Yelverton Surgery – Important Update – 14th February 2023
Our Appointment System is Changing
Dear Patients,
Over the past three years we have had to work very differently due to the Covid pandemic. As a Practice we are always looking for the best way to manage our workload and to ensure our patients have good access to our services.
What is the current situation?
The doctors spend a large proportion of their day on the phone to patients with less face-to-face contact than before Covid. We realise that this may not be ideal for you as patients and Doctors miss seeing their patients.
Our workload has significantly increased compared to pre-pandemic levels, so we have decided to make some changes to the way in which we work.
What is changing?
During the Spring we will be changing from our current total triage system, where you need to speak to a doctor first to be given an appointment, to a system where you can book routine telephone or face to face appointments directly with our friendly reception team.
How will the new system work?
As we introduce this new appointment system, doctor call back (between 8am and 10am) will be for new onset of a medical problem which cannot wait until the next available routine appointment.
It is not to discuss:
- test results,
- requests for fit notes for an ongoing problem,
- routine symptoms that could wait, or
- to discuss more than one problem.
The duty doctor service will run from 10am to 6pm for matters which are medically urgent on the day and cannot wait until the following days call back or next available routine appointment.
You will be able to continue to use our e consult system as normal.
How do I book an urgent appointment?
If you have a clinical problem you are concerned about, especially if new, please call between 0800-1000 for same day doctor call back. The doctor will speak to you and arrange for you to be seen the same day if this is felt appropriate.
What if I have an urgent problem outside of 0800-1000?
We have a duty doctor on call between 1000-1800 for urgent problems. We do ask if this problem is known about before 1000 that you ring then for a doctor call back as we have more capacity to offer you an urgent appointment in the morning.
What if this is not urgent?
Please speak to a receptionist who will ask for an outline of your problem and direct you to the most appropriate appointment either by telephone, face to face or another service. They work closely with the duty doctor to ensure you are offered a timely appointment for your problem.
How do I request test results?
You can see your results on the NHS app. Alternatively you can speak to a receptionist if you call in the afternoon. If you have concerns about your results, please book a routine telephone appointment with a doctor. Should the doctor be concerned about any result, you will be contacted for a more urgent appointment.
How do I request a fit note?
If this is an ongoing problem, please submit an online form via our website or submit a written request.
If you need a fit note for a new problem, you will need to discuss this with one of the doctors in a routine call. Fit notes can be backdated so they are not prioritised as urgent.
How do I request medication?
To improve your access to urgent care, we will no longer be accepting medication requests over the phone. We ask that you make these requests in writing, e consult or via the NHS app. This is to ensure safe prescribing. We ask that you request medication at least 5 working days before they are due. We will no longer process urgent same day requests for medication.
What are we asking reception to do?
Our receptionists are skilled members of the team who maintain confidentiality at all times. They will continue to ask for a brief description when booking an appointment to ensure the correct service is chosen. They will be signposting you to the most suitable services for your problem. This also ensures that we have the capacity to deal with any urgent problem in a timely matter. You may be signposted to the local pharmacy, our practice based first contact physio or mental health nurse. We still ask you to contact an optician for minor eye conditions and to speak to a dentist for any dental issues. We cannot manage minor injuries as we do not have the required equipment.
Your patience is appreciated!
Our reception team will be learning how to work in a new way, and we would ask for your patience and understanding whilst we move to a system which we hope you will find more efficient. We would ask that you treat members of our team as you would wish to be treated.
Thank you for your continued support.
Drs Beth Lynch, Matt Best, Lisa Kelly, Laura Burring, Evyatar Avivi, Paul Giles, Claire Fox and all the Yelverton Surgery Staff.
Important Update: Changes to Antipsychotic Medication Prescribing and Monitoring
Posted: 7th August 2025
Effective From: 1st November 2025
We want to inform our patients about an important change regarding the prescribing and monitoring of antipsychotic medications at Yelverton Surgery. From 1st November 2025, Yelverton Surgery will no longer be able to prescribe or monitor antipsychotic medications in cases where this work falls outside the scope of our existing NHS contract and safe prescribing as GPs.
This decision has not been taken lightly and recent national safety events have highlighted the risks involved when these medications are prescribed without proper specialist input and governance. Currently, this service is not formally commissioned or supported for delivery in general practice, and it sits outside of what we are both contractually funded to provide and also our safe working practices as General Practitioners who are not specialist Psychiatrists.
We remain fully committed to patient safety and will work closely with Devon Integrated Care Board to support a safe and smooth transition of care to the local Mental Health Specialists for affected patients over the coming months.
Thank you for your understanding.
The Partners
Yelverton Surgery