• Our Healthcare assistants  run an appointment based clinic at the surgery each morning to perform investigations ordered by your GP or nurse. They are responsible for taking blood samples, performing ECGs, urine testing,  weight monitoring, checking blood pressure, setting up 24 hour ambulatory blood pressure monitoring and various other such roles.

• Please note that many blood specimens need to reach the hospital lab the day they are taken as the blood degrades if held overnight. Blood samples are taken to the hospital via NHS lab transport  at around 11 am and at around 2 pm. We have no later lab collection for samples; for this reason most blood tests need to be taken in a morning appointment slot and con not be taken in late afternoon or evening  appointments.

• Some investigations such as X-rays, ultrasound scans, exercise tolerance tests, echocardiograms and endoscopies need to be undertaken at Rochdale Infirmary. Where appropriate these can be arranged by your GP.

• All of our nurses and doctors keep up to date with management of hypertension.

• We run a structured hypertension management service for routine monitoring.
  • This can be provided through regular GP check ups at medication review time or via the nurse led monitoring clinics.
  • Administration staff can arrange appointments and reminders where necessary.
  • An initial appointment is arranged to see our Healthcare Assistant. She will perform relevant investigations such as blood tests, urine testing, ECGs, blood pressure readings, weight etc.
  • All results from these clinics are assessed by the doctor, and if necessary an appointment with the doctor can be made for adjustment of treatment. Often if the hypertension is well controlled and investigations are normal, this is not necessary.
  • Advice and information are given and where necessary referral is made to the dietitian, the gym, or to the smoking cessation clinic.

• If at any time a hypertensive patient’s condition requires medical input outside of the routine clinics, this can be arranged in the usual way through surgery appointments or home visits.

• Patients with hypertension who already attend either the diabetic clinic, the heart disease clinic, the stroke clinic or the circulation clinic should have their hypertension monitoring and treatment assessed in those clinics to avoid duplication of investigations.

• Appointments for these monitoring clinics are allocated throughout the week between 8:30 am and 6:30 pm and can be booked via reception.

• Further information about high blood pressure can be found at:
  • The British Heart Foundation
  • NHS Choices – Hypertension

• All of our nurses and doctors have been trained and keep up to date with management of ischaemic heart disease and heart failure. Our Practice Nurse, Sister Christina Russell specialises in heart disease management and Dr Ormrod is our ischaemic heart disease lead.

• We run a structured heart disease management service for routine monitoring.
  • Administration staff arrange appointments and reminders where necessary.
  • An initial appointment is arranged to see our Healthcare Assistant. She will perform relevant investigations such as blood tests , urine testing, ECGs, blood pressure readings, weight etc.
  • After all results have been assessed by the doctor, the patient is then seen in a specialist heart disease nurse clinic. In this clinic appropriate examination is undertaken, advice and information are given and alteration to treatment is arranged if necessary.
  • If a patient’s condition necessitates assessment by a doctor this is arranged.
  • Where necessary dietetic, smoking clinic, gym referrals or cardiology consultant referrals are arranged.
  • All patients with heart disease will be seen once-twice per year for a heart disease assessment and full medication review with the doctor.

• If at any time a heart disease patient’s condition requires medical input outside of the routine clinics, this can be arranged in the usual way through surgery appointments or home visits.

• Patients with both heart disease and diabetes should be assessed and monitored in the diabetic clinics for both conditions to avoid duplication if investigations.

• Appointments for these monitoring clinics are allocated throughout the week between 10am and 7pm. Scheduled appointments will sent through the post or they can be booked via reception.

• Further information about heart disease is available from:

  • • The British Heart Foundation
    • NHS Choices – Coronary Heart Disease

• All of our Healthcare Assistant, Practice Nurses and Doctors have all been trained and keep up to date with prevention of ischaemic heart disease and stroke. Our Healthcare Assistant runs our Healthy Heart Clinic with the clinical support of our doctors and the administrative support of our Practice Management team.

• The Health Heart Clinic is a well person clinic aimed at assessing individual risk of developing vascular disease such as heart disease, stroke and artery occlusion and offering help to lower this risk where needed.

• The Health Heart Clinic is a structured service aimed at healthy patients between 40 years old and 75 years old to help reduce their heart disease risk.

• • Administration staff will invite patients who have no existing vascular disease and are between 40y – 75y to attend a nurse assessment.
  • An initial appointment is arranged to see the Healthcare Assistant or Practice Nurse. She will take a history including existing conditions such as hypertension and diabetes, family history and smoking history. She will the perform relevant investigations such as blood tests for cholesterol and diabetes screening, urine testing, and will measure blood pressure readings, weight height etc.
  • The HCA or nurse will give general advice about diet and exercise. She will give pointers on cholesterol and will advise on clinics available to help smoking cessation where relevant. Written advice will be provided from the British Heart Foundation via their heart disease prevention booklet.
  • When the blood results return from the laboratory, one of our doctors will take all of the information obtained in the clinic appointment and with the results will calculate an individual personalised risk score for each patient. This risk score will estimate the risk of the patient developing heart disease in the next 10 years.
  • Risk scores can be categorised into low risk (lower than 10% chance of the patient developing heart disease in the next 10 years), moderate risk (10- 20 % risk of the patient developing heart disease in the next 10 years) and high risk (greater than 20% risk of the patient developing heart disease in the next 10 years).
  • The patient will then be sent a letter informing them of their results and their own risk score.
  • If any medical condition is identified such as hypertension or diabetes the patient will be asked to see a Doctor for further assessment and management.

• Any patient who has a high risk score risk (over 20% risk of the patient developing heart disease in the next 10 years) will be advised to see a doctor to discuss the options of active management of their risks. This will include measures they can take themselves such as weight loss, exercise, smoking cessation and dietary changes; it will also involve a discussion about medical interventions such as medication for blood pressure or cholesterol lowering etc. A review assessment is advised annually for these patients.

• Patients with moderate risk scores (10- 20 % risk of the patient developing heart disease in the next 10 years) will already have been given advice about weight loss, smoking , exercise and diet where relevant by the HCA or nurse. A telephone or surgery appointment will be recommended to discuss the option of prescribing medication in line with the Department of Health guidance. A review assessment is advised after 3 years for people who do not start medication.

• Patients who have a low risk will already have been given advice about weight loss, smoking, exercise and diet where relevant by the nurse. No medication would be routinely indicated but a review assessment is advised after 5 years.

• Further information about heart disease is available from The British Heart Foundation

• All of our nurses and doctors have been trained and keep up to date with contraception and sexual health issues. An appointment can be made to discuss any form of contraception or sexual health problem in any of the normal doctors’ surgeries.

• Dr Zia provides two coil fitting clinics per month (IUD and IUS).

• Dr Zia provides a contraceptive implant fitting and removal service (Nexplanon) when appropriate.

• Depot contraceptive injections, contraceptive pills including the combined oral contraceptive pill, the progesterone only pill (mini-pill) and post-coital contraception (the “morning after” pill) can be arranged through any of our doctors.

• Referral for male or female sterilisation can be arranged through any of our doctors.

• Our nurses are trained in monitoring of hormonal contraception and coil checks.

• We have the facilities to assess and screen for many sexually transmitted infections. The Sexual Health in Practice team (SHIP) support our service in the provision of equitable, effective and accessible sexual health services to meet the need of the local population in line with the National Sexual Health Strategy.

• Alternative access to these service is also available from :
• Rochdale Contraception and Sexual Health Service (Nye Bevan House)
  

  You can attend one of the walk-in clinics,  call for an appointment on 0300 303 8565 or book an appointment online. The phone line is available Monday to Thursday 8am-8pm, Friday 8am – 5.30pm and Saturday 9am-5pm.

  Nye Bevan House, Maclure Road, Rochdale OL11 1DN  01706 676460

  Drop in clinics are available:

  Monday : 09:15-11:30

  Tuesday : 09:15-11:30

  Friday : 09:15-11:30

  Friday : 14:00-17:00 Under 21s ONLY

• CaSH Clinic – Bacup Primary Care Health Centre

• • Contraception and Sexual HealthBacup Primary Care Health Centre
    Irwell Mill
    Bacup
    Lancashire
    OL13 9NRTel: 01706 253425 – during clinic hours; Helpline : 01282 644268 for enquiries

    Tuesday 6.30 – 8.00pm (alternate weeks)

• CaSH Clinic – Waterfoot Health Centre

• • Contraception and Sexual HealthCowpe Road
    Waterfoot
    Lancashire
    BB4 7DNTel: 01706 253250 – during clinic hours; Helpline : 01282 644268 for enquiries

    Tuesday 6.30 – 8.00pm (alternate weeks)

     

UNWANTED PREGNANCIES

East Lancashire Teaching Hospitals offer a direct access service to patients with unwanted pregnancies. There is no need to see your GP .

To arrange a fast, convenient, free appointment for you to talk through your options, including abortion please call 01282 803767; 8am to 6pm  Monday to Thursday; 8am to 5pm Friday.

• More information is available at the Family Planning Association website

• All of our nurses and doctors have been trained and keep up to date with management of both type 1 and type 2 diabetes.

• We run a structured diabetes management service for routine monitoring.
  • Administration staff arrange appointments and reminders where necessary.
  • An initial appointment is arranged to see one of our Healthcare Assistants. They will perform relevant investigations such as blood tests, urine testing, ECGs , blood pressure readings, weight etc.
  • After all results have been assessed by the doctor, the patient is then seen in a specialist practice nurse nurse clinic. In this clinic appropriate examination is undertaken, advice and information are given and alteration to treatment is arranged if necessary.
  • If a patient’s condition necessitates assessment by a doctor this is arranged.
  • Where necessary dietetic, smoking clinic, gym referral, chiropody, eye screening and diabetic consultant referrals are arranged.

• Dr. Rasheed provides a cryotherapy service (freezing with liquid nitrogen), for minor benign skin lesions such as warts and verrucae.

• To access this service please arrange to see Dr Rasheed or your usual GP, for an appointment to be arranged if appropriate.

• Lancashire Care provides mental health assessments and counselling services for people with mild to moderate depression or anxiety who would benefit from brief psychological therapy via Minds Matter.

• Self referrals can be made to Minds Matter without needing to see a GP first, either by going online , by calling the East Lancashire Mental Health Single Point of Access on 01282 657 116 or by calling the Rossendale Minds matter service on 01282 657 792 to make a self-referral.

• Minds Matter is not a crisis service. If you are at risk of self-harm or know someone who is, please see your GP urgently, the out-of hours GP service or A&E. Alternatively you can call 111 or the Samaritans help line on 08457 90 90 90

• For Alcohol and Drug Counselling click here

• All of our nurses and doctors have been trained and keep up to date with management of peripheral vascular disease (blocked circulation) and longer term secondary prevention.

• We run a structured PVD management service for routine monitoring of patients with established peripheral vascular disease.
  • Administration staff arrange appointments and reminders where necessary.
  • An initial appointment is arranged to see one of the Healthcare Assistants. They will perform relevant investigations such as blood tests, urine testing, ECGs, blood pressure readings, weight etc.
  • After all results have been assessed by the doctor the patient is then seen in the nurse led clinic. In this clinic appropriate examination is undertaken, advice and information are given and alteration to treatment is arranged if necessary.
  • If a patient’s condition necessitates assessment by a doctor this is arranged.
  • Where necessary dietetic, smoking clinic, gym and specialist referrals are arranged.

• If at any time a patient’s condition requires medical input outside of the routine clinics, this can be arranged in the usual way through surgery appointments or home visits.

• Patients with PVD who already attend the diabetic or heart disease clinics will have this condition assessed within those clinics to avoid duplication of tests.

Our medical staff provide the national child immunisation vaccination program. Clinics for this run on Mondays between 1pm and 5pm. Sister Christina Russell is our childhood vaccination clinical lead. In exceptional circumstances child vaccinations can be arranged at other times provided appropriate medical staff are on the premises at the time.

Current Vaccination Schedule

8 weeks

6-in-1 vaccine, given as a single jab containing vaccines to protect against six separate diseases: diphtheria; tetanus; whooping cough (pertussis); polio; Haemophilus influenzae type b, known as Hib, a bacterial infection that can cause severe pneumonia or meningitis in young children; and hepatitis B

Pneumococcal (PCV) vaccine

Rotavirus vaccine

Men B vaccine

12 weeks

6-in-1 vaccine, second dose

Rotavirus vaccine, second dose

16 weeks

6-in-1 vaccine, third dose

Pneumococcal (PCV) vaccine, second dose

Men B vaccine second dose

One year

Hib/Men C vaccine, given as a single jab containing vaccines against meningitis C (first dose) and Hib (fourth dose)

Measles, mumps and rubella (MMR) vaccine, given as a single jab

Pneumococcal (PCV) vaccine, third dose

Men B vaccine, third dose

2-8 years (including children in reception class and school years 1 to 4)

Children’s flu vaccine (annual)

3 years and 4 months

Measles, mumps and rubella (MMR) vaccine, second dose

4-in-1 pre-school booster, given as a single jab containing vaccines against: diphtheria, tetanus, whooping cough (pertussis) and polio

12-13 years (girls only)

HPV vaccine, which protects against cervical cancer – two injections given 6-12 months apart

14 years

3-in-1 teenage booster, given as a single jab containing vaccines against diphtheria, tetanus and polio

Men ACWY vaccine, given as a single jab containing vaccines against meningitis A, C, W and Y