_{For the latest Covid-19 advice please visit www.nhs.uk. If you think you may have Covid-19, have travelled to an affected area - please do not go to a GP surgery, pharmacy or hospital. Use the NHS 111 online service at https://111.nhs.uk/covid-19 to find out what to do next}

_Coronavirus:

      _{Primary Care Advice Actions  from Public Health England}

Patients booking in by telephone or online who meet the case definition will be directed to NHS 111.

An unwell patient with a relevant travel history should be identified when they book in at reception and immediately placed in a room away from other patients and staff. If COVID-19 is considered possible when a consultation is already in progress, withdraw from the room, close the door and wash your hands thoroughly with soap and water.

Avoid physical examination of a suspected case. The patient should remain in the room with the door closed. Belongings and waste should remain in the room. The patient and any accompanying family should remain in the room with the door closed.

Advise others not to enter the room. If a clinical history still needs to be obtained or completed, do this by telephone.

If entry to the room or contact with the patient is unavoidable in an emergency, wear personal protective equipment (PPE) in line with standard infection control precautions, such as gloves, apron and fluid resistant surgical mask (FRSM) and keep exposure to a minimum. All PPE in full should be disposed of as clinical waste.

Should the patient need to use the toilet, they should be allocated a WC for their sole use. Instruct the patient to wash their hands thoroughly after toileting, and return directly to the room they have been isolated in and close the door. The toilet should be taken out of use until cleaned and disinfected following the decontamination guidance.

Ask the patient to call NHS 111 from their room, on their mobile (use GP surgery landline if mobile unavailable).

When a telephone interview is being conducted with a patient located elsewhere (for example at home) and it is determined that COVID-19 is possible (based on the PHE criteria for a possible case), then a face-to-face assessment in primary care (including out-of-hours centres and GP hubs) must be avoided. Instead, call the local secondary care infection specialist to discuss safe assessment, if hospital care is being considered, if not refer to NHS 111.

 Your Voice Matter

Please join as at the next Patient Participation Group Meeting ( PPG ) at the Medical Centre site in Holloway Road. Due to Covid-19, the date is still to be advertsied.

We shall be offering light refreshments and would be happy to have you in attendance and we are keen to hear your views as they really do matter to us. 

 The Cervical Screening Hub

Ladies aged 50 up to their 71st birthday, from  The Medical Centre, will been invited for breast screening at Kentish Town. Invitations for screening will be sent some time between the 50th and 53rd birthdays.

Screening will commence on 10/01/20. Ladies who missed their appointment can contact the HUB to reschedule. We would  encourage you to do this . This also applies for ladies age 71 or over, who will need to request their mammogram themselves by contacting the HUB.

The HUB number is: 0203 758 2024. There is however a queue to get through to the HUB during peak hour. Ladies can also change their appointment date, time or request another site by completing the appointment request form found on : https://www.london-breastscreening.org.uk/ChangeAppFormW2.aspx