CORONAVIRUS GUIDANCE

You can find the latest information and advice from Public Health England at NHS Choices at www.nhs.uk or go to NHS 111 ONLINE


The COVID-19 Pandemic is having an unprecedented impact on the National Health Service across the country, stretching services which were already struggling. Derbyshire general practice is adapting to these pressures on a day-by-day basis; reacting and implementing the expert advice from NHS England and Public Health England. Therefore, it is imperative that patients understand that they will see rapid changes in the way Derbyshire General Practice functions.

Do you or any of your household have symptoms?

You must Stay at Home, if you need medical help, please go to NHS 111 online who can advise you what to do. To get testing, please book online.

Appletree – How to see to clinician…

How to access services at Appletree during Covid-19 leaflet

Coronavirus testing

Anyone who has coronavirus symptoms is now eligible for a test. Book online. Please note this is not suitable for babies under 6 months.

Recovering from Coronavirus

Practice advice for those recovering from Coronavirus

Schools reopening

Information for parents, carers and teachers staff

Stay Alert and Safe (social distancing)

Guidance for everyone –  Social distancing Guidance.

Vulnerable – At risk

Guidance for those at risk – Clinically vulnerable patients

Extremely Vulnerable – Shielded

Guidance for those who are extremely vulnerable – Shielding guidance

Carers

Are you a Carer or concerned about a Carer during the Covid-19 crisis?  Then click here for help

If you need help

Derbyshire County Council can help you if you have no friends or family, Register here

Isolation Note

You can get an online self-certification Isolation Note here for Coronavirus.  Please do not ask your GP.


APPLETREE UPDATE – May 2020

I know many of you are anxious about the current Covid-19 pandemic and we wanted to update you with what is happening at Appletree Medical Practice. 

  • If you have a continuous cough OR fever OR a loss/change of smell or taste, please stay at home and go to https://111.nhs.uk/service/covid-19.
  • All appointments are telephone triaged first (please phone 01332 842288 to request a telephone call back); once a clinician has telephoned you they will decide whether a face to face appointment is appropriate.
  • We can send you a link via text for you to attach a photograph to help the clinician with your telephone consultation. More information about sending a photograph can be found here
  • There is also a new facility on our website called Consult with your doctor online’.  Please feel free to use this for simple queries and questions.   It also has an administrative section where you can request a Fit note (although please do not request a Fit note for Covid-19 but instead go to https://111.nhs.uk/isolation-note for an isolation note discuss test results etc).
  • Many routine services previously offered have now been stopped; this is to reduce non-essential travel and protect you and our staff. 

As from April 20th 2020 we are implementing some additional changes.  Once a clinician has telephone triaged your appointment, if a face to face appointment is deemed necessary, you will be categorised as follows:

Patients with Covid-19 symptoms

  • An appointment will be given at our RED HUB at the Belper Clinic at Babington Hospital, DE56 1WH. 
  • You will be requested to remain in your car until you are called by either a receptionist or clinician and given further instruction. You may be seen in your car if appropriate.
  • Please ensure we have a correct mobile number for you and car registration number.
  • Full PPE will be worn by the clinician but if you have a mask at home, please also wear this.

Patients without Covid-19 symptoms

  • An appointment will be given at Appletree Medical Practice in Duffield.  Please come into the waiting room and alert reception to your arrival.
  • We are restricting the number of patient’s waiting in the waiting area.  If you attend by car please remain in your car until the clinician calls you on your mobile.
  • Full PPE will be worn by the clinician but if you have a mask at home, please also wear this.

Patients who are extremely vulnerable & on the ‘shielded patient register’

  • An appointment will be given at Appletree Medical Practice in Duffield.
  • You will be requested to remain in your car until you are called by either a receptionist or clinician and given further instruction. You may be seen in your car if appropriate.
  • Please ensure we have a correct mobile number for you and car registration number.
  • Full PPE will be worn by the clinician but if you have a mask at home, please also wear this.

We appreciate your continued understanding and patience during this difficult time.  We have been very touched by the messages of support we have received as well as the neighbourliness and goodwill shown by the local community, thank you.

The Doctors & Staff at Appletree


APPLETREE UPDATE – MARCH 2020

On Monday 16th March 2020 Appletree had an emergency planning meeting and we have taken a number of steps to reduce risk to both patients and staff. The following has been implemented with immediate effect:

• The surgery took the difficult decision to close the Little Eaton Branch for the foreseeable future  – it is not practical with staff shortages and infection control/decontamination processes to keep this surgery running.

• We have moved to a total triage system by phone or online. Patients requesting an appointment with a GP or nurse practitioner will be booked a telephone triage appointment first. If the clinician feels it is appropriate for you to be seen, they will offer you an appointment later in the day.  We are only dealing with same day appointments, no future GP/Nurse practitioner appointments are currently pre-bookable.

• Nurse appointments eg. Smears, Immunisations, INR testing, dressings etc, are pre-bookable up to 5 days ahead.  A nurse will contact you by telephone before your appointment. Please ensure we have an up-to-date mobile/contact number.  They will enquire about your current isolation/health status and decide whether it is appropriate for the appointment to go ahead.  Please do not attend your appointment unless you are telephone triaged first.

• Routine Nurse Annual reviews e.g. Diabetic, Asthma Clinics etc, will hopefully be done over the telephone as much as possible but again the nurse will telephone you first.  Please do not attend your appointment unless you are telephone triaged first. 

• Access to the surgery is only by appointment or at the request of a member of staff – please do not come down unless you have been advised to do so.

• If you need to drop anything off at the surgery, please put it in the letterbox to the left of the main doors.

• Online booking has been disabled.

• We are no longer holding a blood test clinic at Duffield or Little Eaton for the foreseeable future and request that patients visit www.uhdb.nhs.uk/service-phlebotomy-blood-tests/ for alternative venues.

• Patients are being asked to use our ‘Consult with your doctor online’ for any queries, you can also find the link on the front page of this website.

• Prescriptions will be sent to a nominated pharmacy (no collections from surgery).

• We are requesting patients on repeat medications who are not signed up for online services to consider downloading the NHS App to their smartphone or tablet. Otherwise, patients will need to ring reception to order their repeat prescriptions or post your repeat slip through the letter box to the left of the main doors.

• The website is being updated with the latest guidance daily.

• Patients with existing appointments are being telephoned and if appropriate booked in with the telephone triage doctor.

We are currently inundated with queries and concerns, please could we respectfully ask you to keep updated with latest guidance and avoid ringing the surgery unless absolutely necessary.

This is a fast, ever changing picture and we are having to adapt daily. It is taking a lot of manpower to organise and facilitate these changes and we ask for our patients’ understanding during these challenging times.

We understand that many of you will be worried but can assure you that we care passionately about our patients and we will be working tirelessly to provide the care that our community deserves

Kind regards.

The Doctors & Staff at Appletree

PLEASE DO NOT VISIT THE SURGERY IN PERSON WITHOUT BEING ASKED TO DO SO, AS YOU WILL BE PUTTING YOURSELF AND OTHER PATIENTS AT SERIOUS RISK OR HARM.


During the COVID-19 pandemic, primary care services are working in a different way to prevent the spread of the disease and protect patients and staff, while still providing essential services.
Where patients are advised that a face-to-face appointment is necessary, measures have been taken to minimise risk to patients and staff.
WE REQUEST THAT ALL PATIENTS ATTENDING APPLETREE WEAR A FACE COVERINGS.

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