Practice Updates

15th Jan

Covid -19 Vaccination Update

Update from Powys Teaching Health Board and Llanfyllin Group Practiceโœด๏ธ
๐Ÿ”บWhat Is Happening Now?
๐Ÿ”นThe first phase of the COVID-19 vaccination programme in Powys saw three mass vaccination centres quickly established in the county by Powys Teaching Health Board.
๐Ÿ”บThese are in Newtown, Builth Wells and Bronllys.
๐Ÿ”นIt is vital that the COVID-19 vaccination programme offers vaccination to the people who are most at risk of serious illness from COVID-19.
๐Ÿ”บPowys Teaching Health Board is therefore inviting everyone aged 80 and over who is registered with a GP in Powys to an appointment at the health board’s mass vaccination centres this month.
๐Ÿ”นIf you are aged 80 and over, then attending the health board’s mass vaccination centres will be the quickest way for you to receive your COVID-19 vaccination.
๐Ÿ”บEveryone aged 80 and over will receive their invitation letter by next week (by 19 January).
๐Ÿ”นYour invitation letter from the health board will
• EITHER ask you to ring the health board’s appointment centre to book a time for your appointment
• OR offer you a pre-booked appointment. You only need to contact the health board’s booking centre if you wish to cancel your appointment, or book a different appointment.
๐Ÿ”บPlease check the details in the letter you received.
๐Ÿ”นPlease do attend your appointment at a mass vaccination centre if at all possible, as this will be the quickest way for you to receive your COVID-19 vaccination.
๐Ÿ”บYou will also be offered an appointment within 12 weeks for your second dose.
๐Ÿ”นCOVID-19 vaccination is strictly by appointment only. Please only attend at the time, date and location specified in your confirmed appointment. We also encourage everyone to arrive on time
๐ŸŸชCOVID-19 Vaccination Invitations:
โœณ๏ธWhat Happens Next?
๐Ÿ”บAt the start of next week, everyone aged 80 and over will have received an invitation to attend a mass vaccination centre for a COVID-19 vaccination.
๐Ÿ”นThe next stage of the vaccination programme in Powys sees a network of primary care-led vaccination clinics across the county.
๐Ÿ”บThis includes the practice starting to provide COVID-19 vaccinations at our own clinics here at the practice commencing with our first clinic at Four Crosses surgery on Tuesday 26th January.
๐Ÿ”นThe health board is already sending invitations to people aged 80 and over to the county’s mass vaccination centres. So, we will begin to contact the next priority group – people aged 75 to 79. They will be offered an appointments at our vaccination clinic in Four Crosses surgery.
๐Ÿ”บWe have begun contacting our patients aged 75 - 79 years to offer them an appointment.
๐Ÿ”นPlease do not contact us for an appointment as we will be contacting you. Thank you for your patience as booking everyone age 75 to 79 will take some time.
I am aged 80 and over and cannot attend an appointment at the mass vaccination centre. What should I do?
If you are aged 80 and over, then attending the health board’s mass vaccination centres will be the quickest way for you to receive your COVID-19 vaccination.
If you cannot attend the mass vaccination centre then please do use the contact details in your booking letter to cancel your appointment.
If you cannot attend the mass vaccination centre then you will not miss out. There is a call-and-recall system in place. This means that you will be called again and offered a COVID-19 vaccination, which may be at the vaccination clinic offered by our GP practice. But attending our mass vaccination centres will be the quickest way for you to receive your COVID-19 vaccination.
Arrangements are also being put in place for vaccination for people who are clinically housebound across Powys. These will be confirmed as soon as possible.
For patients needing assistance with transport please contact the community transport sceme on the following numbers:

Llanfyllin Community Transport Scheme – 01691 656 882

Welshpool Community Transport Scheme – 01938 580 459

Welshpool Community Car Scheme – 01938 554 484

๐ŸŸงWe will put out weekly updates as we get confirmation through each week from Powys Teaching Health Board on our vaccine supply and patients we are to invite in.
๐ŸŸฉYou will appreciate this is a massive undertaking for the practice, on top of continuing with all of our normal routine and urgent work and we ask for your support and patience over the coming weeks as we roll out our vaccination programme from the practice.
30th Dec 2020

Important News re Covid Vaccine

The practice has received a high volume of calls today enquiring about the COVID vaccine. At this stage we have no further information to share - โœณ๏ธWe will keep updating our Facebook page and this website as more information comes through to us


Image may contain: text that says 'Our services are under immense pressure. Please do not call your GP, hospital, pharmacy or the National Call Centre to ask when you will get vaccinated. You will be contacted at the appropriate time. Right now YOU can help by following the guidance: htp/.9-citin Mae Brechu yn achub bywydau Vaccination saves lives DIOGELU CYMRU KEEPWALES SAFE'

24th Dec 2020


Please click on the attached link for the latest Welsh Government update on shielding

Welsh Government updated Shielding advice Dec 2020


18th Dec 2020


Powys Teaching Health Board is extremely pleased that the COVID vaccination programme has begun successfully in Powys. Last week saw almost 1,000 health and care staff vaccinated and almost 3,000 more are due to be vaccinated by Christmas.


The next phase of vaccination will be to invite those aged over 80 years old for vaccination. At the moment it is NOT possible for those aged over 80 to book for vaccination and we kindly request that patients DO NOT call their GP or the vaccine booking line at this time.


There is still a lot of planning taking place at the moment to ensure that this process will be as effective as possible, and as soon as we are able to the Health Board will be contacting those eligible for vaccination directly.


We urge everyone to continue to follow national guidance on social distancing and to help keep Wales safe.

16th Dec 2020

Flu Vaccine Update

โ€ผ๏ธโ€ผ๏ธ Practice Update - Flu Vaccineโ€ผ๏ธโ€ผ๏ธ

๐Ÿ”ธWe currently have a limited number of flu vaccines available. If you are in an at risk group, or will be aged 50 or over by the 31st March 2021, please contact the surgery on 01691 648054 to make an appointment๐Ÿ”ธ

All flu vaccinations will be by booked appointment only. We will not be offering a walk in service and it is vital that you do not attend the practice without making a prior appointment.

· ๐ŸŸกEligible patients:

· The flu vaccine is free (for people from six months of age) if:
· •You have a heart problem
· •You have a chest complaint or breathing difficulties, including asthma that needs regular steroid inhalers or tablets
· •You have kidney disease
· •You have lowered immunity due to disease or treatment (such as steroid or cancer treatment) or are in close contact with or live in the same house as someone in this group
· •You have liver disease
· •You have diabetes
· •You have had a stroke (or mini stroke)
· •You have a learning disability
· •You have a neurological condition, such as multiple sclerosis (MS), cerebral palsy or post-polio syndrome
· •You have a problem with your spleen, such as sickle cell disease, or have had your spleen removed
· •You are an adult with a higher body weight (a body mass index (BMI) of 40 or more)

· It is also recommended and free if:

· •You are pregnant
· •You are aged 50 or over by the 31st March 2021
· •You live in a residential or nursing home
· •You are a carer
· •You are a community first responder
· •You are a member of a recognised voluntary organisation and provide planned first aid
· •You are a household contact of someone on the NHS shielded patient list

·  Health and social care workers: if you have direct contact with patients or clients, a flu vaccine is recommended. (This includes those working in residential care homes, and those who work as a carer, caring for people in their own home who can get their vaccine from a local pharmacy


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

16th Sep 2020

Practice Appointments

We know there’s been a lot of discussion in the news this week about GPs providing face-to face-appointments. We wanted to take this opportunity to keep all of our patients updated on how we are operating at the practice and the reasons why.

  • 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.
  • At the onset of the pandemic we changed our way of working overnight as we identified quickly 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 know that patients sometimes prefer to see a GP face to face, but there are reasons why we went to a triage model offering video and telephone consultations, and government guidance has played a big part in this. It has remained the case that if we’ve needed to see a patient face to face we’ve asked those patients to come in to see us following clinical triage taking place. This system will remain, Coronavirus is still with us and we must ensure that the only patients being seen face to face are doing so because it is clinically appropriate to do so.
  • 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.
  • Offering new ways of working has helped some patients to access appointments who wouldn’t normally be able to due to other commitments, such as their work or caring responsibilities but we are aware of the IT challenges in our beautiful rural area, we know that some patients have difficulty getting mobile phone signal/internet access or who find using technology a challenge, we will continue to strive to overcome these challenges and highlight concerns to the relevant authorities.
  • The cleaning required between patients during the pandemic means that if all patients were to come into the surgery, we wouldn’t be able to offer the same number of appointments because of the amount of time that cleaning between each patient takes. However, we’ll always see patients face to face who need to be seen face to face.
  • 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.
  • The difficulty in obtaining PPE has also meant that we’ve needed to be more cautious than normal about the way we use scare resources. We continue to work hard daily to source the PPE we need.
  • 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.
  • We have many elderly and vulnerable patients with health conditions that make them more vulnerable to coronavirus than most. We also know that there are young and healthy people who have been seriously affected by COVID-19, so it isn’t just the elderly or infirm we need to protect.
  • Increasing the number of patients in the surgery would mean that we’d increase the risk for everyone – particularly if some of those people had symptoms of COVID-19 and were unwell enough to need to be seen. For this reason, we will continue to triage and ensure we are only asking patients where there is a clinical need to do so to attend our surgeries.
  • There’s nothing we’d like to see more than a return to ‘normal’ life and the easy face-to-face care we’ve always provided, but at the moment offering fewer face-to-face appointments keeps patients safe and provides the maximum number of appointments we can.

 We are open and we are here for you but we must continue to work differently for some time for all of the reasons detailed above and to allow us to use our limited resources in the best way possible.

We’re available to talk to, and we always want to hear from, patients who need us. While we understand patients’ frustrations with the current situation, we hope you’ll continue to help and support us, as you’ve always supported the us so that we can go on providing you with care and support in the coming weeks and months.

Finally we are immensely appreciative of all of the support the practice has received from our wonderful community and the respect you continue to show on a daily basis to our team, many of whom have worked without a break over the last few months to ensure we have been able to remain open to help you throughout this difficult and challenging time for us all

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