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Ambulatory Blood Pressure Monitoring

Ambulatory Blood Pressure Monitoring (ABPM) is when your blood pressure is measured as you move around, living your normal daily life. It is measured for up to 24 hours. A small digital blood pressure monitor is attached to a belt around your waist and connected to a cuff around your upper arm. It is small enough not to affect your normal daily life and you can even sleep with it on.

How is it performed?

This type of blood pressure measurement is similar to your usual blood pressure measurement: an electronic monitor takes your blood pressure by inflating a cuff around your upper arm and then slowly releasing the pressure. The monitor will be started by the Health Care Assistant. It will be placed inside a protective cover and it is important that it remains in this for the duration of the monitoring. The machine then takes blood pressure readings at regular intervals throughout the day.

Normally this is around every 30 minutes during the daytime and 60 minutes at night. Many people put the machine under the pillow or on the bed while they sleep.

At the end of the monitoring period you will need to come back in to the surgery to have the machine and cuff removed. The machine will have stored all your readings and these will then be analysed.

What do I need to do?

To allow the machine to work properly, it is important to make sure that the tube to the machine is not twisted or bent. Also, just before the machine is about to take a reading, it will alert you. When this happens you should:

  • Sit down, if possible
  • Keep the cuff at the same level as your heart
  • Keep your arm still
  • Do not talk or cross your legs during the recording.

It is recommended that you do not drive for the duration of your monitoring.

Do I need to do anything different because I’m being tested?

No. Because the test is being carried out to find out what your normal daily blood pressure is, it is important to carry on with your normal routine and do all the things you would normally do. However, you should avoid vigorous exercise.

What clothes should I wear for the appointment?

You should wear loose clothing, preferably a short sleeved top. The monitor will be fitted underneath your top. You should also wear a belt to which the monitor can be attached.

Do I have to sleep with the monitor on?

Yes,  it is important that you keep the monitor on during the night. This will help us understand what your blood pressure is doing whilst you are sleeping.

May I take a bath/shower whilst undergoing monitoring?

No, because any removing of the machine could disrupt the results. For this reason we suggest showering before the appointment and after returning the equipment.

May I exercise with the monitor on?

We advise patients to avoid going to the gym/ exercising whilst the monitor is attached. A gentle or brisk walk is fine.

Where can I find out more?

Find out more about the 24 hour blood test >>

Source: British Hypertension Society

Silverlock celebrates the NHS turning 70: after-event report

Silverlock Medical Center hosted a successful Tea Party for all members of the public on Thursday 19 July 2018.

The event was well attended, mixed with members of the general public, registered patients, local healthcare providers and surgery staff.

Attendees had the opportunity to meet with old and existing staff members of the practice. The event was to celebrate the NHS turning 70 years old, and gave attendees the opportunity to have their shingles vaccinations. Patients also had access to refreshments.

The event provided a great platform for local healthcare services to engage with one another, promoting a holistic and community based approach to healthcare. The local services that attended were:

  • Southwark Carers, a charity set up to provide support and services to all people who care for others, including guidance and coping strategies, explaining carers rights, and activity groups and outings.
  • Link Age Southwark, a vibrant local charity providing volunteer support to over 600 isolated, older people in Southwark. Some of the services they provide are one-to-one befriending visits, activity groups, and practical support.
  • Members of Southwark CCG.
  • Time and Talent, a charity with the aim of designing creating a happy healthy connected community, by working with groups such as isolated elderly people and disabled groups.
  • Age UK, a charity that tries to aid older members of the public, in a variety of ways, including health and care advice, campaigning and research, and befriending schemes.

Silverlock phone lines down – Friday 13 July 2018

*UPDATE: 13 July 2018 at 3.00pm*

The lines are now back up and running. Thank you for your patience.

*UPDATE: 13 July 2018 at 12.00pm*

Dear Patients,

We are currently experiencing disruption to our telephone lines due to a transfer issue.

Engineers are working to resolve the issue as soon as possible and we will update here once normal telephone service resumes.

If you need to contact us today and cannot get through on the telephone, please use one of the following options:

  • Use our online services to book appointments, order repeat prescriptions or to view your medical records
  • Email us for non-urgent requirements on souccg.silverlockclinic@nhs.net
  • If you or someone else requires medical advice that cannot wait until our telephone issues is resolved, please contact 111, free from landlines and mobiles
  • If you or someone else experiences severe chest pain, loss of blood or suspected broken bones, or any other life threatening illness go to your nearest accident and emergency department or call 999.

Thank you for your understanding and patience.

Silverlock Team

Silverlock Medical Centre celebrates the NHS turning 70: Thursday 19 July 2018

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The NHS has turned 70!

All patients are invited to join us in celebrating this milestone on Thursday 19 July 2018 from 11.00am.

You will be able to enjoy our FREE tea party, one of a number of similar events taking place all over the UK to mark 70 years since the NHS began. There will also be an opportunity to meet with members of our practice team as well as local health and social services, and eligible patients will be able to receive their shingles vaccination.

Find out more about 70 years of the NHS, watch these insightful presentations:

Silverlock: We have moved!

We are pleased to inform you that we have now relocated to our new premises for Silverlock Medical Centre, just 4 minutes drive from our current site, with significantly improved facilities, more clinical rooms and improved patience access.

The new address is: 2 Verney Way SE16 3HA

What does this mean for me?

New patients, including patients of Avicenna Health Centre can now register at Silverlock Medical Centre in one of the following ways:

  • Ask our reception team at our new site
  • Online using our Patient Registration form >>>
  • Call 020 7237 4091.You do not need to do anything except make a note of the new address – you will remain a registered patient and our telephone number will remain the same.

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Silverlock: Telephone Lines Down – 20 June 2018

*UPDATE: 22 June 2018 at 8.00am*

The issue is now resolved. Thank You for your understanding.

*UPDATE: 20 June 2018 at 4.30pm*

Dear Patients,

We are currently experiencing disruption to our telephone lines due to a transfer issue.

Engineers are working to resolve the issue as soon as possible and we will update here once normal telephone service resumes.

Please call us on 020 7231 9092 until further notice in order to speak to a member of our team.

Thank you for your understanding and patience.

Silverlock Team

Falmouth Road Group Practice: Good CQC Rating

CQC’s new programme of inspections of England based GP practices focuses on rating according to whether they are safe, effective, caring, responsive and well led. Inspectors rated Falmouth Road Group Practice “Good” on being safe, caring, effective and well led. Falmouth were also rating “Outstanding” for the training of their Pharmacists.

Professor Steve Field, Chief Inspector of General Practice said “We carried out a comprehensive inspection at Falmouth Road Group Practice on 26 April 2018. Overall the practice is rated as good.”

The report showed the following:

  • “The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw one area of outstanding practice:

  • All Pharmacists working for the organisation were required to undergo objective structured clinical examination (OSCE) provided through AT Medics. This involved eight stations covering various prescribing areas including depression, contraception and pre diabetes. Each station had an actor and an examiner. Following the exam all pharmacists received individual and collective feedback. If a pharmacist has scored particularly poorly in an area, they would undergo remedial training or focused observation to see if they are safe to continue in that particular area.”

 

Silverlock: Telephones Down – updated 29 May 2018 @ 8.00am

*UPDATE: 10.00am – Tuesday 29 May 2018*

This issue is now resolved. Thank You for your understanding.
*UPDATE: 8.00am – Tuesday 29 May 2018*
Dear Patients,

Please note that we are experiencing issues with the telephone line at Silverlock Medical Centre. There is a very limited service today with calls coming into the surgery, we apologise in advance for any issues you may be experiencing and thank you for your patience.

We are informed that the telephony provider is working to rapidly resolve this, however we have implementing a limited interim solution whilst the issue is being resolved.

If you need to contact us today and cannot get through on the telephone, please use one of the following options:

  • Use our online services to book appointments, order repeat prescriptions or to view your medical records
  • Email us for non-urgent requirements on souccg.silverlockclinic@nhs.net
  • If you or someone else requires medical advice that cannot wait until our telephone issues is resolved, please contact 111, free from landlines and mobiles
  • If you or someone else experiences severe chest pain, loss of blood or suspected broken bones, or any other life threatening illness go to your nearest accident and emergency department or call 999.

Late May Bank Holiday Times 2018

Please note that The Hambleden Clinic, Queens Road Surgery, Silverlock Medical Centre and Falmouth Road Group Practice will be operating the following schedule till Tuesday 29 May 2018, after which the usual schedule will resume:

The Hambleden Clinic

  • Saturday 26th May 2018closed
  • Sunday 27th May 2018: closed
  • Monday 28th May 2018 (Bank Holiday): closed

Queens Road Surgery

  • Saturday 26th May 2018closed
  • Sunday 27th May 2018: closed
  • Monday 28th May 2018 (Bank Holiday): closed

Silverlock Medical Centre

  • Saturday 26th May 2018closed
  • Sunday 27th May 2018: closed
  • Monday 28th May 2018 (Bank Holiday): closed

Falmouth Road Surgery

  • Saturday 26th May 2018closed
  • Sunday 27th May 2018: closed
  • Monday 28th May 2018 (Bank Holiday): closed

If you require out of hours care or advice, find out what you can do when we are closed >>

Hambleden: NHS England proposal to relocate us to Dulwich Health Centre

Dear Patients,

The following information has been provided by NHS England with relation to Hambleden Clinic:

The contract with the organisation that currently runs your GP surgery is coming to an end, so we (NHS Southwark Clinical Commissioning Group (CCG)) need to appoint a provider of GP services at your surgery.

Also, we are planning to build a new health centre on the Dulwich Hospital site, due to open from 2020.

As the contracts for GP services at both the Hambleden Clinic and Melbourne Grove Medical Practice are due to come to an end, we propose that the best way forward would be to bring GP services for both surgeries together as one contract instead of two. This means both existing surgeries would operate as one larger GP surgery from the new health centre. The new contract would last for five to ten years. We will ensure that GP services continue to be provided at both the Hambleden Clinic and Melbourne Grove Medical Practice until the new Dulwich Health Centre opens.

We are also proposing that, from 2020 the 8 to 8 (Extended Primary Care Service) for the south of the borough, currently based at the Lister Primary Care Centre, relocates to the new Dulwich Health Centre. We will also consider whether any 8 to 8 services should continue to be offered from the Lister Primary Care Centre.

Lister Primary Care Centre is at 101 Peckham Road, London SE15 5LJ. The new Dulwich Health Centre will be next to the current Dulwich Community Hospital, East Dulwich Grove, London SE22 8PT.

This is our plan and we want to hear what our patients and stakeholders views are. This survey is to find out what you think is important about your surgery and what needs to improve.

Who should complete the survey?

The questions should be answered by patients currently registered at the Hambleden Clinic or Melbourne Grove medical centre. If you are helping that person to complete the survey, please ensure the answers recorded are those of the individual and not yours.

Completing the survey

For each question please select the answer that best represents your views, or the views of the person you are completing this survey for.

START THE SURVEY NOW

FAQs

Who is NHS Southwark Clinical Commissioning Group?

We are the statutory body responsible for planning, putting in place and monitoring health services for Southwark residents. We have a budget of £460 million which covers services like hospitals, community health, mental health, general practice (GP) and some pharmacy services. Our website is www.southwarkccg.nhs.uk if you would like to find out more.

What are the changes proposed for the Hambleden Clinic?

GP services are provided at surgeries on a contract basis. When a contract ends, the CCG has to agree a new contract with the same or another organisation to ensure that GP services continue to be available to patients. At the Hambleden Clinic, GP services are currently provided by AT Medics Ltd. This contract ends on 31 March 2019. The contract for GP services at Melbourne Grove Medical Practice, provided by Concordia Health Ltd, will also end on 31 March 2019. As you are probably aware, a new health centre is being planned to be built on the Dulwich Hospital site. The CCG has considered its options and, as contracts for GP services at both Hambleden Clinic and Melbourne Grove Medical Practice are due to come to an end, it is proposed that the best way forward would be to bring GP services for both surgeries together as one contract instead of two. This means both existing surgeries would operate as one larger GP surgery from the new health centre. The new contract would last for five to 10 years. This is our plan and we want to hear what our patients and stakeholders views are.

What are the reasons for the CCG making this decision?

When proposing that the Hambleden Clinic should become part of the new GP surgery at Dulwich Health Centre, the CCG considered a number of factors. Firstly, the CCG wants local patients to be able to access high quality sustainable GP services. The opportunity of moving GP services into the planned Dulwich Health Centre means that patients registered with a GP surgery here will be able to access high quality services as well as other services which will be delivered at Dulwich Health Centre. This will include services such as physiotherapy and long term conditions services. Evidence has also shown that surgeries with fewer than 6,000 patients often struggle to provide a full range of services and are not usually financially sustainable. Therefore, as Hambleden Clinic has fewer than 6,000 patients, and Melbourne Grove Medical Practice has just over 7,000 patients the CCG is of the view that both Melbourne Grove and Hambleden patients would benefit from improved care and services if they took this opportunity to become part of the new Dulwich Health Centre.

How would health services for Hambleden patients improve by moving into Dulwich Health Centre?

Patients would be able to see a GP or practice nurse in a modern purpose-built building, 8am – 8pm, 7 days per week, along with other health services which would be conveniently located in the same building. Larger GP surgeries are able to employ more staff due to the way they are funded. This would mean that the new GP surgery would have the choice to secure a wider range of staff, including pharmacists and nurses, so more clinics for long term conditions and health checks could be offered for example. There would also be more space for additional community health services to be provided from the same building. This means that patients who needed separate appointments with different services could organise their appointments more conveniently in one place to suit them.

What would happen to my medical notes?

Your medical notes would transfer securely to the new organisation providing GP services. You would not have to do anything. If you wish to register with another practice (not at Dulwich Health Centre) they would be transferred securely to the new surgery you have chosen to register with.

How will you choose the new organisation to provide GP services from Dulwich Health Centre?

We will run a formal selection or ‘tendering’ process in a fair and transparent way. We want to ensure that decisions made are in the best interests of patients, staff and taxpayers. Patients will be involved in the selection process. 

What is the timeframe for the changes?

We would like to start looking at arrangements for the new contract in summer 2018 and will inform patients of the new provider no later than January or February 2019. We hope that the new practice will be able to open at the Dulwich Health Centre in April 2020, although the contract with the new organisation will start in April 2019 at your existing surgery.

Why are you telling patients now?

Having made our proposal, we now want to talk to patients and stakeholders to see what you think. Your views are important and will be taken into account when we propose the service model.

Can I register at other local practices?

Patients are able to change their GP surgery at any time. If you do not wish to receive GP services at Dulwich Health Centre in future, you can register at another nearby practice. If you wish to change your GP surgery, you can find information about other local GP surgeries on the NHS Choices website at www.nhs.uk. You will need to confirm with the practice of your choice that you live within their catchment area. Practice staff should support you through the registration process.

How do I make my views about this proposal known?

The CCG wants to make sure that your views are taken in to account. We would like to hear what you value about the current service and what you would like to see improved. Patients were invited to a patient information session on Thursday 22 March, 6.30pm at Dulwich Hospital, East Dulwich Grove SE22 8PT where they learnt more about the process and put forward ideas and suggestions. We will also explained how patients can be involved in the organisation selection process. Patients will be able to complete a survey which will also be available from your GP practice and on the internet when this is finalised in early May. We will send out text reminder messages when this is available.

Where can I get information?

If you would like support to search for alternative GP practices, you can contact Healthwatch Southwark on 020 7358 7005 or visit www.healthwatchsouthwark.co.uk