We have supplies at the moment (GP surgery Bucks). All routine referrals have now ceased. Some of the GPs are showing signs of increased stress levels but unlike secondary care we do have the luxury of closing our door for phone call screening and when patients do arrive they can enter the foyer and be screened again by intercom as to whether they have an appointment and usual questions about foreign travel/symptoms before they come in. Receptionists are pretty much exhausted at entire shifts spent on the phone repeating the same advice mantra over and over and often fielding abuse from callers. We are getting information from secondary care regarding cancelled outpatient clinics. At some points in the day it is impossible to contact any of the local hospitals as their phone lines are being used to full capacity calling patients to cancel clinics. Dermatology are asking us to simply send photos of rashes etc for advice, Neurology can often video call patients, Complex Needs clinics are suspended and Vague Symptoms pathway also, Cardiology are triaging back to us asking the GPs for more in depth information so they can only see the more urgent cases. Ladies giving birth can only have one person as a birthing partner (that may have changed to no one now I'm not sure) and no visitors for anyone obviously which must be hard for the families. General Surgeons sent a note asking us to limit prescriptions of antibiotics. Not sure what that means, maybe ckn does?