18th Jan



Finding new effective anti-viral treatments for Covid-19

  • Tested positive for Covid-19 and are experiencing symptoms, starting in the last 5 days.
  • Aged 50 or over? Or 18 or over with an underlying health condition?

Then you could join the PANORAMIC Study and help to find new treatments for COVID-19.PANORAMIC aims to find antiviral treatments to improve symptoms early and reduce hospital admissions for people with COVID-19.

Find out more:

Website: PANORAMIC Trial: Information

24th Dec 2021

COVID-19 Drop-in Clinics opening hours during Christmas

North Cotswold Hospital drop-in Clinic for all Covid-19 Vaccination will be re-opening again from Tuesday 4th January 2022 for further vaccine appointment.

23rd Dec 2021

Find a walk-in coronavirus (COVID-19) vaccination site.

Find a walk-in coronavirus (COVID-19) vaccination site

If you live in England, you can use this service to find a walk-in coronavirus (COVID-19) vaccination site. You can get a dose of the COVID-19 vaccine from a walk-in site without an appointment.

You do not need to be registered with a GP to use a walk-in vaccination site. Go on to the website below to find your nearest centre;

21st Dec 2021

COVID-19 vaccination for 12 - 15 year-olds is now available

The NHS opens the national booking service for 12-15 year-olds to get their second COVID-19 jab, as part of the national mission to get people protected against the new Omicron variant.

As schools break for Christmas, The NHS is urging young people and their families to book in for either their first dose if they haven’t done so already and second dose as they become eligible online. 


21st Dec 2021

COVID-19 vaccination you've had abroad

Tell the NHS about coronavirus (COVID-19) vaccinations you've had abroad

This service enables you to book an appointment to show evidence for any coronavirus (COVID-19) vaccinations you've had outside of England. This is so the NHS can securely update your vaccination record.

Who can use this service

You can use this service if you:

  • are aged 18 years old or over
  • have an NHS number
  • have received one of these MHRA-approved vaccines outside of England - Oxford/AstraZeneca (Vaxzevria), Pfizer/BioNTech (Comirnaty), Johnson & Johnson (Janssen) or Moderna (Spikevax)

Please note that there are currently a limited number of sites offering these appointments.

This means there may not be many appointments available in your area at the moment.

More appointments will become available over time.

Book an appoiment to update your vaccination record at the website below;



14th Dec 2021

Emergency Booster National Mission

On 12th December, the Prime Minister led the call for everyone to get the Covid vaccination booster dose, to help protect themselves, their loved ones and the NHS from the impact of the coming wave of Covid 19 Omicron variant.

Since 15th December, 2020, the five practices of the North Cotswolds have continued to provide a local vaccination centre based at North Cotswold Hospital in Moreton in Marsh.  We will continue to provide the booster programme through the coming weeks and make every effort to get our community protected before 31st December.

We have scheduled enough appointments over the next three weeks to ensure everyone who is eligible for the booster jab can have an appointment locally.  The appointments include evenings, weekends and bank holidays as well as day time slots, to help everyone have access.  We also have enough space to vaccinate those who have previously been hesitant to have the vaccine and would now like to have their first dose.  We can also accommodate 2nd dose vaccinations for those who had their first dose before the end of October.  

On Tuesday, 14th December, all those eligible will receive a text message inviting them to book an appointment.  If you can do this on your mobile phone, then please follow the link and do so as soon as you can.  If you do not have a smart phone, then please telephone our booking hub on 01608 692115.  The opening hours have been extended to support this busy time from 10:00 am to 6:00 pm.

If a student aged 18 or over is registered with a GP practice, they can book both appointments online through the National Booking Service at a location that is convenient to them, or book a first dose through their GP and a second dose in a different location through the National Booking Service.

We have found that most people have had little or no side effect from the third dose, so please do not delay because of the festive period.

Our wonderful local volunteers will be working through the next three weeks whatever the weather, to help keep people of our local community safe.  Please come forward and get your vaccination.

13th Dec 2021

COVID-19 Booster vaccines

People aged 30 and over in England have already been invited to book a COVID-19 Booster dose from the end of last week. By the end of Tuesday 14th December people aged 18 years and over, and those aged 16 years and over who are at risk (including health and social care workers) will be offered a booster dose of coronavirus (COVID-19) vaccine.

A booster dose of the coronavirus (COVID-19) vaccine helps improve the protection you have from your first 2 doses of the vaccine. This will give you longer-term protection against getting seriously ill from COVID-19.


What is coronavirus or COVID-19?

COVID-19 is a very infectious respiratory disease caused by the SARS-CoV-2 virus and is more serious in older people and those with certain health conditions.

Why you are being offered a COVID-19 booster

Like some other vaccines, levels of protection may begin to wane over time.

The booster will help to reduce the risk of you needing admission to hospital due to COVID-19 infection this winter.

Protection against severe disease from the first 2 doses seems to decline very slowly. Boosting your immunity should help to extend your protection into next year and may give broader protection against new variants.

Timing of booster

The booster is being offered to those most vulnerable first, and will then be rolled down to younger age groups. Your appointment should be at least 3 months from your last dose, but you may be called later depending on your age group.

Which vaccine you will be offered

You will be given a booster dose of either Pfizer or Moderna vaccine [footnote 1]. Both vaccines boost well and have already been given to millions of people in the UK.

Studies have shown that you only need a half dose of Moderna to boost the immune system well. This half dose of Moderna is expected to have a low rate of side effects including myocarditis.

You will be offered the right vaccine for you, which may be the same or different from the vaccines that you had before.

Side effects

Common side effects

As with your previous dose, the common side effects are the same for all COVID-19 vaccines used in the UK and include:

  • having a painful, heavy feeling and tenderness in the arm where you had your injection – this tends to be worst around 1 to 2 days after the vaccine
  • feeling tired
  • headache
  • general aches or mild flu-like symptoms

You can rest and take paracetamol (follow the dose advice in the packaging) to help you feel better. Although feeling feverish is not uncommon for 2 to 3 days, a high temperature is unusual and may indicate you have COVID-19 or another infection.

Although a fever can occur within a day or two of vaccination, if you have any other COVID-19 symptoms or your fever lasts longer, stay at home and arrange to have a test. Symptoms following vaccination normally last less than a week. If your symptoms seem to get worse or if you are concerned, you can call NHS 111.

You can also report suspected side effects of vaccines and medicines through the Yellow Card scheme.

Serious side effects

Worldwide, there have also been recent, very rare cases of inflammation of the heart called myocarditis or pericarditis, reported after Pfizer and Moderna COVID-19 vaccines.

These cases have been seen mostly in younger men within several days of vaccination. Most of these people recovered and felt better following rest and simple treatments.

You should seek medical advice urgently if, after vaccination, you experience:

  • chest pain
  • shortness of breath
  • feelings of having a fast-beating, fluttering or pounding heart

If you had serious side effects after any previous dose you may be advised to avoid or delay further vaccination. You should discuss this with your doctor or specialist.

Those who shouldn’t have a booster

There are very few people who should not have a booster.

If you have had a severe reaction to a previous dose of the vaccine you should discuss this with your doctor.

Can you still catch COVID-19 after having the vaccine?

The COVID-19 vaccination will reduce the chance of you suffering from COVID-19. It may take a few days for your body to build up some protection from the booster.

Like all medicines, no vaccine is completely effective – some people may still get COVID-19 despite having a vaccination, but this should be less severe.

If you have not had the first vaccinations

If you have not yet had either of your first 2 doses of the vaccine you should have them as soon as possible.

If you have a COVID-19 positive result, when can you have a booster?

You will still need the booster but you should wait at least 4 weeks from your COVID-19 infection.


3rd Dec 2021

Have you got the NHS App?

At home or on the move, with the new NHS App you can conveniently order repeat prescriptions, view your GP medical records, manage appointments at your GP surgery, set organ donation preferences, and check symptoms.

The app has been developed by the NHS and has been designed to help people get more information about their health and care - and more control of how they use NHS services. New functions and services will also be added in the coming months. Why not download it and try it out? 

The app is convenient, gives you more control of your health at all times, and is owned and run by the NHS.

What does the NHS App do?

The NHS App allows you to access a range of NHS services on your smartphone or tablet. A desktop version is launching soon too.

You can use it wherever you are, at any time. It puts valuable information about your health and treatments at your fingertips.

You can:

  • order repeat prescriptions
  • view your GP medical record
  • book and cancel appointments at your GP surgery
  • register for organ donation and change your donation preferences
  • use the symptoms checker, including an A to Z of conditions and treatment advice from the NHS website
  • access 111 Online, for advice on self-care and whether urgent help is needed

Is my information safe?

Just like a banking app, your identity will be carefully checked during the simple registration process. The app has been designed, built and tested so that your personal information is always safe and secure.

How to register through the NHS App

Download the app from your mobile device’s app store and follow the easy step-by-step registration instructions. It will help if you know your NHS number (though this isn’t essential), and you will need to have a form of ID (passport or driving license) to hand.

If you want to learn more, visit the NHS App page on the NHS UK website.

3rd Dec 2021

Green Impact for Health

The Practice has committed to the Green Impact for Health Scheme which has been set up to accredit practices who are aiming to reduce our impact on the environment and work in a more sustainable way.

This successful scheme has been set up by the National Union of Students and has been running since 2006, but has been expanded in recent years to include the Royal College of General Practitioners.

We use an online system targeting energy use, waste disposal, water usage, procurement, prescribing and travel, with points awarded for achievements in reducing our impact on the environment. These achievements are recognised with Bronze, Silver and Gold awards which we are currently working towards.

Our Practice is aware of the importance of working in a greener way to ensure that we leave the planet in good condition for future generations and by joining this national scheme, we hope we can continue to make positive changes.

3rd Dec 2021


Through the NHS App

You can get a digital NHS COVID Pass showing your coronavirus (COVID-19) vaccination status or test results through the NHS App from 17th May. You can access the App through mobile devices such as a smartphone or tablet. Proof of your COVID-19 vaccination status will be shown within the NHS App. We recommend you register with the App before booking internation travel, at least two weeks before your departure date, once you've had a full cours of vaccinations.

To use the NHS App, you must be aged 13 or over and registered with a GP in England. If you are aged 13-15, you will need to contact the surgery to request access to GP online services before you can use the App. Assistance with the App can be found at NHS App help and support:

By Calling 119

If you do not have access to a smartphone and know the country you are travelling to requires proff of a COVID-19 vaccination status, you can call the NHS helpline on 119 and ask for a letter to be posted to you. This must be at least five working days after youv'e completed the course of the vaccine; it is expected that the letter may take up to five working days to reach you. The letter will be sent automatically to the address registered with your GP. The 119-call handler will not be able to see your address to check this with you. If you have recently moved house, make sure you've given your new address to your GP Practice before calling 119.  paper version will also be available - by calling NHS 119 but not through a GP.

Do not contact the surgery about your COVID-19 vaccination status. GPs cannot provide letters showing your COVID-19 vaccination status.


3rd Dec 2021

Covid Booster & Flu Vaccinations 2021

Patients of Cotswold Medical Practice can choose between having their Influenza Vaccination at the surgery as normal, or having it at the Vaccination Hub in Moreton in Marsh, at the same time as their Covid booster.

To book your flu vaccination at the surgery, please book on line if you can. Otherwise phone reception to book.

Covid Booster Vaccinations will not be available at the surgery. These will be given by the Vaccination Hub. Please wait to be invited by the Vaccination Hub on behalf of the surgery.

We are aware you may have received a text message or email inviting you to book your Covid-19 booster vaccination. This is from the national service, not your GP. If you wish to receive your booster at your local hub at the North Cotswolds Hospital, please wait to be invited by the Vaccination Hub. We anticipate invites to start going out within the next couple of days (text messages and phone calls). 

If you have an urgent query about your Covid booster, please telephone the Hub on 01608 692115, rather than your surgery. Please be assured you can have your Covid booster along with your seasonal flu vaccination at North Cotswolds Hospital and do not need to travel further afield. Thank you for your patience.

People will be invited for their Covid booster in the following order:

  1. residents in a care home for older adults and their carers
  2. all those 80 years of age and over and frontline health and social care workers
  3. all those 75 years of age and over
  4. all those 70 years of age and over and clinically extremely vulnerable individuals
  5. all those 65 years of age and over
  6. all individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality
  7. all those 60 years of age and over
  8. all those 55 years of age and over
  9. all those 50 years of age and over

 We are currently putting plans together to deliver the Covid-19 vaccination boosters alongside the flu vaccinations, from the North Cotswold Hospital as a group of five practices. This will be based on the successful Primary Care Network(PCN) model that enabled us to deliver over 45,000 Covid vaccinations in our community. The team will also undertake all of the home visiting for our housebound patients as well as visits to the local care homes.

These plans will enable patients to have one visit for both vaccinations, whilst also keeping practice teams protected to deliver safe patient care, as all of our practices are currently experiencing unprecedented demand.



Children will still have their seasonal influenza vaccination at the practice and will be called in the usual way when the supplies of nasal flu vaccines have arrived.


3rd Dec 2021

Common Childhood Illnesses and Their Treatments

You can treat many common childhood illnesses at home. You can also get advice from your GP, pharmacist or health visitor. It can be difficult to tell when a baby or toddler is seriously ill, get immediate help if you feel your child is seriously unwell.

Click the link below for common illnesses, how to care and when to seek urgent medical attention.

19th Aug 2021

National Blood Bottle Shortage

There has been some recent media coverage regarding the national shortage of blood test bottles so we felt it was important to clarify the situation.

A supplier to the NHS has advised us of a global shortage of some equipment used for taking blood tests.

Anyone who needs a test for urgent health problems will still get one but where your clinician recommends that it's safe to do so, then you may be asked to come back for a test at a later date, or your appointment may be rescheduled.

Given the nature of the shortage, we cannot give an exact date for when the test will be rescheduled, but please be assured that if your condition or symptoms require it, then you will get a test, and we will be re-booking your test when supplies become more easily available.

If your condition or symptoms change or get worse, please cont us as you would normally.  

As we are sure you will appreciate this situation is completely out of our control and we will post further updates as and when we receive more information from NHS England.

19th Jul 2021

NHS Patients, staff and visitors must continue to wear face coverings in healthcare settings

England’s Chief Nurse has today reminded the public that everyone accessing or visiting healthcare settings must continue to wear a face covering and follow social distancing rules.

Covid restrictions will end in many settings in England from Monday 19th July.

However, Public Health England’s infection prevention control guidelines and hospital visiting guidance are set to remain in place for all staff and visitors.

That means NHS visitor guidance will stay in place across all health services including hospitals, GP practices, dental practices, optometrists and pharmacies to ensure patients and staff are protected.

Staff, patients and visitors will also be expected to continue to follow social distancing rules when visiting any care setting as well as using face coverings, mask and other personal protection equipment.

The NHS will continue to support staff in ensuring that the guidance is followed in all healthcare settings.

Chief Nursing Officer for England, Ruth May said: “Face coverings and social distancing measures will remain in place across healthcare settings so that the most vulnerable people can continue to safely attend hospital, their GP surgery, pharmacy or any other healthcare settings for advice, care and treatment.

“And it is important for the public to continue to play their part when visiting NHS and care settings to help protect our staff and patients, particularly those who may be more vulnerable to infections.

“As restrictions are lifted in many places on Monday everyone has a part to play in helping to control Covid by getting vaccinated and acting responsibly.

“It is vital that in healthcare settings, we do all we can to reduce the risk of infection for those working in our services and those who need our care.”

Health Minister Jo Churchill said: “Face coverings have played an important role in healthcare settings, helping protect vulnerable patients, staff and visitors by limiting the spread of this deadly disease and this guidance remains in place.

“We expect patients, visitors and NHS staff to continue using face coverings and maintain social distancing in all healthcare settings as we cautiously lift restrictions on Monday.

“I urge everyone to play their part and think of those more vulnerable than you when visiting your local hospital or GP surgery.”

Professor Helen Stokes-Lampard, Chair of the Academy of Medical Royal Colleges said: “It is absolutely right that basic infection prevention and control measures stay in place in healthcare settings. Simple steps such as wearing a face mask and keeping a safe distance away from others are a minor inconvenience but could have a profound positive impact when it comes to protecting the most vulnerable and I strongly support the chief nurse with this clear reminder.”

Jude Diggins, Interim RCN Director of Nursing, Policy and Public Affairs said: “The recent increase in the number of COVID-19 cases shows that we have some way to go before being free from the pandemic. The public understand the importance of face masks, social distancing and vigilant handwashing in all health and care settings. These must continue in order to protect patients and nursing staff thus helping to ensure the NHS has the capacity to treat everyone who needs it if pressures keep increasing.”

Eddie Crouch, Chair of the British Dental Association said: “These guidelines are in place to protect patients and staff. When visiting a dentist face coverings, social distancing and hand washing remain fundamentals not optional extras. Wider changes that take place on Monday will have no impact on how the public should approach accessing our services.”

Thorrun Govind, Chair of the Royal Pharmaceutical Society in England said: “Pharmacists and their teams are working really hard to support patient care and the public can do its bit to help keep people safe. While some pharmacies are in retail environments, they’re still a healthcare setting and have been relied upon to support and protect the public throughout the pandemic. I’d urge everyone entering a pharmacy or any healthcare setting to wear and mask and maintain social distancing to reduce the risk from COVID-19 to both patients and staff.”

UNISON head of health Sara Gorton said: “Although restrictions are easing, NHS staff are under pressure trying to clear the long wait lists that have built up during the pandemic.  At the same time, Coronavirus cases are rising rapidly and many people remain vulnerable. It’s vital that staff know they will be kept safe and the public are clear that measures like social distancing and mask wearing will still be needed to stop the spread in healthcare settings.”

Matthew Taylor, chief executive of the NHS Confederation, said: “This is exactly what health leaders across the country needed to hear as we head towards the final coronavirus restrictions lifting in England as it will validate their intention to continue following the existing infection control guidelines. It is not too much to ask of those visiting or using NHS services to continue wearing a mask and respecting social distancing measures if it can keep themselves and those around them safe from this horrible disease.”

19th Jul 2021

Practice Services During the Covid Pandemic

The Practice is planning the reinstatement of directly bookable face to face GP appointments but in the light of the current significant rise in Covid cases, this is being deferred until the situation improves.

We are reviewing the situation regularly and are follwoing the safety guidance issued by NHS England. 

15th Jul 2021

Help your GP Surgery to help you

The surgery is experiencing a very high demand for services at present. Please watch this video.

Thank you


14th Jun 2021

National Data Opt Out

The national data opt-out is a service that allows patients to opt out of their confidential patient information being used for research and planning.

For more information and to opt out, please go to the following website:



12th May 2021

Covid Vaccine and Pregnancy Information

14th Apr 2021

Covid-19 AstraZeneca vaccination changes

Regarding the recent news surrounding the changes around the Astra Zeneca vaccination we would just like to clarify some information. The MHRA and JCVI have announced that in some rare cases patients who have received their first dose consequently had a rare and unlikely to occur thrombosis (blood clots) and thrombocytopenia (low platelet count). This number is very low, four in one million and since the start of the rollout of the vaccination programme over 30 million people have already received their first dose. However, after considering the risks and benefits of the vaccination compared to the consequences of having Covid-19, the MHRA and JCVI has concluded that the benefits of the vaccine for those over 30 years old is far greater than if they contract Covid-19. For those aged 18 to 30 years who usually have the lowest consequence of infection from Covid-19 compared to older age groups, the risk versus benefits of the vaccination is slightly different for this age group, particularly now that Covid-19 is at moderate and not high levels in this Country. Therefore the MHRA and JVCI have changed the guidance slightly for this age group.

Second Doses: Those in this age group who have already received their first dose of Astra Zeneca Vaccine should go ahead and have the second dose as planned and attend the vaccination centre when called. There are no concerns about having the second dose for those who did not develop blood clots after the first dose.

First Dose: For patients in this age group who have an underlying health condition that puts them at a higher risk from consequences of Covid-19 infection can still have Astra Zeneca vaccination for first dose, following a discussion about the risk and benefits of the vaccination. This can take place at the time of your appointment with our lead clinician on site or beforehand with a telephone consultation with our clinical pharmacist, David Horkan. This can be arranged for you, via the appointment call centre (01608 692 115).

For patients in this age group with no underlying health conditions such as health and social care workers, unpaid carers and those who live in the household of immunocompromised patients, the plan is to offer an alternative vaccine such as Pfizer or Moderna. The Moderna vaccine will only be available through Mass Vaccination Centres and you may have to wait a little while for this to be available. There may be the option of Pfizer available for a short period, through the local vaccination centre at North Cotswold Hospital.   If however, you wish to have the Astra Zeneca vaccine, you can have a risk and benefits discussion with our clinical pharmacist and if you decide to go ahead, this can be provided at our local vaccination centre at North Cotswold Hospital.

Leaflets will be distributed to practices which will also be readily available at our vaccination centre. Our call centre is still open from Monday to Friday for patients to make enquiries regarding appointments, the number for the centre is 01608 692 115.


All patients in cohorts 1-9 who are due their second Astra Zeneca vaccination should continue to receive this as research shows that those who do have a serious adverse reaction only have this after their first vaccination. When attending second dose appointments patients will have plenty of opportunity to discuss any questions they may have regarding all of this information with our staff on site who are all informed and up to date on the new information published.

Thank you,              

North Cotswold Primary Care Network Vaccination Hub.

14th Sep 2020

COVID-19 Testing

Mobile Testing Units (MTU's) and Regional Testing Sites (RTS) - No Appointment, no Test

The department of Health and Social Care have advised that, due to high levels of demand across the country, any latitude for testing without an appointment has gone. Tests are now only available on an appointment basis to individuals with sysmptoms of COV-19.

MTU sites will only be testing those who are symptomatic and have a booking (excluding non-digital sites);anyone else will risk being turned away.  

The MTU is available at various locations across the county. Test can be booked in advance by visiting the NHS website or calling 119. Tests are not available from the Practice.Locations are detailed on the Gloucestershire County Council Website.


25th Jun 2020

How you can help us to maintain your health

How you can help us maintain your health

We are encouraging patients to purchase a thermometer to have it at home to enable the GPs to make an assessment remotely when appropriate.

It is also useful to have a Blood Pressure Monitor to have at home if you are suffering from any cardio vascular disease, diabetes or are being treated for blood pressure management. Some information about blood pressure monitors is here :

Choosing a BP Machine and Measuring at home

5th Mar 2020

Are you suffering from a minor ailment?

Think Pharmacy First

Click for further information.