An exciting new opportunity has arisen at Bloxham & Hook Norton Surgeries for a Paramedic to join our excellent, friendly, supportive clinical team.

We are looking for an enthusiastic, committed, self-motivated Paramedic to help us care for our 8100 patients in rural North Oxfordshire, covering both our main surgery at Bloxham and our branch surgery at Hook Norton.

We belong to North Oxfordshire Rural Alliance (NORA) Primary Care Network, comprising of 5 general practices. We have recently been approved as a GP training practice with an ST2 registrar joining us in February 2022. We also train both GP & Nurse Oxford Students.

We have 1 private nursing home for whom we provide care, which is located on our shared driveway providing 1 outreach clinic per week.



Educated to degree/diploma level in paramedicine or equivalent experience

Registered with the HCPC

Completed 2 year ‘consolidation of training’ as a ‘newly qualified paramedical’

Have a further 3 years’ experience as a band 6 (or equivalent)

Be working towards level 7 capability in paramedic areas of practice

Have completed and been signed off formally within clinical pillar competencies of the Advanced Clinical Practice Framework

Independent prescribing would be an advantage


Key responsibilities

Assessment and triage of patients presenting with acute, urgent, same day or minor illness requests

Arrangement of appropriate investigations, e.g. blood tests, urine/stool samples, ECGs, radiology requests and interpretation of results

Appropriate management including self-management, social prescribing, prescribing, care planning, referral to secondary care

Effective communications with patients, carers, colleagues, and all members of the Multidisciplinary Team

Maintain accurate and contemporaneous medical records

Work within local and national guidelines, local care pathways, policies, and patient group directives


Full time and Part time will be considered.


Closing date for applications is Friday 17th December 2021. Please send your CV with a covering letter to with the subject header Paramedic Vacancy.


COVID-19 Vaccination Data

If you believe you have missing or incorrect COVID-19 vaccination data on your NHS app or on your GP record, please call 119 and ask the agent to make a referral to the Vaccine Data Resolution Service (VDRS). The service has been set up to resolve missing or incorrect vaccination records for people vaccinated in England who have a current NHS number and are registered with a GP practice in England. The VDRS team will call you back within five working days to discuss your records. However, please note 119 and VDRS call agents do not provide clinical advice and cannot help at this time with queries related to vaccinations received overseas.

If your query relates to personal information which is incorrect on the patient record (e.g. name, address), please email/call the practice and will be happy to help.

Blood Bottle National Shortage

National blood bottle shortage:


A supplier to the NHS has advised us of a global shortage of some equipment used for taking blood tests.


Anyone who needs a test for urgent health problems, will still get one but where your clinician recommends that it’s safe to do so, then you may be asked to come back for a test at a later date, or your appointment may be rescheduled.


Given the nature of the shortage, we cannot give an exact date for when the test will be rescheduled, but please be assured that if your condition or symptoms require it, then you will get a test, and we will be re-booking your test when supplies become more easily



If your condition or symptoms change or get worse, please contact the NHS as you would normally.


We will inform you of any further updates we receive.


PLEASE NOTE: Blood tests already booked in will still take place. Please do not phone reception to query this.  


Practice Update Letter July 2021

First Contact Physio

First Contact Physio

You can now speak to specialist Physiotherapist Nicki instead of a GP. Booking an initial telephone consultation with First Contact Physio gives you faster access to expert diagnosis along with advice and exercises you need to start tackling the problem. Nicki can also refer you on to hospital services where necessary, order tests and recommend a GP to prescribe pain relief etc.

First Contact Physio will:

  • Assess you and diagnose what’s happening.
  • Give expert advice on how best to manage your condition.
  • Refer you on to specialist services if necessary.
  • First Contact Physiotherapists can deal with any of the following problems:
  • Soft tissue, muscle and joint pain.
  • Strains or sports injuries.
  • Arthritis – any joint.
  • Possible problems with muscles, ligaments, tendons or bone,eg tennis elbow, carpal tunnel syndrome, ankle sprains.
  • Spinal pain including lower back pain, mid-back pain and neck pain.
  • Spinal-related pain in arms or legs, including nerve symptoms, eg pins and needles or numbness.
  • Please speak to the Reception Team to book a telephone triage appointment with our specialist physiotherapist.


Following Instruction from the Clinical Commissioning Group, mask (face covering) wearing will continue to be mandatory in all areas of the Surgery and Dispensary, regardless of the advice on the 19th July 2021. 

Thank you for your continuing support.


Since December, Bloxham and Hook Norton Surgery have been working with four local surgeries as part of a primary care network called ‘North Oxfordshire Rural Alliance’ to deliver vaccines from Chipping Norton Health Centre. With outstanding efforts from staff and volunteers, we have succeeded in delivering over 30,000 vaccines.
We are keen to keep working hard towards vaccinating as many patients as we can, so we have signed up to continue delivering the vaccines to groups 10-12, as well as completing the 2nd doses for those in groups 1-9. On a weekly basis, logistics and guidelines change. Please continue to read the following information regarding some recent updates.
Booking key points:
• For group 1-9 patients, we have been sending text invites and phoning our patients from the surgery. For our group 10-12 patients, the NHS ‘National Booking Service’ will be sending out texts or letters to those eligible.
• If there is appointment availability with us when you receive your text, you may have the opportunity to book into Chipping Norton Health Centre via the National Booking Service.
• Please avoid contacting the surgery about vaccination appointments so that our reception team are available for calls from patients who are unwell.
Pregnant patients:
• There have been no specific safety concerns identified with any brand of Covid-19 vaccines in relation to pregnancy.
• 90,000 pregnant women have been vaccinated with Pfizer and Moderna in the USA without any safety concerns.
• Based on the evidence we have, it is preferable for pregnant women in the UK to be offered the Pfizer or Moderna vaccines where available.
• There is no evidence to suggest that other vaccines are unsafe for pregnant women, but more research is needed.
• Being pregnant by itself does not put you into a ‘priority’ vaccine group. You would only be vaccinated as part of the group 1-9 cohort if you had other particular health conditions that put you into those priority groups.
• Pregnant women who have received a first dose of AstraZeneca and are due to receive their 2nd dose are advised to complete with the same vaccine.
For more information:
COVID-19 vaccination: a guide for all women of childbearing age, pregnant or breastfeeding - GOV.UK (
Combined info sheet and decision aid 16.04.2021 (
AstraZeneca guideline change:
• For details on last week’s change in guidelines for the AstraZeneca vaccine, please read the following:
Use of the AstraZeneca COVID-19 (AZD1222) vaccine: updated JCVI statement, 7 May 2021 - GOV.UK (
• Adults under 40 years old, without underlying health conditions,  who are currently eligible for the vaccine should be preferentially offered an alternative to the AstraZeneca vaccine, where possible, and only where no substantial delay or barrier in access to vaccination would arise.
Second doses of AstraZeneca:
• All those who have received a 1st dose of the AstraZeneca vaccine should continue to be offered a 2nd dose of AstraZeneca vaccine, irrespective of age. The 2nd dose will be important for longer lasting protection against Covid-19.
• The only individuals who should not have a 2nd dose of AstraZeneca are those who have experienced major thrombosis occurring with associated low platelet levels following vaccination with their first Covid-19 vaccine.

NHS Digital Update 20/07/2021

The current NHS Digital (NHSD) extract of GP data for Research purposes (known as the GPDPR) has been delayed due to NHSD wishing to review the way in which this data will be collected, to conduct more public involvement and information about the plans and change the way in which patients can opt out of the extract of their GP data.


Currently the only way to opt out is to complete a Type 1 opt out form and return this to the practice by the 1st September.  However, this extract will not be taken until the NHSD have changed the way it will take the data and respect the patient’s choice for using their data.  NHSD are introducing the following changes to the opt out process which will mean that patients will be able to change their opt-out status at any time::-

  • Patients do not need to register a Type 1 opt-out by 1st September to ensure their GP data will not be uploaded.


  • NHS Digital will create the technical means to allow GP data that has previously been uploaded to the system via the GPDPR collection to be deleted when someone registers a Type 1 opt-out.


  • The plan to retire Type 1 opt-outs will be deferred for at least 12 months while we get the new arrangements up and running and will not be implemented without consultation with the RCGP, the BMA and the National Data Guardian. 

This means that you can opt out at any time in the future and NHSD will delete data that they already have taken for research purposes, the deadline of the 01/09/2020 has been delayed until a new system of opt out is developed.  Hopefully, this will be a simple centralised approach via the NHS app or NHS website to avoid paper form and administration work for your GP.


We will update you when we know more about the NHSD plans to change how you can control who has access to your data.

Over 16 living with immunosuppressed adults

Covid Vaccinations

Over 16 living with immunosuppressed adults.

People aged 16 or over who live with immunosuppressed adults should be prioritised for covid-19 vaccination alongside priority group 6 (people aged 16 to 65 who have a clinical condition that puts them at higher risk).

This would include people living in households with an adult who has a weakened immune system, such as those with blood cancer or HIV, or people on immunosuppressive treatment, including chemotherapy.

Please email the Surgery with your full details:

Do not phone the Surgery regarding this. Thank you


Our wonderful volunteers have agreed to help our patients with collecting and delivering medication.
This service will only be available for our Housebound and shielding patients.
When you phone our Dispensary to order a prescription you can ask for your prescription to be delivered via a volunteer.

Banburyshire Advice Centre support

Banburyshire Advice Centre supports many patients at other surgeries in the Banbury area who need help applying for Blue Badges, benefits and general advice working closely with Social Prescribers. We are also able to issue Food vouchers to those in need.

We are able to provide general advice and Career Advice. However, we cannot provide debt or legal or Tax advice but can refer or signpost onto other agencies. 

The charity is very fortunate in that we can arrange free initial advice for Wills and Power of Attorney for our clients.

We are very happy to support your patients who may need our expertise. A referral is quick and easy.

 You can send an email to this address: with the outline of the problem or contact details and we can do the rest

or you can phone us up and leave a message on 01295 279988

Information for Patients

We would like to reassure all our patients that General Practice is open and here for all who need to use our services.


Throughout the COVID-19 pandemic, our practice has remained open and here for you.


We have simply been doing things differently, with greater emphasis on remote assessments and inviting patients for face-to-face appointments only when necessary. But we have never closed our doors as a service; we have simply been operating in a COVID-safe way.


Although lockdown restrictions are easing it is still important for the safety of patients and staff that we continue to maintain a COVID- secure environment. It is hugely encouraging that the vaccination rollout has been so successful, but infection rates are still concerning and the emergence of new COVID variants poses a risk we cannot ignore. For this reason, the NHS will continue to ask patients and visitors coming to hospitals and GP practices to wear face masks when they enter the building and to socially distance. By taking these simple precautions we can work together to help prevent the further spread of infection among both patients and staff.


We will also continue to assess patients remotely first and will offer face-to-face appointments to those who need them. This will include people with existing medical conditions who need greater support (for example, people with learning difficulties or who may be living with hearing loss), and those who we assess to have a particular need that requires a face-to-face appointment.


Using telephone assessment methods means we can make sure our time is used to help each patient in the best way for their particular health concern. We would like to reassure you that we will always be working hard to put your needs, as patients, first.


Routine screenings, health checks and immunisations all continue to be available at your GP practice.

We are very aware how difficult the pandemic has been for many patients. We also understand that some may be frustrated at having to wait a little longer than usual for certain treatments. Similarly, our telephone lines have been far busier than usual for this time of year, and patients may find themselves on hold for longer while we deal with calls.

We would ask, however, that all patients please treat our staff with kindness and respect. General Practice has been working extremely hard and very long hours, throughout the pandemic and the recent vaccination rollout. This has been a difficult and exhausting time for many of our staff, who continue to work diligently to support all our patients.


We appreciate your patience and understanding in this and would like to thank our patients for their support.


Using NHS services

If you have any concerning or suspicious symptoms, please do not hesitate to contact us. We understand that some of you may have put off contacting your GP because of the COVID situation, for various reasons. But if you have a genuine concern, please get in touch as soon as possible. We want to help you.


For minor complaints, your pharmacy, the NHS111 telephone service or will be able to give you the help you need quickly and easily.


If you need urgent care please call 111 or go to first. These can then direct you to the most appropriate local service (for instance, a minor injury unit or A&E). please always call 999 for a life-threatening illness or injury.



If you have COVID symptoms – a high temperature, new continuous cough or loss or change to your sense of smell or taste – please make sure you get tested and continue to follow the guidance by self-isolating to help protect those you may come into contact with.

For more information about COVID-19 and how to arrange a test, please click here Coronavirus (COVID-19) - NHS (

We are conscious that some patients registered at Bloxham and Hook Norton Surgeries may be affected by current events in Afghanistan. Bloxham and Hook Norton Surgeries are accredited by the Royal College of General Practitioners as one which specialises in the care of military veterans and their families. All the team have been trained in the care of military veterans and their families. If recent events have affected you and you wish to seek help, please come forward.


Integrated Primary Care Service at Chipping Norton Health Centre

The Integrated Primary Care Service at Chipping Norton Health Centre operates as integration into the wider Out of Hours health services of Oxfordshire which allows them to provide care for more people.

It is not a walk-in service. You must have a pre-booked appointment to attend for treatment.


Contact NHS 111 if you have an urgent health concern. Your condition will be assessed and you will be directed to the most appropriate service. This may be an appointment at the IPCS.

NHS 111 is here to make it easier and quicker for patients to get the right advice or treatment they need, be that for their physical or mental health.

24 hours a day, 7 days a week. To get help from NHS 111, you can:


  • Go online to assessment of people aged 5 and over only).
  • Call 111 for free from a landline or mobile phone.

The Unit is staffed by Specialist Practitioners (Advanced Paramedics and Nurses) from South Central Ambulance Service NHS Foundation Trust (SCAS).


If you have an appointment made by NHS 111:

  • Come to the Main Entrance of the Health Centre (if possible, attend the appointment alone, but all patients may have a chaperone if needed).
  • Press the intercom buzzer to the left of the front doors.
  • The Specialist Practitioner may be with another patient and unable to answer immediately.
  • If the Specialist Practitioner is not present they may be on an Emergency call locally.
  • Please be patient, or call NHS 111 for further assistance.

When you arrive at the Health Centre for a booked appointment, the Specialist Practitioner will have a short conversation with you before meeting you at the front door.

Opening Times

Monday – Friday (excluding Bank Holidays) from 17.00 – 21.00.

Weekends and all Bank Holidays from 10:00 – 21.00.



Chipping Norton Integrated Primary Care Service Chipping Norton Health Centre Russell Way, off London Road Chipping Norton OX7 5FA

What can be treated at the IPCS?

Staffed by a specialist practitioner the IPCS treats the following types of injuries:


Simple injuries that cannot be treated/managed with a home first aid kit

  • Cleaning and simple stitching of wounds
  • Insect bites and stings
  • Minor burns and scalds (not involving the face, neck, feet, hands and genital area)
  • A foreign body in the eye
  • Bumps to the head where there has been no loss of consciousness
  • Bruises

·  Sprains (If the emergency care practitioner thinks that you have broken a bone you will be referred onto a minor injuries unit or an A&