Same Day Access – Medically Urgent Problems
For Urgent problems we use a Triage system to ensure patients receive the most appropriate advice or health service to meet their needs or Urgent/Same-day Appointment requests.
Minor Illness Team
- Paramedic Practitioner (Clinician)
- Practice Nurse (Clinician)
- GP (Clinician at the Practice or Bicester HUB)
- Patient Services
You may be signposted by any of our Minor Illness Team to external services where your issue is more appropriate to be seen – Community Pharmacist for minor ailments, the Oxfordshire Minor Eye Conditions Service (MECS), Sexual Health Clinics, local dentist, or other service or self care.
Your Community Pharmacist provides lots of expert advice and treatments for minor ailments – please Think Pharmacy First. This helps us free up appointments for issues that need to be seen by a GP or Clinician.
If your issue is not urgent and does not warrant a same-day appointment, then where appropriate a routine appointment may be offered instead.
To make an appointment please call the Practice – this is not a walk in service.
Our Patient Services will ask you the reason for your request for an Urgent/Same-day appointment, so that they can signpost you to the correct service, or if being put on the triage list, so clinician, so they can prioritise your request appropriately.
If entered onto the Practice Triage list:
- A Clinician will call you back to discuss your issue. This may result in advice being given, directed to another healthcare service or a face to face appointment being arranged with one of our minor illness team. Please note – as this is triaged by medical urgency, it may be several hours before we are able to call you back, especially at busy times of the year.
- Our Patient Services may put you directly with a face to face appointment with a member of our Minor Illness Team. This can include an appointment with the Minor Illness GP service provided to assist the 3 Bicester Practices at the “HUB” – see below.
If you are housebound then we normally need to be informed by Midday to enable this to be arranged. Normally a Paramedic from the Primary Care Visiting Service will be sent to you (see below), who liaises directly with the Practice.
It is important that you remain available to be contacted by the Minor Illness Team. If we are unable to contact you, then you may need to call again and rejoin the triage list.
You can contact NHS 111 for free by dialing 111
NHS 111 is much more than a helpline – if you’re worried about an urgent medical concern, you can call 111 to speak to a fully trained adviser.
The NHS 111 service is staffed 24 hours a day, 7 days a week by a team of fully trained advisers. They will ask questions to assess your symptoms and, depending on the situation, will then:
- give you self-care advice
- connect you to a nurse, emergency dentist or GP
- book you a face-to-face appointment
- send an ambulance directly, if necessary
- direct you to the local service that can help you best with your concern
You may only request a home visit if you are housebound or are too ill to visit the Practice. Your doctor will only visit you at home if they think that your medical condition requires it and they will also decide how urgently a visit is needed. Please bear this in mind and be prepared to provide suitable details to enable the doctor to schedule house calls.
Your doctor may direct the paramedic Primary Care Visiting Service (PCVS) to attend in the first instance. The paramedic will liaise with your doctor as appropriate to determine the appropriate treatment for your needs.
You can also be visited at home by a District Nurse if you are referred by your doctor, and you should also be visited at home by the Health Visitor if you have recently had a baby or if you are newly registered with us and have a child under five years.
The “HUB” – 7 Day Access
To increase the availability of same day Urgent appointments the practices in Bicester came together through their Federation to share a “HUB” facility located at the Bicester Community Hospital (next door to us). Patients are Triaged to the HUB by each practice and are seen by the HUB GP. There are up to 36 additional appointments each day. This is located at the Bicester Health Centre – opposite us.
Additional GP and Nurse/HCA appointments for semi urgent cases are also available from 6.30pm – 8.00pm, Monday to Friday and 9.00am – 12.00pm Saturday and Sunday, There will be a “Duty Practice” in the area, a bit like the duty community pharmacy, where appointments can be booked up to 48hrs in advance through the patient’s normal Practice.
Each Practice in the area will be the Duty Practice one day a week offering additional appointments Monday to Friday 6.30pm – 8.00pm, with the weekends at the Bicester Health Centre (Saturday) or Banbury (Sunday). This means that you may be offered an evening or weekend “semi urgent” appointment at a different practice.
Please note that these appointments cannot be booked through the Patient Online Services.
This service is addition to our normal Tuesday and Thursday evening extended hours, which continues as normal and can be booked in advance through the Patient Online Services.
We also offer Telephone appointments, where there is no need for the clinician to see you face to face. This may include medication reviews, follow-up reviews.
Please note, that the time booked for your telephone is appointment is only an approximate time as the clinician may be delayed by earlier appointments. Please ensure you have access to your nominated telephone.
Routine Questions or Requests
Please use our website Online Request Forms for routine questions or requests.
This helps us to keep the phones free for urgent issues, and also allows us to find the appropriate answer to your question and get back to you by email in a timely manner.
We aim to reply to you within 2-3 working days.
How to Make an Appointment
To make an appointment you can book online or by telephone.
Please be aware you can only book one appointment online before you have to fully register for the online services..
Although you will be registered with one of our doctors, you may see the doctor of your choice, although for continuity of care, especially with ongoing conditions, we would encourage you to see the same doctor where possible.
So that we can manage your appointment properly and book you in with the most appropriate doctor or nurse, our Patient Coordinators willask you the reason you wish to be seen. Please help us by providing a very brief explanation – there is no need to go into detail. Please be assured that all of our staff are under the same confidentiality obligations.
Appointment Text Reminder
Please ensure with have an up to date mobile phone number for you so we can send you an appointment reminder. This also allows us to contact you with regards to annual review reminders, changes to your appointment, updating medical records etc
When you get to the Practice
Please book in with Patient Services. Save time by using our “Express Check-in Screen”.
It is very important that you arrive on time for your appointment – we suggest 5 or 10 mins early so that you can book in with Patient Services. If you do arrive late, it may not be possible for your doctor or nurse to see you, or you may have to wait till the end of that session.
We try to run to time as far as possible, but sometimes, the doctor or nurse may need to spend more time with a patient, or is called out on an emergency, so please bear with us if you have to wait.
You will be called by a notice appearing on the TV screen and by an announcement in the waiting room – “Mr Jones please go to Dr Fallows in Room 1”.
If possible, please obtain a Weight/Height measurement and Blood Pressure reading from our automated units before seeing your clinician. These are located downstairs opposite Room 3.
If you are attending alone but would like to have a chaperone during your consultation, please let our Patient Services know when booking your appointment or when you arrive.
A routine consultation will normally be 8-10 mins.
Your doctor will ask you various questions and may examine you at the same time.
If you bring a friend or chaperone with you, it will normally be assumed that you are happy for the doctor or nurse to discuss your medical condition openly or undertake an examination with them present.
Walk-in Blood Clinics – Aged 16 and over
To improve accessibility to our services we have introduced Walk-in Blood Clinics each morning from 8am
Due to the nature of a walk-in clinic it is for patients 16 and over. We would also advise those adults who are uncomfortable having their blood taken to book a normal appointment where more time can be allocated to them.
Please book in at Patient Services on arrival, and please arrive by 10am. Please note, you may need to wait up to an hour before being seen by our Health Care Assistants.
If you are unable to attend a booked appointment, please let us know as soon as possible so it can be assigned to another patient. Please either use this form, or if within 3 days by contacting us by phone.
Don’t forget with online access you can book and cancel your appointment very simply and quickly.