Engage Consult


Engage Consult



Dear patients,


General practice is in crisis. Although often an overused word, this is currently an accurate description.


We write to raise very important issues and to ask you to work with us, your general practices, to help you and all your family, friends, neighbours and work colleagues to be able to appropriately access healthcare.


General practice remains the bedrock of the NHS as an effective, cost efficient health service. Ninety per cent of healthcare starts and finishes in general practice.


Prior to the pandemic general practice had significantly declined due to decades of underinvestment by consecutive governments. This meant that when the pandemic started there was less resilience than there should have been.


During the pandemic general practices rapidly changed how we delivered services to keep patients, their family and carers, and our staff safe, whilst continuing to provide a service without ever pausing.


During the past year practices have seen a significant increase in workload. Recent figures show that in March 2021[1] general practices in England provided over 28.5million appointments. This was 5 million more appointments than in February 2021, and 2.3 million more appointments than pre-pandemic times in March 2019. In Leicester, Leicestershire and Rutland the number of GP appointments since before the pandemic had increased by 54 thousand (10%) appointments per month[2].


This is at a time when there has been an ongoing significant decrease in the number of GPs and practices. The number of GP partners in England has fallen by 22 %[3].


The number of practices also continues to fall. 98 practices closed last year, meaning 263 thousand patients had to find a new practice. In the past 8 years 778 (10%) practices have closed, with 2.5million patients having to find a new practice.[4] This has been mainly due to financial instability and inability to recruit new GPs to replace those retiring.


On top of trying to cope with this increase in demand and reduction in resources, general practice has been the core of the highly successful Covid Vaccination Programme, delivering the majority of doses.


During the pandemic general practices have been falsely accused of not pulling their weight, and being ‘closed for business.’ As you can see the truth is far from this. But constant negative comments have resulted in more patients complaining about their practices and our colleagues and staff being demoralised.


When hospitals had to close whole departments, general practices were left to support those patients with complex chronic conditions. The huge backlog means that general practice will remain busy for the foreseeable future. As hospital departments restart their outpatient clinics these are often done remotely, and they frequently expect general practice to pick up their work (for example arranging blood tests and scans, prescribing medication, arranging follow up, issuing sick notes) in addition to our own workload. This further reduces general practices’ ability to help our patients.


The government is forcing through changes to general practice which we do not believe is in the interest of our practices or the majority of patients. One of these is the requirement for practices to implement digital/online services. This makes it much easier for younger IT savvy people to place ever increasing demands for advice and help about minor, self-limiting, conditions often as soon as they have started. This means that practices will have less and less time to provide services to those patients who do not have access to, or cannot use, IT but are more likely to be suffering from significant illness. The outcome will be an increase in health inequalities.


The ever-increasing workload, false negative comments, and underinvestment is having a significant effect on our colleagues with 20% more GPs presenting to mental health services during the pandemic compared with the year before.[5] The BMA report that over a third of GPs are considering early retirement in the next 12 months and 22% are planning to leave the NHS[6].


So what are we asking you, our patients, to do?


Be respectful and kind. Please respect that general practitioners and our staff are working harder than ever to provide healthcare. Being abusive and rude will not get you seen quicker or improve your outcome.


Be self-sufficient. If you or your child have a minor rash, signs of a cold, or other minor symptoms, do not think GP first. Try home remedies, look for advice from www.nhs.uk, or ask for help from a pharmacist. Only seek an appointment if you have serious symptoms, or advised to by a pharmacist.


Be prepared. Keep simple remedies including paracetamol or ibuprofen at home. Order your repeat medications well in advance. Think about signing up to the NHS App or other App provided through your practice.


Be thoughtful. Practices are receiving a massive increase in complaints. Each complaint takes staff away from patient care to respond to. Before complaining, think whether it is appropriate. Is it due to an error or mistake which practices should know about to change or improve their services, or is it relating to the significant reduction in the current capacity to provide services by practices or hospitals and therefore no change is possible?


Be Covid aware. If you develop a new cough, high temperature or loss of taste or smell, it could be Covid. Do not contact your GP unless you have done a Covid test first. Do not attend at the surgery, as this could cause an outbreak, infect vulnerable patients or staff, and lead to the practice having to close all their services for a deep clean.


Be patient. All health services have been significantly affected by the pandemic with huge backlogs. Your GP cannot change this. Do not expect your GP to get an appointment or investigation brought forward unless there has been a significant change in your condition. You can only be moved up the list by making another patient wait longer.


Be cancer aware. We are concerned that the number of patients presenting with symptoms of possible cancer or other significant illnesses has reduced during the pandemic. If you or someone you know have worrying symptoms, then please do not delay but make an appointment as soon as possible. See https://www.nhs.uk/conditions/cancer/symptoms/


We send our sincere sympathies to everyone who has been affected by the pandemic. GPs and our staff have also been affected. Too many of our colleagues, family members, friends and patients who we have known for many years, have died or otherwise suffered.


We hope that this letter has helped to explain the pressures that general practice is under, why we cannot provide the level of service that you would like to receive and practices would like to provide. Please consider how you can help to protect services and ensure they are targeted towards patients with the greatest need.


Yours faithfully


General Practitioners and Staff in Leicester, Leicestershire and Rutland

[1] https://digital.nhs.uk/data-and-information/publications/statistical/appointments-in-general-practice/march-2021

[2] The number of appointments in LLR was 597,181, compared with 543,404 in March 2019.

[3] https://digital.nhs.uk/data-and-information/publications/statistical/general-and-personal-medical-services/31-march-2021 Fall of GP Partners from 21,688 in 2015 to 17,003 in 2021

[4] https://www.pulsetoday.co.uk/almost-800-gp-practices-have-shut-over-the-past-eight-years/

[5] https://www.pulsetoday.co.uk/news/workload/gerada-22-more-gps-presenting-to-burnout-service-than-pre-covid

[6] https://www.bma.org.uk/advice-and-support/covid-19/what-the-bma-is-doing/covid-19-bma-actions-and-policy/covid-19-analysing-the-impact-of-coronavirus-on-doctors)



 COVID vaccination certification.

We are unable to issue this certificate at the practice.

Please see https://www.gov.uk/guidance/demonstrating-your-covid-19-vaccination-status-when-travelling-abroad for further information.

Proof of your vaccination status will be available on the NHSapp, (which is also valuable for accessing your health records and ordering repeat prescriptions)

The NHSapp can be downloaded from https://apps.apple.com/gb/app/nhs-app/id1388411277 for iPhone, or https://play.google.com/store/apps/details?id=com.nhs.online.nhsonline for android.

Alternatively you can call the NHS helpline on 119 and ask for a letter to be posted to you. This must be at least 5 days after you’ve completed your course of the vaccine, the letter may to take up to 5 days to reach you.

Thank you

Coronavirus Advice For Patients

new information leaflet provides advice for patients with suspected coronavirus who have not been admitted to hospital and will be isolating at home.

Fix Your Bike Scheme

Fix Your Bike Scheme

The Fix your Bike Voucher Scheme has been set up to encourage more people to embrace cycling, boost the number of commuting and leisure trips, and promote an alternative to public transport, while social distancing measures are in place.

It also aims to help reduce the number of short journeys made by private cars.

As we understand it individuals apply for the voucher directly from the Government themselves, rather than via their GP; details of eligibility and how to apply can be found on the GOV.UK website here: https://www.gov.uk/guidance/fix-your-bike-voucher-scheme-apply-for-a-voucher


How the scheme works

1. Find a Fix your Bike Voucher Scheme-registered bike mechanic to repair your bike using Energy Saving Trust’s map of participating bike shops and mechanics.

2. Apply for a £50 voucher on the Energy Saving Trust website when vouchers become available.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

3. Bring your bike in to your chosen repairer to be fixed, using the voucher to cover up to £50 of the total cost of the repairs needed.

4. Enjoy cycling again







  •  Patients who are self isolating can order their prescriptions via our surgery email  This email address is being protected from spambots. You need JavaScript enabled to view it.. Please nominate a pharmacy for us to send your prescription to.
  • Vulnerable patients and those patients over 70 years of age will be able to order their prescription over the telephone.


Important information about the coronavirus (COVID-19)

The NHS in Leicestershire and Public Health England (PHE) are extremely well prepared for outbreaks of new infectious diseases. The NHS has put in place measures to ensure the safety of all patients and NHS staff while also ensuring services are available to the public as normal.

The latest information on symptoms of Coronovirus infection and areas where recent travel may have resulted in a high risk of exposure can be found on nhs.uk/conditions/coronavirus-covid-19/

NHS 111 has an online coronavirus service that can tell you if you need medical help and advise you what to do.

Use this service if:

  • you think you might have coronavirus;
  • in the last 14 days you've been to a country or area with a high risk of coronavirus;
  • you've been in close contact with someone with coronavirus.

Do not go to a GP surgery, community pharmacy or hospital. Call 111, stay indoors and avoid close contact with other people.

Like the common cold, coronavirus infection usually occurs through close contact with a person with novel coronavirus via cough and sneezes or hand contact. A person can also be infected by touching contaminated surfaces if they do not wash their hands.

Testing of suspected coronavirus cases is carried out in line with strict regulations. This means that suspected cases are kept in isolation, away from public areas of the hospital and returned home also in isolation. Any equipment that come into contact with suspected cases are thoroughly cleaned as appropriate. Specific guidance has also been shared with NHS staff to help safeguard them and others. Patients can be reassured that their safety is a top priority, and are encouraged to attend all appointments as usual.

Everyone is being reminded to follow Public Health England advice to:

  • Always carry tissues with you and use them to catch your cough or sneeze. Then bin the tissue, and wash your hands, or use a sanitiser gel.
  • Wash your hands often with soap and water, especially after using public transport. Use a sanitiser gel if soap and water are not available.
  • Avoid touching your eyes, nose and mouth with unwashed hands.

Avoid close contact with people who are unwell.

Travel Vaccinations

We require 6 weeks’ notice to administer travel vaccinations.

If you are travelling within

6 weeks you will need to obtain your vaccines via an alternative provider.

(please speak to reception for details of local travel vaccination providers)



Flu Vaccinations are available at the surgery.

Flu vaccination is available every year on the NHS to help protect adults and children at risk of flu and its complications.

The flu vaccine is available at the surgery for :

  • If you are 65 years of age or over
  • Pregnant women
  • People with chronic diseases
  • Chlidren aged 2-3
  • Carers 

Frontline health and social care workers are also eligible to receive the flu vaccine. It is your employer's responsibility to arrange and pay for this vaccine.


For further information regarding eligibility, or to book your appointment pop in and speak to reception or call us on 0116 2866088






WIFI at the surgery

Free NHS WIFI now available at Enderby Medical Centre.

Please see the attached leaflet for how to connect.


How healthy is your heart?

How healthy is your heart?

Take the NHS Heart Age Test Below.

• It tells you your heart age compared to your real age

• It explains why it's important to know your blood pressure and cholesterol numbers

• It also gives advice on how to reduce your heart age


Go on, give it a go!



Are you a carer?


Do you help to look after someone?

A carer is someone who spends time providing emotional and practical support to a loved one, family member or friend due to a disability, a physical or mental health condition, or because they are elderly or frail. If you care for someone under these circumstances, there is help available for you.

  1. The Practice can offer you information about support services.
  2. We can also offer a carer’s needs assessment to give you the opportunity to discuss additional support, services and your needs as a carer.

If you are a carer and would like more information, please inform your clinician or reception and we will send you details.

Antibiotic Awareness

Misuse of antibiotics puts us all at risk


Taking antibiotics when you don't need them speeds up antibiotic resistance.

Antibiotic resistant infections are more complex and harder to treat.

They can affect anyone, of any age, in any country.

Think twice. Seek advice.

Antibiotics aren't always the answer. Always seek the advice of a healthcare

professional before taking antibiotics.

Our time with antibiotics is running out.

Antibiotics are in danger of losing their effectiveness due to misuse and 

overuse, and in many cases they aren't even needed.

The rise of antibiotic resistance is leading to untreatable infections which can

affect anyone. Without  urgent action we are once again heading for a future in

which  minor injuries or infections could once again kill !

 Antibiotics are a precious resource, so it is important to get the right advice before taking them. This not only ensures you and your family get the best treatment, responsible use of antibiotics will also help reduce the threat of antibiotic resistance

Medications no longer available on prescription

East Leicestershire and Rutland CCG no longer supports the prescribing of some preparations
for short term use. Please see the attached leaflet for more information.

Enderby Medical Centre becomes the first Dementia Friendly Surgery

Enderby Medical Centre has become a supporter of the Blaby District Dementia Action Alliance, which aims to create a district with dementia friendly residents and buildings. 

Please see the attached News Release from Blaby District Council.

News Release

Gluten free Products Available on Prescription

Changes to Gluten Free Products available on prescription.

For more information please see the following two leaflets. leaflet. Leaflet2


About the changes
The prescribing of gluten-free products for patients diagnosed with Coeliac Disease and Dermatitis Herpetiformis is changing.
These changes are happening because it is easier than ever to eat a healthy and balanced diet without relying completely on gluten-free substitutes for wheat-based products such as biscuits and pasta.
There is a large range of gluten-free products available from supermarkets and online. Over the past few years these products have reduced in price.
With this in mind, we have looked at how we prescribe gluten-free products so that we can ensure we continue to use our resources fairly.
What does this mean for you?
If you have been diagnosed with Coeliac Disease and/or Dermatitis Herpetiformis, you will now be able to have up to 8 units per month of gluten-free bread and flour on prescription.
There is a selection of gluten-free bread and flour which is also wheat-free, lactose-free and milk-free available on prescription for those who have multiple intolerances.
The prescribing of pasta, pizza bases, cereal crisp breads, cakes and biscuits is no longer recommended as these foods are now available from supermarkets at a similar cost to their gluten-containing equivalents.
Find out more...
For further information about the changes to the prescribing of gluten-free products and how we worked with patients to make these changes, please ask your GP practice for the “Frequently Asked Questions and Answers” sheet or visit the East Leicestershire and Rutland Clinical Commissioning Group website.
To find out more about Coeliac Disease and how to manage symptoms, please visit NHS Choices web pages.
There is a lot of information on the Coeliac UK website that you can access if you want advice about your diet, including:
• Information about eating out
• Gluten-free food on a budget
• Shopping and food labels
• Gluten-free checklist
If you require specific advice, please ask your GP if you can be referred to a dietician.

Want to give up smoking?


03 January 2017

QuitReady here to help if you are ready to quit smoking

Over the past 12 months, around 3,000 people have given up smoking in Leicestershire. 

Now, from today (Jan 3), the county council’s new Quit Ready service is up-and-running for people who want to add their name to the welcome statistic.

Quit Ready Leicestershire offers free and confidential text, phone and web chat advice and, for more details, visit
www.quitready.co.uk or call 0345 646 66 66.

Councillor Ernie White, the county council’s cabinet member for health, said: “Quitting smoking is often the single, most effective way of improving health and preventing illness, which are our key priorities. Our smoking rates are lower than the national average which is encouraging news, but we’d like to further reduce the figure.”

Advisors from Quit Ready Leicestershire will be in touch - via telephone, text message, web chat or email - to offer support on a weekly basis during the 12-week programme to ensure people have the best possible chance of staying smoke-free. The service runs from Mondays to Fridays (9am to 7pm) and on Saturdays (10am-2pm).

Quit Ready service manager Zaheera Chatra said: “The new year is the most popular time for people to quit smoking. Around half a million people will attempt it, and evidence shows they are four times more likely to stop smoking through support and pharmacotherapy.

"There is also a lot of evidence that, within a very short period of time, people quitting smoking start to notice improvements such as improving senses of taste and smell, easier breathing and more energy."

The new service also acknowledges the significant increase in the use of e-cigarettes,which the service doesn’t provide, but behavioural support is on offer to people who use e-cigarettes.

People can also self-refer using the online contact form found on the website and the service is particularly keen to support women who are pregnant, or people who have other health problems


Frequently Asked Questions

We hope you can find the information you need on this website.  We have also put together the Frequently Asked Questions section to assist visitors to our site.

Our new website!

Welcome to our new website!

We hope you find it informative and useful.  Please add it to your favourites or bookmark it.

On the go?  It works well on smartphones and tablets too!

We welcome your feedback, please use the form on the Contact page.



Enderby Medical Centre

Shortridge Lane
LE19 4LY

Tel:  0116 286 6088

Email: enderby.mc@nhs.net




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