With Hub Working, there is no longer a distinction between "urgent" and "routine" appointment requests.

Instead, please submit all requests for care through our online form. This includes any matter you would have previously called about on the day.

Our Hub Team will triage every request received each day. They will get you the appropriate care for your needs, which may include:

• A same-day appointment if care is required urgently

• A routine appointment if your issue is less acute

• Signposting to other appropriate services

• Remote care if physically seeing a GP is not necessary

If you are unable to use the online form, our reception staff can assist you in submitting a request.

Submitting requests online allows our Hub Team to efficiently triage and facilitate timely, appropriate care tailored to your needs. We appreciate you taking this approach.

With Hub Working, all patient requests are triaged daily by our team. They work hard to assess needs and facilitate appropriate care for everyone with the resources we have available.

Sometimes, appointments may be limited on a given day if there is high demand.

While access may be limited at times based on circumstances, we aim to provide fair and timely care tailored to each patient's needs through efficient triaging. We appreciate your patience as our team works hard to provide the best access possible each day.

There are often suitable alternatives to a GP appointment. Remember that your pharmacist, optician, or dentist can better help with certain problems. We have linked to local services below.

Also, there are many services you can access directly without needing to contact the surgery. Examples include mental health, minor injuries and children’s services. Have a look at our self care page to see all your options.

The NHS provides excellent online resources too. Health A to Z is a complete guide to conditions, symptoms and treatments, including what to do and when to get help. Medicines A to Z helps you find out how your medicine works, how and when to take it, possible side effects and answers to your common questions.

Remember that you can always call 111 at any time, 24 hours a day. You will speak to NHS professional staff who will help guide you on any medical issue.

Our home visiting policy works on the assumption that a GP home visit is an exceptional event. Most of the time we would expect to see patients in a clinical environment to provide the best quality care. From our patient list of almost 13000 patients, the vast majority can attend in person at the practice. Some may require help from care-givers to do this. The remaining patients would be housebound by definition

Therefore only housebound patients are eligible for GP home visits.

If you or someone you care for is housebound, please submit your medical request in the same way as other appointment requests.

When housebound patients request a home visit, we follow a standard protocol. This protocol triangulates patient safety alongside equity of access and clinical priority.

The medical request online form gathers some vital pieces of clinical information. Our Hub Team will then check to see if our Housebound List includes the patient in question.

Patients who are on the Housebound List will be added to a home visit triage list for the attention of the GP team. Otherwise the normal appointments process will apply. The main exception to this is in the case of a clear emergency.

Patients (or their carers) on the home visit triage list can expect a GP to telephone them. This allows the GP to assess whether a home visit is clinically necessary. It also allows the GP team to assess the urgency of need for medical attention.

In some cases the urgency of need will be at the level of emergency. In these cases the GP will instruct on the method by which the emergency should be managed.

In other cases an informed decision will be reached which may involve one of the following:

• a same day GP visit

• a routine GP visit booked for some future date

• a visit from another health care professional within an agreed timeframe

• remote clinical management of the case

Please do not to call us for updates on referrals. There is an NHS Care Gateway service for this. If you need an update on your referral, please call the referral gateway on 0161 947 0770.