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THE WILLOWS MEDICAL CENTRE NEWSLETTER 2012 SURGERY STATISTICS FOR 2011 APPPOINTMENTS BOOKED AND HOW MANY DID NOT ATTEND Appointments Jan & Feb 2011 March & April 2011 May & June 2011 4,449 86 930 81 634 23 46hours July & Augst 2011 Sept & Oct 2011 Nov & Dec 2011 Doctors Did not attend Nurse Did not attend Other clinics Did not attend Total hours wasted 4,420 94 1,668 69 364 16 37hours 4,762 111 1,647 101 483 17 51hours 4,420 87 1,479 83 433 10 43hours 4,870 90 1,553 66 445 9 39hours 4,607 87 1,468 78 393 10 36hours Other GP Duties Jan & Feb 2011 March & April 2011 May & June 2011 July & Augst 2011 Sept & Oct 2011 Nov & Dec 2011 246 225 233 242 247 264 1,340 1,325 1,290 1,050 1,050 959 GP ring backs Scripts not on repeat MINOR SURGERY CLINICS DR WRIGHT PERFORMS MINOR SURGERY PROCEDURES AS WELL AS A BEING A GENERAL PRACTITIONER. HE WORKED FOR 12 YEARS IN THE DEPARTMENT OF PLASTIC SURGERY HERE IN BRADFORD IN THE YEARS FOLLOWING THE BRADFORD FIRE AND HAS CONTINUED TO PERFORM MINOR SURGERY IN THE LOCALITY EVER SINCE, THE LAST 8 YEARS AT WESTWOOD PARK. HE HAS PARTICULAR EXPERIENCE IN REMOVING UNSIGHTLY/ANNOYING LESIONS FROM THE FACE WITH THE EMPHASIS ON GIVING COSMETIC RESULTS. THIS DOES NOT MEAN HE WILL BE PERFORMING FACE LIFTS. HOWEVER, IT DOES MEAN THAT IF YOU HAVE THINGS, ESPECIALLY ON YOUR FACE, WHICH YOU WOULD LIKE REMOVING, YOU NEED TO BOOK A CONSULTATION WITH DR WRIGHT AND IF APPROPRIATE HE WILL ARRANGE ANOTHER APPOINTMENT TO REMOVE IT FOR YOU HERE IN THE SURGERY. NAPROXEN IS THE NEW DICLOFENAC Diclofenac has commonly been prescribed in the past to treat inflammation and pain. However, recent studies have shown Diclofenac to have some cardiovascular risk even with short term use. In simple terms Diclofenac can increase the risk of a thrombotic episode, for example a heart attack. Naproxen and Diclofenac are in the same medicine class (called Non Steroidal AntiInflammatory Drugs) and are equally effective; we will be prescribing Naproxen in preference to Diclofenac. Ibuprofen, which can be purchased over the counter, is also a lower risk preparation. EXTENDED HOURS There will be no extended hours on Monday February 20th. MEDICINE MONITORING If you take the following medicines, frequent blood tests are necessary to monitor any adverse effects the medicine could have to your body. Blood tests every 2 weeks Chlorambucil Blood tests monthly Penicillamine Blood tests every 2 months; more frequently if you have just started on the medicine or changed dose: Azathioprine Ciclosporin Leflunomide Methotrexate Mycophenolate Sulfasalazine Blood test 6 monthly Hydroxychloroquine PLEASE CONTACT RECEPTION IF YOU ARE DUE A BLOOD TEST. DO YOU LOOK AFTER SOMEONE – CARERS RESOURCE If you look after a family member, friend or neighbour who has a physical disability, mental health problem, drug/alcohol addiction or who needs extra help due to their age and infirmity, then you are a carer. The Carers’ Resource gives tailored support and information to unpaid carers and vulnerable people. It is an independent, award-winning Yorkshire charity which is open to everyone and offers emotional and practical help to enable them to cope. To find out more about any of their services please don’t hesitate to contact them on 01274 449660 or stop by and visit them at Unit 15, Park View Court, St Pauls Road, Shipley, BD18 3DZ. VANDALS - PLEASE BE VIGILANT WHEN THE SURGERY IS CLOSED IF YOU SEE ANYONE HANGING AROUND THE SURGERY WHEN WE ARE CLOSED, PLEASE INFORM THE LOCAL POLICE ON 01274 376625. RECENTLY WE HAVE HAD LEAD STOLEN OFF THE ROOF, WHICH HAS CAUSED DAMAGE INSIDE THE BUILDING. BOWEL CANCER AWARENESS What is Bowel Cancer – The Bowel is divided into the small bowel (small intestine) and the large bowel (colon and rectum). Nearly all bowel cancers develop in the large bowel, two thirds of these are in the colon and one third in the rectum. Bowel cancer is also referred to as colorectal or colon cancer. Signs & Symptoms – The symptoms of bowel (colorectal) cancer can be: Bleeding from the bottom and/or blood in your poo. A change in bowel habit lasting for 3 weeks or more especially runny poo. Unexpected weight loss. Extreme tiredness for no obvious reason A pain or lump in your tummy. Causes & Risks – Although the exact cause of bowel cancer is unknown, there are certain factors that may increase your risk. Gender and age – It can affect both men and women. In the UK around 95% of cases occur in people over the age of 50. Family history – People with a first degree relative(such as mother, father, brother , sister under 45 or with two or more first degree relatives with bowel cancer may be considered for further testing. Diet and Exercise – An inactive lifestyle and a poor diet that is low in fresh fruit and vegetables increase the risk of bowel cancer. A high intake of red and processed meat, smoking and excess alcohol may increase the risk. Other conditions – People with diabetes, a history of Cohn’s disease in the large bowel or ulcerative colitis, or people who have had previous polyps removed, may also be at an increased risk. Prevention & Minimising risk – By taking some simple steps to improve your diet and taking regular exercise can help reduce your risk of bowel cancer. So it is important to: Consider what you are eating. Eat plenty of fibre. Eat five portions of fruit and vegetables a day. Avoid processed meats and have no more than 500g of red meat per week. Keep active with regular exercise. Keep hydrated and avoid drinks with containing caffeine. Know your alcohol limits. Do not smoke. Know the symptoms of bowel cancer and act on them if you have any concerns. Take part in the Bowel Cancer Screening Programme in your area when you are invited. This involves completing a simple test which can help identify whether further investigations is necessary. FOR ANY FURTHER INFORMATION VISIT www.bowelcanceruk.org.uk HOW TO KEEP YOUR NEW YEARS RESOLUTION If your resolutions are always finished before the last of the turkey, then it may be time to make some SMART goals. What are SMART goals? SMART stands for Specific, Measurable, Achievable, Relevant and Timely. Specific - Make your goal clear; think about what’s going to motivate you to make a change. Instead of saying” I will eat healthy”, TRY “I will eat fruit instead of chocolate for morning and afternoon snacks”. Measurable – Put a number to what you want to do and you will focus much better. You will also no what progress you are making and when you have succeeded. This will help you stay on track with your goal. So instead of saying "I will do more exercise”, say “I will go swimming twice a week”. Achievable – Start small and easy and build your goals up gradually as you progress. If you set yourself goals that are unrealistic, when you don’t reach them you will feel like a failure and will probably be tempted to give up on the whole thing altogether. Instead of “I will run a marathon” say “I will aim to run for 30 minutes at a time”. Relevant – If your goal doesn’t make sense to you, it will be much harder to stick to and achieve. Make sure your goals apply to you. So do not make it your goal to have an apple for every mid-morning snack when it’s your least favourite fruit. Don’t agree to go dancing every week if you hate dancing Timely – Give yourself a clear deadline to reach your goal, put it in your diary/calendar and mark off the days. Think about what you can realistically do in a set period of time. Instead of "I will give up smoking” try “I will go to the pharmacist to get support and throw away my cigarettes and I will be smoke free by the end of the month” WHY SET GOALS AT ALL? Quite simply, goals give you a purpose in life. Making a goal encourages you to focus your time, energy and resources on a specific objective, increasing your chance of achieving it. This in turn makes you feel good. If you are reading this thinking “but I never set goals”, then you probably do without actually realising it. For instance, just writing a ‘to do’ list of tasks for each day is as much of a goal as a New Years resolution. Vist - bhf.org.uk/lifestylecheck to find out how you could improve your lifestyle with SMART goals. Or to help and support you set your goals : Make an appointment with the Practice Nurse or Health Care Assistant to for a consultation on Exercise, Diet, Weight Management and Stop Smoking. REGISTER FOR ON-LINE Patients registered at The Willows may also book or cancel appointments and request prescriptions online. To use this service a password (obtainable from reception) will be required. You can browse the website www.thewillowsmedicalcentre.co.uk Or you can request a prescriptions by E-Mail address is [email protected] if you have not registered for the online facility. PRACTICE TRAINING DAYS FOR 2012 from 12pm to 2pm JANUARY 11th FEBRUARY 8th MARCH 14th APRIL 6th MAY 9th JUNE 4th surgery closed 12pm – 2pm surgery closed 12pm – 2pm surgery closed 12pm – 2pm surgery closed 12pm – 2pm surgery closed 12pm – 2pm surgery closed 12pm – 2pm JULY 11th surgery closed 12pm – 2pm th AUGUST 8 surgery closed 12pm – 2pm th SEPTEMBER 12 surgery closed 12pm – 2pm th OCTOBER 10 surgery closed 12pm – 2pm th NOVEMBER 14 surgery closed 12pm – 2pm th DECEMBER 12 surgery closed 12pm – 2pm SURGERY CLOSED FOR BANK HOLIDAYS IN 2012 APRIL 6th APRIL 9th MAY 7th JUNE 4th Good Friday Easter Monday Monday - May Day Monday - Spring Bank JUNE 5th Tuesday - Queens Diamond Jubilee th AUGUST 27 Monday - August Bank Holiday th DECEMBER 25 Tuesday Christmas Day th DECEMBER 26 Wednesday Boxing Day When the surgery is closed, patients who need urgent medical attention, may ring the surgery and they will be transferred to Local Care Direct who provide the out-of-hours service. Alternatively, patients may get advice from NHS Direct, a nurse led helpline, on 0845 4647 (24 hours) or on NHS Direct Online website www.nhsdirect.nhs.uk Please do not ask to see a doctor out of hours unless you genuinely cannot wait until the surgery re-opens. Call 999 in an emergency. Chest pains and / or shortness of breath constitute an emergency.