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Changes at East Cliff Practice

We would like to advise patients that we have completed a merger with Invicta Health Community Interest Company.


There are several changes coming to the way in which primary care is organised. More money is promised to the NHS in exchange for operating in both larger units and with changed ways of working and delivering patient care at a local level.

Our surgery partners have been considering together how best to secure the future care of our patients. To make sure everyone benefits from these planned changes we realise that we need to be part of a larger organisation but have wanted to implement this whilst keeping the feel of current practice.

After careful investigation of the possibilities by our partners, we have now joined Invicta Health Community Interest Company, a local provider of primary care services. Both organisations have a common aspiration to provide excellent primary care alongside training staff at all levels.

The Benefits

We will continue to provide patient care alongside inputting into the wider vision of Invicta Health CIC.

In the short term, we will be working to standardise working processes and patients will benefit from investment in improved systems and options to access care through increased use of technology.

In the longer term, all will benefit from the opportunities that come from being part of a larger organisation.

This merger will also give the practice an enhanced ability to cope with NHSE long term plans as well as the increasing regulatory demands. We believe this is an exciting opportunity which we must take advantage of given the current challenges facing general practice both locally and nationally.

In the near future Patients will notice new signage at the practice from June 2020. 

Find out more about Invicta Health here

East Cliff part of Invicta Health logo


Information on the Coronavirus - COVID-19

Dear patient

Just to reassure you we remain open and we are working hard to continue to provide a service to you. We are facing significant increased demand due to the ongoing Coronavirus pandemic as well as dealing with our own staff shortages. For this reason you will notice changes to the way we offer services and we ask for your support and understanding at this time.

Despite these challenges we are deploying more staff to answer the telephone and you may also have spotted we have introduced a new E-Consult service to enable you to contact the surgery in and out of hours for advice and queries.

Where we have had to defer patients for routine follow up appointments we are now starting to call patients in for these appointments priortised according to clinical need. Please also note that wwe are aware that some medication reviews are overdue and we are working hard to deal with the backlog.


We ask you not to attend the surgery to book an appointment face to face and that you telephone to book an appointment instead. Alternatively please use the eConsult service on this website. This is available 24 hours a day and we aim to respond by 18.30 next working day at the latest.

If you are calling please be patient as we are dealing with much higher call numbers. In all cases you will be offered a telephone consultation with a clinician who will decide if you need a face to face appointment. If you are asked to come down to the surgery we ask that you arrive at the designated appointment time and we will do our best to call you in with minimal delay. You are required to wear a mask or face covering to protect you, other patients and our staff.

If you have arrived for an agreed appointment you will be allowed to wait in the waiting room where seating is marked to ensure appropriate social distancing is maintained. The clinician you are seeing will come and get you when they are ready to see you. Please do not be distressed that our staff are wearing personal protective equipment (gowns and masks) this is purely as a precaution and to protect you, our wider patient population and staff. 

We have been working hard with other GP practices across Thanet to establish a dedicated 'hot site' to see patients. The site has been established at Garlinge Surgery within the grounds of Westbrook House, Margate and will be staffed by primary care staff. It is intended that if patients have symptoms of Covid 19 or they are self isolating in a household where someone has shown signs of Covid 19 they may be asked to attend this site to see a healthcare professional. Full instructions will be given at time of booking. Please note this new service is strictly by appointment only. 

Influenza vaccine

Please note that, if you are aged between 50 and 64 and not in a clinical at risk group, the earliest you will be offered a flu vaccination is November, providing there is sufficient vaccine. No appointments will be offered for people in this age group until then. This is to ensure that those who are most at risk are vaccinated first. If you are aged 50 to 64 and are in a clinical ‘at risk’ group which is eligible for the flu vaccination, for example you have a health condition which puts you at risk from the flu, you will be invited earlier.


Prescriptions During COVID-19 Circulation

There has been a significant increase in the request for prescriptions. During this time we ask that patients do not request prescriptions earlier than usual. We can provide prescriptions up to 10 days before they are due.

To prevent medicines supply problems, we will not be giving larger quantities of medicines on prescription or providing 'rescue' packs where it is not deemed clinical necessary. We may also change your prescription to an electronic prescription which should make it easier to request in future. 

Requesting your prescription online may reduce your need to come into the pharmacy or surgery. We ask that you do this if you can by downloading the NHS App.

We aim to turn around a prescription request with 72 hours but please be aware that this may be affected by the significant extra demand for prescriptions.

We are aware that local Pharmacies are taking steps to manage their own demand including temporary closures and minimising the number of people in the pharmacy at any one time. There may also be disruption to some home delivery services. For more information please contact your pharmacy directly.

Electronic Prescripitions

We are upgrading to the next phase of the Electronic Prescription Service (EPS) which will mean that almost all our prescriptions will be processed electronically.

Electronic prescriptions help save the NHS money.

You will receive your prescriptions in the same way as you do now.

Read more about EPS on the NHS website.

The NHS is phasing out green paper prescriptions with most prescriptions now being sent electronically through via the Electronic Prescription Service (EPS). Almost all prescriptions will be sent electronically to the patients chosen pharmacy (known as their “nominated” dispenser).

From the 12th May 2020, even if you have not chosen or "nominated" a pharmacy, your prescription will still go electronically. You will be given an EPS token to take to any pharmacy. They will use the bar code on the token to "download" your prescription. 

The EPS token looks similar to the usual green prescription, but it won't be signed by your GP because this will now happen electronically. 

If it is not possible for you to collect the token from the surgery, the pharmacy can use your NHS number to access it. After some security checks they will be able to dispense your prescription. 

Having a nominated pharmacy is much easier; it means you can pick up your prescriptions without needing to collect tokens each time. You just need to ask your pharmacy or a member of reception to select your chosen pharmacy- it's quick and easy. 


Certificates and letters

We are having to prioritise urgent issues over more routine work and we ask for your understanding and support if these take longer than they would otherwise.

The NHS and the Department for Work and Pensions, is now live for patients to be emailed a digital isolation note. Isolation notes provide patients with evidence for their employers that they have been advised to self-isolate due to coronavirus, either because they have symptoms or they live with someone who has symptoms, and so cannot work. As isolation notes can be obtained without contacting a doctor, this will reduce the pressure on GP surgeries and prevent people needing to leave their homes. The notes can be accessed through the NHS website and NHS 111 online. After answering a few questions, an isolation note will be emailed to the user. If they don’t have an email address, they can have the note sent to a trusted family member or friend, or directly to their employer. The service can also be used to generate an isolation note on behalf of someone else.

Please also note that letters that have been sent out centrally by NHS England to those patients considered very high risk if exposed to Covid 19 and should self isolate for 12 weeks. These have not been co-ordinated by the practice. The practice is separately identifying patients who our GPs consider may be at very high risk and they will be contacted separately.



We are now offering E-Consultions which will allow you to have electronic consultations with your Doctor or other clinician as well as accessing advice and information on different problems and conditions. To access this simply click on the most appropriate option on the blue pop up on this website. We hope that this will reduce some of the frustration and long waits when trying to contact us via the telephone. We will aim to respond as quickly as possible and by at least by close of play the next working day but please understand we are launching this additional service at a time of increased demand and with fewer staff.


Text messaging service

Do we have your up to date mobile details? We are now using a new text messaging service calle AccuRx to send messages. The messages can include electronic clinks which will allow you to have video consultations with he doctor and even electronic copies of fit notes. You can use our new E-Consult service to tell us of any changes to mobile numbers (use the 'Request fit notes and GP letters, or ask about recent test result option')


A plea to be an understanding patient

It is very sad that whilst we are doing our best to maintain a service during the most difficult of times our staff are reporting higher levels of rudeness and abuse from patients.

We do appreciate that this is a very difficult time for all of us, both patients and staff, who are having to cope with increased frustration, pressure and stress. We would respectfully remind patients not to abuse NHS staff as they are doing their best to help you under very difficult circumstances.

We do adhere to the NHS Zero tolerance guidance and will de-register patients who abuse our staff.


Thank you

We would like to say a huge thank you to our patients Tom, Angela, Katherine & James for sending in this delicious cake, thanking all the staff here at the surgery during this difficult time. It was greatly appreciated by all.



Updated: 28th July 2020

Latest up-to-date advice on coronavirus

The public are being advised to Stay Alert, Protect the NHS and Save Lives.

If you have:

The main symptoms of coronavirus are:

high temperature – this means you feel hot to touch on your chest or back (you do not need to measure your temperature)

new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)

loss or change to your sense of smell or taste – this means you've noticed you cannot smell or taste anything, or things smell or taste different to normal

Individuals should stay at home (self-isolate) for 7 days from the onset of symptoms following the current advice. If someone has serious symptoms they cannot manage at home they should use NHS 111 online (people should only call NHS111 if they cannot get online). You should not attend the Surgery.

After 7 days of self-isolation, people who feel better and no longer have a high temperature can return to their normal routine. If they have not had any signs of improvement after 7 days and have not already sought medical advice, they should use NHS111 online (people should only call NHS111 if they cannot get online) before they leave their home or let visitors in.

Cough may persist for several weeks in some people, despite the coronavirus infection having cleared. A persistent cough alone does not mean someone must continue to stay at home for more than 7 days.e have a duty to all of our patients and in particular those at greatest risk from Coronavirus as well as a duty to protect our staff which will enable us to continue to be here for you when you really need us. Accordingly we are looking at ways to limit the need for patients to attend the surgery. You are therfore likely to be offered a telephone consultation with a Doctor or other Clinician who will determine whether it is appropriate for you to attend the surgery.

Requesting your prescription online may reduce your need to come into the pharmacy or surgery. We ask that you do this if you can by downloading the NHS App.


Testing for coronavirus

We do not offer testing at the surgery. If you have symptoms of coronavirus (COVID-19), you can ask for a test to check if you have the virus. This is called an antigen test. You need to get the test done in the first 5 days of having symptoms.

You can ask for a test:

  • for yourself, if you have coronavirus symptoms now (a high temperature, a new, continuous cough, or a loss or change to your sense of smell or taste)
  • for someone you live with, if they have coronavirus symptoms

You can apply on line for a coronavirus test

If you do not have internet access to book a test 119 is a new national number to call. With wider access to testing, the NHS is asking everyone to only request a test if you or someone you live with have symptoms now. The tests show if you have the virus - not if you have had it and may have developed immunity.


Ibuprofen or “Non Steroidal Anti-Inflammatory” Medicines

There has been some information in the media about these medicines. We would like to let you know that there is no proof yet that these medicines increase your chance of catching the COVID-19. If you are taking them for a long-term condition you can continue to do so.

If you have COVID-19, or think you have, the NHS has given advice. If you have fever, or aches and pains, they recommend using paracetamol instead of ibuprofen. It is considered to be less likely to cause side effects.


ACE Inhibitors and ARBs

There has been talk of link between COVID-19 and medicines named ACE inhibitors and ARBs. You might know these as medicines ending in -pril (e.g. Ramipril, Perindpril), or -artan (e.g. Losartan, Candesartan)

These medicines are used widely for high blood pressure, kidney problems, and heart problems. Stopping them without medical advice could cause these conditions to deteriorate.

At the moment there is no good evidence that these drugs cause worse illness for patients who get COVID-19.

The NHS recommends that you continue to take these medicines unless your doctor tells you to stop.

Advice on Antibiotics

Taking Antibiotics encourages harmful bacteria that lives inside you to become resistant. That means that antibiotics may not work when you really need them. The resistant bacteria can spread to your family. This puts you and your family at risk of more severe or longer illness.

Antibiotics are vital for some serious infections, and are needed during cancer treatments, and many operations. We need them to keep on working!

Antibiotic resistance is a worldwide problem. General public, health workers and policy-makers need to take action to avoid the spread of antibiotic resistance. 

The staff at East Cliff Practice take extra care to ensure antibiotics are prescribed for the right person, at the right time, and for the right illness. If used carefully we can protect antibiotics and Keep them working! The NHS are also running a campaign named “Keep antibiotics working.” You might of seen leaflets in the practice or at your pharmacy. 

How you can help?

This is a summary of the advice given by WHO ( the World Health Organisation) about ways you can help to prevent and control the spread of antibiotic resistance:

  • Only use antibiotics that have been prescribed for you.
  • Never demand antibiotics if your health professional says you don’t need them.
  • Always follow health professionals advice when using antibiotics.
  • Never share or use leftover antibiotics.
  • Prevent infections by regularly washing hands, avoiding close contact with sick people, practising safer sex, and keeping vaccinations up to date.
  • Prepare food hygienically, following the WHO Five Keys to Safer Food (keep clean, separate raw and cooked, cook thoroughly, keep food at safe temperatures, use safe water and raw materials).

See this YouTube video find out what could happen if antibiotics stop working, and how we can make better use of these vital medicines.


Acute Care Team

At East Cliff, we believe that you should be able to access high quality medical care in a timely manner, appropriate to the urgency of your problem.  As a Practice, we are always looking for innovative ways to improve the service you receive whether this is care of an ongoing problem or help with an acute illness. Nationally, patient  demand for appointments is at an all-time high, whilst at the same time there is a recruitment crisis in general practice. We have for some time been developing a number of alternative solutions that benefit both patients and GPs.

As an initiative to optimise appointment use, we have introduced a new service The Acute Care Team.  It is staffed by three acute care practitioners, each of whom is an experienced nurse with additional training (and experience) in the management of new problems.

Each  day, this team will see the majority of patients with problems that need to be seen that day.  The Acute Care Practitioner will be supported by one of the practice GPs this will usually be Dr Aidoo on a Monday and Tuesday and Dr Macpherson on a Wednesday and Thursday. Friday will be covered by the remaining GPs on a rotational basis. The Acute Care Team will deal with your immediate medical need and will direct you towards your usual GP if any further care is needed.


Monthly Health Awareness Campaign

September Health Awareness - Shingles and Flu

Shingles is an infection that causes a painful rash. Get advice from 111 as soon as possible if you think you have it.

The first signs of shingles can be:

  • a tingling or painful feeling in an area of skin
  • a headache or feeling generally unwell

A rash will appear a few days later:

  • Usually you get shingles on your chest and tummy, but it can appear on your face, eyes and genitals.
  • The shingles rash appears as red blotches on your skin, on 1 side of your body only. A rash on both the left and right of your body is unlikely to be shingles.
  • The blotches become itchy blisters that ooze fluid. A few days later, the blisters dry out and scab.
  • The rash can form a cluster that only appears on 1 side of your body. The skin remains painful until after the rash has gone.
  • Shingles can also make your eye red and sore, affect your sight or hearing, or make it difficult to move 1 side of your face.

Get advice from 111 as soon as you suspect shingles

You might need medicine to help speed up your recovery and avoid longer-lasting problems.

This works best if taken within 3 days of your symptoms starting.

111 will tell you what to do. They can arrange a phone call from a nurse or doctor if you need one.

Go to 111.nhs.uk or call 111.

How long shingles lasts

It can take up to 4 weeks for the rash to heal.

Your skin can be painful for weeks after the rash has gone, but it usually settles over time.

Stay away from certain groups of people if you have shingles

You cannot spread shingles to others. But people who have not had chickenpox before could catch chickenpox from you.

This is because shingles is caused by the chickenpox virus.

Try to avoid:

  • pregnant women who have not had chickenpox before
  • people with a weakened immune system – like someone having chemotherapy
  • babies less than 1 month old – unless you are the mother, as they should be protected from the virus by your immune system


You can often treat the flu without seeing a GP and should begin to feel better in about a week.

Check if you have flu

Flu symptoms come on very quickly and can include:

  • a sudden fever – a temperature of 38C or above
  • an aching body
  • feeling tired or exhausted
  • a dry cough
  • a sore throat
  • a headache
  • difficulty sleeping
  • loss of appetite
  • diarrhoea or tummy pain
  • feeling sick and being sick

The symptoms are similar for children, but they can also get pain in their ear and appear less active.

Telling the difference between cold and flu:

How to treat flu yourself

To help you get better more quickly:

  • rest and sleep
  • keep warm
  • take paracetamol or ibuprofen to lower your temperature and treat aches and pains
  • drink plenty of water to avoid dehydration (your pee should be light yellow or clear)

A pharmacist can help with flu

A pharmacist can give treatment advice and recommend flu remedies.

Be careful not to use flu remedies if you're taking paracetamol and ibuprofen tablets as it's easy to take more than the recommended dose.

GP Vacancies

We currently have a vacancy for:


See our jobs page to find out more and apply


Accessible Information

We want to get better at communicating with our patients.

We want to make sure you can read and understand the information we send you.

If you find it hard to read our letters or if you need someone to support you at appointments, please let us know.

Please tell the receptionist if you need information in a different format or communication support.

For see our accessible information page for more information.

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