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Social Media Post

There appears to be a post circulating on social media in regard to contacting your GP for an 'emergency pack or rescue pack', if you suffer with either COPD or Asthma, which contains antibiotics and steroids.

The post is innaccurate and dangerous. GP surgeries are not routinely offering these 'emergency packs'. If we do so, the system will collapse and we would be unable to cope with the level of demand it would create. We will run out of essential medication for those who truly need it.

Please could patients request their regular medication as normal.

If people are well, they must not request 'emergency/rescue packs'.

If unwell contact the surgery to recieve a telephone call back from the GP who can make a clinical decision as to whether these treatments are appropriate.

If you think you are showing signs and symptoms of Coronavirus, please self isolate, and contact NHS 111 online.

(March 20)

Coronavirus Update.

During this COVID-19 pandemic we ask for your understanding and support. Please DO NOT come to the surgery for any reason, including collection of medication, if you have ANY symptoms of ; fever, cough or sore throat, even if very mild. We would like to reassure that we are maintaining strict infection control procedures and are working very hard to provide essential general practice services. This is to protect you all and particularly our most vulnerable patients. We will be conducting consultations by telephone wherever possible. Please support us  by considering your need to request appointments and bear with us as we make changes to the appointment system. Please expect all our staff to ask you for more information when you request an appointment.

We have increased the numbers of appointments available on line and would request that you only book appointments online or by telephone. Appointments booked online free up the telephone for those that have no access to a computer. We will not be booking appointments at the surgery.

Please be aware that there are delays in preparing prescriptions for patients and this is because of an unprecedented demand from those requesting repeat medication, please be patient with us. In order to allow us to dispense safely we will only be open to collect medication between 2pm and 6pm. Please accept our apologies for any inconvenience but these are challenging times. We will of course review this as soon as capacity allows.

Please follow the Govt and NHS guidelines: Self-isolate for 7 days if you have a fever>37.8, or a new continuous cough. The guidance is being updated regularly please keep checking the national website and

Thanks Norden House Surgery.

(March 20)

COVID -19 – Coronavirus Update

Stay at home if you have either:

A high temperature - you feel hot to touch on your chest or back.

A new continuous cough - this means youve started coughing repeatedly.

Do not go to a GP surgery, pharmacy or Hospital.

You do not need to contact NHS 111 to tell them you are staying at home.

Testing for Coronavirus is not needed if you are staying at home.

Read the NHS advice about staying home including how long to isolate for.…/coronavirus-cov…/self-isolation-advice/

If during that time you become worse and you cannot continue to self-care then you must contact 111 either online or by phone or 999 in an emergency.

You must not come to the surgery.

The majority of appointments will now be offered as telephone or video consultations, if booking one of these please ensure we have your correct contact details.

Please do not ask for a sick note for self-isolation you can self-certify for 7 days. Please only attend if you are collecting medication and are symptom free.

Only present in person if you have an agreed appointment and have been screened that day by a member of the team.

We will not be providing letters to support holiday cancellations. Insurers and Travel Companies will issue refunds on advice from the Foriengn and Commonwealth Office and Public Health England, not letters from GP's. We cannot issue holiday cancellation letters for patients choosing not to travel during the outbreak.

Thank you for your cooperation.

(March 20)

Coronavirus - Latest Guidance

Specified countries and areas with implications for returning travellers or visitors arriving in the UK

Updated 27 February 2020

Category 1: Travellers should self-isolate, even if asymptomatic, and call NHS 111 to inform of recent travel. Go home or to your destination and then self isolate.

Category 2: Travellers do not need to undertake any special measures, but if they develop symptoms they should self-isolate and call NHS 111.

The guidance for Italy, Iran, Daegu or Cheongdo (Republic of Korea), Laos, Myanmar, Cambodia and Vietnam applies to individuals who returned from these specific areas on or after 19 February 2020.

Category 1 countries/areas

Category 2 countries/areas

Wuhan city and Hubei Province (China, see map)Cambodia
Daegu or Cheongdo (Republic of Korea, see map)Hong Kong
Any Italian town under containment measures (see map)Italy: north* (see map)
 Republic of Korea*

*Except areas of the country specifically referred to in Category 1.

For more information please click here

(Feb 20)


 All travellers who develop relevant symptoms ( for example respiratory symptoms, shortness of breath, cough, fever) however mild, within 14 days of returning or transitioning from mainland China, Thailand, Japan, Republic of Korea, Hong Kong, Taiwan, Singapore, Malaysia or Macau should not attend the practice, but should remain at home and immediately call NHS 111 for advice.  The latest information for members of the public can be found here:

(Feb 20)

Novel Coronavirus

A new infection has been detected in Wuhan, China. If you have been to Wuhan, China, in the last 14 days and develop ANY of these symptoms,
contact a healthcare professional.

Any of ....

Runny nose, Sore throat, Fever, Difficulty breathing, Cough.
If you develop symptoms within 14 days of travel to Wuhan, please stay indoors and avoid contact with others where possible. Ring 111 or call
your GP and tell them that you have travelled to Wuhan, for advice and treatment. For more information please follow the link below.

(Jan 20)

Managing Blocked Ears

Norden House Surgery, in line with other surgeries in Buckinghamshire, have withdrawn our ear irrigation service for removal of ear wax. This is no longer commissioned in the core NHS contract.

Ear irrigation is only recommended in the rare occasions where self-management has failed to work. It is a high risk procedure and can lead to infections, perforated ear drums and tinnitus (persistent noise) and therefore it is only performed in exceptional circumstances. We have prepared an information leaflet on how to safely manage self-removal of ear wax which can be found here

If you think you are having issues with persistent wax and have tried our recommended measures then please contact the surgery to discuss with a nurse or doctor.

There are private providers in the area, who will remove ear wax with micro suction methods using specialised equipment and patients are at liberty to self-refer.

(Jan 20)

We've got the Greenlight for our practice merger!!!


On the 5th December 2019 the Norden House, Whitchurch and Wing surgeries merger application was approved by the Buckinghamshire Clinical Commissioning Group. From the 1st of April 2020 the 3 practices will be known as 3W Health.


We want 3W Health to provide the highest standard of patient-focused healthcare in a responsive, supportive and courteous manner whilst ensuring that all staff and patients are treated with dignity, honesty and respect.


We intend the merger of the three practices to achieve our vision whilst enabling a robust structure, job security and a good working environment for all the staff. An environment that supports innovation, the highest quality service provision and efficient delivery of that service.


We have a great deal of work to do to ensure a smooth transition to 3W Health, for all of our patients and staff, and will do our very best to minimise any disruptions. If you have any questions or concerns please contact Noel Ratcliffe on 01296 713434, option 5, or email on

(Jan 19)

Do you like to chat on the phone?


If you have time to make a regular telephone call to someone who would really welcome it, please read on…


As part of an NHS initiative we have a team of volunteers covering the north Buckinghamshire area. They are an important part of the ‘Patient Support Service’ that works with your GP surgeries in the area and help maintain a vital link between the ‘Team’ and some of our patients. We would like to expand this very successful scheme and we are seeking volunteers who can assist us to reach even more people. All you need is a phone and time for a short chat!


What do we need?


Anyone who is happy to chat, on a regular basis, with a person who will welcome your call. These calls can be to any part of the region which means your location is not important.  However, we will try to match you with local people who have similar interests. We hold regular local volunteer led training and support with, currently, a team of over twenty volunteers.


Are you interested and would like more information?


Please contact - Keith Hofgartner, Social Prescribing Lead

01296 713434 (Option 6) or email

Or visit to find out more.

(Oct 19)

Learning About the Merger – Proposed ‘Drop in’ sessions.

We are currently talking to patients about our proposed merger which we hope will happen on the 1 April 2020. The partnership between these surgeries will be known as 3W Health, however the existing surgeries names will remain the same.

We are proud of our practices and the personal care we have maintained over the years and have always been encouraged by the positive feedback and support of our patients. We are planning to unite as one like-minded team and continue to provide high quality care in a way that allows us to thrive in the future, making best use of available resources, developing new services and providing seamless care for all of our patients. We will become more resilient, have a larger pool of staff to draw from, and can work towards bringing services from hospital into the community for the convenience of patients.

Our doctors, practice nurses and other staff will continue to be available to patients under the proposed new arrangements in the same way and in the same premises as they are at present.

If you would like to know more about the proposal to merge please take a look at our websites (addresses below or enquire in the surgery you are visiting)

We are keen to know what you think of our plans and to this end will be holding drop-in mornings on the following Saturdays in October:

5th October Wing, 12th October Norden House, 26th October Whitchurch

These will be run alongside our Saturday flu clinics between 9am and 12 midday.

If you cannot attend the ‘drop ins’ and have any specific queries or concerns, please write to Noel Ratcliffe at Norden House Surgery, Avenue Rd, Winslow, Bucks, MK18 3DW , or email

(Sept 19)

Flu Clinics, now booking.

All people who are over the age of 65 years or, who have particular disease risks, are entitled to be immunised annually to reduce their chances of contracting seasonal flu and suffering complications associated with it. For vulnerable people flu can be a very debilitating infection and it can take several weeks to make a complete recovery. In some cases it can cause complications including bronchitis and pneumonia, which may need hospital treatment.

If you are unsure if you are entitled please contact your surgery and they will advise.

At Norden House surgery in Winslow we will be starting our flu vaccination clinics in September and if you are a patient of ours and would like to book your appointment, would suggest you give us a call. Please do not wait to get a letter from us inviting you, just pick up the phone and book. If you work and are entitled to a vaccination we are running Saturday morning clinics throughout October.

We strongly recommend that you have a flu vaccination so please contact the surgery on 01296 713434 to arrange an appointment.’

(Sept 19)

Proposed Merger of Wing Surgery, Whitchurch Surgery and Norden House Surgery Winslow.

Whitchurch, Wing and Norden House Surgeries are proposing to merge on 1 April 2020. The partnership between these surgeries will be known as 3W Health, however the existing surgeries names will remain the same.

We are sure you are aware that over the past few years there have been increased pressures placed upon General Practice services. All three surgeries have been performing well and have had ‘good’ recent Care Quality Commission ratings. In order to enhance the services we currently provide, we feel that the best way forward is to merge.

All three surgeries share the same commitment to quality and by merging we will be able to share working arrangements and offer improved services to patients.

We have a growing population with increasingly complex healthcare needs. Merging our practices will make us more resilient, giving us a larger pool of staff to draw from, and allow us to work toward bringing services from hospital into the community for the convenience of patients. It will also give us the opportunity to reduce some of our overhead costs due to economies of scale.  

Our doctors, practice nurses and other staff will continue to be available to patients under the proposed new arrangements in the same way as they are at present. Due to the size of the area covered by our practices, there are no plans  to close buildings.

Patient registration would not be affected and you would not need to do anything should you wish to stay registered with the proposed new practice. Following the proposed merger, you would have the choice of being seen at any of the three surgery sites or continuing to use your current practice only, as you do now.

We are proud of our practices and the personal care we have maintained over the years and have always been encouraged by the positive feedback and support of our patients. By uniting as one like-minded team we can continue to provide this high quality care in a way that allows us to thrive in the future, making best use of available resources, developing new services and providing seamless care for all of our patients.

We understand that you may have questions and comments about the proposal to merge and we intend to listen to your thoughts in a number of ways:

We have answered some of the questions we think you may have on a list of FAQs (Frequently Asked Questions) and these can be found on all three websites:   

  • We will hold drop in sessions and members of the team will be available to listen to your comments and answer questions. These sessions are currently being planned and will be publicised in due course.
  • Updates will be added to the practice websites as and when they are known and will be displayed in our waiting rooms.
  • If you have any specific queries or concerns please write to Noel Ratcliffe at Norden House surgery, Avenue Rd, Winslow, Bucks, MK18 3DW , or email

Yours faithfully,

Dr Beth Peel, Dr Rodger Dickson, Dr Joseph Rizzo-Naudi, Dr Diana Straker, Dr Sara Ronaghy, Dr Ruth Mason, Dr Chris Davies & Dr Satheesh Ramasamy.

If you would like to read the Frequently asked Questions please click here.

(31st July 2019)

Primary Care Networks

If you would like to know more please follow the link.

(July 2019)

Doctors have been asked not to prescribe medicines for minor ailments like paracetamol or ibuprofen *

Doctors have been asked not to prescribe a list of medicines for minor ailments. These medicines can be bought from a pharmacy or supermarket. This includes patients who get FREE prescriptions.

The minor ailments are:

New sore throat, Conjunctivitis, Coughs, colds and congestion, Cradle cap, Dandruff, Diarrhoea (adults), Dry eyes/sore tire eyes, Earwax, Unusual sweating, Piles, Headlice, Indigestion and heartburn, Child colic,  Occasional cold sores, Occasional constipation, Occasional migraine, Insect bites and stings, Mild acne, Minor burns and scalds, Mild cystitis, Mild dry skin, Mild irritant dermatitis, Mild to moderate hay fever, Minor pain, discomfort and fever (eg aches and sprains, headache, period pain, back pain), Mouth ulcers, Nappy rash, Thrush in the mouth, Prevention of tooth decay, Ringworm/athletes foot, Sunburn, Sun protection, Teething/mild toothache, Threadworms, Travel sickness, Warts and verrucae 

Community pharmacists are trained to offer help and advise on minor ailments. They will help you if you visit your local pharmacy.

Further information about this is available at:

A patient information leaflet is available at:

* Patients who need these drugs in regular quantities can continue to get them on repeat prescription.

For further information please contact: Neil Phillips, on 01296 382444 or out of hours on 07825430978 

Buckinghamshire CCG.

(Oct 18)

Improved Access to GP Appointments

North Of Aylesbury Improved Access

Local GPs are working together to offer patients better access to appointments in General Practice in Buckinghamshire, known as the ‘Improved Access’ Service.  This means that you can now book an appointment in a practice local to you:

  •         Up until 8pm from Monday to Friday
  •         From 8am until 1pm on Saturday
  •         From 9am until 1pm on Sunday (at one of the three FedBucks Improved Access Hubs located across the county)

North of Aylesbury Improved Access GP Surgeries

Patients registered with any GP Surgery within the North of Aylesbury locality will be able to access this service via the participating surgeries in their area. In North Aylesbury these surgeries are:

  •         The Swan Practice
  •         Norden House Surgery
  •         Ashcroft Surgery
  •          Edlesborough Surgery
  •          Wing Surgery
  •          FedBucks Improved Access Hubs located at Wycombe Hospital, Stoke Mandeville Hospital and Threeways Surgery, Stoke Poges (Sundays and Bank Holiday weekends only).

All appointments need to be pre-booked, either in advance or on the day. 

How to book an Improved Access appointment

Ring your GP Surgery as normal. If you would like an Improved Access appointment, the reception staff will tell you where clinics are being held on what day, and the times of the available appointments. A convenient appointment will be booked for you. If you use this service, it is very likely that you will be seen by a clinician from another surgery and not your own GP. The receptionist at your GP surgery will be able to provide details on this service to help you book an appointment.

This is NOT a walk in service – if you need urgent medical advice after 6.30pm, please phone NHS 111. NHS 111 will enable you to talk to a GP and book an urgent GP appointment if necessary. You can also use our local online symptom checker, Health Help Now ( to help to find the right service in Buckinghamshire for your health needs.

(Oct 18)

Health News from the BBC and the NHS

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