Update: 10/04/2020 - 09:00
This page is updated daily. What has changed since yesterday?
- No update since yesterday
Reminder: What is isolation, and what is social distancing?
|Who Should Be Doing It? Everybody.||Who Should Be Doing It? Anyone with a fever or a new continuous cough, or anyone who lives with a person who has a fever or new continuous cough.|
|How Long For? Until further guidance is released by Host-Nation and UK governments and public health bodies.||How Long For? Single person household: 7 days More than 1 person in household: 14 days.|
|What Does It Mean? Stay at home. Leave the house to buy food, for medical appointments and for exercise. Work from home unless it is absolutely essential for you to attend your workplace. Don't gather in public in groups of more than 2, unless you are the same household. Stay 2 meters apart from people outside of your household. Don't let children play out with friends. Don't have gatherings at your house.||What Does It Mean? Don't leave home unless it is for an urgent medical reason. Ask a friend or colleague to pick up food and medicine and drop it at your door. Children must also stay in the home. Nobody from outside your household can enter your home unless it is for an urgent medical reason.Tell the medical centre that you are isolating, we will stay in touch and give advice.If you need an isolation note for your civilian employer, please go to https://111.nhs.uk/isolation-note/ Military personnel should call the medical centre for a light duties chit.|
Primary Healthcare (Medical Centres)
Sennelager Medical Centre: This week the medical centre is open to patients in the morning only, from 0800 to 1300. The majority of appointments are being conducted by telephone. Do not attend the medical centre without calling for an appointment first. Tell the receptionist if you are concerned that you have been exposed to someone with COVID-19 or if you have a fever or persistent cough. If you need medical attention between 1300 and 1700 that cannot wait until the next morning, call the usual medical centre number where a duty doctor will be available to call you back. In a medical emergency, always call 112 for an ambulance.
SHAPE Medical Centre: The medical centre remains open but the majority of appointments are being conducted by telephone. Do not attend the medical centre without calling for an appointment first. Tell the receptionist if you are concerned that you have been exposed to someone with COVID-19 or if you have a fever or persistent cough.
Attending appointments at the medical centre: Please attend appointments at the medical centre alone, i.e. do not bring partners or relatives into the building with you. For children, 1 parent or guardian may attend with the child.
Out-of-hours (weekends and bank holidays): If you need advice on how to access medical care out of hours, the Hospital Hotline can help. This line is not staffed by clinicians, but they can signpost you to the nearest appropriate medical care. If you are concerned you may have been exposed to COVID-19 or if you have symptoms, the Hospital Hotline will take your contact number and arrange for a nurse or doctor to call you back. There may be a wait of a few hours for this callback. For non-urgent medical queries, call your medical centre during opening hours. In a medical emergency, call 112 and request an ambulance. Please note the operator will ask you to confirm the reason you require an ambulance, so they organise the correct type of transport for you.
Medication (weekends): You should make every effort to obtain self-care items over-the-counter or at the NAAFI when it is safe to do so. If you are isolated or unable to obtain required medication over-the-counter, call +49 173 887 3534 to speak directly to the LLP pharmacist. This line is only for medication issues that cannot wait until Monday morning.
Should I Self-Isolate?
If you have any of the following:
- a temperature of 37.8°c or more
- persistent dry cough
Then you must self-isolate. Stay at home for 7 days if you live alone. Stay at home for 14 days if you live with others. This includes all household members. Call the medical centre for advice at the earliest available opportunity.
For advice on correct self-isolation, visit https://www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-advice/
Whose Guidelines Are We Following?
There are differences between different governmental and public health department guidelines. Each country has a different pattern of the epidemic and therefore there are differences in the programmes countries have put in place. We are mirroring and balancing as far as possible both host-nation and UK guidelines. This page on patient-wise will be updated daily with information that is relevant to the BA(G) and EJSU populations. Regardless of location, ALL PATIENTS MUST TAKE THE FOLLOWING ACTION:
- Check your contact details are up to date at your medical centre
- Ensure you have basic self-care items in your medicine cabinet, including a thermometer and paracetamol
- If you are on regular medication ensure you have a good supply of this at home, call the dispensary to request more if required
- Follow the advice given by your CoC
Looking after your mental health: Disruption to normal daily life, worrying about loved ones, and social isolation can be tough on your mental health. The following support is available via your medical centre:
- Our GPs are trained to diagnose and treat many mental health issues and should be your first port-of-call
- Our mental health staff, including a psychologist and community psychiatric nurses, offer online consultations. You can be referred to these services by your GP.
Chronic illnesses: We would like to assure our patients with chronic illnesses that your scheduled reviews will continue to take place. Although face-to-face consultations are restricted we will continue to provide treatment advice and monitoring utilising alternative consultation methods in line with UK practice and guidelines.
Certain factors can make patients more vulnerable to COVID-19, either because of susceptibility to the virus or because they are more likely to experience more severe illness and/or complications.
The UK Government and NHS yesterday announced that they would write to patients who are very high risk. Patients who fit these criteria will be contacted this week by the medical centre teams and given tailored advice on how to protect themselves going forwards.
We have identified all high-risk patients and placed alerts on your medical records that show our healthcare team that you need to be given a telephone appointment as quickly as possible in the event that you call us with COVID-19 symptoms. Some of you will already have been contacted by your pharmacy team to check you have enough repeat medication to last at least 6 weeks, but if you haven't heard from us or if you have any concerns at all, please call your medical centre.
All patients regardless of risk should be practising social distancing, hand hygiene and working from home wherever possible.
Advice for vulnerable patients:
- Avoid contact with those who have symptoms
- Avoiding non-essential use of public transport and gathering in public spaces
- Working from home if possible
- Avoiding gathering with friends and family – use technology to keep in touch
- Contacting the medical centre by phone rather than coming in
- Looking after your physical and mental health
- If someone in the household a vulnerable person lives in gets COVID-19 symptoms, be particularly careful to follow the guidance on self-isolation within the home to minimise contact between the ill person and the vulnerable person as much as possible.
Will be contacted by their midwife directly for advice and support.
Ayrshire Barracks: Dr Gerold – Community Paediatrician in Moenchengladbach continues to provide routine children’s immunisations and U-examinations. Please note, these appointments are only available in the morning. An appointment must be booked prior to attending the practice and if you need any assistance with this, please contact the Hospital Hotline on 0800 588 9936 or 0049 521 305 3960 (from UK mobile or outside Germany) If you require to attend the Praxis for any other reason, afternoon appointments will be available, but again you must book prior to attending. You should not attend the practice without an appointment and only the patient and one (1) accompanying parent should attend any appointment.
Safeguarding: We continue to work alongside allied services in safeguarding our most vulnerable children and adult during this difficult time. If you have any concerns about yourself or a vulnerable individual, please contact:
- British Forces Social Work Service on +44 808 1683111 or email firstname.lastname@example.org where a duty social worker is available 24hrs a day.
- The Duty GP at Sennelager Medical Centre; +49 5254 982 2414; from 08.00 to 17.00, Monday to Friday.
Boarding school children: School closures across Europe have meant that boarding school students have had to return to their parents/guardians across BA(G), SHAPE and EJSU. If your child has returned from boarding school to any of these locations, please contact your medical centre to ensure that your child is correctly registered with us for their ongoing healthcare provision. If your child has any ongoing medical conditions that require treatment or monitoring, this information will need to be requested from their registered GP practice.
Secondary Healthcare (Hospitals)
- Hospitals in Germany and EJSU / ISODET locations have implemented a NO VISITORS policy. If you have any query relating to this, please contact the Hospital Hotline who will liaise directly with the relevant hospital and will provide further details.
- A&E attendances: If you require emergency care, please be aware that the hospital has advised that as of now, no-one is permitted to accompanying you to this department. One (1) parent/guardian will still be allowed to attend with a child.
- If you attend A&E and are admitted to hospital, your relatives will not be permitted to bring in any items for you. Therefore, we recommend you take a hospital bag with you with items like wash kit, pyjamas and phone chargers.
- If you feel you need to attend hospital out-of-hours, the Hospital Hotline can give advice on how to access care. This line is not staffed by clinicians, but they can signpost you the nearest appropriate medical care.
- Elective outpatient clinics and operations: All elective operations and outpatient appointments are cancelled until further notice. The SHC team are contacting all patients who have an Outpatient, Day case or Inpatient admissions to advise. Patients who require SHC prescriptions may contact the PSO via the Hospital Hotline and they will liaise with the hospital to obtain a prescription
- All hospitals used by the PAR have set up a triage service (initial assessment) and patients will be directed to:
- the respective emergency department
- ask patients to return to their home if immediate hospital treatment is not considered necessary
- to see their GP if treatment on an outpatient basis is possible.
- Oncological Day case patients The PSO will contact you directly
- Obstetric Clinics: Clinics will continue, but mum must attend alone without partner and other children. The PSO will contact you directly before your appointment.
- Hospital Cafeterias are CLOSED.
Hospital Hotline: 0800 5889936 or +49 521 305 3960 (from UK mobile or outside Germany)
SHAPE Medical Centre: +32 (0)65445824
SHAPE Dispensary: +32 (0)65445999
Sennelager Medical Centre: +49 (0)5254 982 2414. (If you cannot reach us on the landline, call +49 173 8781306/+49 1732098579)
Sennelager Dispensary: +49 (0)5254 982 4985 (If you cannot reach us on the landline, call +49 173 887 3534)
This information was updated at 0900 (CET) on 08/4/2020. Whilst every effort is made to keep it up to date, COVID-19 is a rapidly developing situation and guidance is frequently changing. If you are in any doubt about whether to self-isolate, call your medical centre for advice. In a medical emergency, always call an ambulance and let them know if you are worried about COVID-19 exposure. Do not attend any UK or German Healthcare facility without first speaking to a clinician and telling them that you are concerned about COVID-19.
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