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Do not leave home if you or someone you live with has any of the following:

a high temperature

a new, continuous cough

a loss of, or change to, your sense of smell or taste

Check the NHS website if you have symptoms

Back to School Enquiries. With the Government announcement about Schools and phased reopening, we understand GP practices are receiving enquiries.


The key messages to Parents, Carers and teaching staff are as follows;


  • Schools, Colleges and other educational settings are working very hard to review the government guidelines alongside their own risks assessments to determine the safety of a phased reopening of their School
  • These measures are overseen by the Head Teacher, the Senior Leadership and appropriate Governing Body (or equivalent) for each School’s individual circumstances
  • Parents/Carers need to work with Schools if they have individual concerns about their child
  • Our understanding is that it will be parent and carers choice as to whether they feel it is safe, and not for a GP to adjudicate.
  • Teachers and other employed staff will also need to work with Schools if they have concerns about their own health and whether they can safely return to Face to Face work.
  • GPs have not been provided with additional/specific guidance regarding decision making for staff or students beyond current public health measures
  • GP Practices will not be issuing correspondence on behalf of Parents/ Carers if they do not wish to send their Child to School or their Child is shielding for themselves, or to protect family members who are shielding and/or vulnerable.
  • The government has already announced that Parents will not be fined for non-attendance at this time.

  Bank Holiday

Castle Street Medical Centre will not be open on the 25th May 2020.

Please contact 111 Out of Hours Service if you require medical attention over this period.



Access to NHS Dentistry is currently limited during the pandemic as all dentists have been asked to stop all routine “face-to-face” dental care.

However, if you need urgent dental care, help is at hand:

CALL your dental practice:

They will give you advice over the telephone and make arrangements for you if you need to be seen.


If you don’t have a dentist, find your nearest dentist and CALL them. You can search for your nearest dentist at:


You can also contact NHS 111:

You can ask for a translator if you need one.

NHS 111 is available 24 hours a day, 7 days a week


If you’re deaf, you can:

  • use the NHS 111 British Sign Language service:
  • or
  • call 18001 111 on a textphone


Do not worry if you have COVID-19 symptoms, appropriate arrangements can be made to see you if you need urgent dental care.


9 April 2020



If you or someone you live with has coronavirus symptoms (high temperature and / or a new continuous cough):

 Stay at home.

  • If your symptoms worsen or you feel that you cannot manage at home, please refer to the NHS111 online coronavirus service.
  • Please do not go to your GP practice or community pharmacy.

If you or people you live with don’t have coronavirus symptoms and you think you need advice from a GP practice or pharmacy for a health concern:

  • GP practice services on Good Friday (10 April) and Easter Monday (13 April) will be available the same as any normal weekday. This may be at your practice or another nearby service.


If you think you need to talk to your GP practice about something other than coronavirus:


  • Contact your GP practice online or by phone to be assessed. If your practice is not open for any reason you will be directed to another nearby service.
  • If a face-to-face appointment is necessary, you’ll be advised on this.


Community pharmacy services over the bank holiday


  • Many community pharmacies will be open for a minimum of three hours on Good Friday (10 April) and Easter Monday (13 April) with some pharmacies being open longer. Please check your pharmacy website or phone for details.
  • Community pharmacy opening hours on Saturday 11 April will be the same as normal and for Sunday 12 April will be the same as any normal Easter Sunday.


Important information on prescriptions during the COVID-19 epidemic


  • Order repeat prescriptions in your usual quantities at the usual time. Over ordering of your medicines may mean someone else has to go without their medicines.


  • Order your usual prescription online or by an app. Do not go to your GP practice or pharmacy to order prescriptions and only phone them if you cannot order online or by an app. You can order repeat prescriptions on the NHS App and through your GP surgery or pharmacy’s online service, where available. You can find out about ordering medicines online at
  • If you have a prescription to collect:
    • If you are 70 or over, have a long-term health condition or are pregnant you should arrange collection by a relative or friend, or ask your pharmacy for help with delivery
    • Ask any relatives and friends who are delivering your medicines to make sure they have seen you pick up the bag
    • If your medicines are being delivered make sure you keep a safe distance when you receive them.
  • For everyone else, if you are going into a pharmacy in person, follow social distancing rules and the rules put in place by the pharmacy to protect you and their staff
  • Pharmacies may have altered opening times to manage their workload
  • Sales of some medicines may be restricted in quantity by pharmacies to ensure that there is enough for everyone.

Dr Steve Lloyd, Medical Director for NHS Derby and Derbyshire Clinical Commissioning Group said: “NHS staff across the county, along with partners and key workers, are pulling out all the stops to care for our communities and we thank all staff who are yet again going the extra mile to take care of others.

“These services are staying open to look after the poorliest patients and make sure the vulnerable patients are still supported so please continue to follow the national advice, stay home to save lives.

“And if you do need non-emergency NHS help over the bank holiday please follow the advice or using the NHS app or going to NHS 111 in the first instance.”

Everyone should stay home in line with government guidance.




Notes for editors: NHS Derby and Derbyshire Clinical Commissioning Group brings together the combined expertise of 114 local GP practices, split between eight different Places, to commission health services on behalf of 1,062,000 patients in Derbyshire.Our vision is to continuously improve the health and wellbeing of the people of Derbyshire, using all resources as fairly as possible.



 Like many of you we remain concerned that social distancing and self-isolation are not being strongly adhered to by all. We are also concerned by the very sharp increase in cases and state of emergency in London. It is time to ramp up the public messaging to increase preparedness for what is coming. We will be on Radio Derby at breakfast time again this week and will be approaching the BBC with the following messages which we would be grateful if you would reinforce:

Oncology Appointments and Cancer testing


“If you spot any symptoms which could indicate cancer, don’t just sit worrying about it at home – you can still contact your GP, usually by telephone or on-line. They will be able to advise on whether you need to get checked. If you have an urgent appointment for a diagnostic test, or are having treatment already it is important that you attend your appointments.  The team looking after you will be able to advise on how to do this, if you are in doubt.”


 Accessing GP Services

The NHS Health at Home campaign promotes ways of accessing GP services, ordering repeat prescriptions, managing wellbeing and existing conditions - without leaving home.



  1. SOCAL DISTANCING will only work if we all do it and it is the only way to reduce impact on our NHS
    1. Please ensure your children are not hanging around with one another when not at school.
    2. Please do not congregate in houses as pubs/clubs are closed.
    3. If outside, please maintain 2m separation and avoid busy areas such as popular parks.


  1. The NHS is getting increasingly stretched. YOU CAN HELP
    1. Only use General Practice/A+E if you need to. If you need to we are here and are managing the vast majority of problems by phone. Do not ring your practice if you think you are in the extremely vulnerable group unless you haven’t received a letter by Sunday 29th March.
    2. Where possible try self-care first.


    1. Please be aware that routine referrals to hospital have been suspended. The only exception is CANCER SERVICES where Two Week Wait Cancer referrals can still be made
    2. DO NOT over-order medications, or order medications that you wouldn’t normally have. We have seen Social Media posts about ‘Rescue Medication’ for chronic lung complaints; these are used in specific circumstances and are not for all. We have sufficient medications at this time but inappropriate use will affect the supply chain.


A huge thanks to the vast majority of patients who are adhering to government advice, understanding of these changes and self-caring



To protect yourself and others, do not go to a GP, pharmacy or hospital


To find out what to do if:

*you think you have symptoms

*you might have been exposed to the virus when travelling

We’ll ask you a few questions and tell you what to do next

Follow the link below to access the  patient self screening assessment

Latest Government Guidance

Stay at home: guidance for households with possible coronavirus (COVID-19) infection

Coronavirus Update 3.3.2020

For general information on coronavirus, please visit

For patients concerned that they may have coronavirus or may have come into contact with someone who has, the NHS 111 online service has created coronavirus pages that tell patients what they should do based on their particular circumstances.  These can be accessed at:

The NHS in Derbyshire and Public Health England (PHE) are extremely well prepared for outbreaks of new infectious diseases. The NHS has put in place measures to ensure the safety of all patients and NHS staff while also ensuring services are available to the public as normal.

The risk to the general public is moderate. If you have arrived back to the UK from mainland China, Thailand, Japan, Republic of Korea, Hong Kong, Taiwan, Singapore, Malaysia or Macau within 14 days, follow the specific advice for returning travellers.

Anyone who has travelled to China or places listed above in the last 14 days and develops symptoms of cough or fever or shortness of breath, should immediately:

  • Stay indoors and avoid contact with other people as you would with the flu
  • Call NHS 111 to inform them of your recent travel to the country.

Information for the public is available at

Like the common cold, coronavirus infection usually occurs through close contact with a person with novel coronavirus via cough and sneezes or hand contact. A person can also be infected by touching contaminated surfaces if they do not wash their hands.

The risk of being in close contact with a person with coronavirus or contaminated surfaces is very low at the current time, as members of the public who have visited Wuhan, Hubei province, China are currently in isolation.

Testing of suspected coronavirus cases is carried out in line with strict regulations. This means that suspected cases are kept in isolation, away from public areas of the GP practice and returned home also in isolation. Any equipment that come into contact with suspected cases are thoroughly cleaned as appropriate. Specific guidance has also been shared with NHS staff to help safeguard them and others. Patients can be reassured that their safety is a top priority, and are encouraged to attend all appointments as usual.

Everyone is being reminded to follow Public Health England advice to:
•Always carry tissues with you and use them to catch your cough or sneeze. Then bin the tissue, and wash your hands, or use a sanitiser gel.
• Wash your hands often with soap and water, especially after using public transport. Use a sanitiser gel if soap and water are not available.
• Avoid touching your eyes, nose and mouth with unwashed hands.
• Avoid close contact with people who are unwell.

You can find the latest information and advice from Public Health England at

Patient Participation Group

Our current Patient Participation Group (PPG) meets throughout the  year and enables patients’ voices to be heard and acted upon.  It offers an opportunity to meet regularly and provided a two-way communication between patients and practice staff, helping the Practice to improve services to patients.

Join our PPG

If you would like to contribute to improving the services we offer our patients please consider joining the Patient Participation Group. New members are welcome at any time. You do not need to be able to attend any of the meetings we hold, you can be a ‘virtual’ group member.  As a virtual member you will still receive the meeting papers and you can provide your feedback outside of the meetings.

If you are interested in joining the group either as a virtual member or to attend the meetings we would like to hear from you.

Please contact Rebecca Liszka for further details





From the 1st April 2019 gabapentin and pregabalin will be reclassified as Schedule 3 Controlled Drugs


What does this mean for me?

 Prescriptions for controlled drugs should be written for a maximum of one month’s supply.

Controlled drugs cannot currently be sent to Community Pharmacies electronically so a paper prescription may need to be printed for gabapentin or pregabalin. Other medication that is not a controlled drug can still be sent to the pharmacy electronically. When collecting your medication from the pharmacy, please check that you have everything you ordered as the pharmacy may now receive your prescriptions separately.

Prescriptions for controlled drugs must be presented at the pharmacy within 28 days of the prescription date.

Gabapentin or pregabalin will no longer be allowed as repeat dispensing (batch prescriptions) and will need to be issued monthly from your GP surgery as a paper prescription. Other medication can continue to be supplied as repeat dispensing if you wish.

**Depending on practice policy you may wish to include the following:**

If you collect your prescription from the surgery you will be asked to sign for it.

Due to controlled drug regulations, if you lose your prescription for gabapentin or pregabalin we may not be able to issue a replacement.

Castle St Re-Opening Event

On Thursday 24 January we held a small re-opening event with colleagues, patients and volunteers to celebrate the successful completion of the surgery re-fit. Prem Singh, the Trust's Chairman, gave a touching speech acknowledging the accomplishment. Prem and Dr Alex Carberry then did an honorary ribbon cutting.

New Carers' Support Group

We are looking to start a new Carers' Support Group. Please contact the reception team to register your interest in participating with the group.

Latest Practice Newsletter

Our Winter 2018 Practice Newsletter is available here.

Get Well, Keep Well

Of course we’re not just here for when you are unwell. Our team of healthcare professionals and back-up staff offer a number of clinics and services to promote good health and wellbeing whatever your medical condition.

Early Morning Non-Urgent Appointments

We offer early morning non-urgent GP appointments every Monday and Tuesday between 7:30 and 8:30am specifically for workers and those who find it difficult to attend the practice during core hours. These appointments are also available to book online.

Extended Access

As a patient at Castle St you may be able to use the extended access appointments available at Barlborough Medical Practice (at Barlborough and Renishaw), The Springs Medical Partnership, or Welbeck Road Health Centre. Information about why extended access is happening and what it should mean for patients is available here:
Please note: you will still remain registered with Castle St and your existing access will not be affected. This service is available in addition to the current GP Practice services provided.
The 3 Practices providing this service on behalf of Castle St and other participating practices are:
•The Springs Medical Partnership: Staying open until 8pm Mon and Tues.
•Barlborough Medical Practice: Open Saturday Morning 8am – 11.30am.
•Welbeck Road Bolsover: Staying open until 8pm Wed and Thurs.
•Friday evening appointments (until 8pm) will be provided on a rolling basis.

•DHU: Will provide the service on Sundays and Bank Holidays.

Please note that extended access appointments are available by pre-booking only - this can be done via the reception team at Castle St.

Please be assured that the 9 Practices have signed an Information Sharing Agreement which governs the appropriate use of patient data in order to provide Health Care Services. Existing confidentiality clauses ensure that all employees access data appropriately and in a fully audited manner.

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