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.


If you have:

a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)

Or

• live in the same household as someone with a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if they usually have a cough, it may be worse than usual), then you need to stay at home- see guidance. DO NOT ATTEND THE SURGERY.

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

Rescue Packs Hoax

Social Media has posted articles regarding Rescue Packs for respiratory patients, please click here for more information

Isolation Note

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

Stay at Home Guidance

For people or householdswith symptoms – Stay at Home Guidance

Social Distancing

For everyone in the UK –  Social distancing Guidance.

Extremely Vulnerable

For those patients most at risk – Guidance on shielding and Protecting

If you need help

Derbyshire County Council can help you if you have no friends or family you can call on and:

•you are self-isolating because you or a member of your household is at risk

•you are struggling to meet your basic needs because of financial, social or health restrictions

•you are pregnant

•you have underlying health conditions

•you are aged 70 or over.

They can help you with shopping, or fetching your prescription or finding someone to have a chat with.

Register here for help


New Important Changes at Appletree – 17/03/2020

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.


NEW IMPORTANT CHANGES AT APPLETREE:- Please do not visit the surgery in person without being asked to do so, you will be putting yourself and other patients at serious risk or harm. UNDER NO CIRCUMSTANCES visit the surgery if you have a new continuous cough or fever. PLEASE NOTE THAT WE HAVE TAKEN THE DIFFICULT DECISION TO CLOSE OUR BRANCH SITE AT LITTLE EATON UNTIL FUTURE NOTICE. 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. The phone lines are extremely busy at the moment and we ask unless medical that you try and get your answers from information on the following websites: www.gov.uk, www.111.nhs.uk or www.nhs.uk.
CLICK HERE TO GET APPLETREE'S UPDATE