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Join the Fight - become an

Antibiotic Guardian

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LindumNews

LINDUM  MEDICAL  

PRACTICE  01522 569033

Produced by Lindum Medical Practice for its patients and staff Winter 2016 thelindumpractice.co.uk

There is always constant pressure on demand for appointments. Patients are unhappy when they cannot get an appointment when requested and the receptionists have a very hard job trying to satisfy all requests. We have recently added more nurse practitioner appointments and GP clinics as a result of this. We find it very frustrating when we look at the amount of appointments who do not turn up and don’t cancel in advance classed as DNA’s (did not attend). Sometimes a patient will have only booked the appointment the day before, even that day and then simply don’t bother to come!! In November there were over 300 GP and nurse appointments. These could have been offered to those patients in need and if we had those 300 to offer we would be able to accommodate more requests for those who really need it. We will be monitoring this closely and if a patient DNA’s more than three times within 6 months we will be requesting that they leave the practice and seek registration elsewhere. Please help us to help you. More than eight appointments a week on average for every full-time GP are marked as DNA’s, a GP poll of more than 500 GPs found. The findings suggest more than 14 million appointments are missed annually at a cost to the NHS of around £300million.

Many practices are now struggling to deliver enough appointments to patients who genuinely need them and so when consultations are missed it has a direct knock-on effect to people who require care. A typical GP consultation costs the NHS £23, so more than £320 million is being lost each year. Some surgeries already operate a ‘three strikes and you’re out’ policy.

Inside this Issue Winter Appointments …........……………………. Page 1 Top 10 Winter Aliments …....................…………. Page 2 Practice update ……………………..………. Page 4

Dry January …………………………..…. Page 5 Antibiotic Awareness ……………………............ Page 6 Keeping Warm …………………………...... Page 8

New Years Resolutions ……………………………. Page 9

Coil Clinic ……………………………. Page 10

Stained Glass Biscuits ….............................. Page 11

Lindum News - Winter 2016 - Page 1

Winter Appointment Availability

http://www.thelindumpractice.co.ukhttp://www.thelindumpractice.co.uk

 


Top 10 Winter AlimentsSomehealthproblems,suchasasthma,sorethroatand cold sores, are triggered orworsened by coldweather. Here's how to help your body deal withcoldweatherailments.

ColdsYou can help preventcolds bywashing yourhands regularly. Thisdestroysbugsthatyoumay have picked upfromtouchingsurfaces

used by other people, such as light switches anddoorhandles.

It's also important to keep the house and anyhousehold items such as cups, glasses and towelsclean,especiallyifsomeoneinyourhouseisill.

Top %p: If you get a cold, use disposable Assuesinstead of cloth handkerchiefs to avoid constantlyreinfecAngyourownhands.

SorethroatSorethroatsarecommoninwinterandarealmostalways caused by viral infecAons. There's someevidence that changes in temperature, such asgoingfromawarm,centrallyheatedroomtotheicyoutdoors,canalsoaffectthethroat.

Top%p:Onequickandeasyremedyforasorethroat is togarglewithwarm salty water. Itw o n ' t h e a l t h einfecAon, but it hasa nA - i n fl amma t o r yproperAes and canhave a soothing effect. Dissolve one teaspoon ofsaltinaglassofpart-cooledboiledwater.

AsthmaColdairisamajortrigger of asthmasymptomssuchaswhee z i n g a n ds h o r t n e s s o f

breath. People with asthma should be especially

carefulinwinter.

Top %p: Stay indoors on very cold, windy days. Ifyou do go out, wear a scarf over your nose andmouth. Be extra vigilant about taking your regularmedicaAons,andkeeprescueinhalersclosebyandinawarmplace.

NorovirusAlsoknownasthewintervomiAngbug,Norovirusisan extremely infecAous stomachbug. It can strike all year round,but is more common in winterand in places such as hotels andschools.Theillnessisunpleasant,but it's usually over within acoupleofdays.

Top %p: When people are ill with vomiAng anddiarrhoea,it'simportanttodrinkplentyoffluidstopreventdehydraAon.Youngchildrenandtheelderlyare especially at risk. By drinking oral rehydraAonfluids (available frompharmacies), you can reducetheriskofdehydraAon.

PainfuljointsManypeoplewitharthriAssay their jointsbecomemore painful in winter, though it's not clear why

this is the case. Onlyjointsymptomssuchaspain and sAffness area ff e c t e d b y t h eweather. There's noevidence that changesin the weather causejointdamage.

Top %p: Many peopleget a liTle depresseddur ing the w inte rmonths, and this canmake them perceivepain more acutely.Everything feelsworse,i n c l u d i n g med i c a lc o n d i A o n s . D a i l yexercise can boost a

person's mental and physical state. Swimming isidealasit'seasyonthejoints.

 


ColdsoresMost of us recognisethat cold sores are asign that we're rundownorunderstress.While there's no cureforcoldsores,youcanreduce thechancesofgeVngoneby lookingaWeryourselfthroughwinter.

Top%p:Everyday,dothingsthatmakeyoufeellessstressed,suchashavingahotbath,goingforawalkinthepark,orwatchingoneofyourfavouritefilms.

Hearta8acksHeartaTacksaremorecommoninwinter.Thismaybebecausecoldsnapsincreasebloodpressureandputmorestrainontheheart.Yourheartalsohastoworkhardertomaintainbodyheatwhenit'scold.

To p % p : S t a ywarm in yourhome. Heat themain rooms youuse to at least18Canduseahotwater boTle orelectricblankettokeep warm in

bed.Wrap upwarmwhen you go out andwear ahat,scarfandgloves.

ColdhandsRaynaud'sphenomenonisacommoncondiAonthatmakes your fingers and toes change colour andbecomeverypainfulincoldweather.Fingerscango

white, then blue,thenred,andthroband Angle. It's as i g n o f p o o rcirculaAon in thesmall blood vesselsof the hands andfee t . I n s eve recases, medicaAon

canhelp,butmostpeoplelivewiththeirsymptoms.

Top %p: Don't smoke or drink caffeine (they canboth worsen symptoms) and always wear warmgloves, socks and shoes when going out in coldweather.

DryskinDryskin isacommoncondiAonand isoWenworseduring thewinter,whenenvironmentalhumidity islow.

Moisturising is essenAal duringwinter. Contrary topopular belief, moisturising loAons and creamsaren't absorbedby the skin. Instead, they act as asealant to stop the skin's natural moistureevaporaAngaway.

T h e b e s tAmetoapplymoisturiseri s a W e r ab a t h o rs h o w e rwhile yourskin is sAllmoist, anda g a i n a tbedAme.

Top %p: Have warm, rather than hot, showers.Waterthatistoohotmakesskinfeelmoredryanditchy. Hotwaterwill alsomake your hair look dullanddry.

FluFlu is a major killer of vulnerable people. Peopleaged65andoverandpeoplewithlong-termhealthcondiAons, including diabetes and kidney disease,areparAcularlyatrisk.

ThebestwaytopreventgeVngfluistohavetheflujab.ThefluvaccinegivesgoodprotecAonagainstfluandlastsforoneyear.

Top %p: Find out if you're at risk of geVng flu byasking yourGP, or read our arAcle onwho shouldhave theflu jab. If you're in ahigh-risk group, seeyourGPtogetthevaccinaAon.

 


Lindum Medical Practice Newsletter December 2016 Update

Iwouldliketotakethisopportunitytothankallofourstafffortheirhardworkthrough2016whichhasagainbeenanotherchallengingyearforthepracAce.OurNHSconAnuestoexperiencehighdemandforservices. NotadaygoesbywithoutpressandmediareporAngpressureontheserviceandIfinditabitfrustraAngwhenyoumainlyhereaboutHospital,A&EandAmbulancepressureandweinprimarycarehardlygetamenAon.Primarycareiswhereitallstartsandweexperienceexactlythesamepressuresassecondarycarearounddemand,recruitmentandpaAentexpectaAonsetc. WecanseeasmanypaAentsthroughourdoorsonadailybasisasA&EandsomeAmesmore,soourstaffcopeverywellunder thispressuredenvironment.

ItisnotgoingtogetanyeasierandweareseeingGPsreAringearlierandpracAcesclosingtheirdoors.Ibeganmycareerinprimarycare46yearsagoandfindthisreallysadtosee.

Please respect the serviceand itsworkersand let’sensureourpracAcecandevelopandgrow for thefutureandwewilldoourbesttodeliveragoodservicewecanbeproudof. WewishallofourstaffandpaAentsaHappyHealthyChristmasand2017.

PaulineMardleBusinessmanager.

Your NHS & What it Costs  

Did you know the cost of:  

Calling an Ambulance = £247 Stepping into A&E = £124 

Stepping into a GP Surgery = £23A call to NHS 111 = £16 

A click on NHS Choices website = £0.46  

Stop, Think and choose well  

www.nhs.uk   

Your health, your choices

http://www.nhs.ukhttp://www.nhs.uk

 


Top10ApsforasuccessfulDryJanuary:  1)StaAsAcallyspeakingyou’remorelikelytosucceedwiththefullmonthyoudecidetofundraise.Fundraisingissupereasy, justsetupapageonlineandyou’llnotonlyget thehealth (and wealth!) benefits from your month off, butyou’llraisesomemuch-neededfundstosupportourcauseand help protect children and families from the harmalcoholcancause.

2)Encourage friendsandfamily tosignupwithyou–themoreof you thereare takingpart, theeasier it is to sAckwithit.Plusthatwayyouknowyou’llhaveanaddressbookfullofpeoplesAlleagertomeetup!

3)Bepartof the communityandofferencouragement toyourfellowDryJanuaryparAcipants.

4)OrganisesocialouAngthataren’t justaboutthebooze.Cinema, bowling, livemusic, comedy nights (like our DryHumournight),sportsevents,boardgamenights,mock-tailevenings, tea parAes, poker games, museum visits, bakeoffs–the listgoesonandon!Amonthoffboozedoesn’tneedtomeanamonthoffsocialising.

5)Ifeveningdrinkswhenyougethomefromworkareyourweakness,whynotcomeupwithanalcohol-freepost-workritual?While you probably have umpteen cups of tea orcoffeeatwork,tryfindingsomethinguniquethat’sjustforthat first drinkwhen you get in. Itmight be a deliciouslysoothing rooibos tea, naturally high in anAoxidants thathelptolowerlevelsofthestresshormonecorAsol(whichisalso linkedtobelly fat). Orapowerfulcupofchamomile

t e a , wh i c h i sf a n t a s A c f o r

relaxing (the Roman’s used to drink chamomile tea aWerbaTle to relax, so imagine what it’ll do aWer your dayofoffice-basedwarfare).

6)TakesomeAmetogetfit(everyoneelse istrying!).Youshould have more Ame and energy just from the breakfromalcohol,so imaginewhatyou’ll feel likewithabitofexerciseworkinginyourfavourtoo.Startaneveningwalkeveryday,ormakeacommitmenttoaplanliketheNHS’sCouchto5Kplan.

7)TakesomeAmetoappreciateSaturdaymornings.Goforawalkandgetyourweekendstartedonagoodnote.Suremid-January weather will probably mean you’ll need acoat,butit’srefreshingtobeupandhaveenergy,somakethemostofit.

8)Findanewhobbytoenjoy.It’sthatAmeofyearforNewYear’s ResoluAons, so finally join that book club you’veheardabout,buythatguitaryou’vealwayswantedtoplayorwritethatnovelthat’sbeeneaAngawayatyou.

9)Comeupwithsomenight-out-onlysoWdrinks. Ifyou’redrinkingthesamethingyou’dhavewithlunchtheeveningcanfeel lessspecial,but ifyouhaveaparAcularmock-tailorsoWdrinkyoudon’tstockathomeyou’ll feelmore likeyou’re“outout”.

10)Provetoyourselfandothersthat,ulAmately,youdon’tneedalcoholtohaveagoodAme.DryJanuaryisn’taAmeto barricade the doors and hide, but a Ame to showyourself you can achieve incredible things regardless ofwhether you’ve had a drink. Sure, James Bondmight likethe occasional marAni, but he doesn’t need one to beawesome.

 


Public Health England (PHE) leads the co-ordination of Antibiotic Awareness activities in England in collaboration with the Veterinary Medicines Directorate (VMD) or the Department for Environment, Food and Rural Affairs (DEFRA), the Department of Health, devolved administrations, and other professional organisations.

PHE established the Antibiotic Guardian campaign to help protect antibiotics and improve knowledge about antibiotic resistance.

You are invited to become and Antibiotic Guardian and to encourage others to join in protecting antibiotic against the growing threat of antibiotic resistance.

 


Protect yourself, your family and friends against

the spread of antibiotic resistance  

 www.antibioticguardian.com

http://www.antibioticguardian.comhttp://www.antibioticguardian.com

 

Keeping warm indoors and out Evenif it isn’taseverewinter,coldweathermakesus more vulnerable to certain illnesses. Followthese Aps to stay healthy and keepwarm indoorsandout.

• Make sure you keep your hands and facewarm.Aswellaswearingglovesandahat,alwayswrapa scarfaroundyour facewhenyougoout incoldweather,evenforshortintervals.Thishelpstowarm the air you breathe. If your hands and faceget cold they can trigger a rise in blood pressurewhichputsyouatriskofaheartaTack.  • Several thin layers of clothingwill keep youwarmer than one thick layer, as the layers trapwarm air. Clothes made from wool or fleecysyntheAc fibres such as polyester are a beTerchoice than coTon. Startwith thermal underwear,warmAghtsorsocks.  • Ifyou’resiVngdown,ashawlorblanketwillprovidealotofwarmth.Trytokeepyourfeetup,astheairiscooleratgroundlevel.  • Wear warm clothes in bed. When it’s verycold,wearthermalunderwear,bedsocksandevenahat–alotofheatislostthroughyourhead.

• Use a hot-water boTle, wheat bag or anelectric blanket towarm the bed, but never use ahot-waterboTleandanelectricblankettogetherasthiscanbedangerous.  • Checkwhether your electric blanket can bekept on all night or whether it’s only designed towarm the bed before you get in. Get it checkedevery three years by an expert. Local tradingstandardsdepartmentsoWenofferfreetesAng, or you can ask at the shopwhere you bought theblanket (they may charge). If you have anyconAnence difficulAes, talk to your doctor beforeusingone.   • Keep your feet warm. As with your handsand face, cold feet can trigger a potenAallydangerous rise in blood pressure. Choose bootswith non-slip soles and a warm lining, or wearthermal socks. These boots keep you safe if thegroundisslipperyandkeepyourfeetwarm.  • Check local news andweather forecasts foradvicewhenbadweatherisforecast.

MostofusspendalotofAmeindoorsinwinter,soit’s important that you are comfortable and safethere. And it’s essenAal that you keep your homewarm.Lowtemperaturesincreasetheriskoffluandother respiratory problems and can raise bloodpressure. Blood pressure takes longer to return tonormal in older peoplewho have been out in thecold,increasingtheriskofheartaTacksandstrokes.The colder your home, the higher the risk to yourhealth.

• Keep your main living room around 70°F/21°C,andtherestofthehouseshouldbeheatedtoat least 64°F/18°C. We have included athermometerinthemiddleofthisguideforyoutopulloutandkeep.Youcanuseitinyourlivingroom(idealtemperature70°F/21°C)andinyourbedroom(idealtemperature64°F/18°C)tokeepyourhomeatasafetemperature.Youmaywantyourmainlivingroomtobewarmer than this,and ifyou feelcold,turn the heat up regardless of what thethermometerreads.  • Get to knowhow theAmer and thermostaton your heaAng systemwork. If it’s very cold, setthe Amer to switch the heaAng on earlier, ratherthanturningthethermostat up to warm your house quickly. If you haveindividualthermostatsonyourradiators,makesurethey’re set at the right temperature in the roomswhereyouspendAme.FormoreinformaAonabouthow to understand your heaAng controls, see ourfreeguideSaveenergy,payless.

• Close the curtains at dusk and fit thermalliningsifyoucan.Thiswillkeeptheheatin.  • Putguardsonopenfires,andbecarefulnottohangwashingtooclosetothefire.  • Don’tblockupairvents,asfiresandheatersneed venAlaAon. Good venAlaAon also helps topreventcondensaAon.  • Keep your bedroomwindow closed at nightwhen theweather is cold. The coldestAmeof thedayisjustbeforedawn.BreathingincoldairraisestheriskofchestinfecAons.  • Test your carbon monoxide alarms. YoushouldhaveonefiTedineachroomthathasagasappliance, as there is a risk of carbon monoxidepoisoningifairventsbecomeblocked.  • Contact your local Age UK for a benefitscheckandadviceonanyotherfinancialsupportyoumaybeeligiblefor.

FormoreinformaAonvisit www.ageuk.org.uk


http://www.ageuk.org.ukhttp://www.ageuk.org.uk

 


New Years Resolutions ANewYear'sresoluAonisatradiAon,mostcommonintheWesternHemispherebutalsofoundintheEasternHemisphere,inwhichapersonmakesapromisetodoanactofself-improvementorsomethingslightlynice,suchasopeningdoorsforpeoplebeginningfromNewYear'sDay.

 


Pretty Muddy Update

OnSaturday1stOctoberateamfromLindumMedicalPracAcetookpartin‘PreTyMuddy’;a5KmuddyobstaclecourseatLincolnshireShowgroundinaidofCancerResearchUK.ItwasafantasActurnoutandtheLindum’steamthe‘FallenAngels’raised£945.54forCancerResearchUK.Thankyoutoeveryonewhosponsoredanddonated.

Coil ClinicThe Practice is running a coil clinic twice a month.

Coi ls are an excel lent form ofcontracepAon and can be used from5-10yearsdependingonthetypeofcoilused. They can of course be taken outearlierandferAlitycanberestored.TheMirenacoilcanactuallyhelpwithheavyperiods and can b e a

benefitduringthemenopause.

If you would be interested in a coil,pleasebookanappointment in thecoilclinic or with the pracAce nurse todiscuss. There is more informaAonavailable, ask in the surgery or searchonline  hTp://www.paAent . in fo/hea l th/intrauterine-contracepAve-device-leaflet

✴ WhatisMirena? Mirena(levonorgestrel-releasing

intrauterinesystem)isanintrauterinedevice(alsoknownasanIUD)thatreleasessmallamountsofthehormonelevonorgestrellocallyintoyouruterus.MadeofsoW,flexibleplasAc,Mirenaisplacedbyyourhealthcareproviderduringanofficevisit.Mirenaisrecommendedforwomenwhohavehadachild.  

MirenaofferscontracepAonthat'sover99%

effecAve;infact,itisone

ofthemost

effecAvemethodsofbirthcontrol. 

 Mirenapreventspregnancyforaslongasyouwant,forupto5years.  YoucantrytobecomepregnantassoonasMirenaisremovedbyyourhealthcareprovider

✴ WhatisMirenamadeof? MirenaismadeofsoW,flexibleplasAcandcontainsthehormonelevonorgestrel.

✴ HowdoesMirenaworktopreventpregnancy? Mirenapreventspregnancy,mostlikelyinseveralways:  Thickeningcervicalmucustopreventspermfromenteringyouruterus  InhibiAngspermfromreachingorferAlisingyouregg  Thinningtheliningofyouruterus

✴ WhoisMirenarightfor? Mirenaisahormone-releasingIUDplacedinyouruterustopreventpregnancyforaslongasyouwantforupto5years.Mirenaalsotreats

heavyperiodsinwomenwho

choose

intrauterinecontracepAon.

Mirenaisrecommendedforwomenwhohavehad

atleastonechild.OnlyyouandyourhealthcareprovidercandecideifMirenaisrightforyou.  MirenaoffersaflexiblebirthcontrolopAonif: •Youwantbirthcontrolyoudon’thavetothinkabouttakingeveryday  •YouhadababyandwanttoexploreyourbirthcontrolopAons •Youwanttohavemorechildreninthefuture  •Youarehappywithyourfamilysizethewayitis •Youareunsureifyouwantmorechildren •Youwantbirthcontrolthatisalsoapprovedtotreatheavyperiods

http://www.patient.info/health/intrauterine-contraceptive-device-leaflethttp://www.patient.info/health/intrauterine-contraceptive-device-leaflethttp://www.patient.info/health/intrauterine-contraceptive-device-leaflethttp://www.patient.info/health/intrauterine-contraceptive-device-leaflet

 


Orange and Ginger Stained Glass Biscuits

Makes | 14 Biscuits  Prep time | 15 minutes Cooking time | 15 minutes  Ingredients

sunflower oil for greasing

175g plain flour, plus extra

1 tsp ground ginger

zest 1 orange

100g butter, cold, cut into chunks

50g golden caster sugar

1 tbsp milk

12 fruit-flavoured boiled sweets

icing sugar, to dust

about 120cm thin ribbon, to decorate

 Method

 1. Heat oven to 180C/fan 160C/gas 4. Grease 2 large non-stick baking sheets with oil. Whizz the flour, ginger, zest and

butter with 1⁄2 tsp salt to fine crumbs in a food processor. Pulse in the sugar and milk, then turn out and knead briefly on a floured surface until smooth. Wrap in cling film, then chill for about 30 mins.

2. Flour the work surface again, then roll out the dough to the thickness of a £1 coin. Use 7cm cutters to cut out shapes, then use 4cm cutters to cut out the middles. Re-roll leftover pieces. Make a hole in the top of each biscuit, then carefully lift onto the baking sheets.

3. Crush the sweets in their wrappers with a rolling pin, then put the pieces into the middles of the biscuits – the sweets should be level with the top of the dough. Bake for 15-20 mins or until the biscuits are golden brown and the middles have

melted.

4. Leave to harden, then transfer to a rack to cool. Thread with ribbon, then dust with icing sugar. Will keep for a month, but best eaten within 3 days.

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