We are able to fit, replace and remove ring pessaries at the Practice. If you require an appointment, please submit an eConsult or speak to Reception to arrange.

Pelvic organ prolapse – Treatment – NHS

Uro_2018-159 – Vaginal Pessary

Spirometry:

Spirometry is a simple test used to help diagnose and monitor certain lung conditions such as Asthma and COPD by measuring how much air you can breathe out in one forced breath.

It’s carried out using a simple device called a spirometer, which is a small machine attached by a cable to a mouthpiece. Spirometry is performed at the Practice by our nursing team.

Appointments are arranged through the Practice.

You’ll be told about anything you need to do to prepare for the test before the day.

If you use bronchodilators (medicines, usually inhaled, that help relax and widen your airways), you may need to stop using it beforehand.

You should also avoid smoking for 24 hours before the test, and avoid drinking alcohol, strenuous exercise or eating large meals for a few hours beforehand.

It’s best to wear loose, comfortable clothing on the day of the test.

Spirometry – NHS

FeNO Testing:

FeNO (Fractional exhaled Nitric Oxide), is a test for measuring the amount of Nitric Oxide in the exhaled breath of patients. The results of the test can help with the diagnosis of asthma, by showing the level of inflammation in the lungs. A patient’s FeNO level helps improve the accuracy of asthma diagnosis and helps indicate which medications will work best for them.

FeNO testing can be undertaken at the Practice by our nursing team.

FeNO patient leaflet

An ECG (electrocardiogram) is a test that records the electrical activity of your heart, including the rate and rhythm. It’s usually quick and painless.

There are a number of reasons why an ECG might be recommended, if you have been having chest pains, palpitations, an unusually fast or slow heart rate or have been feeling dizzy or short of breath. Some medications also require an ECG be undertaken before they can be started or continued.

ECGs can be undertaken at the Practice by our nursing team. Here’s what to expect on the day.

1. You’ll be asked to take off the clothes on the top half of your body, behind a screen.
2. You’ll be asked you to lie back and the healthcare professional will attach sticky patches (called electrodes) on your arms, legs and chest. These are attached to the ECG machine.
3. You’ll need to lie still for a few minutes while the ECG machine records the electrical signals that are created when your heart beats.
4. The healthcare professional will remove the sticky patches from your skin. You might feel some slight discomfort when the patches are taken off your skin, a bit like when you take off a plaster.

The ECG gives a real time result, if there are any concerns, then one of our clinical team will review your ECG result before you go home.

From time to time, the GP may recommend we refer you to the Community Liver Fibroscan service run by Mid Hampshire Healthcare if you meet the eligibility criteria.

Service Eligibility:

• All patients aged between 16 year and 85 years with…
• BMI of over 35
• Patients who are consuming in excess of >50 units per week for men and >35 units per week for women
• Type 2 Diabetic patients with BMI >35 
• Type 2 Diabetic patients with a BMI <35 AND a FIB4 reading (blood test) between 1.30 – 3.25

Service exclusion:

• Patients outside of the Mid Hampshire locality
• Patients under 16 or over 85 years old
• Patients on a palliative care register

During the appointment, the Nurse will scan the liver with a Fibroscan machine, this is a non-invasive test that has high sensitivity for identifying patients with liver scarring (fibrosis) as well as providing real time results. After analysing the results, patients will be offered preventative measures such as, lifestyle advice, guidance and information on local support to self-manage. Some may be referred on for further investigations to the Royal Hampshire County Hospital Gastroenterology team.

A patient information leaflet can be found here https://www.midhampshirehealthcare.co.uk/liver_fibroscan.htm

Support with losing weight on the NHS is a three step process, split into tiers of services.

Tier 1 Weight Management

Self care using NHS approved Apps and guidance https://www.nhs.uk/better-health/lose-weight/

Tier 2 Weight Management (by referral)

• Face to Face sessions (located in community venues across Hampshire)
• Virtual Classes (these sessions will be the same as those in the community but will be led by the instructor online via Zoom or Teams).
• Provided by Home – Gloji Hampshire

Eligibility criteria for Tier 2:

• Adults aged 18+ years with a BMI ≥ 30
• Adults with a BMI ≥ 28 for those from Ethnic Minority Groups or those with long-term conditions, Cancer, Atrial Fibrillation, Coronary Heart Disease, Heart Failure, Stroke or TIA, Hypertension, Diabetes, Asthma, COPD, Musculoskeletal disorders, Diagnosed mental illness.
• Must be resident in the administrative county of Hampshire or registered with a Hampshire GP.

Wish to be referred? Please complete this short form and we will be in contact:

Calculate your BMI https://www.nhs.uk/live-well/healthy-weight/bmi-calculator/

Tier 3 Weight Management (by referral)

‘The Weigh Ahead’ service is a Specialist Community Weight Management Service for severe and complex
obesity, providing an intensive level of support to patients through a multi-disciplinary team (MDT)
approach.

The Weigh Ahead (spirehealthcare.com)

Referral Criteria:

• Patients must be aged 16 or over
• Patients must have a BMI ≥ 35 (with co-morbidities; see list of significant co-morbidities below) OR a BMI ≥ 40 (without co-morbidities)
• Patients must have complied with a range of weight loss interventions at Tiers 1 and 2 of the pathway over a 2 year period and have failed to achieve or maintain weight loss goals.

Wish to be referred? If you are eligible and tried all of the above, please arrange a consultation with your named GP if you wish to discuss. If you do not feel the need to discuss, please simply ask for a referral form and drop back to us.