Following diagnoses of Covid virus in Yorkshire, the following emergency plan will be in action:
COVID-19 Business Continuity Plan
COVID-19 has spread rapidly around the world in 2 months. The WHO have classified it as a public health emergency if international concern. The reproduction number is estimated at 2-3. The incubation period may be up to 24 days and it appears it may be possible for asymptomatic individuals to transmit the virus to others. It has high pandemic potential. GP practices have a duty to protect their patients and a duty as employers to protect their staff. We all have a moral duty as brothers, sisters, patents, sons and daughters to protect our own families from our work related health risks. As independent contractors we need to be proactive in managing these risks for ourselves rather than waiting for direction from others.
1. Notice on practice home page with brief information on our coronavirus plan and links to PHA website and 111 phone number
2. STOP notice on front door advising those with fever and acute respiratory symptoms not to enter but to return home and contact the practice by phone
3. Further Posters in the waiting room and notice on practice information screen re-iterating stop sign advice
4. No patients with acute viral symptoms (fever, cough, myalgia, diarrhoea) to be seen in the practice unless serious concern for their health (mainly age and co-morbidity, or if breathless).
a. As a large proportion of patients with URTI report SOB this should be assessed on phone triage by ability to speak in full sentences and can be supplemented by questioning ability to climb stairs
b. As a major reason for seeing patients is to rule out bacterial infections/pneumonia and decline antibiotics, antimicrobial stewardship will be temporarily relaxed and antibiotics prescribed if felt appropriate by the GP and allows safe telephone only management of patient
5. Option to move to total triage by telephone due to concerns that there is now transmission in the community and possible transmission by asymptomatic cases
6. Need to explore remote working options for clinical and admin staff in case they need to self isolate for 14 days or longer – BSO remote access using own devices or buy cheap laptops; cheap contract or PAYG mobile phones for telephone contact or pay staff an allowance for use of personal mobiles for business use. Also useful if entering pandemic to protect staff
from exposure in the first place and keep them well and working
7. Suspend routine work like annual bloods and BP checks for monitoring repeat meds to create capacity and reduce footfall in the practice
8. Suspend QOF work and chronic disease management clinics (ideally with Dept Health agreeing QOF holiday for those that need it)
9. Choose a room in the practice to use as an isolation room
10. All scripts issued in 3 month supply to reduce demand and footfall
11. Appoint a COVID-19 business continuity lead and deputy
12. Ensure an up to date list of all staff contact details and NOK details
13. Plan in place to redirect phones and allow remote working of practice has to be closed for deep cleaning/decontamination
14. If remote working need system to get scripts printed and given to patients
Mr Yousef (MPharm)
Mr Yousef has successfully completed 9 months at the practice dealing with complex medical queries and minor ailments. He has had very positive feedback from patients
Conisbrough Medical Practice are proud to announce that they are now proud members of the GP for Veterans Health Network.
Ljubljana University - Slovenia
Professor Vijay Kumar invited to speak at the department of family practice at Ljubljana University in Slovenia (EU) on achieving higher standards in Healthcare Delivery - February 2016
Teaching Republic of Ireland doctors & talk to Irish Surgeons
Dr Vijay Kumar attended the PCSA conference in Dublin on 25th & 26th September 2015 speaking on the current opportunities and threats in Primary Care Surgery.
Visit from Leeds GATE (Gypsy and Traveller Exchange) - September 2015
AMP bringing tighter relationships and advising Leeds CCG, Public Health, Doncaster/Leeds Council, Askern & Leeds Gypsies
NHS Leadership of the year award 2014/2015
Awarded for the services carried out for the patients in the community. This was awarded to our Clinical Lead, Dr Vijay Kumar at the end of 2014 at the Leeds Marriott Hotel.
AAFP Conference – American Family Practice.
Dr Vijay Kumar presented to American Doctors and from other places around the world at the Global Health conference part of the American Family Practice in Washington DC.
The National Health Service was explicitly explained to various delegates at the conference.
Interacting down under - New models of care in the NHS...
Our practice’s clinical lead was invited to present to the rural university centre based in Lismore which includes the University of Sydney, University of Newcross, University and Woologong. The speech was broadcast widely across to the outback to some of the Doctors working out there, talking about the various new models of care.
Visit from Kazakhstan
Visit from a leader of doctors in Kazakhstan. Damilya Negmonova attended the practice in June 2015 to see how the practice is run and learning from British care service to take back to Kazakhstan. Our staff had an excellent meeting with her and was delighted to exchange stories.
Demilya then returned with 4 professors from the University of Almaty in September 2015.
September 2015 - Dr Vijay Kumar - Honorary Professor
Dr Kumar has now been appointed as an honorary professor in international health care delivery
The Practice is approved by the University of Middlesex for training for the diploma in Minor Surgery and had the accolade of have various GPs coming to train under our clinical lead.
The practice has also trained Healthcare Assistants nationally and various lectures have been provided in Leicestershire and other areas for training.
The Practice has also done approved surgical training for level 1 and level 2 in a recent programme held in Manchester in early July 2015.
Picture below shows Dr Vijay Kumar meeting Princess Ann in Manchester at the International Surgeons Conference organised by the Association of Surgeons in Great Britain & Ireland (ASGBI) as a community member - April 2015
Our Practice has been a long standing training practice for surgical services within the community. We offer training for GPs in various skin procedures and other procedures.
The Practice leads nationally in providing new models of surgical training at the Association of Surgeons in Primary Care (ASPC).