Clinical Standards

What Sort Of Service Should You Expect From Us?
In particular what sort of service should you expect if you have particular medical conditions?

We thought it would be helpful to give you an idea of the care you should receive if you have some of the common medical conditions listed here.  If we have forgotten to do any of the things that are suggested here, please do remind us.

Diabetes
We should make sure that the following checks are done each year (either here at the surgery, or at hospital, the opticians or the chiropodists)
- Blood Pressure
- Eye examination
- Foot examination
- Weight
- Medication review
- Urine test for protein
- Blood tests for sugar control, cholesterol level and to test the kidneys

We will offer you a flu vaccination each year and a single pneumonia vaccination.  We also encourage everyone with diabetes to see the dietician, at least every five years.  We have booklets about diabetes which we are happy to provide.

Heart Attack/Angina
We should check you at least yearly.  We will:
- Check your blood pressure
- Review medication (encouraging aspirin for most patients)
- Help smokers to quit
- Give advice and education to help lower your cholesterol
(and do a   cholesterol blood test every year)
- We will offer you a flu vaccination each year and a single pneumonia         vaccination.

A Stroke
We will check you at least yearly.  We will:
- Check your blood pressure
- Review medication (encouraging Aspirin for most patients)
- Help smokers to quit
- Give advice and education to help lower your cholesterol
- Help keep your blood pressure controlled
- We will offer you a flu vaccination each year and a single pneumonia vaccination

High Blood Pressure
We will check your blood pressure at least twice a year and offer you medication to try and bring it down to at least 150 / 90 (slightly lower if you have diabetes).

When we first diagnose your high blood pressure we will do tests of your kidneys and blood tests for Cholesterol and for Diabetes.

Asthma/COPD/Emphysema
We will:
- Help smokers to quit
- Provide medication to give as much relief as possible for breathlessness and coughing
- Check that you can use your inhalers properly
- Provide, for those who want it, a peak flow meter and a personal self-management plan
- We will offer you a flu vaccination each year and a single pneumonia vaccination.