SURGERY NEWS

Birthday Clinics

We are introducing a new annual review recall process. We hope the new process will be more efficient and less time consuming for patients.

We want to give our patients with Long Term Conditions, the best outcomes and guidance that we can. To do this we need to ensure that we have an organised process or reviewing our patients on at least an annual basis.

This new review process provides a better way of reviewing patient’s needs, especially for patients who may have more than one Long Term Condition.

A Long term condition includes illnesses such as:

  • respiratory disease
  • oheart disease
  • stroke
  • diabetes
  • kidney disease
  • high blood pressure
  • rheumatoid arthritis
  • epilepsy
  • mental health problems
  • other long term health issues that affect the health or lifestyle of a patient

These conditions require an annual review to ensure that the condition is being managed appropriately (by you the patient and also by us as your healthcare provider), identify any problems or concerns and ensure patients are confident to deal with their condition between reviews.

Why are they important?

It is essential to monitor long term conditions and if the need arises take appropriate steps to look them as best we can. It is also an opportunity to review treatments and answer any questions you about the long term condition you may have.

How does the Process work?

Patients with long term conditions will be invited for their annual review within the month of their birthday. Some patients have more than one long term condition. If this is the case, all relevant conditions will be reviewed within the one annual review process. This ensures that you are only attending the surgery when you need to and that we are not asking you to attend the surgery unnecessarily. You will receive a letter which explains what to do next.

For some conditions, it may be necessary to have more than one appointment for example, a separate appointment for spirometry for some respiratory conditions. In some cases it may also be necessary to have a further appointment with the Practice Nurse or the GP, but most reviews will take place in one appointment with our specialised Nursing team who have knowledge and experience of managing long term condition patients.

Some conditions may require an interim review e.g. at six months this will be discussed at the annual review where it is felt to be appropriate.

We hope you find this new process straight forward and easy to use. If you have any questions with regard to the annual review process, please do not hesitate to contact us. As this is a new process we would appreciate any feedback on how the system works for you

If you feel you are due for an annual review for any of the above conditions but have not been invited to the Practice in your birth month please contact us.

What if I have had my annual check-up recently?

We appreciate that some people will have already had their annual checks done quite recently. However in order to get the new system working well and everyone having their review around their Birthday, we would ask that people still arrange a Birthday Review when they receive a letter inviting them to do so. This way, the system will soon be up and running smoothly.

 

Winter pressure times GP Access Services

Due to the increase pressure on appointments, patients who need to be seen urgent on the same day may be directed to master call healthcare to see a GP at:

Master Call International Healthcare, Pepper Road, Hazel Grove, SK7 5BW.

 

Dr Edmundson

Dr Edmundson is now on Maternity leave and our former FY2, now locum, Dr Kilcourse, will be covering for her.

A huge congratulations from everyone here at Hulme Hall Medical Group to our two GP's Dr Cotton and Dr Edmundson on the birth of their baby boy! Both baby and mum are well and we wish them all the happiness!

 

Manchester Shoebox Appeal

This year at Hulme Hall Medical Group we put together shoe boxes to donate to Manchester shoe box appeal!

Lets all do something good this Christmas and give back to those who are less fortunate than we are!

 

Adele's Graduation

Huge congratulations to one of our Nurse's, Adele, who graduated yesterday.

Amazing hard work from her. From everyone at Hulme Hall Medical Group we hope she had the best day celebrating this amazing achievement.

 

Lesley Walker and Donating Blood

Please take a moment and read this inspirational story from one of our very own patients.

We are extremely lucky to have her as one of our patients here at Hulme Hall Medical Group and we are extremely proud to share her story with all of you and to try and spread awareness of the good donating blood can do.

 

Heald Green Friday Hub

'This is a new community group ran by two volunteers, meeting every Friday between 1pm and 3pm at the Heald Green Village Hall, 219 Outwood Road, SK8 3JL.

Everyone is welcome. Entry FREE.

Join us for a drink and a chat, meet new people and socialise. Activities available, cards, crosswords, knitting and crochet, with some items being made for charity.

We hope to expand as we grow to include excursions and talks. We are open to new ideas.

For further information; Tel - Cynthia on (0161) 437 2542. Facebook - Heald Green Friday Hub Group.

 

Preventing Domestic Violence

View an information booklet about domestic violence.

 

Do you find managing insomnia challenging?

Managing patient expectations can be even trickier! We hope this PEARL helps us and our patients make decisions around this difficult issue.

In primary insomnia, Z-drugs and benzodiazepines do work better than placebo, BUT, the effect is not long lasting and there are significant concerns about side-effects. Key things to be aware of:

  • In trials, Z-drugs reduced  the time to getting off to sleep by only 22min (CI 11–33min) compared with placebo. This minimal benefit is worth sharing with patients.
     
  • Benzos and Z-drugs are addictive and may cause daytime sleepiness - the DVLA rules on driving and drugs apply to all these agents.
     
  • We should warn patients that one of the problems with next day driving impairment is the lack of awareness of a problem!
     
  • We should also be aware of the new US and European guidance on zolpidem doses in women.
     
  • NICE guidance restricts the use of the Z-drugs and benzodiazepines to those with severe insomnia which has a significant impact on everyday life.

But the good news is that there are valid alternatives.

  • Sleep hygiene will help all, and for some this will be all that is needed. For those with primary insomnia (no underlying cause), 30% will get better with sleep hygiene alone.
     
  • Cognitive behavioural therapy for insomnia, called CBT-I, is consistently better than any drug therapy in chronic insomnia for both effectiveness and long-term benefits.
     
  • CBT-I combines sleep hygiene, stimulus control, sleep restriction, relaxation training and cognitive restructuring.
     
  • CBT-I should be available through IAPT, or patients can purchase it themselves; it costs just under £100.

See our summary of a BMJ clinical review that looked at some of the causes of insomnia and some treatment strategies. We have also included information from a review in the NEJM and another BMJ review.

 

Hulme Hall Medical Group awarded NHS England Beacon Practice for Patient Online.

 

National Diabetes Audit

See how your information is used to help improve diabetes

 

Priority Treatment for Veterans

All veterans are entitled to priority access to NHS hospital care for any condition, as long as it's related to their service and subject to the clinical need of others.

Read about Priority Treatment for Veterans

 

Tea with the GP

If you are interested in having tea with the GP, please see: This article about Tea with the GP and This article about Tea with the GP.

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