Welcome to The Caxton Surgery Online
The Caxton Surgery in Oswestry provides the highest quality healthcare to patients. Our doctors, nurses and all our other staff are dedicated to offering a professional service and this surgery website will help us to keep all our patients up to date with news and information about our practice.
As well as a source of information about our practice, the staff and the services we provide, we hope you will use this website as a useful resource for other health-related information. Please have a look around and do send us some feedback if you like. We can use your ideas to improve our online services and further develop the content of this site.
Our telephone system is being upgraded on Wednesday 23rd September with the likely changeover from our old system to the new one taking place between 1-2pm.
We are doing all we can to minimise any disruption to patients but there might be teething problems so please bare with us as we get used to a new system.
The new system will have a greater capacity to handle incoming and outgoing calls, improved call queueing and will also be able to record calls. All of which we recognise is much needed now our outgoing and incoming calls are x3 what they were pre-Covid19.
Covid-19 Vaccination Survey
The Clinical Research Network West Midlands has asked if patients could please complete a short survey to help them understand patient views about vaccines and whether you would consider taking part in vaccine research. See link below:
This flu season the following groups will be eligible and it will be more important than ever that patients who are eligible have one.
This year the flu vaccine is being offered on the NHS to:
- adults 65 and over
- people aged 6 months to 64 years with certain medical conditions including COPD, Severe Asthma, Heart Disease, Kidney Disease, Liver Disease, Neurological Disease (e.g. Parkinson's), Learning Disability, Diabetes, Asplenia, a weakened immune system and Obesity (BMI 40 and above)
- pregnant women
- people living with someone who's at high risk from coronavirus (on the NHS shielded patient list)
- children aged 2 and 3 on 31 August 2020
- children in primary school
- children in year 7 (secondary school)
- frontline health or social care workers
Later in the year, the flu vaccine may be given to people aged 50 to 64 following prioritisation of the other eligible groups and subject to vaccine supply. More information will be available later in the autumn.
However, if you're aged 50 to 64 and in an at-risk group, you should not delay having your flu vaccine.
Due to Covid-19 the way we deliver the flu vaccines is going to have to change due to the need for social distancing. We are currently in the process of planning drive / walk through clinics which we hope will be a safe and efficient way of vaccinating 3,000 - 4,000 patients this Autumn/ Winter.
The vaccines will not be arriving until late September / early October (we have no control over delivery dates from the suppliers) so appointments will not be available until early/mid September at the earliest to allow for any delays to delivery which unfortunately has happened in the past. We will regularly update this page with new information when we have it.
Nasal flu vaccines for the fit and well 2 and 3 year olds are due to arrive on Friday 4th September and we are booking appointments now for just this group, invites are in the process of being sent out to all children within this age group but if you have a child who was 2 or 3 years old as at 1st September 20 then you can call now to book an appointment.
Face Mask Exemption Letters
We will be unable to provide patients with letters to say they are exempt from wearing a face mask to go on public transport or to go into shops.
A loose face covering such as a scarf which should not feel too restrictive or feel as if it is hampering your breathing is acceptable for both scenarios. If you feel unable to do wear even a loose face covering then please follow the links below for more information, self printable exemption cards or lanyards which can be purchased to wear.
Face covering / masks for appointments
From 15th June we would ask that patients attending any face to face appointment at the surgery would please wear a face covering or mask when they attend. This is to protect patients and staff, home made scarves and face coverings are acceptable and if patients feel they do not have anything to wear or are unable to wear one for some reason we will not deny a patient an appointment for this reason.
Please note due to Covid-19 we are only able to offer pre-bookable telephone consultations for non urgent problems or follow ups with a Doctor or Nurse at this time. We will be expanding this over the next few months. If you have an urgent medical problem then please call the practice as usual on 01691 653600 or if life threatening dial 999. Patients with suspected Covid-19 symptoms such as a high temperature, persistent cough or loss or change in sense of smell or taste should use the NHS 111 online service for support first.
Cervical smears restarting
As part of the 'RESTORE' phase of the NHS response to Covid-19 cervical cytology screening will restart on Monday 1st June and appointments will be available, if you were due to have your smear between February and May this year and your appointment was cancelled or you were worried about attending then please call the practice to re-book. We will be contacting patients proactively and we would recommend patients take up this offer.
For information as to why it is important you have a smear, please follow the link below:
Self Help Resources
We understand that this is a worrying and anxious time for patients, if you go to the 'Clinics and Services' tab above and select 'Online Self Help Resources' there is a selection of useful apps and websites to help manage your physical and mental wellbeing.
Covid-19 - 'SELF ISOLATION'
The U.K has now moved to the delay phase of managing the Covid-19 pandemic.
If you have either:
- a high temperature (over 37.8)
and / or
- a new continuous cough
- a loss or change in your normal sense of smell
Then please stay at home and self isolate for 7 days. Do not attend the surgery or a hospital.
For guidance on self isolation please follow the link below:
(this has now been updated as at 19th May)
If you feel you cannot cope with your symptoms at home, your condition gets worse or your symptoms do not get better after 7 days please use the NHS 111 online Coronavirus service.
Please only call 111 if you cannot get the help you need online.
Our receptionists will be asking all patients questions regarding symptoms prior to booking any appointments.
More information for the public is available at gov.uk/coronavirus
COVID -19 COMMONLY ASKED QUESTIONS
Covid-19 Face covering for transport and work
Please find useful links regarding the use of face masks on public transport and at work, we will not be issuing exemption letters to patients / employers for either purpose.
Covid -19 Tests
Testing is now available for symptomatic patients aged 5 and over.
Please follow the link for further information and the self referral portal.
We are unable to make referrals for testing on behalf of patients and it is self referral only.
Covid-19 and Appointments
Due to the new Covid-19 guidance below all general practices have been instructed in the short term to reduce the number of consultations done face to face and to move towards a more telephone based model of care. We will now be offering telephone consultations for more of the services we offer and be looking at alternative ways of consulting with our patients including E-consultations, video consultations and increased use of text messaging.
If you have an upcoming appointment we will contact you if it needs to be cancelled or changed. We will continue to offer face to face appointments for important services such as; child immunisations, 6 week postnatal checks, urgent blood tests, dressing changes, and will offer them at times where it is quieter and safer to come into the practice. If you have an appointment for any of these things and develop a temperature or persistent cough do not attend your appointment and let us know to cancel.
Covid-19 High / Severe Risk patients - who need 'SHIELDING'
Patients with the following conditions or undergoing the following treatment have been identified as at the highest risk and will need to remain at home and be 'Shielded' until 31st July. These patients will be sent a letter by the NHS this week which will have more information for them.
The conditions included are:
Organ transplant recipients
People with specific cancer undergoing chemotherapy or radiotherapy
People with cancers of the blood or bone marrow
People with severe respiratory conditions including cystic fibrosis, severe Asthma and severe COPD
People with rare diseases and inborn errors of metabolism
People on immunosuppression therapies sufficient to significantly increase risk of infection
People who are pregnant with significant heart diesase
Please follow the link for more information. Do not ring the surgery to ask of you apply, if you do you will receive a letter this week.
Covid-19 - Increased Risk patients - who need to follow 'SOCIAL DISTANCING' measures
Patients who are at increased risk:
- aged 70 or older (regardless of medical conditions)
- under 70 with an underlying health condition listed below (ie anyone instructed to get a flu jab as an adult each year on medical grounds):
- chronic (long-term) respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
- chronic heart disease, such as heart failure
- chronic kidney disease
- chronic liver disease, such as hepatitis
- chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
- problems with your spleen – for example, sickle cell disease or if you have had your spleen removed
- a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets or chemotherapy
- being seriously overweight (a body mass index (BMI) of 40 or above)
- those who are pregnant
These patients should closely follow 'SOCIAL DISTANCING' measures. Patients within this group should have a one to one conversation with their employer to see what measures can be taken to protect them at the workplace or if they can work from home.
Do not ask the Doctor for advice, we are unable to comment on individual workplaces. Please see the link below for more information for employees and employers.
Patients can now get a self isolation note for their employer by going to:
Please follow the link below:
Link to self certification:
If you fall into the high risk group that need to be 'Shielded' at home for 12 weeks the letter you will receive from the NHS will act as proof for employers.
Covid-19 and 'Rescue Packs'
Patients with severe Asthma and COPD who may need a 'Rescue Pack' of medication will be identified and contacted by the practice in partnership with the Community Respiratory Team and Hospital Respiratory Team. Patients with mild or moderate Asthma or COPD if they have regular inhalers, are well controlled and are not suffering with any change in their condition do not need rescue packs at this time.
Please continue to take your inhalers as directed and only contact the surgery if your condition changes.
Follow link to the British Lung Association statement:
Covid-19 and help with food and medication
Please follow the links to local services and support for patients
Covid-19 Information in other languages
The website below has Covid-19 guidance in 43 languages
NATIONAL DATA OPT OUT
Information about your health and care helps us to improve your individual care, speed up diagnosis, plan your local services and research new treatments.
In May 2018, the strict rules about how this data can and cannot be used were strengthened. The NHS is committed to keeping patient information safe and be clear about how it is used.
You can chose whether your confidential patient information is used for research and planning.
To find out more visit:
WI-FI FOR PATIENTS
From Monday 5th November free wi-fi will be available in the practice for patients in the waiting areas.
Please select 'NHS Wi-fi' when connecting and complete the form to sign in or sign in via a social media platform.
Please turn off electronic devices before seeing the doctor or nurse.
Extended Access – Local GP practices working together to offer more convenient appointment times for patients
From 1st October, 2018, we will be part of a network of practices (known as ‘hubs’) in Shropshire, working together to offer patients ‘Extended Access’ to pre-bookable appointments - in the evenings, at the weekend and during bank holidays.
Part of the national agenda by NHS England, Extended Access means patients will be able to make pre-bookable appointments to see a GP, practice nurse, or other qualified healthcare professional, at a time which may be more convenient for them.
In Shropshire, local practices will work together in a network of ‘hubs’ to provide this service. The ‘hubs’ will take turns to provide the Extended Access appointments to patients. This means patients could be offered an appointment at their own surgery or at a nearby practice in the local area (part of the hub). Patients will be advised about appointment location at time of booking, enabling them to make an informed choice about their where and when they access care.
Locally the pre-bookable appointments will be available as follows:
- Weekday evenings (Monday to Friday)
between 6.30pm and 8pm (at a local area hub)
between 8.30am and 12.30pm (at a local area hub)
Shropdoc who have previously covered the 8.00am - 8.30am Monday to Friday period for Shropshire practices will be withdrawing this service from 2/7/18. Please note we will not be able to deal with routine enquiries during these periods and patients who need to urgently speak to a GP during these periods will need to call a separate number 07944848842 to be assessed. This number will not be answered during 8.30am - 6.00pm and patients who call it inappropriately will be asked to call the usual numbers during the day.
NHS 111 British Sign Language
Patients with hearing loss or deafness are now able to make video calls to a NHS 111 British Sign Language interpreter via their smartphone or tablet, please see link below.
In order to comply with new General Data Protection Regulation (GDPR) coming into force on 25th May please click on the links below for our new updated Privacy Notice and website Privacy Statement .
Website Privacy Statement
From 1st February patients who wish to order repeat medication over the telephone will need to call 0333 358 3509 instead of the usual prescriptions line number.
Patients who order face to face, online, on paper or via the answerphone can continue to do so as normal. The only change will be for patients who use a pharmacy to order their medication or those that prefer to telephone and speak to someone. They will still be able to do this but will instead need to call 0333 358 3509 and their medication will be processed in the same way.
Please allow 48 hours for the generation of the signed prescription by the practice and approx 48 hours for the pharmacy to receive the prescription and prepare your medication for collection.
Sign up now to be able to make appointments, order repeat prescriptions, and amend your contact details. For further details ask at reception or select 'Appointments' - 'Online Booking' on the menu above.
Once you have your registration details click on the link below to get started:
or to order a repeat prescription without being signed up for the online services click below:
Click here to access the online repeat prescription form
*PLEASE NOTE URGENT SAMEDAY APPOINTMENTS WITH A GP FOR MEDICAL EMERGENCIES ARE NOT AVAILABLE ONLINE AND YOU WILL NEED TO CALL THE APPOINTMENT LINE ON 01691 653600.
From 1st March 2015 you will be able to sign up to be able to view your medical records online, please ask at reception or email the practice for more details.
(Site updated 22/09/2020)