Practice Updates

May Activity Data
16th Jun

May Activity Data

8th Jun

Important News re your data

An increasing number of practices are receiving communications from patients noting their 'dissent from secondary care use of GP patient identifiable data ' either via a template letter, email or verbally.
This is following a notice from NHS digital in ENGLAND for daily data collection under the General Practice Data for Planning and Research (GPDPR) service. This DOESN'T apply to practices in Wales.
This data does not presently apply to General Practices in Wales and is specifically for those practices providing contracted services to English residents within England.
The increasing number of requests are likely to be due to the fact that English residents have until 23rd June to notify their English GP Practice that they wish to opt-out of this data collection due to start on 1st July 2021.
Please do not contact the Practice about the above as it doesn't apply to patients living in Wales.
26th May

Foodwise for Life

More information here

18th May

Get Help, Stay Safe

Information and support for older people experiencing abuse.

Please Remember: You Are Not Alone.

You may be worried about someone you care about. You may be desperate for help and support, but not sure where to turn. But please remember: You are not alone. Help and support is available. We know that seeking help can be incredibly difficult, but it is important that you get help if you need it. Please don’t suffer in silence. Find more information here.

14th May

Support for Virtual Fathers

Feel isolated as a father or need parenting support? For more information, please click here

23rd Apr


The year is progressing quickly and we are aware many things have changed for all of us over the last very difficult year since the onset of the COVID-19 pandemic. We have seen the world as we knew it turned upside down and as a rural GP Practice we have been acutely aware of the challenges, emotions and anxieties felt by our community, patients and our own team members, families and friends.
As a Practice we had to change our way of working overnight at the onset of the pandemic as we quickly identified that without making these necessary changes we ran the unthinkable risk of being unable to provide a safe and effective clinical service to our patients.
We had to grapple with new technology and ways of working, with updates coming through multiple times a day. Each update has had to be read, digested a plan put together to action any requirements and communicated out to our team and patients. We had to get used to working in a socially distanced workplace (a challenge when we work as closely as we do as a team to ensure swift and clear communication), wearing PPE all day long, staying in separate zones in the building, dealing with staff absences and constantly having to review and change the way we operate.
Throughout the COVID-19 pandemic, we’ve remained open to patients. We’ve offered appointments using new ways of working and new technology. We’ve worked hard to make sure we’ve remained available to speak to throughout and to quickly signpost patients to the most appropriate care.
On top of our usual workload we took on COVID-19 vaccinations for our eligible patients. This was and is very important to us as a practice, we firmly believe we should if at all possible provide this service to our patients in their community, delivered by clinicians you know and trust and minimising travel. We hope to continue to be a part of this service going forward.
We have been and remain extremely grateful that we live and work in our wonderful community. We have been generously supported throughout with offers of PPE from local businesses, fundraising by our local school, donations and gifts from patients, letters/cards/emails of support and touchingly the kind comments and thanks to the practice we have had verbally and via our social media page.
The support we have received really has meant the world to us and our commitment to all our patients is that we will continue to strive to provide the very best clinical care as we hopefully look forward to life improving for everyone.
Thank you
Appointments Update
We continuously review demand on our services and our ways of working to ensure we are getting the balance right and as a result of our recent review we will be making a few changes to the way in which we operate.
Throughout the pandemic we have offered telephone triage, video consultations and face to face appointments (where clinically necessary). The demand on our resources throughout the pandemic has been high but remained relatively stable over the last year, we are now seeing an exponential increase in demand for appointments and we must ensure that those patients with the greatest clinical need are prioritised.
We will continue to offer a mix of telephone and face to face appointments with our clinicians and our skilled reception team will continue to ask you for as much information as you are comfortable share to enable them to quickly direct you to the most appropriate source of care.
Booking an appointment
If you need to book an appointment at the practice please call reception on 01691 648054.
You will be greeted with an automated bilingual message initially and if you choose the option for appointments your call will be transferred to one of our trained reception team.
The receptionist will ask you some questions about why you are calling. They are doing this at the request of our GP’s and this information is important to allow our receptionists to direct you to the most appropriate person to help you, which may not always be a GP.
Please note you do not have to give this information, but it will help you and other patients to be seen more quickly and to get the right care when you need it.
Urgent appointment requests
If you request is for urgent medical attention on the day the receptionist will take as much information as they can from you and will book an acute telephone triage appointment for the same day.
It is important that you provide as much information as you can for urgent appointments to ensure that the clinicians triaging all urgent requests are able to prioritise patients based on clinical need.
The receptionist will not be able to give you a set time for an urgent call as clinicians working through the urgent appointment list can be pulled aside to deal with medical emergencies which can take some time to deal with
Please ensure you give the receptionist the best telephone number for the clinician to contact you on and that you are available to take the call. The clinician is unable to make repeated call backs if you miss your call due to the high volume of patients to deal with each day.
When the clinician calls you they will make a clinical decision as to the most appropriate way to deal with your concern, this may be arranging a prescription, providing advice, arranging a referral or requesting you come in for a face to face appointment.
Urgent face to face appointments will generally take place the same day with the same clinician who telephoned you unless another clinician is more appropriate and may be at any of the 3 practice sites – Llanfyllin, Four Crosses or Llanrhaeadr.
Please note requesting a sick note, test results, chasing a referral, routine administrative matters etc. do not constitute an urgent request and will not be dealt with on the day.
A number of clinicians make up the team each day who deal with urgent requests, these include a doctor, Advanced Nurse Practitioners, Paramedic Practitioners and Specialist Nurses. The clinicians will determine which patients they contact depending on the nature of the request from the patient.
Please note for urgent requests you must be able to attend the surgery the same day if the clinician determines it is important for you to do so to investigate your concern appropriately.
Routine appointment requests
If your request is for a routine appointment with either a Practice Nurse or Health Care Assistant the receptionist will take as much information as they can from you and book the most appropriate appointment directly for you.
For routine GP appointments a routine telephone triage appointment will be booked in the first instance, this can be with a GP or with a Triage Nurse and will generally take place within 1 – 2 weeks. You will be given an approximate time for your triage telephone call. This will be within an hour of the appointment time given to you.
The GP or Triage Nurse will take a more detailed description from you of the nature of your request and will at this stage either arrange a face to face follow up appointment with themselves or another clinician if more appropriate. If investigations are needed before your face to face appointment the GP or Triage Nurse will arrange for these to take place in advance of your follow up appointment. This ensures your face to face appointment makes the best use of the time you have with the clinician.
A routine appointment is for a new condition that is not urgent for the same day and ongoing management of your care by the clinician who is looking after you. In most cases it is much better for your clinical care to book an appointment for an ongoing condition with the same clinician who has already dealt with you for continuity purposes by somebody who already has all of your history.
If you are experiencing severe chest pain, collapse, severe breathing difficulties, have one sided weakness or slurred speech or severe bleeding, please do not contact the practice you must dial 999 immediately
Useful information when attending the Practice for an appointment
If you are offered a face to face appointment we will look and feel a little differently when you attend at the surgery. You will be met at the door by a team member wearing PPE who will check you in
Please only attend at your appointment time, we will not be able to see you earlier as we have strict infection control processes in place between patients to ensure we keep both patients and staff safe
Your clinician will see you wearing PPE which can include a mask, visor, apron and gloves.
All patients are being asked to attend the surgery wearing a face covering, this is in line with Welsh Government guidance
Changing PPE (Personal Protective Equipment) between each patient adds additional time to the end of each appointment. Prior to Coronavirus a face to face appointment with a clinician would be 10 - 15 minutes. Now an appointment will often involve a 10 - 15 minute telephone triage call followed up if appropriate with a face to face appointment of 10 - 15 minutes and a further 10 - 15 minutes of PPE change and cleaning. This adds an additional pressure on the clinical time we have available and one of the reasons we must ensure patients who are seen face to face are only seen when clinically appropriate
We understand that some patients are reluctant to come and see us in the surgery as they’re worried. We’re making sure that social distancing is as good as it possibly can be and that we maintain a ‘COVID-secure’ environment. Some of the things we take into account when we’re considering this are: the number of people in the waiting room, the number of people who pass each other in the corridors, and the toilet facilities that are available.
Our staff are people too, and some may have ethnicity or health issues that make them more vulnerable to the effects of COVID-19. As caring employers, we need to ensure that we keep our staff safe as well. We take the necessary precautions to keep both our staff and our patients safe
If at all possible attend your appointment alone.
📞N.B. All incoming/outgoing telephone calls are recorded for safety and quality purposes📞
Due to the ongoing COVID-19 pandemic we are only currently able to offer appointments booked by telephone and are not able to offer online appointment booking. It remains very important that only patients who clinically need to be seen present at the surgery and we continue to keep this under review following guidance from Welsh Government and Public Health Wales
Four Crosses Update
Llanfyllin Group Practice provides primary care medical and dispensing services for 11,000 patients in North Powys and North West Shropshire from our three purpose built sites in Llanfyllin, Four Crosses and Llanrhaeadr.
In March 2020 Llanfyllin Group Practice completed a 6 month programme of extensive renovation works on its surgery at Four Crosses to ensure that the practice has modern, fit-for-purpose facilities with space for expansion to support the growth in patient numbers due to the ongoing housing development works throughout the area.
The renovation scheme included adding an extension to the existing Medical Centre footprint to increase the existing facilities to provide 3 GP consulting rooms, create a phlebotomy and treatment room, and expand the waiting area and the parking facilities.
This development was made possible through a Primary Care Improvement Grant from Welsh Government along with funding from Llanfyllin Group Practice and a generous patient donation.
Historically our main surgery in Llanfyllin provided all of our urgent/same day care and we offered pre-bookable routine appointments at our branch surgeries in Four Crosses and Llanrhaeadr.
Due to the renovation work patients living nearest to Four Crosses will now be able to receive a full range of urgent and routine services from Four Crosses surgery without the need to travel to Llanfyllin surgery.
For example if you require urgent medical attention you will initially receive a triage telephone call from a clinician that day, if appropriate a face to face appointment will be offered at Four Crosses that day and if medication is required this will be dispensed to you before you leave the surgery.
Routine appointments with GPs and Nurses will continue both by telephone and face to face as on all sites.
We are open to new patient registrations, if you would like more information on how to register with the practice please go to our website or call reception on 01691 648054
Secondary Care Referrals
Due to the COVID-19 pandemic the NHS is facing a huge backlog for patients who are referred by their GP for specialist services. As a result of this waiting times for hospital appointments are much longer than would have been expected pre the pandemic causing anxiety and concern for our patients.
We are seeing an increase in calls from patients requesting their GP expedite their hospital appointment. Please note these requests do not constitute an urgent request, if you are concerned about the time you have waited for your hospital appointment please contact the hospital you have been referred to directly in the first instance as they will have the most up to date waiting time information to share with you.
If your condition that you were originally referred for has worsened and or you have new symptoms then please let us know so that we can update the clinician who originally referred you.
COVID-19 Vaccination Campaign Update:
From w/c 12th April we commenced our second dose COVID vaccinations at our Four Crosses surgery to all patients who have had their first dose AstraZeneca vaccine at the practice.
Our clinics are on a Tuesday at Four Crosses and by appointment only.
We are vaccinating patients in the Practice with the AstraZeneca (Oxford) vaccine
At this stage Powys Teaching Health Board are not asking practices for any further support in delivering first dose vaccinations at this time and we will not be receiving any vaccine supplies other than to complete our second dose appointments so please do not contact the practice for an appointment or with vaccination queries. For up to date COVID-19 vaccination information and to answer any queries you may have please go to Powys Teaching Health Boards website
COVID Vaccination Certificates
We are unable to offer patients a certificate of COVID vaccination, a vaccination passport or a letter to prove you have been vaccinated against COVID-19.
These proof of vaccination documents have not yet been developed and as such cannot be provided by your GP Practice. As soon as we have any further information we will share it with you.
All of the practice updates for our COVID vaccination campaign are on our website and on our Facebook page (2) Llanfyllin Group Practice | Facebook
Practice Telephone System Update
The surgery has invested in a new telephone system to enable us to have much more capacity, flexibility and functionality. This will be a complete overhaul of our existing out-dated telephony solution and we very much hope this will improve the patient experience when making contact with us by telephone. Part of the upgrade incorporates a new live wall board for the reception team. The practice takes 800+ telephone calls a day and by upgrading our telephone system and having more responsive live data we will be able to optimise having the maximum number of team members taking calls at peak periods throughout the day minimising wait times for patients on the telephones.
The upgrade work is scheduled to take place on Thursday 22nd April. We have planned this date as the practice is already scheduled to be closed on the morning due to staff training. The switch over from our old system to the new one should be seamless and we will keep patients fully informed throughout on progress.
We would also like to remind patients that not all enquiries need to be made by telephone and we ask that for general queries and practice information patients first go to the practice website if they are able to where the practice has up to date information on all of our practice services, news and the ability to make non urgent enquiries through the website.
Please take a look at
My Surgery App
In the next few weeks we will be launching our brand new app which you can download to your smartphone or tablet for free. My Surgery App was developed to help patient’s access services from their GP Practice as quickly as possible with news, updates and access to online services such as medication ordering.
We will keep you updated as soon as we ready to go live!
Practice Training Closure Dates
Our practice values the importance of continuous professional development for both our clinical and non-clinical teams. Our training schedule is supported by Powys Local Health Board and on the day of training the practice will remain closed with Shropdoc providing phone cover for patients needing urgent attention
For morning training sessions the practice will be closed in the morning and open again at 13:00.
For afternoon training sessions the practice will be open from 8.30am until 1pm and then closed in the afternoon
Training dates for 2021: Morning Closures
•Thursday 22nd April
•Thursday 20th May
•Thursday 17th June
On these dates the practice will be closed and phone lines will be closed until 1pm.
For urgent care on these mornings please contact SHROPDOC on: 01743 455364
ShropDoc will triage the call and book any appropriate appointment in Llanfyllin.
Training dates for 2021: Afternoon Closures
Tuesday, May 11th
Wednesday, June 30th
Thursday, September 16th
Wednesday, Nov 17th
On these dates the practice and phone lines will be closed after 1pm.
For urgent care on these afternoons please contact SHROPDOC on: 01743 455364
ShropDoc will triage the call and book any appropriate appointment in Llanfyllin.
18th Apr

Patient Transport

Information about non-emergendy pateint transport

Both languages

15th Apr


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5th Apr

Practice Newsletter April 2021

Gynae reg flags

We know that some problems seem embarrassing to share. Although, as GPs, we’ve seen it all before, we do understand that you might find some things challenging to discuss. If you have any of these gynaecological symptoms, we’d like to see you to talk about them:

Diet, cholesterol and fitness

Body image has been discussed frequently in the media. We’re not talking about losing weight here; we’re focusing on a healthy diet. If you’re eating a healthy diet with a calorific intake appropriate for your physical needs, the rest will take care of itself. Men are more at risk of high cholesterol than women. Minor changes to your lifestyle can make a big difference to your long-term risks. Increased cholesterol puts you at greater risk of heart problems and strokes. One of the ways to reduce your risk is fitness.

Have you heard of ‘parkrun’? Parkrun is a fantastic free activity organised by volunteers. While restrictions in the UK mean that parkrun for adults can’t go ahead, there’s good news ahead if you’ve considered ‘junior parkrun’. It’s a brilliant way to keep fit and get youngsters outdoors. It’s not just for youngsters, though. Although parkrun can’t go ahead in organised groups at the moment, you can always run the route. You can check out the course for your local parkruns here:

Young people, sexting and bullying

If you’re a young person suffering from bullying, you can access support and help through Bullying UK. Bullying takes many forms, both in person and online. Some young people are encouraged to sext, which then provides different resources for bullies to use. If you have a child who has access to their own mobile phone, you should talk to them about the dangers of sexting. Bullying UK has brilliant advice covering many areas. The Anti-Bullying Alliance has got some handy and practical tips on how to deal with bullying too. If you feel bullying is affecting your mental health, we can offer help and support.

https://www.anti-bullyingalliance.o.../Top tips for children and young people_0.pdf

Stress awareness

Stress has been a significant feature of the last 12 months for most people in the UK. We’ve had to cope with things we probably never would have thought possible. If you’re not feeling as happy as you did 12 months ago, then perhaps it’s worth taking a look at the NHS quiz below. Mindfulness can help to relieve stress, and if you think tha

t relaxation is all crossed legs and yoga, you couldn’t be more wrong; relaxation takes many forms, as the following information from MIND shows.

Ageing and shingles

Some changes to your body are common when you get older. What changes can you expect, and how can you minimise the impact? It’s not just physical changes. You may find that you need to reassess other areas of your life. You might want to give some thought to how you’d like your life to look as you get older. It’s worth thinking about how much support you might need and whether you’d need to make changes to your living arrangements before it becomes an urgent need.

Some conditions can be particularly uncomfortable if you are older, and shingles is one of them. If you’re aged between 70 and 79, you’re eligible for a shingles vaccination. If you have previously been told that you’re eligible but didn’t take up the offer, you can still have the vaccine before your 80th birthday. Shingles can be very unpleasant for several weeks, and it’s much better if you can avoid it altogether.

Diabetes awareness

Diabetes is a significant cause of ill health in the UK. One in ten people over the age of 40 in the UK are now living with a diagnosis of Type 2 Diabetes. Incredibly, more than half of all cases of Type 2 Diabetes could be delayed or prevented. Minor lifestyle changes can make a significant difference to your risks. What steps can you take to reduce your risk? If your risk score shows you as being of high risk for diabetes, please make an appointment with one of our nurses.

IBS and bowels

April is IBS Awareness Month. Chances are, if you don’t suffer from IBS, you know someone who does. Sufferers often don’t talk about their symptoms due to embarrassment. Irritable bowel syndrome can be a life-long challenge to live with, restricting your diet and activities. If any of the symptoms sound familiar, such as recurring stomach pain, bloating, diarrhoea, and constipation, it might be worth making a GP appointment to discuss it further. COVID-19 has led to fewer people seeking help for worrying symptoms. If you have bleeding from your bottom and/or blood in your poo, you should get it checked out. It may not be anything serious, but it’s better to find out quickly. While the number of people who have bowel cancer is small, appropriate support costs money. Bowel Cancer UK would like to see you get active every day in April. You can raise funds for Bowel Cancer UK and get fit simultaneously, so it’s a win-win.


Most people will have heard of arthritis, but there is a wide range of associated conditions with similar symptoms. Versus Arthritis is dedicated to supporting people who have arthritis. They have a brilliant website full of valuable resources. Arthritis varies considerably in severity and treatment, so it’s always worth talking to your GP if things have changed for you.

Learning disabilities

If you’re aged 14 or over and are on our Learning Disability Register, we’d like to see you at least once a year for a check-up, and to see how you’re getting on. If you’ve received an invitation for a health check because you or someone you care for has a learning disability, please make sure you attend so we can check your general health and make sure you’re feeling well. If you think you should be on our register but aren’t sure if you are, just give us a call and we’ll have a look for you.

Autism awareness (29th March to 4th April)

If you think of the autism spectrum as a linear scale, you might want to think again. Autism is a complex condition and, as they say, if you’ve met one person with autism, you’ve met one person with autism. Fewer girls are diagnosed with autism than boys, so why is that? This interesting piece below looks at the reasons why girls are diagnosed less often.

World Health Day (7th April 2021)

7th April is World Health Day and WHO wants us to address health inequalities across the globe. As a nation with access to excellent healthcare, free at point of need, we should encourage improved healthcare for every country.

As COVID-19 has demonstrated, where you live can have a massive impact on your life. Health inequality shouldn’t happen in the UK because we have free access to good healthcare. The difference between the least deprived and most deprived areas equates to almost ten years of life expectancy for men. That’s not the whole argument, though. Attending reviews and making healthy lifestyle choices can improve health outcomes.

Parkinson’s awareness (11th April 2021)

11th April is World Parkinson’s Day. Around 145,000 people in the UK are living with Parkinson’s. It’s a neurological condition that gets worse over time. If you are, or you care for, someone living with Parkinson’s, tune in between 11 and 12 for a live event that covers topics that matter to you. You can join the event by visiting the website on the day or by watching on YouTube.

European Imms Week (26th April – 2nd May 2021)

The theme for this year’s European Immunisation Week is ‘Prevent, Protect, Immunise’. As we’ve all seen in the past months, we need herd immunity to protect those who cannot be immunised. In the UK, we’re offered free vaccinations at certain times in our lives. If you’re offered a vaccination, please have it; it can save your life and the lives of others.

COVID vaccination

If you’re over 50, or have a condition that makes you at higher risk from coronavirus, are a frontline health and social care worker, have a learning disability, or are a carer for someone at higher risk from coronavirus, you can book your appointment for vaccination now by contacting us, or visiting:

16th Mar

Powys Pharmacy Opening Hours

See the attached leadflet for the pharmacy opening hours across the Powys region

Powys Spring Summer Pharmacy Bank Holiday Opening hours list.pdf

Blue badge
3rd Mar

Blue Badge Availability

Who is eligible for a blue badge?

Blue Badge eligibility.pdf

1st Mar

Free Diabetes Pre-conception Advice

Do you have diabete? Do you want a baby?

Free pre-conception advice available for all Wales

Bilingual A4 Poster - Pre-conception.pdf

25th Feb

Information on COVID-19 Vaccination in Powys

Download here

Good Gief
20th Feb

Mental Health Monitoring

Download the active Monitoring Leaflet here

20th Feb

Home Shouldn't be a Place of Fear

Chat to us confidentially on 07860 077333. More details here

18th Nov 2020

The Mamwlad Project

The Mamwlad project, funded by the Welsh Government is delivered by Care & Repair in Powys and Age Cymru Powys. It is a service to help people over 50 in the farming community whether a farmer, farm worker or retired from farming to stay living at home safely and independently and to tackle loneliness and isolation.

Download more information


9th Nov 2020

Credu Connecting Carers

Looking after somone with a health condition and/or disability?

Credu Flyer

17th Jul 2020


The practice are asking all patients to please wear a face covering when entering any of our surgeries - this does not apply when you are collecting you medication but we do ask that you to adhere to social distancing by queuing two metres apart

For more details on how to make your own face masks please visit