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Long Term Conditions

We are improving the way we work with patients with long-term conditions 

Patients living with certain long-term conditions will be encouraged to attend a Yearly Health Check. Long-term conditions are those that impact over a long period of time, such as diabetes and heart diseases. 

Patients will receive personalised care and support from healthcare professionals from their general practice. This will cover things that patients say matter most to their health and wellbeing, from the best treatment for their condition, to wider things like employment, housing, and mental health. 

Our goal is that by planning care together with care, patients will have the confidence to manage their health, reduce their risk of being admitted to hospital, and have a better quality of life.

Who is this for? 

Initially, we will cover nine long-term conditions: 

  • Cardiovascular disease (for example, strokes, health failure, ischaemic heart disease, and peripheral artery disease) 
  • Diabetes 
  • Hypertension (High blood pressure) 
  • Hyperlipidaemia (High cholesterol) 
  • Non-alcoholic fatty liver disease 
  • Atrial fibrillation 
  • Chronic kidney disease 
  • Asthma 
  • Chronic obstructive pulmonary disease. 

In the future, we will look to expand this to cover more long-term conditions.

Non-urgent advice: What can you expect? 

If you have one of the long-term conditions listed above, you will be encouraged to have at least three check-ins per year. Each stage is described below for you: 

1. Attend your Check and Test Appointment 

In your Check and Test Appointment, a health professional will carry out all the checks and tests you need to monitor and manage your long-term condition. You may be sent for a blood test and have other checks like a blood pressure check and weight check. We may discuss lifestyle factors such as smoking and exercise with you too. 

If you need an interpreter, please let us know so we can arrange one for your appointment. 

2. Receive your test results and your Care Plan 

After two to four weeks, you will receive your test results (by post, text, or email, however you prefer). 

We will also send a blank document called a Care Plan. 

A Care Plan is an agreement between you and your healthcare professional to help manage your health and support day to day. In your Care Plan, you can record things that are important to your health and wellbeing. This can include anything from your life, like employment, housing, or mental health. 

A Care Plan covers: 

What is important to you and the goals you have 

How to get the most out of your medication 

The care and support you need from others 

A healthcare professional will review your Care Plan with you in your Discussion Appointment. You can start filling out your Care Plan before your appointment or you can fill it during your appointment. 

3. Attend your Discussion Appointment 

You will then be invited to a Discussion Appointment with a healthcare professional. This may be another team member (such as a nurse, health care assistant, pharmacist, social prescriber link worker) who is best placed to support your care and can spend more time with you. This appointment will take around 30 minutes. 

You can discuss your long-term conditions, test results, treatment, and anything else that is affecting your health, from housing to employment. Together we will look at what matters most to you and agree some goals. Your Care Plan will be updated with what has been agreed. 

4. Attend your Follow-Up Appointment 

Three to six months later, you will be invited to a Follow-Up Appointment. This will last up to 15 minutes and is an opportunity to update your Care Plan with a healthcare professional, considering what is going well and where you may need more support. You may have more than one Follow-Up Appointment in a year. 

Watch the short film below to see an example of a patient’s journey through the key stages of the process and help you understand what to expect from your Yearly Health Check. 

How will I be contacted if this is for me? 

We will contact you via text, phone call, or letter to organise your appointments. We will contact patients over the year so please do not worry if you do not hear from us right away. If you are concerned or have questions, please contact us.

Ante Natal Checks

What is antenatal care?

This is the care you receive while you’re pregnant to make sure you and your baby are as well as possible.

The midwife or doctor providing your antenatal care will:

  • check the health of you and your baby
  • give you useful information to help you have a healthy pregnancy, including advice about healthy eating and exercise
  • discuss your options and choices for your care during pregnancy, labour and birth
  • answer any questions you may have

If you’re pregnant in England you will be offered:

You may also be offered antenatal classes, including breastfeeding workshops.

Ask your midwife about classes in your area.

Starting antenatal care

You can book an appointment with your GP or directly with your midwife as soon as you find out you’re pregnant.

Your GP surgery or a children’s centre can put you in touch with your nearest midwifery service.

You can find your nearest children’s centre through your local council.

It’s best to see a midwife or GP as early as possible to get the information you need about having a healthy pregnancy.

Some tests, such as screening for sickle cell and thalassaemia, should be done before you’re 10 weeks pregnant.

If you have special health needs, your midwife, GP or obstetrician may take shared responsibility for your maternity care.

This means they’ll all be involved in your care during pregnancy.

Let your midwife know if you have a disability that means you have special requirements for your antenatal appointments or for labour.

If you do not speak English, tell your midwife.

How many antenatal appointments will I have?

If you’re expecting your first child, you’ll have up to 10 antenatal appointments.

If you have had a baby before, you’ll have around 7 appointments, but sometimes you may have more – for example, if you develop a medical condition.

Early in your pregnancy, your midwife or doctor will give you written information about how many appointments you’re likely to have and when they’ll happen.

You should have a chance to discuss the schedule of antenatal appointments with them.

If you cannot keep an appointment, let the clinic or midwife know and rearrange it.

Where will I have my antenatal appointments?

Your appointments can take place at:

  • your home
  • a Children’s Centre
  • a GP surgery
  • a hospital

You’ll usually go to the hospital for your pregnancy scans.

Antenatal appointments should take place in a setting where you feel able to discuss sensitive issues, such as domestic abuse, sexual abuse, mental health problems or drugs.

To make sure you get the best pregnancy care, your midwife will ask you many questions about your and your family’s health, and your preferences.

Your midwife will carry out some checks and tests, some of which will be done throughout your pregnancy, such as urine tests and blood pressure checks.

The results may affect your choices later in pregnancy, so it’s important not to miss them.

Your midwife will also ask about any other social care support you may have or need, such as support from social workers or family liaison officers.

These are carried out by our GPs and is a shared care service with the midwife at the hospital.

Alcohol Advice & Counselling

We provide specialist treatment across two sites to anyone over the age of 18 living in Enfield who is worried about their alcohol or drug use.

Contact details

Address:
Claverings
12 Centre Way
Edmonton
London
N9 0AH

Tel: 020 8379 6010
Manager: Serena Mccabe

You can visit our Claverings site for a face to face discussion without an appointment Monday – Friday between 10am – 4pm.

Address:
Vincent House
2e Nags Head Road Ponders End
EN3 7FN

Tel: 020 8379 4909
Manager: Serena Mccabe

Our Vincent House site is an appointment only service.

Who we are

Enfield alcohol and drug service provides a range of clinical, therapeutic and recovery interventions across two sites.  The majority of our clinical interventions delivered from our Clavering Site, with Vincent House providing a wide range of therapeutic and recovery focused interventions.

What we offer

We will help to reduce or stop your drug and alcohol use by:

  • Substitute prescribing and community alcohol detoxification for opiate users
  • Using community alcohol detoxification
  • Giving you access to a range of group programmes and workshops to help you make positive changes in your life
  • Providing access to funded treatment for detox, residential rehab or structured day programme

We can help to improve your health with:

  • Our nursing team who can provide health and wellbeing sessions
  • Testing and vaccination for blood borne viruses
  • Workshops and activities to improve your health and wellbeing
  • Complementary therapies

We can help to improve your relationships by providing:

  • Support for carers, friends and family
  • A specialist team that can support you around parenting and the impact of your substance misuse may be having on your children
  • Support for people experiencing domestic violence

We can help you to build support networks through:

  • Access to education and training opportunities
  • Support with benefits, housing and welfare
  • Volunteering and peer mentoring programs

Who the service is for

Enfield drug and Alcohol service will accept referrals from individuals, family members and friends experiencing problems with drugs or alcohol. We also accept referrals from other professionals. We are open to anyone living in Enfield and is aged over 18.

How you can access our service

There are a number of ways that people can access the service

Telephone – you can self-refer by calling 020 8379 6010. A recovery worker who will complete a brief assessment to help identify which of our services will best support your needs.

Email – email us at beh-tr.enable@nhs.net and one of our recovery workers will contact you within one working day.

Drop in – visit our Clavering site for a face to face discussion without an appointment on a Monday to Friday between 10am – 4pm.

Referral – we accept referrals from any professional, contact the service on 020 8379 6010.

Asthma Clinic

For patients who are due an annual asthma review (annually)

Please would you answer the questions by clicking on this link: https://www.asthmacontroltest.com/

Please complete the questionnaire and email this to us prior to your appointment or bring in a hard copy if its easier.

If your symptoms are deteriorating or you have any concerns, please make an appointment to the practice nurse or in house pharmacist who can review your asthma.

For inhaler technique videos for your specific inhaler please see: https://www.asthma.org.uk/advice/inhaler-videos/

Vaccines During Pregnancy FAQs

Are vaccines safe during pregnancy?

Certain vaccines are safe and recommended for women before, during, and after pregnancy to help keep them and their babies healthy. The antibodies mothers develop in response to these vaccines not only protect them, but also cross the placenta and help protect their babies from serious diseases early in life. Vaccinating during pregnancy also helps protect a mother from getting a serious disease and then giving it to her newborn.

For expecting mothers
For expecting mothers

Learn more about vaccines and a healthy pregnancy

Which vaccines should I get if I am pregnant?

Fact Sheet for Expecting Moms

Learn which vaccines are recommended, when to get them, and why they are important for you and your baby.

If you are pregnant or planning a pregnancy, the specific vaccines you need are determined by your age, lifestyle, medical conditions, travel, and previous vaccinations.

If you are planning a pregnancy, talk with your healthcare provider about getting up to date on all your vaccines. Some vaccines, such as the measles, mumps, rubella (MMR) vaccine, should be given a month or more before pregnancy. Your healthcare provider can help you determine if you need this or any other catch-up vaccine.

CDC recommends that pregnant women get two vaccines during every pregnancy: the inactivated flu vaccine (the injection, not the live nasal flu vaccine) and the Tdap vaccine.

Flu vaccine

CDC recommends getting the flu vaccine if you are pregnant during flu season. While flu seasons vary in their timing, CDC recommends getting vaccinated by the end of October, if possible. Getting vaccinated later during flu season, though, can still be beneficial. Flu vaccines have been given to millions of pregnant women over the years, and scientific evidence shows that it is safe. Getting the flu vaccine during pregnancy is one of the best ways to protect yourself and your baby for several months after birth from flu-related complications.

Tdap vaccine

Pregnant women are also encouraged to get the Tdap vaccine at any time during pregnancy, but optimally between 27 and 36 weeks of each pregnancy, to protect yourself and your baby from pertussis, also known as whooping cough. This vaccine is recommended during every pregnancy, regardless of how long it has been since you previously received the Tdap vaccine. If you did not get a Tdap vaccine during your pregnancy and have never gotten it, CDC recommends that you get the vaccine immediately after giving birth.

It is safe for women to receive most vaccines right after giving birth, even while breastfeeding. More information about the safety of vaccines during breastfeeding.

Important!

If you are pregnant or planning a pregnancy
Talk with your healthcare provider before getting vaccinated.  They can answer questions and offer advice based on your specific health needs.

Which vaccines should I not get if I am pregnant?

Some vaccines are not recommended during pregnancy, such as:

If you get any of these vaccines and then find out you are pregnant, talk to your doctor. Further doses of the vaccines, if needed, should be given after you have completed the pregnancy.

Can a vaccine harm my developing baby?

Some vaccines, especially live vaccines, should not be given to pregnant women because they may be harmful to the baby. Keep in mind that vaccine recommendations for pregnant women are developed with the highest safety concerns for both mothers and babies.

Are vaccines safe if I am breastfeeding?

Yes. It is safe to receive routine vaccines right after giving birth, even while you are breastfeeding. However, yellow fever vaccine is not recommended for breastfeeding women unless travel to certain countries is unavoidable and a healthcare provider determines that the benefits of vaccination outweigh the risks. Talk with your provider if you are considering yellow fever vaccine.

Reasons to Follow CDC’s Recommended Immunisation Schedule

Father holding a baby

The immunisation schedule is carefully designed to provide protection at just the right time.

1. Ideal timing

Like all good babyproofing plans, CDC’s recommended immunisation schedule is safe and effective at protecting your baby. It’s based on how your child’s immune system responds to vaccines at various ages, and how likely your baby is to be exposed to a particular disease. This ensures your little one is protected from 14 potentially serious diseases at exactly the right time. On the other hand, there is no data to support that spacing out vaccines offers safe or effective protection from these diseases.

So who looks at all the research and data to know what timing and doses are best? Hundreds of the country’s top doctors, public health professionals, and scientists design the schedule to ensure it is safe and effective.

Mother placing helmet on child

While babies are born with some immunity, they have not yet built up the necessary defenses against the diseases that vaccines prevent.

2. Prevent complications

Delaying vaccines could leave your child vulnerable to disease when she’s most likely to have serious complications.

Think of vaccines like a helmet for your baby. Just like safety equipment protects her from serious injury, vaccinating on schedule protects her from potentially serious diseases.

Young babies are at highest risk of serious disease complications. For example, for you, whooping cough may mean a lingering cough for several weeks, but it can be very serious—even deadly—for babies less than a year old. If you delay vaccinations, your baby could be exposed to diseases like whooping cough when she is most likely to have serious complications.

Mother securing baby into car seat

It can take weeks for a vaccine to help your baby make protective disease-fighting antibodies, and some vaccines require multiple doses to provide best protection.

3. Early protection

It’s best to vaccinate before your child is exposed to dangerous diseases.

 You wouldn’t wait until you’re already driving down the road to put your baby in a car seat. You buckle him in every time, long before there is any chance he could be in a crash. Vaccines work the same way—your baby needs them long before he is exposed to a disease.

If you wait until you think your child could be exposed to a serious illness – like when he or she starts nursery or during a disease outbreak – there may not be enough time for the vaccine to work. That’s why the experts who set the schedule pay such careful attention to timing. They have designed it to provide immunity early in life, before children are likely to be exposed to life-threatening diseases.

Child playing with blocks

Children won’t have the best protection from 14 serious diseases until they get all the recommended doses of each vaccine.

4. Best Protection

Your child isn’t fully protected if you cover just a few of the outlets she can reach around your home. Similarly, your baby won’t have the best protection from vaccines until she has all the recommended doses.

Each vaccine is carefully developed to protect against a specific illness. Some require more than one dose to build strong enough immunity to protect your baby, or to boost immunity that decreases over time. Others need additional doses to ensure your baby is protected in case the first dose didn’t produce enough antibodies. Your child needs the flu vaccine each year because the disease changes over time. Simply put, every recommended dose of each vaccine on the schedule is important.

Father helping baby to walk

Breastfeeding provides important protection from some infections as your baby’s immune system is developing. However, breast milk does not protect children against all diseases.

5. Long-term protection

Maternal antibodies and breastfeeding don’t provide enough protection.

Just as you help your child learn to walk, the protection (antibodies) you passed to your baby before birth will help protect your little one from diseases during the first months of life.  And just as your child needs to eventually walk on his own, his immune system eventually needs to fight diseases on its own. Vaccines help protect your child when your maternal antibodies wear off.

For example, when you get whooping cough and flu vaccines while you’re pregnant, you can pass some protection to your baby before birth. However, you can only pass on protection from diseases that you have immunity to, and this can only protect your child in the first few months.

Breastfeeding provides important protection from some infections as your baby’s immune system is developing. However, breast milk does not protect children against all diseases. Even for breastfed infants, vaccines are the most effective way to prevent many diseases. That’s why it’s so important to follow the immunization schedule. It ensures your baby’s immune system gets the help it needs to protect your child long-term from preventable diseases.

Grandmother holding a smiling baby

Not vaccinating your child on time can make someone else sick.

6. Spreading illness

Children who are not vaccinated on schedule are not only at risk of getting sick themselves, but they can also spread illness to others who aren’t protected, like newborns who are too young for vaccines and people with weakened immune systems. By getting your child’s vaccines on time you’re not only protecting your baby — you’re helping to protect your friends, family, and community, too.

On-time Vaccination: The Ultimate Babyproofing Plan

Most parents vaccinate their children according to CDC’s recommended immunisation schedule, protecting them from 14 potentially serious diseases before their second birthday. Vaccinating children on time protects them and anyone around them with a weakened immune system.

Staying safe during Travel & Travel Vaccinations

Travel Vaccinations

If you require any vaccinations relating to foreign travel:

Please ensure you give us at least 6 weeks notice if this is not the case you may not be best protected and vaccinated before your travels.

You will need to complete a Travel questionnaire (also available at reception) and return the form to reception,  this can be emailed in too. Your destination(s) with details of areas within countries that you are visiting, length of stay at each location and your contact details (including your email address).

The reception team will contact  you and will book you in with the practice nurse having checked your immunisation records we hold, if you feel we may not have all of your records, please send this through at the same time of the sending in your travel questionnaire form so this can be updated onto your immunisation records.

There is further information about countries and vaccinations required on https://www.travelhealthpro.org.uk

It is important to contact us at soon as possible before you travel as some vaccines have to be ordered as they are not stock items.

Some travel vaccinations are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.

Anti malarials can no longer be given on NHS Prescription

Recent changes in Southwark mean that unfortunately GPs can no longer prescribe malaria prevention medicines for travel on NHS prescriptions, but can do so on private prescriptions. Please contact us for charges.

For more information such as malaria, travel vaccinations, EHIC, travel insurance, DVT and jet lag see: https://travelhealthpro.org.uk/countries

 

 

Despite many people being fully vaccinated and some pandemic restrictions being lifted, it is still possible to catch and spread Covid-19. Here are some tips to keep as safe as you can whilst travelling and away on your holiday; continue to wash your hands often and wear your masks indoors where the virus is circulating widely.

Pneumococcal Vaccines

Who should have the pneumococcal vaccine?

There are 4 groups of people who are advised to get vaccinated against pneumococcal infections:

  • babies
  • people aged 65 and over
  • anyone from the ages of 2 to 64 with a health condition that increases their risk of pneumococcal infection
  • anyone at occupational risk, such as welders

Babies and the pneumococcal vaccine

Babies are routinely vaccinated with a type of pneumococcal vaccine known as the pneumococcal conjugate vaccine (PCV) as part of their childhood vaccination programme.

Babies are usually given the PCV at:

  • 12 weeks old
  • 1 year old

Adults aged 65 or over and the pneumococcal vaccine

If you’re 65 or over, you should be offered a type of pneumococcal vaccine known as the pneumococcal polysaccharide vaccine (PPV).

This one-off vaccination is very effective at protecting you against serious forms of pneumococcal infection.

People with health problems and the pneumococcal vaccine

The PPV vaccine is available on the NHS for children and adults aged from 2 to 64 years old who are at a higher risk of developing a pneumococcal infection than the general population.

This is generally the same people who are eligible for annual flu vaccination.

You’re considered to be at a higher risk of a pneumococcal infection if you have:

Adults and children who are severely immunocompromised (including anyone with leukaemia, multiple myeloma, genetic disorders affecting the immune system, or after a bone marrow transplant) usually have a single dose of PCV followed by PPV.

Welders and metal workers and the pneumococcal vaccine

Some people with an occupational risk are advised to have the pneumococcal vaccine, including those who work with metal fumes, such as welders.

Booster doses of pneumococcal vaccine

If you’re at increased risk of a pneumococcal infection, you’ll be given a single dose of the PPV vaccine.

But if your spleen does not work properly or you have a chronic kidney condition, you may need booster doses of PPV every 5 years.

This is because your levels of antibodies against the infection decrease over time.

Ask your GP surgery if you think you should have the pneumococcal vaccine booster. A GP will then decide if you should have it.

What to do if you miss a dose of pneumococcal vaccine

If you or your child has missed a routine dose of pneumococcal vaccine, speak to your GP surgery about when you can complete the course.