SERVICES
For long-term conditions, we offer regular GP support and coordinated treatment plans.
We participate in structured programmes for diabetes, asthma, COPD and coronary heart disease.
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Structured treatment programmes support regular care for chronic conditions. We discuss participation, follow-up appointments, existing findings and your personal treatment goals together.
Together, we keep track of your findings, medication and personal treatment goals.
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At regular appointments, we review the course of your condition, current symptoms and treatment so far. Changes to medication and further steps are agreed with you by a doctor.
GP support for people born with structural changes in the heart.
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Congenital heart defects can affect the walls between heart chambers, heart valves or major blood vessels. Their significance ranges from minor changes without symptoms to complex conditions requiring lifelong care. Regular checks may remain important after surgery.
Identifying blood vessel changes and reducing modifiable risks.
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Arteriosclerosis involves changes in artery walls. Deposits often form, narrowing vessels and restricting blood flow. It can affect the heart, brain or legs and often remains unnoticed for a long time, making risk assessment important.
Measuring blood pressure reliably and managing it over time.
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Persistently high blood pressure can put strain on the heart, blood vessels and kidneys. It often causes no symptoms for a long time. Diagnosis relies on repeated, correctly performed measurements and considers whether readings were taken at the practice or elsewhere.
Assessing risks, symptoms and existing findings together.
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Heart and vascular conditions include various problems such as coronary artery disease, impaired circulation in the legs and heart valve changes. An accurate diagnosis matters because treatment and monitoring differ according to the cause.
Coordinating ongoing care and prevention after a heart attack.
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A heart attack is an emergency in which impaired blood supply can damage heart muscle. After hospital treatment, recovery, rehabilitation and prevention of another event are central. This page describes long-term follow-up care.
Treating heart failure and recognising changes early.
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In heart failure, the heart cannot supply the body adequately or fill with blood properly. Causes can include coronary artery disease, high blood pressure or valve problems. It is not simply a normal consequence of ageing.
Investigating skipped beats, an irregular pulse and a racing heart.
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The heart may beat too quickly, too slowly or irregularly. Some extra beats are harmless, while other rhythm disorders need treatment. The type of disturbance, associated symptoms and underlying conditions determine its significance.
Assessing raised cholesterol in the context of overall risk.
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Cholesterol is needed for many bodily functions. Raised LDL cholesterol can, however, encourage deposits in blood vessels. Treatment decisions depend on more than a single measurement and also consider existing vascular disease, family history and other risks.
Treating acute joint inflammation and preventing further attacks.
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Gout involves deposits of uric acid crystals, particularly in joints, where they can cause severe inflammation. Reduced excretion of uric acid through the kidneys is common. Raised uric acid alone does not necessarily mean a gout attack.
Ongoing care for an autoimmune thyroid condition.
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Hashimoto's thyroiditis is inflammation of the thyroid caused by the immune system. It can lead to an underactive thyroid over time. Not everyone needs medication immediately; thyroid function, symptoms and individual circumstances determine treatment.
Recognising increased thyroid activity and identifying its cause.
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An overactive thyroid exposes the body to too much thyroid hormone. Possible causes include Graves' disease, autonomously functioning areas of the thyroid and temporary inflammation. An excessive dose of thyroid hormone medication can also contribute.
Identifying and treating insufficient thyroid hormone.
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An underactive thyroid means the body has too little thyroid hormone. Hashimoto's thyroiditis is a common cause; surgery or certain treatments can also cause it. Whether an abnormal blood result needs treatment is decided individually.
Complementing and coordinating specialist diabetes care.
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In type 1 diabetes, an autoimmune reaction damages insulin-producing cells. The body needs a continuing supply of insulin. The condition can begin at different ages and is not caused by an unhealthy lifestyle.
Keeping track of glucose levels and complications together.
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In type 2 diabetes, insulin becomes less effective and its production may later decline. Blood glucose rises. Inherited susceptibility, age and various lifestyle factors can contribute. The condition often goes unnoticed at first.
Discussing weight, health and practical treatment goals.
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Obesity is a chronic condition with multiple causes. Weight is influenced by biological factors, daily life, medicines and the environment. Treatment considers health, symptoms and personal goals, not just a number on the scales.
Assessing memory changes and supporting patients and families.
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Alzheimer's is a brain disease and a common cause of dementia. Memory and other cognitive abilities progressively change. Diagnosis needs care because forgetfulness may also have treatable causes.
Understanding distressing anxiety and finding suitable help.
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Anxiety is normally a protective response. In an anxiety disorder, however, it may become excessive, arise without a corresponding danger and limit daily life. Conditions include generalised anxiety, panic disorder and certain phobias.
Careful assessment of persistent exhaustion.
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Fatigue describes marked exhaustion that does not improve sufficiently with ordinary rest. It can accompany various illnesses. ME/CFS is a distinct condition and must not be equated with every form of chronic tiredness.
Recognising changes in cognitive abilities and planning care.
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Dementia is a syndrome involving lasting impairment of cognitive abilities that increasingly affects daily life. Various illnesses can cause it, including Alzheimer's and vascular changes. The cause matters for treatment and advice.
Taking mental health symptoms seriously and discussing effective support.
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Depression is an illness that can affect mood, motivation, thinking and physical wellbeing. It is more than a temporary low mood. Its course ranges from single episodes to recurrent symptoms of varying severity.
Distinguishing recurrent headaches and treating them appropriately.
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Headaches have different causes. Tension-type headache and migraine are common; another illness is less often responsible. Appropriate treatment requires distinguishing the pattern, frequency and associated signs.
GP support alongside neurological treatment in everyday life.
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Parkinson's involves changes in certain brain nerve cells that can affect movement and other bodily functions. Not all trembling means Parkinson's. Diagnosis and specialist treatment are assessed by neurology.
Investigating sleep problems and daytime tiredness together.
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Sleep disorders can affect falling asleep, staying asleep or feeling refreshed. They may occur briefly during stress or persist longer. Pain, mental health conditions, medicines or sleep-related breathing disorders may contribute.
Coordinating ongoing care after a stroke.
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A stroke results from impaired blood flow or bleeding in the brain. Difficulties with movement, speech or other abilities may remain after acute treatment. GP follow-up complements neurological care and rehabilitation.
Assessing memory problems without rushing to a diagnosis.
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Occasionally forgetting something does not automatically indicate illness. Persistent or increasing changes may, however, affect quality of life and independence. Sleep deprivation, medicines, depression or physical conditions may contribute, as may dementia.
Investigating the pattern and triggers of trembling.
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Tremor is a symptom with several possible causes. It may occur with tension, medicines, an overactive thyroid, essential tremor or neurological illness. It does not automatically mean Parkinson's disease.
Recognising inflamed joints and distinguishing their causes.
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Arthritis means joint inflammation. It may result from rheumatic disease, gout, infection or other causes. Early assessment helps prevent joint damage and choose suitable treatment.
Relieving joint symptoms and maintaining movement.
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Osteoarthritis affects the whole joint, including changes in cartilage. Knees, hips and hands are commonly affected. Symptoms and imaging findings do not always directly correspond; daily limitations are important for treatment.
Careful assessment of radiating pain and nerve symptoms.
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In a herniated disc, tissue protrudes from a spinal disc and can irritate or compress nerves. Not every imaging finding causes symptoms. Treatment can often proceed without surgery; progression and neurological deficits are key.
Examining sudden lower back pain and helping you move.
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Lumbago describes sudden pain in the lumbar region. A dangerous cause is often absent. Nevertheless, signs of nerve involvement, injury or another illness need to be checked.
Identifying fracture risks and taking preventive action.
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Osteoporosis reduces bone strength, allowing fractures to occur with relatively little force. Age, hormonal changes, certain medicines and other conditions can influence risk.
Recognising inflammatory rheumatic symptoms early.
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Rheumatism is an umbrella term for different conditions. In rheumatoid arthritis, a misdirected immune response particularly affects joints. Early treatment can limit damage; accurate diagnosis distinguishes inflammation from other causes of pain.
Managing recurrent symptoms and encouraging activity.
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Back pain can involve muscles, joints, discs and nerves. Often no single structural cause can be identified, but symptoms are still real. Duration, limitations and possible warning signs determine the next steps.
Controlling breathing symptoms and supporting inhaler treatment.
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Asthma is chronic airway inflammation. The bronchi can temporarily narrow and react sensitively to various triggers. Allergic and non-allergic factors may contribute. Suitable treatment can reduce symptoms and the risk of attacks.
Investigating persistent cough and possible airway damage.
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Chronic bronchitis describes lasting cough with phlegm. Tobacco smoke and other inhaled irritants can place lasting strain on the airways. Not all chronic cough is bronchitis; asthma, reflux or medicines can also contribute.
Treating chronic airway narrowing and preventing flare-ups.
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COPD is a lasting condition involving narrowed airways and sometimes damage to the air sacs in the lungs. Smoking is a major risk factor, but not the only one. Treatment reflects symptoms, lung function and previous flare-ups.
Using chronic cough as a reason for a targeted assessment.
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Cough in people who smoke should not be dismissed as unavoidable. It can indicate airway irritation or chronic bronchitis. COPD and other illnesses also need consideration when symptoms suggest them.
Assessing recurrent gas and abdominal symptoms.
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Gas forms naturally during digestion. Bloating can nevertheless become troublesome or occur with pain and changes in bowel habits. Diet, constipation, intolerances or irritable bowel syndrome may contribute; a particular food is not always the cause.
Coordinated support for inflammatory bowel disease.
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Ulcerative colitis causes inflammation of the lining of the large bowel. It often follows a pattern of flare-ups and quieter periods. Specialist-coordinated treatment aims to relieve symptoms and control inflammation.
Supporting inflammatory bowel symptoms and ongoing care.
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Crohn's disease is a chronic inflammatory condition that can affect different parts of the digestive tract. The small and large bowel are commonly involved. Symptoms may occur in flare-ups and the disease can affect areas outside the bowel too.
Understanding persistent bowel symptoms and relieving them individually.
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Irritable bowel syndrome can cause abdominal pain and altered bowel habits. Bowel function and communication between the gut and nervous system interact. Symptoms are real and should not simply be dismissed as imagined.
Recognising allergic symptoms and reducing exposure.
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House dust mite allergy is an immune reaction to components of mites, particularly their droppings. Mites live in mattresses and textiles, among other places. Symptoms can occur all year and are not simply a matter of poor cleanliness.
Relieving seasonal symptoms and recognising airway involvement.
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Pollen allergy is an immune reaction to pollen from particular plants. Symptoms occur at different times of year depending on the trigger. Several pollen types may be involved; accurate assessment helps treatment.
Distinguishing allergies from other food intolerances.
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Food allergy involves an immune reaction to components of a food. Not every digestive symptom after eating is an allergy. Careful diagnosis avoids unnecessary and potentially unbalanced dietary restrictions.
Investigating symptoms associated with animal contact.
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What is commonly called an animal hair allergy usually targets proteins from skin flakes, saliva or other animal material. These enter the environment through hair and dust, so symptoms may occur even when the animal is no longer in the room.
Individual assessment of persistent symptoms after COVID-19.
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Symptoms may persist or begin after a SARS-CoV-2 infection. Long COVID includes various ongoing health effects. Symptoms vary widely, and other treatable causes must also be considered.
Considering cholesterol and triglycerides within your personal risk profile.
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Blood lipids include cholesterol and triglycerides. Abnormal levels can indicate a lipid metabolism disorder. Their significance depends on the particular result and overall health.
A structured consultation about symptoms following COVID-19.
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This assessment helps interpret persistent symptoms after COVID-19. There is no single blood test or fixed set of investigations that reliably identifies every lasting effect. The assessment reflects your symptoms and possible alternative causes.
