QUACK NEWSLETTER Welcome to the Autumn edition of Quack, the newsletter of Emsworth Surgery. Flu Vaccinations You can book online or at reception. From this year we can only vaccinate people in the following groups: - Everyone aged 65 or over on 31st March 2013 - People with: heart disease, kidney or liver or neurological disease, respiratory disease including asthma, diabetes - Immunosuppressed (eg taking steroid medication) - Pregnant women - Carers Anyone who is not in the above groups but would still like to be vaccinated against flu can do so at Southbourne Surgery (01243 388740) for a fee of £10 (Due to NHS regulations GP surgeries are not permitted to charge their own NHS patients for flu vaccination but can charge people who are not their patients). Shingles Vaccine Shingles is an infection affecting nerves caused by the chicken pox virus (Varicella Zoster). It causes pain and a rash along a band of skin supplied by the affected nerve. Symptoms usually go within 2 - 4 weeks. Pain sometimes persists after the rash has gone, more commonly in people over the age of 50. The pain can last for many weeks and is called Post-Herpetic Neuralgia There is now a vaccine to prevent this painful condition available to all patients aged over 50 years. It can also prevent shingles in those patients who have already suffered an attack. One in four people who have had chicken pox will get shingles. Of those that get shingles about one in five will get Post-Herpetic Neuralgia. Further information about shingles is available on www.shinglesaware.co.uk/patients/information-for-patients.html. Initially we aim to target those patient most at risk aged over 70 and eventually role out the vaccination to all adults aged over 50. The vaccine is safe and effective and has been recommended for use by the Joint Committee on Vaccination and Immunisation. Patient Participation Group Update The Patient Participation Group (PPG) Committee for Emsworth Surgery, keen as ever to help our wonderful Practice, took a stall at the Emsworth Show on August Bank Holiday Monday to let people know what we do. Great credit must go to Tony Harris who has now retired as Chair of the group, for his very hard work in organising the stall. Children were kept amused at the stall by drawing around their hands and then colouring it in. What very talented and artistic children we have! Their efforts can be seen in the Emsworth Surgery in a montage created by Billie Shamash and Sue Ellis. A number of patients joined our ‘virtual’ PPG which enables the PPG to inform patients via email of surgery news and developments as well as sending a copy of the Quack newsletter. We are now very busy helping to organise the Saturday Flu clinics. If you would like to get involved with the PPG then please contact us at: emsworth.surgery.ppg@gmail.com or write to the PPG via the surgery. At the last committee meeting unanimous praise was extended to the outgoing Chair Tony Harris for all his work and Jim Strudwick was elected in his place. Jim Strudwick, Chair Use of Accident & Emergency Departments For some years now Casualty Departments in all parts of the country have seen a steady increase in the number of people coming with problems that are not serious emergencies. The problem really is about public education. We thought it would be useful to remind everyone what options are available for dealing with an urgent problem. The surgery has urgent appointments every weekday from 8.00am to 6.30 pm. We also run a Minor Injury Service (cuts, sprains, bruises, mild burns) during the same period. There is an Out of Hours GP on duty at all other times. The service will arrange a telephone consultation, a base surgery appointment or a home visit as appropriate. The District Nurses also operate through this service. If it is felt your problem is more urgent, an ambulance or hospital review can be arranged at the Doctor's/Nurse's discretion. You can ring NHS Direct on 0845 4647 for advice. They have a useful website http://www.nhsdirect.nhs.uk/ where you can look up your symptoms and find out what to do. Discussing the problem on the phone with a GP from the surgery or the Out of Hours service will usually mean that you are seen by the right person who may well be more experienced than a young doctor in Casualty. The ambulance should be called on 999 if the problem is chest pain or severe breathlessness, or if the patient has genuinely collapsed.