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Latest News

Active Signposting

Active Signposting is one of the ten NHS England High Impact Actions that practices can take to free up GP time. Active Signposting is designed to connect patients more directly with the most appropriate source of help or advice; this may include services in the community as well as within the Practice. 

All of the reception/admin team here at The Grange Group Practice have undergone both online and face-to-face training commissioned by our Clinical Commissioning Group (Greater Huddersfield CCG) in order to go live with Active Signposting within our Practice on 19th March 2018.

Active Signposting will offer the patient ‘choice’ to access the service that is most appropriate for them. Reception staff will not ‘triage’ patients; instead they will be able to connect the patient more directly with the most appropriate professional or service in our area.  Reception staff will not make clinical decisions but when a patient presents with symptoms that could be dealt with by a pharmacist, optician or a social prescribing service they will confidently offer these alternatives.

This new initiative gives patients more control over their own care because it offers them the choice of a service that better suits their health and wellbeing needs. Active Signposting also improves access for patients who do need to see a GP, as patients who do not necessarily need to see a GP are directed to a more appropriate service. 

Active Signposting aims to change the assumption that GPs are the first point of care for patients – this benefits patients by improving outcomes and creating a better experience, which in turn improves job satisfaction for our hardworking and dedicated reception/admin staff.

7th March 2018


Dear Patients


It is with some excitement and a little sadness that I am announcing my retirement as from the end of March 2018.


I would like to take this opportunity to wish you all the very best in the future.


Yours sincerely



H Cheema



Dr H Cheema



Choose well and help ease the pressure on NHS services this winter


With unprecedented numbers of people accessing hospital services at this busy time, the local NHS is urging everyone to make the best use of other health services and choose the right one for their illness or injury.


Dr Steve Ollerton, local GP and Clinical Leader of NHS Greater Huddersfield CCG said:

“Winter is always a busy time for the NHS, so we’re asking people to use services appropriately and remember that most medical conditions do not need emergency care. Each year, millions of people visit A&E with self-treatable conditions such as colds, flu and stomach bugs, putting the NHS under unnecessary strain. This means less time for people with life threatening conditions who vitally need emergency care.”


Dr David Kelly, Chair of NHS North Kirklees CCG added:

“There are many different ways that people can help themselves to get the right treatment this winter. When people use health services appropriately, it means that the ambulance service and A&E departments are then able to deal with serious conditions more quickly and effectively. Please think twice before visiting A&E or dialling 999 and consider whether one of the following routes would be better suited to your needs.”



Coughs, colds, sore throats and other minor ailment can be treated at home with a well-stocked medicine cabinet that includes pain relief medication, cold relief products and a thermometer to check for fever. If you’re unfortunate enough to catch the winter vomiting bug, ‘Norovirus’, this can also be treated at home, helping to reduce the risk of it spreading to others too. You’ll need to drink plenty of fluids, take paracetamol for any fever or aches and pains, eat plain foods (if you feel like eating) and get plenty of rest.

Winter ailments and stomach bugs usually clear up by themselves in a few days but you should seek medical help if your symptoms are continuing to get worse.

For information and advice about Norovirus, and hundreds of other health conditions, take a look at NHS Choices, the UK's biggest health website:


Visit your local pharmacy

Your local pharmacist can offer expert advice on common illnesses and the best medicines to treat them. At the first sign of a cough or a cold, it’s a good idea to get help from your pharmacist before it gets more serious. This is particularly important for people with long-term health conditions because cold weather can make some health problems far worse. There’s more information about how your pharmacist can help here: and some of the ailments your pharmacist can help with here:


GP appointments

Your local GP surgery will be offering more urgent appointments at this time of year and don’t forget ‘out of hours’ GP appointments are available, if necessary, via 111. To find out more visit: or

GPs are best used if you become ill when you have a complex medical condition, if you are frail or elderly or if you are taking lots of medications. Please don’t use GPs for simple coughs and colds.


Dewsbury walk in centre

The North Kirklees walk in centre is based in the emergency department of Dewsbury and District Hospital and is open Monday to Friday from 9am to 8pm and Saturdays, Sundays and Bank Holidays from 10am to 6pm. Staff at the centre can provide health support and advice to anyone who comes through the door.


NHS 111

NHS 111 is available 24 hours a day, 365 days a year and calls are free from landlines and mobile phones. Call 111 if you need medical help fast but it's not a 999 emergency. A trained advisor, supported by healthcare professionals, will ask you a series of questions to assess your symptoms. They will help you access the local service that can help you best, which could be an out-of-hours appointment with a local GP. More information at:


Accident and Emergency (A&E) and 999

People should only use A&E or dial 999 in critical or life-threatening situations that require immediate medical attention, such as loss of consciousness, acute confused state and fits that are not stopping, severe chest pain, breathing difficulties, bleeding that cannot be stopped, severe allergic reactions or severe burns or scalds. There’s more information about A&E services here:

In the case of suspected heart attack or stroke call 999 immediately. Every second counts with these conditions.


Making the right choice about which health service to choose benefits patients who get the appropriate level of care they need, when they need it. It also benefits healthcare professional in making sure people receive the right care, particularly at this time of year when demand on emergency services increases dramatically.


Please let us know if you are currently serving, served in the armed forces or are a military veteran so we can add you to our military veterans register.  The reason we have a military veterans register is because if you suffer from a medical problem which has arisen from your time in the armed forces then you are entitled to priority access to NHS care - community, GP and hospital.

Average Waiting Times Down

We are continuing to monitor waiting times at our practice.  The average waiting time has gone down again.  Please see below for details of the previous couple of months:

-  March - 6.4 minutes

Recent Missed Appointment Data

March 2017 - 350 appointments which equals 144 hours.

Coil and Implant Fitting and Removal

We are able to offer coil and implant fitting and removal.  Please contact the surgery on 01484 428282 to book a telephone consultation with either Dr Tayyab (who does coil and implant fitting and removal) or Jane Grieve (implant fitting and removal only). 

Sexual Health Clinic at The Grange Group Practice

We now offer a sexual health clinic at our practice.  Our specialist nurses can screen for STIs and offer advice regarding sexual health.  Appointments available via reception.

Understanding our "Speak List"

If our clinics are fully booked, we offer same day telephone consultations for urgent requests.

Click here to find out more about our speak list.

Update to our Did Not Attend (DNA) Policy

We are continuously working to improve access to appointments at The Grange Group Practice.  Changes to the DNA Policy have been made in agreement with our Patient Group and will come into effect on 1st December 2015.

-  patients who miss 2 appointments in a 12 month rolling period are sent a warning letter and added to a register or list.

-  if a patient misses 3 appointments in a 12 month rolling period, The Grange Group Practice reserves the right to remove that patient from the list.

We hope this will improve access to appointments for all our patients.  Please feel free to give us your feedback.

CQC Inspection Rating - GOOD

Our services were inspected by the Care Quality Commission (CQC) on 19th August 2015.  We are very pleased to announce we were given a "GOOD" rating.

Read an overview of our inspection here

Click Here to read the full CQC report

Meningitis B Vaccination Programme

Message from Department of Health

The Meningococcal B vaccination programme should aim to protect infants before they reach five months of age because this is when the risk is greatest. The vaccine is first offered to children from 2 months of age.

MenB immunisation was introduced from 1 September for those babies who are due to receive their primary immunisations starting at 2 months of age on or after 1 September 2015 (i.e. those born on or after 1 July 2015), with a one-off catch-up programme for those infants born from 1 May 2015 to 30 June 2015.

When any new immunisation programme is introduced, there has to be a cut-off date to determine eligibility. We recognise that parents of babies who narrowly fall on the wrong side of the cut-off date will naturally feel disappointed at this, but there is no other way of realistically starting new programmes.

GPs should not charge their own patients a private fee for the vaccine.

Parents seeking the vaccine privately will be liable for the full cost of the vaccine and any additional administration charges.  We do not hold any information about local private vaccination providers.

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