Elgar House Church RoadRedditch, B97 4ABTel: 01527 69261
See the CCG website for more information - http://www.worcestershire.nhs.uk/prescribing/
Gluten free products and products that can easily be purchased over the counter will no longer be prescribed by your GP. There will also be changes to baby milk and oral nutritional supplements.
If you have any queries about any of the new policies please see the link above for contact details.
The Diabetes Clinic (CHD Clinic) is run by Sister James. The lead doctor is Dr. Smith.
The majority of our patients that have diabetes will be seen in the CHD clinic, reducing the need for patients to attend hospital outpatient clinics. The CHD Nurses will usually ask you to make an appointment every 6 months for a review of your diabetes. They can help you manage your diabetes, support you with lifestyle changes, screen for complications and make changes to treatment where necessary.
Just been diagnosed with Diabetes? Lots of Questions?
If you have recently been diagnosed with diabetes we will invite you to attend an appointment in our diabetes clinic (CHD Clinic). From here we will help you manage your diabetes and invite you to attend an education session called ‘First steps’. This is a 2 ½ hour session and covers important information that will help you manage your diabetes, including advice about diet, exercise, medication and what your blood results mean. Having this knowledge about your diabetes can really help you to manage it successfully, so we would encourage you to attend.
The ‘First Steps’ sessions are run on various days and times across Redditch and Bromsgrove, so that you can attend one that suits you. You can also take along a relative or friend. The CHD nurse will explain this in more detail at your appointment.
Following ‘First Steps’, you will be able to access further education about your diabetes, including a 6 week course (Xpert Diabetes), an online education programme (Map My Diabetes), or you may be happy to find out more about your diabetes by yourself.
You will, of course, have support and information from the CHD Nurses throughout.
MAP MY DIABETES
Have you heard about the free new online programme for Diabetes across Worcestershire, called Map My Diabetes?
You can access current information about diabetes, including advice about diet, exercise, medication and much more. You can also monitor your own diabetes health results with this interactive diabetes programme.
To register for an account we need only your name and email address – please call in at reception to complete a form and we will do the rest.
The World Health Organisation recommends that an HbA1c blood test level of 42−47 mmol/mol places you in the pre-diabetes range and indicates a high risk of diabetes in the future, with an HbA1c value of 48 mmol/mol or above being the blood level for diagnosing diabetes.
Between 1 and 3 out of every 4 people with pre-diabetes will develop diabetes within ten years. It is thought that having pre-diabetes also increases your risk of developing cardiovascular problems (problems with your circulation such as heart disease and stroke).
How Is Pre-Diabetes Treated?
There is increasing evidence that if pre-diabetes is treated, the progression to diabetes can be prevented. Also, it may be possible to prevent cardiovascular disease from developing. So, it is important to know if you have pre-diabetes and to treat it in order to reduce your risk of developing diabetes and cardiovascular disease
The most effective treatment is improvements in lifestyle such as:
There are also other lifestyle changes that you can make to reduce your cardiovascular disease risk. These include stopping smoking if you are a smoker, ensuring that you stick to the recommended alcohol intake. Also, make sure that your blood pressure stays within the normal range. Have your blood pressure checked regularly with your practice nurse. Also, discuss with your doctor or practice nurse to see if you need a cholesterol check and/or treatment to lower your cholesterol level.
It is also very important to have a regular blood test to recheck your blood glucose level in case you develop diabetes. The frequency of the blood test will vary, but a HbA1c blood test once a year is usually recommended.
We can now also offer you a place on the free NHS Diabetes Prevention Programme in Redditch and Bromsgrove.
The NHS Diabetes Prevention Programme in Redditch and Bromsgrove will help you take control of your health, supporting you to make changes to your diet, weight and the amount of exercise you do. Taking this kind of action now is very important as it can reduce your risk of, or even stop you, developing Type 2 diabetes.
Are you eligible to join the programme?
You can join the Healthier You programme if you are:
Key Features of the Programme:
Spaces on the programme are limited so we ask you to only join if you can commit to attend:
Sessions are held at various locations throughout Redditch and Bromsgrove with times to suit you, including during the day, evenings and weekends. So you’re sure to find a group convenient for you.
If you are interested in joining the Programme please contact Elaine James or Alison Case from our CHD team at the Surgery and they will make the necessary referral for you (telephone number 01527 69261).
We run a Coronary Heart Disease (CHD) for patients with or at risk of cardiovascular disease, for example those patients who have suffered a heart attack or experience angina, patients that have had a stroke, and also patients with hypertension.
Your GP will refer you to the CHD Clinic or you will receive a letter direct from the CHD Team. We can help you manage your cardiovascular disease, support you with lifestyle changes, screen for complications and make changes to treatment where necessary.
For patients that have been diagnosed with a heart condition, Redditch Hale and Hearties Coronary Support Group is also available to help – see details below:
We are here to provide support for people who have a heart condition, support is available for both patient and their partner or carer.
Membership is free and all are welcome at our monthly meetings.
Our Website will give you an insight of who we are, what we do, and when we do it.
If you cannot find the information you are looking for on the website, regarding the club, please contact:
Redditch Hale and Hearties332 Lickey RoadRednalBirminghamB45 8RY0121 460 1049
Alternatively Patrick Moran - 07930 348768
The respiratory clinic is run by Sister Case. The Lead doctor is Dr S H Pike
The purpose of the clinic is to regularly review our asthma and COPD patients so that, as far as possible, we can prevent serious asthma attacks. We encourage any patient who is receiving medication for asthma or COPD to attend the clinic.
What can I do to help myself?
Keep taking medication as prescribed
Stop smoking for more information and help to stop smoking go to www.nhs.uk/smokefree
Eat a healthy diet
Have regular reviews with Doctor/nurse to continually update your management plan.
Have a Flu jab every year (if you are on a steroid inhaler)
Book an appointment with a Doctor or Respiratory Nurse if you feel that your Asthma is not controlled or that you have an infection.
Signs that your Asthma is not controlled
Symptoms such as wheezing, chest tightness
Symptoms at night that disturb sleep
Symptoms that make everyday activities more difficult
Using reliever inhaler more often than usual
Peak flow is below normal predicted range
Signs the worsening might be due to an infection
Coughing up more mucus than normal or different coloured mucus
High temperature, fever or chills
Feeling tired or weak
Sore throat or pain on swallowing
Blocked nose, pressure in sinuses or headache
Signs of an Emergency
Using reliever a lot
Reliever isn’t helping
Difficulty in breathing
Not able to talk in full sentences
Symptoms such as chest tightness, wheezing, cough are worse than normal
Peak flow reading is less than half your normal reading
What to do in Asthma attack
1 Take 2 puffs of reliever inhaler
2 Sit down, try to relax and take slow deep breaths
3 If you don’t feel better take 2 puffs of you reliever every 2 minutes; you can take up to 10 puffs
4 If no better call 999 immediately, if the ambulance isn’t there in 10 minutes, take 2 puffs of your reliever again, up to 10 puffs.
5 If you feel better and don’t need to go to A&E you should still see your GP or Nurse in the same day.
6 If you have been prescribed prednisolone tablets (steroids) to keep at home then take as instructed by Doctor/Nurse.
Chronic obstructive pulmonary disease (COPD) is an umbrella term for people with chronic bronchitis, Emphysema or both.
Have regular reviews with Doctor/nurse to continually update your management plan
Have a Flu jab every year
Have a Pneumonia vaccination. This is a one off injection and not yearly like the Flu jab.
Signs that COPD is worsening
Shortness of breath, that is worse than normal.
Book an appointment with a Doctor or Respiratory Nurse if you feel that your COPD is getting worse or that you have an infection.
Metered dose inhaler
Metered dose inhaler with small spacer
New Mothers should consult their doctor to confirm their pregnancy and arrange their ante-natal care. Most patients are referred to the Maternity Department of the local Alexandra Hospital, and the maternity care is shared with hospital staff and the community midwives.
The doctors in the practice like to examine new babies when they are eight weeks old, combining this with Mum’s post-natal check. The baby also has its first immunizations at this visit.
Appointments and advice are available with any doctor or Family Planning nurse at any time during surgery hours. As with all our services, it is COMPLETELY CONFIDENTIAL.
Teenagers are welcome, again in total confidence. Emergency contraception is available and should be started within 72 hours.
Condoms are available from reception at any time.
We recommend that all our female patients should have a smear performed every 3 years from age 25 – 49 and every 5 years from 50 – 64. The purpose of this test is to prevent cancer of the cervix. The procedure is normally carried out by the practice nurses.
Patients can be referred to our Counsellor by any G.P.
We offer a wide range of minor surgical procedures at the surgery. You should consult a doctor about any moles, lumps or bumps that concern you, as these may be suitable for removal at the surgery.
Patients over 75 may request an annual health check. Patients who have not been seen for 3 years may request a health check.
This is recommended for everyone over 65 years of age, and for patients with chronic medical conditions such as heart disease, diabetes, asthma, bronchitis or kidney problems. It is carried out between October and January each year.
We offer a wide variety of vaccinations, flu, shingles, travel, baby, preschool, HPV, etc - please ask at Reception to see if you are eligible.
Are you eligible for a shingles vaccination?
This is for the treatment of warts, small skin tags and verrucae. The affected area is frozen with liquid nitrogen. This treatment is not recommended for children under 10 years.
Some services are not covered by the NHS, and a charge will be made for these. This includes private insurance forms and various special examinations for employment, driving etc.
A full list of these services is displayed in the surgery together with the current standard charges.
Our nurses offer a full advisory service for those travelling abroad.
If you require any vaccinations relating to foreign travel you will need to make an appt with the practice nurse. In addition you will need to complete a travel questionnaire (see below) and return this to the surgery 7 working days before your appt. This questionnaire will need to include which countries and areas within countries you are visiting to determine what vaccinations are required. Unfortunately if we do not have this information one week prior to your appt you may need to rebook.
There is further information about countries and vaccinations required on the links below
It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.
Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.
Travel vaccination form to be handed into reception 7 working days prior to Nurse appt.
Travelling in Europe
If you are travelling to Europe a very useful booklet has been published with advice and guidance to help you get the most out of your holiday. To visit please click:- http://ec.europa.eu/publications/booklets/eu_glance/86/en.pdf (this is a large document and may take a minute or two to view)
You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.
If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).
It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.
You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.
The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.
For more information see the DirectGov website (where this information was sourced)
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