Know Your Pulse

We held an event at our practice to increase the awareness of atrial fibrillation, an irregular rhythm of the heart which is a major risk factor for causing a stroke. It’s simple to detect and easy to treat. We would like to thank Ron and Ammu from Chelwest Hospital for their support in running this successful clinic. #knowyourpulse

Here are some facts.

In London in the next 24 hours

  • 10 strokes will happen in people with atrial fibrillation
  • 6 did not know they had atrial fibrillation  – and could have been treated with blood thinning medication
  • 5 will go to residential care
  • 3 will go home
  • 2 will die

Here is a summary of our Event



The device used to measure ECG

We had support for the clinic from Patient Representative on the AF project between Chelwest and CLAHRC

And most importantly great patient feedback from more empowered and engaged patients

When should I worry?

Having an ill child can be a very scary experience for parents.
If you understand more about the illness it can help you to feel
more in control. This booklet is for parents (and older children)
and deals with common infections in children who are normally
healthy. It is not meant for children who have ongoing health
problems such as asthma, heart, or kidney problems. You should not rely
on the advice in this lea et for children who are less than 3 months old. Babies younger than this can respond differently to infections.

You can download the document here.

When should I worry-Booklet_England-with 111 service_2016[1]


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My Reflections on being @NHS Curator

It was a little overwhelming and it took me a while to understand that it is an account where people would like to have window into your life and want to know what you are planning, doing and thinking. It is different to the way that you would use your own twitter account.

I don’t think that the tweets are an accurate reflection of the workload in general practice. Eg on Monday I worked from 0800 – 2000, a telephone triage and Skype clinic lasting 4 hours and a normal clinic lasting 3.5 hours, 2 home visits as well as administrative duties including prescriptions, reviewing bloods test results, letters, making referrals. I didn’t have lunch until around 3pm which I had at my desk. I didn’t see the children when I got home at 2100 when I carried on with administrative duties.

It was hard to tweet when I was busy and could not share any information which would result in patients being identifiable, either directly or indirectly. In addition, I wanted to share the positive aspects of general practice of which there are many rather than the challenges which are well documented. With hindsight, I could have just done very short tweets to update followers as they appeared to be interested.

I was pretty apprehensive initially, given the size of the audience and worried about reaction, given the negative media comments about GPs on the day before I became a curator. However, twitter users have been amazingly supportive and engaging. As a result I grew in confidence towards the end of the week and have taken away their ideas and suggestions e.g having regular breaks, improving my diet and doing the Couch to 5K.

I would have liked to ask a few more challenging questions of large organisations and not be too disappointed when they are not acknowledged or answered. I also wish I had shared more everyday questions, eg how to make a 2 year old sleep through the night and remove the said 2 year old’s stains from a fabric sofa.

The biggest challenge in general practice is related to workforce and the biggest solution is education and training. I am not sure that this message came across clearly enough. I appreciate that things that I feel are important were not necessarily shared by the audience.

Engagement improved when I shared a little more of myself and I got better to taking photos and videos and realise that they don’t have to be perfect and got more involved when ‘interviewing’ people.

#Ithinkioverdidhastags #noteveyoneunderstandsmyhumour

Overall I think it was an amazing experience, I have learnt a great deal and feel much more confidant in using social media at the practice and on my own account. We will make sure we use it a few times day and respond to any questions. This can be used to share information both ways between patients and the practice and help patients support other patients, in line with practice ethos of patient empowerment.

I would like to thank NHS England for their support during the week, particularly Ben.


Cold Weather Alert

There is a 90% probability of severe cold weather between 0900 on Wednesday 04 Jan and 1500 on Friday 06 Jan in parts of England. This weather could increase the health risks to vulnerable patients and disrupt the delivery of services.


Here are some documents with more information.

NHS Choices Advice



Is your child under 5 and at risk of being overweight?

Do you have a child under 5?

Do you or anyone else have concerns that your child is at risk of becoming overweight?

Would you like to:

• reduce mealtime stress?

• enjoy being active as a family more often?

• encourage your child away from the screens and TV?

• see your child eat more fruit and vegetables?

Free sessions at Hounslow Children Centres

Alf Kings (Feltham) 020 8583 3922

Bedfont 020 8583 5581

Brentford 020 8583 5760

Chiswick 020 8583 5603

Cranford 020 8583 5590

“I would recommend this course to anyone with young children. It has become a vital tool in my life!”

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Download Posters Here



Don’t go to GP with runny nose, councils urge the sick

Millions of visits to the doctor for coughs and colds are unnecessary and the sick should be helped to treat themselves, councils say.

They say one in five appointments is for minor ailments, such as runny noses, back pain and colic in children.

The Local Government Association, representing councils in England and Wales, is asking people to consider going to pharmacies or NHS websites.

It says such an approach could help save GPs an hour a day on average.

GPs handle 57 million cases of minor conditions and illnesses, such as coughs, colds, back pain and insect bites a year, while A&Es deal with 3.7 million similar cases, costing the NHS more than £2bn.

Back pain is one of the most common causes for a GP visit yet most cases can be treated with over-the-counter treatments and self care.

The same is true of other minor ailments, such as coughs, colds and indigestion, says the LGA.

It cites latest figures showing:

  • 5.2 million GP appointments were for blocked noses
  • 40,000 for dandruff
  • 20,000 for travel sickness

The LGA wants GPs to help to educate people about how to treat themselves, without seeing a doctor.

‘Culture of care’

It says councils, which have had a responsibility for public health since 2013, have been behind a drive to improve “health literacy” among patients.

Councillor Izzi Seccombe, chairwoman of the LGA’s Community Wellbeing Board, said: “We need a new culture of care, where people stop and think before calling the doctor.”

GPs and A&E departments were already overstretched yet many appointments were unnecessary, she said.

“Patients need to be helped in learning how to look after themselves, for example in managing long-term conditions such as heart disease or diabetes, and GPs can play a key role in this.”

Jonathan MacShane, who is also on the LGA’s Community Wellness Board, said: “We reckon that an average GP could save an hour a day if people weren’t attending with the kinds of conditions, which they could look after themselves.”

Dr Ian Banks, of the Self Care Forum – a body made up of representatives from organisations including the Men’s Health Forum, Public Health England and the Royal College of Nursing, said: “Most people are entirely capable of looking after themselves most of the time, self-treating when it’s safe and knowing where and when to seek help when they need it.

“There will always be others however, who might need a bit more support to become empowered and confident in making the right health decision.”