Alternatives to Admission

The QE has produced a guidelines on alternatives doctors might consider to admission.
Winter pressures have put considerable strain on the hospital and it doctors might like to consider the alternatives in the document.
It can be found in the
Memos section.

Useful phone numbers

As a result of comments from outside organisation, I am going to have to make the useful phone & fax pages password protected. I apologise for any inconvenience.
The password will again be the standard password you use to log into the computers before starting Adastra.

Cold Weather Warning

Public Health England have released a warning about forecast cold weather conditions this weekend, the text is below:

The Met Office has issued a Level 3 Cold Weather alert, which indicates that severe weather is now imminent. There is a 90% probability of severe cold weather/icy conditions from today until early next week.

As cold weather can lead to serious health problems such as heart attacks and strokes as well as make chest diseases worse, it is important that practices communicate with all patients on the practice list who are deemed to be ‘at risk’ to ensure they are safe and well including:

•older people (over 75 years old)

• “frail” older people

•children under the age of five

•people with pre-existing chronic medical conditions such as heart disease, stroke or TIA, asthma, chronic obstructive pulmonary disease or diabetes and

•people with mental ill-health that reduces individual’s ability to self-care (including dementia)

It is also likely that there will be a surge in demand for appointments and home visits over the next few days from patients who are vulnerable to the cold so please be prepared to respond appropriately. Also ensure that staff are aware of cold weather risks and are able to advise patients effectively.

The following advice is being issued by Public Health England

“Make sure that you stay warm. If going outside make sure you dress appropriately. If indoors, make sure that you keep your heating to the right temperature; heating your home to at least 18°C in winter poses minimal risk to your health when you are wearing suitable clothing . If there is anyone you know who might be at special risk, for example, an older person living on their own, make sure they know what to do to stay warm and are well stocked with food and medications. If you are worried about your health or that of somebody you know, ring NHS 111”

Further information is available on the Met Office website


Many of you will be aware of the current increase in cases of Influenza A in the area. Public Health England have published new advice on management of Influenza. The publications can be found in the Flu section of the Guidelines page.