Announcements

Learning Disability Week is a chance to raise awareness, challenge unfair health inequalities, and support people with a learning disability in our community.

People with a learning disability want the same things as everyone else - to be seen, heard and valued.

However, many people still face significant challenges:

• Only 26.7% of people with a learning disability are employed - but 86% of those who are unemployed want a paid job..
• Over 2,000 people with a learning disability and autistic people are detained in mental health hospitals, often because the right support isn't available in the community.
• People with a learning disability die on average 20 years earlier than the general population, around 2 in 5 of those deaths could be avoided. 

This is not fair, and it needs to change. This Learning Disability Week, you can make a difference:

• Start a conversation
• Share trusted information and raise awareness
• Support organisations such as Mencap
• Take part in local community activities

Every action, no matter how small, can help create a more inclusive and supportive community.

For more information, click here.

Please note that, in line with confidentiality and data protection requirements, we are unable to book appointments or discuss details on behalf of another person (including a spouse or family member) without their explicit consent.  

If you would like to arrange an appointment for someone else, we kindly ask that the patient contacts us directly or provide appropriate consent for you to act on their behalf. Third party consent forms are available from reception.

Thank you for your understanding and cooperation.

At Dalton Terrace, we are committed to providing excellent care and support to all our patients. To ensure that we can assist you as quickly as possible, we kindly ask that you contact us about NON-URGENT appointments during our less busy hours.

When are our less busy times?

• Monday to Friday: 10:00 am to 11:00 am
• Monday to Friday: 4:30 pm to 6:00 pm

Why Call During These Times?

• Faster response times
• Less wait time

During these times, we have fewer calls, so we can focus more on your needs and get you the help you require more efficiently.

For your convenience, you can also fill out our online form for fit notes, doctors letters and medication queries, by clicking here.

We truly appreciate your patience and cooperation as we work to give you the best possible care.

We want to make sure all patients get safe and consistent care. Because of this, our policy is to only share care (when your GP prescribes specialist medication and undertakes monitoring recommended by a specialist, and you also remain under specialist support) with NHS providers and if there is an NHS funded local shared care arrangement in place.

• NHS funded local shared care arrangements are available for some conditions (such as ADHD, inflammatory arthritis and a number of other conditions and medications).
• NHS funded local shared care arrangements are not currently available at present for some other specialist treatments unfortunately (such as gender-affirming care). We continue to advocate for more specialist service provision.

This means:

• If you ask us to take over prescribing from a private provider, under a shared care agreement.
  – We cannot do this until you have been seen by an NHS service- we can refer you to an NHS service if you wish.
  – We can only do this where there are local NHS funded shared care arrangements in place.

This is to make sure there is full assessment, support, and timely review by the specialist.

• If you are moving into the area and have been under private care with private prescriptions
  – You will need to continue to get your prescriptions and monitoring with your private provider (unless you ask us to refer you into the NHS).
• If you are moving into the area and already have private specialist/GP shared care
  – You will need to arrange to get your medication and monitoring through your private provider, or, if you are a student, stay with your home GP if possible.
  – We can refer you into a local NHS service and once you are seen, we can then arrange shared care prescribing and monitoring
• If you are moving into the area and have NHS specialist/GP shared care
  – If there is a funded local arrangement where the specialist will share care at the point of making the referral (for example ADHD care at the Retreat in York) we will continue the shared care arrangement once you are seen locally.

We understand this can feel frustrating, but this policy is in place to keep care safe, consistent, and fair for all patients. We will always explain your options clearly and help with NHS referrals where appropriate.

Our surgery email address will change from 28 November. Please use our new email hnyicb-voy.dt-reception@nhs.net when you contact us. Using the new address will help us reply to you promptly and avoid any delays. If you have contacted us using the old email address after the change, please resend your message to the new address.

Thank you for your understanding and cooperation.

These are sometimes requested for extreme sports such as ultra marathons. According to the British Medical Association (BMA), "even if a thorough history, examination and any necessary investigations are carried out, doctors are still not in a position to guarantee that a patient is fit for a particular activity". As a result, we are unable to sign or provide these certificates. We would recommend you seek a specialist private GP to complete these forms for you.

We understand that this decision may cause inconvenience to some of our patients. However, our primary responsibility is to ensure the safety and well-being of all our patients. We believe this decision aligns with that responsibility and the BMA guidance

While NICE has approved Mounjaro for use on the NHS, it is not currently available for us to prescribe in general practice.

We are waiting for further guidance from the Humber and North Yorkshire Integrated Care Board (ICB) on what happens next. For the latest updates, please visit the ICB’s official website: 

https://humberandnorthyorkshire.icb.nhs.uk/wp-content/uploads/2024/12/NICE-Tirzepatide-FAQs-For-Patients-Version-1.0.docx

We kindly ask that you do not book an appointment or contact the practice to request Mounjaro at this time.

Thank you for your patience and understanding as we wait for more information. We appreciate your support in helping us provide safe and appropriate care.

Are you at risk of developing Type 2 diabetes? This Diabetes Prevention Program is here to help you take charge of your health. Please click on the link below to sign up for the programme. 

https://preventing-diabetes.co.uk/referral/

In response to a medical safety advisory from aviation-trained physicians, we have made the decision to stop prescribing sedative medications, such as Diazepam and Zopiclone, which are sometimes used to address fear of flying. There are several reasons behind this decision:

1.  Both Diazepam and Zopiclone act as sedatives, inducing relaxation and drowsiness. However, in the event of an emergency during flight, this could impede your ability to concentrate, follow instructions, and respond appropriately. Such impairment poses not only personal risks but also could jeopardise the safety of fellow passengers.
2.  Sedative drugs may lead to an unnatural non-REM sleep pattern, reducing movement and increasing the risk of developing blood clots, particularly deep vein thrombosis (DVT) or pulmonary embolism, especially on flights exceeding four hours in duration. Blood clots present severe health hazards and can be fatal.
3.  While most individuals experience sedation with Diazepam, some people may exhibit agitation and aggression. These medications can induce disinhibition, prompting behaviour outside one's normal demeanour, potentially endangering personal safety and leading to legal repercussions. This can be similar to alcohol-induced incidents, resulting in flight removal or legal issues.
4.  The British National Formulary (BNF), the prescribing guidelines doctors follow in the UK, explicitly prohibits the use of benzodiazepines for treating phobias. Prescribing against these guidelines poses legal risks for healthcare providers.
5.  Diazepam and similar drugs are illegal in several countries, subjecting travellers to potential confiscation or legal consequences.

In light of these considerations and to prioritise passenger safety and well-being, as a practice we are opting for alternative approaches to address fear of flying that do not compromise aviation safety or legal compliance. This is the same for many GP surgeries.

We appreciate that this is a very real and frightening problem for some people. We recommend that you tackle the problem with a Fear of Flying Course, which is run by several airlines.

British Airways: Flying with Confidence | Special assistance | British Airways

Virgin: How to cope with a fear of flying | Virgin

EasyJet: Courses | Fearless Flyer (easyjet.com)

Contrary to the irresponsible article published in the York Press, Dalton Terrace Surgery would like to confirm that the Surgery's boundary is not being 'shrunk'. It remains unchanged as it has been for many years.

Patients who have moved house and now live outside the Practice boundary are being asked to register with a surgery closer to their new home address. This is for practical reasons of patient safety and the difficulty of GP's  travelling across the city to make home visits. It is not in any way connected to the Practice's recent CQC inspection as insinuated by the York Press article.

To find out how to register a death online, please click here.

All of our hospital sites are smokefree, and we have support available for anyone who is dependant on tobacco.

Want to make some changes this year? Stopping smoking could make a huge improvement to your wellbeing and bank balance!

For more information, click here.

#SwapandStop #NoTobacco #Smokefree

Live Well York is a website for adults in York. You can use this website to find helpful information and advice, discover hundreds of local groups and activities and find out what events are happening across York.

To access the website, click here.

If you start to feel unwell you can make an appointment with your GP to discuss your problems or can self-refer online to the York & Selby Talking Therapies.

Due to a high demand for Blood taking appointments we ask if you are able, to kindly go to the blood taking drop in centre at the New Community Stadium at Monks Cross. It's on Kathryn Avenue , Monks Cross Drive , Huntington YO32 9AF. There is free parking for up to 2 hours and the opening times are 8am - 5pm. You will need to come to Reception to pick a Blood form up before hand. You can also make an appointment at Nimbuscare Acomb Garth Community Care Centre, 2 Oak Rise. York, YO24 4LJ. You can contact them on 01904 943690.

During busy times you may have to wait for your call to be answered, our receptionists are doing their best to answer your call as soon as possible.

Please be patient with us.

Thank you.

Prescription requests are not taken over the telephone, please email us on hnyicb-voy.dt-reception@nhs.net or pop a paper request through our letterbox on our front door. 

Prescriptions can also be ordered through NHS app once you have provided us with Documentation of Proof of ID and address. A drivers license is perfect for this or Passport and Utility Bill. 

We ask that you allow us 3 working days to process your request so please order your medication in enough time so you do not run out.