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Changes to Appointments Posted or Updated on 3 Apr 2025

We are excited to update you with some changes that will be taking place with our appointment system from 28th February 2025.  Over the past few years, we have had to keep recruiting doctors to maintain our personal commitment to offer both urgent on the day appointments and routine appointments within 1-2 weeks.

Although we are pleased to be one of the top ten practices in Kent for number of appointments offered, the relentless surge in demand nationally has led to NHS England adopting other ways to manage this.


The first adoption is the Pharmacy First scheme in which certain conditions can now be treated by the Pharmacist without the need for a GP appointment.

They are:

Condition Ages covered

Acute otitis media

1 to 17 years

Impetigo

1 year and over

Infected insect bites

1 year and over

Shingles

18 years and over

Sinusitis

12 years and over

Sore throat

5 years and over

Uncomplicated urinary tract infections

Women 16-64 years

Going forward, to avoid duplication of services in the NHS, we will attend to these conditions less to create space for conditions that can only be managed by us.


The second adoption is Total Triage in which all appointment requests are first digitally assessed before an appointment is offered (like A+E or NHS111). 

Why is this necessary?

  1. We want to abolish the 8am queues and early morning telephone rush. Queuing and telephoning first thing in the morning will no longer be necessary and if you do, our lovely reception team will simply help you fill out a triage form so all requests are properly assessed. Receptionists will no longer book appointments for you as they did before.
  2. Equity of access. We want appointment provision to be fair, based on clinical need, not just demand or being IT savvy. Sick notes should not take precedence over ill patients just because they got there first or are more IT savvy. 
  3. Efficiency. Appointments are a precious resource and we want to ensure that our patients get the right type of appointment first time round rather than seeing one Clinician before seeing the right person. 
  4. Prompt response on the phones. For those who do need to call the surgery, ultimately, the phones will be answered more quickly (as more people use the triage form).

What do you need to do?

  1. You can access the appointment request form on our website.
  2. If you do not have a smart phone and no other form of digital access, you will not be disadvantaged. Our lovely reception team will be happy to help you fill a form which will then be assessed along with the others. However please note, Receptionists will no longer book appointments for you as they did before.
  3. The Online form will be available on the NHS App towards the end of the year so get ready and download the NHS App now as you can request your repeat prescriptions, check your blood results and view your medical records.

We look forward to providing you with an improved service.

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Temple Hill Surgery

St Edmunds Church, St Edmunds Road, Dartford, Kent, DA1 5ND

  • 01322 226090
  • gp.G82647@nhs.net

Ivy Bower Surgery

7 Ivy Bower Close, Greenhithe, DA9 9NF

  • 01322 382181
  • gp.G82647@nhs.net

West Kingsdown Medical Centre

London Road, West Kingsdown, TN15 6EJ

  • 01474 855000
  • gp.G82647@nhs.net
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