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As of 24/3/2020 - Marden Medical Centre has reached a crisis level of staffing.  Please bear with us.  If your problem is not urgent, please try to self help or use the on-line resources.  

The Ridge and Weald group of GP Practices (Bearsted, Langley, Lenham, Sutton Valence, Headcorn, Marden, Cranbrook, Hawkhurst, Goudhurst, Yalding, Staplehurst, Brenchley, Horsmonden and Lamberhurst) is committed to providing the highest levels of support to their patients during the Covid-19 crisis. 

 Patients registered at these practices requiring medical support with suspected Covid-19 symptoms should telephone 111 or their usual GP practice. If it is suspected that they may have significant symptoms of Covid-19 and need to be seen by a clinician, they will be referred to the Ridge Covid Assessment Unit (RCAU) which is sited at Headcorn Aerodrome with the kind permission of the owner. At the RCAU, patients will see a clinician in person. The clinician will then advise whether a patient needs to go to hospital or whether they are safe to go home. 

Please note that a Covid-19 test will not be available.

If you have any other medical issue (not Covid-19 related) then you should telephone your usual GP practice 

We would urge our patients to keep up the strong community support and solidarity that is so evident in mid-Kent. We support the policy of social distancing for us all, and shielding for the most vulnerable groups, such as those having cancer treatment or with severe chest disease.

As GPs we are committed to providing excellent care for our patients, some of whom we have known for decades and through several generations. We want to stand with our patients at this difficult time in delivering good medical care to them throughout the COVID-19 pandemic. For advice or more information, please contact your own surgery.

 

If you are vulnerable and have an urgent need that cannot be met through existing support networks, you can contact the Kent Together helpline at www.kent.gov.uk/KentTogether or by calling on 03000 41 92 92. It is a 24 hour service.

Kent County Council also has a page on its website answering frequently-asked questions and the very latest Coronavirus information on its service updates page.
Visit www.kent.gov.uk to find out more.

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Please share this information with family friends and neighbours who do not have internet access. Thank you.

Shielding Vs, Distancing

Shielding is a measure from March 21st to protect people who are clinically extremely vulnerable by minimising all interaction between those who are extremely vulnerable and others.  At present our system identifies those patient ( 80-90 of 6700 Patients) with an alert.  List of patients includes

Organ transplant recipients

People with specific cancers: people with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer

People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment

People having immunotherapy or other continuing antibody treatments for cancer

People having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors

People who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs from Haematology

RED PEOPLE WILL STILL BE UNDER HOSPITAL AND SHOULD EXPECT TO HEAR  FROM THEM BY LETTER, other immune altering tablets like Methotrexate don’t count

People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD.

Blue people are generally under hospital  but may  be selected by our EMIS if using certain high dose inhalers or combinations

People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell).

Purple  People  should be contacted and should be known to hospital.. Just thinking you are genetically poor is not risk enough

People on immunosuppression therapies sufficient to significantly increase risk of infection.  This includes this list  below and will  have been centrally identified

So will be contacted via the letter:

• Azathioprine

• Mycophenolate (both types)

• Cyclosporin

• Sirolimus

• Tacrolimus

Orange people  as above are on hospital  led  immune meds as named, not just steroids

Women who are pregnant with significant heart disease, congenital or acquired.  Brown people  are few and should be known to midwives

They can find what to do on gov.uk they simply search on COVID Shielding.

In summary  it lasts 12 weeks, aviod ill people, do not leave the house ( except for approved medical encounters )  no gatherings even friends and family, no shopping and all meds and food to be bought to the door, and use phone email etc instead

EVERYONE ELSE who thinks they are vulnerable  because they get a flu jab etc is in the lower group who  should socially distance . They too can go to gov.uk and search on social distancing

This group  is all people over 70 years ( not 65)  Also Under 70 in any of the flu risk groups , eg diabetes, asthma , heart disease, no spleen, HIV,  obesity with over 40 BMI,  pregnant women, neurological disease, liver disease, etc

This means

  1. Avoid contact with someone who is displaying symptoms of coronavirus (COVID-19). These symptoms include high temperature and/or new and continuous cough
  2. Avoid non-essential use of public transport when possible
  3. Work from home, where possible. Your employer should support you to do this. Please refer to employer guidance for more information
  4. Avoid large and small gatherings in public spaces, noting that pubs, restaurants, leisure centres and similar venues are currently shut as infections spread easily in closed spaces where people gather together.
  5. Avoid gatherings with friends and family. Keep in touch using remote technology such as phone, internet, and social media
  6. Use telephone or online services to contact your GP or other essential services

 Marden Medical Centre

23rd March 2020

 

 

 

Closures for Staff Training

Please click here for a date of  surgery closures during 2020 for staff training.

Appointments System

From January 2020 we have adjusted the appointment system, this both to improve the way we deal with urgent problems and to satisfy the NHS requirement to increase the number of appointments available to book online.

Each morning a duty doctor, along with the paramedic when available, WILL ONLY be dealing with problems arising that day or the day before.  These emergency appointments can only cover one medical problem, but if delays occur then a wait is inevitable.  The other GPs will focus on routine care, follow up and procedures etc and so will have a small number of urgent appointments.

There will be some afternoon emergency appointments, but morning attendance is preferred. Likewise potential home visits should be requested before 11 am so that the Duty team can triage the demand

Appointments for non-urgent issues and ongoing care are ever increasing, but may be offered some weeks ahead.  We have enabled more online booking but these appointments can still be used by people who phone or come to reception.  Please note that a medication review can almost always wait a week or two.  If a GP actually really wants to see you within 2 to 4 weeks they will probably arrange that booking directly with you.     

Please also be aware that we increasingly use telephone appointments and text communication so  an up to date mobile number is very useful to us. We welcome any constructive feedback as we are always reviewing our systems internally and at times discussing with the Patient Reference Group.

Neil Potter                                                                                                                                          18th December 2019

CQC Report

We are pleased to announce that following the inspection on March 14th and all the data checking, the Care Quality Commission have rated the practice as “Outstanding”. We had special mention for being exceptionally “Caring” and “Well-Led”.  The 3 page report and the 35 page evidence table can be seen on their website by following link in the top right corner of each webpage. Many thanks to all team members past and present as well as the PRG, the Friends of Marden Medical Centre and the patients who have supported us.

Nursing Team

We are sad to see the departure of Marianne Hamlyn on May 17th. She has worked so tirelessly and enthusiastically for the practice but is moving to East Kent for family reasons. We wish her luck in her new job in Dover. Happily we have recruited Alison Tinsley who has worked for many years in a Maidstone practice. She will offer a full range of nursing skills as well as doing Asthma checks and Diabetes reviews.

Dr Jonathan Wentzel

We are pleased to announce that Dr Jonathan Wentzel has joined the team on the 1st May. He has worked for 21 years in a busy practice in Maidstone  as well as being a GP Trainer and Appraiser. He will have surgeries on Monday Tuesday and Thursday.

He has an interest in Diabetes and Soft Tissues Injections