Long Term Conditions (LTC) are health conditions that can impact on a person’s life, and may require ongoing care and support. We organise appointments and provide support for people who have an LTC by putting in place a way of working called ‘Care and Support Planning’.

What is care and support planning?

This way of working aims to give you the opportunity to get more out of your annual review appointments by reorganising the way things happen and giving you more information before you see one of our Nurses. It should help you talk about:

• What support you may need
• What is important to you
• What you can do to look after your health and stay well

Who is it for?

Any patient who has a Long Term Condition (LTC).

The Benefits

This way of working is nearly always preferred by patients. It will help both you and our Nurse make the best use of the time you have in your care and support planning appointment. All the important tests and results needed at your appointment will be available for discussion at your second appointment.

What does this mean for me?

This means that your care and support planning review will take place over two separate appointments and you will have time to think about what you want to get out of these visits.

What happens at the first appointment?

At the first appointment, you will be asked to attend the surgery to have a number of tests done with a Practice Nurse or Healthcare Assistant. The tests may include a blood test (non-fasting), weight, blood pressure and, if you’re diabetic, a foot check. The Practice Nurse or Healthcare Assistant will either book your next appointment which will be with one of our Nurses, or ask you to arrange this appointment with the Reception desk.

What happens next?

Your test results from this appointment will be available when you attend to see the Nurse. The results of this test will be discussed with the Nurse and any appropriate action taken.

What happens at the care and support planning appointment?

At your care and support planning appointment you will be able to ask questions and talk about what’s important to you. The Nurse will raise any issues she is concerned about. Once you both agree on the main things to work on, you will get the chance to work out a plan and identify any support you need to help you look after your health.

There are a number of services that can help you when it comes to looking after yourself if you have the following Long Term Conditions – Diabetes, Chronic Heart Disease, (CHD), Cardiovascular Disease (CVD) or Chronic Obstructive Pulmonary Disease (COPD).

Further Information

Coronary heart disease (CHD) is a major cause of death both in the UK and worldwide. CHD is sometimes called Ischaemic heart disease.

Further information about CHD available from NHS UK

Chronic obstructive pulmonary disease (COPD) is the name for a group of lung conditions that cause breathing difficulties.

Further information about COPD available from NHS UK

Useful Links

Diabetes UK

NHS UK Diabetes Information Site

Health Visitors

You can normally see the Health Visitors at their drop-in clinic; for further information please contact the Practice.

Health Visitors are all trained Nurses who have extra training and qualifications in child health. They are a fantastic source of information about child development and health, parenting strategies, breastfeeding, nutrition and community support. They also offer help with social, emotional and environmental issues that affect families.

Child health checks

Please do not bring ill children to this clinic.

Appointments are sent out automatically by the local health authority for routine child health checks.

The first will be with a GP at the Surgery when your baby is around 6 weeks old. You will be sent information about this and asked to make an appointment at your local Clinic or Practice.

You will also be offered routine health reviews for your child, with your Health Visitor, at 6-8 weeks, 8-12 months and 2-2½ years old.

Please ensure you attend these appointments to ensure your child is immunised and protected.

Child immunisations

Immunisations are given by our Practice Nurses or other Healthcare Professionals in accordance with the NHS vaccine schedule.

When to immunise

Different vaccines are given at different ages to protect you and your child. Find out when these vaccinations are offered, and when and where they’ll be given:

When to immunise

The NHS Health Check is a health check-up for adults in England aged 40-74. It’s designed to spot early signs of stroke, kidney disease, heart disease, type 2 diabetes or dementia. As we get older, we have a higher risk of developing one of these conditions. An NHS Health Check helps find ways to lower this risk. Please contact the Practice to arrange an appointment.

Further information about the NHS Health check from NHS UK

Our Primary Care Networks are working together and are able to provide more appointments to patients across NW London.

Services include:

• GP services: Available (both face to face appointments and telephone consultations). All Acute GP services, long term conditions, Chronic reviews, Medication Reviews
• Nursing Service: Asthma Review, Child Immunisations, Smears, Spirometry, Pneumovax, shingles
• Health Care Assistant: NHS Health Check, Bloods, Diabetic Review, ECG, Blood Pressure Monitoring, Immunisations, SMI reviews
• Clinical Pharmacist: Medication Review, Asthma and Diabetic Reviews
• Dietician: Dietician Advice
• Diabetes: One Stop Shop

How To Book?

• Contact your GP
• To self-refer for the ENHANCED ACCESS HUB please visit Enhanced Access Hub – Harness PCN.
• Email us on [email protected]
• Call on 07541490200 Booking line open as follows : Monday-Saturday from 09:00-17:00

Our Locations & Timings

PARK ROYAL MEDICAL PRACTICE
Central Middlesex Hospital, Acton Ln London NW10 7NS

WEMBLEY CENTRE FOR HEALTH & CARE
116 Chaplin Rd Wembley HAO 4UZ

SESSION TIME: Weekdays 18:30-20:00 and Saturday 9am-5pm

Telling your GP and/or Midwife promptly will help to make sure you receive maternity healthcare that takes into account all your health needs and preferences. You can book an appointment with your GP or directly with your Midwife as soon as you know that you’re pregnant.

It’s best to see them as early as possible to obtain the information you need to have a healthy pregnancy, and because some tests, such as screening for sickle cell and thalassaemia should be done before you’re 10 weeks’ pregnant.

Midwife

The Midwife works with the Doctor to give care to women having a baby, both before birth and for ten days after the baby is delivered. Antenatal appointments are now generally provided by the Midwife at the Hospital or satellite clinic. For further information please contact your Practice.

The role of the midwife

A Midwife is a qualified nurse who has undertaken further training to provide and promote normal midwifery.

They help you to prepare for motherhood and promote good health for yourself and your baby by advising on the effects of drinking, smoking and good diet whilst you are pregnant.

The Midwife guides you through your pregnancy and endeavours to detect any problems and make relevant referrals if necessary.

Healthy Start

Healthy Start is a government scheme that aims to improve the health of pregnant women and mothers on benefits or low incomes, all pregnant women under 18 years of age and children who are under 5 years of age. Families who are supported by the scheme receive vouchers to spend on milk (including infant formula), fresh fruit and vegetables.

Further information about Healthy Start

Your antenatal care

When you first learn that you’re pregnant, get in touch with a Midwife or GP as soon as possible. Ideally this should be by 10 weeks of your pregnancy. Telling your GP and/or Midwife promptly will help to make sure you receive maternity healthcare that takes into account all your health needs and preferences.

Further information available from NHS UK

If you would like to book one of the below clinics/services, please book your appointment online, or contact us on 020 8432 7337.

The surgery offers a wide range of clinics and services including:

• Diabetic Clinic
• Coronary Heart Disease Clinic
• Baby Clinic
• Antenatal and Postnatal clinic
• Minor Surgery
• Cervical Screening – for women aged 24 – 65 years
• Contraceptive services
• Child health surveillance
• Travel Clinic
• Maternity services – Please be aware you can also self-refer to your hospital of choice.
• IUCD / Coil services
• Phlebotomy services (blood tests) – Monday to Friday 8.30 – 11.30
• Dietician – We have a dietician every fortnight on Fridays between 9.00 – 12.00

Baby Clinic

Baby Clinic is for well babies from birth to five years of age.

Children under 5 years of age are seen by either the Health Visitor for advice and weighing, the Practice Nurse for immunisations and or the Doctor for 6 week check ups. Parents/Guardians need to ring the surgery and you will be given a suitable appointment according to which service your child requires.

Minor Surgery

Certain small surgical operations can be performed at the surgery. With minor surgery the recovery time is usually short and you will be back to your usual activities fairly quickly (depending on your procedure).

Before attending for minor surgery you will need to see a doctor for the diagnosis and then you will be given an appointment to attend for your procedure.

Please note we do not offer minor surgery for cosmetic purposes.