Stop press…stop press
318 people did not turn up for their appointment at the
surgery in July 2016……..
MANOR PRACTICE
NEWSLETTER
AUTUMN 2016
MANOR PRACTICE
NEWSLETTER
Page 1: Welcome
Page 2: Surgery Information
Page 3: Practice News
Page 3: CQC Report
Page 4: Information Sessions will be
held about
St Giles Hospice :
Sutton Breast Friends
Support :
Prostate Cancer
Sepsis
Dyslexia…
AT MANOR PRACTICE
ASHFURLONG &
JAMES PRESTON
Make a note of the dates
Page 5 : MISSED APPOINTMENTS
Page 5 : ‘Fight the Flu’-vaccinations
Page 5 : National Diabetes Audit
Page 6: Alcohol Units & Guidelines
Page 9: Prevent Christmas Injuries
Page 12: Dealing with Christmas
Stress
Dear Patients of Manor Practice
Where has the year gone! It’s flown by.
The PPG held our annual Health Awareness
Event on Prostate Cancer and we are
delighted to report that it was a huge
success. Talks were given by Prostate UK
and Dr Chan from the Manor Practice with
a Q&A session at the end. The feedback
was excellent from those attending and on
the basis that this format was successful;
we will hopefully hold another event on a
different subject next year.
Christmas is just around the corner – a
Cocktail of excitement, stress, tiredness
and alcohol can create unexpected hazards
in the home at this time so we hope you
find the information on page 9-12 useful.
Don’t forget to check our website for details of
all the services offered and read the wealth of
information available- for example you can
make appointments, get repeat prescriptions,
and sign up to the Newsletter.
http://www.manorpracticeashfurlong.co.uk
THE DOCTORS Dr Nigel Speak
Dr Mark Forshaw
Dr Judith Rimmer
Dr Caroline Wall
Dr Nim Cave
Dr Mira Pattni (Maternity leave)
Dr Isobel King
Dr Fraser Hewett
Dr Guan Chan
Dr Ana Dasgupta
Dr Konrad Chmiel (ST3) Dr Mattthew Kain
(FY2)
DID YOU KNOW…………….
The Doctors and Nurses are
happy to give telephone advice in
order to give you a better and
efficient response to your need.
This could be to follow up a
consultation or for a new problem
If you leave your contact number
at reception, with some details of
your enquiry, the doctor or nurse
will call you back at an
appropriate time
TEST RESULTS
Patients may obtain test result
information by phoning the
surgery during weekdays between
the hours of 11am and 4pm
James Preston: 0121 355 5473
Ashfurlong: 0121 323 2121
MINOR ILLNESS
CLINIC
Manor Practice has a Nurse
Practitioner who will see Patients
in our minor illness clinic
The Nurse can prescribe
treatment for an extensive range
of minor ailments, for example all
infections, acute asthma, rashes
and contraception
MAKE A NOTE GP surgery hours 8:00am to 6:30pm
Mon-Fri,
Ashfurlong only – Mon – 6:30-
8:15p.m. & Saturday 8-12p.m.
GP appointments within 48 hours,
nurse appointments within 48 hours
GP out of hours – between 6:30pm
and 8:00am
NHS 111 – non emergency service 24
hours advice or www.nhs.uk
INTERNET
PRESCRIPTIONS
You can order prescriptions
On- line. After accessing the
website, click on online services
and register yourself for a
password. When authorised
please follow instructions
APPOINTMENTS You can now book appointments on the
internet. If you wish to use this service
you simply need to obtain a registration
letter from reception and follow the
simple instructions.
Appointments can be booked Mon-Fri 8-12:30p.m.& 1:30-6:00p.m.
PRACTICE NEWS
Goodbye -In July we said
goodbye to Carol Cotterill. Carol
worked at the Practice for 28
years. As Practice Manager she
contributed so much of her time
and energy to the job she loved
and she will be missed greatly. All
of us wish her a very happy
retirement.
Welcome - Julie Miller has now
started as the new Practice
Manager, having previously
worked in a similar role, and all of
us would like to give her a very
warm welcome.
Welcome –
Dr Ana Dasgupta who has joined
us while Dr Pattni is on maternity
leave.
Dr Konrad Chmiel (ST3)
Dr Matthew Kain (FY2)
National Diabetes Audit
14/06/2016
We are taking part in an important
national project about diabetes care
and treatment in the NHS. The
project is called the National
Diabetes Audit (NDA).
To Download more information:
http://www.manorpracticeashfurlon
g.co.uk/national-diabetes-audit/
PPG
After nearly 6 years
Joy Waterhouse has decided to
step down from the committee.
Joy has been a delight to work
with and we will miss her greatly.
CQC REPORT
Latest CQC inspection report
19 July 2016
Our inspector's description of this
service
To read the full report -
http://www.cqc.org.uk/
------------------------------------
Who runs this service-The Manor
Practice is run by The Manor
Practice
Accountable person - Dr Nigel Speak
Registered Manager
CQC inspections & ratings of
specific services
Older people
Outstanding
People with long term conditions
Good
Families, children and young people
Good
Working age people (including those
recently retired and students)
Good
People whose circumstances may make
them vulnerable
Good
People experiencing poor mental
health (including people with dementia)
Good
Type of service -Doctors/GPs
Specialisms/services
Diagnostic and screening
procedures, Family planning services,
Maternity and midwifery services,
Services for everyone, Surgical
procedures, Treatment of disease,
disorder or injury
INFORMATION SESSIONS
THE MANOR PRACTICE HAS
ARRANGED FOR
REPRESENTATIVES FROM THE
ORGANISATIONS LISTED BELOW
TO BE AVAILABLE IN OUR
RECEPTION AREA FROM 10:00 –
12:30 TO OFFER INFORMATION
AND SUPPORT ON THE
FOLLOWING DATES:
ASHFURLONG
ST GILES HOSPICE
05.10.2016
02.11.2016
30.11.2016
SUTTON BREAST FRIENDS
12.10.2016
09.11.2016
07.12.2016
PROSTATE CANCER
19.10.2016
16.11.2016
14.12.2016
DYSLEXIA
11.11.2016
SEPSIS
28.09.2016
26.10.2016
23.11.2016
WHY NOT COME ALONG AND
HAVE A CHAT
JAMES PRESTON
ST GILES HOSPICE
10.10.2016
07.11.2016
05.12.2016
SUTTON BREAST FRIENDS
17.10.2016
14.11.2016
12.12.2016
PROSTATE CANCER
26.09.2016
24.10.2016
21.11.2016
19.12.2016
SEPSIS
03.10.2016
31.10.2016
28.11.2016
MISSED APPOINTMENTS
JULY 2016 = 318
If you are unable to keep an
appointment, please advise the
surgery as soon as possible in order
for your appointment to be used for
another patient.
This can be done by telephoning the
surgery or if you have internet
access you can log in via our
website.
If you receive a text message
reminder, you can reply to the
message to cancel the appointment.
-------------------------------------------
All patients with a chronic
disease (including Chronic
Respiratory Disease, Chronic
Heart disease, Chronic Liver
Disease, Chronic Kidney Disease,
Chronic Neurological Disease,
Diabetes , Immuno-suppression
and all pregnant women ) or aged
65 and over-all are eligible for a
flu vaccination
Pneumococcal vaccination is also
available for the above category.
**PLEASE NOTE - THERE IS A
SATURDAY CLINIC ON SEPTEMBER
24TH AT ASHFURLONG WHEN 3
NURSES WILL BE GIVING FLU
VACCINATIONS. WEEKDAY
SESSIONS ARE ALSO AVAILABLE
The practice will be vaccinating
children aged 2, 3 and 4 with
child flu nasal vaccine, providing
they have not reached their fifth
birthday on the 31.08.16.
----------------------------------
National Diabetes Audit
14/06/2016
We are taking part in an important
national project about diabetes care
and treatment in the NHS. The
project is called the National
Diabetes Audit (NDA).
http://www.manorpracticeashfurlon
g.co.uk/wp-
content/uploads/2016/06/Patinfo_C
oreAudit_leaflet_FINAL2.pdf
The type of information used in the
audit is listed on the HSCIC website
at www.hscic.gov.uk/nd
Say ‘no thanks’ If you do not want
your information to be used,
please inform the receptionist,
your GP or nurse. They will make
sure that this is noted on your
medical records, so your
information is not included. This
will not affect your care in any
way.
If you would like more information
about the National Diabetes
Audit, ask your GP or nurse.
Alcohol units and guidelines
The low risk weekly guidelines
It can be a bit tricky to understand
and remember how much alcohol is in
drinks, and how this can affect our
health. The low risk guidelines can
help with this, if you choose to
drink.
No-one can say that drinking alcohol
is absolutely safe, but by sticking
within these guidelines, you can
lower your risk of harming your
health if you drink most weeks:
Men and women are advised not
to regularly drink more than 14
units a week.
Spread your drinking over
three days or more if you drink
as much as 14 units a week.
If you want to cut down how
much you’re drinking, a good
way to help achieve this is to
have several drink-free days
each week.
Counting the units
Once you’ve got the hang of the low-
risk guidelines, check how many
units are in your usual tipple. “ABV”
means the percentage of alcohol in
the drink and you can often find this
information on the side of the
bottle or can.
The amount of alcohol in drinks can
vary quite widely, and it’s worth
looking for versions of your
favourite drinks that have less
alcohol, which can also be cheaper
and often have less calories.
Glass of red, white or rose wine
(ABV 13%)
Small 125ml
Standard 175ml
Large 250ml
750ml bottle of red, white or rose
wine (ABV 13.5%)
Beer, lager and cider
Regular (ABV 4%)
Strong (ABV 5.2%)
Extra strong (ABV 8%)
Other drinks (ABV varies)
25ml single spirit and mixer
(ABV 40%)
1 unit
275ml bottle of alcopop
(ABV 5.5%)
1.5 units
Medical warning: if you have
physical withdrawal symptoms (like
shaking, sweating, or feeling anxious
until you have a first drink of the
day), you should take medical advice
before stopping completely as it can
be dangerous to do this too quickly
without proper advice and support.
Want to make some changes?
How are your eating, drinking and
activity habits?
Join Change4Life - free! To help
you make some healthy changes
Easy drink swaps
You can still have a drink – just aim
to have less, gradually, and stick
within the guidelines. These easy
swap ideas can make it easy for you
to cut down on alcohol instead of
cutting it out altogether.
If you tend to have a drink
at a certain time of day,
break the habit by doing
something different at that
time. If you drink every
day, try to have at least two
days a week when you don’t
drink at all.
Why not try pacing and
spacing? Pace yourself by
sipping slowly and enjoy the
taste. And space your
drinks out - have a soft
drink or glass of water in
between.
Have a smaller bottle of
beer instead of a can. Or a
single instead of a double.
Swap your usual for a drink
with less alcohol. Choose
one with less alcohol
content (“ABV” - you can
find this on the side of the
bottle or can). There are
more drinks with less
alcohol available these days
and some of them are
cheaper too – and they
often have less calories.
If you like a drink at home
Include food!
Don’t drink on an empty stomach –
having it with food means that the
alcohol is absorbed into your system
more slowly. Try only drinking with
your main meal. Don’t have the
bottle on the table – just pour one
glass and put the bottle away.
Out of house, out of mind
If it’s in the house, you’re more
likely to drink it. Avoid stocking-up
on alcohol when you’re doing the
shopping.
Label it!
If having a glass tends to mean
drinking the whole bottle, try
putting a label on the bottle saying
“just one glass”…
Cork it!
... or, you could try using a bottle
stopper instead.
Measure by measure
Buy a drinks measure to check how
much you’re really drinking. Pouring
your own means you’re likely to drink
more. A small glass of wine is 125ml.
Distract yourself
When you get the urge to pour
yourself a glass, resist it by doing
something completely different
instead. Go for a walk, phone a
friend, do some odd jobs around the
house.
And when you're out...
Change of scene - try meeting
somewhere that doesn’t serve
alcohol. Try a café or coffee
shop, or somewhere without an
alcohol licence instead.
Make a plan - set yourself a
limit on how much you’re going
to drink, including any drinks
you have at home before you go
out. Try to stick within the low
risk guidelines.
Budget - take out a fixed
amount of money to spend on
alcohol. By cutting back you
could save some cash.
Take your time – go out later.
Break with tradition and opt
out of rounds.
Don’t feel pressured to keep up
with others – aim to be the
slowest drinker!
Have a good excuse ready when
you’re offered a drink you’d
rather miss. The quicker you
can make it, the less likely you
are to be persuaded.
Sit it out – we drink more
slowly when sitting down than
when standing. Find a table and
put your glass down.
Enjoy yourself! Do something
else while you’re out, like
dancing, playing pool or darts –
it’s much more fun!
Alternatives to drinking – ways to
relax without alcohol
Cutting back on alcohol is part of
making changes to improve your
health, and there can be other
benefits too.
If you tend to drink in the same
place, or at the same time, or with
the same people, try to change your
routine so that you do something
different instead.
If you drink every day, aim to have
at least two days a week when you
don’t drink, and find other ways to
spend your time.
Alcohol’s hidden harms – effects on
our health What may seem like just a drink or
two most evenings can do a lot of
harm to your body, inside and out.
You might notice that you’re building
up a bit of a spare tyre, if you drink
alcohol regularly. That’s because
there can be a lot of calories in
alcohol. Or perhaps your mood can
be a bit low in the mornings. Maybe
your skin’s not as clear as it was.
And we all know how drinking too
much can lead to decreased sexual
performance, especially for men.
People who regularly drink just
above the low-risk guidelines
increase their risk of ill-health
significantly.
The more you drink, and the more
often, the greater the risk to your
health. And for people with a
medical condition (such as diabetes
or high blood pressure) or are
suffering from depression or
anxiety, alcohol often makes life
worse.
Health harms of alcohol
As well as the things you notice on
the outside, there can be some
serious stuff happening on the
inside. Regularly drinking over
the low-risk guidelines increases the
chances of suffering more serious
health harms such as:
Cancer of the throat,
oesophagus or larynx. Regularly
drinking two large glasses of
wine (ABV 13%) or two pints of
strong lager (ABV 5.2%) a day
could make you three times as
likely to get mouth cancer.
Breast cancer in women.
Regularly drinking just above
the guidelines increases the
risk of getting breast cancer
by around 20%
A stroke
Heart disease or an irregular
heartbeat, which can lead to a
heart attack
High blood pressure
Liver disease such as cirrhosis
and liver cancer. If you
regularly drink just above the
lower-risk guidelines, the risk
of liver cirrhosis increases 1.7
times
Pancreatitis
Reduced fertility
www.nhs.uk
Prevent Christmas Injuries
A cocktail of excitement, stress,
tiredness and alcohol can create
unexpected hazards in the home at
Christmas.
More than 80,000 people a
year need hospital treatment for
injuries such as falls, cuts and burns
during the festive period.
During Christmas, your home is likely
to be full of people and, in the
excitement, accidents can easily
happen.
With a little more care and forward
planning, most accidents could be
avoided.”
Kitchen
Hot fat, boiling water and sharp
knives make the kitchen one of the
most dangerous places during the
holiday.
The Christmas meal is probably the
biggest meal most families cook all
year. It needs careful planning to
avoid injuries. Try to keep other
people (especially children) out of
the kitchen. Avoid alcohol until
you've finished cooking, and wipe up
spills as soon as they happen, so that
people don't slip.
Stairs
Clutter, alcohol and tiredness make
the stairs an accident hotspot
during Christmas. It's common to
fall down steps or stairs after
drinking. Keep the stairs well lit and
free from obstacles, especially if
you have guests who could be going
up to the bathroom during the night.
Presents
Typical Christmas Day accidents
include parents accidentally stabbing
themselves with scissors, which
they've used to assemble toys,
instead of using a screwdriver.
People often cut themselves with
knives when they're opening
presents too quickly. People also trip
over toys and electric cables while
rushing to try their new computers
and other appliances.
Don’t rush, take time to enjoy the
moment. Have a screwdriver ready
for toys that are screwed into
packaging. Clear up the packaging
and wrapping paper as you go along.
Christmas trees
Beware of your Christmas tree. That
Norwegian spruce is not as innocent
as it looks. Every year, about 1,000
people are injured by their tree,
usually while fixing stars, lights or
other decorations to the higher
branches, reports RoSPA.
Always use a step ladder to put up
the decorations and don't over-
reach yourself. Buy the correct size
tree so you don't have to saw the
top off and risk cutting yourself.
Fairy lights
Around 350 people a year are hurt
by Christmas tree lights, according
to RoSPA. Injuries include people
falling while they're putting them
up, children swallowing the bulbs,
and people getting electric shocks
and burns from faulty lights.
Test your lights and the wiring
before you put them up, as they can
deteriorate over the years. If you
have old lights, buy new ones that
meet higher safety standards. Don’t
overload sockets, as that’s a fire
risk.
Decorations
About 1,000 people a year are hurt
when decorating their homes, says
RoSPA. Children bite into glass
baubles and adults fall while using
unstable chairs instead of ladders to
put up decorations, or fall out of
lofts while looking for the
decorations.
Glass decorations should be placed
out of the reach of toddlers and
pets. Novelty decorations, such as
stuffed Santas, reindeer and
snowmen, which look like toys, may
not comply with strict toy safety
regulations. Therefore, they should
not be within the reach of children.
Candles
People are 50% more likely to die in
a house fire over Christmas than at
any other time of year. Taking care
with candles and oil burners is one
way to help you and your family and
friends avoid a Christmas house fire.
Never put candles on or near a
Christmas tree. Never leave an open
flame unattended. Always place tea
lights inside an appropriate
container. They have been known to
burn through baths and television
sets.
Christmas plants
Mistletoe is poisonous. Its berries
contain toxic proteins that slow the
heart rate and can cause
hallucinations. The orange berries of
the Christmas cherry can cause
stomach pains. The Christmas rose is
so effective at causing diarrhoea
that it was used as a chemical
weapon by the ancient Greeks. Check
with the garden centre whether the
plants you’re buying are toxic. If
they are, keep them out of the
reach of children.
Stress
Christmas is one of the most
stressful times of the year. The
combination of drink, relatives, lack
of sleep and the stress of Christmas
shopping can be too much for some
people.
Try to find some time alone, even if
it’s only to have a relaxing bath.
Learn to say no to the demands of
relatives. It’s important not
to suppress your emotions. Try to
talk to someone you trust or a third
party, such as the Samaritans.
Indigestion and food poisoning
Food poisoning is always a worry at
Christmas. Read the instructions on
the turkey well. It takes hours to
cook a turkey properly. If you don't,
you could contract salmonella
poisoning, which can be life-
threatening for vulnerable people.
Studies by the British Nutrition
Foundation (BNF) reveal that, on
average, we gain 2kg (5lbs) in
weight during the Christmas period,
so restrict the amount of chocolate,
cakes and nuts you eat..
Alcohol
Apart from the risks to your own
health, alcohol can be the chief
mischief maker when it comes to
accidents. It reduces your risk
awareness. Alcohol can make people
relax so much that they don't think
about everyday risks.
After a party, empty any alcohol out
of glasses. Children are likely to
drink the remains if they get up
early to play with their toys. Never
drink and drive.
www.nhs.uk
Dealing with Christmas
Stress
Set realistic goals and plan
Acknowledging the parts of
Christmas you actually like and
setting realistic expectations is a
great way of putting Christmas in
perspective.
Planning what you want to spend,
what you do or don’t want to be a
feature of your Christmas – or
indeed whom! – and making sure
things aren’t left to the last minute
are crucial to achieving this.
If you’re travelling this winter, try
and organise travel and any health
appointments well in advance.
Creating a list of tasks can help
arrange your thoughts, and sharing
responsibilities with others can
make the whole ordeal more
manageable.
Exercise
Exercise is a great relaxation
technique and can also help you feel
more energised. As you exercise you
release endorphins which calm you
down and lift your mood. It’s also a
great means of strengthening your
immune system against whatever
winter throws at it.
Try and work a few walks into your
schedule, cycle to work when the
weather isn’t too chilly, or start a
regular exercise class in the run-up
to Christmas.
Stay healthy and balanced
Whilst it’s hard to escape the
abundance of food and alcohol
during Christmas, try to exercise
moderation where possible. Over-
indulging on comfort food can result
in weight gain, increasing any
existing sense of lost self-control.
Make sure you diet contains lots of
fruit and vegetables, limit
consumption of high-fat and sugary
foods, and remember that alcohol
can contain lots of hidden calories.
Whilst there’s nothing wrong with a
little indulgence, recognise it as such
and don’t eat or drink too much.
Make time for yourself
In a season focused on selflessness
it’s still ok to be selfish every now
and then. Doing something for
yourself that you enjoy, no matter
how small, can be a great
psychological break from the stress
of Christmas.
Make time for yourself in your busy
Christmas schedule, and ensure that
you also get enough quality sleep.
Share the Christmas load
You may appear to be the one tasked
with organising Christmas – buying
presents, preparing Christmas
dinner, feeling responsible for other
people’s enjoyment – but you
shouldn’t manage the burden all on
your own.
Try to get others involved and
delegate tasks, remembering your
right to just say ‘no’. If you feel
your stress levels rising, you can
always make your excuses for a few
events. Let others know how you are
feeling so they can see how they
might be able to help.
Communication opportunity
Whilst the social expectations of
Christmas can be daunting, the
festive season also provides a great
opportunity to talk and get back in
touch with people. Interacting with
others produces oxytocin, which is
beneficial for our mental and
physical well being, and offloading
your stresses verbally can work
wonders.
If you aren’t able to see someone
who will listen face-to-face, give
them a call or write them a note to
let them know how you are feeling.
If you don’t feel you can tell those
closest to you how you are feeling,
you can always confide in a stranger
via one of the helplines listed below.
Seek professional help
If you continually experience a
stress, depression, or anxiety,
remember that a whole body of
professional help exists to support
you. Here is a selection of mental
health helplines that could help you:
Rethink Mental Illness –
0300 5000 927
Mind – 0300 123 3393
SANE – 0845 767 8000
Samaritans* 08457 90 90 90
Young Minds (helpline for
parents) – 0808 802 5544
No Panic – 0844 967 4848
*Operates a 24-hour helpline
Lloyds
----------------------------------
We hope you have found this
information useful.
Whatever you are doing –
Have a great Christmas
Happy 2017 to you All