Screening is a way of finding diseases and problems at an earlier stage in apparently healthy people, when treatment will be more successful.  Contents

1. Abdominal aortic aneurysm screening
2. Bowel cancer screening programme
3. Breast cancer screening programme
4. Cervical cancer screening programme

Screening is a way of finding diseases and problems at an earlier stage in apparently healthy people when treatment will be more successful. The following screening services are offered as part of the NHS.

Abdominal aortic aneurysm screening

Abdominal aortic aneurysm (AAA) screening is a way of detecting a dangerous swelling (aneurysm) of the aorta – the main blood vessel that runs from the heart, down through the abdomen to the rest of the body. This swelling is far more common in men aged over 65 than it is in women and younger men, so all men are invited for screening in the year they turn 65.

An AAA usually causes no symptoms, but if it bursts, it’s extremely dangerous and usually fatal. Around 8 out of 10 people with a ruptured AAA either die before they reach hospital or don’t survive surgery.

Screening involves a simple ultrasound scan of your stomach (abdomen), which takes about 10-15 minutes.

If you have been invited and lost the details, please contact Tel: 0113 3923740 or Email: leedsth-tr.AAAScreening@nhs.net

Bowel cancer screening programme

Bowel cancer is the third most common cancer in the UK. Screening is offered every two years to all men and women aged 60 to 74 who are most at risk.  A home testing kit that is posted out to you. Please complete and return your testing kit which could save your life as it gives us the chance to detect the disease in its early stages.

Breast cancer screening programme

Breast cancer screening is offered to all women aged 50 – 70 to detect early signs of breast cancer. Women aged over 70 can make their own screening appointments by contacting the Leeds breast screening service on 0113 206 3816.

Breast cancer screening uses an X-ray test called a mammogram that can spot cancers when they are too small to feel. If breast cancer is discovered in its early stages, there is a very good chance of recovery.

Women who notice any breast symptoms or changes should make an appointment to see a GP immediately.

Cervical cancer screening programme

Cervical screening is available to all women aged 25 to 64.

If you are registered at the practice you should automatically receive an invitation by post every three years for women aged 25 – 49 and every five years for women aged 50 – 64. You simply need to contact the practice and make an appointment to see a nurse.

It is very important that you make these appointments, as early detection and treatment of abnormal cells can prevent cervical cancer.

If any concerns have been raised in the past, you may be invited for more frequent checks.

The practice offers a range of contraception services including free condoms Contents

1. Choice of contraception
2. Detailed guides
3. Free Condoms
4. Sexually transmitted disease

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

• The combined pill
• The progesterone only pill
• The contraceptive injection
• The contraceptive implant
• The contraceptive patch
• The contraceptive vaginal ring
• The intrauterine system
• The intrauterine device
• Male and female sterilisation
• Diaphragms and caps
• Natural family planning
• Emergency contraception

Free Condoms

If you are over 16 you can collect free condoms from the surgery.  

Ask your doctor, nurse, or receptionist. 

You can ring the receptionist and arrange to collect your condoms from reception. 

If you are aged 13-16 you can visit Leeds Sexual Health website C-card condoms

Sexually transmitted disease

Our Doctors also offer testing and treatment for a range of sexually transmitted diseases.

Chlamydia is a  sexually transmitted infection that often has no symptoms. The test is a simple, painless, self taken swab for females and a urine test for males – ask your GP, nurse or receptionist for a testing kit.

Why should I be tested? To stop the spread of infection & prevent fertility problems in the future. Every time you change your sexual partner you should get a test.

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

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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.

There are a lot of services available to support people with mental health issues. Contents

1. Services for adults
2. Services for children
3. Feeling suicidal

All our doctors are trained to help people suffering from mental health problems. Making an appointment is a good place to start if you are looking for help.

There are also lots of other services locally that are there to support you, many of whom you can refer yourself to.

Services for adults

• If you are aged 17 or older then a good place to start is the Mindwell website. It is designed to help you understand the common problems that people face and the range of services here to help. It also offers help to those who are worried about others.
• You might have heard your GP or friend talk about IAPT. This is a range of services that we commonly refer our patients to when they have problems with mental health. Here is a list of what IAPT offer, you can also refer yourself to this service from their website.

Services for children

If you are aged 16 or under, then a good place to start is the MindMate website.

MindMate is specifically aimed at young people and can help you understand the way you are feeling and find the right advice and support. It also offers advice for parents.

Feeling suicidal

If we are open, then please call now to book an urgent same day appointment with one of our doctors.

If we are not open, or you would prefer to get help elsewhere, then please click one of the links below:

I am 17 and older and need help now

I am 16 or younger and need urgent help

We work closely with other services to help support people and their families at this very difficult time.

The local service

Together as a team we work with individuals and their families to address physical, emotional, social, spiritual and financial issues.

The core team includes a GP, District Nurse and MacMillan Nurse.

Please book with your GP if you or someone you care for needs help now.

Advice

The Sue Ryder website has some excellent articles called Practical & Emotional Advice, we recommend them highly. Don’t forget to click on the ‘load more’ button on the bottom of the first page, its easy to miss.

Other useful sites

NHS choices page on end of life care.

Also Leeds Palliative Care has a wealth of information on local services.

Wheatfields hospice

St Gemma’s hospice

Services available to help you lose weight. Contents

1. Online help
2. Face to face support

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 general advice and links to services locally.

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/Manage your weight services  is the free NHS 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.

Support for children:

There is a dedicated service for children called Watch It, the details of which are at the bottom of the weigh ahead page. You can self refer to this service.

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. Dr Carrigan and Dr Prasad run baby clinics at the surgery.

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.

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 on 0113 8435683 Monday to Friday.Health visitor service website

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.

Immunisation Schedule

Age at vaccination	Vaccine
2 months	Diphtheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) and hepatitis B- one injectionPneumococcal infection (Pneumococcal conjugate vaccine, PCV) – one injectionRotavirus vaccine – by mouthMeningitis B (Men B) vaccine – one injection
3 months	Diphtheria, tetanus, pertussis, polio and Hib and hepatitis B – second doseRotavirus vaccine – second dose
4 months	Diphtheria, tetanus, pertussis, polio and Hib and hepatitis B – third dosePneumococcal infection (Pneumococcal conjugate vaccine, PCV) – second doseMeningitis B (Men B) vaccine – second dose
12 to 13 months	Haemophilus influenza type b (Hib) and meningitis C (Men C) – one injectionMeasles, mumps and rubella (German measles) (MMR) – one injectionPneumococcal infection (Pneumococcal conjugate vaccine, PCV) – third doseMeningitis B (Men B) vaccine – third dose
3 years and 4 months	Diphtheria, tetanus, pertussis (whooping cough) and polio (DTaP/IPV) – One injectionMeasles, mumps and rubella (MMR) – second dose
Girls aged 12 to 13 years	Human Papillomavirus Vaccine (HPV) – two injections given between six months and two years apart
13 to 18 years	Diphtheria, tetanus, polio (Td/IPV) – one injectionMen ACWY vaccine – one injection
19 to 25 years (first time students only)	Men ACWY vaccine

How we support people with diabetes Contents

1. Routine care
2. Specialist care
3. Self help and support groups

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 at least once a year for an annual health check and if necessary 6 months later.

You will receive an invite for both the annual health check and the 6 month review. Both of the appointments will be with a nurse and you may need to have a blood test before each appointment.

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 they will either be with a nurse or one of the Doctors.

The practice team

Practice Nurse Cath Francey and Dr Sadiq are responsible for the diabetic care at the surgery.

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 the local hospital.

Self help and support groups

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).

There is also a local Patient Empowerment Programme (PEP) Diabetes support group as we recognise people live with diabetes for years and so need on-going support and advice.