GP Federation, Alliance for Better Care (ABC), has now administered more than 100,000 vaccine doses across its sites in Crawley, East Surrey and Mid Sussex. The huge milestone includes vaccinations that have taken place at all seven of ABC’s sites as well as its roving team and Mobile Vaccination Units.

Three GP practices in Surrey have collaborated to produce a short film that features a host of Surrey winter heroes delivering messages of reassurance. Keeping patients safe is central to everything they do, and although all their services are open, practices now need to work differently to do this.

Fairlands Practice Manager Isata Green has never appeared in a public information film before, but you wouldn’t guess it. Isata is a natural, she thanks patients for the patience they continue to show, echoing the sentiments of healthcare staff in GP surgeries across Surrey. Her colleague GP Dr Marty McKendry takes the time to apologise that health care services have been disrupted during the COVID-19 pandemic.

The team at Shere Surgery and Dispensary have recorded a message to remind patients that they are being listened to. GP Dr Douglas Wardrop describes how they are “working with patients to understand their needs and prioritise what healthcare staff do”.

Health and immunisation services are available and anyone who has a routine appointment is encouraged to keep it. If anyone has a cancer concern, a medical symptom or a maternity concern, NHS advice is to contact your GP surgery.

Final words come from Pharmacist Quresh Shamsuddin and Healthcare Assistant Angela Gill, both from The Wall House Surgery, thanking patients for their kindness and what they are doing to help.

Dr Charlotte Caniff, Clinical Chair, Surrey Heartlands CCG and local GP said:

“It’s critical that the NHS is able to continue to offer non-Covid services; since the first wave we have worked hard to restore services and to make our hospitals, GP practices and other premises safe, with stringent social distancing and infection control measures in place.

We’ve learnt a lot and have adapted our services to make them as safe as possible – for example offering more virtual services where we can (which many people are also finding much more convenient).

By reducing the spread of this infection we can help preserve these vital services and make sure our hospitals and other services aren’t overrun.

Finally I want to remind people - the NHS IS still here for you. Our services are open and are running safely. So if you think you need medical care, if you are worried about something – for example if you find a lump or have other worrying symptoms – please seek help”.

People who are homeless in Surrey are being offered the opportunity to receive flu and Covid jabs this winter, all thanks to a potentially lifesaving initiative by Surrey Heartlands Integrated Care System (ICS) and local partners within the Surrey Homeless Multi-Agency Group.

Working together throughout the winter, they successfully set up outreach flu clinic sessions at hostels and other support settings along with the option of a mobile unit to provide further outreach. The initiative involved reaching out to people who are homeless, many of whom have longer term health conditions, in an attempt to make it easier for them to access the flu vaccine.

People living on the streets or those with no permanent address may come into contact with a large number of people and they are at risk of contracting and passing on coronavirus. Building on the learning gained during the flu vaccination rollout, Surrey Heartlands ICS and Surrey Homeless Multi-Agency Group are now working with services, including voluntary groups, to enable people who are homeless to receive the Covid-19 vaccination.

This year it is more important than ever that people who are most at risk of flu and Covid-19 are vaccinated. The best way to avoid getting flu and coronavirus is by having the vaccinations and doing so reduces the risk of developing the illnesses significantly.

Sinead Mooney, Surrey County Council Cabinet Member for Adult Social Care and Public Health said: ““People who have no permanent home are some of the most vulnerable in our county and we’re pleased to be able to offer them the Covid-19 vaccine. Thanks to outreach work in the community through partners and voluntary groups, we’ve been giving the flu jab to homeless people this winter and now we’ll be using a similar approach to support access to the Covid-19 jab.

“We’re committed to tackling health inequalities so that everyone in the community is able to thrive and no one is left behind. This is an example of how we’re working with partners to put that ambition into practice.”

Dr Charlotte Canniff, Clinical Chair, Surrey Heartlands CCG and local GP said: “This year with Covid-19 circulating, Covid-19 immunisations are more important than ever to reduce infections, protect the vulnerable in our community, protect each other and protect the NHS. Local practices and support services are facing numerous additional pressures this winter and the actions of all those involved is nothing short of heroic.”

Corinna, from Practice Plus Group who were commissioned to deliver flu outreach clinics, said: “It has been humbling and rewarding playing our part in protecting some of the most vulnerable people in society and further protecting the NHS at this difficult time. The people we are vaccinating are so grateful, and conscious that by doing this they are helping to protect others as well as themselves. We are looking forward to going out in the mobile unit to reach those who are not resident in a hostel.”

Lena Abdu, Primary Care Network Development Manager, Alliance for Better Care, said: "Our focus has always been to deliver a safe and effective programme that affords every member of our community access to a vaccination. Alongside our seven vaccination sites, we have worked hard to introduce mobile solutions that help us to reach more vulnerable members of our community and those that may find it harder to access vaccination sites. We're pleased with the progress we've made and are grateful to our partners and volunteers for helping us to bring such initiatives to life."  

Waiting times and restricted hours are a thing of the past at Shere Surgery, where a Pharmaself24 robot (affectionately named Brenda) has been making it easier and more convenient for patients to collect their prescriptions.

Brenda – an automated prescription collection device – was installed at the surgery last month, as a solution to the problem of queuing during the Covid-19 pandemic.

Explains Dr Emma Watts from the surgery: “At the start of the lockdown in March there was a feeling of panic from some of our patients who were anxious about running out of medication. People were flocking to our dispensary and we found we had a huge queue of people going down the street, all at a two metre distance.

“We have a lot of elderly patients and so having them queueing wasn’t ideal, and we couldn’t put out seating because we didn’t have the resources to clean the seats between patients. I also saw the same thing outside other pharmacies when I drove home after work.”

Emma and her colleagues set about coming up with a solution and researched all of the options available. They decided an automated prescription service would offer patients greater flexibility, reduced waiting times and increased safety.

The surgery spoke to its patient participation group, SALV (Shere and Local Villages Charity) which was in favour of the new service, and which offered to fundraise to pay for the device and its installation.

Dr Watts said: “We have a very supportive community and engaged patients, and so they were keen to help with the purchase, which was wonderful.”

The installation of the device involved securing two rounds of planning permission – both for the machine itself and the ramp which was needed to enable wheelchair access – and also some building work to redesign the interior of the practice. In all, this took six months.

Finally, the work was finished and the machine was installed. The practice staff named her Brenda the Vendor.

She can dispense 750 prescriptions per week – which equates to around 90% of the surgery’s total, and the regular whirring of its robotic conveyor is now part of the ambience in the practice.

The machine is available 24/7. Patients are sent a text with a code, which they input into the machine to get their medication, and – if they need to pay for their prescription – they can do so with a contactless card payment.

Added Dr Watts: “Our patients have found it very exciting and people say they’ve enjoyed it as it’s really simple to use and is available whenever they want to pop by.

“We know from the machine reports when it’s accessed and so we can see that people use it at all times – some pop by when they’re out for a walk on a Sunday, and one patient with social anxiety has told me she uses it very early in the morning when no-one else is about. I recently had a patient with a urine infection who couldn’t get to the surgery before it closed on a Friday evening but I was able to prescribe her antibiotics which she collected that evening from Brenda. It’s wonderful to be providing a service at all hours, even when we’re not physically in the building.

“Some people still want to come in to collect their prescriptions from the dispensing hatch as they enjoy that human interaction, but it has helped to reduce the number of people around the building at one time, which is obviously safer during this pandemic.”

Patients have been taking to social media to comment on the new device with one person on Twitter saying: “Perfect, collected this morning and so easy. Could time with school run, no queue and had baby in arms so managed easily one-handed! So simple!”

The surgery also reports that staff are happy with Brenda. Explains Dr Watts: “When we announced it to our team they were a little anxious – after all none of us are experts in programming robots. But it’s quite intuitive to use and it is now saving us a lot of counter time so our staff are more available to focus on dispensing and other aspects of their workload. The machine works via unique bar codes so is safer as it takes away the risk of human error".

“This is a wonderful innovation and a great example of a surgery which is providing an enhanced level of customer service for their patients, “ said Vicky Stobbart, Integrated Care Partnership Director for Guildford and Waverley.

“It’s so convenient for patients who no longer have to queue or have a wasted journey to check if their medicines are ready, and I’m delighted that it’s freeing up staff time too.”