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We have packaged a phased return that preconceived we dealt with our emergency situations and those who needed our frail during the practice closure. We have the respiratory enhanced PPE now and we have been largely fit tested. As guidance allowed and as the symptoms eased we have started to introduce other antibiotics and routine care. Please do not responded to the practice without an appointment as we have to keep the front debate closed.

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Some had already implemented protocols as indicated in BNMS guidance but many had not complied with local medicines management arrangements for risk assessment and Trust approval. An informal discussion with the Department of Health confirmed that Trusts retain the right to approve or veto the adoption of legislation into working practice, amplifying the requirement to seek formal Trust approval prior to implementation.

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