Courtyard Surgery

23/06/2025

NHS Sussex ICB have published their position on Weight loss injections being prescribed on the NHS.

Current rules on prescribing on NHS for weight loss medications from the GP are very strict, please do not contact the surgery requesting appointment for weight loss INJECTIONS medications from your GP you will be contacted directly if you are eligible for direct access to them in the next 4-6 weeks.

Qualifying criteria is a BMI (Body Mass Index) of 40 or greater
https://www.nhs.uk/health-assessment-tools/calculate-your-body-mass-index/calculate-bmi-for-adults/confirm-consent

AND four or more of the following diagnosed health conditions:
• type 2 diabetes
• Hypertension
• Cardiovascular disease
• Obstructive sleep apnoea
• Dyslipidaemia

We understand that some people may feel frustrated or disappointed if they are not eligible for INJECTION medication-based treatments directly from the GP but there are still other options avalible and we can offer support and help still.

First step = Tier 2 Support

Our local wellbeing hub can offer you the other options that must be tried 1st before considering Injections and other medication options. please see our wellbeing hub
https://horsham.westsussexwellbeing.org.uk/

Second Step Tier 3

If Teir 2 support does not achive the intended weight loss then the next option will be to access our local teir 3 support services where with additional support you may be considered for prescribed injections along side a Support program.

Critera to access medications is less strict than via the GP surgery for Teir 3 support you must be over 18
AND
Fully engaged & completed a Tier 2 programme without losing 5% whilst being compliant
AND one of:
☐ BMI >40 kg/m2 OR
☐ BMI >35 kg/m2 with co-morbidities OR
☐ BMI of >30 kg/m2 with type 2 diabetes and is considering bariatric surgery OR
☐ BMI of >27.5 kg/m2, with recent-onset type 2 diabetes and who are of a South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean family background

Please see the link below to explore all your options
https://www.sussex.ics.nhs.uk/your-care/healthy-living/support-to-manage-your-weight/

https://www.nice.org.uk/news/articles/nice-recommended-weight-loss-drug-to-be-made-available-in-specialist-nhs-services

At the surgery if you have spoken to the local wellbeing hub, we can also make referals to weight loss services who can support you with your weight managment with diet and counciling they can also discuss an innitiate weight loss medications.

Living with obesity can be emotionally and physically challenging, and it is completely normal to experience a range of feelings when seeking support for your health. If you are finding things difficult, NHS Talking Therapies offers free and confidential help for people who may be struggling with low mood, anxiety or other emotional pressures.
https://www.westsussextalkingtherapies.nhs.uk/

Please also be aware if you’re currently taking weight loss injections privately they do interact with several other medications including:
CONTRACEPTIVE medications
Diabetic medications
When starting medications you should be discussed with the company all your other medications to ensure there is not an interaction.

13/06/2025

Sussex NHS Lung Cancer Screen

If you are aged 55 to 74, a current or former smoker and registered with be invited by letter for your FREE NHS Lung Health Check. Think of it as an MOT for your lungs.

Please look out for your letter - it will arrive in a yellow envelope from

Lung health checks will take place over the telephone, but you may also be invited to see a Nurse and for a lung scan. These will be in convenient community locations, so they are local and easy to access. This Is not a self-referral programme and you will be invited for your lung health check by letter.

Most people will find their lungs are working fine. Some people may benefit from further tests or treatment either from their GP or hospital doctors. When it comes to lung health, spotting problems early can make a huge difference

We have just been notified that the at risk patients at Courtyard surgery will soon be contacted by the service over the next few weeks !

For more information see:
https://sussexlunghealthcheck.nhs.uk/

03/05/2025

SPRING COVID CLINIC UPDATE.

Last big clinic at BOHUNT happened last weekend. Huge thanks to the patients staff and volunteers who make the clinic so friendly and enjoyable.

We now have a few smaller clinics from Courtyard Surgery on the weekends.

4th May
and 24th May

Patients at Courtyard Southwater Cowfold and Rudgwick surgeries have direct booking links sent If elegible.

Other patients are welcome to book via the national booking service.

26/04/2025

A lot of GP surgery time is taken up with requests for sick notes that have not been provided by the people who should be providing you your sick note. This limits appointments for our patients who are unwell.

Please be aware and make sure you request a sicknote (if needed) before you leave the hospital for the entire time your expected to be unwell.

09/04/2025

1st Spring booster clinic!

Dr Coutroubis Dona and the Horsham Collaborative Primary Care team managed to enable just under 1500 of Horsham and surrounding areas over 75 and most high risk people got their much needed booster vaccination.

Lots of money raised for Horsham Matters

None of this could happen without the fantastic support of the Patients, Families and Carers and the wonderful Staff and Volunteers at the Bohunt vaccination site !

THANK YOU

Next Clinic is this Sunday for eligible patients ~:

The Joint Committee on Vaccination and Immunisation (JCVI) advice that there is a need for High risk groups to have an updated COVID protection in spring 2025.
The spring 2025 programme will cover:
1) Adults aged 75 years and over
2) residents in a care home for older adults
3) individuals aged 6 months and over who are immunosuppressed, as defined in COVID-19: the green book, chapter 14a; Tables 3 and 4

This includes those who will turn 75 years old by 17 June 2025.

COVID BOOSTER - SPACES AVALIBLE THIS SUNDAY 13th April all day

Book using your booking link or via the NHS booking platform.

https://www.nhs.uk/nhs-services/vaccination-and-booking-services/book-covid-19-vaccination/

Horsham District Voluntary Sector Support
Rudgwick Medical Centre
Horsham Community Notice Board
Horsham District Wellbeing
Southwater Community Responders
The District Post Horsham
Rudgwick Rants
Southwater Country Park
Rudgwick Recycling
Southwater Village Community Group
Horsham District Council
St Catherine's Hospice, Crawley
Southwater Community Partnership
West Sussex County Times
Horsham District Older Peoples Forum
Horsham Community Notice Board
Horsham Community Group
Billingshurst Village Help & Information
Cowfold Medical Group
Horsham Recommends
Horsham District Wellbeing
Kilnwood Vale Residents Group
Horsham Collaborative Primary Care

01/04/2025

See more on the PCN website.

COVID BOOSTER - SPACES AVALIBLE THIS SUNDAY

1st Vaccine clinic this SUNDAY 6th April Spaces available please book using your booking link or via the NHS booking platform.

Eligible patients should receive a message from their surgery or the NHS

HIGH RISK GROUPS
The Joint Committee on Vaccination and Immunisation (JCVI) advice that there is a need for High risk groups to have an updated COVID protection in spring 2025.
The spring 2025 programme will cover:

1) Adults aged 75 years and over
2) residents in a care home for older adults
3) individuals aged 6 months and over who are immunosuppressed, as defined in COVID-19: the green book, chapter 14a; Tables 3 and 4

This includes those who will turn 75 years old by 17 June 2025. They will be eligible for a vaccination at any point in the campaign. Those who are new residents in an older adult care home or become immunosuppressed by 17 June 2025 are also eligible.

The Surgery teams and Our outstanding group of Volunteers are preparing to welcome our high risk patients in Horsham back to Bohunt school

Looking forward to seeing the team and more patients Sunday

HHorsham District Voluntary Sector SupportRRudgwick Medical CentreHHorsham Community Notice BoardHHorsham District WellbeingSSouthwater Community RespondersTThe District Post HorshamRRudgwick RantsSSouthwater Country ParkRRudgwick RecyclingSSouthwater Village Community GroupHHorsham District CouncilSSt Catherine's Hospice, CrawleySSouthwater Community PartnershipWWest Sussex County TimesHHorsham District Older Peoples ForumHHorsham Community Notice BoardHHorsham Community GroupBBillingshurst Village Help & InformationCCowfold Medical GroupHHorsham RecommendsHHorsham District WellbeingKKilnwood Vale Residents Group

10/03/2025

We are experiencing a problem with our phones this morning, the Phone company are trying to fix it. Really sorry if you experience any difficulties getting through.

We hope it will be back up and running soon.

08/03/2025

https://www.facebook.com/share/p/15vyz3c82n/
See more on the PCN website.

COVID SPRING BOOSTER 2025 - BOOKING NOW BOHUNT SCHOOL

ELEGIBLE Patients of Courtyard, Southwater, Cowfold and Rudgwick Surgeries will be getting their booking link over the weekend.

National booking system opens for rest of Horsham 25 March 2025

HIGH RISK GROUPS

The Joint Committee on Vaccination and Immunisation (JCVI) advice that there is a need for High risk groups to have an updated COVID protection in spring 2025.

The spring 2025 programme will cover:

1) Adults aged 75 years and over
2) residents in a care home for older adults
3) individuals aged 6 months and over who are immunosuppressed, as defined in COVID-19: the green book, chapter 14a; Tables 3 and 4

This includes those who will turn 75 years old by 17 June 2025. They will be eligible for a vaccination at any point in the campaign. Those who are new residents in an older adult care home or become immunosuppressed by 17 June 2025 are also eligible.
The Surgery teams and Our outstanding group of Volunteers are preparing to welcome our high risk patients in Horsham back to Bohunt School

20/02/2025

Dear Patients
We have 2 cervical screening appointments for this evening in our extended access appointments.

If you have been contacted for your Cervical Screening please give the surgery a call on 01403 330320 and we can arrange your appointment!

03/02/2025

Dear Patients,

We are sorry to report that we have 2x Doctors off sick today at the surgery today. This means that the surgery will have a very limited number of same day appointments today.
❗️You can contact NHS 111 for advice.
❗️You can attend the Urgernt Treatment Centre if you feel you need to be seen today.
❗️You can also attend your local pharmacy and be seen by a pharmacist for the following conditions - please note you will be directed to the pharmacy for these conditions.
Ear Infection -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 (UTI) -Women 16-64 years
Please be kind to our reception staff as they look to support our patients.

You will be signposted to alternative services once the surgery is at capacity or if you condition is able to be managed by an alternive NHS service.

The surgery is under significiant pressure today, which is likely to have a knock on effect throughout the course of the week.

Please be kind to our staff, who as always, will work hard to support you.

Thank you for your understanding.

20/01/2025

Dear Patients,

We are sorry to report that we have 3x GP sickness at the surgery today. This means that the surgery will have a very limited number of appointments today.

❗️You can contact NHS 111 for advice.

❗️You can attend the Urgernt Treatment Centre if you feel you need to be seen today.

❗️You can also attend your local pharmacy and be seen by a pharmacist for the following conditions - please note you will be directed to the pharmacy for these conditions.

Ear Infection -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 (UTI) -Women 16-64 years

Please be kind to our reception staff as they look to support our patients.

Thank you for your understanding.

16/01/2025

https://www.facebook.com/share/1DWQo8f8bB/

Bowel cancer screening can detect cancer early, which may mean it’s easier to treat.

Now, the NHS is starting to roll out home-testing kits to people aged 50 to 53 as the bowel cancer screening programme expands. People will automatically be sent a kit when they become eligible.

ℹ️ Find out more: https://www.england.nhs.uk/2025/01/nhs-rolls-out-lifesaving-home-testing-for-bowel-cancer-to-over-50s/