closed

Royal Wootton Bassett >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Tinkers Lane Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 New Court Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots Closed
 CML Jones and Partner Closed
 Lloyds Closed

Salisbury >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Orchard Partnership 8am – 6.30pm Out of hours 9am – 12pm Out of hours Out of hours 8am – 6.30pm
 St Ann Street Surgery 8am – 6.30pm  Out of hours   8.30am – 10.30am  Out of hours  Out of hours  8am – 6.30pm
 Salisbury Medical Practice  8am – 6.30pm   Out of hours   Out of hours   Out of hours   Out of hours  8am – 6.30pm
 Avon Valley Practice   8am – 6.30pm    Out of hours    Out of hours    Out of hours    Out of hours   8am – 6.30pm
 Endless Street Surgery    8am – 6.30pm  Out of hours  Out of hours  Out of hours  Out of hours    8am – 6.30pm
 Three Swans Surgery  8am – 6.30pm   Out of hours  8.15am – 11am   Out of hours   Out of hours  8am – 6.30pm
 Harcourt Medical Centre  8am – 6.30pm  Out of hours  Out of hours  Out of hours  Out of hours  8am – 6.30pm
 Whiteparish Surgery  8.15am – 6.30pm  Out of hours  8am – 10.30am  Out of hours  Out of hours  8.15am – 6.30pm 
 Barcroft Medical Centre 8am – 6.30pm  Out of hours  9am – 11.30am  Out of hours  Out of hours  8am – 6.30pm
 Castle Practice  8am – 6.30pm  Out of hours  Out of hours  Out of hours  Out of hours  8am – 6.30pm
 Downton Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 St Melor House Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Tisbury Surgery 8am – 6.30pm Out of hours 9am – 11am Out of hours Out of hours 8am – 6.30pm
 Silton Surgery 8.30am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8.30am – 6.30pm
 Hindon Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Cross Plain Surgery 8am – 6.30pm Out of hours 9am – 12.30pm Out of hours Out of hours 8am – 6.30pm
 Bourne Valley Practice 8am – 6.30pm Out of hours 9am – 12.30pm Out of hours Out of hours 8am – 6.30pm
 Mill Stream Medical Centre 8am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots (Amesbury – Salisbury Street) 9am – 2pm
 Boots (Amesbury – Stonehenge Walk) Closed
 Rowlands Pharmacy (Pembroke Road) Closed
 Bisopsdown Pharmacy Closed
 Downton Pharmacy Closed
 Lloyds (Amesbury – Bulford Road) Closed
 PW and JA Hedge (Central Street) Closed
 Tesco (Bourne Centre) 9am – 6pm
 Rowlands Pharmacy (Cranebridge Road) Closed
 Superdrug (George Mall) Closed
 Three Swans Pharmacy Closed
 Boots (Silver Street) 8.30am  -5.30pm
 Rowlands (Castle Street) Closed
 Tamday Pharmacy Closed
 Lloyds (Minster Street) Closed
 Rowlands (St Ann Street) Closed
 Boots (Tisbury – High Street) Closed
 PW and JA Hedge (Dummer Lane) 10am – 1pm
 Mere Pharmacy Closed
 Lloyds (Wilton – North Street) Closed

Swindon >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Purton Surgery 8am – 6.30pm Out of hours 9am – 12pm Out of hours Out of hours 8am – 6.30pm
 Cricklade Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots (Cricklade – High Street) Closed
 Lloyds (Purton) Closed

Trowbridge >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Bradford Road Medical Centre 8am – 6.30pm Out of hours 8am – 10am Out of hours Out of hours 8am – 6.30pm
 Lovemead Group Practice 8am – 6.30pm Out of hours 8am – 10.30am  Out of hours  Out of hours  8am – 6.30pm
 Adcroft Surgery 8.30am – 6.30pm   Out of hours  Out of hours  Out of hours  Out of hours  8.30am – 6.30pm 
 Widbrook Medical Practice 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8.30am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots (Polebarn Circus) Closed
 Boots (Prospect Place) Closed
 Boots (Bythesea Road) 8am  -12am
 Tesco 9am – 6pm
 Gougemead (Bradford Road) Closed
 Gougemead (Wingfield Road) Closed
 Lloyds Closed
 Superdrug Closed

Warminster >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Avenue Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Mere Surgery 8.30am – 5pm Out of hours Out of hours Out of hours Out of hours 8.30am – 5pm
 Smallbrook Surgery 8.30am – 1pm Out of hours Out of hours Out of hours Out of hours 8.30am – 1pm
 Phamacies
 Practice 28/08/2017
 Boots (The Avenue) Closed
 Boots (Market Place) 10am – 4pm
 Well Pharmacy Closed

Westbury >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 White Horse Health Centre 8am – 6.30pm Out of hours 8.45am – 11.45am Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 John Preddy and Co Closed
 Boots Closed
 Shaunaks Closed

Helping the over 50s be clear on cancer

Wiltshire Clinical Commissioning Group is supporting the national Be Clear on Cancer campaign and encouraging local people, particularly the over 50s, to recognise respiratory symptoms and get the appropriate help where needed. A persistent cough or inappropriate breathlessness during everyday activities could be symptoms of a variety of conditions including cancer, chronic obstructive pulmonary disease and, in the case of breathlessness, heart disease.

Dr Andy Hall from The Orchard Partnership in Fovant said:
“People aged 50 or over are at greater risk of having undiagnosed respiratory problems and make up 97 percent of lung cancer diagnoses, so it’s particularly important if you fall within this age group to get any unusual symptoms checked out.”

Diagnosing these conditions at an early stage makes them more amenable to treatment. Those who have a persistent cough lasting more than three weeks, or are experiencing breathlessness when completing everyday tasks, are encouraged to make an appointment with their GP, as they may be exhibiting the early signs of lung disease, including cancer.

Across England, around 37,600 people are diagnosed with lung cancer each year and in Wiltshire during 2015, there were 282 people diagnosed with the condition.  

Dr Hall added:
“Before you visit your GP it may help to write down your symptoms and how you feel so you don’t forget anything during your consultation. This will help answer some of the questions your doctor may ask you, such as how long have you had your symptoms and whether they have changed over time.”

Signs to watch out for:

  • A cough that has got worse or changes
  • Frequent chest infections
  • Coughing up blood
  • Chest or shoulder pain
  • Getting out of breath doing everyday activities such as light housework
  • Feeling more tired than usual for some time
  • Losing weight for no obvious reason, or loss of appetite

Learn more about the Be Clear on Cancer campaign.

Strategic Outline Case for Wiltshire

26 July 2017 – Wiltshire Clinical Commissioning Group’s Governing Body yesterday approved a Strategic Outline Case (SOC) which identifies a preferred model and way forward for the future provision of community and primary care estate in Wiltshire.  

The SOC, which was presented and approved at Wiltshire CCG’s Governing Body meeting held in public in Devizes on Tuesday 25 July, is the cumulation of a strategic overview of health care in one area of Wiltshire – Chippenham, Melksham and Trowbridge – which began in autumn 2016. 

This initial stage of planning means the CCG is in the best position to secure capital investment for much needed updating of health buildings in Chippenham, Melksham and Trowbridge.  However, there are also priority areas for the rest of Wiltshire and the CCG will now set out a timetable for developing a more detailed clinical strategy and a Wiltshire-wide programme of capital and estates funding requirements. 

Steve Perkins, Wiltshire CCG’s Chief Finance Officer said:
“Wiltshire CCG has a strategy founded on commissioning health services which are based in our communities rather than in acute hospitals. Keeping people well, supported and able to be live as independently at home is at the heart of all of our work. We know that flexible solutions will be the key to being able to support the health and wellbeing of our local population, in a way which is financially sustainable into the future. 

“This means that we anticipate, and seek, an increase in the use of our community buildings – such as GP practices and larger primary care centres – so that we rely less on hospital facilities. Our approach aligns with the Bath and North East Somerset, Swindon and Wiltshire Sustainability and Transformation Partnership (STP) which has five priority areas, one of which is ‘Making best use of technology and our public estates’.

“To help us to understand the future estate and infrastructure requirements, in autumn 2016 we began a strategic overview of health care in one area of our county. This work has now been developed into a Strategic Outline Case (SOC) which identifies a preferred way forward for the future provision of community and primary care estate in Chippenham, Melksham and Trowbridge to support the sustainable delivery of community, secondary and primary care services.  The cost implications of not making the much-required improvements to facilities in north west Wiltshire are significant, and national funding has been made available for primary care facilities in Trowbridge.  The strategic planning helps to align clinical priorities with estates and infrastructure requirements”.

The SOC, which can be found here considers the healthcare needs of the Wiltshire population into the long term, based on what our GPs and clinicians require to support people to live well at home, and in consideration of the expected population growth in Wiltshire between now and 2026.  By working with our partners and stakeholders to review and understand the current and future local service requirements, Wiltshire CCG has considered options for the way we deliver locally based healthcare services in the future.

The recommendation approved by the CCG Governing Body yesterday is for one community hospital (hub), one community ‘spoke’ and three urgent treatment centres, alongside development of primary care estate to increase much needed capacity for GP practices. Details and definitions for each of these facilities can be found in the SOC.

Linda Prosser, Interim Chief Officer of Wiltshire CCG said:
“The preferred way forward takes account of key national, regional and local drivers for change and was arrived at following detailed meetings with clinicians, GPs and other key stakeholders.  The SOC is the first stage in the business planning process and therefore the size of accommodation and cost is only indicative at this stage. The SOC does not make an assumption about the location of the facilities, but we expect that for the north west patch of Wiltshire they will be located in the Chippenham, Melksham and Trowbridge area”.

The next stage will be for further development work to Outline and Full Business Cases and it is expected that locations will be identified through options appraisals at the Outline Business Case stage of the planning process, before proceeding to a full public engagement programme.

Chairman of Wiltshire Clinical Commissioning Group to step down

25 July 2017 – Dr Peter Jenkins, the Clinical Chairman at Wiltshire Clinical Commissioning Group, is to step down from his role at the end of September following a two year term.

Dr Jenkins, who has been in post for the last two years, said:
“Much has changed since I began my clinical career a number of years ago, but what remains unwavering, regardless of what job people do within the NHS, is the commitment to delivering the best possible service, where the patient is at the centre. This theme has been core to Wiltshire CCG and it’s been an absolute privilege to work with a fantastic team and supportive colleagues. I will leave knowing that the CCG’s vision of delivering health care closer to home remains in safe hands with a dedicated, committed group of people and I’m proud to have been part of helping to develop health services in Wiltshire that are aligned to the needs and demands of a growing and increasingly ageing population, now and into the future”
Linda Prosser, Interim Chief Officer at Wiltshire CCG added:
“On behalf of the Governing Body and all the staff at Wiltshire CCG I’d like to thank Peter for his commitment to health care services in our area, and the changes he has overseen. As with the NHS nationally, the last two years have been extremely challenging but Peter will leave us having successfully laid strong foundations for the future integration of health and care services”.

In line with the CCG’s constitution, an election for a new Chairman will be held amongst the CCG’s GP membership practices.