Small changes can help you and your loved ones stay well this winter

Wiltshire Clinical Commissioning Group is encouraging local people to follow eight simple steps to help them stay well over the winter months, as part of the national awareness week for Self Care.

Self Care Week runs from 13-19 November 2017 and focuses on helping people to help look after themselves better when it comes to their health.

Dr Lindsay Kinlin, a GP from The Avenue Surgery in Warminster, said:
 “Self care is about taking responsibility for your health and we’re encouraging Wiltshire people to make small changes to help them and their families to stay well over the festive period.”

Wiltshire Clinical Commissioning Group’s eight self care tips for Winter are:

S – see your pharmacist at the first sign of illness

Pharmacists are not only medicine experts, they can also offer advice and information on a range of minor illnesses and injuries. If you start to feel unwell this winter, even if it is just a cough or cold, get advice from your pharmacist before it gets more serious.

E – eat plenty of fruit and vegetables

A healthy diet is vital for your wellbeing, so try and eat five portions of fruit and vegetables every day.

L – learn more about around the clock healthcare services in Wiltshire

In Wiltshire there are many options available for when you need medical advice and treatment. Consider all of the choices available to help you make the right decision about where to go.

F – find out if you’re eligible for a free flu vaccine

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.

C – check in on your neighbours

Winter can be dangerous for elderly people, so checking they have enough supplies will mean they don’t need to go out in bad weather.

A – arrange to pick up your prescription

Many pharmacies and GP surgeries will be closed or have reduced working hours over the festive period. If you require a repeat prescription, make sure you order it in plenty of time.

R – restock your medicine cabinet

Looking after yourself when you’re feeling under the weather with a minor illness is easy if you already have a medicine cabinet stocked with painkillers, oral rehydration salts, anti-diarrhoea tables, antihistamines, indigestion treatments and a first aid kit.

E – ensure you stay warm

Cold weather can be very harmful and increase the risk of heart attacks, stroke and chest infections. Try and heat your home to at least 18°C and have a least one hot meal a day to stay warm.

Dr Kinlin continues,
”During winter our health services are put under a lot of pressure. By taking personal responsibility for our health and following our self care tips, we can help to free up valuable practitioner time, allowing us to focus on those people who need us the most.”

Find out more about small changes you can make to stay well this winter by visiting www.wiltshireccg,nhs.uk

Protect your unborn baby this winter with a free flu jab

The immune system is naturally lower during pregnancy, so if you were to catch the flu it could become serious very quickly.  Wiltshire Clinical Commissioning Group is encouraging all pregnant women to get the free flu vaccination this winter.

Flu can cause many complications during pregnancy, particularly in the later stages and in some cases it can lead to still birth or death in the first week of life.

Dr Lindsay Kinlin, GP at the Avenue Surgery in Warminster said,
“Flu can make otherwise healthy people feel very poorly and I would urge any lady who is pregnant to get the flu vaccination as soon as possible.  During pregnancy a women’s immune system is naturally lower to ensure that the pregnancy is successful.  As a result, pregnant women are less able to fight off infections and therefore more likely to be seriously ill if they contract the flu virus.”

The flu vaccination is the best protection against flu.  It is recommended during any stage in pregnancy, from the first few weeks through to the due date.  Keeping fit and healthy in pregnancy is important for your baby’s growth and development.

Women who have had the flu vaccine while pregnant also pass some protection on to their babies, which lasts for the first few months of their lives.

Dr Kinlin, added,
“Even if you have had the flu vaccination in previous years it is important to get it again because the type of virus in circulation changes every year, so the vaccine changes too.”

If you are pregnant, you are eligible for the flu vaccination free of charge.  It’s free because you need it.

Ask your midwife or GP about the flu vaccination now.  You can book an appointment at your GP practice or visit your local pharmacy.

Keep a well-stocked medicine cabinet at home this winter recommends NHS Wiltshire CCG

Wiltshire Clinical Commissioning Group is advising local residents to be prepared this winter with their own well-stocked medicine cabinet, so they can treat themselves at the first signs of coughs, colds, sore throats or stomach bugs.

Dr Andy Hall from The Orchard Partnership in Fovant said:
“Most people can take care of their own health at home when they have minor ailments, such as sore throats and coughs by having a well-stocked medicine cabinet, drinking plenty of fluids and getting lots of rest.”

Looking after yourself when you’re feeling under the weather with a minor illness is easy if you already have a well-stocked medicine cabinet. Keeping the following items will mean you can stay at home and focus on getting back to full health.

What to keep in your medicine cabinet

Painkillers

Aspirin, paracetamol and ibuprofen are highly effective at relieving most minor aches, pains, coughs and cold

Oral rehydration salts

Can help restore your body’s natural balance of minerals and fluid lost through diarrhoea, fever, vomiting – if you can’t continue your normal diet

Anti-diarrhoea tablets

It’s a good idea to keep anti-diarrhoea medicine at home as diarrhoea can happen without warning. Causes include food poisoning and a stomach virus

Antihistamines

Useful for dealing with allergies, insect bites and hay fever

Indigestion treatment

If you have stomach ache, heartburn or trapped wind, a simple antacid will reduce stomach acidity and bring relief

Suncream

Sunburn can happen at any time of year, so keep some suncream of at least factor 15, with UVA protection. Exposure to the sun can cause sunburn and increase your risk of cancer

Dr Andy Hall added,
“Many people are affected by minor illnesses and ailments at this time of year with coughs, colds and sickness and having a well-stocked medicine cabinet means you can treat these symptoms yourself at home and prevent the need for a doctor’s appointment.  Your local pharmacist can also help with advice and over the counter medicine for many minor ailments and you don’t need an appointment to see your pharmacist.”

If you do need medical help and advice on where to go to access the right healthcare (and it’s not an emergency), then call NHS 111 anytime. It’s free and they operate 24 hours a day, seven days a week.

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.

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.”

New Chairman of Wiltshire Clinical Commissioning Group

After almost three years as Chairman of Wiltshire Clinical Commissioning Group (Wiltshire CCG), Dr Peter Jenkins will step down on 30 September 2017, handing responsibility of Chairing the commissioning of Wiltshire’s health services to newly elected Dr Richard Sandford-Hill.

Dr Sandford-Hill was elected through a majority vote process by Wiltshire GPs, who make up the CCG membership of 50 practices, and will be responsible for shaping the strategic direction of the CCG together with members of its Governing Body.

Dr Jenkins said:
“I’m proud to have been part of helping to develop health services that are aligned to the needs and demands of a growing and increasingly ageing population, now and into Wiltshire’s future. 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 health care, with patients at the centre. This theme has been core to Wiltshire Clinical Commissioning Group since it was authorised in 2013. Our vision has always been to provide people in Wiltshire with the right services, at the right time, locally to them”.
Commenting on his new post, Dr Sandford-Hill, who is currently Senior Partner at Market Lavington Surgery said:
“I’m delighted to take up this new opportunity. Having spent four years as a Governing Body member of the CCG, I have a sound understanding of the organisation and of the issues we face and am committed to ensuring that the CCG is in the best possible position to enable the delivery of our objectives”.

Dr Sandford-Hill will continue working at Market Lavington Surgery and his patients will not see any difference to his current schedule.

He continued:
“Providing fair access to high quality, locally delivered health services, with people encouraged to take a personal responsibility for their health, is key. Health services in Wiltshire need to adapt to current and future demand and population trends. I’m convinced that by continuing to work closely with our partners across health and social care services, as well as voluntary organisations, we will be able to provide strong, sustainable health and care services now and for future generations”.
Linda Prosser, Interim Chief Officer at Wiltshire Clinical Commissioning Group, added:
“Peter has made significant contributions to the way we’ve been able to re-shape primary care services in Wiltshire and on behalf of the CCG Board I want to thank him for his outstanding commitment to health care services in our area, and the changes he has overseen. I know that Richard will bring a renewed energy to leading the CCG, and building on the important work already happening within the CCG, will drive it forward with our partners. We all look forward to welcoming him as Chairman at the beginning of October”.

£2.7 million wasted on missed appointments in Wiltshire

Over the course of 12 months more than 76,400 GP Practice appointments were missed in Wiltshire, leading to £2.7 million of pressured finances being wasted and the equivalent total population of Trowbridge and Salisbury not being able to get an appointment when they needed one.

Between July 2016 and June 2017, Wiltshire’s 50 GP Practices were recording an average of 29 missed GP, Practice Nurse and Healthcare Assistant appointments every week. Known as ‘Did Not Attends’, missed appointments have a huge impact on the health economy, prevent other patients from being seen and wastes practitioners’ valuable time.

Dr Andrew Girdher from Box Surgery said:
“The scale of missed appointments across Wiltshire is extremely high and adding unnecessary pressure to already stretched NHS resources. “It’s really important that if a patient no longer needs, or cannot attend their appointment that they cancel it. We understand that people often feel better by the time their appointment comes around, or that circumstances change meaning it is no longer convenient, but cancelling your unwanted appointment allows other patients to be seen more quickly.”

Most Wiltshire Practices have multiple ways to make cancelling an appointment easy at any time of day including online systems, dedicated telephone lines with answer machine facilities and text messaging services. Speak to your Practice Receptionist to find out what’s available at your Practice to help make cancelling appointments easy for you, your family and friends.

Dr Richard Sandford-Hill, a GP from Market Lavington Surgery, explains:
“On average a GP will conduct 30 appointments per day and based on the total number of missed appointments for July 2016 – June 2017, that’s the equivalent of 2,547 days of general practitioner time that has been lost. “It’s widely known that NHS resources are under significant pressure, particularly as the needs of patients increase, which is why it’s important that people understand the impact they have if they simply do not turn up to their appointment.”

The reported number of missed appointments wasted £2.7 million of public money, which could have been spent on over 63,000 hours of nursing hours in a GP Practice, or used to pay for:

  • 324 heart bypasses,
  • 2,853 cataract operations, or
  • 711 treatments for stroke
Dr Girdher continues:
“The numbers speak for themselves and highlights the collective impact missed appointments across Wiltshire have on our local health economy. Everyone has a responsibility to look after the NHS – it is tax payers’ money after all – and we urge patients to remember to cancel their unwanted appointments and to help their friends and family to do the same.”

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.”

More information about Prescription Ordering Direct can be found on Wiltshire Clinical Commissioning Group’s website – www.wiltshireccg.nhs.uk.

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.