Station Surgery 8 Golden Hill LaneLeyland, PR25 3NPTel: 01772 622505/622808
All people with diabetes should undergo a diabetes care review at least once annually. Your diabetic review will allow your doctors to monitor your health.
They will also use your annual review to assess aspects such as your long term blood glucose control, cholesterol levels and blood pressure.
Some people, such as those newly diagnosed, children, or those with complications present may have a diabetic review more often than annually.
At your annual diabetes care review the doctor or nurse will:
People who take insulin should also have their injection or infusion sites checked.
You may also be asked whether you are suffering from depression or sexual dysfunction, as these tend to be more common in people with diabetes.
It can be helpful to know what results you should be aiming for. For this reason we have put together a page to cover the targets you should be aiming for.
Diabetes retinopathy screening and having your feet examined are part of your annual review, however, you may need to book separate appointments for these depending on how your practice organises these.
Your general eyesight should be checked either at your annual review or as part of your retinopathy screening appointment.
For more information on retinopathy screening and foot examinations, see our diabetes health screening pages.
You will usually need to book a blood test appointment about a couple of weeks prior to the annual review.
The blood test will be used to check your HbA1c result as well as your cholesterol. For the cholesterol test to be effective, you may need to fast before the blood test is taken.
If you are on insulin, check whether you need to fast and if so, how you should prevent hypos from occurring.
Ask you healthcare team if you have queries about fasting for the blood test.
Remember to bring a pen and either notepad or download and print out our diabetes annual review record sheet.
This could be your blood glucose monitoring diary or a print out. Your doctor will often wish to view at least a month or two of results.
You should have been provided with a sample bottle at a previous appointment. If not you can pick one up beforehand. Some practices may enable you to provide a sample at the practice/clinic but it’s best not to assume this will be the case.
It probably goes without saying but, if you are having your feet checked at your annual review, try to make sure your feet are clean.
For more information click this link http://www.stationsurgeryleyland.co.uk/long_term_conditions.aspx
A long-term condition cannot be cured but its symptoms and complications can usually be controlled with treatment. Examples are arthritis, asthma, diabetes, epilepsy and high blood pressure. Long-term conditions can have an effect on your role within the family, your job, your accommodation, your education and your finances. However, there are many sources of support you can access, including health and social services, the government and voluntary organisations.
A long-term condition is an illness that cannot be cured but can usually be controlled with medicines or other treatments. Examples of long-term conditions include arthritis, asthma, diabetes, epilepsy, angina, heart failure, and high blood pressure (hypertension).
You may find that having a long-term condition will affect many areas of your life. These may include family relationships, your ability to work, your accommodation, your educational needs and your finances.
You will not have to face your problems alone. Many sources of support are available to you, including your GP, hospital doctors and social and community services.
You may find that your role within your family changes. If you were the 'go to' person everyone else relied on, it may be hard to accept that you are the one who now needs support. At the other extreme, your family/carers may overestimate the amount of help you need, leading to unnecessary loss of independence. The way to combat this is for you and your family/carers to learn as much as possible about your condition. Getting your 'support network' involved in this process will help them recognise when you require help and when your independence should be respected.
Research suggests that the people who do best are those who take responsibility for managing their own long-term condition in partnership with their doctors. Knowing what treatment options are available will give you the confidence to understand when to manage your own condition ('self-care') and when to ask for help, Managing your own condition is easier when you are involved in decisions about your treatment from the start. You may have to remind health professionals that you have this right and that it is Department of Health policy. Your GP, hospital specialists, voluntary organisations, the internet and the library may all be useful sources of information.
Self management UK (see below) offers self-management courses which provides tools and techniques. These help you to take control of your health and manage your condition better on a daily basis. It may be free, depending on where you live.
Personal health budgets were introduced by the NHS in April 2014. The budget is an amount of money to support your identified health and well-being needs. You will need to agree a care plan with your local NHS team so decisions can be taken about how the money is to be spent. The idea of the personal health budget is that if you have a long-term condition you will have greater choice, flexibility and control over the healthcare and support you receive. You may, for example, choose to spend some money on a community nurse and some on support from a voluntary organisation. The money will need to be kept in a bank account used only to purchase healthcare. You may also qualify for a separate budget to purchase social care.
When you have a long-term condition, you should keep working if your health permits. This has been shown to bring long-term benefits. It is best to make your employer aware of your condition and have a discussion with them to see whether they could make any changes to meet your needs. It is best to do this on an informal basis but if you meet resistance, legislation such as the Equality Act 2010 may give you a legal right to request such changes.
The changes you require may include:
If you have been off sick you should have a discussion with your GP about when it will be appropriate to go back to work. If necessary, the GP can give you a 'fit note' advising of any changes they feel need to be made to your workplace.
You may also be able to get support from your occupational health service at work. If your employer does not have one, you may be able to access a national occupational service. Links to these services can be found through pages on the NHS Choices Live Well website (see below).
You may find that your long-term condition requires you to make changes to your accommodation. For example, you may need to consider making structural changes, installing a lift or even moving to a single-storey property. You may be able to get a Disabled Facilities Grant to help pay for these changes. Usually, the grant is only available for changes that have been recommended by an occupational health therapist.
See also the 'Finance' section, below.
Children with long-term conditions have the same rights of admission to school as other children. You should make the school aware of your child's condition so that the teachers can plan what support they will need and how to protect them from risk. Asthma, diabetes and epilepsy are typical long-term conditions of which the school needs to be made aware. Sometimes, your child may need to attend a school which specialises in providing the equipment and environment that meets their needs.
Issues you may need to discuss with the school include:
Remember that schools are not obliged by law to give your child medicines but if staff agree to do so, they should be properly trained.
People with long-term conditions may qualify for a whole range of benefits, tax credits, grants, payments and concessions. These include help with transport costs and parking, help to buy support from a carer, housing benefit and council tax reduction, income support, working tax credit and VAT exemption. You may also be able to claim special sources of finance if your condition is occupation-related or you were a member of the Armed Forces.
Disability living allowance (DLA) is one of the more well-known sources of financial support. DLA is a tax-free benefit to help with the extra costs caused by long-term ill health or a disability. From 8th April 2013 the DLA started to be replaced by the Personal Independence Payment (PIP). A new claim for DLA can now only be made for children under the age of 16 years. Anyone aged between 16-64 years submitting a claim must apply for a PIP. The amount you will receive depends on how your condition affects you, not on the condition itself. You will need to have an assessment to see whether you qualify and what rate you will receive
If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required. 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.
Most travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because travel vaccination is not included in the services provided by the NHS and therefore is a chargeable service.Travel Health Questionnaire To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.
A learning disability affects the way a person learns new things in any area of life, not just at school. Find out how a learning disability can affect someone, and where you can find support.
A learning disability affects the way a person understands information and how they communicate. Around 1.5m people in the UK have one. This means they can have difficulty:
It is thought that up to 350,000 people have severe learning disabilities. This figure is increasing.
A learning disability can be mild, moderate or severe. Some people with a mild learning disability can talk easily and look after themselves, but take a bit longer than usual to learn new skills. Others may not be able to communicate at all and have more than one disability (see Profound and multiple learning disability, below).
A learning disability is not the same as a learning difficulty or mental illness. Consultant paediatrician Dr Martin Ward Platt says: "It can be very confusing," he says, pointing out that the term "learning difficulties" is used by some people to cover the whole range of learning disabilities.
"It is easy to give the impression, by using a term like 'learning difficulties', that a child has less of a disability than they really do," says Dr Ward Platt.
Some children with learning disabilities grow up to be quite independent, while others need help with everyday tasks, such as washing or getting dressed, for their whole lives. It depends on their abilities.
Children and young people with a learning disability may also have special educational needs.
Some learning disabilities are diagnosed at birth, such as Down's syndrome. Others might not be discovered until the child is old enough to talk or walk.
Once your child is diagnosed with a learning disability, your GP can refer you for any specialist support you may need. You'll begin to get to know the team of professionals who will be involved in your child's care.
Support from professionals – including GPs, paediatricians, speech and language therapists, physiotherapists and educational and clinical psychologists – is available to help individuals live as full and independent a life as possible.
A learning disability happens when a person's brain development is affected, either before they are born, during their birth or in early childhood.
Several factors can affect brain development, including:
Sometimes there is no known cause for a learning disability.
Some conditions are associated with having a learning disability, such as cerebral palsy. This is because people with these conditions are more likely to have one.
Everyone with Down's syndrome, for example, has some kind of learning disability, and so do many people with cerebral palsy. People with autism may also have learning disabilities, and around 30% of people with epilepsy have a learning disability.
A diagnosis of a profound and multiple learning disability (PMLD) is used when a child has more than one disability, with the most significant being a learning disability.
Many children diagnosed with PMLD will also have a sensory or physical disability, complex health needs, or mental health difficulties. People with PMLD need a carer or carers to help them with most areas of everyday life, such as eating, washing and going to the toilet.
If you are looking after a child or adult with PMLD, you can find help and support in Care and support.
Page last reviewed: 03/07/2015
Next review due: 31/03/2018
During pregnancy it is important for expectant mothers to be seen regularly to ensure that mother and baby are progressing well.
Ante Natal & Post Natal clinics are held weekly on Tuesday afternoon by the community midwife 13.30 - 15.30pm
Diet advice and Stop Smoking Services are self-referral services:
We offer minor surgery services which includes Joint Injection, simple excisions of lumps and bumps.
Patient who require a minor surgical procedure need to be seen by the GP to be assessed and placed on the internal waiting list until an appointment becomes available.
We provide an anticoagulant service for any patients who have been commenced on warfarin (anticoagulant medication).
The surgery provides a one stop service which includes patient finger prick test, dosing, prescribing and the next appointment given within one consultation.
Our service also offers home visits to housebound patients and patients in residential or a nursing home setting. Clinics are held weekdays by out Practice Nurse. Please call our surgery for further details.
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