21/5/2024: No access to patient records or medications

Due to issues with the NHS server across Warrington, we do not have any access to patient records or medications. For any problems today, please call 111. Due to this ongoing error, repeat prescriptions are taking 7 working days to process.

eConsult

Fill out a simple online form to get advice and treatment from your surgery and the NHS.

Order a Repeat Prescription

Not registered for Online Services yet?

To request medication without the requirement to log on to Online Services, you can request your repeat and acute medication with the Prescription Request Form.

It is easier and quicker to manage request repeat prescriptions via our online service. Simply log in and select an option.

Please allow two full working days for prescriptions to be processed and remember to take weekends and bank holidays into account. Patients on long term medication do require to see a doctor for a review of medication. The next date for your medication review will be indicated on your Repeat Prescription form. It is the patient’s own responsibility to ensure that they do not run short of their medication.

NHS App

Download the NHS App, or open the NHS website in a web browser, to set up and log in to your NHS account. Owned and run by the NHS, your NHS account is a simple and secure way to access a range of NHS services online, including appointments, prescriptions and health record.

Download on the App Store
Get it on Google Play
NHS App
Use econsult

Your Repeat Medication

If you need regular medication and your doctor does not need to see you every time, you will be issued with a ‘repeat prescription’. When you collect a prescription you will see that it is perforated down the centre. The left-hand side is the actual prescription. The right-hand side (re-order slip) shows a list of medicines that you can request without booking an appointment to see a doctor. Please tear off this section (and keep it) before handing the prescription to the chemist for dispensing.

Run out or just about to run out of medication requests
Unfortunately a small minority of patients are repeatedly running out (or just about to run out) of their medication. ‘Urgent’ requests of this nature cause a great deal of disruption to the smooth running of the practice. Please be aware that such requests will be questioned very carefully by the reception staff and may well be refused by the GP. A record is kept of such requests, and may well be refused by the GP. It is the patient’s own responsibility to ensure that they do not run short of their medication.

Help us to help you

  • Please allow 2 complete working  days for us to process the prescription before you come to collect it if you have ordered electronically (if request is sent during weekend, it will only start to be processed from 8am Monday morning – Tuesday if bank holiday). Prescriptions will be sent to your nominated pharmacy direct. We recommend ordering when you have a weeks’ supply of your medication left as we are unable to issue repeat prescriptions at shorter notice.
  • We will contact you by email or telephone if there is any problem which may delay you being able to collect your prescription. Please do not order more than 10 days in advance unless you are going on holiday as we may not be able to issue if too early. You will need to notify us of any reason for early request.

Help with your Prescription

If you forget to request a Repeat Prescription

If you forget to obtain a prescription for repeat medication and thus run out of important medicines, you may be able to get help from your Pharmacy. Under the Urgent Provision of Repeat Medication Service, Pharmacists may be able to supply you with a further cycle of a previously repeated medicine, without having to get a prescription from your GP. 

If you have run out of important medication, telephone your usual Pharmacy to check that they offer this service; if they don’t, they may either direct you to another Pharmacy who does provide it, or ask you to phone 111 where you can request details of a local Pharmacy that provides the service.

You must then take with you to the relevant Pharmacy, proof of both your identification and of your medication (for example, your repeat prescription list or the empty box which should have your details printed on it). Please note that controlled drugs and antibiotics are not provided through this service, you will need to ring 111 for these.

If you receive stoma products from your Pharmacy or other supplier and/or receive items such as continence products, please ensure you have sufficient supplies as you may encounter difficulties in obtaining these over Bank Holidays, or when the Surgery is closed.

Help with NHS Costs

If you need help with NHS costs or need to find out if you can get free prescriptions please click the button below for further information.

Prescription prepayment information

If you know you’ll have to pay for a lot of NHS prescriptions, it may be cheaper to buy a prescription prepayment certificate (PPC) – effectively a prescription “season ticket”.

A PPC covers all your NHS prescriptions, including NHS dental prescriptions, no matter how many items you need.

Opiate and Benzodiazepine Medications

If you take opiate or benzodiazepine medication you will be asked by your GP to sign a patient agreement which covers the risks of taking the medication long term and your responsibility as a patient.

The list below identifies some of these medications – it is not exhaustive and does not include related branded products:

Benzodiazepines

  • Diazepam
  • Temazepam
  • Lorazepam
  • Nitrazepam
  • Zopiclone
  • Zolpidem

Opiates

  • Tramadol
  • Buprenorphine patches
  • Dihydrocodeine
  • Morphine
  • Fentanyl patches
  • Oxycodone
  • Pethadine

Please view or download our Prescribing Policies

How to order your medication

Email

We now have a dedicated email for our prescription team: [email protected] 

By post

You can post your prescription slip or written request to us at the Practice. You must include a stamped addressed envelope for return by post if you will not be able to pick up your prescription from the Surgery (please allow extra time for any possible delays with the postal service).

In person

You can order in person by returning the right-hand half of a previous prescription for the required medications, or by submitting a handwritten request. Please put your request in the post box on the gate of our staff car park. Please include your name, date of birth, address and the items that you require. 

Repeat Dispensing Service

In response to coronavirus (COVID-19), GPs and pharmacies are moving suitable patients to electronic Repeat Dispensing (eRD). You might be suitable for eRD if you get regular or repeat medicines that don’t change. eRD means your GP can send your regular or repeat prescriptions electronically to a pharmacy of your choice. You can then collect your medication from your pharmacy, or ask them to deliver it to your home. 

What eRD means for you

eRD allows your GP to send a series of repeat prescriptions to your pharmacy in one go, so there’s no need for you to order them each time. It’s reliable, secure and confidential. Your regular prescriptions are stored securely on the NHS database, so they’ll be ready at the pharmacy each time you need them.

How eRD can benefit you

If you get regular or repeat medicines, you might be suitable for eRD. Using eRD, you can: 

  • save time by avoiding unnecessary trips or calls to your GP every time you need to order a repeat prescription
  • order or cancel your repeat prescriptions online (if your GP practice offers this service)
  • pick up your repeat prescriptions directly from your pharmacy without having to visit your GP
  • spend less time waiting for your prescription in the pharmacy or GP practice, which means you can stay at home and avoid face-to-face contact when you need your repeat prescription during the coronavirus pandemic
  • save paper – you won’t need a paper prescription to collect your medicine from the pharmacy

How do I sign up for eRD?

It’s really easy to sign up for eRD – just ask your GP or pharmacist to set it up for you.

Requests for urgent prescriptions

The Practice has to manage the prescribing of medication in a safe and risk averse way. It is therefore, important that our patients’ understand that the process does require 48 hours (2 working days) for repeat medications, acute medications (something you don’t take regularly or a controlled drug) may take longer.

It is the patient’s own responsibility to ensure that they do not run short of their medication.

Whilst the vast majority of medication requests are of a non-urgent nature we will provide same day urgent prescriptions for certain medications that it is clinically advisable for patients not to miss a dose; our prescription team will be able to advise if your medication is on this list. These requests must be received before 12.00pm.

We will aim to have your urgent prescription ready to collect or sent electronically to the pharmacy of your choice by 5.45pm.

Any medication that is requested urgently that is not on the list will be issued at the GP’s discretion.

This urgent service is strictly limited to the following medications/patient groups:

  • GTN spray – any angina medication
  • Asthma/COPD medication
  • Long term steroids – Prednisolone and Hydrocortisone
  • Insulin and associated products
  • Betablockers – Atenolol, Bisoprolol etc
  • Warfarin or NOACs – Apixiban, Rivoraxaban etc
  • Antiepileptics
  • Long-term antibiotics
  • Any palliative patient’s medications

Patients are asked to respect this process and not to harass the administrative staff. Any person who behaves in a rude/abusive manner or will not leave the building until they have had their demands met will be asked to leave the premises. Please note that the Practice has a Zero Tolerance Policy towards any abuse or aggression directed towards any member of our team; the patient will receive a written warning and may be removed from the Practice register.

If you have run out of your medication when the surgery is closed, local pharmacies may be able to issue a limited supply of the medication. Please be aware you could be charged for this.

Telephone

We do not accept requests for repeat prescriptions by telephone. This prevents dangerous errors being made and leaves the telephone lines free for urgent matters.

Additional information

Antibiotics

Each year 25% of the population visit their GP for a respiratory tract infection (eg sinus, throat or chest infection). These are usually caused by viruses.

For patients who are otherwise healthy, antibiotics are not necessary for viral infections.

These infections will normally clear up by looking after yourself at home with rest, plenty of fluids and paracetamol.

Ear infections typically last 4 days

89% of cases clear up on their own

A sore throat typically lasts 7 days

40% of cases clear up after 3 days and 90% after 7 days without antibiotics

Sinusitis typically lasts 17 days

80% clear up in 14 days without antibiotics

Cough/bronchitis typically lasts 21 days

Antibiotics reduce symptoms by only 1 day

Antibiotics only work for infections caused by bacteria.

Taking unnecessary antibiotics for viral infections should be avoided because they may not be effective next time you have a bacterial infection.

Going Abroad?

If you are concerned about taking medication abroad you can visit your local community pharmacy who are well placed to provide the information that is needed, and can also advise on a wide range of travel-related health issues.

Information for patients requesting diazepam for a fear of flying

The Doctors have taken the decision not to prescribe diazepam in cases where the there is a fear of flying. There are a number of reasons for this that are set out below.

1) Diazepam is a sedative, which means it makes you sleepy and more relaxed. If there is an emergency during the flight it may impair your ability to concentrate, follow instructions and react to the situation. This could have serious safety consequences for you and those around you.

2) Sedative drugs can make you fall asleep, however when you do sleep it is an unnatural non-REM sleep. This means you won’t move around as much as during natural sleep. This can cause you to be at increased risk of developing a blood clot (DVT) in the leg or even the lung. Blood clots are very dangerous and can even prove fatal. This risk is even greater if your flight is greater than 4 hours. 3) Whilst most people find benzodiazepines like diazepam sedating, a small number of people experience the opposite effect and may become aggressive. Benzodiazepines can also cause disinhibition and lead you to behave in a way that you would not normally. This could impact on your safety as well as that of other passengers and could also get you into trouble with the law.

4) According to the national prescribing guidelines that doctors follow (the British National Formulary, or BNF) benzodiazepines are not allowed to be prescribed in cases of phobia. Thus your doctor would be taking a significant legal risk by prescribing diazepam for fear of flying as it is going against these guidelines. Benzodiazepines are only licensed short term for a crisis in generalised anxiety. If this is the case, you should be getting proper care and support for your mental health and not going on a flight.

5) Diazepam and similar drugs are illegal in a number of countries. They may be confiscated or you may find yourself in trouble with the police.

6) Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing you may fail this having taken diazepam.

We appreciate that fear of flying is very real and very frightening. A much better approach is to tackle this properly with a Fear of Flying course run by the airlines. We have listed a number of these below.

Easy Jet – Tel 0203 8131644
Fearless Flyer EasyJet

British Airways – Tel 01252 793250
Flying with confidence

Virgin – Tel 01423 714900
Flying without fear

Medication Requests following Hospital Appointments

Please see the attached document for NHS England procedures following hospital discharge or a hospital appointment:

Outpatient Appointment Medication:

If medication is required following your outpatient appointment with the consultant, please note the following information:

It is the responsibility of the hospital (and in line with their policy) to give 1 months supply of the medication where the patient:

  • Should commence immediately
  • Requires a new medicine or a change of dose of existing medication within 2 weeks of the hospital appointment.

Any medication which falls within the above categories should be collected from the hospital pharmacy. This is to ensure the patient receives their treatment on time and to allow time for the consultant(s) to send a typed report to the practice detailing the outcome of the hospital consultation.

If the consultant requires you to continue the medication after the initial supply has run out he will inform the practice via this report.

To request further supply of the medication you must submit a written request to the surgery stating the name, strength and dose of the medication; plus details of the consultant/hospital clinic who issued the initial prescription.

The practice will supply further prescriptions as long as we have received the appropriate typed report from the hospital consultant.

Please allow 2 working days for your prescription request to be processed.

Medication required on discharge from hospital:

If medication is required on discharge from hospital, please note the following information:

It is the responsibility of the hospital and they have agreed to:

Issue a minimum of 14 days medication

  • Issue the complete course, if a course of medication is required eg. Antibiotics or steroid reducing medication
  • Prescribe enough drops to cover treatment following ophthalmic procedures

Hospital only medication

Medicines that are not available outside the hospital eg clinical trial, hospital only or unlicensed drugs:

  • Medicines for which safe and effective prescribing depends on knowledge or experience unlikely to be possessed by the GP eg chemotherapy or TB treatment
  • Medicines for which it has been agreed that the hospital clinician is responsible eg. some drugs for rheumatoid arthritis or psychiatric problems

If your medication falls into one of these categories then you will be asked to contact the hospital for a further supply.

Warrington CCG – Guidance on Prescribing following a Private Consultation

Prescription requests should comply with Pan Mersey Area Prescribing Committee (APC) guidance (Pan Mersey)
GP’s will not issue prescriptions outside of this guidance.

Prescription requests resulting from outpatient appointments will be processed within 48 working hours of receipt of request from clinician.

Urgent prescriptions are the responsibility of the prescribing clinician.

If you are transferred to another department within the hospital

If your consultant decides to refer you to another department within the hospital and you do not hear anything further regarding thisplease direct your queries to the consultant’s secretary at the hospital as the practice secretary will not be able to answer any queries relating to such matters.

Medicines requested by Hospital Specialists

Specialists will often suggest particular medication at a hospital appointment and ask us to prescribe for you. To ensure your safety we do need to receive written information from the specialist before prescribing. Sometimes a medicine is suggested that is not in our local formulary. There is nearly always a close alternative, and specialists are told that we sometimes make suitable substitutions when you are referred. We will always let you know if this is the case.

Medication review appointments

To help you to get the most out of this appointment, please answer the following questions and bring the sheet with you to your appointment. 

  • What medications are you taking?
  • Have you noticed any side effects?
  • Are there any medications that you have stopped taking?
  • Do you take any other medications other than what is being prescribed?
  • Other meds are i.e. over the counter, herbal, other peoples’?
  • Do you understand what your medications are for? (Your local pharmacist will also be able to help to explain what your medication is for)

Please note your medication review appointment is to discuss your medication and your GP will not have time to discuss any other problems. Please arrange a separate appointment to discuss other concerns.

Non-repeat items (acute requests)

An acute prescription is a ‘one-off’ prescription which the GP has decided not to add to your repeat list of regular medication. This may be a prescription for a short course of treatment or for a new medication until you are stabilised on it. Some medication is not suitable for prescribing on repeat prescription. The medical centre may need to contact you to discuss your prescription request.

Common reasons for delay include requests for painkillers where it is unclear what you are taking them for or where they are being taken for a reason which is different from the initial reason they were prescribed. It is important that particular care is taken with painkillers to make sure they are being prescribed safely. Other examples which can cause delays are requests for medication where a review needs to be carried out to establish that continued prescribing is appropriate. Please fill in the form here to request acute medication

Over the Counter Medicines

A GP, nurse or pharmacist will generally not give you a prescription for over-the-counter (OTC) medicines for a range of minor health conditions.

Prescribing over-the-counter medicines in nurseries and schools

GPs are often asked to prescribe over-the-counter medication to satisfy nurseries and schools. This is a misuse of GP time, and is not necessary.

Private Prescriptions

A GP in the surgery can only provide a private prescription if the medication is not available on the NHS.

A private prescription is not written on an official NHS prescription and so is not paid for by the NHS. A prescription is a legal document for which the doctor, who has issued and signed it, is responsible. A doctor you see privately is unable to issue an NHS prescription.

The cost of a private prescription is met wholly by the patient and is dictated by the cost of the medicine plus the pharmacists charge for supplying it.

Warrington CCG – Guidance on Prescribing following a Private Consultation

  • Prescription requests should comply with Pan Mersey Area Prescribing Committee (APC) guidance (Pan Mersey). GP’s will not issue prescriptions outside of this guidance.
  • Prescription requests resulting from outpatient appointments will be processed within 48 hours of receipt of request from clinician. 
  • Urgent prescriptions are the responsibility of the prescribing clinician. 
When on holiday or living temporary outside the Practice area

If you are staying outside the practice area for holidays, work etc. we are unable to send prescriptions by post/email/fax. You should register with a practice as a temporary resident and request the medication. The Practice will contact us to confirm what medication you are currently being prescribed. Alternatively depending on your location some pharmacies may be able to provide the medication for you.

Stopping over medication of people with a learning disability, autism or both (STOMP)

STOMP stands for stopping over medication of people with a learning disability, autism or both with psychotropic medicines. It is a national project involving many different organisations which are helping to stop the over use of these medicines.  STOMP is about helping people to stay well and have a good quality of life.

Your Home Medicine Cupboard

It is well worth keeping a small stock of useful medicines at home in your (locked) first aid cupboard. For instance, pain killers (analgesics) such as Paracetamol, Ibuprofen or aspirin (children under 16 and people with asthma should not take aspirin), or Ibuprofen syrups  for children, Mild laxatives, Anti-diarrhoeal medicines, Indigestion remedy (for example, antacids) Travel sickness tablets, and Sunscreen – SPF15 or higher Sunburn treatment (for example, calamine). For more detail see NHS UK Medicine Chest.