Flu Vaccinations 2023/24

Flu Vaccinations for Over 65yrs

Appointments are now available from 16th September onwards. Appointments can be booked online or by contacting the surgery (after 10am when the lines are not as busy).

Flu Vaccinations for Under 65yrs

We are expecting our Flu Vaccinations week commencing – to be confirmed

Appointments for eligible patients can be booked online or by contacting the surgery (after 10am when the lines are not as busy). 

Eligibility – those aged six months to under 65 years in clinical risk groups / pregnant women / those in long-stay residential care homes / carers /  close contacts of immunocompromised individuals.  If you are unsure if you meet any of these criteria, please do not hesitate to speak to a member of staff for further information.

Children’s Nasal Flu

Children aged 2 & 3yrs are eligible for the Nasal Flu to be administered at the Practice. Appointments for these will start week commencing 18th September. Please contact the surgery to arrange an appointment.


Newsletters from Local Services

Eden Carers

CUMBRIA COUNTY COUNCIL – Cost of Living Leaflet

CUMBRIA COUNTY COUNCIL – Winter Advice for Families with Babies

Local groups and also sessions currently available through the Living Well Service

Visiting the Practice

April 2023 – you are no longer required to wear a face mask when visiting the Medical Practice, unless this is your preference – excluding if you have acute respiratory symptoms or to see specific clinical staff. This requirement would be discussed with you if a face to face appointment was being arranged.

For the safety of the staff team, if you do have acute respiratory symptoms, please do not visit the practice and contact us via alternative options. Thank you for your support and understanding.

June 2022 update – You must continue to wear face masks and follow social distancing measures in this practice.
Thank you for keeping our staff and other patients safe from infectious diseases.

From the 19th July we will continue with current Health and Safety measures at the Practice. Please ensure you are aware of requirements whilst visiting the practice to protect both staff and patients. Thank you

COVID-19, including vaccination information

COVID-19 Spring 2023 booster

Please see the patient information below, which details who is eligible for this vaccination.

We will commence vaccinating the Care Home patients and currently look to commence vaccinating the additional cohorts from w/c 17th April 2023. We will invite eligible patients, if you have not heard from the practice by the end of April and have reviewed the eligibility criteria, please contact the practice to discuss further.

Spring Boosters March 2022

The current Government announcement for the Spring Booster Campaign is for those aged 75years and over and those aged 12years and over with a weakened immune system.

As part of the Eden Primary Care Network, the practices including ourselves has taken the decision it will concentrate on delivery of the Spring Booster vaccine to all care home patients and housebound this time round returning in the Autumn to deliver flu and Covid boosters.

This has been a difficult decision to make however teams across the practices are currently depleted due to a rise in Covid infection and therefore it is important we continue to operate at a level that ensures we meet your medical needs. The team at Newton Rigg campus have assured us that they will support delivery of the vaccine to the remaining cohort – website link below. You are advised to wait 6 months after your previous vaccination to get maximum protection from the spring booster.

A guide to the Spring Booster – Gov.uk

The Coronavirus Guide to who can get a vaccine – NHS

NHS Book or manage a coronavirus vaccination.

Covid Vaccination update – December 2021 – Following the Government’s recent updates around covid boosters the CCG has updated the vaccination information page on their website:

Covid Vaccination update – September 2021

Each practice within our Primary Care Network will work with their own patient groups to deliver this vaccination programme, supported by the primary care network team alongside running their individual practices. Appointments will be either be at the vaccination centre next to Penrith Hospital or at your own practice, you will be advised of where to come when you are invited.

You may find that a friend, neighbour or relative is invited in before or after you because you are registered at different practices or have different health needs (which you may not be aware of) this is due to the very different size of practices across our PCN, staff availability at each practice and availability of vaccine and we are often given short notice of delivery dates.

Practices are currently working out their individual vaccination programmes, please bear with them whilst they undertake this work but be assured, they will commence sending out invites very soon.

We have provided some general information, below. 

General Practice is going to be running four vaccination programmes over the next three months

·         Covid vaccination – 12 – 15 Year olds (At risk) 

·         Covid third primary vaccination – Immunuosuppressed

·         Covid vaccination – Cohorts 1- 9 Boosters – All over 50’s or with underlying health conditions

·         Influenza vaccinations –  Eligible adults

Patients will be invited by the practice either by SMS message/letter or telephone to book into the correct clinic.  

It is very important that you wait to be invited and do not phone the practices. Following the announcement on Tuesday the practices have been inundated with queries meaning that patients who need medical assistance or advice cannot get through.  Practices will contact you in stages, please wait to be contacted.

For more information please see the JCVI statement  

Cumbria CCG Patient Covid-19 information leaflets

Covid vaccination – 12 – 15 Year olds (At risk)

All at risk 12 – 15 year olds have received an invite from their practice with regards to the covid vaccination

All healthy 12 – 15 year olds will be vaccinated via the school nurse programme

Covid third vaccination – Immunuosuppressed

Patients will start to receive invites from practices soon. The criteria is quite strict and practices also need to work with hospital consultants with regards to when some patients should be vaccinated.

Covid vaccination – Boosters

Cohorts 1 – 9 from the primary covid vaccination groups earlier in the year will be invited for a booster vaccination. Please click here for a reminder of the groups

COVID vaccination certification

We are unable to issue this certificate at the practice.

Please see the Gov.uk website for further information.

Proof of your vaccination status will be available on the NHS app, which is also valuable for accessing your health records and ordering repeat prescriptions.

The NHS app can be downloaded from here for iPhone or here for android.  

Alternatively, you can call the NHS helpline on 119 (from 17 May) 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.

COVID Vaccination – The first phase of the NHS COVID-19 vaccination programme has started.  When it is the right time patients will receive an invitation to come forward.  This letter will include all the information you will need to book appointments, including your NHS number.  Please do not contact the NHS to get an appointment until you get this letter.

Please find the links to the COVID-19 patient guidance leaflets

A Guide for Older Adults

A guide for Healthcare workers

A guide for Social Care staff

What to expect after the vaccination

Why am I being asked to wait for the vaccination?

Please find detailed the patient FAQ

Please find a link to NHS England’s FAQ regarding the second vaccination dose https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2021/03/C1200-COVID-19-vaccination-programme-FAQs-on-second-dose.pdf

Please also see the Practice page on support for Post Viral Fatigue -COVID-19 https://www.applebymedicalpractice.co.uk/self-care/post-viral-fatigue-covid19/ or Mental Health support during COVID-19 – https://www.applebymedicalpractice.co.uk/clinics-services/mental-health-and-anxiety/

Important Information to keep you safe while isolating at home leaflet – link to printable version

COVID Self Care Forum fact sheets

COVID-19 Principle Trial

COVID-19 has affected the lives of everybody within the UK and the rest of the world. Finding safe and effective treatments has been the drive of researchers at the University of Oxford and right now, you have an opportunity to help. PRINCIPLE is a national priority trial to find treatments for COVID-19. We are looking for volunteers aged 65 or over, OR aged between 50 and 64 with an underlying health condition.

To be eligible to take part, you must be unwell with Covid-19 symptoms, and have had them for less than 14 days. No face to face visits are needed.

Please help us fight COVID-19 by visiting our website www.principletrial.org

Bank Holidays 2023

Appleby Medical Practice plans to be closed on the national Bank Holidays.

New Year’s Day – Mon, 02nd January

Good Friday – Fri 07th April

Easter Monday – Mon 10th April

May Bank Holiday –  Mon, 01st May

Coronation Day – Mon, 08th May

Spring Bank Holiday – Mon, 29th May

Summer Bank Holiday – Mon, 28th August

Boxing Day – Tue, 26th December

Christmas Day – Mon, 25th December

Please contact NHS 111 for medical assistance or for immediate, life threatening emergencies call 999.

Extended Opening Hours

Cumbria Health on Call (CHoC) are working our practice to provide Extended Access appointments (CHEA) at The Outpatients Department, Penrith Hospital. These appointments are available on evenings and weekends with a wide range of health care professionals.

For more information, please speak to a member of staff.

Current Extended Hours / Access available

Summary Care Records


Your Summary Care Record is a short summary of your GP medical records. It tells other health and care staff who care for you about the medicines you take and your allergies.  

This means they can give you better care if you need health care away from your usual doctor’s surgery:
•in an emergency
•when you’re on holiday
•when your surgery is closed
•at out-patient clinics
•when you visit a pharmacy

Ask your doctor to include additional information on your SCR

You can add more information to your SCR by asking your doctor. They can add extra details from your medical notes, including:
•health problems like dementia or diabetes
•details of your carer
•your treatment preferences
•communication needs, for example if you have hearing difficulties or need an interpreter

This will help medical staff care for you properly, and respect your choices, when you need care away from your GP surgery. This is because having more information on your SCR means they will have a better understanding of your needs and preferences.

When you are treated away from your usual doctor’s surgery, the health care staff there can’t see your GP medical records. Looking at your SCR can speed up your care and make sure you are given the right medicines and treatment.

Protecting your SCR information

Staff will ask your permission to look at your SCR (except in an emergency where you are unconscious, for example) and only staff with the right levels of security clearance can access the system, so your information is secure. You can ask an organisation to show you a record of who has looked at your SCR – this is called a Subject Access Request.

Opting out

SCRs improve care, but if you don’t want to have one you can opt out. Tell your GP or fill in an SCR opt-out form and give it to your GP practice.