Homepage

Covid-19 Vaccine

WE ARE NOW BOOKING COVID BOOSTER VACCINATIONS FOR ANYONE OVER 50 WHO HAD THEIR SECOND DOSE BEFORE THE 1ST APRIL 2021.

CALL US ON 01992 260002. THE BOOSTER VACCINATION WILL TAKE PLACE AT ST MARGARET'S HOSPITAL

 

FACE MASKS

We need to continue to do what we can to keep people safe from catching Covid-19. One way we can all help with this is by continuing to wear a face-covering in our practice and we are asking all patients to do that, as well as our staff. Keeping our staff safe is essential to keep operating efficiently.

We are also continuing to make sure we don’t have large numbers of patients in our waiting areas and on the premises – again this is about reducing the chance of infection when there are rising rates in the community.

The various measures we have taken, including increased use of personal protective equipment, patients wearing face masks, holding more virtual consultations, social distancing and extra premises cleans have helped protect staff, patients and visitors over the past year. Taking these steps has also enabled us to continue providing many of the non-urgent services that would otherwise have been postponed.

We want to make sure you can all be confident about accessing or visiting local healthcare services safely.

Thank you for your understanding and your cooperation with this – it makes a huge difference.

 

As per government guidance, all patients should wear face masks or a face covering when attending the surgery in order to help prevent the spread of Covid-19.

A cloth face covering should cover your mouth and nose while allowing you to breathe comfortably. It can be as simple as a scarf or bandana that ties behind the head.

Please note the following groups are exempt:

Children under 11

People with disabilities

Those with breathing difficulties

Anyone travelling with someone who relies on lip reading

For further information please visit the GOV.UK website via the link below:

https://www.gov.uk/government/publications/how-to-wear-and-make-a-cloth-face-covering/how-to-wear-and-make-a-cloth-face-covering


Exemptions for Face Coverings

The government guidance on exemptions for face coverings suggests there is no requirement for evidence for exemption, therefore it is sufficient for an individual to self-declare this. GPs are not in a position to provide individual risk assessments or letters for patients who feel that they should be exempt from wearing a face mask/covering. 

Government advice on the use of face coverings can be found here:

https://www.gov.uk/government/publications/face-coverings-when-to-wear-one-and-how-tomake-your-own https://www.gov.uk/guidance/coronavirus-covid-19-safer-travel-guidance-for-passengers#facecoverings 

nhs

The NHS COVID-19 Vaccination programme

WE ARE NOW BOOKING COVID BOOSTER VACCINATIONS FOR ANYONE OVER 50 WHO HAD THEIR SECOND DOSE BEFORE THE 1ST APRIL 2021. CALL US ON 01992 260002. THE BOOSTER VACCINATION WILL TAKE PLACE AT ST MARGARET'S HOSPITAL

 

Herts & West Essex Healthier Future website https://covid.healthierfuture.org.uk/  provides useful information.

  

New guidance has been issued for the use of the Oxford AstraZeneca Covid-19 vaccine.

 

This follows further reviews by the independent regulator, the MHRA, and the Commission for Human Medicines, of a very small number of people in the UK who have developed a rare blood-clotting condition since having the Oxford AstraZeneca Covid-19 vaccine.

The MHRA and Joint Committee for Vaccinations and Immunisations have emphasised that the risk of this condition is extremely small and that the benefits of the vaccine outweigh the risks for the vast majority of people. They have recommended that:

 

· Everyone who has had the AstraZeneca vaccine should still have a second dose of the AstraZeneca vaccine, irrespective of age, unless they have had a blood clot or have an existing risk of thrombosis (blood clotting)

 

· People aged 30 and over or who have a health condition that puts them at higher risk of severe Covid-19 disease should still be offered the Oxford AstraZeneca vaccine. The benefits in protecting them against the serious consequences of COVID-19 outweigh any risk of this rare condition.

 

· People aged 18-29 who do not have a health condition that puts them at higher risk of severe Covid-19 disease will be offered an alternative Covid-19 vaccine where available. (This has been recommended as a precaution as people under 30 are at less risk from Covid-19 and not because they are considered to be at particular risk of developing the rare blood clot.)

 

· People under 30 can still choose to have the Oxford AstraZeneca vaccine if this will mean they can be protected more quickly and they have been made aware of the guidance.

 

Please see the leaflet below that has been produced by Public Health England and the NHS to answer any questions you may have

· Leaflet on COVID-19 vaccination and blood clotting

 

 Key messages 

  • The NHS was the first in the world to deliver both the Pfizer/BioNTech and Oxford/AstraZeneca vaccines, and has continued to make strong progress.

 

  • Over thirty-one million people have now had a vaccine in England, putting us way ahead of comparable countries.

 

  • With supplies available increasing we continue to accelerate, and as part of that the first community pharmacies are now opening, providing another option people can choose to get protected alongside a thousand other hospitals and GP-led services now running.

 

  • Many more facilities will follow over the coming days and weeks, providing extra capacity to give people who need it that crucial first dose – which the evidence shows gives you the vast majority of your protection from the virus - as quickly as possible.

 

  • NHS staff are doing an incredible job to deliver what it is the largest vaccination programme in our history, at the same time as continuing to be there for everyone who needs care, but we need the public to play their part too:
    • please don’t contact the NHS to seek a vaccine, we will contact you;
    • when we do contact you, please attend your booked appointments at exactly the time you’re asked to, so that we can avoid queues in this cold weather;
    • and please continue to follow all the guidance in place to control the virus and save lives, even if you have already had your vaccine.

 

People who received their first dose covid vaccination at St Margaret's Hospital will be contacted to book their second dose approximately 11 weeks after their first dose was given. We are not able to book these more than 1 week advance, because the exact day that the vaccine will be supplied is usually confirmed the week before. 

 

The surgery is now contacting patients who are in cohorts 1 - 9 to offer them the COVID-19 vaccination.

The vaccine will be available at St Margaret's Hopsital, Epping, and will be on a pre-booked appointment basis. If you have a family member over 50 or under 50 but with serious underlying health conditions, you can call us on 01992 260002 to book an appointment on their behalf during opening hours.

Majority of our housebound patients have already been vaccinated and we are compiling a list for others. This is a new vaccine so for safety reasons we are trying to deliver it in a healthcare setting for as many people that can reach there.

We appreciate your patience as we manage the additional demand the vaccination programme presents.

If you have any questions about the vaccine please go to https://www.gov.uk/government/publications/covid-19-vaccination-guide-for-older-adults

Or https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/coronavirus-vaccine/

 

 

Important Links

If a parent /carer has concerns about the welfare of a child or young person:

Call 0345 603 7627 or click on link below for further information

https://www.escb.co.uk/parentcarer/

 

If you have concerns about the welfare of an adult:

Call 0345 6037630 or click on link below for further information

https://www.essexsab.org.uk/

 

For advice and support regarding domestic abuse:

Call Compass Essex Domestic Abuse Helpline on

0330 333 7 444 or click on link below for further information

https://www.essexcompass.org.uk/

Welcome to The Market Square Surgery

COVID Secure Certificate

The Market Square GP surgery in Waltham Abbey provides high quality healthcare to patients in the West Essex area. Our doctors, nurses and all our other staff are dedicated to offering a professional service.

The practice is located in the Waltham Abbey Health Centre which is purpose built and is accessible to all patients as it meets current requirements for disabled/wheelchair users.

As well as a source of information about our practice and the services we provide, we hope you will use this website as a useful resource for other health-related information.

Practice leaflet

Chaperones

We will always respect your privacy, dignity and your religious and cultural beliefs particularly when intimate examinations are advisable - these will only be carried out with your express agreement and you will be offered a chaperone to attend the examination if you so wish.

You may also request a chaperone when making the appointment or on arrival at the surgery (please let the receptionist know) or at any time during the consultation.

NHS to offer ‘long covid’ sufferers help at specialist centres

People suffering ‘long covid’ symptoms will be offered specialist help at clinics across England, the head of the NHS announced today.

Respiratory consultants, physiotherapists, other specialists and GPs will all help assess, diagnose and treat thousands of sufferers who have reported symptoms ranging from breathlessness, chronic fatigue, “brain fog”, anxiety and stress.

Increasing medical evidence and patient testimony is showing that a small but significant minority of people who contract Covid cannot shake off the effects of the virus months after initially falling ill. Some estimates suggest that 10% of Covid patients may still be experiencing symptoms more than three weeks after infection, and perhaps 60,000 people could be suffering from long covid symptoms after more than three months.

NHS chief executive Sir Simon Stevens will announce that £10 million is be invested this year in additional local funding to help kick start and designate long covid clinics in every area across England, to complement existing primary, community and rehabilitation care.

Sir Simon said new network will be a core element of a five-part package of measures to boost NHS support for long covid patients:

  1. New guidance commissioned by NHS England from NICE by the end of October on the medical ‘case definition’ of longcovid. This will include patients who have had Covid who may not have had a hospital admission or a previous positive test. It will be followed by evidence-based NICE clinical guidelines in November on the support that long covid patients should receive, enabling NHS doctors, therapists and staff to provide a clear and personalised treatment plan. This will include education materials for GPs and other health professionals to help them refer and signpost patients to the right support.
  2. The ‘Your Covid Recovery‘ – an online rehab service to provide personalised support to patients. Over 100,000 people have used the online hub since it launched in July, which gives people general information and advice on living with long Covid. Phase 2 of the digital platform being developed this Autumn by the University of Leicester will see people able to access a tailored rehabilitation plan. This will enable patients to set goals for their mental and physical health, provide peer to peer support through social community forums, offer an ‘ask the expert’ facility for patients to contact their local rehab service, and allow patients to be monitored by their local rehab teams to ensure that they are on track with their care.
    This service will be available to anyone suffering symptoms that are likely due to COVID-19, regardless of location or whether they have spent time in hospital. It is most likely that patients will access the service through their GP, but they could also be referred through another healthcare professional following assessment.
  3. Designated Long Covid clinics, as announced today. This will involve each part of the country designating expert one-stop services in line with an agreed national specification. Post-covid services will provide joined up care for physical and mental health, with patients having access to:
    – A physical assessment, which will include diagnostic testing, to identify any potential chronic health issues.
    – A cognitive assessment, to assess any potential memory, attention, and concentration problems.
    – A psychological assessment, to see if someone is suffering potentially from depression, anxiety, PTSD, or another mental health condition.
    Patients could also then be referred from designated clinics into specialist lung disease services, sleep clinics, cardiac services, rehabilitation services, or signposted into IAPT and other mental health services.
  4. National Institute for Health Research (NIHR) funded research on long Covid which is working with 10,000 patients to better understand the condition and refine appropriate treatment.
  5. The NHS’s support will be overseen by a new NHS England Long Covid taskforce which will include long covid patients, medical specialists and researchers.

NHS chief executive Sir Simon Stevens said: “While this is still a relatively new virus, we are learning more about covid with every passing week. It is now clear that long covid can have a major impact on the lives of a significant minority of patients weeks or months after they have contracted the virus. So just as the NHS quickly put in place specialist hospital care for acutely ill Covid patients at the start of the pandemic, now we must respond sensitively and effectively to these new patient needs.”

Professor Chris Brightling, Professor of Respiratory Medicine and Consultant Respiratory Physician University of Leicester and UHL NHS Trust, said: “Following Covid-19 infection, some people have persistent and debilitating symptoms including fatigue and breathlessness known as long covid. Sufferers need a coordinated approach to their care and rehabilitation so this proposed plan is most welcome.

“Long covid research studies are essential in understanding the reasons for the variable consequences of the disease to identify those at risk and to test new treatments.”

The new services will follow the launch of the long covid clinic at University College London Hospital earlier this summer where they have treated over 900 people with long Covid symptoms, including those who were not admitted to hospital with the illness. Patients at UCLH may also be given Cardiopulmonary Exercise Testing (CPET), a 40 minute test which includes patients performing graded exercise on an upright bicycle breathing into a mouthpiece to test lung strength.

UCLH Chief Executive, Professor Marcel Levi, said: “The UCLH post-covid clinic has seen 900 patients since mid May. We support moves to increase access for the growing patient groups with post-COVID-19 symptoms and the efforts to treat and rehabilitate patients who are often young and their quality of life has been seriously impacted. There is a growing need to understand and offer access to care especially when, as a new illness, many struggle to access adequate care through traditional routes.”

In response to the announcement, Ondine Sherwood of LongcovidSOS, said: “LongCovidSOS welcome this announcement from NHS England. We believe that multi-disciplinary clinics are essential for the assessment, treatment and rehabilitation of the huge numbers of people still suffering the effects of COVID-19. We hope that clinical guidance from NICE will ensure that necessary referral pathways are in place and that general practitioners are empowered to treat patients with long covid appropriately.”

Tim Spector, Professor of Genetic Epidemiology at King’s College London (KCL), and lead investigator of the ZOE KCL COVID Symptom Study app, said: “We are glad that the need to help long Covid sufferers has been recognised. Using clinical data from the over four million people who downloaded the COVID Symptom Study app run by ZOE and KCL, we have a unique insight into the long-term problems suffered by COVID-19 patients who didn’t go to hospital. Our data shows us that over one in 10 still have problems a month on and around one in 50 are still suffering after three months. Long covid sufferers experience a broad range of symptoms, which include up to 20 different problems and not just the three ‘classic’ symptoms used for diagnosis. This tells us that this is a multisystem disease that requires a multi-disciplinary approach to treatment.

“The COVID Symptom Study will be working closely with the Royal College of General Practitioners (RCGP) to provide educational materials on all the symptoms. There are plans to provide an early assessment of those at high risk of long covid and severe disease via the app. We will also be providing NHS England with better data for the public on this new disease and working to identify volunteers for early intervention trials. We want to encourage everyone to download and use the COVID Symptom Study app to continue providing the NHS with vital information about this mysterious but devastating disease.”

Health and Social Care Secretary Matt Hancock said: “Long covid can have a huge impact on people affected. So we are doing everything we can to support people who are still suffering with effects on their health.

“Since May, rehabilitation facilities and recovery services have been available to those who have suffered with the virus and I am delighted to see these becoming more accessible with the opening of specialist clinics right across England.

“Combined with further research and the new NHS England Long Covid taskforce, these additional services will ensure people get the care they need, improve lives and aid in the fight against this global pandemic.”

long covid

Opening Times

Please select a site

Have Your Say

NHS Friends and Family