L.L. Medical Care Ltd (Agarwal & Agrawal Practice)

PRACTICE OPENING HOURS
Monday	8.00AM - 7.00PM	We are closed on weekends and bank holidays.
Tuesday	8.00AM - 7.00PM
Wednesday	8.00AM - 7.00PM
Thursday	8.00AM - 6.30PM
Friday	8.00AM - 7.00PM

BOOKING APPOINTMENTS (FACE-TO-FACE, ONLINE AND PHONE BOOKINGS)
Please do not book a GP appointment or attend L.L. Medical Care Ltd if;

You have symptoms of cough, fever or difficulty in breathing after being in contact with someone with a confirmed case of coronavirus
You feel that they may have Coronavirus or may have come into contact with someone who is or has shown the symptoms of the Coronavirus

NHS 111 has created Coronavirus pages to inform patient's on what to do based on the above.

These can be accessed at https://111.nhs.uk/service/covid-19.

Due to the increase in Coronavirus, all patient appointments will now be telephone based triaged where an appointment can be made via the telephone on online. Alternatively use the eConsult service which we will respond back to you. Any patients who are exhibiting symptoms of the Coronavirus will not be seen and advised to visit the practice.

BOOKING FACE-TO-FACE APPOINTMENTS
Any face-to-face appointments are telephone triaged and are at the GP's discretion. Prior to the appointment all patients are required to have their temperatures checked and to ask the receptionist for a token which they can use on our blood pressure machine, the machine will check your Blood pressure, height and weight. You will get a printout of your results which can then be passed onto the receptionist where it can be added to your health records.

T0 ALL OF OUR PATIENT'S, PLEASE DO NOT CONTACT YOUR GP FOR A COVID-19 VACCINE
The first phase of the NHS Covid-19 vaccination programme has started. When it is the right time you will receive an invitation to come forward. For most people this will be a letter, either from your GP or the national NHS. This letter will include all the information you will need to book appointments, including your NHS number. Please do not contact the NHS to get an appointment until you get this letter. Information on the vaccine is available here: https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/coronavirus-vaccine/

BOOKING APPOINTMENTS FOR 8 WEEK (2 MONTHS) PARENT AND BABY IMMS
During the Coronavirus pandemic, all young babies will continue to receive their 2 month (8 week) checks and immunisations from the practice. Patient's should contact the practice to make an appointment for themselves and their baby or babies, with one of our GP's and nurses. Post-natal appointments can also be made with the nurse.

On-entry to the Health centre you will be asked by the health centre security guard to make sure that you are wearing face masks or face coverings, he will ask if you are exempt, and will ask you to santatise your hands. The service is provided by Prototech Security.

PATIENT ENQUIRIES AND TEST RESULTS
Please be aware that at certain times of the day our phone lines are busy with patients enquiring about booking appointments and test results, for a quick response please contact the practice between 2.30PM and 4.30PM. For appointments, we would like to make you aware that we offer the use of an online booking system, which allows you to book appointments in advance and handle prescriptions online. Please collect a letter from the reception to gain access to this system, once you have your login details, you can login from here

EXTENDED OPENING HOURS - EMERGENCIES ONLY
For patients who are unable to book or make an appointment during normal surgery hours we offer extended opening hours from 6.30PM to 7.00PM on Monday, Tuesday, Wednesday and Friday evenings. We have a limited capacity of appointments so it is important that if you are able to make an appointment but if you cannot attend, you need to let us know as someone else may need that slot and you may not be able to book another one.

These appointments cannot be pre-booked and are just for emergencies.

If all the emergency and urgent appointments are not available, and the problem cannot wait, it is up to the doctor to decide if the patient can be seen or not, it is not up to the receptionist (s).

Website updated on Friday 15th January 2021

BOOKING APPOINTMENTS

Appointments are made by visiting or telephoning the surgery from 8.00AM on 020 8539 2858.
Appointments can also be booked online, simply see one of our receptionists for a copy of our online registration form or download a copy from here
Appointments will be 10 minutes long, but if you feel you may need longer please let us know
Urgent telephone consultations are available at the end of the doctor or nurse clinic at the clinician's discretion
Emergencies and babies will be seen on the same day at the clinician's discretion
If clinics are fully booked on the day, you will be advised by the reception to ring up the practice later that day to find out if there are any cancellations
Urgent cases will always be seen on the same day, otherwise you will be offered the first available slot with a doctor/triage staff within 48 hours, if a slot is unavailable. However this maybe affected by unforeseen circumstances such as sickness and holiday leave

Due to current circumstances we are utilizing a "Book on the Day" policy

To book appointments online, you must be registered with our practice;

IMPORTANT NOTICE ABOUT BOOKING APPOINTMENTS (FACE-TO-FACE, ONLINE AND PHONE BOOKINGS) - CORONAVIRUS
Please do not book a GP appointment or attend L.L. Medical Care Ltd if;

You have symptoms of cough, fever or difficulty in breathing after being in contact with someone with a confirmed case of coronavirus
You feel that they may have Coronavirus or may have come into contact with someone who is or has shown the symptoms of the Coronavirus

NHS 111 has created Coronavirus pages to inform patient's on what to do based on the above.

These can be accessed at https://111.nhs.uk/service/covid-19.

Due to the increase in Coronavirus, all patient appointments will now be telephone based triaged where the GP will contact you to access and advise. Alternatively use the eConsult service which we will respond back to you. Any patients who are exhibiting symptoms of the Coronavirus will not be seen.

Any face-to-face appointments are telehone triaged and are at the GP's discretion. Prior to the appointment all patients are required to have their temperatures checked and to ask the receptionist for a token which they can use on our blood pressure machine, the machine will check your Blood pressure, height and weight. You will get a printout of your results which can then be passed onto the receptionist where it can be added to your health records.

T0 ALL OF OUR PATIENT'S, PLEASE DO NOT CONTACT YOUR GP FOR A COVID-19 VACCINE
The first phase of the NHS Covid-19 vaccination programme has started. When it is the right time you will receive an invitation to come forward. For most people this will be a letter, either from your GP or the national NHS. This letter will include all the information you will need to book appointments, including your NHS number. Please do not contact the NHS to get an appointment until you get this letter. Information on the vaccine is available here: https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/coronavirus-vaccine/

BOOKING APPOINTMENTS FOR 8 WEEK (2 MONTHS) PARENT AND BABY IMMS
During the Coronavirus pandemic, all young babies will continue to receive their 2 month (8 week) checks and immunisations from the practice. Patient's should contact the practice to make an appointment for themselves and their baby or babies, with one of our GP's and nurses. Post-natal appointments can also be made with the nurse.

On-entry to the Health centre you will be asked by the health centre security guard to make sure that you are wearing face masks or face coverings, he will ask if you are exempt, and will ask you to santatise your hands. The service is provided by Prototech Security.

FACE NASKS AND COVERINGS TO BE WORN AT ALL TIMES BY ALL GP'S/NURSES, VISITORS AND PATIENTS

On-entry to the Health centre you will be asked by the health centre security guard to make sure that you are wearing masks, he will ask if you are exempt, and will ask you to santatize your hands. The service is provided by Ptotec Security.

EXTENDED OPENING HOURS (MONDAY AND TUESDAY EVENINGS) - EMERGENCIES ONLY
For patients who are unable to book or make an appointment during normal surgery hours we offer extended opening hours from 6.30PM to 7.00PM on Monday, Tuesday, Wednesday and Friday evenings. We have a limited capacity of appointments so it is important that if you are able to make an appointment but you cannot attend, you need to let us know as someone else may need that slot and you may not be able to book another one.

These appointments cannot be prebooked and are just for emergencies.

If all the emergency and urgent appointments are not available, and the problem cannot wait, it is up to the doctor to decide if the patient can be seen or not, it is not up to the receptionist (s).

Our nurses and doctors work in well equipped office, minor surgery and recovery rooms, and you can make appointments to see one onf them for health checks, travel vaccincations, child immunisations, ear syringing and ECGs.

Nurses will also provide advice general health, dieting, diabetic control and family planning.

You may also see a nurse for routine blood pressure checks.

To book an your appointment please ask one of our receptionists to book your appointment

TEST RESULTS
For test results, please contact the practice between 2.30PM and 4.30PM

Everyone working for the NHS has a legal duty to keep information about you confidential.

We understand how important it is to keep your personal information safe and secure and we take this very seriously. We have taken steps to make sure your personal information is looked after in the best possible way and we review this regularly.

Please read our GDPR Privacy Policy carefully, as it contains important information about how we use the personal and healthcare information we collect on your behalf.

Website updated on Friday 15th January 2021

EMERGENCY APPOINTMENTS
During practice hours, please telephone the practice and your message will be relayed to the doctor by the receptionist doctor will ring you back at their earlest conveniance.

NHS 111
111 is the free NHS non-emergency number.

You should use the NHS 111 service if you urgently need medical help or advice but it’s not a life-threatening situation.
Call 111 if:

You need medical help fast but it’s not a 999 emergency
You think you need to go to A&E or need another NHS urgent care service
You don’t know who to call or you don’t have a GP to call
You need health information or reassurance about what to do next

Click here for more information about how NHS 111 can help you.

SELF CARE
If you have a cough, cold, headache or other minor ailment try treating yourself at home first.

Find out more about treatments for common minor ailments.

Please remember that self-care for common conditions can help free up our GPs’ time, making it easier to get an appointment when you have a more serious condition.

YOUR PHARMACISTS CAN HELP TO
Pharmacists are highly trained health professionals and can give you confidential health advice for a range of common illnesses and complaints.

Don’t wait for a GP appointment for coughs, colds, aches and pains. Just call your local pharmacy a call or drop in – there’s no need to make an appointment.

Your pharmacists can also help you decide if you need to see a doctor or nurse.

Click here for more information about how pharmacies can help you.

A&E
A&E is for life-threatening accidents and emergencies only. Before you go there, ask yourself, “Is it a real emergency?”

If not, please consider using other local health services before you visit A&E.
If you or someone in your care experiences severe chest pains, loss of blood or suspected broken bones, go to your nearest Accident and Emergency Department or call 999.

Whipps Cross University Hospital
Whipps Cross Road
Leytonstone
London, E11 1NR
Telephone Number:		020 7377 7000 (Open 24 hours)

Website updated on Friday 15th January 2021

ONLINE REFERRALS

If you have been referred to a hopsital or clinic, you are able to book the appointment online.

You can book your own appointment, on a date and at a time that is conveniant for you, you can also choose the hopsital or clinic that you want to go to.
Once you have booked your appointment, you can check your details, change your appointment or cancel it if, it is no longer needed.
The service is fast conveniant and secure

Booking your own referral appointment online helps save your us time and also saves the NHS money. When patients book their own appointment, hospitals have said that there are half as many missed appointments, booking online also saves the NHS on phone bills and sending letter out to you. We know that the service is not for everyone, therefore you will be able to ask your GP if you need any help.

MANAGING YOUR REFERRAL
If you are referred to a hospital or a clinic, you can book your appointment online, from https://www.ebs.ncrs.nhs.uk/loginYou will need;

Your booking reference number, which can be found at the top of booking letter
The password you received at the time your received your booking letter
Your year of birth

If you have been referred, and have forgotten you booking reference or password, please contact the practice.

If you have any problems booking online, you can call the NHS appointment line on 034 5608 8888.

Phone lines are open;

Monday to Friday	8.00AM - 8.00PM
Saturday and Sunday and on bank holidays	8.00AM - 4.00PM

A full translation service is available and all callls are charged at local rates.

For more information about booking your appointment online, please visit the Managing Your Referral page on the NHS website.

IF YOU MISSED AN APPOINTMENT
Please note that if you have been discharged from hospital because you did not attend an appointment. but need to be re-referred, please contact the practice or complete the re-referral form below and return it to the practice;

Request for re-referall

Website updated on Friday 15th January 2021

GP EXTENDED SERVICES
Patient's living in Waltham Forest are now able to make an appointment to see a GP in the evening and at weekends. Waltham Forest residents are now able to access more evening and weekend appointments with a GP and nurse at four primary care ‘hubs’ in the borough. These appointments are funded by Waltham Forest CCG and are delivered by Waltham Forest GP Federation.

The hubs are located in the following 4 practices and appointments are available for anyone who is registered with any GP practice in Waltham Forest;

Monday to Friday, between 6.30PM and 10.00PM

Allum Medical Centre, Fairlop Road, Leytonstone, London, E11 1BN
Higham Hill Medical Centre, 258-260 Higham Hill Road, Walthamstow, London, E17 5RQ

Saturday, between 8AM and 8.00PM

Triangle House Health Centre, 2-8 Harrow Road, Leytonstone, London, E11 3QF
Handsworth Medical Centre, 5 Handsworth Avenue, Chingford, London, E4 9PD

Sunday, between 10AM and 4.20PM

Triangle House Health Centre, 2-8 Harrow Road, Leytonstone, London, E11 3QF
Handsworth Medical Centre, 5 Handsworth Avenue, Chingford, London, E4 9PD

HOW TO BOOK
Appointments can only be booked by calling 020 8519 3999.

BOOKING LINE HOURS

Monday to Friday	12.00PM - 8.00PM
Saturday and Sunday	8.00AM - 6.00PM

Weekend services are provided by Waltham Forest GP Network

All appointments must be pre-booked as this is not a walk in service.

Website updated on Friday 15th January 2021

SICKNESS CERTIFICATES
You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.

EVIDENCE THAT YOU ARE SICK
If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).

Your employer can ask you to confirm that you've been ill.You can do this by filling in a form yourself when you return to work. This is called self-certification, or you can download and print off a copy of the Self-Certification certificate yourself from here.

If you're sick and off work for more than seven days, your employer will probably ask for proof of your illness. Most employers ask for a fit note from your GP.

However, this will also depend on your employer's company policy on sick leave (or sickness absence). This policy should tell you how many days you can be off sick before you need to provide proof of illness or a fit note.

You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.

STATEMENT OF FITNESS FOR WORK - 'SICK NOTE'
Patient's would normally apply for a "Sick Note" by booking an appointment with their doctor, however due to the Coronavirus outbreak, the practice is unable to issue "sick Notes" to COVID-19 patient's and for those patient's who have bee advised to self-isolate. Patient's who have been advises to self-isolate for COVID-19 will soon be able to obtain an alternative to the Sick Note" to cover this by contacting NHS 111, rather than booking an appointment with a doctor.

Patient's are only seen through a triaged process. any patient's that are exhibiting COVID-19 symptoms (coughs, shortness of breath, fever) will not be seen by a GP.

Please see the links below for more information;

All links come from trusted sources, however, if you are unsure about them or any other medical concerns, contact your doctor or pharmacist for further advice

Website updated on Friday 15th January 2021

HOME VISITS
If possible, please try to ring the practice before 11:30AM if you require a home visit.

You may only request a home visit if;

You are a housebound patient
Or are too ill to visit the practice (if this is case, please provide as much information as you can so we can give this to the doctor)

Your Doctor will only visit you at home, if they think that your medical condition requires it and will also decide on how urgent the visit is needed.

Please be aware that that it is not possible to specify which doctor will attend any emergency home visit as they are the delegated doctor on-call at the time.

If a doctor is not available, expert rapid response teams will be on hand within two hours to help support older people to remain well at home and avoid hospital admissions, under new plans outlined by the NHS today.

Local health service and council teams will begin the roll out of Urgent Community Response teams from April, as part of the NHS’ Long Term Plan to support England’s ageing population and those with complex needs.

The teams will give those who need it fast access to a range of qualified professionals who can address both their health and social care needs, including physiotherapy and occupational therapy, medication prescribing and reviews, and help with staying well-fed and -hydrated.

Backed by £14million of investment, seven ‘accelerator’ sites will be the first to deliver the new standards for care, working together to standardise how urgent community services will be measured, and delivered consistently across the country, 365 days a year. Older people and adults with complex health needs who have a very urgent care need, including a risk of being hospitalised, will be able to access a response from a team of skilled professionals within two hours, to provide the care they need to remain independent.

A two day standard will also apply for teams to put in place tailored packages of intermediate care, or reablement services, for individuals in their own homes, with the aim of restoring independence and confidence after a hospital stay.

The urgent response standards are part of a range of commitments – including enhanced NHS support to care homes – which local health and care leaders will be rolling out over the next few years to help keep older people well at home and reduce pressure on hospital services.

Website updated on Friday 15th January 2021

TELEPHONE ADVICE
To speak to one of our doctors please contact the practice between 2.30pm and 4.30pm and provide as much information as you can (your name and contact number) to assist the doctor dealing with your query.

Please think before you call. please help the doctors and other patients by being considerate. If you are wating for a call from one our doctors, please keep your line free as the doctor will try calling no more than twice. If the doctor cannot get through to you at the time in which the call is made, a note will be put on your personal patient file to record that the doctor tried to call you.

Website updated on Friday 15th January 2021

GP ONLINE SERVICES
GP online services allow you to access a range of services via your computer or mobile. Once you have signed up, you will be able to;

Book or cancel appointments online with a GP or nurse
Renew or order repeat prescriptions online
View parts of your GP health record, including information about medication, allergies, vaccinations, previous illnesses and test results

The service is free. Everyone who is registered with a GP can have access to their practice's online services.

For more details, see How can I start using GP online services?

If you are not yet registered with a GP practice see our information about how to register with a GP practice.

HOW CAN I START USING GP ONLINE SERVICES
Follow the steps below to sign up for GP online services:

Tell your GP practice that you would like to start using their online services
A member of the practice will then ask you to fill in a short registration form, you can download a copy of the registration from here
You will have to provide photo ID and proof of address. If you do not have any ID then either a member of staff
You will have to confirm your identity or you may have to answer questions about personal information in your GP record
Once you have signed up, you will receive a letter with your unique username and password and a link to where you can log in

All links come from trusted sources, however, if you are unsure about them or any other medical concerns, contact your doctor or pharmacist for further advice.

Website updated on Friday 15th January 2021

INTRODUCING THE NHS APP
Use it wherever you are, at any time day or night.

It puts information about your health and treatments at your fingertips. Ths means you can say it when speaking to a health and care professional, for example;

A digital front door to the NHS

The NHS app has been designed with patients and healthcare professionals to be your digital front door to the NHS.

It is quick and easy to use and we will be adding new features in the coming months.

Apps are not for everyone so the NHS App won't replace existing services. You can still contact the practice via visiting or calling the practice, or from this website.

The NHS App is the first step from the NHS for people across England and you can us the NHS App to;

Book and cancel appointments - Search for, book and cancel appointments at L.L Medical Care Ltd
View you records - Get secure access to your GP medical records
Order repeat prescriptions - See your available medications and place an order
Check your sypmtoms - Find trusted information on hundreds of conditions and treatments and get instant advice
Register to be an organ donor - Easily manage your preferences on the NHS organ donor register
Choose how the NHS uses your data - Register your decision on whether your data can be used for research and planning

You can check if L.L Medical Care Ltd is connected when you open the app for the first time. If it's not, you can register your email address, and we'll notify you when the App goes llive.

If L.L Medical Care Ltd is not connected, you can still download the app and use it to check your symptoms and find out what to do when you need help urgently.

INTRODUCING THE NHS APP
When L.L Medical Care Ltd is connected, and you register in the app, we'll carry out checks to confirm your identity. The app will then securely connect to information from your L.L Medical Care Ltd. To keep your access secure, we'll send a security code to your phone each time you use the app.

GET HELP WITH THE APP
If you have any issues using or downloading the app, check the NHS App help and support page.

Website updated on Friday 15th January 2021

YOUR BABY'S VACCINATION AND IMMUNISATION SCHEDULE
One of the best ways to protect your baby against diseases like Measles, Rubella, Tetanus and Meningitis is through immunisation. Your baby needs their first injections at 8weeks, then 12 weeks, 16 weeks and one year.

Vaccinations are offered free of charge in the UK – just book your appointments with your GP. Remember, as well as protecting your own baby, you're also protecting other babies and children by preventing the spread of disease.

CORONAVIRUS UPDATE
Routine vaccinations for babies, pre-school children and adults are continuing as normal. It's important to go to your appointments unless you, your child or someone you live with has symptoms of coronavirus.

Vaccinations usually given in school are being rescheduled.

These are the vaccinations your baby will need:

8 WEEKS		12 WEEKS	16 WEEKS
- 6-in-1 Vaccine - 1st dose		- 6-in-1 Vaccine - 2nd dose	- 6-in-1 Vaccine - 3rd dose
- RV (Rotavirus) Vaccine - 1st dose		- PCV (Pneumoccal) Vaccine - 1st dose	- MenB Vaccine - 2nd dose
- MenB Vaccine - 1st dose		- RV (Rotavirus) Vaccine - 2nd dose
1 YEAR
- Hib/MenC Vaccine given as a single jab containing vaccines against MeningitisC (1st dose) and Hib
	(4th dose)
- MMR vaccine (measles, mumps and rubella), given as a single jab
- PCV (Pneumoccal) Vaccine - 2nd dose
- MenB Vaccine - 3rd dose

QUICK GUIDE TO YOUR BABY'S VACCINATIONS
6-in-1 oritects against;

Diphtheria – a highly contagious bacterial infection, spread by coughs and sneezes, or close contact with someone with diphtheria
Hepatitis B – an infection of the liver caused by a virus spread through blood and bodily fluids
Hib (haemophilus influenzae type b) – bacteria that can cause several serious conditions including meningitis, sepsis (a kind of blood poisoning) and cellulitis
Polio – a viral infection that can cause paralysis
Tetanus – bacteria that can enter the body through a wound like a cut or scrape
Whooping cough (pertussis) – highly contagious bacterial infection of the lungs and airways

PCV or pneumo jab protects against;

Pneumococcal infections that can lead to pneumonia, sepsis and meningitis
RV protects against rotavirus infection that can cause diarrhoea and vomiting

MenB protects against;

Meningitis and sepsis

Hib/MenC protects against;

Haemophilus influenzae (a bacterium that can cause different serious illnesses) and meningitis C

MMR protects against;

Measles, mumps and rubella (German measles)

Speak to one of our GP's if;

You think you or your child have missed any vaccinations
You or your child have a vaccination appointment – but you've missed it or cannot attend

They can book or rearrange the next available appointment. It’s best to have vaccines on time, but you can still catch up on most vaccines if you miss them.

THE RED BOOK
Your baby's Personal Child Health Record is also known as the red book or PCHR. It's used to record your child's weight and height, vaccinations they've been given and other important health information. You can also add information yourself – it's a great way of keeping track of your child's progress. Remember to take it with you when your baby has appointments at the clinic, GP or hospital.

An online version – the eRedbook – is being trialled in some areas in the UK. Sign up via the link if you're interested in participating in the trial or being kept up–to–date with the developments.

HEALTH AND DEVELOPMENT CHECKS
Your baby's health checks are very important – they are an opportunity to check that your baby is developing properly.

They are usually carried out by your health visitor either at home or in your GP surgery, baby clinic or children's centre. These development checks are also a good opportunity for you to raise any concerns you might have.

Your baby's very first health check takes place shortly after they are born, and they'll continue until your child is 2 to 2 1/2 years old.

RESOURCES
Please see the links below for more information;

All links come from trusted sources, however, if you are unsure about them or any other medical concerns, contact your doctor or pharmacist for further advice

Website updated on Tuesday 30th July 2019, next review due: Saturday 30th July 2022