Unpaid Carer Support

Unpaid Carer Support

What makes you a Carer?

A Carer is someone who regularly looks after a relative, friend or neighbour who, because of disability, age or frailty or mental illness, would otherwise experience significant difficulties living independently.

Most Carers are adults but sometimes people under the age of 18 also take on this role. Carers are unpaid but some may be eligible for and receive a Carers Allowance.  However, they would not be considered to be a Care Worker who carries out this work as a paid job.

You can be a Carer whether you live with the person you care for, or at another address.  Many people carry out all the duties of a Carer but are not aware that they can be recognised in this role.

If you feel that you may be taking on more duties on behalf of a relative, friend or neighbour and that you could be considered to be recognised as a Carer, discuss your situation with a GP or Practice Nurse

How we can help you

Your health and welfare are important not only to yourself but also to the person you care for to enable them to continue living independently.  There is a particular impact that caring has on a Carer’s health and well-being, employment, study and leisure interests.  This is where the Practice may be able to help you.

You need to tell us if you are a Carer so that we can update your medical record.

  • Health Check
    – We can offer you an appointment for an annual health and wellbeing check with one of our Practice Nurses.
  • Influenza Vaccination
    – You will be placed on our register of patients eligible for vaccination and receive an invitation for a free flu jab each year.
  • Hounslow Carers Trust Thames
    – This Independent, Carer-led charitable organisation seeks to empower promote their rights and enable them to make positive choices to improve the quality of their lives.
    – They offer information, support, advice and advocacy and are an excellent resource for Carers providing details of short breaks, counselling and listening services, benefits, equipment, aids and adaptations amongst other things.
    – Contact them by calling 01895 258888
  • Social Services
    – We can also arrange for Social Services to carry out an assessment and arrange assistance with such things as Home Care, Meals on Wheels, Occupational Therapy (handrails, wider doorways, stair lifts) and Benefits.
  • Support from the council
    See here for more details
  • Council Carers’ Assessment
    Click here for more details

Get a sick note for work

Get a sick note for work

First 7 days of illness

The NHS provides sickness certification or “fit notes” only after 7 continuous days of illness. In the first 7 days you use a Self-Certification (SC2) form which is available from your employer or on the HMRC website.

After 7 days of illness

After 7 days of illness you can request a form either from the hospital where you are being treated or through your GP surgery.

Our guidelines for fit notes

Our doctors have a responsibility to take care of their patients. They have to use their medical judgment to decide if a patient should receive a fit note.

As healthcare professionals, they also have to follow national rules. They are accountable to their professional bodies, like the General Medical Council, and they need to make sure the certificates they give are appropriate and accurate. They also need to consider if giving a fit note will help the patient recover from their medical condition.

It’s our duty to provide the best possible treatment and address the underlying issues rather than just prolonging your medical condition. It may be before we can issue a fit note we need to see you in person at the surgery.

A fit note is advice from your healthcare professional, it’s not a prescription. Your employer can decide whether to accept it or not, and your healthcare professional can’t get involved in any disagreements between you and your employer.

You might want to talk to your employer’s occupational health service, as they are better equipped to assess your ability to work in your specific job and workplace.

Usually, a GP practice cannot provide long-term or repeated fit notes. You can ask your employer about the occupational health services they offer.

Supplementary support and services

Being off work due to illness can be a distressing time. Remember there are services available that may be able to help you. For instance:

If you are having problems with the cost of living the council provide a lot of advice and support too: please click here.

Frequently Asked Questions

Do I need a note saying I am fit for work?

No. You do not need to see your GP again to be ‘signed back to work’.

Can I get a fit note without seeing a healthcare professional?

Click here for more information.

Can I go back to work before the end date on my fit note?

Click here for more information.

When do I need a fit note?

Click here for more information.

Taking sick leave

Click here for more information.

Test Results

Test Results

General Information about Test Results

If you had a blood test at the surgery then it usually takes 5 working days for us to receive and process the results.

You can view results using the NHS app as soon as they arrive. In addition you can click on links that will explain what they mean.

We will only get in touch after a test if we need to do a follow up or make changes to your treatment. Normally, no news is good news. Before you contact us about your test results, please check them on the NHS App.

If you want a copy of your results, you can also get that through the NHS App. We do not give print outs of blood tests, otherwise there will be a charge.

Click here for information about Non-NHS Services.

Hospital test results

Please note that the results of tests carried out during hospital visits are not normally sent to the practice. To see those results you need to directly contact the hospital or NHS service where you did the test.

Why have I been asked to have a repeat test?

If a doctor asks you to have a repeat test, it is usually because:

  • The result was borderline or unclear, and the doctor wants another sample to monitor the situation or to re-check the results.
  • The result is abnormal, and the doctor cannot interpret the result without further tests and has asked you to come in for more tests.

Please do not worry if the doctor has asked you for a repeat test.  The doctor will speak to you or request to see you directly if they need to discuss the results.

If you are still concerned about your test results, then please make a routine appointment. This is usually a telephone appointment with a GP.

Social Prescribing

Social Prescribing

What is Social Prescribing?

Social prescribing connects people with activities, groups, and services in their local area to help with their practical, social, and emotional needs. It helps their health and overall welfare.

How does Social Prescribing work?

Social prescribing involves local agencies (charities, social care, and health services) referring individuals to a social prescribing link worker. These link workers dedicate time to understand the person’s needs and preferences, aiming to create a personalized care and support plan that empowers individuals to take charge of their health and well-being.

Social prescribing link workers help in making existing community groups more accessible. They also help start up new groups if needed.

Who is Social Prescribing for?

Social prescribing is for all. It works especially well for people who:

  • Have one or more long term conditions
  • Need support with low level mental health issues
  • Are lonely or isolated
  • Have complex social needs which affect their wellbeing.

More information

An introduction to Social Prescribing
Listen to a Social Prescribing Link Worker talk about her role.

Non-NHS Services

Non-NHS Services

Please review our list of non-NHS work that we offer at our GP surgery, which attract a fee. 

The Practice also provides private services for our patients, such as the completion of letters, forms or examinations for insurance or employment purposes.  Please note, as these are not NHS services, the Practice may charge a fee.

Please send any administrative requests you may have to the practice via email for the attention of Mrs Tina Streeter. The admin team will get back to you promptly.

See below for examples of the non-NHS services we can provide: Please be aware that this list is not exhaustive.

Certificates and Forms

  • Private Letter/TWIMC
  • Proof of registration/address letter
  • Life Insurance Reports
  • Ofsted Forms
  • Occupational Health Forms
  • Sickness/Accident Insurance Form
  • Letter for travelling with medication
  • Firearms/Shotgun License

Medical Examinations and Reports

  • Taxi, HGV & Bus Medicals
  • Pre-employment Medical (Including elderly driver fitness to drive)

Why does my doctor charge fees?

When your doctor is asked to give medical information about you in the form of a report, letter or certificate, the request kick starts a series of processes.

This takes time and is not always straightforward or simple to complete. Some of the information is not available easily and will mean the doctor has to sort and select the right information for the request.

The doctor also must establish who is funding this work and if it is not part of their NHS work, agree a fee for this.

Many patients see their doctor as the embodiment of the NHS and all that it provides – free care at the point of delivery. However not all work doctors are asked to do is paid for by the NHS and many GPs are self-employed.

This means they must cover their time and costs – staff, buildings, heating, lighting, etc – in the same way as any small business. The NHS only pays for NHS work, any work outside of the NHS must be funded by other means and this is why fees are charged.

Your doctor receives large amounts of request and which is often to do with whether your general health allows you to do something e.g. to work, receive benefits, drive, play sport, attend school, own a house, a firearm or it is for insurance, court or other medico-legal reasons.

All requests will vary in complexity, volume and consistency ranging from signing a certificate which can take minutes, to an in-depth report with an examination that can take hours.

When your doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true.

In order to complete even the simplest of forms, they may have to check your entire medical record (some of which may not be accessible on a computer or on site).

Carelessness or an inaccurate report can have serious consequences for the doctor with the General Medical Council (the doctors’ regulatory body) or even the Police.

Your doctor is inundated with work. They have to balance their time with treating the sick, keeping their practice afloat and making sure they are doing all of this safely and within their professional duties as a doctor.

With certain exceptions written within their contract, doctors do not have to carry out non-NHS work. However, many choose to for the benefit of you and other families they treat.

Where a doctor chooses to undertake the work, we advise them to inform and always agree a fee in advance of undertaking work.

Should their volume of work prove to be greater or more complex than expected, the doctor will contact you to discuss how to proceed.

– Not all documents need a signature by a doctor and can be done by other professionals. Please check the form and accompanying guidance as you may get a quicker response that way.

– If you have several forms requiring completion, present them all at once and ask your doctor if he or she is prepared to complete them at the same time to speed up the process.

– Do not expect your GP to process forms overnight. Urgent requests may mean that a doctor has to make special arrangements to process the form quickly, and this will cost more.

– Don’t book an appointment with your doctor to complete forms without checking with your doctor’s administrative staff as to whether you need to or not.

NHS Talking Therapies (formerly IAPT) self referral 

NHS Talking Therapies (formerly IAPT) self referral 

What are NHS Talking Therapies?

  • Stressed?
  • Anxious?
  • Depressed?

NHS talking therapies provided by West London NHS Trust are available for individuals aged 18 and above who have a GP or reside in the London Borough of Hounslow. These therapies are evidence-based and specifically designed to address anxiety and depression.

If you are experiencing common problems like stress, anxiety, or depression, they can assist you. Whether you’re feeling down, having difficulty sleeping, or feeling scared, they have the expertise to help.

The aim is to provide individuals with flexibility regarding the timing, day, and location that suits their needs in a timely manner.

Treatments include:

  • Group sessions
  • Workshops
  • Couples therapy
  • Individual therapy

Treatment formats include:

  • Online
  • Over the telephone
  • Web-based
  • In-person

How to access NHS Talking Therapies

  • You can ask for a referral from your GP or any other health or social care professional. They will fill in a form explaining how you are feeling. 
  • You can also refer yourself online. You can find out how to refer yourself and more information about the service here https://www.westlondon.nhs.uk/our-services/adult/iapt/iapt-hounslow.

Alternative support

We are always here to help within the scope of a GP Practice. You may also find other sources of support from the Ealing Abbey Counselling Service, which only accepts self-referrals.


Ealing Abbey Counselling Service

EACS is a non-denominational self-referral service that offers individual and couples counselling. They work with anybody over the age of 18.

Phone services for instant support

18 people die by suicide every day in England and Wales, but help is out there. If you are in need of somebody to talk to instantly, please see below. Talking saves lives, and there is always somebody to listen.

Mind

📞

ℹ️

🌐

Shout

📞

ℹ️

🌐

Text SHOUT to 85258

24/7 text service

giveusashout.org

Samaritans

📞

ℹ️

🌐

116 123

24/7 helpine

samaritans.org

YoungMinds

📞

ℹ️

🌐

Text YM to 85258

24/7 text service

youngminds.org.uk

CALM

📞

ℹ️

🌐

0800 58 58 58

Helpline for men

thecalmzone.net

Papyrus

📞

ℹ️

🌐

0800 068 4141

Under 35s Helpline
papyrus-uk.org

Online Services

Online Services

Connect to your GP services online and save time. Quick, easy and secure.

All patients can now use a range of NHS services online. This is now the standard way of accessing NHS services in England. Before you call or contact the surgery, try the NHS app first.


You can do things like:

  • Order repeat prescriptions
  • Book, check or cancel appointments with a GP, nurse or other healthcare professional
  • Send in a query or request a sick note
  • See parts of your health record, including past appointments and information about medicines, vaccinations and blood test results
  • See communications between your GP surgery and other services, such as hospitals
  • See messages from your GP surgery
  • See details of your hospital appointments

NHS App

To get full access to your NHS account, you will need an NHS Login.

Non-urgent advice: Get started

Non-urgent advice: Having problems?

Vaccinations

Vaccinations

Childhood Immunisations

One of the most important things that a parent can do for their child is to make sure that they have all their routine childhood vaccinations. It’s the most effective way of keeping them protected against infectious diseases.

Ideally, children should have their jabs at the right age to protect them as early as possible and minimise the risk of infection.

Contact us to find out which jabs your child needs, when they need them, and what the benefits of each jab are.

Flu Immunisation

We offer ‘at risk’ groups the flu vaccine at a certain time each year to protect you against the flu virus.

You may be invited for a free flu jab if you are:

  • Over 65 years of age
  • Pregnant
  • A Carer

or have:

  • A serious heart or chest complaint, including asthma
  • A serious kidney disease
  • Diabetes
  • Lowered immunity due to disease or treatment such as steroid medication or cancer treatment
  • Ever had a stroke
  • A learning disability

Seasonal flu is a highly infectious illness caused by a flu virus. The virus infects your lungs and upper airways, causing a sudden high temperature and general aches and pains. You could also lose your appetite, feel nauseous and have a dry cough. Symptoms can last for up to a week.

Pneumococcal Vaccination

The pneumococcal vaccine (or ‘pneumo jab’ or pneumonia vaccine as it’s also known) protects against pneumococcal infections.

Pneumococcal infections are caused by the bacterium Streptococcus pneumoniae and can lead to pneumonia, septicaemia (a kind of blood poisoning) and meningitis.

Who should have the pneumococcal vaccine?

A pneumococcal infection can affect anyone. However, some people need the pneumococcal vaccination because they are at higher risk of complications.

These include:

  • All children under the age of two
  • Adults aged 65 or over
  • Children and adults with certain long-term health conditions, such as a serious heart or kidney condition

Read more about who should have the pneumo jab.

How often is the pneumococcal vaccine given?

  • Babies receive the pneumococcal vaccine as three separate injections, at 2 months, 4 months and 12-13 months.
  • People over-65 only need a single pneumococcal vaccination which will protect for life. It is not given annually like the flu jab.
  • People with a long term health condition may need just a single one-off pneumococcal vaccination or five-yearly vaccination depending on their underlying health problem.

Shingles

Shingles is a common and painful skin disease which is like a bad version of the chickenpox. A vaccine to prevent shingles is available on the NHS to people in their 70s. Most people will only need 1 dose, but some people who cannot have the routine vaccine for health reasons will need 2 doses.

The shingles vaccine is expected to reduce your risk of getting shingles. If you do go on to have the disease, your symptoms may be milder and the illness shorter. Once you become eligible for shingles vaccination a GP or practice nurse will offer you the vaccine when you attend the surgery for general reasons.

Travel Vaccinations

The practice does provide certain travel vaccinations. Please ask reception for further information.

NHS Health Checks

NHS Health Checks

Non-urgent advice:

The NHS Health Check is a check-up for adults in England aged 40 to 74. It can help spot early signs of stroke, kidney disease, heart disease, type 2 diabetes or dementia. These conditions can often be prevented – even if you have a history of them in your family. With a free NHS Health Check you can be better prepared for the future and able to take steps to maintain or improve your health.

Why do I need an NHS Health Check?

Your risk of developing heart disease, stroke, type 2 diabetes and dementia increases with age. There are other things that will put you at greater risk such as:

  • Being overweight
  • Being physically inactive
  • Not eating healthily
  • Smoking
  • Drinking too much alcohol
  • High blood pressure
  • High cholesterol

Both men and women can develop these conditions. Having one condition could increase your risk of developing another in the future such as:

  • A blocked artery or bleed in the brain can cause a stroke.
  • A blocked artery in the heart can cause a heart attack or angina.
  • Kidneys can be damaged by high blood pressure or diabetes, causing chronic kidney disease and increasing your risk of having a heart attack.
  • Being overweight and physically inactive can lead to type 2 diabetes.
  • If unrecognised or unmanaged, type 2 diabetes could increase your risk of further health problems, including heart disease, kidney disease and stroke.

What happens at the check?

  • This check is to assess your risk of developing heart disease, type 2 diabetes, kidney disease, and stroke.
  • The check will take about 20–30 minutes.
  • You’ll be asked some simple questions. For example, about your family history and choices which may put your health at risk.
  • We’ll record your height, weight, age, sex, and ethnicity.
  • We’ll take your blood pressure.
  • We’ll do a simple blood test to check your cholesterol level.

What happens after the check?

  • We will discuss how you can reduce your risk and stay healthy.
  • You’ll be taken through your results and told what they mean. Some people may be asked to return at a later date for their results.
  • You’ll be given personalised advice on how to lower your risk and maintain a healthy lifestyle.
  • Some people with raised blood pressure will have their kidneys checked through a blood test.
  • Some people may need to have another blood test to check for type 2 diabetes. Your health professional will be able to tell you more.
  • Treatment or medication may be prescribed to help you maintain your health.

Questions you may have

Why do I need this check? I feel fine!

The NHS Health Check helps to identify potential risks early. By having this check and following the advice of your health professional, you improve your chances of living a healthier life.

But don’t these conditions run in the family?

If you have a history of heart disease, stroke, type 2 diabetes, or kidney disease in your family then you may be more at risk. Taking action now can help you to prevent the onset of these conditions.

I know what I’m doing wrong. How can the doctor help me?

If you would like help, we will work with you to find ways to eat healthily, reach your healthy weight, be more active, cut down your drinking, or stop smoking.

If I am assessed as being at ‘low risk’, does this mean I won’t develop these conditions?

It is impossible to say that someone will or won’t go on to develop one of these conditions. But taking action now can help you lower your potential risk.

Will everyone has this check?

This check is part of a national scheme to help prevent the onset of these health problems. Everyone between the ages of 40 and 74 who has not been diagnosed with the conditions mentioned will be invited for a check once every five years. If you are outside the age range and concerned about your health, you should contact your GP.

The Argyle Care Homes Service (TACHS)

The Argyle Care Home Service (TACHS) provides a GP service for  the Nursing homes in the Ealing  area. We  provide routine medical and urgent GP care from 8am to 8pm, 7 days a week, and 365 days a year.

The service looks after 16 nursing homes across the borough of Ealing ranging from smaller homes of 22 beds to the largest home of 165 beds. We look after all age ranges, end of life patients, dementia patients, patients with co-morbidities and patients with learning disabilities.

Each Nursing Home receives dedicated visits each week from a GP, with additional support care from our health care team of nurses, pharmacists & health care assistants. As part of the routine service we  provide seasonal vaccinations, a repeat prescription service, medication monitoring and regular medical reviews to all registered residents.

We also have a dedicated administration team who are more than happy to help with any enquiries.

Mission Statement

The Argyle Care Home Service aims to provide a caring service of the highest quality and in doing so will:

  • Recognise and respect the intrinsic worth, dignity and individual differences of all of the patients we care for.
  • To ensure that all patients, wherever possible, are given every opportunity to participate in the in the formulation of their care, and any plan and decision that may affect their lives.
  • To ensure that residents are protected from any unnecessary intrusion and that confidentiality is maintained at all times.
  • To support the care homes we look after to provide a high quality of care to its residents.

Contact Details