St Bernards Well 

Green Practice

Stockbridge Health Centre

1 India Pl, Edinburgh, EH3 6EH

Appointments 0131 260 9226
Enquiries 0131 260 9227
Video Link nhsattend.vc/70094
For current COVID-19 advice please visit www.nhsinform.scot

Welcome to the Green Practice

Coronavirus (COVID-19)

IN LIGHT OF RECENT DEVELOPMENTS, PLEASE NOTE THE HEALTH CENTRE IS NO LONGER GENERALLY ACCESSIBLE. PATIENTS WILL ONLY BE ADMITTED VIA OUR BUZZER SYSTEM.

The following measures have been implemented in order to best protect patients and staff:

  1. GPs will be offering telephone consultations first and foremost.
  2. Should you feel like you need to be seen in person you will still be triaged by a GP FIRST. It will be at their discretion if you are invited to attend the practice.
  3. Prescriptions will be sent to a preferred pharmacy rather than being left at the practice to collect - please advise us which one if you have not done so already!
  4. Please still contact your local dental practice or optician should you have any urgent concerns. They are the experts and are best equipped to treat you.
  5. Local pharmacies may have amended their hours of operation - please check before heading out to collect medication!

As the NHS guidelines are changing continuously, please be aware these measures may also change. We will do our best to keep you updated!

Do you have any of these symptoms?

  • A new persistent cough
  • Fever
  • Loss of taste or smell

Please SELF-ISOLATE at home for 10 days and DO NOT attend the surgery. Members of the same household should isolate for 14 days in case they develop symptoms. If they do, they should self-isolate for a further 10 days from the point symptoms appeared. 

PLEASE BOOK A COVID-19 TEST AS SOON AS POSSIBLE - visit the NHS Inform website below or call 0800 028 2816 to request a test.

Should you require a sick note for your employer to cover your self-isolation period, they are available on the NHS Inform website.

Further information is available online - www.nhsinform.scot/coronavirus


NHS FLU VACCINATION PROGRAMME 2020-2021:

Due to the COVID-19 situation, it is not possible for GP practices to run flu clinics at this time. NHS Lothian will be setting up hubs across the city in order to provide the flu vaccine to those who are eligible.

These hubs will be drive-thru clinics. For anyone who is eligible but not able to attend the drive-thru clinic, you should attend a local pharmacy in order to get your vaccine for free or attend a walk-in clinic (details below). Please note some pharmacies may offer a walk-in service whilst others may require you to make an appointment.

Please see details below for your designated drive-thru flu clinic:

SCOTTISH GAS BUILDING

1 WATERFRONT AVENUE

EDINBURGH, EH5 1SG

Eligible patients are invited to attend for their vaccine on the following dates:

  • SATURDAY 26TH SEPTEMBER
  • SUNDAY 27TH SEPTEMBER
  • SATURDAY 3RD OCTOBER - Cancelled due to adverse weather
  • SUNDAY 4TH OCTOBER
  • SATURDAY 10TH OCTOBER
  • SUNDAY 11TH OCTOBER
  • SATURDAY 17TH OCTOBER
  • SUNDAY 18TH OCTOBER

All eligible patients within your household should come in the same car if possible. 

In order to reduce queuing, time-slots have been allocated by surname for you to attend:

  • 9-10AM: A-B
  • 10-11AM: C-D
  • 11-12PM: E-H
  • 12-1PM: I-L
  • 1-2.30PM: M-N
  • 2.30-3.30PM: O-R
  • 3.30-4.30PM: S-U
  • 4.30-5.30PM: V-Z

If there is more than one person in the car, you should arrive at the time allocated by the surname of the driver.

Helpful hints from patients who have attended the drive-thru clinic:

  • The clinic is in the rear car park of the Scottish Gas Building. At the traffic lights at the front corner of the building, continue down Waterfront Broadway on the right (west) side of the building and turn right into Caroline Park Avenue at the back of the building to access the car park. There is NO VEHICULAR ACCESS to the car park from Waterfront Avenue, which runs along the "front" - i.e. south side - of the building.
  • Patients will be asked the following information by clinic staff: name, address, date of birth and age, which practice they are registered with, whether they have had the flu vaccine before and (if so) whether they have had any problems with it. If English is not your first language, we recommend typing or writing these details onto paper for you to take along with you to give to staff.
  • If there is a queue of cars waiting, it will help speed up service if those who are to be vaccinated loosen or remove sufficient clothing around the arm to be injected whilst waiting in the queue rather than waiting until they reach the injecting nurse. In this case, you should attend wearing clothes that are easy to remove!
  • Neighbours and relatives are permitted to attend in the same vehicle as long as precautions taken (e.g. face coverings/no concerning symptoms).
If you would like to provide any feedback regarding your experience, please email: edinburghprimarycaresupportteam@nhslothian.scot.nhs.uk

Please see details below of your designated walk in clinic:

ROSS FOUNTAIN

PRINCES STREET GARDENS 

EDINBURGH

EH1 2EU

As you do not need to make an appointment, you can attend this clinic on the following dates:

  • TUESDAY 3RD NOVEMBER
  • WEDNESDAY 4TH NOVEMBER
  • WEDNESDAY 11TH NOVEMBER
  • THURSDAY 12TH NOVEMBER
  • TUESDAY 17TH NOVEMBER
  • WEDNESDAY 18TH NOVEMBER
  • WEDNESDAY 25TH NOVEMBER
  • THURSDAY 26TH NOVEMBER

The site is open from 9AM until 5:30PM on all dates.

Primary school children should receive their flu vaccine at school whilst children aged between 2-5 will be invited to attend a special hub in the city - you should receive a letter from the health-board about this.

Housebound patients will receive their flu vaccine via the district nursing team or special housebound team - again, more information yet to be announced.

If you attend the practice at any point over the flu season, there is a chance the GP or nurse may give you the vaccine whilst you are in but YOU WILL NOT BE ABLE TO MAKE AN APPOINTMENT TO GET THE FLU VACCINE.

For more information regarding the flu vaccine programme, please visit www.nhsinform.scot/flu, NHS Lothian practice release or call the advice line on 0800 22 44 88.

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COVID-19 - Update Video

We decided to make a video to highlight some of the changes we've introduced to help manage the coronavirus pandemic - featuring a few friendly faces! Practice COVID-19 update video - 27th April 2020

Please remember that your NHS is still open for business and you should always seek help for any concerning symptoms!

COPD - COVID-19 

As the COVID-19 virus is a respiratory disease, symptoms can be similar to those already experienced by patients living with COPD. It is important to be able to tell the difference. Nurse Pauline, working with her team at Cheyne Gang , wanted us to share this leaflet with our COPD patients which was created by a group of researchers at Pharmatics Ltd.  It helpfully details how to distinguish between symptoms and their severity, how to stay safe and well and when to seek urgent medical attention.

It has never been more crucial to carefully manage long-term conditions - such as COPD, asthma and diabetes - and to recognise when you need help. Our practice nurses are here to provide advice and care to those who require it.

Asthma Reviews

An estimated 5.4 million people in the UK have asthma and are mostly managed in primary care. Morbidity and mortality can be significantly reduced by a proactive approach to asthma care and supporting self-management. Current guidelines recommend asthma reviews once a year with a Health Care Professional who has the appropriate qualifications and expertise.

As a result of the COVID-19 pandemic, asthma reviews are still available and can be managed effectively on the telephone with a Practice Nurse.

The key elements of a telephone asthma review are the same as a face-to-face consultation with the exception of being able to assess inhaler technique and observe a peak flow measurement (PEFR). A peak flow can be measured at home and inhaler technique reviewed by the patient by watching videos from recommended websites.

*Please note if you have concerns about your asthma control or symptoms, you do not need to wait to be called for a telephone asthma review. Please call to speak to a Practice Nurse on 0131 260 9226* 

Telephone Review process:

  1. The practice will contact you by SMS (text message) to advise that your asthma review is due or you may notice an alert on your prescription to make an appointment.

  2. Please call the appointment line on 0131 260 9226 and tell the receptionist you have been alerted to the need for a telephone asthma review.

  3. The receptionist will enquire if you have a peak flow meter at home. If you do not, then a prescription will be arranged for you so you may measure your peak flow for a few days before your appointment. If you could please note the best of 3 readings taken in the morning and again in the afternoon then relay the average of these to the Practice Nurse during your telephone appointment.

  4. The receptionist will also ask you to complete an Asthma Control Test (ACT) before your telephone appointment. This can be accessed here and the score discussed with the Practice Nurse: http://www.asthmacontroltest.com/en-gb/welcome/

  5. The receptionist will arrange a telephone appointment with the Practice Nurse at a convenient time. Please provide the best phone number to be used and ensure your phone is switched on at the time of your appointment. Please note we cannot guarantee the Practice Nurse will be able to call you at the exact time of your appointment.

  6. During the telephone consultation, the Practice Nurse will discuss with you:

  • Your ACT score
  • Your current inhaler(s) and medications
  • Your inhaler technique using the websites provided in the SMS message
  • If you have had any flare-ups
  • Any new symptoms or concerns about your asthma control
  • The triggers for your symptoms and how you manage these
  • Your peak flow reading which you can do at home during the consultation
  • Your Personal Asthma Action Plan (PAAC) including any changes to your treatment
  • How to manage a flare-up or asthma attack
  • Lifestyle measures to keep your asthma well-controlled including smoking cessation, exercise, weight loss and natural breathing techniques to help with anxiety and hyperventilation for example.
  • Flu vaccine criteria
  • When your next review will be
     
Asthma and COVID-19:

There is no evidence of a relationship between the use of inhaled steroids and COVID-19 infection. You should continue to take your steroid inhaler as prescribed, reducing the risk of an asthma flare-up or attack being triggered by a respiratory virus such as COVID-19. 

Oral steroids should be used if appropriate for an acute flare-up or attack and prescribed by your Practice Nurse or GP.

If you are experiencing symptoms of COVID-19 - new persistent cough, fever, loss of sense of taste or smell - then you must self-isolate for 10 days and book a test via the NHS Inform website or by calling 0800 028 2816.

Oral contraception during COVID-19

The Faculty of Sexual and Reproductive Health (FSRH) has issued guidance for the provision of the contraceptive pill for women during the current COVID-19 pandemic. This allows women to access a prescription for their normal pill without requiring a face-to-face consultation with a nurse or doctor.

If you need your contraceptive pill, please use our prescription ordering service on this website or email us with your request using prescriptions.s70094@nhslothian.scot.nhs.uk. Please include your name and date of birth.

If your prescription is a progesterone-only pill, also known as the mini pill or POP, we can provide you with a prescription for a year's supply. The common names for this pill are Desogestral (Cerazette) or Norethisterone. Please read the following advice, and if you are happy that this pill suits you and you are not experiencing any adverse effects, then submit your request:

  • This is a very safe form of contraception for almost all women
  • You must take it every day with no breaks
  • Most women will not have any bleeding with this pill
  • This pill does not affect your blood pressure therefore this does not need to be checked before it is re-issued
  • Common side-effects include breast tenderness, bloating, mood changes, Premenstrual Tension (PMT) and some light spot bleeding
If your pill is combined product, also known as a COCP, we can provide you with a 6 month's supply. The common names for this pill include Rigevidon, Gederal 20/150 or 30/150, Bimizza, Cimizt, Levest Lizinna and Millinette. Please submit your request as described above but be aware there are several criteria that need to be fulfilled before we can issue this pill and you may be contacted by a pharmacist to ask some questions before your prescription is provided. Please read the following information and if you fall into one or more of these categories, a pharmacist may call you to discuss them further:

  • The COCP is not suitable for all women and repeat prescribing without a telephone review is only suitable for women who have been using this method for more than 1 year.
  • You take this pill for 21 days with a 7-day break to have a withdrawal bleed but it is now recommended that this pill can also be taken safely everyday with no breaks if this suits you better.
  • All women currently taking this pill should have had a full risk assessment completed by the GP or practice nurse before starting on it to ensure they had no contraindications such as focal migraine or a significant family history of blood clots, breast cancer, coronary heart disease or stroke.
  • The COCP can cause a rise in blood pressure. In order to issue a repeat a COCP prescription, we must have evidence of a normal BP (<145/85) in the previous 12 months, and this will be recorded in your records.
  • There is a higher risk of blood clots associated with the COCP in women over 50 years of age so if you are now over 50, you will be asked to change to a progesterone-only pill or an alternative contraception such as the coil.
  • Obesity also increases the risk of a blood clot when taking a COCP so if your current BMI is more than 30, you will be asked to switch to a progesterone-only pill or another form of contraception. If we have no record of your weight in the past 5 years, we may ask you to weigh yourself at home in order to update your BMI. 
  • Smoking is another cause of blood clots when taking a COCP. If you are currently a smoker, we will provide smoking cessation advice and signpost you to cessation services. If you are aged over 35 and a smoker, we will encourage you to change to a progesterone-only pill or an alternative method of contraception.
  • Common side-effects of a COCP include mood changes, PMT, breast pain, headaches, nausea and bleeding between periods.
*If you have any concerns regarding your contraception, please call us on 0131 260 9226 to speak to a doctor or practice nurse*

We are one of two GP surgeries based at the Stockbridge Health Centre, offering comprehensive primary care services.

We are committed to providing medical care of the highest quality, delivered by our team of GPs, Practice Nurses; supported by our Admin Team and affiliated District Nurses and Health Visitors.

We value continuity and personal care, and being part of the community.

We are a teaching and training practice with a longstanding interest in helping to train medical students and postgraduate doctors.

We do not discriminate on the grounds of age, race, gender, sexual orientation, appearance, social class, religion, disability or medical condition.

We hope the website gives you an informative look at the practice and its services.

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Green Practice - Stockbridge Health Centre 2006-2017