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.

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

Know where to go to find the right healthcare this Easter

Wiltshire Clinical Commissioning Group is advising people to be prepared so they know where to go for healthcare advice and treatment over the Easter bank holiday; helping them to access the right service at the right time according to their needs.

Dr Richard Sandford-Hill, Chair of Wiltshire Clinical Commissioning Group said,
“Easter is a great time to get out and about with friends and family, particularly if the weather is good, and no-one wants illness or injury to affect their plans. We’re encouraging people to be well-prepared ahead of the bank holiday and know where to go to access the right healthcare that you might need. To help with this Wiltshire CCG has an easy to use ‘Around the clock healthcare leaflet’ available to download from our website

Bank holidays are extremely busy times for the NHS and we are asking people in Wiltshire to use our local services wisely this Easter so that our emergency services, such as 999, are available for those who need them most.

Healthcare services in Wiltshire

Pharmacists – are experts on medicines and how they work. They can also offer advice on common complaints such as coughs, colds, aches and pains and other health issues and help to decide whether it’s necessary to see a doctor. Find your nearest pharmacy here.

Minor Injuries Units – are for patients with less serious injuries, such as sprains, cuts and grazes. No appointments are required and they are led by qualified nurse practitioners. Find out MIU opening times in Chippenham and Trowbridge here.

Salisbury walk-in centre – open from 6.30pm until 10pm week days, and 8am until 8pm weekends including bank holidays. The centre is run by a team of experienced doctors and nurses and is based on a first come first served basis, unless someone is acutely unwell and needs immediate attention. For details on how to find the Salisbury walk-in centre visit: http://www.salisburywalkincentre.co.uk.

NHS 111 – available 24 hours a day, 365 days a year and calls to 111 are free from landlines and mobiles. It is staffed by a team of fully trained advisers, supported by experienced clinicians. Healthcare advice can be given over the telephone, or you may be directed to a local service if appropriate.

For life threatening situations serious injuries, loss of consciousness, chest pain or suspected stroke you should always call 999.

Dr Sandford-Hill continues,
“We also strongly recommend that people check that they have enough of their routine medication to see them through the four day weekend. If you need to order more, it is advisable to request it well in advance of the bank holiday to ensure that you receive it in time.”

Stub it out’. That’s the message to smokers as all NHS sites across B&NES, Swindon and Wiltshire begin their nine month countdown to become completely smoke free

From Tuesday 1 January 2019 all NHS sites and services across Bath & North East Somerset, Swindon and Wiltshire will be smoke free.

In nine 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. Some NHS providers may become smoke free before Tuesday 1 January 2019.

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.

Duncan Selbie, Chief Executive of Public Health England, has written to the Chief Executives of every NHS Trust in England calling for their personal commitment to becoming a smoke free NHS.

Across B&NES, Swindon and Wiltshire all NHS providers are committed to no tobacco use on site and providing support to staff and patients to either stop smoking or manage their nicotine dependency while at work or during their stay in hospital.

Dr Ian Orpen and Dr Christine Blanshard, co-chairs for the BSW STP Clinical Board, said:
“Currently many of our NHS sites and providers have designated areas for smoking, which are used by staff, patients and visitors. From Tuesday 1 January 2019, this will no longer be the case. “The buildings have been smoke free for several years, but the introduction of this new policy across B&NES, Swindon and Wiltshire, means smoking and tobacco use will not be allowed anywhere on site, even in car parks.

“We want to send out a clear message that smoking severely damages your health and can slow down your recovery time after an operation or procedure. We will be providing support for our staff and patients to help them become smoke free, should they wish to.

“We understand that some people may not wish to stop smoking and we will be providing them with assistance to ensure that during their stay in hospital or whilst at work they can abstain by using Nicotine Replacement Therapy (NRT) and support from our stop smoking advisors. “E-cigarettes are currently the most popular method for quitting amongst smokers so we will be looking at how we can support smokers who wish to use these devices.”

The announcement is being made nine months ahead of the implementation of smoke free NHS sites to ensure widespread awareness and provide time for those who do smoke to prepare for the change.

Some of the measures that will be used to ensure staff, patients and visitors are aware of the policy change include:

  • New on-site signage
  • Messages in patient letters
  • Training for all frontline staff to help patients stop or abstain from smoking
  • Events to promote the new policy

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.

Wiltshire Council and CCG praised for improving cervical screening attendance

We are among the 20% of local authorities praised by Jo’s Cervical Cancer Trust, for comprehensive and targeted work to improve cervical screening attendance in Wiltshire. However, uptake of cervical screening is decreasing and currently at a 20 year low nationally – which leaves women at an increased risk of developing cancer.
Ben Anderson, portfolio holder for Public Health said: “We know that cervical screening saves lives. It’s very important women are encouraged to attend their screening appointments so that any changes can be detected and investigated at an early stage.  Being recognised like this gives us confidence that we’re doing things the right way. Prevention is always better than cure and we’re determined to do everything we can to ensure cervical screening attendance continues to rise in Wiltshire.”

Jo’s Cervical Cancer Trust recently published a report which highlighted areas, including Wiltshire, that have implemented good practice to improve cervical screening uptake. It urges other CCGs, local authorities and GP practices across England to work together to plan activities and interventions to increase cervical screening coverage.

Dr Richard Sandford-Hill, Chair of Wiltshire Clinical Commissioning Group and GP at Market Lavington Surgery added: “It is really important to continue to encourage women in Wiltshire to attend regular survival screening.  This allows us to pick up pre-cancerous changes in the cervix before they develop into cancer, meaning these cells can then be treated.  Screening only takes a few minutes and can save many lives, so please do attend your screening appointment when invited.”

One in three women diagnosed with breast cancer each year are aged 70 or over

NHS Wiltshire Clinical Commissioning Group is supporting the national Be Clear on Cancer campaign and are urging women aged 70 or over to be aware of breast cancer symptoms.

Breast cancer is the most common cancer in women in England with around 44,600 women diagnosed every year. National figures show that around 9,500 women die from breast cancer each year and over half of these women are aged 70 and over (5,400). This equates to around 15 women aged 70 and over dying from breast cancer in England every day.

Dr Andy Hall, GP at Orchard Partnership said,
“Despite older women being at an increased risk of breast cancer, they are also more likely to delay in going to their GP with breast cancer symptoms. We are not just talking about a lump, if you notice any unusual or persistent changes to your breasts such as a change to a nipple, or to the skin or the shape of a breast, book an appointment with your doctor and have it investigated.”

It’s important for all women over 70 to not assume they are past it. Early diagnosis of breast cancer is crucial and means treatment is more likely to be successful.  If breast cancer is diagnosed at the earliest stage, it will increase their chances of survival.

Dr Hall continued,
“It’s important to carry on checking your breasts as you get older because the chance of being diagnosed with breast cancer increases with age. The earlier it’s caught the better, so know the symptoms, and don’t be afraid to visit your doctor if you are concerned about any potential signs.”

Possible signs of breast cancer include:

  • A lump or thickening in your breast or armpit
  • Change to the skin of your breast
  • Changes in the shape or size of your breast
  • Nipple changes
  • Nipple discharge
  • Pain in your breast or armpit
  • Any other unusual or persistent changes to your breasts

If you have any of these symptoms, your doctor will want to see you.

For more information on the signs and symptoms of breast cancer, please visit our campaign page

New service to support children and young people with their emotional wellbeing and mental health

The views of children, teenagers, parents, carers and healthcare professionals have helped to shape a modern service for children and young people with emotional wellbeing and mental health problems.

The Child and Adolescent Mental Health Service (CAMHS) provides targeted and specialist mental health and wellbeing support to children and young people aged 0-18 years.

The contract to deliver CAMHS was due for renewal and in a unique move Bath and North East Somerset, Swindon and Wiltshire joined forces to procure the new service to promote integrated working across the three areas as well as provide more seamless and better quality of care and support to children, young people and families.

The preferred bidder, Oxford Health NHS Foundation Trust, has been awarded the contract and shall start providing the service from 1 April 2018.

As the specification for the new service was drawn up, more than 200 individuals from across Bath and North East Somerset, Swindon and Wiltshire (including children, young people, parents and carers, and multi-agency professionals) were consulted.

Their views have helped shape how children, young people and their families will have timely access to an integrated system of co-ordinated and effective promotion, prevention, early intervention and community support and treatment.

Kirstie Stage is a member of Youth Parliament for Wiltshire West and Wiltshire Assembly of Youth. She was one of the young people involved in advising commissioners on the new look service.

She said: “To play an active role in the consultation has reflected a positive message: professionals are asking for input and young people are being listened to seriously. Mental health is such a prevalent issue and by improving the CAMHS services, young people are able to access support and thrive.”

Laura Mayes, cabinet member for children’s services at Wiltshire Council said: “We are really grateful to the many people who gave us their valuable feedback to help shape how we provide this support to have a positive impact on young lives into the future. Our young people are growing up in a very different world to just a few years ago and it’s vital we have their views on how we can best support them.”

Ted Wilson, Director of Community Services and Joint Commissioning, Wiltshire CCG said: “With valuable input from young people across Wiltshire, Bath and North East Somerset and Swindon we have commissioned a mental health service that will better suit their needs, be easier for them to access and will provide improved advice and support.”

Donan Kelly, Interim Service Director for Children and Young People at Oxford Health, said: “We are delighted to be awarded the contract for providing Child and Adolescent Mental Health Services across Bath and North East Somerset, Swindon and Wiltshire.

“This builds upon the good work of the existing services that we have provided across the region, and going forward, the consultation and new contract provide the opportunity to make a real difference in the way services are delivered: we want to provide a seamless accessible service that also helps bring together wider community support to improve the overall emotional wellbeing and mental health of children, young people and their families.”

Out of hours service for children in South Wiltshire

An out of hours GP service for children aged 0-10 years in Salisbury and South Wiltshire means parents can now book a same day appointment to see a GP at the Salisbury Walk In Health Centre.

This extended service will provide out of hours GP health advice and treatment for minor illnesses and injuries from Monday to Friday between 6.30pm-10pm, and will provide parents with a local alternative to A&E when their child is ill.

Dr Chet Sheth, spokesperson for Wiltshire Clinical Commissioning Group and GP at Three Chequers Medical Practice comments:
“We understand how worrying it is for parents to have a sick child, even more so when local GP surgeries are closed. Often the default for parents is to take their poorly child to A&E. This isn’t always the best place for them and quite often it’s local community health advice and treatment that is needed. “This new out of hours service is designed to reduce some of the pressure seen at A&E over the winter months and to provide parents with accessible, local, health advice and treatment for their child.”

Parents should ring 111 to access the service. If necessary, the call handler will then advise parents to contact the Salisbury Walk In Health Centre to make a same day appointment.

The Salisbury Walk in Centre can be found at Avon Approach, Salisbury, Wiltshire SP1 3SL. 

Patients have a responsibility to be ‘fit, willing and able’

Wiltshire patients are being encouraged to be ‘fit, willing and able’ this winter to ensure planned outpatient clinics and operations run as smoothly as possible over the traditionally pressured winter period.

Wiltshire Clinical Commissioning Group (CCG) is working with GPs and hospital clinicians across Bath and North East Somerset, Swindon and Wiltshire to help guide patients through their treatment pathways and in turn reduce the number of instances where patients do not turn up for their appointments, or decline required appointments, or dates for planned operations.

The CCG is also concerned about the increasing number of patients who are referred for cancer investigations who are declining, or choosing to postpone their appointments and assessments.

Dr Christine Blanshard, Medical Director for Salisbury Hospital  explains:
“We are asking patients to help us by helping themselves and ensuring they are fit, willing and able this winter, so that we can continue to deliver a high quality service. “When patients are not at their optimum health, do not attend their appointments, or decline the dates that we offer it wastes the time of our ever-stretched doctors and nurses. It’s important that our patients who are referred understand the requirements of them.   “During 2016/17, 23,493 outpatient appointments were missed across Salisbury Foundation Trust, Royal United Hospital in Bath and Great Western Hospital in Swindon. Between April – June 2017, 5,835 patients failed to turn up to, or declined appointments and planned surgery dates, suggesting a similar trend to the previous year.”
Dr Andy Hall from The Orchard Partnership in Fovant explains:
“With people living longer and with more complex conditions such as cancer, patient referrals for specialist health care are at an all-time high. “When referred patients do not to turn up to their appointments, or decide to postpone their outpatient appointment, or surgery it can have a detrimental effect on their current and future health – and that is our primary concern. “We recently clinically reviewed the number of patients who had been referred to hospital for potential cancer investigations who had chosen to delay their appointment. We were very worried by the high numbers and want to ensure patients understand the importance of attending.”

Wiltshire CCG has worked with clinicians to develop the ‘fit, willing and able’ campaign to help patients understand the importance of attending their appointments, particularly for patients who are referred with symptoms that could indicate cancer.

The campaign focuses on ensuring patients are:

Fit – aware of their planned treatment and are in their best health to get the maximum benefit from it. This can include maintaining a healthy weight and stopping smoking.

Willing – clear about what their treatment entails and are willing to sign up to it at the outset

Able – committed to attending future appointments and understand that this may require flexibility on their part

Dr Richard Sandford-Hill, Clinical Chair for Wiltshire CCG, explains:
“As we enter the winter period, which is notoriously challenging for the NHS nationwide, we want to help patients to have the best experience with their specialist care; at the same time as ensuring we are using our resources as efficiently as possible. “Our fit, willing and able campaign aims to ensure referred patients can and do attend their planned appointments. By helping patients to be fit for treatment, clarifying their willingness to have surgery early in the process and by being able to attend their appointments we can deliver a smooth service and help to minimise the impact of winter pressures.”

Increased emergency admittances to hospital over the winter have a knock-on effect to those patients who have been referred and have pre-planned appointments.

For more information, please visit www.wiltshireccg.nhs.uk

NHS Wiltshire asks patients to plan ahead and order their repeat prescriptions before Christmas

Many GP practices and pharmacies will have limited opening hours between Christmas and New Year, so Wiltshire Clinical Commissioning Group is reminding patients to plan ahead to ensure they have enough medication to last over the festive break.

Alex Goddard, Deputy Head of Medicines Management at Wiltshire Clinical Commissioning Group (CCG) said,
“As you get ready for Christmas, the last thing on your mind might be to check that you have enough medicine.  However being prepared is important to ensure that you have enough of the medication you need. “Because of the bank holidays and the amount of winter illnesses circulating at this time of year, your GP practice and pharmacy may be busier than normal. Ordering your prescription early means you can save yourself some time and help to ease the pressure on the NHS.”

Ordering and collecting new prescriptions can take several days, which is why patients are being urged to plan ahead. Prescriptions can be ordered by patients visiting, or phoning their pharmacy or GP practice, with some practices offering a quick and easy online ordering system.

Seven Wiltshire practices also use the Prescription Ordering Direct (POD) service, which allows patients to order their repeat prescriptions over the phone then collect them from a pharmacy.

These are:

  • Lovemead Group Practice
  • Giffords Surgery
  • Castle Practice
  • White Horse Health Centre
  • Avenue Surgery
  • Tinkers Lane Surgery
  • New Court Surgery
Alex continued,
“The last thing we want for our patients is having their bank holiday spoilt by not being able to take regular medication. Check now that you have enough daily medication to see you through the break.  If you don’t, call into your pharmacist, local GP or ring the POD so that you get your repeat prescription in good time.”

 

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.