Annual Health Checks: Asthma/COPD

At Bellbrooke Surgery, we help patients with asthma and COPD through a yearly health check. At this appointment, we check your breathing, make sure your inhaler is right for you, and give advice to help you stay well.

Taking Care of Your Health

Looking after your health is a team effort. We are here to support you, but you should also take care of yourself. This means:

Using your inhaler correctly and regularly
Knowing when your breathing is getting worse
Asking for help before it becomes an emergency

By doing this, you can avoid hospital visits and feel better every day.

Useful Apps to Help You

We also encourage all patients with asthma or COPD to download the ICST Hub Apps (West Yorkshire Platform). These apps give you:

Easy-to-follow health advice
Tools to track your breathing and symptoms
Tips to manage your condition at home

These apps can help you stay well and in control of your health. Links and QR codes to download the Apps are below.


Asthma Hub for Parents (England)
	https://b.link/AAPH_BS	https://b.link/GAPH_BS
Asthma Hub (England)
	https://b.link/AAH_BS	https://b.link/GAH_BS
COPD Hub (England)
	https://b.link/ACH_BS	https://b.link/GCH_BS

Dementia services

Memory problems

It is very important that anyone who has problems with their memory has a proper assessment. If these problems are due to dementia then early diagnosis and referral have many benefits for the patient, their carer(s) and family. It can help them to plan and access the treatment and support they need and to improve their quality of life. You can book an appointment with one of our Doctors who can make the initial assessment and refer you to the memory clinic if needs be.

Patients with Dementia

We will invite you for an annual health check when you are due to attend. This will initially take place with one of our healthcare assistants who will also arrange for you to be reviewed by one of our Doctors. If you have any other conditions we will review these at the same time.

Annual Health Check

If you have one of the following conditions then you will be invited for an annual health check.

Diabetes
High blood pressure
Kidney disease
Heart disease
Asthma
Chronic bronchitis
Rheumatoid arthritis
Learning disabilities
Dementia
Severe mental health problems

We invite all people for their annual health check around the same month each year. You may need a blood test before the appointment, in which case the invite will say this.

The appointment will vary in length dependant on the number of conditions you have

Diabetes Services

There are a number of services that can help you when it comes to looking after yourself if you have diabetes.

Routine care

The majority of people with diabetes are looked after by the practice diabetes team.

We like to see all people with diabetes twice a year, once during their annual health check and again six months later. If you have other long term conditions, we will review these at the same time as your diabetes.

You will receive an invite for both the annual health check and the six month review. Our health care assistants will see you first to collect some blood tests and work through a set of health checks before you see a practice nurse. In some cases, the practice nurse may arrange an appointment to see one of our General Practitioners (GPs).

There are times when you will need to be seen more often than twice a year, for example after you are first diagnosed or if problems are detected during one of the routine reviews. We arrange these additional reviews as needed and may be a nurse or one of the Doctors.

The practice team

There are three practice nurses in the team Caroline, Helen and Lucy and a nurse associate, Nicola.

The diabetes lead for the practice is Dr Vidush Gautam and is supported by Helen the Lead Diabetes nurse.

Specialist care

If there is a particular problem identified with your diabetes care that we cannot help you within the practice, then we will refer you to a specialist service.

For the majority of specialist problems we use Leeds Community Healthcare diabetes service, though for some people we also refer to St. James’s Hospital.

Self help and support groups

There are 8,760 hours in a year and over a year you will only spend two to three hours receiving support and advice about your diabetes from professionals. The vast majority of care comes from ‘self care’.

We suggest that all people who develop diabetes should attend the self-management education programme, which is 6 hours of extra education offered to those with a new diagnosis of diabetes (your nurse will mention it).

Child Health

Health visitors

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.

You can contact the Health Visitors at their base:

The Reginald Centre
263 Chapletown Road
Leeds LS7 3EX

You can also contact them by telephone on 0113 8435683

Health visitor service website

Child health checks

Appointments are sent out automatically 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 the 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.

Child Immunisations

Immunisations are given by our practice nurses in accordance with the NHS vaccine schedule.

Further information on the schedule and vaccines in general can be found on NHS choices vaccinations. If you would like to get a personalised NHS vaccine wall planner for your child click here.

Immunisation Schedule

Age at vaccination	Vaccine
8 weeks	Diphtheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) and hepatitis B (DTaP/IPV/Hib/Hep B) – first dose by injectionPneumococcal infection (Pneumococcal conjugate vaccine, PCV) – one injection Rotavirus gastroenteritis – first dose by mouth Meningococcal group B (Men B) vaccine – one injection
12 weeks	Diphtheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) and hepatitis B (DTaP/IPV/Hib/Hep B) – second dose by injectionRotavirus gastroenteritis – second dose by mouth
16 weeks	Diphtheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) and hepatitis B (DTaP/IPV/Hib/Hep B) – third dose by injectionPneumococcal infection (Pneumococcal conjugate vaccine, PCV) – second dose by injection Meningitis B (Men B) vaccine – second dose by injection
12 months	Haemophilus influenza type b (Hib) and meningitis C (Men C) – one injection (third dose of Hib and first dose of Men C)Measles, mumps and rubella (German measles) (MMR) – first dose by injection Pneumococcal infection (Pneumococcal conjugate vaccine, PCV) – third dose by injection Meningitis B (Men B) vaccine – third dose by injection
3 years and 4 months	Diphtheria, tetanus, pertussis (whooping cough) and polio (DTaP/IPV) – one injection (fourth dose of DTaP and IPV)Measles, mumps and rubella (MMR) – second dose by injection
12 to 13 years (school years 8 and 9)	Human Papillomavirus Vaccine (HPV) – two injections given between six months and two years apart
14 years old (school year 9)	Tetanus, diphtheria, polio (Td/IPV) – one injection (fifth dose of Tetanus and diphtheria)Men ACWY vaccine – one injection

Weight Management

Do you need to lose weight? There are a number of online resources and local clinics that you can access without having to see your doctor for a referral.

Not sure if you need to lose weight then try out this weight calculating tool.

Online help

Advice for adults:

NHS Choices weight loss guide is an excellent guide with suggestions on a 12 week plan. It also has email support.

One You Leeds provides some online advice as well as face to face services.

Advice for children:

NHS Choices excellent guide on what to do if my child is overweight.

Face to face support

Support for adults:

One You Leeds offers a range of free NHS service to help you loose weight. This is the service that our Nurses and Doctors will refer you to if you need additional support. You can self refer to this service.
There are also private services (that you would need to pay for) such as Weight Watchers and Slimming World who both provide popular classes locally.

NHS Health Check

The NHS health check is a free health check-up for adults in England aged 40-74.

You can find more information at the NHS health check.

It aims to spot early signs of stroke, kidney disease, heart disease, type 2 diabetes and dementia because as we get older our risk of developing one of these conditions increases.

If you would like to book an NHS health check please contact reception to make an appointment.

The health check only takes about 30 minutes.

The nurse/health professional will ask you some simple questions about your lifestyle and family history, measure your height and weight, take your blood pressure and do a blood test. From this, they can give you an idea of your risks. If you are over 65, you will also be told the signs and symptoms of dementia to look out for.

You will then receive personalised advice to help lower your risk. This could include:

How to improve your diet and the amount of physical activity you do
How to lose weight or stop smoking

If a particular problem is found, such has high blood pressure, then we will make an appointment for you to see a doctor.

Sexual Health Service

The practice offers a full range of contraception services including coil fitting and referral for vasectomy.

Choice of contraception

Deciding which is the best method can be difficult so please take time to read through these excellent guides.

A suggestion is to start with the general guide and then read the detailed guide for the method that interests you.

Or you could use this helpful online tool my contraception tool.

General guide

Your Guide to Contraception

Detailed guides

Who to book an appointment with

All Doctors can prescribe pills, rings, patches and injections.

The following Doctors are trained to fit the intrauterine device and system (coil).

Dr Alison Roberts
Dr Kat Hage

The following Doctors are trained to fit the implant

Dr Alison Roberts
Dr Kat Hage
Dr Laura Reid

Please arrange an appointment with the appropriate Doctor once you have decided.

Sexually transmitted disease

Our Dr’s also offer testing and treatment for a range of sexually transmitted diseases.

If you would prefer to attend a completely anonymous service, then you can self refer to Leeds Sexual Health service.

Pill check

If you take an oral contraceptive you can complete your pill check online.

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