Search
Close this search box.

Appointment System

This practice operates an innovative appointment system with the intention of allowing patients access to a clinician on the same day when clinically required. This system has been implemented to make the most efficient use of the ongoing shortfall in NHS clinicians as the practice strives to maintain excellent standards of care 
 

We encourage the use of eConsult to help our triaging GP understand the reason for your request. For patients who are unable to complete an eConsult submission a receptionist will complete an eLite (modified version of the eConsult) submission over the phone. All requests are sent to a GP on the day who will assess the clinical urgency of the request and signpost you to the most appropriate member of the team. This is often referred to as Clinical Navigation.  
 
Clinical Navigation systems are in place to ensure that we make best use of (all) available resources, this ensures the patients who need urgent clinical attention are seen before those who may be presenting for a less serious condition. All requests are then categorised as: 

Red  –  For patients who require an appointment on the same day.  

Amber – Patients who require an appointment within 7 days. 

Green – Patients who require an appointment after 7 days or follow up 

The GP will also add appointment notes indicating whether this needs to be a telephone/video or face to face appointment. They may also make specific requests such as this patient will require a double appointment (20 minutes in duration), photographs of a rash or skin lesion or whether there are specific communication needs when contacting the patient. It is therefore extremely helpful when we are provided with accurate and detailed information with your requests. 

Community Pharmacy Consultation Service (CPCS) – The NHS Community Pharmacist Consultation Service launched on 29th October 2019 as an Advanced Service. 

Since 1st November 2020, practices have been able to refer patients for a minor illness consultation via CPCS. Again this service is in place to ensure best use of limited resources. 


Patients with a minor ailment (see list below) can be referred to a Community Pharmacy if this is more appropriate. The patient however needs to be in Leicester for this referral to take place.  

Referral Ailments* 
Bee sting Indigestion symptoms Scabies 
Wasp sting Haemorrhoid Skin Dressing 
Common cold Rectal pain Rash 
Herpes simplex infection Nausea and vomiting Wart / Verrucas 
Cough Difficulty sleeping Wound care 
Common cold – Runny nose Tiredness Hoarseness symptom 
Ear pain/ache Cystitis Mouth ulcer 
Conjunctivitis Vaginal discharge Sore mouth 
Dry eyes Vaginal itch / soreness Teething 
Seasonal allergic rhinitis Acne / Spots / Pimples Toothache 
Sting – Minor swelling Tinea pedis Sore eye 
Sting – Minor redness Traumatic blister of foot Tired Eye/Eye strain 
Flu like symptoms Dermatitis Redness of eye 
Common cold – Blocked nose Dry skin Sticky eye 
Earwax Loss of hair Has watering eyes 
Blocked ear Napkin dermatitis Constipation 
Hearing problem Oral candidiasis Diarrhoea 
Sore throat Allergic skin rash Infantile colic 
Constant need to clear throat Ringworm of body Heartburn 
Ex Mucus /Nasal discharge Enterobius vermicularis  

*The in house pharmacist will be able to advise on appropriate self help measures as well as over the counter treatments. 

Types of Appointments 

Telephone Consultations 

We offer GP telephone appointments when there isn’t a need for the doctor to undertake a physical examination. Examples could be when a patient is seeking advice or when test results have been received from the hospital and a discussion is needed. Feedback suggests that patients find them particularly convenient. 

Video Consultations 

We also offer video consultations, this is where you speak to a doctor or healthcare professional using the video camera in your smartphone, tablet or computer. 

This can save you time as you will not need to travel for a face-to-face appointment. It will help to stop infections spreading such as coronavirus (COVID-19). A video call is very similar to a face-to-face appointment, and you will receive the same care. 

To have a video consultation you need: 

  • a smartphone, tablet or computer that allows video calling – remember to make sure your microphone and camera are switched on 
  • an internet connection 
  • a well-lit quiet and private space so the GP can see you clearly 

Face to Face Consultations 

Not all consultations require a face-to-face appointment however on occasions this may be the best form of consultation for you. This will however mean you need to travel to the practice. Some of the scenarios where this is more appropriate include: 

  • Specialist treatments and procedures such as blood tests, cervical smear appointments etc 
  • Routine consultations that need a physical examination such as listening to your chest using a stethoscope, checking for lumps or an examination of your ear.  
  • Secondary referrals after a remote consultation 

Professional roles in the multidisciplinary team 
 
The General Practice team is transforming, and the multi-disciplinary team consists of a wide variety of specialised roles. This enables better use of individual skills within a better timeframe. 

General Practitioner – GPs work in a variety of settings and deal with all aspects of medicine from cradle to grave and all that life can throw in between. Their role can include:  

• Consulting with patients in practice, on the telephone and at home  
• Providing preventive care and health education to patients  
• Treating acute and chronic illnesses  
• Making and managing referrals to hospital  
• Leading with managing emergencies in the practice  
• Oversight of and engagement with complaints system  
• Supervising, teaching and advising other members of the practice team  
• Prescribing, managing repeat prescribing and reviewing prescribed medications  
• Issue of certificates of cause of death and liaising with Coroner  

Planning and implementing appropriate services for general practice 

Practice pharmacists work as part of the general practice team by focusing on all aspects of patient care that involve medicines management. They can work either in a specialist clinical area or a more generic role and their role can include: 

• Providing advice and support directly to patients on appropriate and safe use of medicines and all medicines management processes.  
• As an independent prescriber, managing within their competence, patients with a range of conditions (from minor ailments to long term illnesses). 
• Identifying and managing at-risk patients in relation to the safe use of their medicines, including the elderly, patients with multiple conditions or polypharmacy needs.  
• Supporting patients to manage their own health and their health condition, through advice on compliance with medicines.  
• Delivering dedicated long term illness or polypharmacy clinics and alongside managing medicines processes and supporting colleagues within general practice.  
• Increasing capacity within general practice by concentrating on medicines related issues and helping to reduce the numbers of people presenting at A&E departments with complications from their medicines 

The Practice Nurse will undertake a range of nursing assessments and provide appropriate care and treatment in conjunction with GPs or independently as appropriate for each individual patient, according to practice policy and protocols. Working with individuals, their families and carers to identify nursing needs; therapeutic interventions and personal care; including healthcare related information, education, advice and advocacy; as well as physical, emotional and spiritual support. As a member of the multi-disciplinary team, often as the co-ordinator of care, the Practice Nurse provides advice, support, care and treatment, including but not limited to:  
• Management of Emergency Situations  
• Therapeutic Monitoring of Health (conditions) 
• Health Promotion & Health Screening and Sampling  
• Ear Care  
•Immunisation of children and adults  
• Travel Health  
•Family Planning and Sexual Health 

 Mental Health Practitioner  

The mental health practitioner will focus predominantly on common mental health disorders, for example, anxiety and depression. The key principles are to work with patients to support shared decision-making about self-management. facilitate onward access to treatment services and other local sources of support (e.g., voluntary community sector, social care)  

How can you help us? 

Please…. 

  • Be on time for your appointment. Please note: If you are more than 10 minutes late for your appointment you may be asked to re-book 
  • Use the self-check-in if you have no other queries 
  • Tell us if you need to cancel an appointment 
  • Note that the appointment is for one person, one problem only to help the clinician manage their clinic safely. 
  • Please turn off your mobile phone during the consultation to avoid interruptions. 
  • Please observe clinical safety precautions such as wearing masks, using hand sanitiser, etc 
  • Respect all staff at the practice.