New JCVI guidance around household contacts of patients with severe immunosuppression

COVID-19 Vaccinations - New JCVI guidance around household contacts of patients with severe immunosuppression
JCVI has published guidance that recommends that adults living with adults who are immunosuppressed should be prioritised for the COVID-19 vaccine.
GP practices will write to patients who fall into the Green Book definition of severely immunosuppressed and inform these individuals that their adult household contacts are eligible to receive the COVID-19 vaccination.
Hughenden Valley Surgeries have now sent these letters out today either via text or post.

2nd Covid-19 Vaccination

Please find an update on when your 2nd Covid-19 Vaccination should be due (please note this is guidance and subject to change)
Q) My 2nd vaccination date has gone already what now?
A) call the Surgery on 01494 562189 (they may have been trying to contact you)
Q) It is about 1 week away until my 2nd vaccination is due and I have not be contacted what should I do?
A) call the Surgery on 01494 562189 (they may have been trying to contact you)
Q) My first Vaccination was done in the Prestwood Surgery will this be where the 2nd vaccine will be done?
A) Sorry due to how many extra clinical staff was needed to cover both sites it has made it impossible to continue to administer the vaccine from Prestwood.
Q) I am over 50 and not had my 1st Vaccination yet what should i do?
A) Call the surgery, 119 or go to to book it online.
Q) I am under 50 and have not had my 1st Vaccination when will the surgery call me?
A) Under 50 years is Phase 2 of the vaccination program and the surgery will not be taking part in this as the surgery believe in general most of these grouping are more mobile and can use 119 or to book it online.
Q) The date of my first vaccination is not on the list?
A) Look for the date nearest to when you recived your 1st vaccination your 2nd will be on or around this date.

Q) I had my 1st vaccination at the Prestwood surgery where will be my 2nd?
A) Chesham Town Hall.

Covid-19 Vaccination Program 2021

COVID-19 Vaccination Update 21-03-2021

The UK has seen a new record for the most coronavirus jabs given out over 24 hours, the second time in consecutive days that figure has been broken.

A total of 711,156 doses were given across the UK on Friday, 589,675 of those were first doses and 121,481 were second.

If you are over 50 years of age (or in groups 1-9) and not yet had your vaccination please call the surgery after 11am on 01494 562189 or go to

COVID-19 2nd Vaccination Update 14-03-2021

I am pleased to confirm we have been given notice of the date 2nd COVID-19 vaccinations will start an this will be from Tuesday the 23rd of March 2021.

Some usual questions and answers

Should I call the surgery to book my vaccination?
No we will contact you via text or telephone. (Also keep an eye on our website and Facebook group)

I have not had my first vaccination yet why are you inviting patients for their second?
The NHSE guidance at the moment is for patients to have their 2nd vaccination on or around the 12 weeks mark.

Have you stopped giving the 1st vaccination?
At the moment we are still continuing to do 1st vaccinations

I have not been invited for any COVID-19 vaccination but normally I receive a Flu jab I must be in the wrong group should I write or call you to ask you to check my group?
We are unable to change your group NHSE and our software providers setup the group lists and can not change them so please do not contact us to make a change.

I have been sent a text to ask to book but it must be wrong as I am fit and healthy, I do not want to take someone else’s vaccination should I contact the surgery to cancel. (We all need a vaccination at some point)

No please do not contact the surgery as this will take up valuable care navigation or clinical time that could be used to help other patients with other non COVID-19 problems.

We are now 1/3 of the way through the Covid-19 vaccination programme and still have a long way to go, We thank every one of you for standing by us and helping us drive our COVID-19 vaccination Bus on our journey to a if not the same destination as before a better place than we are in now.

I would also like to thank all the surgery staff including Admin, Dispensary, Care navigation, Pharmacy and clinical team that without them this exit strategy would not be possible.

Also a big thank you to Elizabeth Carless and the PPG family that send teams of volunteers out in all weathers to help.

I would also request that any patients with any conditions they are worried about please do not put off coming to see the surgery team as we are still here and open for other conditions that are not COVID-19 related.

Scott Ridley
Practice Manager

Eat well, exercise well and live well Can you ?

I CAN  !!! 

(eat well, exercise well and live well)

Can you ? 


Please join me on a ZOOM meeting to look at LIVING WELL to STAY WELL.

Friday 26th March at 10.30am. A Zoom link will be sent from your GP surgery prior to the event.

Joining me will be ;

Hannah                 Live Well Stay Well                                                                         “What’s the point ? “

Tejal                       Buckinghamshire Healthcare                                                     Good eating habits & “Food for Mood”

Benson                 The Fitness Garden                                                                         Some gentle exercise

LEAP                                                                                                                                      Learn more about this new initiative

Fiona                      Simply Walks                                                                                      Get involved as a walker or a VOLUNTEER

PLUS Food and exercise challenges

I look forward to seeing you there. June ( Community Link Worker for Mid-Chilterns PCN )

Hughenden Valley Surgery

Chequers Surgery

John Hampden Surgery

Prospect House

Amersham Health Clinic

Rectory Meadows Surgery

Covid-19 Vaccination Program 2021


How does Vaccination appointments work and when will i be called?
Being called in for the vaccination is based on 2 main points:
  1. your age
  2. Your medical record
the above 2 points will put you into a group as for the full list of groups please click the link below:
once the NHS know what group you are in and the NHS is ready to call you in some or all the following will happen:
  1. your GP surgery will send you a text invite.
  2. your GP surgery will telephone you.
  3. NHSE will send you a letter (these are not from your GP surgery)
The Covid-19 vaccination program is not done by just your GP surgery but by all of the following:
  1. Your GP surgery
  2. A Primary Care Network (Group of local surgeries)
  3. NHSE in mass vaccination centres
  4. Local Pharmacy
1) I have not been called for my vaccination should I call my surgery to ask why?
No it may not be your surgery supplying your vaccination.
2) I have been called but can not think why I have don't want to take a vaccination that is not for me?
Please take the vaccination calling your GP takes time away from dealing with other patients (GP's are needed for more than just covid-19) and everyone will need to be vaccinated at some point.
3) I think someone has put me in the wrong group should i telephone the surgery to change my group?
Your GP surgery is unable to change your grouping all we can change is if your condition is not on your medical record.
4) I have some questions about how the grouping works can i speak to a GP about this?
No please use the grouping link above a GP will have no further information than this.
5) I have some questions about Covid-19 and Vaccinations should I cont my GP for advice?
No Providing a helpline to answer the overwhelming number of vaccine enquiries we are receiving would make it impossible for us to provide any other care for our patients.
Please research your question before contacting us.
We are not given any additional information at the surgery.
The following information may also be helpful.
Please note that government "Shielding Letters" are not sent out by the practice and it is your medical history and not the letter itself that impacts the cost of your travel insurance.

News update 02-03-2021


*** Vaccination appointments available NOW Group 1-6 and not had your first jab please call us NOW***

Hughenden Valley Surgeries are happy to confirm we are able to offer the Astra Zeneca vaccine at our Chequers drive site in Prestwood once again on Friday the 12th of March 2021.


We are thrilled to be able to offer the vaccine to our patients locally.


What are the Groups?


Priority Risk group

1 Residents in a care home for older adults and staff working in care homes for older adults

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 (not including pregnant women and those under 16 years of age)

5 All those 65 years of age and over

6 Adults aged 16 to 65 years in an at-risk group (see clinical conditions below) [footnote 1]

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

10 Rest of the population (to be determined)

Clinical conditions list:

• a blood cancer (such as leukaemia, lymphoma or myeloma)

• diabetes

• dementia

• a heart problem

• a chest complaint or breathing difficulties, including bronchitis, emphysema or severe asthma

• a kidney disease

• a liver disease

• lowered immunity due to disease or treatment (such as HIV infection, steroid medication, chemotherapy or radiotherapy)

• rheumatoid arthritis, lupus or psoriasis (who may require long-term immunosuppressive treatments)

• have had an organ transplant

• had a stroke or a transient ischaemic attack (TIA)

• a neurological or muscle wasting condition

• a severe or profound learning disability

• a problem with your spleen, example sickle cell disease, or you have had your spleen removed

• are seriously overweight (BMI of 40 and above)

• are severely mentally ill


Further detailed information on priority groups is available in the COVID-19 Green Book, chapter 14a.

  1. At the same time as adults under 65 years with long-term conditions, the vaccine will also be offered to unpaid adult carers – those who are in receipt of a carer’s allowance, or those who are the main carer of an elderly or disabled person whose welfare may be at risk if the carer falls ill. ↩


Vaccine deliveries are sent to our Chesham main site based on stock levels at the main distribution centres (Hughenden Valley Surgeries or the Chesham Main Site do place orders) and when any Vaccines arrive our PCN grouping jump into action and administer them post haste.

(our number one priority is never to waste time or vaccine)


We will not be posting figures of how many left in each group to be vaccinated as we believe clock watching is not helpful to our patients and it is also not helpful to add more pressure to our workforce.


2nd Vaccine

We do not have any details of when these will take place this is directed by NHSE and when we have vaccine stock.

We would like to thank the PPG for arranging volunteers for our vaccination clinics and the continued hard work from the staff in the enormous task of vaccinating our patients.


Hughenden Pharmacy is in the process being vetted to deliver Covid-19 vaccinations from Hughenden.


Please see any previous frequently asked questions in previous posts and please join us on Facebook for updates

No Smoking Day 3rd March 2021

Quit smoking

Stopping smoking is one of the best things you'll ever do for your health.

When you stop, you give your lungs the chance to repair and you'll be able to breathe easier. There are lots of other benefits too - and they start almost immediately.

It's never too late to quit. Let's do this!

Download the free NHS Smokefree app

Download the free NHS Smokefree app to help you quit smoking and start breathing easier.

The app allows you to:

  • track your progress
  • see how much you're saving
  • get daily support

If you can make it to 28 days smoke-free, you're 5 times more likely to quit for good!

Download the Download the free NHS Smokefree app app on the App Store
Download the Download the free NHS Smokefree app app on Google Play

Ways to quit

Many people try to quit smoking with willpower alone, but it's much easier with the right help. There are lots of support options available, try a combination that works for you.

Get your free personal quit plan

Answer 3 easy questions to find the combination of support that's right for you.

Read up on stop smoking aids

Stop smoking aids help you manage nicotine cravings and other tobacco withdrawal symptoms.

Find your local Stop Smoking Service

Get free expert help from your local Stop Smoking Service and boost your chances of quitting by 3 times.


Did you know?

E-cigarettes are far less harmful than smoking cigarettes and can help you quit.


What happens when you quit?

The sooner you quit, the sooner you'll notice changes to your body and health. Look at what happens when you quit for good.

After 20 minutes

Check your pulse rate, it will already be starting to return to normal.

After 8 hours

Your oxygen levels are recovering, and the harmful carbon monoxide level in your blood will have reduced by half.

After 48 hours

All carbon monoxide is flushed out. Your lungs are clearing out mucus and your senses of taste and smell are improving.

After 72 hours

If you notice that breathing feels easier, it's because your bronchial tubes have started to relax. Also your energy will be increasing.

After 2 to 12 weeks

Blood will be pumping through to your heart and muscles much better because your circulation will have improved.

After 3 to 9 months

Any coughs, wheezing or breathing problems will be improving as your lung function increases by up to 10%.

After 1 year

Great news! Your risk of heart attack will have halved compared with a smoker's.

After 10 years

More great news! Your risk of death from lung cancer will have halved compared with a smoker's.


Did you know?

Stopping smoking not only improves your physical health but also is proven to boost your mental health and wellbeing. Quitting can improve mood, and help relieve stress, anxiety and depression.


Quitting tips

You have made a great decision to give up smoking. Here are some tips to help you succeed.

Once you have picked your quit date, remember to add it to your calendar.

  1. List your reasons to quit.
  2. Tell people you're quitting.
  3. If you have tried to quit before, remember what worked.
  4. Use stop smoking aids.
  5. Have a plan if you are tempted to smoke.
  6. List your smoking triggers and how to avoid them.
  7. Keep cravings at bay by keeping busy.
  8. Exercise away the urge.
  9. Join the Facebook group for support and advice.

Good luck. Throw away all your cigarettes before you start. Remember, there is never "just 1 cigarette". You can do it!


Smokefree pregnancy

Advice on stopping smoking and protecting your unborn baby.

Secondhand smoke

Find out how to protect your loved ones against secondhand smoke.

Paan, bidi and shisha

Find out the risks and how you can quit.


Did you know?

A lot of people think nicotine is very harmful, but in fact it's the thousands of other chemicals in tobacco smoke that cause almost all of the harm from smoking.


Get daily email support

If you would like some extra support, you can sign up for 28 days of stop smoking advice and tips – delivered straight to your inbox.

Find your online community

You do not have to do it alone – join others going through the same thing in a friendly and supportive environment.

Want to talk to someone?

Call the free National Smokefree Helpline on 0300 123 1044 (England only). Talk to a trained adviser for advice and support.

Monday to Friday: 9am to 8pm
Saturday and Sunday: 11am to 4pm

Take care of your mind

Your mental wellbeing is just as important as your physical health.

Answer 5 quick questions to get your free mind plan from Every Mind Matters – including tips to help you deal with stress and anxiety, improve your sleep, boost your mood and feel more in control.