Change to the prescribing of over the counter medicines

Wiltshire Clinical Commissioning Group (CCG) is following new guidance set out by NHS England in March 2018, meaning that for 35 minor, short-term conditions, medicines that are available over the counter will no longer routinely be prescribed.

The guidance has been published following a period of national public consultation and recommends that over the counter medicines associated with minor, short-term conditions which get better by themselves, or can be self-treated by the patient, should no longer be available on NHS prescription.

Medicines under the guidance include treatments for coughs, colds, dandruff, mild cystitis, nappy rash, warts and verrucae, ear wax, head lice and mild dry skin.

In the year prior to June 2017 the NHS spent approximately £569million on prescription medicines, which could have been bought over the counter from a pharmacy or other retail outlet.

Dr Richard Sandford-Hill, Clinical Chair of Wiltshire CCG and GP at Market Lavington Surgery explains:
“It’s no secret that the NHS nationally is feeling the pressure of delivering healthcare services in the face of increasing patient demand and finite financial resources. In Wiltshire it’s no different, which is why as commissioners it’s important that we spend the money we have available in the most effective way that will benefit the most number of people.

“The cost of medicines to the NHS is significantly higher than those available to buy over the counter and because all licensed medicines are regulated by the Medicines and Health Regulatory Authority, they really are as good as your GP can prescribe.

“For this reason we are encouraging people to seek advice from a pharmacist and buy their medicines over the counter where they can.”

There are certain scenarios where certain patients should continue to have their treatments prescribed, including:

  • Patients prescribed an over the counter medicine for a long-term, or more complex condition or;
  • Where a clinician (doctor, nurse, pharmacist) considers that patient’s wellbeing could be affected due to health, mental health or significant social vulnerability.

Patients who contact their GP Practice to make an appointment regarding any of the 35 minor, short-term conditions may be advised by the receptionist to seek advice from a pharmacist instead.

Dr Sandford-Hill continues:
“By not routinely prescribing treatments for the 35 minor, short-term conditions and encouraging people to seek advice from a pharmacist and buy medicines over the counter where they can, means we will also free up valuable GP Practice appointments for those people who really need them.”
Alison Kidner, Community and Practice Pharmacist in Salisbury comments:
“It’s a wonderful opportunity to encourage patients to engage with their community pharmacy teams. Pharmacists are experts in medication and can provide health advice for our customers to help improve their health and wellbeing. The great thing about visiting your pharmacy is that you don’t need to make an appointment and many have a room where you can talk to the pharmacist in private. By visiting the pharmacy it means your GP’s time is freed up for those who really do need an appointment.

“We are all very aware of funding challenges to the NHS and by treating minor, short-term conditions ourselves where we can and by visiting a pharmacy for advice, we can help to save the NHS money. In many cases, the cost of buying a medicine from a pharmacy is cheaper than a prescription charge.”

For more information visit www.wiltshireccg.nhs.uk/over-the-counter

‘Stub it out’ – six months to go!

NHS sites and services across Bath and North East Somerset, Wiltshire and Swindon are preparing to become smoke free from 1 January 2019. 

In six months’ time staff, patients and visitors (including contractors and suppliers) will no longer be able to smoke anywhere on NHS sites, including the grounds and gardens or in vehicles and car parks.

All NHS providers across BaNES, Swindon and Wiltshire are committed to no tobacco use on site and many have already started to provide support to staff and patients to either stop smoking or manage their nicotine dependency while at work or during their stay in hospital.

Associate Director for Nursing and Quality at the Avon and Wiltshire Mental Health Partnership (AWP) NHS Trust, Alan Metherall, said: “Our trust became completely smoke free in November last year with all staff, service users, visitors and contractors no longer able to smoke or use tobacco products on any of our sites.

“We have focused on how best to support and assist our staff and service users to abstain from smoking and using tobacco products while at work or receiving treatment.

“Since the policy was introduced we have seen a number of positive outcomes. Many of our service users have been able to reduce the amount they smoke as well as their reliance on cigarettes during challenging periods. 

“We want to ensure that our staff and service users are as healthy as they possibly can be and we are training our staff to become Stop Smoking Practitioners so that they can support service users who wish to give up.

“In the coming months ahead we will be looking to work more closely with our community mental health teams to support all service users and to continue to support our inpatient services with their smoke free journey.”

Claire Radley, Director of People at the Royal United Hospitals Bath (RUH) NHS Foundation Trust said: “As a hospital, we have a responsibility to look after people’s health. Studies show 80% of second hand smoke is odourless and invisible, and those who breathe it are exposed to the same risks as smokers, including heart disease and cancers.

Going smokefree is the right thing to do to ensure those on our site are protected from second hand smoke.  We’re six months away from being completely smokefree, but our Healthy Choices Advisors are already in place and are busy supporting patients and staff, whether that’s providing help to quit smoking or ways to manage cravings whilst on site.”  

Charlie Revell, Health Improvement Practitioner at Salisbury District Hospital said: “The smoking cessation service for inpatients has received six times more patients than last year. As a result many more patients are consenting to follow up in the community by a factor of ten!”

Justin Wride, Health Improvement Service Manager, Virgin Care said: “A recent Smoke Free survey conducted by Virgin Care for the benefit of their colleagues, visitors, patients and suppliers reveals that 81% of people did not consider it acceptable to smoke on NHS sites “because of patients’ health” and “second hand smoke to patients” with most thinking it was a “good idea” and a “very positive step”. 

“We are now offering all our colleagues and patients stop smoking specialist support if they wish to quit and are regularly promoting the benefits of stopping smoking through social media, via team meetings, on-site promotional work and other internal communications. We believe this is a really important step to ensure that our sites are healthy environments for people to work in and to visit.

“For the six-month countdown we have really stepped up our social media and internal communications to ensure that everyone is aware of the Smoke free ‘Go-live’ date on the 1January 2019. It is really important to us that everyone feels supported and ready for this positive change.”    

The decision to become completely smoke free is in line with The Health Act (2006) and The National Institute for Health and Care Excellence (NICE 2013) guidelines which state that all hospital sites, including mental health hospitals, and sites where NHS services are provided, should be 100% smoke free.

Kevin McNamara, Director of Strategy and Community Services, Great Western Hospitals NHS Foundation Trust said: “The Smoke Free campaign is an excellent tool to highlight the benefits of stopping smoking and the importance of reducing the impact it has on health and the NHS.

“While the number of smokers has been declining, it still remains one of the leading causes of premature death in the UK. Stopping smoking not only saves lives, but also saves the NHS money too.”

For staff, patients and visitors who want to stop smoking before Tuesday 1 January 2019:

  • A range of information and support on how to stop smoking is available at nhs.uk/smokefree
  • Face to face advice on Nicotine Replacement Therapy (NRT) and or E-cigarettes is available from your local pharmacy, your GP surgery and local stop smoking services.

Northlands Surgery nominated for Surgery of the Year award!

Northlands Surgery in Calne is one of 81 practices nationwide that has been nominated for The People’s Choice Award: Surgery of the Year, as part of the national General Practice Awards for 2018.

‘Surgery of the Year’ has been added as a new award for 2018 and offers the general public the chance to give their thanks and show appreciation for their local healthcare team.

Alison Ingham, Practice Manager at Northlands Surgery comments, “It is an absolute thrill that Northlands has been nominated for this prestigious award. Everyone in the Practice Team works tirelessly to provide outstanding care for our patients and I think it is wonderful for our staff to have been recognised in this way.”

Voting is now open and people have until 10 August 2018 to show their support for Northlands Surgery in one of two ways:

The final three shortlisted surgeries will be announced on 3 September and will be invited to attend this year’s Awards Event, which takes place on 30 November in London.

The General Practice Awards are an annual celebration of the hard work, innovation, and dedication taking place in primary care across the UK, showcasing the very best projects, teams, and leaders and sharing in achievements.

A full list of the awards and nominees can be found at www.generalpracticeawards.com

New dads in Wiltshire, B&NES and Swindon get support in the early weeks of fatherhood with the launch of mobile app

A new app, aimed at new dads in the Wiltshire, BANES and Swindon area, is to be launched this week. The “DadPad” app is a new easy-to-use resource to support dads in the early days and weeks following the birth of their child. DadPad contains practical information on topics including advice on how to change nappies, what to know about breastfeeding, support with bottle feeding and how babies like to be held. The aim of the app is to support dads across B&NES, Swindon and Wiltshire to enjoy their new babies and feel more confident about fatherhood.

Lucy Baker, Programme Director for Maternity the B&NES, Swindon and Wiltshire Maternity Transformation Partnership said:
“We’ve had loads of conversations with dads, who have told us that they want information on how to care for their new babies, so that they can be more involved right from the start. The DadPad has practical advice which dads can access quickly and easily to help support them in caring for their newborn.”

The DadPad app is also designed to help prepare dads-to-be before the birth of their baby, and can be used as a quick reference tool after their baby is born.

Jerry Wickham, Wiltshire Council Cabinet Member for Adult Social Care, Public Health and Public Protection, said:”As a dad and granddad myself, I know from personal experience that this app will really help new dads. It’s user-friendly and full of hints and tips to help new dads truly enjoy the experience of fatherhood and to offer them reassurance and support – particularly in those early weeks and months.”

The DadPad was previously launched in Wiltshire as an online and printed leaflet. It is now available in an updated version as a free to download app. Visit the DadPad website to download the app: www.thedadpad.co.uk/app

CQC states that people receiving health and social care services in Wiltshire are safe

A recent and detailed review of Wiltshire’s health and social care system has found that people receiving services in the county are safe.

The Care Quality Commission is carrying out targeted reviews of health and social care in local authority areas and Wiltshire was visited on 20/21 February and 12-16 March 2018.

The review, which was coordinated by Wiltshire Council and NHS Wiltshire Clinical Commissioning Group (CCG), also included extensive data and evidence gathering from key partners in the local adult health and social care sectors. All partners involved provided information and evidence of what it’s like to receive care in Wiltshire.

The CQC focused on five main questions in relation to service provision and the impact on users:

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well led?

The final review published today (14 June) recognises the hard work and effort already being done by all partners to improve the care and support for Wiltshire residents, and provides useful insight into the areas where we acknowledge we must do more to improve for people in Wiltshire. Positive aspects outlined by the CQC include:

  • Those who needed care and support were judged to be safe.
  • The review found that there was a positive and proactive programme for the transformation of adult social care particularly around prevention, reablement and safeguarding.
  • Integrated discharge teams in the hospitals worked effectively to define the pathway of care out of hospital and to begin that process.
  • There was effective inter-agency working between the Voluntary, Community and Social Enterprise (VCSE) sector and hospital services in emergency departments to help people to avoid admission and return home safely.
  • People were supported to stay safely at home for as long as possible through the work of GPs and care coordinators.
  • There were systems in place to identify people who were frail or who were at risk of deterioration in their health or social situation.
  • GPs were key in supporting people to stay safe.
  • People were able to access a number of services in the community to prevent social isolation and when they came into contact with services through their GPs there was good support from them to access other services and sign-posting. They were helped to stay well at home for as long as possible.
  • Avoidable admissions to hospital from care homes in Wiltshire were low compared to similar areas and the England average, and significantly lower with regard to admissions resulting from pneumonia.
  • Frontline staff who provide care were recognised by reviewers for their commitment to achieving the best outcomes for people and being genuinely caring in their approach.
  • Staff who supported people living in Wiltshire were caring in their approach. There was a clear will to put the person at the heart of services.
  • There were systems and processes in place to ensure that people in crisis were supported through the health service.
  • People using hospital services and their loved ones were treated with dignity and respect.
  • People who were in crisis could access support from a variety of settings, and this was provided in a timely way. Wiltshire performed better than the England average in preventing admissions to hospital for common clinical conditions.
  • There were systems and processes in place to ensure that the transition between health and social care prevented any avoidable harm.
  • Acute hospitals were focused on promoting early discharges.
  • There was effective partnership working to ensure that people were discharged from hospitals safely.
  • People’s needs and choices were considered at all stages when planning their return home.
  • All services were focused on improving flow through hospitals and care, with systems being designed and redesigned according to activity and performance.
  • All services had the right skills to support the effective transition of people between health and social care.

With regard to the areas for improvement or where things need to be done differently, we have already produced a detailed action plan, and a single overarching strategy will be produced to address the following areas:

  • Continuing the programme of work to transform adult social care services
  • Adopting national best practice and reviewing the Better Care Plan and will be adding some new initiatives that have been successful across the country
  • A commitment to introduce additional Local Area Coordinators in Wiltshire by early Autumn, to support communities
  • We continue to see the number of people who are medically fit to leave hospital, and the numbers of those people who are experiencing delays in getting home, is reducing
  • Changes are being made which mean that the professionals who are the first point of contact to services are working together better to look at how people return home
  • Creating a provider led Integrated Programme Board to review and improve the post hospital discharge pathways to include Homefirst and Reablement
  • Simplifying our current complex governance structures
Jerry Wickham, Wiltshire Council cabinet member for adult social care, public health and public protection, said:
“We welcome the findings of the review and we are extremely pleased that the services we provide in Wiltshire were found to be safe.

“Given the challenge for the care and health sector this is something that is good to hear and their overall feedback and fresh perspective has been welcome and has already helped to guide improvement in our partnership working and the services we provide for residents.

“The CQC’s findings are very much in line with our own assessment of the local system and how it works, and, most importantly where further improvement can be made.

“Much of this work is already underway as we continue to work towards our long-held vision and priority to integrate health and social care. Our shared focus is to continue to develop services so that people in Wiltshire receive the best care available.”

Dr Richard Sandford-Hill, Chairman at Wiltshire CCG said:
“This is a comprehensive and realistic report and we are grateful to our staff and colleagues for their input to it. We are of course pleased that our services are considered to be safe, but we also acknowledge we still have much to do to improve our joint services on behalf of Wiltshire people. The report shines a light on those things that we need to do better or differently and has prompted us to re-energise our efforts. We are fully committed to working closely with all of our health and care partners across Wiltshire, with renewed vigour, to provide safe, high quality and seamless services for our residents.”

As this was a review, and not an inspection, the system isn’t subject to any overall grading or mark, but a detailed assessment on how it works has been provided.

The full report will be published  at www.cqc.org.uk.

Have your say on a new approach to gluten-free prescribing

Wiltshire Clinical Commissioning Group (CCG) is reviewing its policy on prescribing gluten-free foods in line with national guidance and is encouraging Wiltshire patients, the public and clinicians to have their say on two proposed options.

The review follows a national public consultation in 2017 by the Department of Health and Social Care (DHSC) on the ‘Availability of gluten-free foods on NHS Prescription’ and the resulting guidance announced in February 2018 to restrict gluten-free foods to bread and mixes only – although this does not affect a CCG’s statutory authority to determine its approach at a local level.

Gluten-free prescribing began in the 1960s when no gluten-free foods or products were readily available. Today gluten-free foods are found in most supermarkets, shops and many cafes – including in Wiltshire – and competition has driven pricing down meaning they are affordable dietary alternatives.

Wiltshire CCG has a duty to ensure that the funds it has available for prescribing are spent in a way that benefits most patients. Between 1 April 2017 and 31 March 2018 it spent £241,487 on products such as gluten-free bread, pasta and pizza bases, items which are now readily available and competitively priced. Wiltshire is also the highest prescribing CCG in England of Juvela gluten-free bread and bread mix.

Dr Richard Sandford-Hill, Chair of Wiltshire CCG explains,
“The two options proposed are to stop prescribing all gluten-free foods in primary care, or to restrict prescribing to bread and mixes only for those patients with a diagnosis of coeliac disease and/or dermatitis herpetiformis up to the age of 18 years.

“While these proposals will reduce the amount of staple gluten-free foods available on prescription in Wiltshire, it will not affect the vital help and support available to patients diagnosed with coeliac disease and/or dermatitis herpetiformis via their GP or dietician.

“There is also no strong clinical evidence that patients who receive gluten-free food on prescription are more likely to comply with a gluten-free diet, or have better health outcomes than those who do not.”

Patients, the public and clinicians in Wiltshire are encouraged to have their say on the proposed options via a short survey available at www.wiltshireccg.nhs.uk. The survey is open until 22 July 2018.

Findings from the survey will inform the future prescribing of gluten-free foods in Wiltshire.

Wiltshire Dying Well Community Charter

Wiltshire Clinical Commissioning Group has launched its ‘Wiltshire Dying Well Community Charter’ to coincide with Dying Matters Awareness week (14-20 May) and is appealing to local companies and organisations to sign up to the charter and make a commitment to support their staff towards the end of their life. 

The Charter encourages a community-wide approach to support people who are affected by dying, and identifies simple steps employers can take to demonstrate their commitment to supporting their staff and their loved ones.

Dr Helen Osborn, GP at Courtyard Surgery in Lavington and Wiltshire End of Life Programme Board member explains, “The Charter has been developed to help bring greater understanding of the problems faced by working people who have been diagnosed with a life-limiting illness, or who care for people who are approaching the end of their lives.”

Signing up to the Charter is easy and doesn’t cost anything. Businesses are simply asked to commit to demonstrating their support for the Charter by signposting employees, volunteers or students to additional support resources and embedding supportive practices within their organisations for people who are affected.

Helen added, “The Charter will help local businesses ensure they have the best possible resources for their workforce and show that they are committed to supporting their employees who may be trying to balance their work commitments with the difficulties they face at home.”

The Charter is led by the National Council for Palliative Care and its ideas and commitments were recognised by many local organisations who came together to look at how we could create a Wiltshire Charter. Organisations involved in the original development of the Charter and who have already signed up to supporting their staff are: Dorothy House Hospice Care, Great Western Hospitals NHS Foundation Trust, Healthwatch Wiltshire, Prospect Hospice, Public Health Wiltshire, Royal United Hospitals Bath NHS Foundation Trust, Salisbury Hospice Charity, Salisbury NHS Foundation Trust, Wiltshire Clinical Commissioning Group and Wiltshire Health and Care.

The Wiltshire Dying Well Community Charter was developed in 2017 after consulting with local people about the Wiltshire End of Life Care Strategy.

Wiltshire Dying Well Community Charter, visit www.wiltshireccg.nhs.uk or email wiltshire.dyingwell@nhs.net.

Funding available for delivering a ‘step change’ in positive mental health and wellbeing within Wiltshire

NHS Wiltshire Clinical Commissioning Group is inviting bids from all stakeholders, including the voluntary and third sector, of up to £50,000 for delivering a ‘step change’ in positive mental health and wellbeing within Wiltshire.

Ted Wilson, Director of Community Services and Joint Commissioning for NHS Wiltshire Clinical Commissioning Group said,
“We are pleased to be able to offer these non-recurrent funds to support initiatives that aim to enable people to be more positive and confident about their mental health. We hope that the success of these initiatives will be a catalyst for future collaboration and support.”

Wiltshire CCG is aspiring to fund a number of different community based initiatives that support national and local priorities of increased focus on prevention and keeping well. Proposals for the funding could be smaller bids in a defined area of the county to larger multi-agency bids that cover the whole of Wiltshire, if agencies want to work together to apply collaboratively. 

Bids are welcome from those with an interest in delivering services where they are able to:

  • Develop and model a responsive preventative approach to mental health
  • Build on community resilience where individuals see themselves as part of a mutually beneficial collective, which aims to improve personal wellbeing through social interaction and inclusion
  • Encourage joint working and collaboration across agencies delivering services
  • Demonstrate an innovative and scalable approach to community based care that promotes independence
  • Be able to demonstrate benefits in 1 year

Applications will need to demonstrate how funds will be used to deliver the project and the bid also need to fully describe the expected outcomes.

Proposals for the funding should be made using the application form which can be downloaded from www.wiltshireccg.nhs.uk. The closing date for submission is 5pm on Friday 15 June 2018.

All proposals will be reviewed by an expert panel, including commissioning and GP leads and people with experience of mental health issues.  Successful applicants will be informed by 30 June 2018.

Stay safe in the sun

Summer’s almost here and with temperatures starting to soar, Wiltshire Clinical Commissioning Group and Wiltshire Council are supporting Sun Awareness Week (14-20 May) by offering advice to people in Wiltshire on how to stay safe in the sun.

Many of us enjoy spending time in the sun, but you can burn when you least expect it. Sitting in the garden, walking the dog or going for a run are just a few activities where you can be caught off guard.

Dr Richard Sandford-Hill, GP at Market Lavington Surgery and Chair of Wiltshire Clinical Commissioning Group, said:
“Although a moderate amount of sun exposure is recommended because it provides essential vitamin D, too much sun can be damaging. Don’t forget; you can still burn if it’s cloudy or overcast and while sunburn is usually short-lived and mild, it’s important to take precautions to avoid it because it can increase the chances of developing skin cancer later in life.”

How to protect yourself from sunburn

You can help safeguard your skin from the harmful effects of the sun by following these simple steps.

  • Cover up when you are out in the sun – wear loose clothing and a wide-brimmed hat to protect as much skin as possible and protect your eyes with sunglasses that block at least 99% of UV light.
  • Use a sunscreen with an SPF of 30 or higher and at least 4-star UVA protection and reapply every 2 hours and after swimming.
  • Seek shade and limit your direct exposure to the sun, especially between 11am and 3pm when UV rays are at their strongest.
  • Avoid tanning beds and sunlamps – both cause serious long-term damage and contribute to skin cancer.
Dr Sandford-Hill added:
“It’s important to enjoy the sun safely by keeping hydrated and when you are out remember to carry a hat, sunscreen and sunglasses with you for protecting yourselves from the sun’s harmful rays.”
Jerry Wickham, Wiltshire Council cabinet member for public health said:
“Wiltshire in the sunshine is glorious and we want people to enjoy it, but it can be easy to underestimate the strength of the sun when you’re outside, and you may not realise you are getting burnt.  If you feel you have sunburn, you should get out of the sun as soon as possible by heading indoors or into a shady area.”

What to do if you have sunburn

If you do have minor sunburn, you can treat this at home by cooling the skin down by having a cold bath or shower and then applying soothing after sun or calamine lotion to moisturise your skin.  You could also visit your local pharmacy for advice on treatment to help ease your symptoms and reduce inflammation.

Drinking plenty of fluids, will help cool you down and prevent you from getting dehydrated, and painkillers such as ibuprofen or paracetamol will help relieve any pain.

If you start to feel unwell or have any concerns about your sunburn, particularly if you are burnt over a large area, have blistering or swelling of the skin, chills, dizziness, sickness or a high temperature of 38c or above, call NHS 111 – they are available 24 hours a day, seven days a week.

If you notice any changes to your skin after being out in the sun, including a new mole, growth or lump or you have any moles or freckles that have changed in size, shape or colour, you should go and get them seen by your GP.  Skin cancer is much easier to treat if it’s found early.

For further information on how to keep safe in the sun, visit: www.wiltshireccg.nhs.uk

Don’t let hay fever ruin your day!

Hay fever affects millions of people in the UK and is mainly caused by pollen, and Wiltshire Clinical Commissioning Group is offering advice on how to minimise the symptoms for people who suffer from the condition.

Many of us will be spending more time outdoors with the arrival of Spring, either in our gardens or local parks, and suffers will soon start to feel the effects of itchy, red or watery eyes, a runny or blocked nose, sneezing fits, an itchy throat, mouth, nose and ears or a cough.

Dr Andrew Girdher, GP at Box Surgery advises:
“The best way to control hay fever is with antihistamines and these can easily be bought from local pharmacies or supermarkets very cheaply and starting to take them now so they get into your system will really be of benefit.”

“Visiting a local pharmacy is your best option. You can speak to the pharmacist; who is an expert in medications and can advise you on the best treatment. They can also offer advice on how to avoid hay fever triggers. If the pharmacist feels that the problem is something different which might require a review with a GP, they will recommend this.”

Other ways to help reduce the effects of hay fever include:

  • Wearing wraparound sunglasses when outdoors to protect the eyes
  • Showering and changing your clothes after being outdoors will help stop the spread of pollen through your home
  • Putting a small amount of petroleum jelly in your nose helps to trap pollen grains
  • Keeping an eye on the weather forecasts and staying indoors to avoid going out when the pollen count is high
Dr Girdher added:
“We are encouraging local residents to self-care and buy this low-cost medication themselves, as you do not need a prescription from your doctor, which can cost the NHS considerably more.”

“Self-care is an important part of keeping well and having a well-stocked medicine cabinet can help people, not just treat hay fever but also treat minor illness and injuries themselves, at home, without the need to see a GP.”

As well as your pharmacist, you can also get health advice through NHS 111 and the NHS choices website – www.nhs.uk

World Immunisation Week – Is your child protected?
23 – 29 April 2018

Healthy Living begins with pre-school Vaccinations

This week is World Immunisation Week and Wiltshire Council and NHS Wiltshire CCG are reminding parents and carers the importance of vaccinating their child against a host of serious diseases.   

The vaccinations which children receive in their early years, between birth and when they first go to school, give them safe and effective protection against infections such as meningitis, diphtheria, polio, measles and mumps.  If a child isn’t vaccinated, they are at a higher risk of falling ill.

The uptake of childhood immunisations across Wiltshire is generally good and a vast majority of parents do ensure their child has been fully protected, but there are many children who are missing doses and are therefore at risk.

We want to ensure we give our children the best start in life. We are encouraging parents to protect their families by ensuring their children receive the right vaccines at the right time. It’s important that children have all the required vaccinations prior to starting school. If parents are unsure of their child’s vaccination status, please speak to your GP practice or other child health care professional to make sure your child is up to date.”

We would like to remind all parents to ensure their children have their MMR second dose before 5 years old as this protects them from Measles, Mumps and Rubella, and DTap/IPV Booster which protect against Diphtheria, Tetanus, Pertussis and Polio. These diseases are in circulation and an infection can cause serious compilations, particularly for a child.  But it is not only the child who is protected, vaccination programmes protect the whole population by making it harder for a disease to spread to others.

For further information about vaccinations and to download a personalised vaccination calendar please visit the NHS Choices website.

Help us celebrate 70 years of the NHS

This year marks the 70th anniversary of the National Health Service (NHS) as it celebrates its birthday on July 5 2018.  In the seven decades since it was founded in 1948 hundreds of millions of people have benefited from its services.

You can find us on social media – follow us and keep up to date with our latest posts as we celebrate the decades of the NHS during our countdown to the NHS’s 70th birthday on 5 July 2018.

    

 

Wiltshire CCG wants to mark the occasion by sharing local people’s memories and reminiscences of the NHS – either because they have worked for the service, or have received NHS treatment over the last 70 years.  In particular, the CCG is keen to hear from anyone who was born on 5th July 1948 and shares the same birthday as the NHS.

Dr Richard Sandford-Hill, Chair of Wiltshire Clinical Commissioning Group said,
“We’re welcoming stories and photographs from patients, staff, volunteers – anyone who has a memory to share and a story to tell”. 

People can share their memories and photos by emailing the Communications Team on NHS70.wccg@nhs.net or by post to Communications, Wiltshire CCG, Southgate House, Pans Lane, Devizes, Wiltshire, SN10 5EQ.  If you are sending any original photographs and would like them returned, please include your name and contact address.

Founded on the principle of free high quality health care for all, the NHS has evolved to meet our changing needs through new treatments, pioneering surgeries and technical innovations – helping us live longer and better lives.

None of this would be possible without the skill, dedication and compassion of NHS staff, as well as the many volunteers, charities and communities that support us and work tirelessly to provide care and support for everyone.

Please get in touch if:

  • You share the same birthday as the NHS – were you one of the first babies to be born on 5 July 1948 in the NHS?
  • You have recollections of working for the local NHS in Wiltshire (past and present) during the last 70 years
  • You have received treatment or care from the NHS in Wiltshire and would like to share your story
  • You can share any memories of our hospitals in Wiltshire, particularly if you have any old photographs of our hospitals (past and present) or the staff who worked in them
  • We are especially interested in any memories and photographs from 1948, the year the NHS was founded – and to hear from those who were born in 1948.

Don’t let ticks ruin your outside fun this Spring!

With the arrival of Spring Wiltshire Clinical Commissioning Group is advising people to brush up on their knowledge of ticks, tiny spider-like creatures found in woodland and long grass, to minimise their risk of infection, especially during outdoor activities, like camping or hiking.

Ticks are present in most parts of the country and can be found in forests, woodland, heaths, moorland areas and urban parks.  Whilst irritating, most tick bites are harmless however, some ticks are infected with bacteria which can cause Lyme disease.

Dr Lindsay Kinlin, said
“Ticks that can transmit Lyme disease are very small – about the size of a poppy seed – and can easily be overlooked, so it is important to check regularly for attached ticks on the skin. 

Ticks prefer warm, moist places on your body, especially the groin area, waist, arm pits, behind the knee and along the hair line, so look out for anything as tiny as a freckle or a speck of dirt.”

Most ticks do not carry the infection, but if one is found it should be removed promptly.  Infected ticks are unlikely to transmit Lyme disease if they are removed in the early stages of attachment, generally the tick must be attached to an individual for 36 to 48 hours or more before it can spread the disease.  They can be removed with tweezers or special tick hooks, by pulling them gently upwards away from the skin.

To minimise the risk of being bitten, take these steps to protect yourself:

  • Keep to paths and away from long grass or overgrown vegetation if possible, as ticks crawl up long grass in their search for a feed
  • Wear appropriate clothing in tick infested areas (long sleeved shirt and long trousers tucked into socks). Light coloured fabrics are useful, as it is easier to see ticks against a light background
  • Consider using insect repellents, e.g. DEET
  • Inspect skin frequently and remove any attached ticks
  • At the end of the day, check again thoroughly for ticks, especially in skin folds
  • Make sure that children’s head and neck areas, including scalps, are properly checked
  • Check that ticks are not brought home on clothes
  • Check that pets do not bring ticks into the home on their fur

If you have been bitten by a diseased tick, symptoms of Lyme disease usually appear between 3 and 30 days and are similar to those of influenza.  If you are having flu-like symptoms, head-aches, muscle pain or joint pain, accompanied by a bulls-eye rash pattern on your skin you should make a GP appointment as soon as possible and remember to tell them you were bitten by a tick.

Major step forward to development of Devizes Health Centre

We are thrilled to announce that the GP-led Health Centre for Devizes can move to its next phase, after a commitment of £7million to funding.

The project, which we have led, aims to deliver significant benefits to patient care by creating a modern and sustainable facility for the people of Devizes and the surrounding area.

NHS Property Services (NHSPS), which owns the site of the proposed new development at Marshall Road, has this week confirmed it can commit to funding the construction phase of the project subject to conditions including the approval of the business cases by  NHS England and ourselves at Wiltshire CCG.

The commitment from NHSPS to fund the construction costs comes as outline planning permission for the development from Wiltshire Council is expected later this month.  However, the funding commitment marks a considerable move in respect to the scheme’s delivery.  We have held ongoing discussions regarding the proposal with NHS England and NHS Property Services to secure a solution to the complex ownership, planning, leasing and funding arrangements for the last three years.    

Dr Richard Sandford-Hill, Chairman of Wiltshire CCG and lead GP for the project said: 

“It’s really exciting to see that the Devizes Health Centre project is taking a significant step forward, and I’m delighted on behalf of the five Devizes GP practices and the CCG.  The commitment from NHS Property Services means it’s all systems “go” to work towards the implementation of this important, long awaited scheme that will provide modern, fit for purpose premises for the delivery of healthcare for the people of the Devizes community area.  There’s still a lot of work to do, and we look forward to the outcome of the Outline Planning Application, but we’re extremely confident now that we’re well on the way to achieving what we set out to do on behalf of our patients”.

The next step in the project will involve us concluding the outline business case, including a commitment to fund the future costs of running the health centre. 

If the outline business case is approved, work on developing the detailed design of the scheme can begin to inform the full business case, which would  then need to be approved by us and by NHS England.

Andrew Strange, Senior Strategy Manager at NHS Property Services, said:

“This is an important stage of the project.  There is still a long way to go and we will continue to work closely with the CCG and future occupiers to develop the scheme”.

The health centre development is part of a wider scheme that involves the release of land at Marshall Road for housing, and, in due course, the outdated community hospital in the town.

Accessing healthcare in Wiltshire over the Easter bank holidays

With some health services closing for a few days over the Easter bank holidays, 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  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Bradford-on-Avon and Melksham
 Health Partnership
08:00 – 18:00
Telephone cover
18:00-18:30
Out of hours Out of hours Out of hours Out of hours 08:00 – 18:00
Telephone cover
18:00-18:30
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Day Lewis Pharmacy (Silver Street) Closed 09:00 – 11.30 Closed Closed 09:00 – 13:00, 14:00 – 17:30
 Day Lewis Pharmacy
 (St Margarets Station Approach)
Closed 09:00 – 12:00 Closed Closed 09:00 – 13:00, 14:00 – 18:30

Calne >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Northlands Surgery 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Patford House Surgery 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Beversbrook Medical Centre 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Boots 09:00 – 13:00,
14:00 – 18:00
09:30 – 15:30 Closed Closed 09:30 – 13:00,
14:00 – 17:30
 Lloyds Closed 09:00 – 12:30 Closed Closed 09:30 – 13:00,
14:00 – 17:30
 Well Pharmacy Closed Closed Closed Closed 09:00 – 17:00
 Northlands Surgery Closed 07.00 – 21.30 Closed Closed 07.00 – 21.30

Chippenham >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Hathaway Surgery 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Rowden  Surgery 08:00 – 18:30  Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
 Jubilee Field Surgery 08:00 – 14:00
cover from Sutton
Benger 14:00 – 18:30 
Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
(Telephone cover
13:00 – 14:00)
 Lodge Surgery 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Boots 08:30 – 13:00,
14:00 – 17:30
09:30 – 15:30 Closed 10:00 – 16:00 09:30 – 13:00,
14:00 – 17:30
 Lloyds (Hathaway Medical Centre) 10:00 – 16:00 08:00 – 22:30 09:00 – 22:00 10:00 – 16:00 08:00 – 22:30
 Morrisons 10:00 – 16:00 09:00 – 17:00 Closed 10:00 – 16:00 09:00 – 17:00
 Lloyds (Bath Road) 08:00 – 14:00,
14:30 – 20:00
09:00 – 12:00,
14:30 – 17:30
Closed 09:00 – 14:00,
14:30 – 19:00
09:00 – 12:00,
14:30 – 17:30
 Lloyds (St Luke’s Drive) Closed 08:30 – 13:00 Closed Closed 08:30 – 18:00
 Well Pharmacy Closed Closed Closed Closed 09:00 – 18:00

Corsham >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Porch Surgery 08:00 – 18:30 
(Telephone cover
12:30-13:30 )
Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
(Telephone cover
12:30-13:30 )
 Box Surgery 08:00 – 18:30 
(Telephone cover
13:00-14:00 )
 Out of hours  Out of hours  Out of hours  Out of hours 08:00 – 18:30 
(Telephone cover
13:00-14:00 )
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Shaunaks Closed Closed 13:00 – 15:00 Closed 09:00 – 12:30,
13:30 – 18:00
 Boots 08:30 – 17:30 09:30 – 15:30 Closed Closed 09:30 – 13:30,
14:30 – 17:30
 Box Pharmacy Closed 09:00 – 13:00 Closed Closed 09:00 – 13:00,
14:15 – 18:15

Devizes >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Lansdowne Surgery 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Southbroom Surgery 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 St James’ Surgery 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Market Lavington Surgery 08:00 – 18:30  Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Courtyard Surgery 08:00 – 18:30
(Telephone cover
12:30 – 13:30)
Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
(Telephone cover
12:30 – 13:30)
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Day Lewis (Market Lavington) Closed 09:00 – 12:00 Closed Closed 09:00 – 13:00,
14:00 – 18:00
 Morrisons 10:00 – 16:00 09:00 – 13:00,
14:00 – 17:00
Closed 10:00 – 16:00 09:00 – 13:00,
14:00 – 17:00
 Boots 08:30 – 13:30,
14:30 – 17:30
09:30 – 15:30 Closed 10:00 – 16:00 09:30 – 12:00,
13:00 – 17:30
 Rowlands Pharmacy Closed 09:00 – 11:30 Closed Closed 09:00 – 13:00,
14:00 – 17:30

Malmesbury >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Malmesbury Surgery 08:00 – 18:30 Out of hours Booked Patient
Appointments
08:00 – 11:30
Out of hours Out of hours 08:00 – 18:30
 Tolsey Surgery 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Boots (High Street) 09:00 – 17:30 09:30 – 15:30 Closed Closed 09:30 – 13:00,
14:00 – 17:30
 Boots (Priory Way) 08:00 – 16:00 06:30 – 20:30 Closed Closed 06:30 – 22:30
 Lloyds Closed 09:00 – 11:00,
14:00 – 17:00
Closed Closed 09:00 – 14:00,
16:30 – 18:30

Marlborough and Pewsey >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Kennett & Avon Medical Partnership 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Ramsbury Surgery 08:00 – 18:30 Out of hours Booked Patient
Appointments
08:15 – 11:30
Out of hours Out of hours 08:00 – 18:30
 Old School House Surgery 08:00 – 12:00
Cover from Burbage
practice 12:00 – 18:30
Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Burbage Surgery 08:00 – 18:30
(Telephone cover
13:00 – 14:00)
Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
(Telephone cover
13:00 – 14:00)
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Boots (Marlborough) 08:45 – 17:30 09:30 – 15:30 Closed 09:00 – 17:30 09:30 – 13:30,
13:30 – 17:30 
 Kennet Pharmacy Closed Closed Closed Closed 09:00 – 17:00
 Boots (Pewsey) 09:00 – 18:00 09:00 – 11:00 Closed Closed 09:00 – 13:00,
14:00 – 17:30

Melksham >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Giffords Surgery     08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Spa Surgery     08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Gompels (Spa Medical Centre) Closed Closed Closed Closed 09:00 – 13:00,
14:00 – 18:00
 Gompels (Bank Street) Closed 09:00 – 13:00 Closed Closed 09:00 – 13:00,
14:00 – 17:30
 Boots Closed 09:30 – 13:00,
14:00 – 17:30
Closed Closed 09:30 – 13:00,
14:00 – 17:30
 Lloyds (Bath Road) 10:00 – 16:00 07:00 – 22:00 Closed 10:00 – 16:00 07:00 – 23:00
 Asda 09:00 – 18:00 07:00 – 22:00 Closed 09:00 – 18:00 07:00 – 23:00
 Lloyds (Spa Road) Closed 09:30 – 12:00 Closed Closed 08:30 – 12:00,
14:30 – 18:30

Royal Wootton Bassett >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Tinkers Lane Surgery 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 New Court Surgery 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Boots 09:00 – 13:00,
14:00 – 17:30
09:30 – 13:00,
14:00 – 17:30
Closed Closed 09:30 – 13:00,
14:00 – 17:30
 Cohens (Boroughfields)  Closed 09:00 – 12:00,
14:30 – 17:30
Closed Closed 09:00 – 12:00,
14:30 – 18:30
 Cohens (High Street)  Closed 08:45 – 13:00 Closed Closed 09:00 – 13:00,
14:00 – 18:00

Salisbury >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Orchard Partnership 08:00 – 18:30 Out of hours Booked Patient
Appointments
09:00 -12:00
Out of hours Out of hours 08:00 – 18:30
 Six Penny Handley  08:00 – 18:30   Out of hours  Out of hours    Out of hours   Out of hours  08:00 – 18:30
 Salisbury Medical Practice 08:00 – 18:30   Out of hours   Out of hours   Out of hours   Out of hours 08:00 – 18:30
 Avon Valley Practice  08:00 – 18:30  Out of hours Out of hours   Out of hours Out of hours  08:00 – 18:30 
 Three Chequers Medical Practice 08:00 – 18:30 Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
 Harcourt Medical Centre 08:00 – 18:30  Out of hours  Out of hours  Out of hours  Out of hours 08:00 – 18:30
 Whiteparish Surgery 08:00 – 18:30
(Telephone cover
13:00 – 14:00)
 Out of hours Booked Patient
Appointments
08:00 – 12:00
 Out of hours  Out of hours 08:00 – 18:30
(Telephone cover
13:00 – 14:00)
 Barcroft Medical Centre 08:00 – 18:30   Out of hours  Out of hours  Out of hours  Out of hours 08:00 – 18:30
 Castle Surgery 08:00 – 18:30   Out of hours  Out of hours  Out of hours  Out of hours 08:00 – 18:30 
 Downton Surgery  08:00 – 18:30  Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
 St Melor House Surgery  08:00 – 18:30  Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
 Tisbury Surgery   08:00 – 18:30  Out of hours Out of hours Out of hours Out of hours  08:00 – 18:30 
 Silton Surgery  08:00 – 16:00
Telephone cover
16:00 – 18:30
Out of hours Out of hours Out of hours Out of hours  08:00 – 16:00
Telephone cover
16:00 – 18:30
 Hindon Surgery  08:00 – 18:30  Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
 Cross Plain Surgery   08:00 – 18:30
(Telephone cover
13:00 – 14:00)
Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30
(Telephone cover
13:00 – 14:00)
 Mill Stream Medical Centre  08:00 – 18:30  Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Boots (Amesbury – Salisbury Street) 09:00 – 14:00 09:00 – 11:00 Closed Closed 09:00 – 12:30,
13:30 – 17:30
 Boots (Amesbury – Stonehenge Walk) Closed Closed Closed Closed 09:00 – 13:30,
14:30 – 18:30
 Rowlands Pharmacy (Pembroke Road) Closed 09:00 – 11:30 Closed Closed 09:00 – 13:00,
14:00 – 17:30
 Bishopsdown Pharmacy  Closed Closed   Closed  Closed  09:00 – 13:00,
14:00 – 18:00
 Downton Pharmacy Closed 09:00 – 11:30 Closed Closed 09:00 – 13:00,
14:00 – 17:30
 Lloyds (Amesbury – Bulford Road) Closed Closed Closed Closed 14:00 – 17:30
 PW and JA Hedge (Central Street) Closed 09:00 – 13:00 Closed Closed 09:00 – 13:00,
14:00 – 18:00
 Tesco (Bourne Centre) 08:00 – 22:00 08:00 – 20:00 Closed 09:00 – 18:00 08:00 – 20:00
 Rowlands Pharmacy (Cranebridge Road) Closed Closed 15:00 – 17:00 Closed 09:00 – 13:00,
14:00 – 18:00
 Superdrug (George Mall) 08:30 – 13:30,
14:00 – 17:30
09:00 – 13:30,
14:30 – 17:30
Closed Closed 09:00 – 13:30,
14:30 – 17:30
 Three Swans Pharmacy Closed Closed 11:00 – 13:00 Closed 09:00 – 13:00,
14:00 – 18:00
 Boots (Silver Street) 08:30 – 17:30 09:30 – 14:00,
15:00 – 17:30
Closed 10:00 – 16:00 09:30 – 14:00,
15:00 – 17:30
 Rowlands Millstream Medical Centre
 (Avon Approach)
Closed 09:00 – 11:30 Closed Closed 09:00 – 17:30
 Tanday Pharmacy Closed Closed Closed Closed 09:00 – 14:00,
15:00 – 18:00
 Rowlands (St Ann Street) Closed Closed Closed Closed 09:00 – 13:00,
14:00 – 18:00
 Boots (Tisbury – High Street) 10:00 – 16:00  09:00 – 13:00 Closed Closed 09:00 – 12:00,
14:00 – 18:00
 PW and JA Hedge (Dummer Lane) 10:00 – 13:00  09:00 – 18:00 10:30 – 13:00 10:00 – 13:00 09:00 – 13:00,
14:00 – 18:00
 Lloyds (Wilton – North Street) Closed 09:00 – 11:00,
14:00 – 17:00
Closed Closed 09:00 – 12:00,
14:00 – 18:00

Swindon >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Purton Surgery           08:00 – 18:30  Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
 Cricklade Surgery           08:00 – 18:30  Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Boots (Cricklade – High Street) Closed 09:00 – 11:30 Closed Closed 09:00 – 13:00,
14:00 – 17:30
 Lloyds (Purton) Closed 09:30 – 12:00 Closed Closed 09:00 – 12:30,
15:00 – 18:30
 Lyneham Pharmacy Closed 09:00 – 13:30 Closed Closed 09:00 – 18:30

Trowbridge

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Trowbridge Health Centre      08:00 – 18:30   Out of hours  Out of hours  Out of hours  Out of hours 08:00 – 18:30 
 Lovemead Surgery      08:00 – 18:30  Out of hours Out of hours  Out of hours  Out of hours 08:00 – 18:30 
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Boots (Polebarn Circus) Closed 09:00 – 12:00 Closed Closed 09:00 – 13:00,
14:00 – 18:00
 Boots Trowbridge Health Centre
 (Seymour Road)
Closed 09:00 – 11:00 15:00 – 17:00 Closed 09:00 – 13:00,
14:00 – 18:00
 Boots (Bythesea Road) 08:00 – 19:00 08:00 – 00:00 Closed 08:00 – 19:00 08:00 – 00:00
 Tesco 06:30 – 22:30 06:30 – 22:00 Closed 09:00 – 18:00 08:00 – 22:30
 Gorgemead (Bradford Road) Closed Closed Closed Closed 09:00 – 13:00,
14:00 – 18:00
 Gorgemead (Wingfield Road) Closed Closed Closed Closed 09:00 – 13:00,
14:00 – 18:00
 Lloyds Closed 09:00 – 13:00 Closed Closed 09:00 – 13:00,
14:00 – 18:00
 Superdrug 08:30 – 13:00,
13:00 – 17:30
09:30 – 13:15,
13:45 – 17:30
Closed Closed 10:00 – 13:15,
13:45 – 17:00

Warminster >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Avenue Surgery            08:00 – 18:30  Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
 Mere Surgery           08:00 – 17:00
Medvivo
17:00 – 18:30
Out of hours Out of hours Out of hours Out of hours 08:00 – 17:00
Medvivo
17:00 – 18:30
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 Boots (The Avenue) Closed Closed Closed Closed 09:00 – 13:00,
14:00 – 18:00
 Boots (Market Place) 08:30 – 12:30,
13:30 – 17:30
08:30 – 13:00,
14:00 – 17:30
Closed 10:00 – 16:00 09:30 – 13:00,
14:00 – 17:30
 Well Pharmacy Closed 09:00 – 14:00 Closed Closed 08:45 – 15:45
 Mere Pharmacy Closed 09:00 – 13:00 Closed Closed 09:30 – 13:00,
14:00 – 17:30

Westbury >

 GP surgeries
 Practice  29/03/2018  30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 White Horse Health Centre 08:00 – 18:30  Out of hours Out of hours Out of hours Out of hours 08:00 – 18:30 
 Pharmacies
   30/03/2018 31/03/2018  01/04/2018  02/04/2018  03/04/2018 
 John Preddy and Co Closed Closed Closed Closed 09:00 – 17:00
 Boots 10:00 – 16:00   09:00 – 17:30  Closed Closed 09:00 – 18:00
 Shaunaks Closed Closed 10:00 – 12:00 Closed 09:00 – 17:00