Long Term Conditions

Asthma

If you have asthma and require regular inhalers then you should have a review of your medication at least once a year. Our nurses are trained in asthma management and will be able to review your requirements. If you need a review, please advise a receptionist that you want to see a nurse for an asthma check and they will make you an appointment.

If you have asthma, you may also receive a request to make an appointment with a nurse for a review. This will either come attached to your repeat medication or as a letter or text message from the surgery. Please respond to these requests by making an appointment with a nurse as it is important to optimise your asthma management.

Additional Information

For more information please visit the following websites:

Diabetes

If you have diabetes, then you should have an annual review of your condition at the surgery. Some patients, with more complex diabetes, have their annual review at a hospital staffed clinic, after referral by one of our clinicians.

Our doctors and nurses are trained in diabetes management and will be able to review your requirements. If you need a review, please advise a receptionist that you want to see a nurse for a diabetes annual review and they will make you an appointment. It may be necessary to arrange a blood test, in advance of your appointment with the nurse. If you have diabetes, you may also receive a request to make an appointment for a blood test or with a nurse for a review. This will either come attached to your repeat medication or as a letter or text message from the surgery.

Please respond to these requests by making an appointment with a nurse as it is important to optimise your diabetes management. Blood tests can either be booked at the Bushey surgery or you can attend the walk-in phlebotomy clinic at Watford General Hospital (9-4pm Monday- Friday- you require a form from the surgery).

Additional Information:

Heart Monitoring

We offer an annual appointment to patients with established heart disease.

The purpose of this clinic is to support you in managing your heart condition and to ensure that the quality of your health remains at its best. It has been proven that correct management of people with cardiovascular disease will reduce the risks of death, heart attacks and admission to hospital.

At the clinic we will review risk factors, discuss lifestyle changes, review medications and arm you with the knowledge you need to manage your condition.

If you are interested in accessing further information on heart disease and how to manage it the British Heart Foundation offers a wealth of information to help you.

Hypertenstion

Many people have high blood pressure (hypertension) and take medication to try and keep it at the required level. If you have hypertension then it is important that you use the blood pressure machine at the surgery when requested.

Both the Bushey and Carpenders Park surgeries have a blood pressure machine in the waiting room. You can use this whenever the surgery is open. The machine gives a print out of your blood pressure. Please give this print out to a receptionist, so that the information can be entered into your medical records.

Our doctors regularly review your blood pressure readings. If necessary, they will liaise with you about changes in medication. It is recommended that people with high blood pressure have an annual blood test. If you are advised to have a blood test, via your repeat prescription, a text message or a letter then please attend the walk-in phlebotomy clinic at Watford General Hospital (9-4pm Monday- Friday- you require a form from the surgery) or make an appointment at Bushey.

We are fortunate to have access to ambulatory blood pressure machines, which previously were only available in hospital clinics. If necessary a doctor will advise you to make an appointment with a nurse to arrange for one of these tests. You wear the machine on your arm for 24 hours and it takes regular blood pressure readings throughout the day and night. The information gained from this test helps the doctors decide on how best to manage your blood pressure.

Additional Information

For more information on blood pressure please visit the NHS Choices website.

COPD

If you have COPD and require regular inhalers then you should have a review of your medication at least once a year. Our nurses are trained in COPD management and will be able to review your requirements.

Most patients with COPD are also asked to have an annual check of their lungs using a machine called a spirometer. This involves blowing into a computer, with a nurse supervising you. This machine can then calculate how well your lungs are functioning. The results of this test provide information which helps your doctor review your medication. If you need a review, please advise a receptionist that you want to see a nurse for a COPD check and they will make you an appointment. If you have COPD, you may also receive a request to make an appointment with a nurse for a review. This will either come attached to your repeat medication or as a letter or text message from the surgery.

Please respond to these requests by making an appointment with a nurse as it is important to optimise your COPD management.

Additional Information

For more information on COPD please see NHS Choices.