COVID-19 Information

Thank You!

Our staff would like to say a big 'Thank You' to all the patients who have taken the time to write cards and emails expressing their gratitude to the whole team at The Knoll Surgery.

A special Thank You to Jenny Penny for the lovely bouquets that were delivered to our staff, and to all those who have kindly dropped off treats for the team.

May we also take this opportunity to thank those who helped to provide much needed PPE in the early days, and to our much valued team of volunteers who help out at the COVID vaccination clinics.

Reading through your lovely messages helps to brighten our days and they are very much appreciated! 

COVID-19 Cohorts and Recall

People aged 50+ to start receiving COVID-19 vaccination invitation letters

Cheshire residents aged 45+ will receive a letter inviting them to come forward for a COVID-19 vaccination.

The quickest and easiest way to arrange an appointment is via the national booking service, which offers appointments at local NHS Vaccination Centres from 9am-11pm, seven days a week.

Venues include NHS Vaccination Centres at Chester Racecourse, Alderley Park Conference Centre and five pharmacies across Cheshire.

GP-led services are currently focusing on 2nd doses for those who were vaccinated in the January and February clinics. We are contacting patients via telephone and text message.

To help us contact you, please ensure that your details are up to date.

If you receive a text message requesting that you book an appointment with us, please act upon this quickly. Due to vaccine supply we have limited numbers and have to ensure that the clinics are fully booked.

Clinics are booked on a first-come, first-served basis following your personal invitation.

The national booking service is available online here or by calling 119.

A request from The Practice

Thank you for your continued support throughout the past year, your understanding and patience is appreciated by all staff.
We understand that the want for a vaccine appointment is a priority for all patients but the additional letters, calls and emails regarding vaccination schedules, patient cohorts and eligibility are putting a tremendous pressure on our services.
Unfortunately, the current situation does not allow for updates on cohorts and/or vaccine supply. We are working around the clock to ensure that as soon as vaccines are delivered, clinics are arranged and eligible patients are contacted. 
You do not need to contact the surgery regarding your COVID vaccination appointment unless you wish to cancel.
All patients yet to receive their vaccination appointment will be contacted directly by the Practice via telephone or post when vaccines are made available.
Again, we request that you do not contact the practice with any queries regarding the vaccine schedule or your eligibility, as recommended by the government; the Practice will contact you when appropriate. 
Thank you for your cooperation.

Useful COVID-19 resources

  •  For post COVID recovery support please see  It includes information from rehabilitation experts about how to manage ongoing symptoms and health needs at home, and signposts to sources of support. 
  • Local NHS Trust, Cheshire and Wirral Partnership (CWP), has launched a new mental health helpline for residents of Cheshire West, Cheshire East and Wirral. Open 24 hours a day, seven-days a week, it is open to people of all ages including children and young people who need urgent mental health support. The helpline is part of the NHS Long Term Plan to improve access to mental health support. Originally due to go live next year, it has been fast-tracked to be available to support local people during the Covid-19 pandemic.

Please call 0300 303 3972 and our dedicated local NHS staff will support you to access the help you need.


* Please see the attached document below for local guidance on the issuing of sick notes

LMCMedCertLetter17032020 (2).docx

B12 replacement during Covid-19 Outbreak


Guidance  has been issued by the British Society of Haematologists (BSH) relating to B12 replacement

In line with this guidance and the need to keep both our patients and staff safe by reducing footfall to the surgery, we will be assessing patients on an individual basis via a telephone consultation to decide along with the patient if oral replacement is appropriate.

The guidance states that in non-dietary causes  of Vitamin B12 deficiency, Options include continuing IM injections B12, or alternatively taking cyanocobalamin orally at 1mg per day until regular IM injections can resume. 

Cyanocobalamin 1mg modified release tablets can be prescribed by the GP, unless the patient actively declines and wishes to self-purchase.

Patients taking oral replacement should be advised to monitor and report any neurological symptoms to their GP, at which point we can resume B12 injections.

Patients with a dietary cause of Vitamin B12 deficiency are  advised that cyanocobalamin tablets at a dose of between 50-150 micrograms should be taken daily between meals and these can be purchased cheaply over the counter or via the internet.

There is also a recommendation that serum Vitamin B12 should be re-assessed prior to recommencing B12 injections.