GP Extended Access Hubs

Situations and health issues which Hub appointments do NOT cover. Please note that Hub appointments are not available for the following: 

1. The Hub GPs and Advanced Nurse Practitioners are expected to provide the usual scope of service except for the exclusions below:

HUB EXCLUSION criteria:

• Patients with long term, chronic and enduring health problems
• Routine reviews for long terms conditions (these should be booked with a nurse)
• Palliative care patients with advance care planning needs
• Patients registered with Safe Haven service
• Patients with serious mental health issues or who require continuity of care
• Patients seeking pharmaceutical assistance for substance or alcohol misuse (No Opiates Subscribing)
• Conditions likely to require MRIs being ordered
• Minor Surgery
• Private Medicals & Home Visits
• Long term/chronic medical/fit certificates
• All non-core NHS letters (e.g. housing benefits)
• Any non-core NHS services (e.g. travel immunisation and medicals)
• Private and Routine non-urgent NHS referrals (Recommended Referrals will be made to practice. Referral must be appropriately signed off by patient's registered GP).

To reduce clinical risk, all appointments booked must be accompanied by a clinical triage

We would like to request all practice colleagues NOT to book a blood test appt in the HCA and Nurses appt slots.

2. Hub Nurse appointment can be booked for the following;

• Contraception Initiation
• Contraception follow up
• Sexual Health Checks
• Cervical Smears
• Wound Care – Burns, Scalds
• Asthma Review

3. Hub HCA appointment can be booked for the following;

• Sexual Health Screening Blood Tests CVD Review (30 min appointment)
• Diabetes Part 1 (30 min appointment) Metrix includes blood tests, foot check, BP, height, and weight
• New Patient Health Checks (30 min appointment)
• NHS Health Checks (30 min appointment)
• Blood Pressure Checks (15 mins)

Locality hubs provide GP, Nurses , and HCA appointments for urgent or routine primary care services. 

Booking an appointment at a hub 

Locality hubs provide GP, Nurses , and HCA appointments for urgent or routine primary care services. 

Hub appointments can be booked by: 

a patient's Tower Hamlets GP Practice and NHS 111 Services.  

Booking essentials

• When booking an appointment, it is essential that you include:
• a patient's NHS number
• as much information as possible to indicate why the patient is attending the appointment.

Booking essentials

• These are booked up to 48 hours in advance.

Appointments for weekends 

• These are booked up to 7 days in advance with the exception to busier hubs where appointments are often embargoed for up two to four days.

Availability 

Length of appointments: 

• GP appointments are 15 minutes
• Nurse appointments are 15 minutes
• HCA Appointments are 15 minutes

WALK-INs not accepted

‍ Patients will NOT be seen if they walk-in to a Hub. 

Patients must be booked via either their registered GP practice or the NHS111 Service Please be advised that all six Hubs operate using the same EMIS (EMIS Web Community Version). Therefore, the hub clinicians will have access to Tower Hamlets GP practice registered patient medical notes. 

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