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